Leplège A, Mesbah M, Marquis P
INSERM Unité 292, Hôpital de Bicêtre, Le Kremlin Bicêtre.
Rev Epidemiol Sante Publique. 1995;43(4):371-9.
The International Quality of Life Assessment (IQOLA) Project is a 4 year project initiated in 1991 to translate and adapt the Medical Outcome Study Short Form 36 item Health Survey (SF-36) in at least 15 countries. This paper reports on the preliminary psychometric assessment of the SF-36 in French (version 1.1). The validation data come from two studies: a phase IV study of 121 patients with arthritis and a phase IV study of 159 patients with angina. In both cases, the patients were surveyed using the SF-36 and a disease specific module. The main objective of this analysis was to determine how well the scaling assumptions (summated rating or Likert type scaling construction) of the SF-36 were satisfied. Item convergent validity was supported as items-scale correlation range from 0.47-0.87. Item discriminant validity was supported as all items were more correlated with their hypothesised scales than with scales measuring other concepts. Our data support the assumption that the items measuring the same concept had approximately equal variance. Items in a given scale contained about the same proportion of information about the concept being measured, as most items of any given dimension had approximately the same correlation with that dimension. The Cronbach alpha coefficient ranged between 0.79 and 0.95. The correlation between two scales was less than the reliability coefficient for those scales, and these correlations adjusted for attenuation were less than 1. These preliminary results are encouraging. They indicate that the items are linearly related to the underlying concept being measured.(ABSTRACT TRUNCATED AT 250 WORDS)
国际生活质量评估(IQOLA)项目是一项始于1991年的为期4年的项目,旨在至少15个国家对医学结局研究简表36项健康调查(SF-36)进行翻译和改编。本文报告了SF-36法语版(1.1版)的初步心理测量评估。验证数据来自两项研究:一项针对121名关节炎患者的IV期研究和一项针对159名心绞痛患者的IV期研究。在这两个案例中,均使用SF-36和一个疾病特定模块对患者进行调查。该分析的主要目的是确定SF-36的量表假设(累加评分或李克特式量表构建)在多大程度上得到满足。项目收敛效度得到支持,因为项目与量表的相关性范围为0.47至0.87。项目区分效度得到支持,因为所有项目与其假设量表的相关性高于与测量其他概念的量表的相关性。我们的数据支持这样的假设,即测量相同概念的项目具有大致相等的方差。给定量表中的项目包含与所测量概念大致相同比例的信息,因为任何给定维度的大多数项目与该维度的相关性大致相同。克朗巴赫α系数在0.79至0.95之间。两个量表之间的相关性低于这些量表的信度系数,并且这些经衰减调整的相关性小于1。这些初步结果令人鼓舞。它们表明项目与所测量的潜在概念呈线性相关。(摘要截断于250字)