Zeldovich Marina, Cunitz Katrin, Greving Sven, Muehlan Holger, Bockhop Fabian, Krenz Ugne, Timmermann Dagmar, Koerte Inga K, Rojczyk Philine, Roediger Maike, Lendt Michael, von Steinbuechel Nicole
Institute of Medical Psychology and Medical Sociology, University Medical Center Göttingen, Waldweg 37A, 37073 Goettingen, Germany.
Department Health & Prevention, Institute of Psychology, University of Greifswald, Robert-Blum-Str. 13, 17489 Greifswald, Germany.
J Clin Med. 2023 May 27;12(11):3716. doi: 10.3390/jcm12113716.
Health-related quality of life (HRQOL) is an important indicator for recovery after pediatric TBI. To date, there are a few questionnaires available for assessing generic HRQOL in children and adolescents, but there are not yet any TBI-specific measures of HRQOL that are applicable to pediatric populations. The aim of the present study was to examine psychometric characteristics of the newly developed Quality of Life After Brain Injury Scale for Kids and Adolescents (QOLIBRI-KID/ADO) questionnaire capturing TBI-specific HRQOL in children and adolescents using an item response theory (IRT) framework. Children (8-12 years; = 152) and adolescents (13-17 years; = 148) participated in the study. The final version of the QOLIBRI-KID/ADO, comprising 35 items forming 6 scales, was investigated using the partial credit model (PCM). A scale-wise examination for unidimensionality, monotonicity, item infit and outfit, person homogeneity, and local independency was conducted. The questionnaire widely fulfilled the predefined assumptions, with a few restrictions. The newly developed QOLIBRI-KID/ADO instrument shows at least satisfactory psychometric properties according to the results of both classical test theoretical and IRT analyses. Further evidence of its applicability should be explored in the ongoing validation study by performing multidimensional IRT analyses.
与健康相关的生活质量(HRQOL)是小儿创伤性脑损伤(TBI)后恢复情况的一项重要指标。迄今为止,有一些问卷可用于评估儿童和青少年的一般健康相关生活质量,但尚无适用于儿科人群的TBI特异性健康相关生活质量测量方法。本研究的目的是使用项目反应理论(IRT)框架,检验新开发的《儿童和青少年脑损伤后生活质量量表》(QOLIBRI-KID/ADO)问卷的心理测量学特征,该问卷用于获取儿童和青少年TBI特异性健康相关生活质量。儿童(8至12岁;n = 152)和青少年(13至17岁;n = 148)参与了该研究。使用部分计分模型(PCM)对由35个项目组成6个分量表的QOLIBRI-KID/ADO最终版本进行了研究。进行了分量表层面的单维性、单调性、项目内拟合和外拟合、个体同质性以及局部独立性检验。该问卷在有一些限制的情况下广泛满足了预定义的假设。根据经典测试理论和IRT分析结果,新开发的QOLIBRI-KID/ADO工具显示出至少令人满意的心理测量学特性。应通过进行多维IRT分析,在正在进行的验证研究中探索其适用性的进一步证据。