复旦中文版沟通功能分级系统的信度和效度研究
发布时间：2018-07-29 09:18
【摘要】：目的确定复旦中文版沟通功能分级系统(CFCS)的信度和效度。方法以2017年5月至2017年10月在复旦大学附属儿科医院康复中心和上海董李凤美康健学校中2~18岁脑瘫和具有沟通障碍的学龄前儿童(PCCD)为研究对象,排除具有严重听力和视力障碍者和非汉语沟通的家庭。由研究小组多名儿童康复医师和治疗师根据英语版CFCS翻译、回译和集体讨论形成复旦中文版CFCS。在言语语言治疗师(SLP)进行现场CFCS评级的同时,照顾者根据CFCS提供的评估流程行回顾性评估,相对照顾较多的为第一照顾者,较少的为第二照顾者。通过分析SLP和照顾者、照顾者之间的评估结果的相关性,确定CFCS的评估者间信度。以能力低下儿童评定量表(PEDI)作为校标行效度检验,PEDI评估者为儿童照顾者或儿童在校的主要任课老师,通过分析SLP的CFCS分级与PEDI社会功能项目的尺度化分之间的相关性,确定CFCS的效度。结果符合本文纳入和排除标准的研究对象139名儿童,男91例,年龄2.0~15.8(4.7±3.2)岁,2~4岁74例(53.2%),~16岁65例。脑瘫儿童80例均行粗大运动功能分级系统(GMFCS)评估,行手功能分级系统(MACS)评估47例;PCCD儿童59例。同1名SLP对139个纳入对象行CFCS评估。102/139(73.4%)个家庭至少有1名照顾者参与了CFCS评估,48/102(47.1%)个家庭有2名照顾者参与了CFCS评估,总体信度SLP与照顾者、第一和二照顾者间CFCS评级Kw分别为0.83和0.85。102个参与了CFCS评估家庭中55例脑瘫儿童,其中20例有2名照顾者参与了CFCS评级,SLP与照顾者、第一和二照顾者间CFCS评级Kw分别为0.88和0.86;PCCD 47例儿童,其中28例有2名照顾者参与了CFCS评级,SLP与照顾者、第一和二照顾者间CFCS评级Kw分别为0.85和0.82。2~4岁儿童的CFCS评价在SLP和照顾者间的信度为Kw=0.77,照顾者间的信度为Kw=0.90;~16岁儿童的CFCS评级在SLP和照顾者间的信度为Kw=0.87,照顾者间的信度为Kw=0.74。139例纳入对象SLP的CFCS级别与PEDI社会功能项目的尺度化分之间的相关系数为-0.81。结论复旦中文版CFCS在脑瘫儿童和PCCD中均具有良好的评价者间信度和平行效度,可以有效地对这些儿童进行沟通功能分级。
[Abstract]:Objective to determine the reliability and validity of Fudan Chinese version communication function classification system (CFCS). Methods from May 2017 to October 2017, (PCCD) of preschool children with cerebral palsy and communication disorder were studied in the Rehabilitation Center of Pediatrics Hospital affiliated to Fudan University and Shanghai Dong Li Fengmei Health School. Exclude families with severe hearing and visual impairment and non-Chinese communication. A group of child rehabilitation doctors and therapists translated, translated and discussed the Chinese version of Fudan according to the English version of CFCS. At the same time the speech therapists (SLP) rated the CFCS in the field, the caretakers evaluated retrospectively according to the evaluation process provided by CFCS, and the first caregivers and the second caregivers were more cared for than those for the second caregivers. The reliability of CFCS was determined by analyzing the correlation between the evaluation results of SLP and caregivers. Using (PEDI) as the school standard and validity test, the paediatric caregivers or the main teachers in the school were used to analyze the correlation between the CFCS grading of SLP and the scale of PEDI social function items, and analyzed the correlation between CFCS classification of SLP and the scale of PEDI social function items by analyzing the correlation between the CFCS classification of SLP and the scale of PEDI social function items. To determine the validity of CFCS. Results one hundred and thirty-nine children (91 males), aged from 2.0 to 15.8 (4.7 卤3.2) years old, aged from 4 to 4 years old (53.2%) were enrolled and excluded. 65 children aged 16 years were enrolled in this study. All the 80 children with cerebral palsy were assessed with (GMFCS), and 47 children with cerebral palsy were assessed by (MACS). With one SLP, 139 subjects were evaluated with CFCS. 102 / 139 (73.4%). At least one caretaker took part in the CFCS evaluation 48 / 102 (47.1%). Two caregivers participated in the CFCS evaluation. The CFCS ratings between the first and second caregivers were 0.83 and 0.85.102, respectively. 55 children with cerebral palsy were assessed by CFCS, 20 of whom were involved in CFCS rating. The CFCS rating between the first and second caregivers was 0.88 and 0.86 respectively, among which 2 caregivers were involved in the CFCS rating system. CFCS rating between first and second caregivers Kw was 0.85 and 0.82.2 years old, respectively. The reliability of CFCS between SLP and carer was 0.77, between caretaker and caretaker was 0.90 CFCS rating between SLP and caretaker was Kw0.87, between caretaker and caretaker, the reliability of CFCS between caretaker and caretaker was 0.87. The correlation coefficient between the CFCS level of SLP and the scale of social function items of PEDI was -0.81. Conclusion the Chinese version of Fudan CFCS has good reliability and parallel validity in children with cerebral palsy and PCCD, and can effectively classify the communication function of these children.
【作者单位】： 复旦大学附属儿科医院康复中心;
【分类号】：R493;R742.3
，
本文编号：2152220
[Abstract]:Objective to determine the reliability and validity of Fudan Chinese version communication function classification system (CFCS). Methods from May 2017 to October 2017, (PCCD) of preschool children with cerebral palsy and communication disorder were studied in the Rehabilitation Center of Pediatrics Hospital affiliated to Fudan University and Shanghai Dong Li Fengmei Health School. Exclude families with severe hearing and visual impairment and non-Chinese communication. A group of child rehabilitation doctors and therapists translated, translated and discussed the Chinese version of Fudan according to the English version of CFCS. At the same time the speech therapists (SLP) rated the CFCS in the field, the caretakers evaluated retrospectively according to the evaluation process provided by CFCS, and the first caregivers and the second caregivers were more cared for than those for the second caregivers. The reliability of CFCS was determined by analyzing the correlation between the evaluation results of SLP and caregivers. Using (PEDI) as the school standard and validity test, the paediatric caregivers or the main teachers in the school were used to analyze the correlation between the CFCS grading of SLP and the scale of PEDI social function items, and analyzed the correlation between CFCS classification of SLP and the scale of PEDI social function items by analyzing the correlation between the CFCS classification of SLP and the scale of PEDI social function items. To determine the validity of CFCS. Results one hundred and thirty-nine children (91 males), aged from 2.0 to 15.8 (4.7 卤3.2) years old, aged from 4 to 4 years old (53.2%) were enrolled and excluded. 65 children aged 16 years were enrolled in this study. All the 80 children with cerebral palsy were assessed with (GMFCS), and 47 children with cerebral palsy were assessed by (MACS). With one SLP, 139 subjects were evaluated with CFCS. 102 / 139 (73.4%). At least one caretaker took part in the CFCS evaluation 48 / 102 (47.1%). Two caregivers participated in the CFCS evaluation. The CFCS ratings between the first and second caregivers were 0.83 and 0.85.102, respectively. 55 children with cerebral palsy were assessed by CFCS, 20 of whom were involved in CFCS rating. The CFCS rating between the first and second caregivers was 0.88 and 0.86 respectively, among which 2 caregivers were involved in the CFCS rating system. CFCS rating between first and second caregivers Kw was 0.85 and 0.82.2 years old, respectively. The reliability of CFCS between SLP and carer was 0.77, between caretaker and caretaker was 0.90 CFCS rating between SLP and caretaker was Kw0.87, between caretaker and caretaker, the reliability of CFCS between caretaker and caretaker was 0.87. The correlation coefficient between the CFCS level of SLP and the scale of social function items of PEDI was -0.81. Conclusion the Chinese version of Fudan CFCS has good reliability and parallel validity in children with cerebral palsy and PCCD, and can effectively classify the communication function of these children.
【作者单位】： 复旦大学附属儿科医院康复中心;
【分类号】：R493;R742.3
，
本文编号：2152220
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