儿童残疾评估库存的心理测量属性 - 患者报告的结果:功能性表现的认知可访问度量
Jessica M Kramer1, Pengsheng Ni2, Beth Pfeiffer3
1Department of Occupational Therapy, University of Florida, Gainesville, FL, USA.
Developmental medicine and child neurology
|November 5, 2024
概括
儿童残疾评估库存 - 患者报告结果 (PEDI-PRO) 显示了在评估发育残疾年轻人的功能表现方面具有良好的结构有效性和可靠性.
科学领域:
- 康复医学 康复医学 康复医学
- 发育儿科 发育儿科
- 心理测量 心理测量 心理测量
背景情况:
- 发育障碍的年轻人需要可靠的功能性表现测量标准,用于日常生活和成人参与.
- 现有的患者报告结果措施可能无法充分捕捉这一群体的功能能力.
- 儿童残疾评估库存 - 患者报告结果 (PEDI-PRO) 是为了满足这一需求而开发的.
研究的目的:
- 评估PEDI-PRO的结构有效性,内部可靠性和测量不变性.
- 评估PEDI-PRO的适用性,作为患者报告的发展障碍的年轻人的结果测量.
主要方法:
- 一项涉及306名有各种发育障碍的年轻人 (14至22岁) 的横截面研究.
- 根据COSMIN标准,使用了确认因素分析和拉什评级规模建模.
- 评估了内部一致性 (克朗巴赫的α,拉什的可靠性) 和差异性项目功能 (DIF).
主要成果:
- 在日常活动和流动性领域发现了良好的结构有效性;在社会/认知领域是可以接受的.
- 三分利克特尺度按预期运行,所有域显示可接受的内部一致性.
- 在少数项目中观察到轻微的DIF,对总体域名得分的影响很小 (<1.0值).
结论:
- PEDI-PRO显示出有希望的心理测量特性,用于评估发育障碍的年轻人的功能表现.
- 它的认知可访问的设计和概念框架可能有助于其有效性.
- 该PEDI-PRO填补了高质量的患者报告结果措施的关键缺口,以重点关注这一人群的优先结果.
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