Department of Pedagogy and Psychology, Pedagogical Faculty, University of South Bohemia, Dukelska 7, 371 15 Ceske Budejovice, Czech Republic.
Department of Pediatric Neurology, Charles University in Prague, 2nd Faculty of Medicine, Motol University Hospital, Praha, Czech Republic.
Epilepsy Behav. 2014 Apr;33:31-8. doi: 10.1016/j.yebeh.2014.02.013. Epub 2014 Mar 12.
Quality of life (QoL) is a crucial factor in the treatment of individuals suffering from epilepsy. We aimed to adapt the children's version of the CHEQOL-25 questionnaire to allow the QoL measurement in children suffering from epilepsy in the Czech Republic. The adaptation was conducted on a group of 250 children and adolescents aged 8-15years. It was found that the questionnaire required modification to fit the Czech pediatric population. Indirect questions were changed to direct questions, and two items were omitted from the original version of the questionnaire. The reasons for these modifications are discussed. The modified questionnaire was subjected to exploratory factor analysis, and a 4-factor structure was favored over the 5-factor structure of the original version. The internal consistency measured using Cronbach's alpha was found to be in the range of 0.78-0.83 for the individual scales, and test-retest reliability was expressed using intraclass correlation coefficient which was found to be in the range of 0.65-0.75. The modified Czech version of the CHEQOL-25 questionnaire displayed very good results with regard to construct validity. Its strength is its simplicity and clarity which allows it to be used in children with impaired cognitive functions. The results showed that the modified version of the Czech CHEQOL-25 has very good psychometric properties and could be used in further research and clinical practice.
生活质量（QoL）是治疗癫痫患者的关键因素。我们旨在适应 CHEQOL-25 问卷的儿童版本，以允许在捷克共和国的癫痫儿童中测量生活质量。该适应过程在 250 名 8-15 岁的儿童和青少年中进行。研究发现，问卷需要修改以适应捷克儿科人群。间接问题被改为直接问题，并且原始问卷中的两个项目被省略。讨论了这些修改的原因。修改后的问卷进行了探索性因素分析，并且赞成 4 因素结构而不是原始版本的 5 因素结构。使用 Cronbach 的 alpha 测量的内部一致性在个体量表的 0.78-0.83 范围内，并且使用组内相关系数表示测试 - 重测可靠性，发现范围在 0.65-0.75 之间。经过修改的捷克 CHEQOL-25 问卷在结构有效性方面表现非常出色。其优点是简单明了，允许在认知功能受损的儿童中使用。结果表明，经过修改的捷克 CHEQOL-25 版本具有很好的心理测量特性，可用于进一步的研究和临床实践。
