Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Departamento de Pediatria, Botucatu, SP, Brazil.
Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Departamento de Pediatria, Divisão de Gastroenterologia, Hepatlogia e Nutrição Pediátrica, Botucatu, SP, Brazil.
J Pediatr (Rio J). 2022 Jan-Feb;98(1):46-52. doi: 10.1016/j.jped.2021.03.005. Epub 2021 May 13.
Developing and validating a disease-specific instrument in the Brazilian Portuguese language to assess the Health-Related Quality of Life of children with functional constipation, applied to parents/caregivers.
The process of developing the questionnaire was carried out in the following steps: items generation concerning functional constipation; elaboration of the preliminary questionnaire; assessment by health professionals; identifying problems or inconsistencies by the researchers; improvement of the questions; obtaining a final questionnaire named Pediatric Functional Constipation Questionnaire-Parent Form (PedFCQuest-PR) with 26 questions divided into four domains. Responses options use a Likert scale based on the events of the last four weeks. The process of validation was an observational, cross-sectional study in a sample of 87 parents/caregivers of children from 5 to 15 years of age diagnosed with Functional constipation according to the Rome IV Criteria. The questionnaire was applied simultaneously to the Pediatric Quality of Life Inventory 4.0 (PedsQL TM 4.0) as a control.
The questionnaire validation included 87 parents/caregivers. The children's median age was 8.2 years, with a long time of constipation symptoms associated with fecal incontinence in approximately two-thirds. Internal consistency reliability for the Total Scale Score of PedFCQuest-PR by Coefficient Alpha of Cronbach score was 0.86. Convergent and divergent validity of PedFCQuest-PR was demonstrated by correlating the domains of both questionnaires.
This study provides evidence that PedFCQuest-PR is a reliable instrument. The results showed a high degree of internal consistency and validity of the instrument for future applications.
开发并验证一种针对巴西葡萄牙语的功能性便秘儿童健康相关生活质量的特定疾病工具，应用于父母/照护者。
问卷开发过程分以下步骤进行：针对功能性便秘生成项目；初步问卷的编制；卫生专业人员评估；研究者识别问题或不一致；问题改进；得到最终问卷，名为儿科功能性便秘问卷-家长版（PedFCQuest-PR），包含 26 个问题，分为四个领域。答案选项采用基于过去四周事件的 Likert 量表。验证过程为一项观察性、横断面研究，纳入 87 名符合罗马 IV 标准诊断为功能性便秘的 5 至 15 岁儿童的父母/照护者。同时应用于儿科生活质量量表 4.0（PedsQL TM 4.0）作为对照。
问卷验证纳入 87 名父母/照护者。儿童的中位年龄为 8.2 岁，大约三分之二的儿童存在长期便秘症状并伴有粪便失禁。PedFCQuest-PR 总评分的内部一致性可靠性通过 Cronbach 得分的 Alpha 系数为 0.86。PedFCQuest-PR 的聚合和发散效度通过两个问卷的领域相关性得到证明。
本研究提供了证据表明 PedFCQuest-PR 是一种可靠的工具。结果显示该工具具有高度的内部一致性和有效性，可用于未来的应用。
