Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK.
Am J Public Health. 2012 Oct;102(10):e55-63. doi: 10.2105/AJPH.2012.300720. Epub 2012 Aug 16.
We developed the Humanitarian Emergency Settings Perceived Needs (HESPER) Scale, a valid and reliable scale to rapidly assess perceived needs of populations in humanitarian settings in low- and middle-income countries.
We generated items through a literature review; reduced the number of items on the basis of a survey with humanitarian experts; pilot-tested the scale in Gaza, Jordan, Sudan, and the United Kingdom; and field-tested it in Haiti, Jordan, and Nepal.
During field-testing, intraclass correlation coefficients (absolute agreement) for the total number of unmet needs were 0.998 in Jordan, 0.986 in Haiti, and 0.995 in Nepal (interrater reliability), and 0.961 in Jordan and 0.773 in Nepal (test-retest reliability). Cohen's κ for the 26 individual HESPER items ranged between 0.66 and 1.0 (interrater reliability) and between 0.07 and 1.0 (test-retest reliability) across sites. Most HESPER items correlated as predicted with related questions of the World Health Organization Quality of Life-100 (WHOQOL-100), and participants found items comprehensive and relevant, suggesting criterion (concurrent) validity and content validity.
The HESPER Scale rapidly provides valid and reliable population-based data on perceived needs in humanitarian settings.
我们开发了人道主义紧急情况感知需求量表（HESPER），这是一种快速评估中低收入国家人道主义环境中人群感知需求的有效且可靠的量表。
我们通过文献回顾生成项目；根据人道主义专家的调查减少项目数量；在加沙、约旦、苏丹和英国进行了试点测试；并在海地、约旦和尼泊尔进行了实地测试。
在实地测试中，约旦、海地和尼泊尔的未满足需求总数的组内相关系数（绝对一致性）分别为 0.998、0.986 和 0.995（评分者间可靠性），约旦和尼泊尔的 0.961 和 0.773（重测信度）。26 个 HESPER 项目的 Cohen's κ 在不同地点的评分者间可靠性范围为 0.66 至 1.0，重测信度范围为 0.07 至 1.0。大多数 HESPER 项目与世界卫生组织生活质量-100 量表（WHOQOL-100）的相关问题呈预期相关，参与者认为项目全面且相关，表明具有标准（同时）有效性和内容有效性。
HESPER 量表可快速提供人道主义环境中人群感知需求的有效且可靠的基于人群的数据。
