LUN-MS的心理测量特性:一种新的问卷,用于确定多发性硬化症患者未满足的需求。

0 REHABILITATION Advances in rehabilitation science and practice Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI:10.1177/27536351231197142
Amin Mohamed Abu Baker, Harriet Moore, Kathleen Baster, Esther Hobson, David Paling, Basil Sharrack, Krishnan Padmakumari Sivaraman Nair
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摘要

背景:我们编制了一份29项问卷,即多发性硬化症长期未满足需求(LUN-MS),以确定多发性痴呆症患者未满足的需求。目的:评估LUN-MS的可接受性、重新测试的可靠性、内部一致性和有效性。方法:参与者间隔四周完成两次LUN-MS和MSIS-29。通过观察每个时间点的回复率来评估可接受性。通过使用Cohen加权kappa比较两个时间点的响应来计算可靠性。使用主成分分析,将问卷项目的维度减少到五个领域,并使用Cronbachα评估每个领域的内部一致性。通过使用Pearson乘积矩相关系数将LUN-MS总分与MSIS-29和EQ-5D-3L进行比较来测试并发有效性。结果:在88名参与者中,在时间点1和2的完成率分别为96%和80%。个别项目的测试-再测试可靠性在一般到接近完美之间(加权Cohen’s kappa 0.39-0.81)。未满足的需求可分为五个内部一致的领域(Cronbach’s alpha 0.83-0.74):神经心理学、行走学、物理、人际关系和信息学。与MSIS-29(r = 0.705,P r = 0.617,P 结论:LUN-MS是一种可靠、有效和可接受的工具,可用于识别pwMS未满足的需求。
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Psychometric Properties of LUN-MS: A New Questionnaire to Identify the Unmet Needs of People With Multiple Sclerosis.

Background: We developed a 29-item Questionnaire, Long-term Unmet Needs in MS (LUN-MS) to identify the unmet needs of people with multiple sclerosis (pwMS).

Objective: To assess acceptability, test-retest reliability, internal consistency, and validity of the LUN-MS.

Methods: Participants completed the LUN-MS and MSIS-29 twice, four weeks apart. Acceptability was assessed by looking at the response rate in each time point. Reliability was calculated by comparing the response during the two time points using Cohen's weighted kappa. Using principal component analysis, the dimensionality of the questionnaire's items was reduced, to five domains and the internal consistency of each domain was assessed using Cronbach's alpha. Concurrent validity was tested by comparing the total LUN-MS score against MSIS-29 and EQ-5D-3L using Pearson's product-moment correlation coefficient.

Results: Among 88 participants, rate of completion at time points-1 and 2 was 96 and 80% respectively. Test-retest reliability for individual items was between fair to near-perfect (weighted Cohen's kappa 0.39-0.81). The unmet needs could be divided into five internally consistent domains (Cronbach's alpha 0.83-0.74): neuropsychological, ambulation, physical, interpersonal relationship and informational. Concurrent validity with MSIS-29 (r = 0.705, P < .001) and EQ-5D-3L (r = 0.617, P < .001) were good.

Conclusion: LUN-MS is a reliable, valid, and acceptable tool to identify the unmet needs of pwMS.

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