中文版“人工耳蜗植入儿童家长观点调查问卷”的建立与信度和效度研究

The Reliability and Validity Evaluation of Mandarin Version of the Parental Perspective Instrument for Pediatric Cochlear Implantation

赵雅雯;刘海红;李颖;郑之芃;郭永丽;聂晓璐;倪鑫;

1:首都医科大学附属北京儿童医院耳鼻咽喉头颈外科

2:首都医科大学附属北京儿童医院

3:北京市儿科研究所

4:儿童耳鼻咽喉头颈外科疾病北京市重点实验室

摘要
目的对中文版人工耳蜗植入儿童家长观点调查问卷(Mandarin children with cochlear implants:parental perspectives,MPP)进行信度与效度评价,建立一种适合中国人工耳蜗植入(cochlear implant,CI)儿童生活质量评估的问卷。方法采用跨文化翻译的方法对原英文版人工耳蜗植入儿童家长观点调查问卷(children with cochlear implants:parental perspectives,PP)进行汉化为MPP,再对MPP表进行信度与效度分析;信度检验采用内部一致性信度和重测信度分析,效度检验采用内容效度和结构效度分析。本研究首次评估的受试对象为80例中国人工耳蜗植入儿童,1月后对其中43例进行第二次评估,以评估量表的重测信度。结果信度检验显示总量表的Cronbach’sα系数是0.797,除了幸福感和教育子维度分别为0.303、0.341,其余的子维度Cronbach’sα系数都大于0.5,说明其内部一致性良好;该量表的8个子维度及量表总评分的重测信度r值均大于0.7(P<0.01)说明其重测信度良好,量表的跨时间稳定性良好。效度检验显示8个子维度与总量表的Pearson相关系数r绝对值范围在0.3950.992,各子维度相关系数绝对值在0.090.992,各子维度相关系数绝对值在0.090.654之间,符合心理学特性,证明其结构效度良好。结论MPP的信度效度良好,可以用于评估我国CI植入儿童的生活质量。
关键词
人工耳蜗植入;生活质量;人工耳蜗植入儿童家长观点调查问卷
基金项目(Foundation):
国家自然科学基金(81541109);; 北京市医院管理局临床医学发展专项经费(XMLX201514);; 北京市卫生系统高层次卫生技术人才培养计划:耳鼻咽喉学科骨干(2015-3-079)联合资助
作者
赵雅雯;刘海红;李颖;郑之芃;郭永丽;聂晓璐;倪鑫;
参考文献

1 Liu H,Jin X,Li J,et al.Early auditory preverbal skills development in Mandarin speaking children with Cochlear Implants[J].Int J Pediatr Otorhinolaryngol,2015,79:71.

2 Knutson JF,Boyd RC,Reid JB,et al.Observational assessments of the interaction of implant recipients with family and peers:preliminary findings[J].Otolaryngol Head Neck Surg,1997,117:196.

3 Vidas S,Hassan R,Parnes LS.Real-life performance considerations of four pediatri multi-channelCochlear Implant recipients[J].J Otolaryngol,1992,21:387.

4 Lin FR,Niparko JK.Measuring health-related quality of life after pediatric Cochlear Implantation:a systematic review[J].Int J Pediatr Otorhinolaryngol,2006,70:1695.

5 Umansky AM,Jeffe DB,Lieu JE,et al.The HEAR-QL:quality of life questionnaire for children with hearing loss[J].J Am Acad Audiol,2011,22:644.

6 Archbold SM,Lutman ME,Gregory S,et al.Parents and their deaf child:Their perceptions 3years after cochlear implantation[J].Deaf Educ Int,2002,4:12.

7 O’Neill C,Lutman ME,Archbold SM,et al.Parents and their Cochlear Implanted child:questionnaire development to assess parental views and experiences[J].Int J Pediatr Otorhinolaryngol,2004,68:149.

8 Incesulu A,Vural M,Erkam U,et al.Children with cochlear implants:parental perspective[J].Otol Neurotol,2003,24:605.

9 Sach TH,Whynes DK.Paediatric cochlear implantation:the views of parents[J].Int J Audiol,2005,44:400.

10 Huttunen KH,Rimmanen S,Vikman S,et al.Parents'views on the quality of life of their children 2-3years after cochlear implantation[J].Int J Pediatr Otorhinoloaryngol,2009,73:1786.

11 Fortunato-Tavares T,Befi-Lopes D,Bento RF,et al.Children with cochlear implants:Communication skills and quality of life[J].Braz J Otorhinolaryngol,2012,78:15.

12 董瑞娟,刘博,彭晓霞,等.Nijmegen人工耳蜗信度和效度评价植入量表中文版信度和效度评价[J].中华耳鼻咽喉头颈外科杂志,2010,45:818.

13 徐文,李红艳,胡蓉,等.嗓音障碍指数量表中文版信度和效度评价[J].中华耳鼻咽喉头颈外科杂志,2008,43:670.

14 Brandal A,Eriksson M,Wester P,et al.Reliability and validity of the Swedish Fatigue Assessment Scale when selfadministrered by persons with mild to moderate stroke[J].Top Stroke Rehabil,2016,23:90.

15 Cronbach LJ.Coefficient alpha and the internal structure of tests[J].Psychometrika,1951,16:297.

16 Conijn AP,Loukachov VV,Bipat S,et al.Test-retest reliability and measurement error are excellent for the dutch version of the vascu qol questionnaire in patients with intermittent claudication[J].Eur J Vasc Endovasc Surg,2015,50:502.

17 史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37:152.

18 苗丹民,皇甫恩.MBTZ人格类型量表的效度分析[J].心理学报,2000,32:324.

19 Zamanzadeh V,Ghahramanian A,Rassouli M,et al.Design and implementation content validity study:development of an instrument for measuring patient-centered communication[J].J Caring Sci,2015,4:165.

20 Nunnally J.Psychometric theory[M].2nd ed.NY:McGraw-Hill,1995.98~105.

21 Nunes T,Pretzlik U,Ilicak S,et al.Validation of a parent outcome questionnaire from pediatric cochlear implantation[J].J Deaf Stud Deaf Educ,2005,10:330.

22 Mitchell J,Bradley C.Psychometric evaluation of the 12-item well-being questionnaire for use with people with macular disease[J].Qual Life Res,2001,10:465.