类风湿关节炎患者疼痛评估量表的汉化与信效度检验

目的 引入并汉化类风湿关节炎患者疼痛评估量表（Rheumatoid Arthritis Pain Scale,RAPS）,并检验其信效度。 方法 2020年6月—10月,按照Brislin翻译模式进行翻译、回译、检译,进行文化调试,形成中文版RAPS量表。成立专家委员会检验其内容效度,对上海市某三级甲等医院的236例患者进行调查,测定量表信度。 结果 中文版RAPS共24个条目,各维度Cronbach’s α系数为0.881~0.954,总量表Cronbach’s α系数为0.969。内容效度指数为0.97,各条目均高于0.80,共析出3个公因子,分别为生理维度、感觉维度、情感认知维度,累计方差贡献率为73.582%。 结论 中文版的RAPS具有较好的信效度,适合中国文化背景下类风湿关节炎患者疼痛水平的评估与测量。     

Instruments for measuring mental health recovery: A systematic review

Persons in recovery, providers, and policymakers alike are advocating for recovery-oriented mental health care, with the promotion of recovery becoming a prominent feature of mental health policy in the United States and internationally. One step toward creating a recovery-oriented system of care is to use recovery-oriented outcome measures. Numerous instruments have been developed to assess progress towards mental health recovery. This review identifies instruments of mental health recovery and evaluates the appropriateness of their use including their psychometric properties, ease of administration, and service-user involvement in their development. A literature search using the Medline and Psych-INFO databases was conducted, identifying 21 instruments for potential inclusion in this review, of which thirteen met inclusion criteria. Results suggest only three instruments (25%) have had their psychometric properties assessed in three or more unique samples of participants. Ease of administration varied between instruments, and for the majority of instruments, development included service user involvement. This review updates and expands previous reviews of instruments to assess mental health recovery. As mental health care continues to transform to a recovery-oriented model of service delivery, this review may facilitate selection of appropriate assessments of mental health recovery for systems to use in evaluating and improving the care they provide.     

Validation de l’échelle d’évaluation du vécu de l’accouchement (QEVA) auprès d’une population française

BackgroundA woman's negative perception of her subjective childbirth experience can have consequences on the mother's psychological state and on early mother–baby relationships. To date, there is no validated tool in France allowing to evaluate childbirth experience in a multidimensional way. The aim of this study is to validate the Questionnaire Assessing the Childbirth Experience (QEVA) in a French sample of mothers. This tool was developed in a previous study where the authors combined 25 items into 6 dimensions: representations and expectations, sensory perceptions, feeling of control, perceived social support (medical staff and partner), emotions (positive and negative) and first moments with the baby.MethodsThe sample included 256 women recruited in a maternity ward. Sociodemographic and obstetric characteristics of our sample were compared to those of the French national perinatal survey. The structure of the QEVA with 17 items was explored by an exploratory structural equation modeling (ESEM). An analysis of the internal consistency was conducted on the sub-scores of the identified factors, and the concurrent validity was assessed with the Peri-traumatic Distress Inventory (PDI) through a correlation and its associated t-test.ResultsThe characteristics of our sample and those of the national perinatal survey do not differ on age, marital status, parity, cannabis use, infertility treatment, epidural and baby weight, in favour of the good representativeness of our sample. The study of the QEVA structure revealed a 4-dimensional structure. Analysis of the psychometric qualities showed a good internal consistency, with an observed alpha value ranging from 0.69 to 0.86. The QEVA also shows a good concurrent validity with the peri-traumatic distress scores (r = 0.51).ConclusionTo date, the QEVA is the first standardized tool allowing a multidimensional evaluation of the subjective experience of childbirth. It has been validated on a French population using an exploratory structural equation modeling. This tool, which is simple to use and well accepted by mothers, enables health professionals not only to screen mothers experiencing difficult childbirth and in need of support, but also to adapt health care according to the dimensions of the birth experience and its associated difficulties (emotions during the birth, interactions with health professionals, first moments with the baby, or post-partum emotions).     

The association between health literacy and indicators of cognitive impairment in a diverse sample of primary care patients

Objectives

To confirm the association of health literacy scores as measured by Health Literacy Assessment Using Talking Touchscreen Technology (Health LiTT) with cognitive ability and education. To determine whether this association differs by cognitive task.

Methods

Cognitive impairment was measured using the Mini-Cog, which combines a delayed word recall task (WRT) and a clock drawing task (CDT) to yield an overall classification of normal versus cognitively impaired. Participants were recruited from primary care clinics that provide care to underserved patients.

Results

Participants (n = 574) were predominantly non-Hispanic black (67%) with a mean age of 46 years, 50% did not have health insurance, 56% had a high school education or less and 21% screened positive for cognitive impairment. Overall cognitive ability and education were significantly associated with health literacy after adjusting for other variables, including race/ethnicity and physical health. We observed a stronger association between the CDT and health literacy than between the WRT and health literacy.

Conclusion

By confirming hypothesized associations, this study provides additional support of the validity of Health LiTT.

Practice implications

Health LiTT is a reliable and valid tool that researchers and clinicians can use to identify individuals who might have difficulty understanding health information.     

家庭教养方式问卷信效度再检验

目的:进一步检验程灶火等编制的《家庭教养方式问卷》(FUSQ)的信度和效度.方法:在芜湖市学校、社区和医院等抽取720名学生、社会工作人员、吸毒者和神经症患者,用《家庭教养方式问卷》进行测试,间隔1个月对其中200名被试进行重测.结果:问卷α系数、分半信度和重测信度分别是0.49～0.92;0.63～0.93和0.68～0.96;验证性因素分析显示各拟合指数符合标准;病例组多数维度得分低于对照组(P＜0.05).结论:《家庭教养方式问卷》具有较好的信度和效度,可用于临床和科研测量个体主观感受到的家庭教养方式.     

医学教育环境评估量表在我国口腔医学生中应用的信度与效度分析

目的：评价医学教育环境评估量表（DREEM）在我国口腔医学生中应用的信度和效度。方法：采用DREEM量表中文版在重庆医科大学口腔医学本科生中进行问卷调查,最终对调查结果进行统计学分析,考评量表的信度和效度。其中信度采用内部一致性信度和分半信度进行分析;效度采用探索性因素分析和收敛效度进行分析。采用SPSS 22.0软件包对数据进行信度和效度检验。结果：共回收有效问卷260份。量表总的Cronbach α系数为0.936,Guttman 分半信度系数为0.816。经过探索性因子分析,提取5个因子,累积贡献率达47.071%,显示量表存在预想的连带关系和逻辑关系。量表的Spearman等级相关系数为0.447~0.556之间。结论：医学教育环境评估量表在我国口腔医学生中应用具有良好的信度和效度,可在我国口腔医学教育环境的评价中进一步推广应用。     

自体牙移植术前难度预判因素的筛选及分析

目的:设计自体牙移植术前难度预判量表,并进行统计学验证。方法:基于文献支持和临床经验总结,对自体牙移植术前难度预判的可能因素进行统计学分析,筛选出相关性较高的11条因素并编制量表,通过96病例进行实际难度判定。采用SPSS 23.0软件包对量表进行信度和效度检验。结果:对96例病例进行难度预判的结果进行统计学分析,量表检测的克隆巴赫系数（信度值）为0.853,皮尔逊相关系数（内容效度值）为0.745,KMO值（结构效度值）为0.704,以上检验均有统计学意义。结论:所设计自体牙移植术前难度预判量表合理可行,适用于初学者进行术前难度预判分析。     

中文版ELPO手术体位相关性压力性损伤风险评估表在口腔颅颌面肿瘤手术中的应用评价

目的: 对英文版ELPO手术体位相关性压力性损伤风险评估量表进行汉化及信效度检验,评价中文版ELPO在口腔颅颌面肿瘤手术中的应用效果。方法: 获得原作者同意后,将ELPO量表遵循汉化量表流程,进行翻译及回译。采取便利抽样法,选择上海交通大学医学院附属第九人民医院271例口腔颅颌面肿瘤择期手术患者,对研究对象进行压力性损伤风险评估。通过评估内容效度、结构效度、预测效度,验证量表效度;采用内部一致Cronbach α系数、评定者间信度,检验量表信度。应用量表对患者进行风险评估,实施相应干预措施。采用SPSS 23.0软件包对数据进行统计学分析。结果: 总量表的内容效度为0.952。探索性因子分析共提取3个公因子,累积方差贡献率为61.538%;灵敏度86%,特异度83%, 阳性预测值87%, 阴性预测值60%,ROC曲线下面积为0.836。总量表内部一致性Cronbach α系数0.751,评定者间信度为0.812。271例患者仅2例发生术中压力性损伤,发生率为0.74%。结论: 中文版ELPO量表具有良好的信、效度,用于口腔颅颌面肿瘤手术患者,可使手术室护士有计划地进行护理干预,有效降低压力性损伤的发生率,优化手术室护理服务。     

Psychometric Properties of the Self-Report Version of the Strengths and Difficulties Questionnaire in Korea

Objective

To examine the reliability and validity of the self-report Korean version of Strengths and Difficulties Questionnaire (SDQ-Kr) in the community sample.

Methods

The SDQ-Kr was administered to a large sample of school children and adolescents (n=2814) and youth attendees of a psychiatric clinic (n=385) aged 11-16 years. To examine temporal stability, the same questionnaire was administered to a subsample of 167 school youths five to six weeks after the initial assessment. To examine the reliability, we calculated Cronbach''s alpha coefficients for internal consistency and Pearson''s correlations for test-retest stability. In order to evaluate the factorial structure of the SDQ-Kr items, we conducted an exploratory factor analysis (EFA) with varimax rotation. Finally, discriminant validity was examined by using receiver operating characteristic (ROC) curves employing the area under the curve (AUC) as an index of discriminant ability.

Results

Although the internal consistency of some subscales of the SDQ-Kr was somewhat less satisfactory (alpha coefficients; 0.28-0.54) than the English original, coefficients for the total difficulties scores approached sufficient levels (coefficients; 0.69). Other psychometric properties including discriminant validity (AUC for total difficulties and four subscales >0.7) were comparable to those obtained in other language studies.

Conclusion

The self-report SDQ-Kr exhibited a low level of reliability, indicating that some items need to be further evaluated and revised to improve the psychometric properties. We suggest that the total difficulties score could be used with more confidence for screening possible mental health problems in youths.