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脑瘫患儿活动受限问卷土耳其语适应性的心理测量特性研究。

An investigation of the psychometric properties of the Turkish adaptation of the activity limitations in cerebral palsy questionnaire.

机构信息

Institute of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.

出版信息

Disabil Rehabil. 2023 Aug;45(16):2668-2674. doi: 10.1080/09638288.2022.2099586. Epub 2022 Jul 22.

DOI:10.1080/09638288.2022.2099586
PMID:35866563
Abstract

PURPOSE

To translate the ACTIVLIM-CP questionnaire, developed to assess global activity performance in children with Cerebral Palsy (CP), into Turkish and to investigate its psychometric properties.

METHODS

Eighty-nine children with CP, aged between 2 and 18 years (mean age: 10.08 ± 4.94 years), were included in the study. Internal consistency was measured by Cronbach's alpha and test-retest reliability was assessed using intraclass correlation coefficient (ICC). Convergent validity was evaluated through the pattern of correlations between the ACTIVLIM-CP with PEDI, ABILOCO-Kids, ABILHAND-Kids, and Wee-FIM scores. Known-group comparisons were made according to epilepsy existence and ambulation level measured by Gross Motor Function Classification System (GMFCS).

RESULTS

Internal consistency was excellent (Cronbach's  = 0.990), and the ICC for the test-retest reliability was 0.990. There was a very strong correlation between ACTIVLIM-CP and ABILHAND-Kids ( = 0.946), WeeFIM ( = 0.900), PEDI Functional Skills and Caregiver Assistance scores ( = 0.954,  = 0.937, respectively), and ABILOCO-Kids ( = 0.817) ( < 0.001) score. ACTIVLIM-CP score was lower in children with epilepsy ( = 0.001) and in the high-level group according to GMFCS ( < 0.001).

CONCLUSION

The Turkish adaptation of ACTIVLIM-CP is a valid and reliable scale for measuring activity limitations in children with CP and is compatible with other scales evaluating activity limitations.

CLINICAL TRIAL NUMBER

NCT05184244IMPLICATIONS FOR REHABILITATIONActivity limitation measurements are crucial and necessary to determine the global activity performance of children with CP.ACTIVLIM-CP was translated and culturally adapted to Turkish and showed good psychometric properties.ACTIVLIM-CP is a valid and reliable tool to evaluate activity performance in children with CP.

摘要

目的

将评估脑瘫(CP)儿童整体活动表现的 ACTIVLIM-CP 问卷翻译成土耳其语,并研究其心理测量学特性。

方法

本研究纳入了 89 名年龄在 2 至 18 岁之间(平均年龄:10.08 ± 4.94 岁)的 CP 儿童。内部一致性通过 Cronbach's alpha 进行测量,测试-重测信度通过组内相关系数(ICC)评估。通过与 PEDI、ABILOCO-Kids、ABILHAND-Kids 和 Wee-FIM 评分的相关性模式评估了效标关联效度。根据癫痫存在和粗大运动功能分类系统(GMFCS)测量的步行水平进行了已知组别的比较。

结果

内部一致性极好(Cronbach's α=0.990),测试-重测信度的 ICC 为 0.990。ACTIVLIM-CP 与 ABILHAND-Kids(r=0.946)、WeeFIM(r=0.900)、PEDI 功能技能和照顾者协助评分(r=0.954、r=0.937)以及 ABILOCO-Kids(r=0.817)之间存在很强的相关性(均<0.001)。GMFCS 高水平组和癫痫患儿的 ACTIVLIM-CP 评分较低(均<0.001)。

结论

ACTIVLIM-CP 的土耳其语版本是一种有效且可靠的量表,可用于测量 CP 儿童的活动受限情况,与评估活动受限的其他量表相兼容。

临床试验注册号

NCT05184244

对康复的影响

活动受限的测量对于确定 CP 儿童的整体活动表现至关重要。ACTIVLIM-CP 已被翻译成土耳其语并进行了文化调适,表现出良好的心理测量学特性。ACTIVLIM-CP 是一种有效且可靠的工具,可用于评估 CP 儿童的活动表现。

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