Murgia M, Bernetti A, Delicata M, Massetti C, Achilli E M, Mangone M, Ioppolo F, Di Sante L, Santilli V, Galeoto G, Agostini F, Venditto T
Department of Physical Medicine and Rehabilitation, Azienda Policlinico Umberto I, Rome, Italy.
Department of Physical Medicine and Rehabilitation. Board of Physical Medicine and Rehabilitation, Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University of Rome, Italy.
Ann Ig. 2018 Mar-Apr;30(2):153-161. doi: 10.7416/ai.2018.2206.
Childhood disabilities determine a range of immediate and long-term economic costs that have important implications for the well-being of the child, the family and the society. The Pediatric Evaluation of Disability Inventory (PEDI) measures capability and performance in children aged between 6 months and 7.5 years. It contains three scales: Functional Skills Scales (FSS), Caregiver Assistance Scale (CAS) and Modifications Scale (MS). The present study evaluated the measurement properties of the Italian version of the PEDI (PEDI-I) in patients with spastic cerebral palsy (CP).
Reliability study.
The original PEDI was translated - including a cross-cultural adaptation - into Italian. Internal consistency and test-retest reliability were evaluated.
Fifty-eight children with CP were recruited. According to inter-interviewer reproducibility, the FSS domain revealed intraclass correlation coefficient (ICC) values ranging between 0.94 and 1.00. CAS domain revealed ICC values ranging between 0.94 and 1.00. The SEM values ranged between 3.25 (SDD=8.98) for SF and 5.24 for SC (SDD=14.5). According to intra-interviewer reproducibility, the FSS domain revealed ICC values ranging between 0.99 and 1.00. CAS domain revealed ICC values ranging between 0.92 and 0.99. The SEM values ranged between 3.44 (SDD=9.5) for SF and 3.75 for SC (SDD=10.36). The inter-interviewer and intra-interviewer reproducibility results showed very high ICC values for both FFS and CAS domains. Cronbach's α ranged between 0.94 and 0.99, indicating excellent internal consistency within each domain of the PEDI-I.
The inter-interviewer and intra-interviewer reproducibility results of PEDI-I showed very high ICC values for FFS and CAS domains. Therefore, we recommend its application to evaluate the effect of treatment in children with CP.
儿童残疾会带来一系列直接和长期的经济成本，这对儿童、家庭和社会的福祉具有重要影响。儿童残疾评定量表（PEDI）用于评估6个月至7.5岁儿童的能力和表现。它包含三个分量表：功能技能分量表（FSS）、照顾者协助分量表（CAS）和修改分量表（MS）。本研究评估了意大利语版PEDI（PEDI-I）在痉挛型脑性瘫痪（CP）患者中的测量特性。
可靠性研究。
将原始的PEDI进行翻译——包括跨文化调适——成意大利语。评估内部一致性和重测信度。
招募了58名CP儿童。根据访谈者间的可重复性，FSS分量表的组内相关系数（ICC）值在0.94至1.00之间。CAS分量表的ICC值在0.94至1.00之间。标准误（SEM）值在SF为3.25（标准差差值[SDD]=8.98）和SC为5.24（SDD=14.5）之间。根据访谈者内的可重复性，FSS分量表的ICC值在0.99至1.00之间。CAS分量表的ICC值在0.92至0.99之间。SEM值在SF为3.44（SDD=9.5）和SC为3.75（SDD=10.36）之间。访谈者间和访谈者内的可重复性结果显示，FFS和CAS分量表的ICC值都非常高。克朗巴哈α系数在0.94至0.99之间，表明PEDI-I各分量表内部一致性极佳。
PEDI-I的访谈者间和访谈者内可重复性结果显示，FFS和CAS分量表的ICC值非常高。因此，我们建议将其用于评估CP儿童的治疗效果。
