患者报告结果尺度的测量属性:系统性审查
Emma Stallwood1, Ellen B M Elsman1, Andrea Monsour1
1Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.
Pediatrics
|July 13, 2023
概括
像PROMIS这样的患者报告结果指标 (PROM) 对儿科护理具有前景. 在临床使用之前,NIH工具箱需要更多的研究.
科学领域:
- 儿科健康结果的结果
- 心理测量 心理测量 心理测量
- 临床测量 临床测量
背景情况:
- 最近开发了一套标准的儿科健康结果,包括患者报告的结果措施 (PROM),用于例行护理.
- 这些PROM涵盖了儿童群体的全球健康,认知功能和自我效能.
研究的目的:
- 评估用于常规儿科护理的特定PROM的测量特性.
- 具体评估的是PROMIS儿科和家长代理量表 - 全球健康7+2,PROMIS家长代理简体表 - 认知功能7a,以及NIH工具箱自效性CAT年龄13至17岁.
主要方法:
- 使用Embase,PsychINFO,Web of Science和Medline数据库对文献进行系统审查.
- 资格标准包括英语,全文,同行评审的文章,评估所选PROM的测量特性.
- 在研究评估和证据综合方面使用了COSMIN指南.
主要成果:
- 在对4000多个标题进行选后,为每个PROM确定了四到六项符合条件的研究.
- 普罗米斯仪器证明了足够的内容有效性 (低质量的证据) 和结构有效性/内部一致性 (至少低质量的证据).
- 美国国家卫生研究院工具箱缺乏内容有效性的基本证据.
结论:
- 普罗米斯仪器具有适合其预期构造和年龄组的适当测量特性,支持其在儿科常规护理中的使用.
- 在临床推之前,NIH工具箱需要进一步研究,特别是内容有效性.
- 在包含的研究中报告不足可能影响了测量属性的评估.
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