评估身体意识的患者报告结果措施:使用COSMIN方法学的系统性审查
Cristina Bravo1,2,3, Manuel Trinidad-Fernández1, David Barranco-I-Reixachs1
1Departament d'Infermeria i Fisioteràpia, Universitat de Lleida, Carrer de Montserrat Roig, 2, 25198 Lleida, Spain.
Healthcare (Basel, Switzerland)
|December 30, 2025
概括
这项研究评估了患者报告的身体意识 (BA) 的结果措施,发现多维感知意识-2 (MAIA-2) 的多维评估显示出最有希望的结果,尽管需要进一步研究以获得最佳的测量特性.
科学领域:
- 心理学 心理学 心理学
- 心理测量 心理测量 心理测量
- 健康科学 卫生科学 卫生科学
背景情况:
- 身体意识 (BA) 是身体信号和内部/外部条件的复杂主观整合.
- 它的评估依赖于患者报告的结果指标 (PROM),需要对其心理测量特性和跨文化适应性进行严格的评估.
研究的目的:
- 系统地识别和评估PROM对身体意识的心理特征.
- 评估这些措施的跨文化适应过程的质量.
主要方法:
- 在PubMed,Scopus和PsycINFO进行了系统的文献搜索.
- 评估成人BA的PROM的研究是根据COSMIN指南进行选择的,包括偏差风险和质量标准.
- 两个独立的审稿人进行了研究选择和数据提取.
主要成果:
- 从50项研究中确定了12个BA问卷和30多个跨文化适应.
- 修订后的身体意识评分问卷和MAIA (1和2) 显示出良好的结构有效性和内部一致性.
- 与其他仪器相比,MAIA-2在五个属性中的四个属性中显示出更强有力的证据和更好的聚合心理测量结果,尽管存在可变的构造有效性和低于最佳的可靠性发现.
结论:
- BA PROMs的心理测量质量非常可变,这表明在运行身体意识构造方面存在挑战.
- 目前,MAIA-2为测量身体意识提供了最可接受的证据,但进一步的高质量研究对于提高其测量特性和范围至关重要.
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