子どものアレルギー性鼻炎と喘息検査 (CARATkids):測定特性の体系的なレビューとメタ解析
Hadla Sami El Didi1, Ana Margarida Pereira1, Cristina Jácome1
1Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, RISE-Health, University of Porto, Porto, Portugal.
まとめ
子どものアレルギー性鼻炎と喘息検査 (CARATkids) は,子供のアレルギー性鼻炎と喘息の両方を評価するための信頼できるツールです. このレビューは,これらの一般的な小児疾患の同時評価の適性を確認しています.
科学分野:
- 小児アレルギーと免疫学
- 呼吸器医学
- サイコメトリック
背景:
- 子どものアレルギー性鼻炎と喘息の検査 (CARATkids) は,子どもにおけるアレルギー性鼻炎と喘息の同時評価のために設計された,患者によって報告されたユニークな結果測定法 (PROM) である.
- 複数の言語と国での既存の検証は,その継続的な有用性を確保するために,その心理学的性質の包括的なレビューを必要とします.
研究 の 目的:
- CARATkidsツールの測定特性を体系的に評価する.
- 既存の文献に基づいてCARATkidsの信頼性,有効性,応答性を評価する.
主な方法:
- PRISMAとCOSMINのガイドラインに従って体系的なレビューが行われました.
- 2025年6月に更新されたOvid/MEDLINE,Web of Science,およびScopusデータベースで検索を行った.
- 測定特性のメタ解析を含む,CARATkidsの発達,適応,または検証に焦点を当てた9つの研究は分析に含まれました.
主要な成果:
- CARATkidsは,十分な内容の妥当性と強力な内部一貫性 (クロンバッハのα=0. 81) を示した.
- 信頼性は十分であった (ICC=0. 86),臨床的に重要な差は最小で2. 76であった.
- 構造の有効性 (スピアーマン係数0.370.71) と応答性に関する証拠は,他の結果測定値と強い相関を示した.
結論:
- CARATkidsツールには強力な心理測定機能があり,その使用を支えています.
- CARATkidsは,6~12歳の子供における喘息とアレルギー性鼻炎の同時診断に適している.
- この体系的レビューは,小児呼吸器のケアにおけるCARATkidsの臨床的有用性について強力な証拠を提供します.
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