Nilsson Jenny, Fridén Cecilia, Burén Viktoria, Ang Björn O
Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.
Aviat Space Environ Med. 2011 Jun;82(6):610-4. doi: 10.3357/asem.2966.2011.
Parachuting injuries are well-known medical problems in military and recreational skydiving. However, little is known about sub-clinical incidents such as those involving the opening shock. To date, there is no validated questionnaire for epidemiological purposes that identifies relevant exposures among skydivers. A web-based platform has been recognized as a convenient approach for data collection in the Swedish skydiving population. The present aim was, therefore, to validate such a web-based questionnaire for wide assessment of pain incidents and related risks among Swedish skydivers.
Initially, a web-based questionnaire was developed and piloted with 102 skydivers. Content and face validity were then systematically assessed by an independent panel of seven experts in three developing stages before the form was finalized by the present authors in a consensus panel. The reviewers were medical (N = 5) and skydiving (N = 2) experts. Content validity was rated on a four-point Likert-type ordinal scale. The item content validity index (I-CVI) was the proportion of experts rating an item as acceptable (score 3-4) while scale-CVI was the proportion of acceptable items in the questionnaire. Face validity was achieved with open-ended reviews.
Of the 19 items in the final web-based questionnaire, 18 reached an I-CVI of 0.86 or higher, with the last item reaching an I-CVI of 0.71. The overall scale-CVI was 0.95. Face validity for the final version was assessed as 'good' or 'really good'.
The present web-based questionnaire is considered valid for further use in studies investigating epidemiological and clinical aspects among skydivers.
降落伞损伤在军事和休闲跳伞运动中是众所周知的医学问题。然而,对于诸如开伞冲击等亚临床事件却知之甚少。迄今为止,尚无经过验证的用于流行病学目的的问卷来识别跳伞者中的相关暴露情况。基于网络的平台已被认为是瑞典跳伞人群数据收集的便捷方法。因此,本研究的目的是验证这样一个基于网络的问卷,以便广泛评估瑞典跳伞者的疼痛事件及相关风险。
最初,开发了一个基于网络的问卷,并对102名跳伞者进行了预测试。然后,由一个由七名专家组成的独立小组在三个开发阶段系统地评估内容效度和表面效度,之后本研究作者在一个共识小组中最终确定了问卷形式。评审人员包括医学专家(5名)和跳伞专家(2名)。内容效度采用四点李克特式有序量表进行评分。项目内容效度指数(I-CVI)是将一个项目评为可接受(得分3 - 4)的专家比例,而量表CVI是问卷中可接受项目的比例。表面效度通过开放式评审来实现。
最终基于网络的问卷中的19个项目中,18个项目的I-CVI达到0.86或更高,最后一个项目的I-CVI为0.71。整体量表CVI为0.95。最终版本的表面效度被评估为“良好”或“非常好”。
本基于网络的问卷被认为可有效用于进一步研究跳伞者的流行病学和临床方面。