测量儿童和青少年脑外伤后健康相关生活质量的简易量表(QOLIBRI-OS-KID/ADO):心理测量学特性和德国参考值。

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2024-11-01 Epub Date: 2024-08-31 DOI:10.1007/s11136-024-03764-3
Marina Zeldovich, Leonie Krol, Inga K Koerte, Katrin Cunitz, Matthias Kieslich, Marlene Henrich, Knut Brockmann, Anna Buchheim, Michael Lendt, Christian Auer, Axel Neu, Joenna Driemeyer, Ulrike Wartemann, Claudius Thomé, Daniel Pinggera, Steffen Berweck, Michaela V Bonfert, Joachim Suss, Holger Muehlan, Nicole von Steinbuechel
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引用次数: 0

摘要

目的:小儿创伤性脑损伤(pTBI)对儿童和青少年健康相关生活质量(HRQoL)的影响仍未得到充分研究。与长量表相比,短量表在经济性和管理方面具有一定优势,尤其是对年龄较小的儿童而言。本研究旨在对德国版儿童和青少年 QOLIBRI-OS-KID/ADO 量表的六个项目进行心理测量学评估。此外,本研究还从德国普通儿科人群中获得了参考值,以帮助临床医生和研究人员解释创伤后儿童的 HRQoL:方法:共有 297 名 TBI 患者和 1997 名普通人群完成了问卷调查。方法:共有 297 名 TBI 患者和 1997 年从普通人群中抽取的样本完成了问卷调查,并对评估结构的可靠性、有效性和可比性进行了研究:问卷显示出令人满意的可靠性(TBI 和普通人群样本的可靠性分别为 α = 0.75 和 ω = 0.81 以及 α = 0.85 和 ω = 0.86)。在 TBI 样本中,QOLIBRI-OS-KID/ADO 与其长版本高度相关(R2 = 67%),并与疾病特异性 HRQoL 有重叠(R2 = 55%)。一维因子结构可在不同样本间进行复制和测量不变性测试,表明 HRQoL 构建评估具有可比性。因此,可以根据回归分析中与总分显著相关的因素(即年龄组和性别),使用百分位数提供参考值和临界值,以显示临床相关的损伤:结合临界值,QOLIBRI-OS-KID/ADO 提供了一种具有成本效益的筛查工具,并辅以解释指南,有助于得出临床结论和指征,如进一步使用更长版本的工具以更详细地了解受损的 HRQoL 领域,或在没有指征的情况下省略进一步的步骤。
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A short scale to measure health-related quality of life after traumatic brain injury in children and adolescents (QOLIBRI-OS-KID/ADO): psychometric properties and German reference values.

Purpose: The impact of pediatric traumatic brain injury (pTBI) on health-related quality of life (HRQoL) in children and adolescents remains understudied. Short scales have some advantages in terms of economy and administration over longer scales, especially in younger children. The aim of the present study is to psychometrically evaluate the six-item German version of the QOLIBRI-OS-KID/ADO scale for children and adolescents. In addition, reference values from a general German pediatric population are obtained to assist clinicians and researchers in the interpretation of HRQoL after pTBI.

Methods: A total of 297 individuals after TBI and 1997 from a general population sample completed the questionnaire. Reliability, validity, and comparability of the assessed construct were examined.

Results: The questionnaire showed satisfactory reliability (α = 0.75 and ω = 0.81 and α = 0.85 and ω = 0.86 for the TBI and general population samples, respectively). The QOLIBRI-OS-KID/ADO was highly correlated with its long version (R2 = 67%) and showed an overlap with disease-specific HRQoL (R2 = 55%) in the TBI sample. The one-dimensional factorial structure could be replicated and tested for measurement invariance between samples, indicating a comparable HRQoL construct assessment. Therefore, reference values and cut-offs indicating clinically relevant impairment could be provided using percentiles stratified by factors significantly associated with the total score in the regression analyses (i.e., age group and gender).

Conclusion: In combination with the cut-offs, the QOLIBRI-OS-KID/ADO provides a cost-effective screening tool, complemented by interpretation guidelines, which may help to draw clinical conclusions and indications such as further administration of a longer version of the instrument to gain more detailed insight into impaired HRQoL domains or omission of further steps in the absence of an indication.

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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
期刊最新文献
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