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类风湿关节炎患者知识测量工具的开发:ACREU类风湿关节炎知识问卷

Development of an instrument to measure knowledge in individuals with rheumatoid arthritis: the ACREU rheumatoid arthritis knowledge questionnaire.

作者信息

Lineker S C, Badley E M, Hughes E A, Bell M J

机构信息

Arthritis Community Research and Evaluation Unit (ACREU), Wellesley Hospital Research Institute, Toronto, Ontario, Canada.

出版信息

J Rheumatol. 1997 Apr;24(4):647-53.

PMID:9101496
Abstract

OBJECTIVE

Education is an important component of community based rehabilitation programs for people with rheumatoid arthritis (RA). This study describes the development of a questionnaire to measure knowledge in this context.

METHODS

Items were generated using focus group methodology and covered the domains of prognosis, pain management, medications, joint protection, energy conservation, exercise, and coping strategies.

RESULTS

After extensive pretesting, the questionnaire was administered to 252 people with RA. The final 31 item questionnaire had acceptable internal consistency (Cronbach's alpha: 0.76, n = 185), test-retest reliability (r = 0.91, p < or = 0.001), content and construct validity. Sensitivity to change was confirmed in the context of a 6 week home based physiotherapy educational intervention.

CONCLUSION

The RA knowledge questionnaire is a reliable, valid, and sensitive instrument for measuring the effect of a RA educational intervention.

摘要

目的

教育是类风湿关节炎(RA)患者社区康复计划的重要组成部分。本研究描述了一种用于衡量这方面知识的问卷的开发过程。

方法

采用焦点小组方法生成条目,涵盖预后、疼痛管理、药物治疗、关节保护、节能、运动和应对策略等领域。

结果

经过广泛的预测试后,该问卷被施用于252名类风湿关节炎患者。最终的31项问卷具有可接受的内部一致性(克朗巴哈α系数:0.76,n = 185)、重测信度(r = 0.91,p≤0.001)、内容效度和结构效度。在为期6周的家庭物理治疗教育干预中证实了其对变化的敏感性。

结论

类风湿关节炎知识问卷是一种可靠、有效且敏感的工具,可用于衡量类风湿关节炎教育干预的效果。

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