Janssens Astrid, Rogers Morwenna, Gumm Rebecca, Jenkinson Crispin, Tennant Alan, Logan Stuart, Morris Christopher
PenCRU and PenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK.
Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Dev Med Child Neurol. 2016 May;58(5):437-51. doi: 10.1111/dmcn.12982. Epub 2015 Dec 11.
To identify and appraise the quality of studies that primarily assessed the measurement properties of English language versions of multidimensional patient-reported outcome measures (PROMs) when evaluated with children with neurodisability, and to summarize this evidence.
MEDLINE, Embase, PsycINFO, CINAHL, AMED, and the National Health Service Economic Evaluation Database were searched. The methodological quality of the papers was assessed using the COnsensus-based Standards for selection of health Measurement INstruments checklist. Evidence of content validity, construct validity, internal consistency, test-retest reliability, proxy reliability, responsiveness, and precision was extracted and judged against standardized reference criteria.
We identified 48 studies of mostly fair to good methodological quality: 37 papers for seven generic PROMs (CHIP, CHQ, CQoL, KIDSCREEN, PedsQL, SLSS, and YQOL), seven papers for two chronic-generic PROMs (DISABKIDS and Neuro-QOL), and four papers for three preference-based measures (HUI, EQ-5D-Y, and CHSCS-PS).
On the basis of this appraisal, the DISABKIDS appears to have more supportive evidence in samples of children with neurodisability. The overall lack of evidence for responsiveness and measurement error is a concern when using these instruments to measure change, or to interpret the findings of studies in which these PROMs have been used to assess change.
识别并评估主要评估多维患者报告结局量表(PROMs)英文版本在神经残疾儿童中测量属性的研究质量,并总结该证据。
检索了MEDLINE、Embase、PsycINFO、CINAHL、AMED和国家卫生服务经济评估数据库。使用基于共识的健康测量工具选择标准清单评估论文的方法学质量。提取内容效度、结构效度、内部一致性、重测信度、代理信度、反应度和精密度的证据,并根据标准化参考标准进行判断。
我们识别出48项方法学质量大多为中等至良好的研究:37篇关于七种通用PROMs(CHIP、CHQ、CQoL、KIDSCREEN、PedsQL、SLSS和YQOL)的论文,7篇关于两种慢性通用PROMs(DISABKIDS和Neuro-QOL)的论文,以及4篇关于三种基于偏好的测量工具(HUI、EQ-5D-Y和CHSCS-PS)的论文。
基于本次评估,DISABKIDS在神经残疾儿童样本中似乎有更多支持性证据。在使用这些工具测量变化或解释使用这些PROMs评估变化的研究结果时,反应度和测量误差方面总体缺乏证据令人担忧。