Spencer N J, Coe C
School of Postgraduate Medical Education, University of Warwick, Coventry, UK.
Child Care Health Dev. 1996 Nov;22(6):367-79.
to validate a simple instrument for the measurement of parent-reported health and morbidity in infancy and childhood suitable for research and service planning purposes and capable of measuring both cross-sectional and longitudinal health and morbidity experience in a child population.
child health clinic (CHC), child development unit (CDU) and paediatric outpatient department (OPD) in Coventry.
3-phase field testing to establish test-retest reliability, validity and inter-observer variation of the instrument. Field testing samples: phases 1 and 2; 188 parents of pre-school children attending one of the three health service settings-CHC, CDU or paediatric OPD; phase 3; 40 parents of pre-school children attending CHCs.
test-retest reliability of each domain of the WCHMP was estimated using weighted Kappa; criterion validity was estimated for selected domains against health records; construct validity against medically plausible constructs was tested by comparing responses between domains; Inter-observer variation was estimated using weighted Kappa.
the test-retest reliability of the WCHMP varied from 'moderate' for behaviour, functional health and life quality status to 'very good' for acute significant illness and hospital admission status; criterion and construct validity were high; weighted Kappas for all domains for inter-observer variation between the researcher and family health visitor were in the 'good' to 'very good' range and inter-observer variation remained unaffected by change in the order of administration of the WCHMP.
the WCHMP is a simple measure of parent-reported health and illness which, on field-testing, has been shown to be reliable and valid with low inter-observer variation. After further development and validation including incorporation into the parent-held record, it should be suitable for use in infancy and early childhood to collect cross-sectional and longitudinal health and morbidity data for research and service planning purposes.
验证一种简单工具，用于测量家长报告的婴幼儿期健康和发病率，适用于研究及服务规划目的，且能够测量儿童群体的横断面和纵向健康及发病经历。
考文垂的儿童健康诊所（CHC）、儿童发育科（CDU）和儿科门诊（OPD）。
进行三阶段现场测试，以确定该工具的重测信度、效度和观察者间差异。现场测试样本：第一和第二阶段，188名就读于三个健康服务机构（CHC、CDU或儿科OPD）之一的学龄前儿童的家长；第三阶段，40名就读于CHC的学龄前儿童的家长。
使用加权Kappa估计WCHMP各领域的重测信度；针对选定领域，根据健康记录估计效标效度；通过比较各领域间的回答，测试与医学上合理结构的结构效度；使用加权Kappa估计观察者间差异。
WCHMP的重测信度从行为、功能健康和生活质量状况的“中等”到急性重大疾病和住院状况的“非常好”不等；效标效度和结构效度都很高；研究人员与家庭健康访视员之间各领域观察者间差异的加权Kappa处于“好”到“非常好”的范围，且观察者间差异不受WCHMP施测顺序变化的影响。
WCHMP是一种简单的家长报告健康和疾病的测量方法，现场测试表明其可靠、有效，观察者间差异小。经过进一步开发和验证，包括纳入家长持有的记录后，它应适用于婴幼儿期，以收集横断面和纵向健康及发病数据，用于研究和服务规划目的。
