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土耳其青少年特发性脊柱侧凸患者 SRS-30 问卷的效度和信度研究。

Turkish Validity and Reliability Study of Scoliosis Research Society-30 Questionnaire in Adolescent Idiopathic Scoliosis Patients.

机构信息

Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Turkey.

Department of Biostatistics and Medical Informatics, Ankara Yıldırım Beyazıt University, Ankara, Turkey.

出版信息

Spine (Phila Pa 1976). 2021 Oct 1;46(19):E1058-E1064. doi: 10.1097/BRS.0000000000004034.

Abstract

STUDY DESIGN

Methodological.

OBJECTIVE

Turkish validity and reliability study of Scoliosis Research Society-30 (SRS-30) questionnaire.

SUMMARY OF BACKGROUND DATA

SRS-30 is the most current questionnaire of SRS, which is widely used in the evaluation of the treatment of patients with idiopathic scoliosis. There is no validity and reliability study for the Turkish language.

METHODS

All translation and cross-cultural adaptation stages of the SRS-30 English version to Turkish were implemented. SRS-30 Turkish and Short Form-36 questionnaires were administered to 96 patients with adolescent idiopathic scoliosis simultaneously. Two weeks later, the SRS-30-Turkish version was applied again. Internal validity was examined using the Rasch model, and external construct validity (convergent validity) was evaluated with the Spearman rho correlation test. Person Separation Index was used for reliability. The internal consistency was analyzed with Cronbach alpha. For test re-test reliability, intraclass correlation coefficient between the two measurements was calculated.

RESULTS

As a result of the Rasch analysis, it was observed that the Turkish version of SRS-30 has a multidimensional structure and the disordered threshold problem was observed in some items. Overall fit is provided for each of the four sub-dimensions of SRS-30 Turkish. There was no difference in the functioning of the items in terms of gender and age groups. The lowest Person Separation Index value was obtained with 0.539 in the satisfaction of the treatment sub-dimension. Cronbach alpha values were over 0.70 for all domains. The intraclass correlation coefficient value was found in satisfaction with management dimension (0.463) and above 0.60 in other dimensions.

CONCLUSION

It was concluded that the SRS-30 Turkish questionnaire was valid and reliable in evaluating the treatment of patients with adolescent idiopathic scoliosis. Considering the studies related to SRS scales in the literature, especially those applied Rasch analysis, it is seen that the reply categories of the items should be reviewed.Level of Evidence: 2.

摘要

研究设计

方法学。

目的

土耳其版 Scoliosis Research Society-30(SRS-30)问卷的效度和信度研究。

背景资料概要

SRS-30 是 SRS 中最新的问卷,广泛用于评估特发性脊柱侧凸患者的治疗效果。目前尚无土耳其语的效度和信度研究。

方法

对 SRS-30 英文版到土耳其语的所有翻译和跨文化适应阶段进行了实施。同时对 96 例青少年特发性脊柱侧凸患者进行 SRS-30 土耳其语版和 Short Form-36 问卷评估。2 周后,再次应用 SRS-30-土耳其语版。采用 Rasch 模型评估内部有效性,采用 Spearman rho 相关检验评估外部结构有效性(收敛效度)。采用个体分离指数评估信度。内部一致性用 Cronbach α 分析。对于测试-再测试信度,计算两次测量之间的组内相关系数。

结果

Rasch 分析结果显示,SRS-30 土耳其语版具有多维结构,且一些项目存在无序阈值问题。SRS-30 土耳其语版的四个亚维度均提供了总体拟合。性别和年龄组在项目功能方面无差异。在治疗满意度亚维度中,个体分离指数最低,为 0.539。所有领域的 Cronbach α 值均大于 0.70。在管理满意度维度中,组内相关系数值为 0.463,其他维度大于 0.60。

结论

SRS-30 土耳其语问卷在评估青少年特发性脊柱侧凸患者的治疗效果方面具有有效性和可靠性。考虑到文献中与 SRS 量表相关的研究,特别是那些应用了 Rasch 分析的研究,发现项目的应答类别应进行审查。

证据等级

2 级。

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