活动和参与儿童及青少年 - 颈部（APCAN）量表的制定与验证。
Development and validation of the activities and participation children and adolescents -neck (APCAN) measure.
机构信息
Department of Physical Therapy, MGH Institute of Health Professions, 36, 1st Ave, 02129, Boston, MA, USA.
出版信息
J Patient Rep Outcomes. 2023 Oct 30;7(1):107. doi: 10.1186/s41687-023-00648-x.
BACKGROUND
Neck pain is the fourth leading cause of years lost to disability in children warranting a comprehensive assessment of neck pain and its impact on activities and participation. Hence, the purpose of this study was to develop a new measure (i.e., Activities and Participation Children and Adolescents -neck [APCAN]) specific to evaluating activity limitation and participation restrictions in children and adolescents and to establish its content validity.
METHODS
Development and content validation of the APCAN was completed in four steps: (1) item development, (2) item evaluation by content experts, (3) content validity calculation, and (4) cognitive testing via interviews to ensure readability and comprehension of the items on the APCAN.
RESULTS
An initial pool of 52 items was created that was revised to 20 items after modified Delphi process and cognitive interviews. Each item was rated on a 0-10 numeric rating scale (0 = not difficult at all, 10 = extremely difficult) with higher scores indicating higher perceived disability secondary to neck pain. All 20 items retained the content validity ratio critical value and the overall content validity index was 0.88 indicating excellent content validity.
CONCLUSION
The APCAN provides an easy to use, comprehensive assessment of functional limitations associated with neck pain in children.
背景
颈部疼痛是导致儿童残疾年数增加的第四大原因，需要对颈部疼痛及其对活动和参与的影响进行全面评估。因此，本研究的目的是开发一种新的测量工具（即儿童和青少年颈部活动和参与测量工具 [APCAN]），专门评估儿童和青少年的活动受限和参与受限情况，并确定其内容效度。
方法
APCAN 的开发和内容验证分四个步骤完成：（1）项目开发，（2）内容专家对项目进行评估，（3）内容效度计算，（4）通过访谈进行认知测试，以确保 APCAN 项目的可读性和理解。
结果
创建了一个初始的 52 项项目池，经过修改后的德尔菲法和认知访谈，将其修订为 20 项。每个项目的评分范围为 0-10 数字评分量表（0=一点也不难，10=极其困难），得分越高表示颈部疼痛导致的感知残疾程度越高。所有 20 项都保留了内容效度比值的临界值，整体内容效度指数为 0.88，表明内容效度优秀。
结论
APCAN 为评估儿童颈部疼痛相关的功能受限提供了一种易于使用的综合评估工具。
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