评估偏瘫脑瘫儿童手部技能的土耳其语版本和儿童手部技能能力问卷的有效性和可靠性。
Validity and reliability of the Turkish versions of Assessment of Children's Hand Skills and Children's Hand-Skills Ability Questionnaire in children with hemiplegic cerebral palsy.
机构信息
Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
出版信息
Child Care Health Dev. 2021 Mar;47(2):191-200. doi: 10.1111/cch.12841. Epub 2020 Dec 22.
BACKGROUND
Assessment of Children's Hand Skills (ACHS) and Children's Hand-Skills Ability Questionnaire (CHSQ) are interconnected hand skills assessment tools that together contain parent questionnaire and observational assessment. With this quality, ACHS and CHSQ enable the therapist to obtain information about the child's real-life performances as well as to conduct a clinical observational assessment. The purpose of this study was to investigate the validity and reliability of the Turkish versions of ACHS and CHSQ in children with hemiplegic cerebral palsy (HCP).
METHODS
A total of 112 children with HCP between 2 and 12 years of age were included. All participants were subjected to ACHS, CHSQ, Shriners Hospital Upper Extremity Evaluation (SHUEE) and ABILHAND-Kids. Convergent construct validity was investigated through analysing the relationship between ACHS and SHUEE and between CHSQ and ABILHAND-Kids. Discriminative construct validity was investigated through analysing the differences between genders for CHSQ and ACHS. For reliability, test-retest interclass correlation coefficient (ICC) and internal consistency Cronbach's alpha were calculated and analysed.
RESULTS
ACHS showed very strong relationships with SHUEE's spontaneous functional analysis (r = 0.86) and grip-release function (r = 0.86) parameters with a strong relationship with positional dynamic analysis (r = 0.78). CHSQ's leisure (r = 0.80), school/education (r = 0.75) and activities of daily living (r = 0.76) domains showed strong relationships with the ABILHAND-Kids. There was no difference between genders for ACHS and all domains of CHSQ (p > 0.05). All domains and total score of ACHS and CHSQ had perfect test-retest reliability (ICC > 0.90). ACHS had perfect internal consistency (Cronbach's α = 0.98); CHSQ had very high internal consistency (Cronbach's α = 0.84).
CONCLUSIONS
The Turkish versions of ACHS (ACHS-TR) and CHSQ (CHSQ-TR) are valid and reliable hand skills assessment tools in children with HCP.
背景
评估儿童手部技能（ACHS）和儿童手部技能能力问卷（CHSQ）是相互关联的手部技能评估工具，它们共同包含家长问卷和观察评估。凭借这一特点，ACHS 和 CSHQ 使治疗师能够获得有关儿童实际表现的信息，并进行临床观察评估。本研究的目的是调查土耳其语版 ACHS 和 CSHQ 在偏瘫脑瘫（HCP）儿童中的有效性和可靠性。
方法
共纳入 112 名 2 至 12 岁的 HCP 儿童。所有参与者均接受 ACHS、CSHQ、Shriners 医院上肢评估（SHUEE）和 ABILHAND-Kids 评估。通过分析 ACHS 与 SHUEE 之间以及 CSHQ 与 ABILHAND-Kids 之间的关系，研究了趋同结构效度。通过分析 CSHQ 和 ACHS 中性别之间的差异，研究了区分结构效度。为了评估可靠性，计算并分析了测试-重测的组内相关系数（ICC）和内部一致性 Cronbach's alpha。
结果
ACHS 与 SHUEE 的自发性功能分析（r = 0.86）和抓握释放功能（r = 0.86）参数具有很强的关系，与位置动态分析（r = 0.78）具有较强的关系。CSHQ 的休闲（r = 0.80）、学校/教育（r = 0.75）和日常生活活动（r = 0.76）领域与 ABILHAND-Kids 具有很强的关系。ACHS 和 CSHQ 的所有领域在性别之间没有差异（p > 0.05）。ACHS 和 CSHQ 的所有领域和总分均具有极好的测试-重测可靠性（ICC > 0.90）。ACHS 具有完美的内部一致性（Cronbach's α = 0.98）；CSHQ 具有非常高的内部一致性（Cronbach's α = 0.84）。
结论
土耳其语版 ACHS（ACHS-TR）和 CSHQ（CSHQ-TR）是 HCP 儿童有效且可靠的手部技能评估工具。
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