研制和验证一种问卷（FASH--急性腘绳肌损伤功能评估量表）：用于测量急性腘绳肌损伤患者症状的严重程度和对功能及运动能力的影响。
Development and validation of a questionnaire (FASH--Functional Assessment Scale for Acute Hamstring Injuries): to measure the severity and impact of symptoms on function and sports ability in patients with acute hamstring injuries.
机构信息
National Track & Field Centre, Sports Injury Clinic, Sports medicine clinic of S.E.G.A.S, Thessaloniki, Greece Thessaloniki Sports Medicine Clinic, Thessaloniki, Greece Rheumatology Department, Sports Medicine Clinic, Mile End Hospital, Barts, London, UK Centre for Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary, University of London, London, UK.
Faculty of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece Institute for Research and Technology (I.RE.TE.TH), CERTH, Trikala, Greece Hellenic Orthopaedic Manipulative Therapy Diploma (HOMTD), Athens, Greece.
出版信息
Br J Sports Med. 2014 Dec;48(22):1607-12. doi: 10.1136/bjsports-2014-094021. Epub 2014 Oct 6.
OBJECTIVE
To develop a condition-specific patient-reported outcome measure, the Functional Assessment Scale for Acute Hamstring Injuries (FASH), de novo in three languages, following distinct and rigorous methodology for content generation, analysis and validation and to assess its psychometric properties.
BACKGROUND
To our knowledge, there is no patient-reported functional scale specific for acute hamstring injuries.
METHODS
The development of the scale followed specific guidelines, as well as de novo construction in three languages (Greek, English and German). Item generation was accomplished by selecting three different sources of items: literature review, focus group and key informant interviews. Content analysis was conducted by an expert committee. The 21 items selected as appropriate were tested through a structured content analytic method and item-content validity coefficient, and 10 were retained for the FASH. The validation and assessment of its psychometric properties followed theConsensus-based Standards for the selection of health status Measurement Instruments (COSMIN) recommendations to ensure quality, in a convenience sample of 140 participants.
RESULTS
The face validity was adequate and tested by expert committees, authors and participants. Content validity was characterised as well addressed and conducted independently by experts and through specific content validation procedures. The dimensionality analysis indicated a one-factor solution explaining the 95.8% of total variance. Known group validity was demonstrated by significant differences between patients and controls (p<0.001). The FASH exhibited very good test-retest reliability (intraclass correlation coefficient=0.9, p<0.001), internal consistency (α=0.98) and responsiveness (3.81 and 5.23 using baseline and pooled SD, respectively; standardised response mean (SRD)=4.68).
CONCLUSION
This study provides initial evidence for psychometric properties of the first scale assessing hamstring injuries.
目的
采用独特且严格的内容生成、分析和验证方法，从头开发一种特定于疾病的患者报告结局测量工具，即急性腘绳肌损伤功能评估量表（FASH），并以三种语言呈现，评估其心理测量学特性。
背景
据我们所知，目前尚无针对急性腘绳肌损伤的特定患者报告功能量表。
方法
该量表的开发遵循特定的准则，并以三种语言（希腊语、英语和德语）进行全新构建。项目生成通过以下三种不同的项目来源完成：文献回顾、焦点小组和关键意见访谈。内容分析由一个专家委员会进行。选择合适的 21 个项目通过结构化内容分析方法和项目内容有效性系数进行测试，其中 10 个项目保留用于 FASH。验证和评估其心理测量学特性遵循共识基础健康状况测量仪器选择标准（COSMIN）建议，以确保质量，在 140 名参与者的便利样本中进行。
结果
表面有效性通过专家委员会、作者和参与者进行了适当的测试。内容有效性通过专家独立进行和特定的内容验证程序进行了很好的描述。维度分析表明，单因素解决方案可解释总方差的 95.8%。在患者和对照组之间存在显著差异（p<0.001），表明具有已知组有效性。FASH 表现出非常好的重测信度（组内相关系数=0.9，p<0.001）、内部一致性（α=0.98）和反应度（分别使用基线和总标准差的 3.81 和 5.23；标准化反应均值（SRD）=4.68）。
结论
本研究为评估腘绳肌损伤的首个量表的心理测量学特性提供了初步证据。
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