URSS, IMIM-Institut de Recerca Hospital del Mar, Barcelona, Spain.
Value Health. 2012 Mar-Apr;15(2):312-22. doi: 10.1016/j.jval.2011.11.028. Epub 2012 Jan 30.
To analyze the characteristics of instruments designed to assess the health-related quality of life (HRQOL) in children, developed or adapted from 2000 to 2010 in Argentina, Chile, Mexico, Spain, and Uruguay.
The protocol-led literature review included database searching (e.g., Medline, ISI Science Citation Index) and manual searching to retrieve studies focused on measures of HRQOL, health status, or well-being addressed to children and adolescents. Country-specific filters were applied to identify studies carried out in the participating countries. The characteristics of the instruments and type of studies were analyzed. Descriptive characteristics and psychometric properties were analyzed following the guidelines of the Scientific Advisory Committee of the Medical Outcomes Trust.
Ninety-nine documents were included. Thirty-one questionnaires were identified, 24 instruments were adapted, and the psychometric properties of 20 HRQOL instruments were reported in the study period. There was substantial variability in the number and characteristics of the dimensions included. Reliability was generally acceptable, and the majority of instruments provided data on internal consistency (n = 18) and, to a lesser extent, on test-retest reliability (n = 12). Nearly all studies reported construct validity, but only four analyzed sensitivity to change.
There is a scarcity of instruments to measure HRQOL of children and adolescents in the countries analyzed. Certain psychometric characteristics have been reasonably well tested, but others, most notably sensitivity to change, have not been tested in most instruments. Extension of this study to other Latin American countries would help to further identify gaps in this area and promote the use of HRQOL measurement in children and adolescents in Spanish-speaking cultures.
分析 2000 年至 2010 年期间在阿根廷、智利、墨西哥、西班牙和乌拉圭开发或改编的用于评估儿童健康相关生活质量（HRQOL）的工具的特点。
本研究采用协议主导的文献综述，包括数据库检索（如 Medline、ISI 科学引文索引）和手动检索，以检索针对儿童和青少年的 HRQOL、健康状况或幸福感的测量方法的研究。应用国家特定的筛选器来确定参与国家开展的研究。分析工具的特征和研究类型。按照医疗结果信托科学咨询委员会的指导方针，分析描述性特征和心理测量特性。
共纳入 99 份文件。确定了 31 份问卷，24 种工具被改编，在研究期间报告了 20 种 HRQOL 工具的心理测量特性。所包含的维度的数量和特征存在很大差异。可靠性通常可以接受，并且大多数工具提供了关于内部一致性的数据（n = 18），在较小程度上提供了关于重测信度的数据（n = 12）。几乎所有的研究都报告了结构有效性，但只有四项研究分析了对变化的敏感性。
在所分析的国家中，用于测量儿童和青少年 HRQOL 的工具数量较少。某些心理测量特征已经得到了相当好的检验，但其他特征，尤其是对变化的敏感性，在大多数工具中都没有得到检验。将这项研究扩展到其他拉丁美洲国家将有助于进一步确定该领域的差距，并促进在讲西班牙语的文化中使用 HRQOL 测量。
