Khadka Jyoti, McAlinden Colm, Pesudovs Konrad
NH&MRC Centre for Clinical Eye Research, Discipline of Optometry and Vision Science, Flinders University of South Australia, Bedford Park, South Australia, Australia.
Optom Vis Sci. 2013 Aug;90(8):720-44. doi: 10.1097/OPX.0000000000000001.
The aim of this article was to systematically review all the available ophthalmic patient-reported outcome (PRO) instruments (questionnaires) that demonstrated interval measurement properties to identify the instruments with the highest psychometric quality for use in different eye diseases and conditions.
An extensive literature review was carried out to identify all existing ophthalmic PRO instruments. Instruments were then excluded if they did not have demonstrable interval measurement properties; the remaining instruments were reviewed. The quality of the following psychometric properties was assessed: content development (initial item development process), performance of the response scale, dimensionality (whether the instrument measures a single construct), measurement precision, validity (convergent, concurrent, discriminant, and known groups), reliability (test-retest), targeting (whether the items are appropriate [e.g., difficulty level] for the population), differential item functioning (whether subgroups of people respond differently to an item), and responsiveness.
The search identified 48 PRO instruments that demonstrated interval measurement properties, and these were relevant to nine applications: glaucoma, dry eye, refractive errors, cataract, amblyopia and strabismus, macular diseases, adult low vision, children low vision, and others. These instruments were evaluated against the psychometric property quality criteria and were rated for quality based on the number of criteria met.
This review provides a descriptive catalog of ophthalmic PRO instruments to inform researchers and clinicians on the choice of the highest-quality PRO instrument suitable for their purpose.
本文旨在系统回顾所有已有的眼科患者报告结局（PRO）工具（问卷），这些工具具有区间测量属性，以识别出心理测量质量最高的工具，用于不同的眼部疾病和状况。
进行了广泛的文献综述以识别所有现有的眼科PRO工具。若工具不具有可证明的区间测量属性，则将其排除；对剩余的工具进行综述。评估了以下心理测量属性的质量：内容开发（初始项目开发过程）、反应量表的性能、维度（该工具是否测量单一结构）、测量精度、效度（收敛效度、同时效度、区分效度和已知群体效度）、信度（重测信度）、针对性（项目对于目标人群是否合适[如难度水平]）、项目功能差异（不同亚组人群对一个项目的反应是否不同）以及反应性。
检索确定了48种具有区间测量属性的PRO工具，这些工具与九种应用相关：青光眼、干眼、屈光不正、白内障、弱视和斜视、黄斑疾病、成人低视力、儿童低视力以及其他。根据心理测量属性质量标准对这些工具进行评估，并根据满足标准的数量对质量进行评级。
本综述提供了一份眼科PRO工具的描述性目录，以便为研究人员和临床医生在选择适合其目的的最高质量PRO工具时提供参考。
