适应荷兰版早期脊柱侧凸 24 项问卷 (EOSQ-24) 的可靠性和有效性。
Reliability and Validity of the Adapted Dutch Version of the Early-Onset Scoliosis-24-Item Questionnaire (EOSQ-24).
机构信息
Department of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands.
出版信息
Spine (Phila Pa 1976). 2019 Aug 15;44(16):E965-E973. doi: 10.1097/BRS.0000000000003017.
STUDY DESIGN
Translation and validation of the Early Onset Scoliosis-24 Questionnaire (EOSQ-24).
OBJECTIVE
To cross-culturally adapt the English version of the EOSQ-24 to the Dutch language and to assess the questionnaire's reliability and validity.
SUMMARY OF BACKGROUND DATA
Early-onset scoliosis (EOS) has a profound impact on health-related quality of life. The EOSQ-24 is health-related quality of life questionnaire filled in by parents of children with EOS. The EOSQ-24 was already translated into multiple languages and its application was confirmed in clinical studies. However, the EOSQ-24 is not yet translated and validated for the Dutch population.
METHODS
The adaption of the EOSQ-24 for the Dutch population was done in three steps: 1) translation to the Dutch language, 2) cross-cultural adaptation, and 3) cross-cultural validation. To ensure that the Adapted Dutch EOSQ-24 is applicable for clinical use, the measurement properties were tested in four steps: 1) floor and ceiling effects, 2) validation, 3) reliability, and 4) discriminative ability. One hundred three parents completed the Adapted Dutch EOSQ-24, the Child Health Questionnaire (CHQ-28 PF), and the Scoliosis Research Society Questionnaire (SRS-22r). A second EOSQ-24 was completed for test-retest reproducibility.
RESULTS
The EOSQ-24 was successfully translated, adapted, and validated for the Dutch language. Almost all response items showed a normal distribution. The EOSQ-24 showed excellent reliability (Cronbach α of 0.950). The EOSQ-24 was successfully validated against the CHQ-28-PF and the SRS-22r. Test-retest was excellent (ICC ≥ 0.8). Finally, The EOSQ-24 was found capable to discriminate patients with different curve severities (P = 0.003), diagnosis (P = 0.006), and ambulatory status (P < 0.001).
CONCLUSION
The current Dutch EOSQ-24 proved to be a valid and reliable quality of life assessment tool for patients with EOS. Currently, long follow-up studies using the EOSQ-24, including the Dutch EOSQ-24, are lacking and are needed to fully validate the EOSQ-24 for use in a clinical setting.
LEVEL OF EVIDENCE
研究设计
早发性脊柱侧凸-24 问卷（EOSQ-24）的翻译和验证。
目的
将 EOSQ-24 的英文版跨文化适应为荷兰语，并评估问卷的可靠性和有效性。
背景资料概要
早发性脊柱侧凸（EOS）对健康相关生活质量有深远影响。EOSQ-24 是由患有 EOS 的儿童的父母填写的健康相关生活质量问卷。EOSQ-24 已经被翻译成多种语言，并在临床研究中得到了应用的确认。然而，EOSQ-24 尚未被翻译成荷兰语并经过验证。
方法
EOSQ-24 适应荷兰语的过程分为三个步骤：1）翻译为荷兰语，2）跨文化适应，3）跨文化验证。为确保适应荷兰语的 EOSQ-24 可用于临床应用，在四个步骤中测试了测量特性：1）地板和天花板效应，2）验证，3）可靠性，4）区分能力。103 位家长完成了适应荷兰语的 EOSQ-24、儿童健康问卷（CHQ-28 PF）和脊柱侧凸研究协会问卷（SRS-22r）。第二次 EOSQ-24 用于测试-再测试的可重复性。
结果
EOSQ-24 成功地被翻译成、适应和验证为荷兰语。几乎所有的反应项目都呈现正态分布。EOSQ-24 显示出极好的可靠性（Cronbach α 为 0.950）。EOSQ-24 成功地与 CHQ-28-PF 和 SRS-22r 进行了验证。测试-再测试非常好（ICC≥0.8）。最后，EOSQ-24 能够区分不同曲线严重程度的患者（P=0.003）、诊断（P=0.006）和活动状态（P<0.001）。
结论
目前的荷兰语 EOSQ-24 被证明是一种有效的、可靠的 EOS 患者生活质量评估工具。目前，还缺乏使用 EOSQ-24 的长期随访研究，包括荷兰语 EOSQ-24，因此需要进一步验证 EOSQ-24 在临床环境中的应用。
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