Chatpermporn Kanticha, Chongpison Yuda, Ngoenmak Thitima, Treepongkaruna Suporn, Sintusek Palittiya
Department of Pediatrics, Police General Hospital, Bangkok 10330, Thailand.
Research Affairs, Chulalongkorn University, Bangkok 10330, Thailand.
World J Clin Cases. 2025 Aug 16;13(23):105022. doi: 10.12998/wjcc.v13.i23.105022.
The Rome Foundation's questionnaires, including the latest version, Rome IV diagnostic criteria since 2016, are widely used globally for diagnosing functional gastrointestinal disorders (FGIDs). However, a tailored Thai version for diagnosing FGIDs in neonates and toddlers is yet to be developed.
To develop and validate the Thai version of the Rome IV diagnostic questionnaire for FGIDs in neonates and toddlers.
This study was conducted at a tertiary hospital in Bangkok. The Rome IV diagnostic questionnaire for neonates and toddlers was translated into Thai following Rome Foundation guidelines. Validity was assessed using item-objective congruence. The final version was administered to 65 caregivers of children under 4 years. Reliability was evaluated using Cronbach's alpha and intraclass correlation coefficient based on test-retest responses collected over a 4-15 day interval.
A total of 58 complete questionnaires were returned. The median interval between the first and second time was 7 days (range: 4 days to 15 days). The item-objective congruence index for the Thai-adapted Rome IV diagnostic questionnaire was 0.74. Internal consistency, as indicated by Cronbach's alpha, was 0.753, 0.712, and 0.750 for the three respective sections. The intraclass correlation coefficients for test-retest reliability were 0.782, 0.782, and 0.807.
The Thai Rome IV diagnostic questionnaire for FGIDs in neonates and toddlers demonstrates acceptable validity and reliability, supporting its use in future clinical and research applications.
自2016年以来，罗马基金会的问卷，包括最新版本的罗马IV诊断标准，在全球范围内被广泛用于诊断功能性胃肠疾病（FGIDs）。然而，尚未开发出用于诊断新生儿和幼儿FGIDs的定制泰语版本。
开发并验证用于新生儿和幼儿FGIDs的罗马IV诊断问卷泰语版。
本研究在曼谷的一家三级医院进行。按照罗马基金会的指南，将用于新生儿和幼儿的罗马IV诊断问卷翻译成泰语。使用项目-目标一致性评估效度。最终版本被发放给65名4岁以下儿童的照顾者。基于在4至15天间隔内收集的重测反应，使用克朗巴哈系数和组内相关系数评估信度。
共返回58份完整问卷。第一次和第二次之间的中位间隔为7天（范围：4天至15天）。泰语改编版罗马IV诊断问卷的项目-目标一致性指数为0.74。克朗巴哈系数表明，三个相应部分的内部一致性分别为0.753、0.712和0.750。重测信度的组内相关系数分别为0.782、0.782和0.807。
用于新生儿和幼儿FGIDs的泰语罗马IV诊断问卷显示出可接受的效度和信度，支持其在未来临床和研究应用中的使用。
