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儿童及其父母腹痛知识问卷(A-PKQ)的开发与评估

Development and Evaluation of the Abdominal Pain Knowledge Questionnaire (A-PKQ) for Children and Their Parents.

作者信息

Neß Verena, Humberg Clarissa, Lucius Franka, Eidt Leandra, Berger Thomas, Claßen Martin, Syring Nils Christian, Berrang Jens, Vietor Christine, Buderus Stephan, Rau Lisa-Marie, Wager Julia

机构信息

German Paediatric Pain Centre, Children's and Adolescents' Hospital Datteln, 45711 Datteln, Germany.

Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany.

出版信息

Children (Basel). 2024 Jul 12;11(7):846. doi: 10.3390/children11070846.

Abstract

BACKGROUND

Abdominal pain is a common and often debilitating issue for children and adolescents. In many cases, it is not caused by a specific somatic condition but rather emerges from a complex interplay of bio-psycho-social factors, leading to functional abdominal pain (FAP). Given the complex nature of FAP, understanding its origins and how to effectively manage this condition is crucial. Until now, however, no questionnaire exists that targets knowledge in this specific domain. To address this, the Abdominal Pain Knowledge Questionnaire (A-PKQ) was developed.

METHODS

Two versions were created (one for children and one for parents) and tested in four gastroenterology clinics and one specialized pain clinic in Germany between November 2021 and February 2024. Children between 8 and 17 years of age ( = 128) and their accompanying parents ( = 131) participated in the study. Rasch analysis was used to test the performance of both versions of the questionnaire.

RESULTS

The original questionnaires exhibited good model and item fit. Subsequently, both questionnaires were refined to improve usability, resulting in final versions containing 10 items each. These final versions also demonstrated good model and item fit, with items assessing a variety of relevant domains.

CONCLUSION

The A-PKQ is an important contribution to improving assessment in clinical trials focused on pediatric functional abdominal pain.

摘要

背景

腹痛是儿童和青少年常见且常使人虚弱的问题。在许多情况下,它并非由特定的躯体疾病引起,而是源于生物 - 心理 - 社会因素的复杂相互作用,导致功能性腹痛(FAP)。鉴于FAP的复杂性,了解其起源以及如何有效管理这种疾病至关重要。然而,到目前为止,尚无针对这一特定领域知识的问卷。为解决这一问题,开发了腹痛知识问卷(A - PKQ)。

方法

创建了两个版本(一个针对儿童,一个针对家长),并于2021年11月至2024年2月期间在德国的四家胃肠病诊所和一家专门的疼痛诊所进行测试。8至17岁的儿童(n = 128)及其陪同的家长(n = 131)参与了该研究。采用拉施分析来测试问卷两个版本的性能。

结果

原始问卷表现出良好的模型和项目拟合度。随后,对两个问卷进行了优化以提高可用性,最终版本各包含10个项目。这些最终版本也显示出良好的模型和项目拟合度,项目评估了各种相关领域。

结论

A - PKQ对改善专注于儿童功能性腹痛的临床试验评估具有重要贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8691/11276134/4241a5c37df6/children-11-00846-g001.jpg

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