开发和验证表情符号响应尺度,用于评估患者报告的结果
Carrie A Thompson1, Paul J Novotny2, Kathleen Yost2
1Division of Hematology, Mayo Clinic, Rochester, MN.
JCO clinical cancer informatics
|January 8, 2025
概括
使用表情符号的患者报告结果尺度显示了高的有效性. 这些新的表情符号尺度准确地捕捉了患者的福祉,疲劳和生活质量,为电子通信提供了新的工具.
科学领域:
- 数字健康数字健康
- 心理测量 心理测量 心理测量
- 患者报告的结果
背景情况:
- 表情符号越来越多地用于电子通信,以传达情绪.
- 患者报告的结果指标 (PROM) 对于评估健康状况至关重要.
- 开发新的,引人入胜的PROM可以改善患者参与和数据收集.
研究的目的:
- 开发和评估两种新型患者报告的含有表情符号的尺度的心理测量特性.
- 评估基于表情符号的秤的有效性和可靠性,以测量患者的幸福感和其他健康结果.
主要方法:
- 开发了表情符号-普通尺度和表情符号-情绪尺度.
- 试点研究验证了表情符号的顺序性质,并为情绪选择了代表性表情符号.
- 在294名患者中使用斯皮尔曼相关性,威尔科克森测试和布兰德-阿尔特曼分析与线性模拟尺度评估 (LASA) 和患者报告结果测量信息系统 (PROMIS) 评分对构造有效性进行了评估.
主要成果:
- 瑟斯通缩放证实了Emoji-Ordinal Scale的顺序性质,其中95%的患者同意表情符号的排序.
- 观察到高构造有效性:情绪正数尺度与LASA的相关性为0.70 (情绪健康),0.72 (身体健康),0.74 (生活质量) 和-0.81 (疲劳).
- 情绪表情尺度的评分与PROMIS尺度的精神和身体健康,疲劳,焦虑,睡眠和社交活动 (P < .0001) 之间有很强的关系.
结论:
- 包含表情符号的尺度是收集患者报告结果的有效工具.
- 基于表情符号的PROM提供了一种有希望的,有吸引力的方法来评估患者健康的各个方面.
- 进一步的研究可以探索表情符号在不同临床群体和环境中的应用.
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