Legris Nicolas, Devilliers Hervé, Daumas Anaïs, Carnet Didier, Charpy Jean-Pierre, Bastable Philip, Giroud Maurice, Béjot Yannick
Department of Neurology, Dijon Stroke Registry, University Hospital and Medical School of Dijon, University of Burgundy, France.
Department of Internal Medicine and Systemic Disease, University Hospital and Medical School of Dijon, University of Burgundy, France.
NeuroRehabilitation. 2018;42(1):17-27. doi: 10.3233/NRE-172178.
To adapt the SS-QoL into French and test its psychometric properties.
Seventy-seven patients from a population-based registry were enrolled 3 months after their stroke. SS-QoL, NIHSS score, Barthel index, HAD, FSS, SF-36 scales, and MMSE were administered at enrolment. SS-QoL was re-administered at 15 days and 2 months. Internal consistency was assessed by Cronbach's α coefficients, factorial validity by an exploratory factor analysis and external validity by Mann-Whitney test and Spearman's correlations (ρ), comparing SS-QoL scores with those obtained from established scales. Reliability was assessed by intra-class correlation coefficients (ICC) and responsiveness by standardized effect sizes (ES).
Test-retest and inter-observer reliabilities were excellent (ICC> 0.88). Internal consistency was acceptable (α= 0.65-0.91), except for the Personality domain (α= 0.58). Factor analysis individualized eight homogenous axes. SS-QoL scores were different between groups opposed by their modified Rankin score at enrolment or their overall quality of life compared with pre-stroke status (p < 0.001). Ten of the twelve domains correlated moderately (ρ> 0.35) to strongly (ρ> 0.5) with established measures. Nine domains were mildly to moderately responsive to change (ES> 0.3).
The French version of the SS-QoL is a valid, reliable and moderately responsive instrument.
将卒中特异性生活质量量表（SS-QoL）改编为法语版本并测试其心理测量特性。
从基于人群的登记处选取77例卒中患者，在其卒中后3个月纳入研究。在入组时进行SS-QoL、美国国立卫生研究院卒中量表（NIHSS）评分、巴氏指数、医院焦虑抑郁量表（HAD）、疲劳严重程度量表（FSS）、健康调查简表（SF-36）以及简易精神状态检查表（MMSE）评估。在15天和2个月时再次进行SS-QoL评估。通过克朗巴赫α系数评估内部一致性，通过探索性因素分析评估因子效度，通过曼-惠特尼检验和斯皮尔曼相关性（ρ）评估外部效度，将SS-QoL评分与从已确立量表获得的评分进行比较。通过组内相关系数（ICC）评估信度，通过标准化效应量（ES）评估反应度。
重测信度和观察者间信度极佳（ICC>0.88）。内部一致性可接受（α=0.65 - 0.91），除人格领域外（α=0.58）。因素分析确定了八个同质维度。根据入组时改良Rankin评分或与卒中前状态相比的总体生活质量分组，组间SS-QoL评分存在差异（p<0.001）。十二个领域中的十个与既定测量指标中度相关（ρ>0.35）至高度相关（ρ>0.5）。九个领域对变化有轻度至中度反应（ES>0.3）。
SS-QoL法语版本是一种有效、可靠且具有中度反应度的工具。
