Clinica Ortopedica e Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy.
Ortopedia Pediatrica, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy.
Knee Surg Sports Traumatol Arthrosc. 2020 Aug;28(8):2657-2662. doi: 10.1007/s00167-020-05903-y. Epub 2020 Feb 17.
The aim of the present study was to translate, cross-culturally adapt, and assess the psychometric properties of the Pedi-IKDC and Pedi-FABS scores in the Italian paediatric population with various knee pathologies.
In accordance with the Paediatric Anterior Cruciate Ligament Monitoring Initiative (PAMI) research protocol, the original English versions of the questionnaires were translated into Italian. All patients aged 8-16 and scheduled for knee surgery were considered eligible in the study. An open-source platform was implemented to collect responses to the surveys which included general patient information, the questionnaires Pedi-IKDC, and Pedi-FABS. Two surveys were sent under stable clinical conditions before surgery (Q and Q); a third survey was sent 3-4 months after surgery (Q). The following properties were calculated: reliability, internal consistency, criterion validity, responsiveness, and floor/ceiling effects.
Eighty-nine patients completed Q, 81 patients completed Q, and 49 patients completed Q. Both questionnaires demonstrated acceptable properties. Pedi-IKDC: standard error of measurement (SEM) = 4.4, smallest detectable change (SDC) = 12.3, interclass correlation coefficient (ICC) = 0.96, Cronbach alpha (α) = 0.92, moderate-to-low correlation to Pedi-FABS, effect size (ES) = 0.79, standardized response mean (SRM) = 0.86, floor = 0%, ceiling = 22%. Pedi-FABS: SEM = 2.1, SDC = 5.8, ICC = 0.94, Cronback alpha (α) = 0.93, moderate-to-low correlation to Pedi-IKDK, ES = 0.60, SRM = 0.51, floor = 19%, ceiling = 0%.
The Italian version of Pedi-IKDC and Pedi-FABS is valuable tools for patient assessment, by demonstrating good psychometric properties. In clinical setting, these questionnaires can be used to properly evaluate outcomes in Italian pediatric patients with knee pathologies.
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本研究旨在将 Pedi-IKDC 和 Pedi-FABS 评分翻译成意大利语，并对具有各种膝关节疾病的意大利儿科人群进行跨文化适应性评估，以评估其心理计量学特性。
根据儿科前交叉韧带监测倡议（PAMI）研究方案，将问卷的原始英文版本翻译成意大利语。所有年龄在 8-16 岁且计划接受膝关节手术的患者均被认为符合本研究条件。实施了一个开源平台来收集对问卷的反馈，包括一般患者信息、Pedi-IKDC 和 Pedi-FABS 问卷。在手术前稳定的临床条件下发送了两份调查问卷（Q 和 Q）；第三份调查问卷在手术后 3-4 个月发送（Q）。计算了以下特性：可靠性、内部一致性、标准效度、反应性和地板/天花板效应。
89 名患者完成了 Q，81 名患者完成了 Q，49 名患者完成了 Q。两个问卷均表现出可接受的特性。Pedi-IKDC：测量标准误差（SEM）=4.4，最小可检测变化（SDC）=12.3，组内相关系数（ICC）=0.96，克朗巴赫阿尔法系数（α）=0.92，与 Pedi-FABS 呈中度至低度相关，效应大小（ES）=0.79，标准化反应均值（SRM）=0.86，地板效应=0%，天花板效应=22%。Pedi-FABS：SEM=2.1，SDC=5.8，ICC=0.94，克朗巴赫阿尔法系数（α）=0.93，与 Pedi-IKDK 呈中度至低度相关，ES=0.60，SRM=0.51，地板效应=19%，天花板效应=0%。
意大利语版的 Pedi-IKDC 和 Pedi-FABS 是评估患者的有价值工具，其心理计量学特性良好。在临床环境中，这些问卷可用于适当评估意大利儿科膝关节疾病患者的结局。
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