Maleki Iradj, Taghvaei Tarang, Barzin Maryam, Amin Kamyar, Khalilian Alireza
Head, Inflammatory Diseases of Upper GI Tract Research Center.
Mazandaran University of Medical Sciences, Sari, Iran.
Caspian J Intern Med. 2015 Winter;6(1):20-4.
Inflammatory bowel diseases (IBD) are a group of inflammatory conditions of the colon and small intestine that may have critical consequences on patient's quality of life (QOL). Many disease-specific QOL tools have been developed recently. The McMaster Inflammatory Bowel Disease Questionnaire (IBDQ) is one of them. The aim of this study was to translate the IBDQ from English to Persian and evaluate the validity and reliability of this version of the McMaster IBDQ.
68 subjects with ulcerative colitis were recruited in this study. The original IBDQ was translated into Persian using back- translation method. The reliability of the subscales and the summary score of the Persian IBDQ was demonstrated by intraclass correlation coefficients, their validity was evaluated by their correlations with SF-36, visual analogue scale and colitis activity index.
All dimensions of IBDQ met the standards of construct validity and were correlated well with SF-36, visual analog scale and colitis activity index. IBDQ was able to discriminate the different groups of patients. The intraclass correlation coefficient was very high and its value was close to one (P<0.05). All dimensional scores differed significantly between the baseline and the follow-up measurement.
The findings of this study conclude that the Persian translation of IBDQ confers satisfactory psychometric and cultural properties when applied to a sample of Iranian population with inflammatory bowel disease. This questionnaire is recommended for use in clinical trials and in the assessment of efficacy of interventions and therapy.
炎症性肠病(IBD)是一组结肠和小肠的炎症性疾病,可能对患者的生活质量(QOL)产生严重影响。最近已经开发了许多针对特定疾病的生活质量工具。麦克马斯特炎症性肠病问卷(IBDQ)就是其中之一。本研究的目的是将IBDQ从英文翻译成波斯文,并评估该版本麦克马斯特IBDQ的有效性和可靠性。
本研究招募了68名溃疡性结肠炎患者。采用回译法将原始的IBDQ翻译成波斯文。通过组内相关系数证明波斯文IBDQ各分量表及总分的信度,通过与SF-36、视觉模拟量表和结肠炎活动指数的相关性评估其效度。
IBDQ的所有维度均符合结构效度标准,且与SF-36、视觉模拟量表和结肠炎活动指数相关性良好。IBDQ能够区分不同组的患者。组内相关系数非常高,其值接近1(P<0.05)。所有维度得分在基线和随访测量之间存在显著差异。
本研究结果表明,IBDQ的波斯文译本应用于伊朗炎症性肠病患者样本时,具有令人满意的心理测量学和文化特性。推荐该问卷用于临床试验以及干预和治疗效果的评估。