一种针对青少年和成年人的改良版KINDL-R问卷的心理测量特性，以及简版KINDL-A（成人）B（简短）问卷（KINDL-AB）的构建。

Psychometric Properties of a Modified KINDL-R Questionnaire for Adolescents and Adults, and Construction of a Brief Version, the KINDL-A(dult)B(rief) Questionnaire, KINDL-AB.

作者信息

Neuner Bruno, Krampe Henning, McCarthy William J, Reinke Sarah, Kowalski Dorothee, Clausnizer Hartmut, Shneyder Maria, Rocke Angela, Nowak-Göttl Ulrike

机构信息

Department of Anesthesiology and Intensive Care Medicine, Charité, Universitaetsmedizin Berlin, Campus Charité Mitte and Campus Virchow-Klinikum, Berlin, Germany.

University of California Los Angeles (UCLA), Center for Cancer Prevention and Control Research, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California, USA.

出版信息

Acta Haematol. 2018;140(1):1-9. doi: 10.1159/000490408. Epub 2018 Jul 13.

DOI:10.1159/000490408

PMID:30007981

Abstract

BACKGROUND/AIMS: The generic quality of life KINDL-R -questionnaire is validated for use in children/adolescents ≤16 years. The aim of this cross-sectional investigation was to modify the KINDL-R questionnaire for use in adults and to validate its psychometric properties.

METHODS

Five items of the KINDL-R questionnaire were adapted and the newly developed KINDL-A(dult) questionnaire administered to 255 patients with hereditary and acquired bleeding disorders (mean age 53 years). Its internal consistency and convergent and divergent construct validity were investigated and confirmatory factor analysis was used to evaluate the latent factor structure.

RESULTS

The KINDL-A questionnaire showed satisfactory reliability, varying construct validity, but inconclusive factor structure. The KINDL-AB(rief) was developed by removing half of the items and combining 2 sub-axes. This led to factor loadings between 0.62 and 0.91 and increased overall fit (Goodness of fit > 0.8 and Root Mean Square Error of Approximation, RMSEA, < 0.08). Results were validated in 966 healthy blood donors (mean age 38 years). In this group, the KINDL-AB questionnaire showed factor loadings between 0.43 and 0.77, Goodness of fit > 0.95 and RMSEA < 0.05.

CONCLUSIONS

The new KINDL-AB suggests sufficient to good psychometric properties in adult patients with hereditary and acquired bleeding disorders.

摘要

背景/目的：通用生活质量问卷KINDL-R已被验证可用于16岁及以下的儿童/青少年。本横断面调查的目的是对KINDL-R问卷进行修改，使其适用于成年人，并验证其心理测量学特性。

方法

对KINDL-R问卷的5个项目进行了调整，并将新开发的KINDL-A（成人）问卷应用于255例遗传性和获得性出血性疾病患者（平均年龄53岁）。研究了其内部一致性、收敛性和发散性结构效度，并采用验证性因子分析来评估潜在因子结构。

结果

KINDL-A问卷显示出令人满意的信度、不同的结构效度，但因子结构不明确。通过删除一半的项目并合并2个亚轴，开发了KINDL-AB（简短版）问卷。这导致因子载荷在0.62至0.91之间，并提高了整体拟合度（拟合优度>0.8，近似均方根误差RMSEA<0.08）。在966名健康献血者（平均年龄38岁）中对结果进行了验证。在该组中，KINDL-AB问卷显示因子载荷在0.43至0.77之间，拟合优度>0.95，RMSEA<0.05。