简明版骨质疏松国际功能、残疾和健康分类核心分类组合的信效度研究

发布时间：2018-05-12 02:19

本文选题：骨质疏松症 + 国际功能、残疾和健康分类　；参考：《中国康复医学杂志》2017年08期

【摘要】：目的:探讨简明版骨质疏松国际功能、残疾和健康(ICF)核心分类组合的信度和效度。方法:122例骨质疏松症患者进行简明版骨质疏松ICF核心分类组合和欧洲骨质疏松症基金会生活质量问卷(QUALEFFO-41)评定。信度研究采用重测信度、观察者间信度和内部一致性信度,效度研究采用效标效度、结构效度和内容效度。重测信度和观察者间信度检验采用组内相关系数(ICC);内部一致性检验采用Cronbachα值分析;效标效度用Spearman相关;内容效度应用德尔菲法;结构效度采用因子分析法。结果:(1)信度:重测信度ICC 0.762—0.921;观察者间信度ICC 0.781—0.941;内部一致性信度Cronbachα系数0.953。(2)效度:校标效度:简明版骨质疏松ICF核心分类组合中功能和残疾部分总分与QUALEFFO-41总分呈中度相关(r=0.654);内容效度:经德尔菲法确定内容效度好;结构效度:公因子1包括条目d430、d450和d920,公因子2包括条目b710、b730、s750、s760,公因子3包括条目e110、e355、e580,公因子4包括条目b152、b280。结论:简明版骨质疏松ICF核心分类组合的信度、校标效度和内容效度较好。除b710和b730、s750和s760归为同一维度外,其余条目的结构效度与目前ICF成分结构一致。
[Abstract]:Objective: to investigate the reliability and validity of the core classification of International functional, Disability and Health (ICF) for Osteoporosis. Methods one hundred and twenty-two patients with osteoporosis were assessed with simplified ICF core classification and QUALEFFO-41 (European Osteoporosis Foundation Life quality questionnaire). Reliability was studied by test-retest reliability, inter-observer reliability and internal consistency reliability, while validity was studied by standard validity, structural validity and content validity. Intra-group correlation coefficient was used to test the reliability of retest and inter-observer, Cronbach 伪 value was used to test internal consistency, Spearman correlation was used to test validity of calibration, Delphi method was used to test content validity, and factor analysis was used to analyze structural validity. Results 1) Reliability: retest reliability ICC 0.762-0.921; inter-observer reliability ICC 0.781-0.941; internal consistency reliability Cronbach 伪 coefficient 0.953.02) validity: calibration validity: concise version of ICF core classification of osteoporosis: total score of functional and disability parts and total QUALEFFO-41 The content validity was determined by Delphi method. Structural validity: common factor 1 includes items d430d450 and d920, common factor 2 includes item b710nb730ns750s760, common factor 3 includes item e110/ e355e580, common factor 4 includes item b152nb280. Conclusion: the reliability, calibration validity and content validity of simplified ICF core classification combination for osteoporosis are better. Except that b710 and b730s750 and s760 were classified into the same dimension, the structural validity of the other items was consistent with the current structure of ICF.
【作者单位】：北京大学第三医院;
【分类号】：R580

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