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首页> 外文期刊>Scoliosis >Development and preliminary validation of Brace Questionnaire (BrQ): a new instrument for measuring quality of life of brace treated scoliotics
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Development and preliminary validation of Brace Questionnaire (BrQ): a new instrument for measuring quality of life of brace treated scoliotics

机译：括号调查表（BrQ）的开发和初步验证：一种用于测量括号治疗的关节病患者生活质量的新仪器

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Background The quality of life among children with idiopathic scoliosis during their adolescence has been reported to be affected by the brace itself. However, a controversy exists whether brace treated scoliotics experience a poor quality of life, thus there is a need for the development of a brace-oriented instrument, as the now-existing questionnaires that are commonly used, such as the SRS -22, take into consideration the effects of both the conservative and the surgical treatment on quality of life of scoliotic children. The aim of the present study is to assess the validity and reliability of Brace Questionnaire (BrQ), a new instrument for measuring quality of life of scoliotic adolescents who are treated conservatively with a brace. Material-method Methodology of development involved literature review, patient and health care professionals' in-depth interviews and content validity analysis on patients. A validation study was performed on 28 brace treated scoliotic children aged between 9 and 18 years old. BrQ was assessed for the following psychometric properties: item convergent validity, floor and ceiling effects, internal consistency reliability, clinical validity and responsiveness to change. Results BrQ is self administrated and developmentally appropriate for ages 9 to 18 years old and is consisted of 34 Likert-scale items associated with eight domains: general health perception, physical functioning, emotional functioning, self esteem and aesthetics, vitality, school activity, bodily pain and social functioning of scoliotic children treated conservatively with a brace. The subscales of these eight dimensions can be combined to produce a total score. Higher scores mean a better quality of life. An item convergent validity ≥ 0.40 was satisfied by all items in the present study. A satisfactory internal consistency reliability for the BrQ was recorded (Cronbach's alpha coefficient was 0.82). There were no floor or ceiling effects. The correlation between BrQ overall scores and mild and moderate scoliosis was statistically significant (p Conclusion BrQ is reliable, valid and responsive to change in adolescents with IS who are treated conservatively with a brace.
机译：背景技术据报道，青春期特发性脊柱侧弯儿童的生活质量受到支架本身的影响。然而，存在争议的是，用牙套治疗的嘲笑者生活质量是否较差，因此有必要开发一种以牙套为导向的仪器，因为现在已经普遍使用的问卷（例如SRS -22）考虑到保守治疗和手术治疗对脊柱侧弯儿童生活质量的影响。本研究的目的是评估Brace问卷（BrQ）的有效性和可靠性，该问卷是一种新方法，用于测量以牙套保守治疗的脊柱侧弯青少年的生活质量。开发的物质方法论方法包括文献复习，患者和医疗保健专业人员的深入访谈以及对患者的内容效度分析。一项针对年龄在9至18岁之间的矫治脊柱侧弯的28名儿童进行了验证研究。对BrQ进行了以下心理计量学评估：项目收敛效度，上下限效应，内部一致性信度，临床效度和对变化的反应性。结果BrQ是自我管理的，适合9至18岁的年龄发展，由34个李克特量表项目组成，涉及八个领域：总体健康感知，身体机能，情感功能，自尊和审美，活力，学校活动，身体用支架保守治疗脊柱侧弯儿童的疼痛和社交功能。这八个维度的子量表可以合并以产生总分。更高的分数意味着更好的生活质量。本研究中所有项目均满足项目收敛效度≥0.40。记录了BrQ令人满意的内部一致性可靠性（Cronbach'sα系数为0.82）。没有地板或天花板效果。 BrQ总体评分与轻度和中度脊柱侧弯之间的相关性具有统计学意义（p结论BrQ可靠，有效且对接受括号固定治疗的IS青少年的反应敏感。

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