蛛网膜下腔出血结局工具（SAHOT）德语版的验证。
Validation of the German version of the subarachnoid haemorrhage outcome tool (SAHOT).
机构信息
Department of Neurosurgery, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
出版信息
Eur Stroke J. 2023 Mar;8(1):320-327. doi: 10.1177/23969873221144813. Epub 2022 Dec 16.
OBJECTIVE
The subarachnoid haemorrhage (SAH) outcome tool (SAHOT) is the first SAH-specific patient reported outcome measure, and was developed in the UK. We aimed to validate the SAHOT outside the UK, and therefore endeavored to adapt the SAHOT into German and to test its psychometric properties.
METHODS
We adapted and pilot tested the German version. We applied the SAHOT, Quality of Life after Brain Injury, Hospital Anxiety and Depression Scale, and EuroQol questionnaires in a cohort of 89 patients with spontaneous SAH after discharge. We assessed internal consistency by Cronbach's α, test-retest reliability by intraclass correlation, and validity by Pearson correlations with established measures. Sensitivity to change was evaluated following neurorehabilitation by effect sizes.
RESULTS
The translation of SAHOT resulted in a German version that is semantically and conceptually equivalent to the English version. Internal consistency was good regarding the physical domain (α = 0.83) and excellent for the other domains (α = 0.92-0.93). Test-retest reliability indicated a high level of stability with an intraclass correlation of 0.85 (95% CI: 0.83-0.86). All domains correlated moderately or strongly with established measures ( = 0.41-0.74; < 0.01). SAHOT total scores showed moderate sensitivity to change (Cohen's = -0.68), while mRS and GOSE showed no significant sensitivity to change.
CONCLUSION
The SAHOT can be adapted to other health care systems and societies than the UK. The German version of the SAHOT is a reliable and valid instrument, and can be used in future clinical studies and individual assessment after spontaneous SAH.
目的
蛛网膜下腔出血（SAH）结局工具（SAHOT）是首个针对特定 SAH 的患者报告结局测量工具，由英国开发。我们旨在在英国以外验证 SAHOT，并因此努力将 SAHOT 改编为德文，并测试其心理测量学特性。
方法
我们对德文版本进行了改编和试点测试。我们在出院后自发性 SAH 的 89 例患者队列中应用了 SAHOT、脑损伤后生活质量量表、医院焦虑和抑郁量表以及 EuroQol 问卷。我们通过 Cronbach's α评估内部一致性，通过组内相关系数评估测试-重测信度，通过与既定测量方法的 Pearson 相关性评估效度。通过神经康复后的效应量评估变化的敏感性。
结果
SAHOT 的翻译导致了德语版本，该版本在语义和概念上与英文版等效。物理域的内部一致性良好（α=0.83），其他域的内部一致性极好（α=0.92-0.93）。测试-重测信度表明稳定性高，组内相关系数为 0.85（95%CI：0.83-0.86）。所有域与既定测量方法均呈中度或高度相关（r=0.41-0.74；p<0.01）。SAHOT 总分显示出中度变化敏感性（Cohen's d=-0.68），而 mRS 和 GOSE 没有显示出显著的变化敏感性。
结论
SAHOT 可以适应于英国以外的其他医疗保健系统和社会。SAHOT 的德文版本是一种可靠且有效的工具，可用于未来的临床研究和自发性 SAH 后的个体评估。
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