测量儿童功能：评估乌干达伊甘加-马尤盖健康和人口监测点中照料者和儿童反应之间的相关性和一致性。

Measuring child functioning: Assessing correlation and agreement between caregiver and child responses at the Iganga-Mayuge health and demographic surveillance site in Uganda.

机构信息

Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.

出版信息

Disabil Health J. 2021 Apr;14(2):101022. doi: 10.1016/j.dhjo.2020.101022. Epub 2020 Nov 14.

DOI:10.1016/j.dhjo.2020.101022

PMID:33218854

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8035133/

Abstract

INTRODUCTION

Empirical data is scare on assessment of concordance between caregiver-child responses on child functioning.

OBJECTIVE

To assess correlation and agreement between children (11-17 years old) and their caregivers' responses to the UNICEF/Washington Group Child Functioning Module (CFM) at the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) in Uganda.

METHODS

CFM with 24-questions corresponding to 13 domains of functioning was administered to children between 11 and 17 years of age and their caregivers. Descriptive analyses of the child/caregiver responses were conducted. Correlation and agreement between caregiver and child responses were assessed.

RESULTS

Of the 217 caregiver/child pairs eligible for this study, 181 pairs agreed to participate (83.4%). The mean age of children was 13.9 ± 1.9 years, and 56.4% were males. Cronbach's alpha was 0.892 and 0.886 for the caregiver and child versions of CFM respectively, showing good internal consistency in both. There was a significant overall agreement between mean score of caregiver (5.36 ± 5.63 out of 39) and child (5.45 ± 5.34) pairs. Spearman's rank correlation between the pairs was 0.806 (strong positive correlation). Bland-Altman plots for CFM scores showed greater agreement between caregiver and child at lower scores. Percentage agreement between the pairs for overall disability was greater for mild (83.53%) and moderate (79.37%) categories as compared to the severe (66.67%) category. There was substantial agreement (kappa 0.623) for overall disability between the pairs.

CONCLUSION

This study indicates that there is significant correlation and agreement between self-reported caregiver-child pair responses, opening the way for considering children as CFM respondents, when possible.

摘要

简介

关于评估照顾者和儿童对儿童功能的反应是否一致，经验数据很少。

目的

评估乌干达伊甘加-马尤盖卫生和人口监测点（IM-HDSS）中儿童（11-17 岁）及其照顾者对儿童功能模块（CFM）的反应之间的相关性和一致性。

方法

对 11-17 岁的儿童及其照顾者进行了 24 个问题的 CFM 调查，该 CFM 对应于 13 个功能领域。对儿童/照顾者的反应进行了描述性分析。评估了照顾者和儿童反应之间的相关性和一致性。

结果

在符合本研究条件的 217 对照顾者/儿童中，有 181 对同意参与（83.4%）。儿童的平均年龄为 13.9±1.9 岁，其中 56.4%为男性。CFM 的照顾者和儿童版本的克朗巴赫α系数分别为 0.892 和 0.886，均显示出良好的内部一致性。在照顾者（39 分中的 5.36±5.63）和儿童（5.45±5.34）的平均得分之间存在显著的总体一致性。配对的斯皮尔曼等级相关系数为 0.806（强正相关）。CFM 评分的 Bland-Altman 图显示，在较低的评分下，照顾者和儿童之间的一致性更高。对于整体残疾，轻度（83.53%）和中度（79.37%）类别与重度（66.67%）类别相比，配对的百分比一致性更高。配对之间的总体残疾具有显著的一致性（kappa 0.623）。