儿童口腔健康影响概况问卷：Cronbach's Alpha系数的可靠性概括性元分析
Child Oral Health Impact Profile Questionnaire: A Reliability Generalization Meta-analysis of Cronbach's Alpha.
作者信息
Pentapati Kalyana C, Chenna Deepika, Kumar Vijay S, Kumar Nanditha, Kumar Saurabh
机构信息
Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
出版信息
Int J Clin Pediatr Dent. 2024 Oct;17(10):1193-1198. doi: 10.5005/jp-journals-10005-2973.
BACKGROUND AND AIM
To evaluate the pooled estimates of Cronbach's alpha for the Child Oral Health Impact Profile (COHIP) questionnaire using reliability generalization meta-analysis.
METHODS
We have conducted a systematic search of literature from PubMed, Scopus, Excerpta Medica Database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from inception till 31 May 2023. Studies in English and those that have reported Cronbach's alpha for the COHIP questionnaire were included. Screening was performed by two review authors independently. Information on authors, year, country, sample size, age, sex, target population, language and mode of administration, conditions studied for, study setting, and study design were recorded. The risk of bias was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist for internal consistency. Meta-analysis was performed using the random effects model to derive a pooled estimate of Cronbach's alpha.
RESULTS
A total of 626 studies were available for title and abstract screening after the removal of duplicates, and 106 studies were included for full text screening. A total of 25 estimates were obtained from 22 studies which yielded a total sample size of 10,639. The overall pooled Cronbach's alpha was 0.87 (95% CI = 0.85-8.88) with a high heterogeneity among the included publications ( = 95.74%). Similarly, the parent or the caregiver reported COHIP also showed pooled Cronbach's alpha of 0.9 (95% CI: 0.87-0.93). Meta-regression showed no significant effect of sex (coefficient: -0.12), age (coefficient: -0.007), language (coefficient: 0.003), study setting (coefficient: -0.001), risk of bias (coefficient: -0.01), and continent (coefficient: -0.04) on the overall estimate.
CONCLUSION
The COHIP questionnaire showed good internal consistency and can be used in research and practice among children.
HOW TO CITE THIS ARTICLE
Pentapati KC, Chenna D, Kumar VS, Child Oral Health Impact Profile Questionnaire: A Reliability Generalization Meta-analysis of Cronbach's Alpha. Int J Clin Pediatr Dent 2024;17(10):1193-1198.
背景与目的
使用可靠性泛化荟萃分析评估儿童口腔健康影响概况（COHIP）问卷的克朗巴哈系数（Cronbach's alpha）的合并估计值。
方法
我们对PubMed、Scopus、医学文摘数据库（EMBASE）和护理及相关健康文献累积索引（CINAHL）从创刊至2023年5月31日的文献进行了系统检索。纳入英文研究以及报告了COHIP问卷克朗巴哈系数的研究。由两位综述作者独立进行筛选。记录有关作者、年份、国家、样本量、年龄、性别、目标人群、语言和施测方式、研究的条件、研究环境和研究设计的信息。使用基于共识的健康测量工具选择标准（COSMIN）清单评估内部一致性的偏倚风险。采用随机效应模型进行荟萃分析，以得出克朗巴哈系数的合并估计值。
结果
去除重复项后，共有626项研究可用于标题和摘要筛选，106项研究纳入全文筛选。从22项研究中总共获得了25个估计值，总样本量为10639。总体合并克朗巴哈系数为0.87（95%可信区间 = 0.85 - 8.88），纳入的出版物之间存在高度异质性（I² = 95.74%）。同样，家长或照料者报告的COHIP的合并克朗巴哈系数也为0.9（95%可信区间：0.87 - 0.93）。元回归显示性别（系数：-0.12）、年龄（系数：-0.007）、语言（系数：0.003）、研究环境（系数：-0.001）、偏倚风险（系数：-0.01）和大洲（系数：-0.04）对总体估计值无显著影响。
结论
COHIP问卷显示出良好的内部一致性，可用于儿童的研究和实践。
如何引用本文
Pentapati KC, Chenna D, Kumar VS, 儿童口腔健康影响概况问卷：克朗巴哈系数的可靠性泛化荟萃分析。《国际临床儿科牙科学杂志》2024；17(10):1193 - 1198。
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