Tucker Carole A, Bevans Katherine B, Teneralli Rachel E, Smith Ashley Wilder, Bowles Heather R, Forrest Christopher B
Department of Physical Therapy (Dr Tucker), College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania; Department of Pediatrics (Dr Bevans, Ms Teneralli, and Dr Forrest), The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics (Drs Bevans and Forrest), University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Division of Cancer Control and Population Sciences (Drs Smith and Bowles), National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Pediatr Phys Ther. 2014 Winter;26(4):385-92. doi: 10.1097/PEP.0000000000000074.
Children's activity level is commonly assessed in clinical research, but rigorous assessment tools for children are scarce. Our objectives were to improve pediatric activity self-report measures using qualitative methods to develop item pools that measure these concepts.
On the basis of the items generated from our conceptual framework development, we applied cognitive interviews and comprehensibility reviews to ensure children readily understood the items.
Our methods resulted in 129 unique items-physical activities (80 items), sedentary behaviors (23 items), and strengthening activities (26 items)-that were comprehensible to children between the ages of 8 and 18 years. Comprehensibility review resulted in the deletion of 4 items.
The resultant item pools reflect children's experiences and understanding of the concepts of physical activities, sedentary behaviors, and strengthening activities. The item pools will undergo calibration using item response theory to support computer-adaptive test administration of self- and proxy-reported outcomes.
儿童的活动水平在临床研究中通常会得到评估,但针对儿童的严格评估工具却很匮乏。我们的目标是采用定性方法来改进儿科活动自我报告测量方法,以开发能够测量这些概念的项目库。
基于我们概念框架开发所产生的项目,我们应用了认知访谈和可理解性审查,以确保儿童能够轻松理解这些项目。
我们的方法产生了129个独特的项目——身体活动(80项)、久坐行为(23项)和强化活动(26项)——8至18岁的儿童能够理解这些项目。可理解性审查导致删除了4个项目。
最终形成的项目库反映了儿童对身体活动、久坐行为和强化活动概念的体验和理解。这些项目库将使用项目反应理论进行校准,以支持对自我报告和代理报告结果进行计算机自适应测试管理。