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照顾者优先事项及残疾儿童生活健康指数问卷的德文翻译:重测信度及与脑瘫儿童粗大运动功能的相关性

German translation of the caregiver priorities and child health index of life with disabilities questionnaire: test-retest reliability and correlation with gross motor function in children with cerebral palsy.

作者信息

Jung Nikolai H, Brix Olga, Bernius Peter, Schroeder A Sebastian, Kluger Gerhard J, Beyerlein Andreas, Weir Shannon, von Kries Rudiger, Narayanan Unni G, Mall Volker, Berweck Steffen

机构信息

Department of Pediatrics, Technische Universität München, Kinderzentrum München gemeinnützige GmbH, Munich, Germany.

Department of Pediatric Neurology and Developmental Medicine, Hauner Children's Hospital, University of Munich, Munich, Germany.

出版信息

Neuropediatrics. 2014 Oct;45(5):289-93. doi: 10.1055/s-0034-1372304. Epub 2014 Apr 3.

Abstract

We aimed to translate the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaire into German and to evaluate its reliability and validity by studying the association between CPCHILD scores and gross motor function as measured by the gross motor function classification system (GMFCS) in children with cerebral palsy (CP). The original CPCHILD questionnaire and manual were translated and back translated. It was administered to primary caregivers of persons with CP (GMFCS levels III-V) and was completed a second time 2 weeks after the first to measure test-retest reliability (n = 17). Primary caregivers of 68 children with CP; GMFCS level III (n = 14), level IV (n = 28), and level V (n = 26) completed the questionnaire. Mean total CPCHILD scores across GMFCS levels were 67.1 ± 14.9 for GMFCS level III, 56.6 ± 11.8 for level IV, and 44.3 ± 12.9 for level V. Good correlation (r =  - 0.56) was observed between GMFCS and total scores test-retest reliability showed intraclass correlation coefficients between 0.4 and 0.9. The German CPCHILD yielded similar test-retest reliability and score distributions across the GMFCS level as the original version. The best correlations were observed for domains that are close to the functional deficits.

摘要

我们旨在将《残疾儿童照顾者优先事项及儿童健康生活指数》(CPCHILD)问卷翻译成德语,并通过研究CPCHILD评分与脑瘫(CP)儿童的粗大运动功能分类系统(GMFCS)所测量的粗大运动功能之间的关联,来评估其信度和效度。对原始的CPCHILD问卷和手册进行了翻译及回译。该问卷被发放给CP患者(GMFCS III - V级)的主要照顾者,并在首次填写2周后再次填写以测量重测信度(n = 17)。68名CP儿童的主要照顾者;GMFCS III级(n = 14)、IV级(n = 28)和V级(n = 26)完成了问卷。GMFCS各等级的CPCHILD总分均值分别为:GMFCS III级67.1±14.9,IV级56.6±11.8,V级44.3±12.9。GMFCS与总分之间观察到良好的相关性(r = - 0.56),重测信度的组内相关系数在0.4至0.9之间。德语版CPCHILD在GMFCS各等级上产生了与原始版本相似的重测信度和分数分布。在接近功能缺陷的领域观察到最佳相关性。

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