University of Miami, 5665 Ponce de Leon Blvd., Coral Gables, FL 33146, USA.
Qual Life Res. 2012 Sep;21(7):1279-90. doi: 10.1007/s11136-011-0091-5. Epub 2012 Jan 13.
The psychometric properties of a health-related quality of life (HRQOL) instrument, the Cystic Fibrosis Questionnaire-Revised (CFQ-R), were evaluated in a national, US sample of patients with cystic fibrosis (CF). This is the first psychometric evaluation of the revised version of this instrument.
The Epidemiologic Study of CF is a national, US multicenter longitudinal cohort study containing CFQ-R and health outcomes data. Developmentally appropriate versions of the CFQ-R were available from 7,330 patients aged 6-70 years and a proxy version from 2,728 parents of school-age children. The CFQ-R was completed during a "stable" or "sick" visit before recording health outcomes such as weight, lung function, and pulmonary exacerbations.
There were few floor and ceiling effects and strong internal consistency (Cronbach alpha ≥0.70) for most scales. The CFQ-R consistently discriminated between patients seen for sick-versus-well visits, and among stages of disease severity based on lung function. As predicted, women with CF reported worse HRQOL than men on scales not related to body image and weight. Strong parent-child agreement was found on scales measuring observable behaviors (respiratory symptoms). Convergence between CFQ-R scales and health outcomes provided evidence of construct validity.
The CFQ-R demonstrated robust psychometric properties and consistent associations with health outcomes in a large national, US sample. Normative data are available to aid in interpretation.
对囊性纤维化问卷修订版(CFQ-R)这一与健康相关的生活质量(HRQOL)工具的心理计量学特性进行评估,该工具的适用对象为美国全国范围内的囊性纤维化(CF)患者。这是对该仪器修订版进行的首次心理计量评估。
CF 流行病学研究是一项全国性的、美国多中心的纵向队列研究,其中包含 CFQ-R 和健康结果数据。该研究提供了适用于 7330 名 6-70 岁患者的发展适宜版本的 CFQ-R,以及适用于 2728 名学龄儿童家长的代理版本。CFQ-R 在记录健康结果(如体重、肺功能和肺部恶化)之前,在“稳定”或“生病”就诊期间完成。
大多数量表的地板效应和天花板效应很少,内部一致性很强(Cronbach alpha≥0.70)。CFQ-R 始终能够区分在生病和健康就诊之间就诊的患者,以及基于肺功能的疾病严重程度阶段之间的患者。正如预测的那样,与身体形象和体重无关的量表上,女性 CF 患者报告的 HRQOL 比男性差。在衡量可观察行为(呼吸症状)的量表上,发现了强烈的父母-子女一致性。CFQ-R 量表与健康结果之间的高度一致性为结构有效性提供了证据。
在大型美国全国性样本中,CFQ-R 表现出稳健的心理计量学特性和与健康结果的一致关联。可用的规范数据可用于帮助解释。