开发和验证中风幸存者的参与和积极心理功能测量工具。
Development and validation of participation and positive psychologic function measures for stroke survivors.
机构信息
Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
出版信息
Arch Phys Med Rehabil. 2010 Sep;91(9):1347-56. doi: 10.1016/j.apmr.2010.06.020.
OBJECTIVE
To evaluate the reliability and validity of Neurologic Quality of Life (NeuroQOL) item banks that assess quality-of-life (QOL) domains not typically included in poststroke measures.
DESIGN
Secondary analysis of item responses to selected NeuroQOL domains.
SETTING
Community.
PARTICIPANTS
Community-dwelling stroke survivors (n=111) who were at least 12 months poststroke.
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURES
Five measures developed for 3 NeuroQoL domains: ability to participate in social activities, satisfaction with participation in social activities, and positive psychologic function.
RESULTS
A single bank was developed for the positive psychologic function domain, but 2 banks each were developed for the ability-to-participate and satisfaction-with-participation domains. The resulting item banks showed good psychometric properties and external construct validity with correlations with the legacy instruments, ranging from .53 to .71. Using these measures, stroke survivors in this sample reported an overall high level of QOL.
CONCLUSIONS
The NeuroQoL-derived measures are promising and valid methods for assessing aspects of QOL not typically measured in this population.
目的
评估神经生活质量（NeuroQOL）项目库评估通常不包括在中风后测量中的生活质量（QOL）领域的可靠性和有效性。
设计
对选定的NeuroQOL 领域的项目反应进行二次分析。
地点
社区。
参与者
至少 12 个月中风后居住在社区的中风幸存者（n=111）。
干预措施
不适用。
主要观察指标
为 3 个 NeuroQoL 领域开发的 5 项措施：参与社会活动的能力、对参与社会活动的满意度和积极的心理功能。
结果
为积极心理功能领域开发了一个单一的银行，但为能力参与和参与满意度领域分别开发了两个银行。由此产生的项目库表现出良好的心理测量特性和外部结构有效性，与传统仪器的相关性从.53 到.71。使用这些措施，该样本中的中风幸存者报告了总体较高的生活质量。
结论
NeuroQoL 衍生的措施是评估该人群中通常不测量的生活质量方面的有前途和有效的方法。
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