在陆军特种作战部队中对爆炸暴露值调查的收有效性和测试复试可靠性
Eric Shumski1,2,3, Deanna Pinnow1,4,5, Christy Mote1,5,6
1Traumatic Brain Injury Center of Excellence, Silver Spring, MD.
概括
爆炸暴露值调查 (BETS) 显示了对一般化爆炸暴露值 (GBEV) 的强收有效性,但具有中等的测试复试可靠性. 建议在解释BETS结果时谨慎使用,特别是在高爆炸暴露的情况下,由于回忆问题.
科学领域:
- 军事医学 军事医学
- 职业健康 职业健康 职业健康
- 创伤研究 创伤研究
背景情况:
- 爆炸暴露值调查 (BETS) 是一个自我报告工具,用于评估终身通用爆炸暴露值 (GBEV).
- 了解GBEV的可靠性和有效性对于评估军事人员与爆炸有关的健康风险至关重要.
研究的目的:
- 检查GBEV的收有效性.
- 评估GBEV和单个BETS项目的测试复试可靠性.
主要方法:
- 一项涉及陆军特种作战部队 (ARSOF) 训练员和训练员的前性队列研究.
- 在特殊部队先进城市作战 (SFAUC) 训练之前和在1周和8周后给予BETS.
- 使用斯皮尔曼的rho相关性评估了合的有效性,并使用类内相关系数 (ICC3,1) 分析了测试-重新测试可靠性.
主要成果:
- GBEV与爆炸暴露的代理测量表明了中度的收有效性 (rho范围:0.595-0.672).
- GBEV显示中等的测试-重新测试可靠性 (ICC3,1=0.576),而单个武器类别的可靠性差到中等 (ICC3,1范围:0.070-0.766).
- 项目级别的可靠性从差到优异 (ICC3,1范围: -0.145-0.843),更差的回忆与更高的GBEV分数相关.
结论:
- 虽然GBEV具有很强的收有效性,但测试-重新测试可靠性仅为中等.
- 解释BETS结果需要谨慎,特别是在大量暴露于爆炸物的人群中,因为潜在的回忆偏差.
- 这项研究的样本规模很小,可能会限制研究结果的概括性.
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