Hammond Alison, Prior Yeliz, Horton Mike Colin, Tennant Alan, Tyson Sarah
a Centre for Health Sciences Research (OT) , School of Health Sciences, University of Salford , Salford , UK.
b Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health , The University of Leeds , Leeds , UK.
Disabil Rehabil. 2018 Aug;40(17):2070-2080. doi: 10.1080/09638288.2017.1323027. Epub 2017 May 8.
The purpose of this study is to psychometrically test the Evaluation of Daily Activity Questionnaire in seven musculoskeletal conditions.
One thousand and two hundred people with ankylosing spondylitis; osteoarthritis; systemic lupus erythematosus; systemic sclerosis; chronic pain; chronic upper limb disorders; or Primary Sjögren's syndrome completed the Evaluation of Daily Activity Questionnaire, Health Assessment Questionnaire and Short-Form Health Survey v2. We examined internal construct validity using Rasch analysis, internal consistency, concurrent validity with the Health Assessment Questionnaire and Short-Form Health Survey v2. Participants repeated the Evaluation of Daily Activity Questionnaire to assess test-retest reliability.
The 12 domains satisfied Rasch model expectations for fit, local dependency, unidimensionality and invariance by age and gender, in each musculoskeletal condition. Internal consistency was consistent with individual use (Cronbach's α > 0.90); concurrent validity was strong (Health Assessment Questionnaire: r = 0.60-0.92; Short-Form Health Survey v2 Physical Function: r = -0.61 to -0.91) and test-retest reliability excellent (Intra-Class Correlation Coefficient(2,1) = 0.77-0.96).
The Evaluation of Daily Activity Questionnaire satisfied Rasch model requirements for construct validity and has good reliability and validity in each MSC. The Evaluation of Daily Activity Questionnaire can be used as a measure of everyday activity in practice and research with people with musculoskeletal conditions. Implications for rehabilitation The Evaluation of Daily Activity Questionnaire evaluates users' ability to perform common daily activities (in 12 domains) that were identified as problematic by people with seven musculoskeletal conditions (i.e., osteoarthritis, systemic lupus, ankylosing spondylitis, chronic pain, chronic upper limb conditions, systemic sclerosis, Sjogren's syndrome). Most patients considered the Evaluation of Daily Activity Questionnaire was the right length and would be helpful for discussing everyday problems with an occupational therapist. The 12 domains have good reliability and validity and can be combined into two components: Self-Care and Mobility. The Evaluation of Daily Activity Questionnaire is suitable for use both in clinical practice and research and a User Manual is available for therapists and researchers.
本研究旨在对七类肌肉骨骼疾病的日常活动评估问卷进行心理测量学测试。
1200名患有强直性脊柱炎、骨关节炎、系统性红斑狼疮、系统性硬化症、慢性疼痛、慢性上肢疾病或原发性干燥综合征的患者完成了日常活动评估问卷、健康评估问卷和简明健康调查问卷第二版。我们使用拉施分析检验内部结构效度、内部一致性、与健康评估问卷和简明健康调查问卷第二版的同时效度。参与者重复填写日常活动评估问卷以评估重测信度。
在每种肌肉骨骼疾病中，12个领域均符合拉施模型对拟合度、局部依赖性、单维度性以及年龄和性别不变性的预期。内部一致性符合个体使用要求（克朗巴哈α系数>0.90）；同时效度较强（健康评估问卷：r = 0.60 - 0.92；简明健康调查问卷第二版身体功能：r = -0.61至-0.91），重测信度极佳（组内相关系数(2,1)=0.77 - 0.96）。
日常活动评估问卷符合拉施模型对结构效度的要求，在每种肌肉骨骼疾病中都具有良好的信度和效度。日常活动评估问卷可用于对患有肌肉骨骼疾病的人群进行实践和研究中的日常活动测量。康复意义日常活动评估问卷评估了使用者进行常见日常活动（12个领域）的能力，这些活动被七类肌肉骨骼疾病患者（即骨关节炎、系统性红斑狼疮、强直性脊柱炎、慢性疼痛、慢性上肢疾病、系统性硬化症、干燥综合征）视为存在问题。大多数患者认为日常活动评估问卷长度合适，有助于与职业治疗师讨论日常问题。这12个领域具有良好的信度和效度，可合并为两个部分：自我护理和活动能力。日常活动评估问卷适用于临床实践和研究，并且为治疗师和研究人员提供了用户手册。
