慢性头痛自效量表:测量属性的开发和评估
Lori M Ginoza1, Erica Sigman1, Lori A Michener1
1Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, USA.
Headache
|December 28, 2024
概括
慢性头痛自我效能度量 (CHASE) 是一种新的,可靠的工具,用于测量慢性每日头痛患者在日常活动和社交互动中的自我效能. 这种尺度有助于指导治疗计划和评估患者的信心.
科学领域:
- 神经学 神经学
- 心理测量 心理测量 心理测量
- 健康心理学 心理健康心理学
背景情况:
- 现有的慢性每日头痛 (CDH) 自我有效性尺度不能完全捕捉日常功能和社会参与等领域.
- 自我有效性对于管理慢性疾病至关重要,影响患者的行为和结果.
研究的目的:
- 开发和验证慢性头痛自效量表 (CHASE).
- 评估CHASE在患有CDH的患者中的心理特征.
主要方法:
- 在CDH患者和多学科团队的投入下,开发了一个14项的CHASE量表.
- 一项纵向研究评估了79名CDH患者的CHASE的可靠性,有效性和响应能力,使用已知的措施 (HMSE,HIT-6,SF-12).
主要成果:
- 查斯表现出良好的内部一致性 (克朗巴赫α 0.88) 和日常可靠性 (ICC 0.68).
- 与HIT-6,HMSE和SF-12 (R2:0.17-0.29) 的相关性支持了趋同有效性.
- 该尺度有效地区分了活跃头痛和无活跃头痛的个体,并确定了症状改善的临床重要差异 (MCID) 最小.
结论:
- 追逐是心理测量上健全和可靠的工具,用于评估CDH患者在各种领域的自我效能.
- 可以利用CHASE指导治疗策略,并监测患者在治疗慢性每日头痛方面的进展.
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