von Steinbuechel Nicole, Zeldovich Marina, Timmermann Dagmar, Krenz Ugne, Koerte Inga K, Bonfert Michaela V, Berweck Steffen, Kieslich Matthias, Henrich Marlene, Brockmann Knut, Buchheim Anna, Roediger Maike, Lendt Michael, Auer Christian, Neu Axel, Kaiser Alexander, Driemeyer Joenna, Greving Sven, Wartemann Ulrike, Pinggera Daniel, Thomé Claudius, Suss Joachim, Muehlan Holger, Cunitz Katrin
Institute of Psychology, University of Innsbruck, Universitaetsstr. 5-7, 6020 Innsbruck, Austria.
Faculty of Psychotherapy Science, Sigmund Freud University Vienna, 1020 Vienna, Austria.
Children (Basel). 2024 Apr 5;11(4):438. doi: 10.3390/children11040438.
Until recently, no disease-specific health-related quality of life (HRQoL) questionnaire existed for pediatric traumatic brain injuries (TBIs). In this revalidation study, the psychometric properties and the validity of the 35-item QOLIBRI-KID/ADO questionnaire in its final German version were examined in 300 children and adolescents. It is the first self-reported TBI-specific tool for measuring pediatric HRQoL in individuals aged between 8 and 17 years. The six-factor model fits the data adequately. The questionnaire's internal consistency was excellent for the total score and satisfactory to excellent for the scale scores. Intraclass correlations indicated good test-retest reliability, and the measure's construct validity was supported by the overlap between the QOLBRI-KID/ADO and the PedsQL, which measures generic HRQoL. The discriminant validity tests showed that older children and girls reported a significantly lower HRQoL than comparison groups, and this was also true of children who were anxious or depressed, or who suffered from post-concussion symptoms, replicating the results of the questionnaire's first developmental study. Our results suggest that the QOLIBRI-KID/ADO is a reliable and valid multidimensional tool that can be used together with the adult version in clinical contexts and research to measure disease-specific HRQoL after pediatric TBI throughout a person's life. This may help improve care, treatment, daily functioning, and HRQoL after TBI.
直到最近,还没有针对小儿创伤性脑损伤(TBI)的特定疾病健康相关生活质量(HRQoL)问卷。在这项重新验证研究中,对300名儿童和青少年的最终德语版35项QOLIBRI-KID/ADO问卷的心理测量特性和有效性进行了检验。它是首个用于测量8至17岁个体小儿HRQoL的自我报告式TBI专用工具。六因素模型与数据拟合良好。问卷总分的内部一致性极佳,各量表得分的内部一致性令人满意至极佳。组内相关系数表明重测信度良好,QOLBRI-KID/ADO与测量一般HRQoL的儿童生活质量量表(PedsQL)之间的重叠支持了该测量工具的结构效度。判别效度检验表明,年龄较大的儿童和女孩报告的HRQoL显著低于对照组,焦虑或抑郁、或有脑震荡后症状的儿童也是如此,这与问卷首次开发研究的结果一致。我们的结果表明,QOLIBRI-KID/ADO是一种可靠且有效的多维工具,可在临床环境和研究中与成人版一起使用,以测量小儿TBI后一生的特定疾病HRQoL。这可能有助于改善TBI后的护理、治疗、日常功能和HRQoL。