创伤性脑损伤儿童和青少年参与度儿童与青少年量表三年间的反应性及区分效度
Responsiveness and discriminant validity of the Child and Adolescent Scale of Participation across three years for children and youth with traumatic brain injury.
作者信息
Golos Anat, Bedell Gary
机构信息
a School of Occupational Therapy of Hadassah and the Hebrew University , Jerusalem , Israel.
b Department of Occupational Therapy , Tufts University , Medford , MA , USA.
出版信息
Dev Neurorehabil. 2018 Oct;21(7):431-438. doi: 10.1080/17518423.2017.1342711. Epub 2017 Jul 10.
PURPOSE
To examine responsiveness and discriminant validity of the Child and Adolescent Scale of Participation (CASP) across three years.
METHODS
Examined longitudinal data on 515 children and youth with TBI and arm injuries. Repeated measures analyses of variance were used to examine CASP scores (pre-injury; 3, 12, 24, 36 months post-injury).
RESULTS
Scores decreased from pre-injury to 3 months, but significantly only for moderate and severe TBI groups. Scores gradually increased post-injury for all groups except severe TBI. Scores were consistently lowest for severe TBI, followed by moderate TBI, mild TBI, and arm injury across time. Severe TBI scores were significantly lower than scores for mild TBI and arm injury, but not moderate TBI.
CONCLUSIONS
CASP scores were responsive to change over time at most measurements and differentiated between groups, particularly severe TBI. Further research is needed with a larger sample of children with moderate/severe TBI as they were underrepresented in this study.
目的
考察儿童青少年参与量表（CASP）在三年间的反应性和区分效度。
方法
对515名患有创伤性脑损伤（TBI）和手臂损伤的儿童及青少年的纵向数据进行研究。采用重复测量方差分析来检验CASP分数（受伤前；受伤后3、12、24、36个月）。
结果
从受伤前到3个月，分数下降，但仅中度和重度TBI组显著下降。除重度TBI组外，所有组受伤后分数逐渐上升。重度TBI组分数始终最低，其次是中度TBI组、轻度TBI组和手臂损伤组。重度TBI组分数显著低于轻度TBI组和手臂损伤组，但不低于中度TBI组。
结论
在大多数测量中，CASP分数对随时间的变化有反应，且能区分不同组，尤其是重度TBI组。由于本研究中中度/重度TBI儿童样本量不足，因此需要对更大样本的此类儿童进行进一步研究。
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