青少年特发性脊柱侧凸患者的脊柱侧凸研究学会-30问卷日文版的验证
The Validation of the Japanese Version of the Scoliosis Research Society-30 Questionnaire for Adolescent Idiopathic Scoliosis Patients.
作者信息
Arima Hideyuki, Yamato Yu, Shibata Yosuke, Oba Hiroki, Takahashi Jun, Watanabe Kei, Sugawara Ryo, Takeshita Katsushi, Omura Takao, Carreon Leah, Arai Yasuhisa, Asada Tomoyuki, Demura Satoru, Doi Toru, Matsumura Akira, Suzuki Satoshi, Takahashi Shinji, Takeuchi Takumi, Ueda Haruki, Hosogane Naobumi
机构信息
Department of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Registry and Outcome Committee of Japanese Scoliosis Society, Tokyo, Japan.
出版信息
Spine Surg Relat Res. 2024 Feb 14;8(3):280-286. doi: 10.22603/ssrr.2023-0202. eCollection 2024 May 27.
INTRODUCTION
The Scoliosis Research Society-30 (SRS-30) is a questionnaire originally developed from the SRS-22r questionnaire and is used to evaluate adolescent idiopathic scoliosis (AIS). It comprised questions on five domains: function, pain, self-image, mental health, and satisfaction, with seven additional questions related to postoperative aspects. In addition to the original English version, translations in multiple languages have been effectively applied. Herein, we evaluated the internal consistency and external validity of the Japanese version of the SRS-30 for AIS patients.
METHODS
Among the 30 questions in SRS-30, the eight additional questions from SRS-22r were translated and back-translated to create a Japanese version of the SRS-30. This translated questionnaire was then used to survey patients with AIS who underwent corrective fusion surgery one year postoperatively. The internal consistency of the responses was evaluated using the Cronbach α coefficient. Additionally, the Spearman correlation analyses were conducted to assess the correlation between the scores obtained from the SRS-30 Japanese version and SRS-22r and the Oswestry Disability Index (ODI) for the overall scale and the five domains.
RESULTS
A total of 81 cases (eight males and 73 females; mean age at surgery 14.4 years) were enrolled. The mean preoperative Cobb angle was 51.0°. The Cronbach α coefficient for the overall SRS-30 was 0.861, indicating high internal consistency, while the coefficients for each domain were as follows: function/activity, 0.697; pain, 0.405; self-image/appearance, 0.776; mental health, 0.845; and satisfaction, 0.559. The SRS-30 total score significantly correlated with the SRS-22r total (r=0.945, P<0.001) and the ODI (r=-0.511, P<0.001). The SRS-30 domains highly correlated with the corresponding SRS-22r domains, with correlations ranging from r=0.826 to 0.901 (all P<0.001).
CONCLUSIONS
The Japanese version of the SRS-30 demonstrated good internal and external validity. The SRS-30 can be used as an assessment tool for health-related quality of life in AIS patients.
引言
脊柱侧弯研究协会30项问卷（SRS - 30）最初是从SRS - 22r问卷发展而来，用于评估青少年特发性脊柱侧弯（AIS）。它包含五个领域的问题：功能、疼痛、自我形象、心理健康和满意度，另有七个与术后情况相关的问题。除了原始英文版本外，多种语言的翻译版本也已得到有效应用。在此，我们评估了SRS - 30日语版对AIS患者的内部一致性和外部效度。
方法
在SRS - 30的30个问题中，来自SRS - 22r的八个附加问题被翻译并回译，以创建SRS - 30日语版。然后使用这份翻译后的问卷对接受矫正融合手术一年后的AIS患者进行调查。使用Cronbach α系数评估回答的内部一致性。此外，进行Spearman相关性分析，以评估SRS - 30日语版得分与SRS - 22r得分以及总体量表和五个领域的Oswestry功能障碍指数（ODI）之间的相关性。
结果
共纳入81例患者（8例男性和73例女性；手术时平均年龄14.4岁）。术前平均Cobb角为51.0°。SRS - 30总体的Cronbach α系数为0.861，表明内部一致性高，而各领域的系数如下：功能/活动，0.697；疼痛，0.405；自我形象/外貌，0.776；心理健康，0.845；满意度，0.559。SRS - 30总分与SRS - 22r总分显著相关（r = 0.945，P < 0.001），与ODI显著相关（r = -0.511，P < 0.001）。SRS - 30各领域与相应的SRS - 22r领域高度相关，相关性范围为r = 0.826至0.901（均P < 0.001）。
结论
SRS - 30日语版具有良好的内部和外部效度。SRS - 30可作为评估AIS患者健康相关生活质量的工具。
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