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首页> 外文期刊>BMC Pediatrics >Development and psychometric properties of the parent version of the Profile of Neuropsychiatric Symptoms (PONS) in children and adolescents
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Development and psychometric properties of the parent version of the Profile of Neuropsychiatric Symptoms (PONS) in children and adolescents

机译：儿童和青少年神经精神症状简介（PONS）的母本版本的开发和心理测量特性

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Background The use of neuropsychiatric Patient Centred Outcome Measures (PCOMs) in routine child mental health and paediatric services is very time consuming and often requires multiple scales being completed as no single scale covers all areas of psychopathology. The use of a web-based programme can overcome these problems and contribute to improved use of PCOMs in clinical practice. We aim to develop a web-based scale (using HealthTracker?) to screen and identify young people with significant neuropsychiatric symptoms to enable early intervention. Methods Qualitative development of the Profile of Neuropsychiatric Symptoms (PONS) and quantitative evaluation of the psychometric properties of the PONS scale (parent version). Parents of 929 from the general population and 147 with neuropsychiatric disorders (5–18 years old) completed the PONS online. In addition, those children with neuropsychiatric disorders were assessed for the presence of current and lifetime psychiatric disorders using the Development and Well-Being Assessment (DAWBA). Results The PONS scale (parent version) consists of 30 symptom domains rated on a 7-point scale for both frequency and impairment. We found an intra-class correlation coefficient for single measures was 0.44 (0.42-0.46 95 % CI, F?=?22.84, p?≤?0.0001) and for average measures was 0.96 (0.95-0.96 95 % CI, F?=?22.84, p?≤?0.0001). The factor analysis showed a 4-factor model: Neurodevelopmental Disability; Behavioural and Emotional Dysregulation; Psychoses and Personality Dysfunction; and Anxiety and Depression. The receiver operating characteristic area for the 4-factors was 0.96 (SE?=?0.006; 0.95-0.97 95 % CI). Conclusions The PONS scale (parent version) is a web-based PCOM on the HealthTracker? system that is a rapid, engaging measure that has excellent reliability and validity. The system allows for automated scoring and immediate feedback of statistical cut-off points and assists clinicians with diagnostic decision-making and optimises use of clinician time.
机译：背景技术在常规的儿童心理健康和儿科服务中使用神经精神病学的以患者为中心的结果指标（PCOM）非常耗时，并且通常需要完成多个量表，因为没有一个量表涵盖了精神病理学的所有领域。使用基于Web的程序可以克服这些问题，并有助于在临床实践中更好地使用PCOM。我们旨在开发一个基于Web的量表（使用HealthTracker？）来筛选和识别具有明显神经精神症状的年轻人，以便能够进行早期干预。方法定性发展神经精神症状的特征（PONS）和定量评估PONS量表（父母版本）的心理测量特性。共有929名父母和147名患有神经精神疾病（5-18岁）的父母在线完成了PONS。此外，使用发展与幸福评估（DAWBA）对那些患有神经精神疾病的儿童进行了当前和终生精神疾病的评估。结果PONS量表（父版本）由30个症状域组成，对频率和损伤均评分为7分制。我们发现单项量度的组内相关系数为0.44（0.42-0.46 95％CI，F？=？22.84，p？≤？0.0001），平均量度为0.96（0.95-0.96 95％CI，F？= ≤22.84，p≤≤0.0001）。因子分析显示了一个四因子模型：神经发育障碍;行为和情绪失调;精神病和人格障碍;和焦虑和抑郁。这4个因素的接收机工作特性区域为0.96（SE≤0.006; 0.95-0.97 95％CI）。结论PONS量表（父版本）是HealthTracker上基于Web的PCOM吗？这是一种快速，引人入胜的措施，具有出色的可靠性和有效性。该系统可以自动计分和统计截止点的即时反馈，并协助临床医生进行诊断决策并优化临床医生时间的使用。

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