日本版患者自评肘部评估的信度、效度及反应度
Reliability, validity, and responsiveness of the Japanese version of the patient-rated elbow evaluation.
作者信息
Hanyu Tadamasa, Watanabe Mikihiko, Masatomi Takashi, Nishida Keiichiro, Nakagawa Teruhiko, Nishiura Yasumasa, Ohi Hiroyuki
机构信息
Department of Orthopaedic Surgery, Nagaoka Red Cross Hospital, 2-297-1 Senshu, Nagaoka, Niigata, 940-2085, Japan,
出版信息
J Orthop Sci. 2013 Sep;18(5):712-9. doi: 10.1007/s00776-013-0408-z. Epub 2013 Jun 11.
BACKGROUND
The patient-rated elbow evaluation (PREE) is a joint-specific, self-administered questionnaire consisting of a pain scale (PREE-P) and a functional scale (PREE-F), the latter consisting of specific function (PREE-SF) and usual function (PREE-UF). The purpose of this study was to cross-culturally adapt the PREE into Japanese (PREE-J) and to test its reliability, validity, and responsiveness.
METHODS
A consecutive series of 74 patients with elbow disorder completed the PREE-J, the Japanese version of the disabilities of the arm, shoulder, and hand (DASH-JSSH) questionnaire, and the official Japanese version of the 36-Item Short-Form Health Survey (SF-36). Of the 74 patients, 53 were reassessed for test-retest reliability 1 or 2 weeks later. Reliability was investigated in terms of reproducibility and internal consistency. The validity of the PREE-J was examined by factor analysis, and correlation coefficients were obtained using the PREE-J, DASH-JSSH, and SF-36. Responsiveness was examined by calculating the standardized response mean (SRM) and effect size after elbow surgery in 53 patients.
RESULTS
Cronbach's α coefficients for PREE-P, PREE-F, and PREE were 0.92, 0.97, and 0.97, respectively, and the corresponding intraclass correlation coefficients were 0.92, 0.93, and 0.94, respectively. Unidimensionality of PREE-P and PREE-F was confirmed by factor analysis. The coefficients of correlation between PREE-P and PREE-F or DASH-JSSH were 0.81 and 0.74, respectively; that between PREE-F and DASH-JSSH was 0.86, and those between DASH-JSSH and PREE-SF or PREE-UF were 0.85 and 0.82, respectively. Moderate correlation was observed in "physical functioning" for SF-36 and PREE-F (r = -0.69) or PREE (r = -0.68). The SRMs/effect sizes of PREE-P (1.31/1.32) or PREE (1.28/1.12) were more responsive than the DASH-JSSH (0.99/0.85), "bodily pain" (-1.15/-1.43), and "physical functioning" (-0.70/-0.44) in SF-36.
CONCLUSION
The PREE-J represents a reliable, valid, and responsive instrument and has evaluation capacities equivalent to those of the original PREE.
背景
患者自评肘部评估（PREE）是一种针对关节的自我管理问卷，由疼痛量表（PREE-P）和功能量表（PREE-F）组成，后者又包括特定功能（PREE-SF）和日常功能（PREE-UF）。本研究的目的是将PREE进行跨文化改编为日语版（PREE-J），并测试其可靠性、有效性和反应性。
方法
连续纳入74例肘部疾病患者，完成PREE-J、日语版上肢、肩部和手部功能障碍（DASH-JSSH）问卷以及官方日语版36项简短健康调查（SF-36）。在这74例患者中，53例在1或2周后重新进行测试以评估重测可靠性。从重复性和内部一致性方面研究可靠性。通过因子分析检验PREE-J的有效性，并使用PREE-J、DASH-JSSH和SF-36获得相关系数。通过计算53例患者肘部手术后的标准化反应均值（SRM）和效应量来检验反应性。
结果
PREE-P、PREE-F和PREE的Cronbach's α系数分别为0.92、0.97和0.97，相应的组内相关系数分别为0.92、0.93和0.94。因子分析证实了PREE-P和PREE-F的单维度性。PREE-P与PREE-F或DASH-JSSH之间的相关系数分别为0.81和0.74；PREE-F与DASH-JSSH之间的相关系数为0.86，DASH-JSSH与PREE-SF或PREE-UF之间的相关系数分别为0.85和0.82。在SF-36的“身体功能”方面，观察到与PREE-F（r = -0.69）或PREE（r = -0.68）存在中度相关性。PREE-P（1.31/1.32）或PREE（1.28/1.12）的SRM/效应量比DASH-JSSH（0.99/0.85）、SF-36中的“身体疼痛”（-1.15/-1.43）和“身体功能”（-0.70/-0.44）更具反应性。
结论
PREE-J是一种可靠、有效且具有反应性的工具，其评估能力与原始PREE相当。
Zotero 插件