Mozafarian Nafiseh, Hashemipour Mahin, Maracy Mohammad Reza, Madineh Seyed Ali, Farahi Raheleh, Kelishadi Roya
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Noncommunicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Metabolic Liver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Pediatr Endocrinol Metab. 2024 Jan 11;37(2):156-162. doi: 10.1515/jpem-2023-0409. Print 2024 Feb 26.
The current paper presents the steps considered for validation of a questionnaire for assessment of sexual maturity among Iranian adolescent girls.
This cross-sectional study was performed in 2022 in Isfahan, Iran. Based on the Growth and Development Questionnaire that included both the Pubertal Development Scale (PDS) and Sexual Maturation Scale (SMS), two Persian questionnaires were prepared. The face validity, content validity, criterion validity, and reliability of the questionnaire were assessed. We compared agreement of two parent-reported measures of puberty, SMS and PDS, with clinical Tanner stages (TSs) as the gold standard. Percent agreement, Cohen's kappa coefficient, and Kendall's τ b were used to assess the agreement between maternal assessments with clinical TS. The intraclass correlation coefficient (ICC) and the Cronbach's α coefficient were also calculated to evaluate the reliability of the questionnaire.
A total of 150 students aged 6-17 years with mean (SD) age of 10 (2.04) completed this study. The percentages of agreement for the mother-reported SMS in relation to clinical TS for breast stage and pubic hair stage were 60 % and 53.8 %, respectively. The percentages of agreement of the mother-reported PDS in relation to clinical TS for breast stage and pubic hair stage were 55.8 and 66 %, respectively. The weighted kappa coefficients showed moderate agreement, with weighted kappa ranging from 0.52 to 0.61. The mother-reported SMS and PDS showed high reliability. The Cronbach's alpha of the PDS and the SMS was 0.88 and 0.83, respectively. The ICC of the mother-reported SMS and the mother-reported PDS was 0.95 (0.92-0.98) and 0.97 (0.94-0.98), respectively.
This study indicated that a maternal assessment of sexual maturity using the PDS or SMS can reliably estimate pubertal development in adolescent girls in an Iranian population.
本文介绍了为验证一份用于评估伊朗青春期女孩性成熟度的问卷而考虑的步骤。
这项横断面研究于2022年在伊朗伊斯法罕进行。基于包含青春期发育量表（PDS）和性成熟量表（SMS）的生长与发育问卷，编制了两份波斯语问卷。对问卷的表面效度、内容效度、效标效度和信度进行了评估。我们将两种家长报告的青春期测量方法（SMS和PDS）与作为金标准的临床坦纳分期（TSs）进行了比较。采用一致百分比、科恩kappa系数和肯德尔τb来评估母亲评估与临床TS之间的一致性。还计算了组内相关系数（ICC）和克朗巴赫α系数以评估问卷的信度。
共有150名年龄在6至17岁之间、平均（标准差）年龄为10（2.04）岁的学生完成了本研究。母亲报告的SMS在乳房分期和阴毛分期与临床TS的一致百分比分别为60%和53.8%。母亲报告的PDS在乳房分期和阴毛分期与临床TS的一致百分比分别为55.8%和66%。加权kappa系数显示为中度一致，加权kappa范围为0.52至0.61。母亲报告的SMS和PDS显示出高信度。PDS和SMS的克朗巴赫α分别为0.88和0.83。母亲报告的SMS和母亲报告的PDS的ICC分别为0.95（0.92 - 0.98）和0.97（0.94 - 0.98）。
本研究表明，使用PDS或SMS对母亲进行性成熟度评估能够可靠地估计伊朗人群中青春期女孩的青春期发育情况。
