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视障儿童视觉功能年龄相关问卷(CHVI-VFQ)的制定。

Development of age appropriate vision function questionnaire for children with visual impairment (CHVI-VFQ).

机构信息

Assistant Professor, Pediatric Ophthalmology, Chacha Nehru Bal Chikitsalya, New Delhi, India.

Community Ophthalmology, Segment, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

出版信息

Indian J Ophthalmol. 2022 Mar;70(3):930-938. doi: 10.4103/ijo.IJO_1177_21.

Abstract

PURPOSE

To develop a new age-appropriate visual function questionnaire for visually impaired children.

METHODS

The study was conducted in north India in 20,955 (97.3%) children ≤15 years who underwent visual acuity examination. Of these 20,955 children, a total of 722 children were referred with unaided visual acuity less than 6/12 in any eye. Among these referred children, parents in the age group of 5-9 years and children between 10 and 15 years underwent interviews using LV Prasad Functional Visual Questionnaire-20 (LVP FVQ 20) and Indian Visual Functioning Questionnaire-33 (IND VFQ-33). Following this, multiple steps were undertaken that involved expert opinion for the removal of items on basis of zero variance and factor analysis along with calculation of Cronbach's alpha.

RESULTS

: A Cronbach' alpha of 0.834 was calculated for the younger age group and 0.931 for the higher age group of children.

CONCLUSION

: A new robust age-appropriate questionnaire was developed and it was observed that there was a significant change in median score (that was derived for various domains after calculating the median for the items in various domains asked pre- and post-intervention in the form of glasses or surgery) for quality of visual function in the visually impaired children. A significant change in functional vision of visually impaired children (P < 0.005) was observed in both age groups.

摘要

目的

为视障儿童开发一种新的适合年龄的视觉功能问卷。

方法

本研究在印度北部进行,共有 20955 名(97.3%)≤15 岁的儿童接受了视力检查。在这 20955 名儿童中,共有 722 名儿童因未矫正视力低于任何一只眼的 6/12 而被转诊。在这些转诊儿童中,年龄在 5-9 岁和 10-15 岁之间的父母接受了 LV Prasad 功能视觉问卷-20(LVP FVQ 20)和印度视觉功能问卷-33(IND VFQ-33)的访谈。在此之后,进行了多个步骤,包括根据零方差和因子分析以及 Cronbach's alpha 计算删除项目的专家意见。

结果

:计算得出,年龄较小的儿童组的 Cronbach' alpha 为 0.834,年龄较大的儿童组为 0.931。

结论

:开发了一种新的稳健的适合年龄的问卷,观察到在视障儿童中,视觉功能质量的中位数评分(通过计算干预前后以眼镜或手术形式询问的各个领域的项目中位数得出)发生了显著变化。在两个年龄组中,视障儿童的功能性视力都有显著变化(P<0.005)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc1/9114577/0f334b3e8eaa/IJO-70-930-g001.jpg

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