Wang Yi, Rae Charlene, Tsangaris Elena, Nathan Paul C, Bouffet Eric, Dix David, Wong Riff Karen, Klassen Anne
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
J Adolesc Young Adult Oncol. 2024 Apr;13(2):307-315. doi: 10.1089/jayao.2023.0040. Epub 2023 Oct 18.
We aimed to establish content validity and assess the psychometric properties of the FACE-Q Craniofacial Module, a patient-reported outcome measure, for use in pediatric and adolescent patients with head and neck cancer (HNC). To establish content validity (Part 1), between June 2017 and August 2019, cognitive interviews were conducted with survivors of pediatric HNC ( = 15), and input was obtained from clinical experts ( = 21). To examine item and scale performance (Part 2), Rasch Measurement Theory (RMT) analysis was performed using data from two international studies ( = 121). Part 1: Qualitative data from 15 survivors and input from 21 experts provided evidence to support the use of the FACE-Q Craniofacial Module in pediatric HNC. Part 2: The field-test study sample included 121 survivors of pediatric HNC. RMT analysis provided evidence of reliability and validity for 10 FACE-Q scales. Data for each scale fit the RMT model. Scale reliability was high, with Person Separation Index and Cronbach's alpha values ≥0.82 for 9 scales. Mean scores on the Appearance, Psychological, and Social scales were higher for those who liked aspects of their face more. For participants with (vs. without) a facial difference, mean scores were lower for the Face, Jaws, Psychological, and Social scales. The FACE-Q Craniofacial Module evidenced reliability and validity for HNC survivors aged 8-29 years and can be used in research and clinical care to measure quality of life of pediatric survivors with HNC.
我们旨在建立内容效度，并评估患者报告结局测量工具“面部质量评估量表（FACE-Q）颅面部模块”在头颈癌（HNC）儿童及青少年患者中的心理测量特性。为建立内容效度（第1部分），在2017年6月至2019年8月期间，对15名小儿HNC幸存者进行了认知访谈，并从21名临床专家处获取了意见。为检验条目和量表性能（第2部分），使用两项国际研究中的数据（n = 121）进行了拉施测量理论（RMT）分析。第1部分：15名幸存者的定性数据和21名专家的意见为支持在小儿HNC中使用FACE-Q颅面部模块提供了证据。第2部分：现场测试研究样本包括121名小儿HNC幸存者。RMT分析为10个FACE-Q量表的信度和效度提供了证据。每个量表的数据均符合RMT模型。量表信度较高，9个量表的个人分离指数和克朗巴赫α值≥0.82。在面部外观、心理和社交量表上，对面部某些方面更喜欢的人的平均得分更高。对于有（与没有）面部差异的参与者，面部、下颌、心理和社交量表的平均得分较低。FACE-Q颅面部模块在8至29岁的HNC幸存者中证明了信度和效度，可用于研究和临床护理，以测量小儿HNC幸存者的生活质量。
