目的对英文版患者结局评估态度问卷(outcome measures questionnaire,OMQ)进行汉化和文化调适,并对中文版问卷进行测量学检验。方法采用国际标准化的慢性病治疗功能评价(functional assessment of chronic illness therapy,FACIT)翻译...目的对英文版患者结局评估态度问卷(outcome measures questionnaire,OMQ)进行汉化和文化调适,并对中文版问卷进行测量学检验。方法采用国际标准化的慢性病治疗功能评价(functional assessment of chronic illness therapy,FACIT)翻译标准对OMQ进行汉化,通过专家咨询、医护人员认知性访谈等方法对中文版问卷进行文化调适。2018年7-9月,便利抽样法选取上海、浙江、南京等地多所三级甲等医院的医生和护士共计351名进行调查,通过调查数据分析中文版OMQ的信、效度。结果中文版OMQ问卷的"一般态度"和"反馈态度"维度的Cronbach’sα系数分别为0.860和0.778,问卷整体Cronbach’sα系数为0.907;探索性因子分析共提取3个公因子,分别命名为"一般态度"、"负性态度"和"实践障碍",条目因子载荷为0.636～0.857,3个公因子能够解释总变异的63.37%;验证性因子分析结果显示3因子模型拟合较好,修正后的卡方自由度比值(χ~2/df)为2.207,比较拟合指数(comparative fit index,CFI)为0.953,渐进残差均方和平方根(root mean square error of approximation,RMSEA)为0.059。结论中文版OMQ问卷保留了原英文版问卷的22个条目,具有良好的测量学性质,可作为测量我国医护人员对于患者结局评估态度的可靠工具。展开更多
Background:Lower limb burns can significantly delay recovery of function.Measuring lower limb functional outcomes is challenging in the unique burn patient population and necessitates the use of reliable and valid too...Background:Lower limb burns can significantly delay recovery of function.Measuring lower limb functional outcomes is challenging in the unique burn patient population and necessitates the use of reliable and valid tools.The aims of this study were to examine the test-retest reliability,sensitivity,and internal consistency of Sections 1 and 3 of the Lower Limb Functional Index-10(LLFI-10)questionnaire for measuring functional ability in patients with lower limb burns over time.Methods:Twenty-nine adult patients who had sustained a lower limb burn injury in the previous 12 months completed the test-retest procedure of the study.In addition,the minimal detectable change(MDC)was calculated for Section 1 and 3 of the LLFI-10.Section 1 is focused on the activity limitations experienced by patients with a lower limb disorder whereas Section 3 involves patients indicating their current percentage of pre-injury duties.Results:Section 1 of the LLFI-10 demonstrated excellent test-retest reliability(intra-class correlation coefficient(ICC)0.98,95%CI 0.96–0.99)whilst Section 3 demonstrated high test-retest reliability(ICC 0.88,95%CI 0.79–0.94).MDC scores for Sections 1 and 3 were 1.27 points and 30.22%,respectively.Internal consistency was demonstrated with a significant negative association(rs=?0.83)between Sections 1 and 3 of the LLFI-10(p<0.001).Conclusions:This study demonstrates that Section 1 and 3 of the LLFI-10 are reliable for measuring functional ability in patients who have sustained lower limb burns in the previous 12 months,and furthermore,Section 1 is sensitive to changes in patient function over time.展开更多
Background:The Catquest-9SF questionnaire is a patient reported outcome measure that quantifies the visual benefits from cataract surgery.The purpose of this study was to translate and adapt the Catquest-9SF questionn...Background:The Catquest-9SF questionnaire is a patient reported outcome measure that quantifies the visual benefits from cataract surgery.The purpose of this study was to translate and adapt the Catquest-9SF questionnaire for France,to assess its psychometric properties via Rasch analysis,and to assess its validity when completed using an electronic notepad.Methods:The Catquest-9SF questionnaire was translated following the guidelines of the International Society for Pharmacoeconomics and Outcomes Research.Catquest-9SF and clinical data were collected from patients before and after routine cataract surgery.All questionnaire data were collected via an electronic notepad.Rasch analysis was performed to assess psychometric properties,and sensitivity to change was analysed for patients with complete paired pre-and post-operative questionnaires.Results:A complete filled-in preoperative questionnaire was obtained for 848 patients.Rasch analysis showed good precision(person separation:2.32,person reliability:0.84),ordered category probability curves,no item misfit,and unidimensionality.The respondents were slightly more able than the level of item difficulty(targeting:−1.12 logits).Sensitivity was analysed on 211 paired questionnaires,and the postoperative questionnaires showed a clear ceiling effect.The effect size was 2.6.The use of an electronic notepad for completing the questionnaire worked out very well after some adjustments.Conclusions:The French version of Catquest-9SF has good psychometric properties and is suitable for use in French-speaking patients.The use of the Catquest-9SF questionnaire in an electronic format showed good validity.展开更多
目的探讨助听器效果自我评估问卷在助听器效果评估中的作用。方法对76例助听器使用者,使用助听器效果国际性调查问卷(the international outcome inventory for hearing aids,IOI-HA)通过面对面问答或电话随访的方式,进行助听器效果及...目的探讨助听器效果自我评估问卷在助听器效果评估中的作用。方法对76例助听器使用者,使用助听器效果国际性调查问卷(the international outcome inventory for hearing aids,IOI-HA)通过面对面问答或电话随访的方式,进行助听器效果及满意度评估。结果 89.5%的使用者认为助听器对他们有帮助,可以解决目前的听力障碍问题;97.3%的使用者认为使用助听器后生活质量有提高。小于60岁的使用者得分高于大于等于60岁者,差异有显著统计学意义(P<0.01);每天使用助听器时间大于8小时的使用者得分高于小于等于8小时者,差异有显著统计学意义(P<0.01);使用助听器时间大于6个月的使用者得分高于小于等于6个月者,差异有显著统计学意义(P<0.01)。结论助听器效果国际性调查问卷可以对助听器效果及满意度进行评估,由于它测试时间短,易操作,可作为配戴助听器后一个可靠的主观效果评估手段。展开更多
OBJECTIVE： To evaluate the development of health outcomes assessment instruments in Chinese medicine. METHODS： A comprehensive literature search for all published articles in China National Knowledge Infrastructure ...OBJECTIVE： To evaluate the development of health outcomes assessment instruments in Chinese medicine. METHODS： A comprehensive literature search for all published articles in China National Knowledge Infrastructure Database, Chongqing VIP Database and WANFANG Data was conducted. The studies that met the inclusion and exclusion criteria were used to extract information according to a predesigned assessment instrument. RESULTS： A total of 97 instruments for health outcome assessment in Chinese medicine were identified. Of these questionnaires, 7 were generic, 12 were condition-specific and 78 were disease-specific. All instruments were suitable for adults, children, and both men and women. These instruments aimed to evaluate the health-related quality of life, signs and symptoms as well as patient satisfaction and doctor-reported outcome. However, the descriptions were poorly constructed for some of the most basic parameters, such as the domains and items, administrative mode, response options, memory recall periods, burden evaluation, format, copyright, content validity, and other properties. CONCLUSION： The instrument development for health outcomes assessment in Chinese medicine is increasing rapidly; however, there are many limitations in current methodologies and standards, and further studies are needed.展开更多
目的分析目前中医患者报告结局(PRO)量表的研究现状及存在的问题,为中医PRO量表研制提供参考。方法在中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Embase及Web of Science中检索中医...目的分析目前中医患者报告结局(PRO)量表的研究现状及存在的问题,为中医PRO量表研制提供参考。方法在中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Embase及Web of Science中检索中医PRO量表研究文献,收集量表相关信息,抽取量表相关的12个数据元素进行统计,分析中医PRO量表的开发情况及测评情况等。结果共纳入88篇文献,涉及50个量表。研究集中在2008-2022年,涉及疾病种类以消化系统最多;中医PRO量表设置以3~4个维度最多,其中有9个量表设置了中医特色维度;条目池的构建多采用专家咨询法、文献研究法及访谈法相结合;条目筛选方面,运用客观方法的较多,其次为主观德尔菲法及主客观方法结合;量表测评方面,27个量表进行了信度测评,24个量表进行了效度测评,9个量表进行了反应度测评,16个量表进行了可行性测评。结论中医PRO量表的研究整体处于起步阶段,其研制的规范度及完整度仍存在不足,信效度等指标测评需引起重视,维度和条目设置方面需注重结合中医自身治疗特色,后续学者需更加完善中医PRO量表研制过程,丰富中医临床诊疗评价体系。展开更多
Objective： The reporting of patient-reported outcomes （PRO） instrument development is vital for both researchers and clinicians to determine its validity, thus, we propose the Preferred Reporting Items for PRO Inst...Objective： The reporting of patient-reported outcomes （PRO） instrument development is vital for both researchers and clinicians to determine its validity, thus, we propose the Preferred Reporting Items for PRO Instrument Development （PRIPROID） to improve the quality of reports. Methods： Abiding by the guidance published by the Enhancing the QUAlity and Transparency Of health Research （EQUATOR） Network, we had performed 6 steps for items development： identified the need for a guideline, performed a literature review, obtained funding for the guideline initiative, identified participants, conducted a Delphi exercise and generated a list of PRIPROID items for consideration at the face-to-face meeting. Results： Twenty three items subheadings under 7 topics were included： title and structured abstract, rationale, objectives, intention, eligibility criteria, conceptual framework, items generation, response options, scoring, times, administrative modes,burden assessment, properties assessment, statistical methods, participants, main results, and additional analysis, summary of evidence, limitations, clinical attentions, and conclusions, item pools or final form, and funding. Conclusions： The PRIPROID contains many elements of the PRO research, and this assists researchers to report their results more accurately and to a certain degree use this instrument to evaluate the quality of the research methods.展开更多
文摘目的对英文版患者结局评估态度问卷(outcome measures questionnaire,OMQ)进行汉化和文化调适,并对中文版问卷进行测量学检验。方法采用国际标准化的慢性病治疗功能评价(functional assessment of chronic illness therapy,FACIT)翻译标准对OMQ进行汉化,通过专家咨询、医护人员认知性访谈等方法对中文版问卷进行文化调适。2018年7-9月,便利抽样法选取上海、浙江、南京等地多所三级甲等医院的医生和护士共计351名进行调查,通过调查数据分析中文版OMQ的信、效度。结果中文版OMQ问卷的"一般态度"和"反馈态度"维度的Cronbach’sα系数分别为0.860和0.778,问卷整体Cronbach’sα系数为0.907;探索性因子分析共提取3个公因子,分别命名为"一般态度"、"负性态度"和"实践障碍",条目因子载荷为0.636～0.857,3个公因子能够解释总变异的63.37%;验证性因子分析结果显示3因子模型拟合较好,修正后的卡方自由度比值(χ~2/df)为2.207,比较拟合指数(comparative fit index,CFI)为0.953,渐进残差均方和平方根(root mean square error of approximation,RMSEA)为0.059。结论中文版OMQ问卷保留了原英文版问卷的22个条目,具有良好的测量学性质,可作为测量我国医护人员对于患者结局评估态度的可靠工具。
基金We wish to thank Larissa Boon for her assistance in patient recruitment.We also appreciate Phil Gabel's work in developing the LLFI-10 and approving its use within this study
文摘Background:Lower limb burns can significantly delay recovery of function.Measuring lower limb functional outcomes is challenging in the unique burn patient population and necessitates the use of reliable and valid tools.The aims of this study were to examine the test-retest reliability,sensitivity,and internal consistency of Sections 1 and 3 of the Lower Limb Functional Index-10(LLFI-10)questionnaire for measuring functional ability in patients with lower limb burns over time.Methods:Twenty-nine adult patients who had sustained a lower limb burn injury in the previous 12 months completed the test-retest procedure of the study.In addition,the minimal detectable change(MDC)was calculated for Section 1 and 3 of the LLFI-10.Section 1 is focused on the activity limitations experienced by patients with a lower limb disorder whereas Section 3 involves patients indicating their current percentage of pre-injury duties.Results:Section 1 of the LLFI-10 demonstrated excellent test-retest reliability(intra-class correlation coefficient(ICC)0.98,95%CI 0.96–0.99)whilst Section 3 demonstrated high test-retest reliability(ICC 0.88,95%CI 0.79–0.94).MDC scores for Sections 1 and 3 were 1.27 points and 30.22%,respectively.Internal consistency was demonstrated with a significant negative association(rs=?0.83)between Sections 1 and 3 of the LLFI-10(p<0.001).Conclusions:This study demonstrates that Section 1 and 3 of the LLFI-10 are reliable for measuring functional ability in patients who have sustained lower limb burns in the previous 12 months,and furthermore,Section 1 is sensitive to changes in patient function over time.
文摘Background:The Catquest-9SF questionnaire is a patient reported outcome measure that quantifies the visual benefits from cataract surgery.The purpose of this study was to translate and adapt the Catquest-9SF questionnaire for France,to assess its psychometric properties via Rasch analysis,and to assess its validity when completed using an electronic notepad.Methods:The Catquest-9SF questionnaire was translated following the guidelines of the International Society for Pharmacoeconomics and Outcomes Research.Catquest-9SF and clinical data were collected from patients before and after routine cataract surgery.All questionnaire data were collected via an electronic notepad.Rasch analysis was performed to assess psychometric properties,and sensitivity to change was analysed for patients with complete paired pre-and post-operative questionnaires.Results:A complete filled-in preoperative questionnaire was obtained for 848 patients.Rasch analysis showed good precision(person separation:2.32,person reliability:0.84),ordered category probability curves,no item misfit,and unidimensionality.The respondents were slightly more able than the level of item difficulty(targeting:−1.12 logits).Sensitivity was analysed on 211 paired questionnaires,and the postoperative questionnaires showed a clear ceiling effect.The effect size was 2.6.The use of an electronic notepad for completing the questionnaire worked out very well after some adjustments.Conclusions:The French version of Catquest-9SF has good psychometric properties and is suitable for use in French-speaking patients.The use of the Catquest-9SF questionnaire in an electronic format showed good validity.
文摘目的探讨助听器效果自我评估问卷在助听器效果评估中的作用。方法对76例助听器使用者,使用助听器效果国际性调查问卷(the international outcome inventory for hearing aids,IOI-HA)通过面对面问答或电话随访的方式,进行助听器效果及满意度评估。结果 89.5%的使用者认为助听器对他们有帮助,可以解决目前的听力障碍问题;97.3%的使用者认为使用助听器后生活质量有提高。小于60岁的使用者得分高于大于等于60岁者,差异有显著统计学意义(P<0.01);每天使用助听器时间大于8小时的使用者得分高于小于等于8小时者,差异有显著统计学意义(P<0.01);使用助听器时间大于6个月的使用者得分高于小于等于6个月者,差异有显著统计学意义(P<0.01)。结论助听器效果国际性调查问卷可以对助听器效果及满意度进行评估,由于它测试时间短,易操作,可作为配戴助听器后一个可靠的主观效果评估手段。
基金supported by the National Natural Science Foundation of China (Project Grant No. 81073163)
文摘OBJECTIVE： To evaluate the development of health outcomes assessment instruments in Chinese medicine. METHODS： A comprehensive literature search for all published articles in China National Knowledge Infrastructure Database, Chongqing VIP Database and WANFANG Data was conducted. The studies that met the inclusion and exclusion criteria were used to extract information according to a predesigned assessment instrument. RESULTS： A total of 97 instruments for health outcome assessment in Chinese medicine were identified. Of these questionnaires, 7 were generic, 12 were condition-specific and 78 were disease-specific. All instruments were suitable for adults, children, and both men and women. These instruments aimed to evaluate the health-related quality of life, signs and symptoms as well as patient satisfaction and doctor-reported outcome. However, the descriptions were poorly constructed for some of the most basic parameters, such as the domains and items, administrative mode, response options, memory recall periods, burden evaluation, format, copyright, content validity, and other properties. CONCLUSION： The instrument development for health outcomes assessment in Chinese medicine is increasing rapidly; however, there are many limitations in current methodologies and standards, and further studies are needed.
文摘目的分析目前中医患者报告结局(PRO)量表的研究现状及存在的问题,为中医PRO量表研制提供参考。方法在中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)、PubMed、Embase及Web of Science中检索中医PRO量表研究文献,收集量表相关信息,抽取量表相关的12个数据元素进行统计,分析中医PRO量表的开发情况及测评情况等。结果共纳入88篇文献,涉及50个量表。研究集中在2008-2022年,涉及疾病种类以消化系统最多;中医PRO量表设置以3~4个维度最多,其中有9个量表设置了中医特色维度;条目池的构建多采用专家咨询法、文献研究法及访谈法相结合;条目筛选方面,运用客观方法的较多,其次为主观德尔菲法及主客观方法结合;量表测评方面,27个量表进行了信度测评,24个量表进行了效度测评,9个量表进行了反应度测评,16个量表进行了可行性测评。结论中医PRO量表的研究整体处于起步阶段,其研制的规范度及完整度仍存在不足,信效度等指标测评需引起重视,维度和条目设置方面需注重结合中医自身治疗特色,后续学者需更加完善中医PRO量表研制过程,丰富中医临床诊疗评价体系。
基金Supported by the National Natural Science Foundation of China(No.81073163)Eleventh Five-Year National Key Technology Research and Development Program(No.2006BA104A12)
文摘Objective： The reporting of patient-reported outcomes （PRO） instrument development is vital for both researchers and clinicians to determine its validity, thus, we propose the Preferred Reporting Items for PRO Instrument Development （PRIPROID） to improve the quality of reports. Methods： Abiding by the guidance published by the Enhancing the QUAlity and Transparency Of health Research （EQUATOR） Network, we had performed 6 steps for items development： identified the need for a guideline, performed a literature review, obtained funding for the guideline initiative, identified participants, conducted a Delphi exercise and generated a list of PRIPROID items for consideration at the face-to-face meeting. Results： Twenty three items subheadings under 7 topics were included： title and structured abstract, rationale, objectives, intention, eligibility criteria, conceptual framework, items generation, response options, scoring, times, administrative modes,burden assessment, properties assessment, statistical methods, participants, main results, and additional analysis, summary of evidence, limitations, clinical attentions, and conclusions, item pools or final form, and funding. Conclusions： The PRIPROID contains many elements of the PRO research, and this assists researchers to report their results more accurately and to a certain degree use this instrument to evaluate the quality of the research methods.
