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1.
目的:探讨ICF通用组合在临床功能评估中的评估者间和评估者内信度,为其临床应用提供依据。方法:来自21个省份、50家医院康复医学科、神经内科、心内科、呼吸科和骨科的4784例患者参与了本研究,其中康复科患者776例。患者在入院时、住院中期、出院3个时间点接受同一名评估者的ICF通用组合功能评估,以进行评估者内信度分析。康复科患者同时接受2名评估者的评估,以进行评估者间信度分析。组内相关系数(ICC)检验评估者间信度和评估者内信度。结果:ICF通用组合的7个条目中除了d850有报酬的就业的ICC为0.40外,其他类目及总分的ICC都在0.70—0.95之间,评估者间信度佳。ICF通用组合的7个类目在入院和住院中期两个时间点之间的ICC要高于入院和出院两个时间点之间的ICC,评估者内信度佳。结论:除了d850有报酬的就业,ICF通用组合的其他条目及总分评估者间信度良好。ICF通用组合的评估者内信度良好。  相似文献   

2.
目的:探讨简明版骨质疏松国际功能、残疾和健康(ICF)核心分类组合的信度和效度。方法:122例骨质疏松症患者进行简明版骨质疏松ICF核心分类组合和欧洲骨质疏松症基金会生活质量问卷(QUALEFFO-41)评定。信度研究采用重测信度、观察者间信度和内部一致性信度,效度研究采用效标效度、结构效度和内容效度。重测信度和观察者间信度检验采用组内相关系数(ICC);内部一致性检验采用Cronbachα值分析;效标效度用Spearman相关;内容效度应用德尔菲法;结构效度采用因子分析法。结果:(1)信度:重测信度ICC 0.762—0.921;观察者间信度ICC 0.781—0.941;内部一致性信度Cronbachα系数0.953。(2)效度:校标效度:简明版骨质疏松ICF核心分类组合中功能和残疾部分总分与QUALEFFO-41总分呈中度相关(r=0.654);内容效度:经德尔菲法确定内容效度好;结构效度:公因子1包括条目d430、d450和d920,公因子2包括条目b710、b730、s750、s760,公因子3包括条目e110、e355、e580,公因子4包括条目b152、b280。结论:简明版骨质疏松ICF核心分类组合的信度、校标效度和内容效度较好。除b710和b730、s750和s760归为同一维度外,其余条目的结构效度与目前ICF成分结构一致。  相似文献   

3.
目的 验证国际功能、残疾和健康分类(ICF)康复组合-17在临床多学科患者功能评估中的信度和效度。 方法 选取来自江苏省三家三级医院的康复医学科、骨科、神经内科和神经外科的住院患者359例。在入院和出院时均采用ICF康复组合-17对所有患者进行评估,计算评估工具的内部一致性。用组内相关系数(ICC)检验评估者间和评估者内信度,用主轴法的直接斜交转轴法进行因子分析,检验ICF康复组合-17的结构效度。 结果 ICF康复组合-17的内部一致性Cronbach′s α系数为0.945。评估者间信度分析显示,ICF康复组合-17总分的ICC为0.946;除b280痛感外,该量表的剩余条目ICC为0.630~0.948(P<0.001)。评估者内信度分析显示,ICF康复组合-17总分和条目的ICC为0.471~0.947(P<0.001)。经过因子分析,得到3个特征值大于1的因子,累计解释变异量为74.123%,无双重负荷的条目。将3个公因子分别命名为“运动能力”,“睡眠感知交往能力”和“生活自理能力”。 结论 ICF康复组合-17在多学科住院患者功能评定中具有良好的内部一致性、评估者间信度、评估者内信度和结构效度。  相似文献   

4.
目的 运用多层面Rasch模型检验中国版脑卒中国际功能、残疾与健康分类(ICF)核心要素的信度和效度.方法 由2名评定员对38例脑卒中患者采用中国版简明ICF核心要素的"身体功能"成分包含的20个类目分别进行评分,运用FACETS统计软件计算个人分离指数和信度、拟合分析等检验ICF核心要素的信度和效度.结果 中国版简明ICF核心要素量表中"身体功能"成分类目内部一致性信度好(个人分离指数为6.02,分离信度为0.94,χ2=2158.3,P<0.01),评定者内信度好(未加权的均方拟合统计量为0.92~1.12),但2位评定员评分时的严格程度有显著差异(χ2=1042.5,P=0.01).该部分量表的结构效度较好(分离指数为1050,分离信度为0.80,χ2=467.3,P=0.01).但是拟合分析表明,b117智力功能处于非拟合状态,而b152情感功能和b755不随意运动反应功能处于过度拟合状态.结论 中国版脑卒中简明ICF核心要素的身体功能成分具有良好的信度和结构效度.多层面 Rasch模型对于检验简明ICF核心要素的信度和效度能够提供更全面的信息,具有良好应用前景.
Abstract:
Objective To test the reliability and validity of the brief International Classification of Functioning, Disability and Health (ICF) core sets for Chinese stroke patients using Rasch model analysis. Methods The body functions of 38 Chinese stroke patients were measured using the brief ICF core sets. The qualifiers of the 20items were measured by two raters and analyzed using FACETS statistical software. The intra-rater reliability and validity were tested by using the separation index and separation reliability and fit analysis. Results The brief ICF core sets had good internal consistency and reliability (person separation index = 6.02, person separation reliability = 0.94 ) with these Chinese patients. The raters showed significantly different strictness in rating, but their ratings had good internal self-consistency. The construct validity was good for the body functions of the ICF component ( separation index = 10.50, separation reliability = 0.80) , but misfitting and overfitting were found in items b117, b152and b755. Conclusion The body function of the brief ICF core sets has good reliability and validity for Chinese stroke patients. A many-facet Rasch measurement model can provide comprehensive information and has good application prospects for testing the reliability and validity of ICF core sets.  相似文献   

5.
目的:检验ICF康复量表在创伤性脊髓损伤(TSCI)人群的信效度情况。方法:采用ICF康复量表、改良Barthel指数、Berg平衡能力、SDS抑郁量表等常用量表对45个TSCI恢复期患者进行综合评估。Cronbachα系数和Spearman相关系数分别检验ICF康复量表的内部一致性信度和与其他量表的校标关联效度。结果:采用ICF康复量表评估TSCI患者最主要障碍表现在:b640性功能、b280G痛觉、b455运动和耐受能力、b710关节活动能力、b620排尿功能,S610泌尿系统的结构、S430呼吸系统的结构,d660帮助别人、d450G步行、d470利用交通工具、d230进行日常事务、d540穿着、d850有报酬的就业,e115个人日常生活用的用品和技术、e580卫生的服务、体制和政策。ICF康复量表及4个子领域Cronbachα系数分别为0.870、0.560、0.368、0.896、0.717,如删除一些条目可提升整体的内部一致性。患者在身体功能(BF)与抑郁量表分数呈高度正相关(P<0.05),活动与参与(AP)和改良Barthel指数呈高度负相关(P<0.05)。环境因素(EF)与其他量表的相关性低(P>0.05)。结论:ICF康复量表可用于评估TSCI恢复期患者的功能状况,具有可靠的内部一致性信度和较好的校标关联效度。  相似文献   

6.
目的 验证基于国际功能、残疾和健康分类(ICF)康复组合的功能评定工具在老年失能评估中的效度。 方法 全国15家养老机构的1610例老人参与本研究。用基于ICF康复组合的功能评定工具对老人进行失能评估,以数字化评定量表(0~10分)评估条目失能程度,并用12项简易生活质量问卷调查(SF-12)量表对老人进行生活质量评定,通过因子分析检验失能评定工具的结构效度,通过ICF功能评估工具与SF-12的相关性验证其的校标关联效度。 结果 以主轴法的直接斜交转轴法进行因子分析,得到3个特征值大于1的因子,累计解释变异量为74.368%。因子分析结果显示,存在双重载荷的条目有“d550吃”;校标关联效度分析显示,失能评估各条目得分和总分与生理领域得分和心理领域得分均呈显著性负相关(P<0.001)。 结论 基于ICF康复组合的失能评定工具与数字评定量表联合在老年失能评定中有良好的结构效度和校标关联效度。  相似文献   

7.
目的:检验《脊髓损伤护理相关ICF组合》的信度和效度。方法:2013年12月~2014年3月,4个研究中心的140例脊髓损伤患者参与研究,采用《脊髓损伤护理相关ICF组合》和《脊髓独立测量量表》第3版(SCIMⅢ)评定患者,以检验《脊髓损伤护理相关ICF组合》的内在一致性信度、评定者间信度、重测信度和校标关联效度。结果:《脊髓损伤护理相关ICF组合》的身体功能、身体结构、活动和参与以及背景性因素这四个成份的Cronbach'sα系数分别为0.85、0.54、0.97和0.85;两个评定者之间平均kappa系数为0.51;重测信度检验显示两次评定之间平均kappa系数为0.78;身体功能、活动和参与成份与SCIMⅢ的各分量表和总分呈中度至高度负相关(r=-0.528~-0.896,P0.01),身体结构成份和背景性因素成份与其呈低度负相关(r=-0.204~-0.396,P0.05)。结论:《脊髓损伤护理相关ICF组合》作为脊髓损伤患者的临床护理评估工具是稳定和可靠的。  相似文献   

8.
目的:探讨应用ICF检查表调查老年慢性心力衰竭患者健康状态的信效度及优势。方法:对140例患者采用ICF检查表与生活质量调查量表36(SF-36)和坎斯坦城心肌病生活质量量表(KCCQ)进行评估,应用信效度比较以上量表的临床效果,应用ROC曲线探索ICF检查表在不同年龄层患者的界值点,使用频数表现不同年龄段患者ICF类目特点。结果:ICF检查表Cronbach’sα系数为0.933~0.962,75岁以上人群Cronbach’sα系数为0.962,SF-36量表Cronbach’sα系数为0.904~0.906。ICF检查表内部效度spearman相关系数为0.411~0.944(P<0.01),总分与SF-36量表外部效度r系数为-0.483^-0.678(P=0.000)。ICF检查表与SF-36量表ROC曲线下面积分别为0.700~0.790,0.340~0.493,前者界值点兼具良好的灵敏度与特异度。不同年龄段人群总体或各维度高频ICF类目不尽相同,相比而言60~74岁人群b 134.睡眠功能、d 920.娱乐与休闲功能损伤问题更突出;75岁以上人群b 440.呼吸功能、d 430.举起与搬运物体、s 430.呼吸系统的结构和s 110.脑的结构功能损伤问题更突出。结论:相比于SF-36与KCCQ量表,ICF检查表在老年CHF患者中应用具有更好的信效度与病情严重度的诊断价值,不同年龄段患者损伤的功能种类存在差异,今后临床工作应有针对性的进行评估与治疗。  相似文献   

9.
目的检验多维度视频定量评估系统(简称多维系统)在脑卒中手功能障碍患者中的信度和效度, 为临床应用提供客观依据。方法对60例单手功能障碍的脑卒中患者, 采用多维系统、手主动关节活动度(AROM-H)、Fugl-Meyer上肢功能评定量表(FMA-UE)、上肢运动研究量表(ARAT)进行评估。采取内部一致性、组合信度、分半信度、复本信度、评估者间信度、评估者内信度行信度检验, 内容效度、结构效度、收敛效度、校标效度行效度检验。结果①信度检验显示, 多维系统Cronbach α系数=0.860, 单维度的组合信度=0.939, 分半信度系数=0.880, 复本信度系数=0.922, 各动作评估者间信度ICC=0.965~0.998[95%CI=(0.919, 0.999)], 评估者内信度ICC值=0.973~0.998(95%CI=(0.937, 0.999))。②效度检验显示, 内容效度指数I-CVI=1, 且各亚项与多维系统总分Pearson相关系数均>0.600(P<0.01);结构效度中KMO值=0.882(P<0.01), 成分矩阵中存在一个公因子, 累计反映原...  相似文献   

10.
目的:初步确定慢性心力衰竭(CHF)患者功能评估的《国际功能、残疾和健康分类(ICF)》类目。方法:检索Cochrane Library、PubMed、Embase、CNKI、WanFang、CBM数据库近5年有关CHF的临床研究,由两名研究员按照标准链接规则独立进行指标的概念提取、ICF类目链接。结果:最终纳入116篇文献,去重后得177个功能评价指标,链接到116条ICF二级类目,其中66条出现在5%以上的文献中(25个身体功能,2个身体结构,31个活动与参与,8个环境因素)。频数最高的6个ICF类目分别为b410心脏功能(n=90)、s410心血管系统结构(n=49)、b415血管功能(n=43)、b440呼吸功能(n=41)、b455运动耐受功能(n=40)、d450步行(n=40)。结论:链接到较多的ICF类目反应CHF患者功能损伤的异质性,同时确定了ICF可以作为对该类患者全面功能评估的框架,进一步的临床调查与Delphi专家咨询可以为构建CHF-ICF核心组合提供科学依据,有利于后续开展基于综合评估的CHF患者个体化、详尽化、动态化的治疗与护理措施。  相似文献   

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Purpose: The Test of Visual Perceptual Skills-Third Edition (TVPS-3) with seven subscales has been used to assess visual perception in patients with stroke. The purpose of this study was to investigate ecological validity, convergent validity, and discriminative validity of the TVPS-3 in patients with stroke.

Methods: One hundred patients were assessed with the TVPS-3, two measures of activities of daily living, and two cognitive measures. To examine ecological validity, we calculated correlations (Pearson’s r) among the TVPS-3 and two measures of activities of daily living. To examine convergent validity, correlations (r) were estimated among the TVPS-3 and two cognitive measures. To examine discriminative validity, independent t-test was used to compare the two groups with different levels of disability and to detect whether there were statistically significant differences in the TVPS-3 between these groups.

Results: The correlations were 0.21–0.48 among the TVPS-3 and two measures of activities of daily living. The correlations were 0.29–0.68 among the TVPS-3 and two cognitive measures. Between the two groups, the t-test results showed statistically significant difference (p?<?0.05) for the overall scale and the five subscales of the TVPS-3.

Conclusions: The TVPS-3 has acceptable convergent validity, ecological validity, and discriminative validity and is useful to assess the visual perception in patients with stroke.

  • Implications for rehabilitation
  • The Test of Visual Perceptual Skills-Third Edition is a motor free visual perception test, which is an adequate tool for use in patients with stroke.

  • The Test of Visual Perceptual Skills-Third Edition showed acceptable ecological validity, convergent validity, and discriminative validity in patients with stroke.

  相似文献   

14.
Interprofessional education has been receiving attention as a result of research suggesting the benefits of interpersonal collaboration in healthcare. In Hong Kong, the implementation of the Interprofessional Team-based Learning programme provides implicit call to study the psychometric properties of Readiness for Interprofessional Learning Scale (RIPLS) to clarify if this is a valid measure when used in the Chinese undergraduate healthcare context. This study examines the psychometric properties of RIPLS involving predominantly Chinese undergraduate healthcare students in Hong Kong. Using within- and between-network approaches to construct validity, we investigated the applicability of English version of RIPLS among 469 predominantly Hong Kong Chinese students who have competence in the English language. These participants were from complementary health professional programmes: biomedical sciences, chinese medicine, medicine, nursing, and pharmacy, from two universities in Hong Kong. The within-network test results indicated that RIPLS had good internal consistency reliability. Results of the confirmatory factor analysis lend support to the overall factor structure of hypothesized four-factor solution although one item obtained non-significant factor loading. The between-network test also suggests that various subscales of RIPLS correlated systematically with theoretically relevant constructs: collective efficacy, team impact on quality of learning, and team impact on clinical reasoning ability. The RIPLS is a valid measure to estimate the Chinese undergraduate healthcare students’ readiness to engage in interprofessional learning.  相似文献   

15.
Social validation procedures have become increasingly important in research involving persons with developmental disabilities. Unfortunately, there has not been a corresponding increase in the methodological rigor in which the social validation approaches have been utilized. This paper addresses reliability and validity issues in social validation research involving persons with developmental disabilities. Suggestions on how to better utilize reliability and validity measures are offered.  相似文献   

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This study used cross-validation and discriminant analysis to evaluate the construct and discriminant validity of Adolescent Health Promotion (AHP) scale between the overweight and nonoverweight adolescents in Taiwan. A cross-sectional survey method was used and 660 adolescents participated in this study. Cluster and discriminant analyses were used to analyze the data. Our findings indicate that the AHP is a valid and reliable scale to discriminate between the health-promoting behaviors of overweight and nonoverweight adolescents. For the total scale, cluster analyses revealed two distinct patterns, which we designated the healthy and unhealthy groups. Discriminate analysis supported this clustering as having good discriminant validity, as nonoverweight adolescents tended to be classified as healthy, while the overweight tended to be in the unhealthy group. In general, overweight adolescents practiced health-related behaviors at a significantly lower frequency than the nonoverweight. These included exercise behavior, stress management, life appreciation, health responsibility, and social support. These findings can be used to further develop and refine knowledge of adolescent overweight and related strategies for intervention.  相似文献   

18.
结构化面试在护士长选拔中的效度实证研究   总被引:1,自引:0,他引:1  
目的通过分析用于护士长选拔工作中结构化面试的结构效度和实证效度,提出进一步完善结构化面试测评指标体系的建议。方法运用因素分析法对结构化面试的结构效度进行分析,运用追踪调查问卷法,把已上岗1年后的护士长的工作实绩作为效标,对结构化面试的实证效度进行研究。结果根据因子分析的结果可知,结构化面试通过7个测评要素,主要测查了考生的4种潜在特质,其中每种潜在特质都通过某一测评要素充分体现出来。通过问卷调查可知,用人部门对通过结构化面试选拔任用的护士长的工作表现非常满意,有87.5%的选用护士长被用人部门评价为优秀。结论结构化面试具有较好的结构效度和实证效度,但是测评指标需要进一步修正完善。  相似文献   

19.
There is an extensive literature on the problem of translating scales for use across cultures, but very little is published on the problems of conducting qualitative interviews in another language with assistance of an interpreter. The aim of this paper is to describe and discuss threats to validity that arise when conducting qualitative interviews using an interpreter. Ten female student nurses in two cities in Lithuania were interviewed about how they perceived their educational program. All interviews were conducted in English with an interpreter. When using an interpreter to conduct interviews, potential threats to validity arise at various points in the interview process. A threat arises when the researcher, whose first language is Swedish, addresses a question in English to the interpreter, another during the translation by the interpreter from English to Lithuanian, and again when the interpreter translates the interviewee's Lithuanian responses to English. In the last situation, the researcher may not know whether the interpreter has summarized and/or modified the responses. To mitigate these problems, the interpreter should not only have the required linguistic abilities, but also be trained in the research field. The researcher has to be aware of these threats to validity and make efforts to meet and limit their effects.  相似文献   

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目的对临床记忆量表在帕金森病患者中效度进行分析。方法对60例帕金森病患者进行临床记忆量表及MMSE测评。结果帕金森病患者临床记忆量表与MMSE显著相关(r=0.608,P<0.001)。无记忆障碍组临床记忆量表得分高于记忆障碍组(P<0.05)。结论临床记忆量表用于评价帕金森病患者的记忆损害其标准效度及区分效度较好。  相似文献   

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