Re-evaluation of Reliability and Validity of Simplified Chinese Version of SRS-22 Patient Questionnaire A Multicenter Study of 333 Cases
Re-evaluation of Reliability and Validity of Simplified Chinese Version of SRS-22 Patient Questionnaire A Multicenter Study of 333 Cases
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DOI：
10.1097/brs.0b013e3181e0485e
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发表时间：
2011-04-15
期刊：
影响因子：
3
通讯作者：
Sun, Xu
中科院分区：
文献类型：
--
作者：
Qiu, Guixing;Qiu, Yong;Sun, Xu
研究设计。一项多中心跨文化研究，重新评估简体中文版脊柱侧凸研究协会-22（SRS-22）患者问卷的信度和效度。目的。评估该工具在中国大陆的同时有效性和信度。背景数据摘要。 SRS-22 问卷旨在评估美国脊柱侧弯患者的健康相关生活质量。最近，分别对该问卷的繁体版和简体中文版进行了信度和效度分析。然而，鉴于中国人口的多样性和农村患者比例较大，可能有必要进行多中心研究来重新评估其适应性。方法。 SRS-22 调查问卷的英文原版已翻译成简体中文。考虑到中国大陆医疗卫生制度的不同，对问题15进行了修改；如果患者年龄小于 18 岁，则受访者可能是其父母。这项多中心研究由 13 名脊柱侧弯外科医生进行，涉及 7 个脊柱中心。 SRS-22 问卷和之前经过验证的 36 项简短健康调查问卷向 391 名患有特发性脊柱侧凸或无神经功能缺陷的先天性脊柱侧凸患者提供。其中，136 名患者被随机选择参加 1 周后填写的第二份相同的 SRS-22 问卷，并用贴有邮票的回邮信封寄回。结果。共有 333 名患者完整完成了 SRS-22 和 36 项简短健康调查问卷。 SRS-22 的所有五个域均观察到良好的一致性。问题15和18的内部一致性较差。如果排除问题15，a系数将增加到0.68。 SRS-22的疼痛域具有高达67.5%的上限效应。在 SRS-22 问卷的疼痛领域，重测再现性被观察为“良好”，而在其余领域则为“优秀”。证明了良好（10 个域）和中等（23 个域）相关性，而 7 个域的相关性较差。结论。简体中文版SRS-22问卷经多中心研究重新评估，尊重中国大陆人口多样性和文化差异，表现出良好的内部一致性和令人满意的重测重现性。它可能有助于对中国青少年和年轻人进行支具或手术治疗的脊柱侧弯进行临床评估，尽管它也遇到了先前报道的与不同文化和医疗保健系统相关的一些项目的困难。
Study Design. A multicenter cross-cultural study to re-evaluate the reliability and validity of the simplified Chinese version of Scoliosis Research Society-22 (SRS-22) Patient Questionnaire.Objective. To assess the concurrent validity and reliability of this instrument in mainland China.Summary of Background Data. The SRS-22 Questionnaire was developed to assess the health-related quality of life for patients with scoliosis in the United States. More recently, the reliability and validity analyses of traditional and simplified Chinese versions of this questionnaire were performed, respectively. However, with respect to the diversity of population and large proportion of rural patients in China, a multicenter study might be necessary to re-evaluate its adaptation.Methods. The original English version of the SRS-22 Questionnaire was translated into simplified Chinese. Considering the different health care systems in mainland China, the question 15 was modified; the respondent might be the parent if the patient was younger than 18 years. This multicenter study was performed by 13 scoliosis surgeons involving seven spine centers. The SRS-22 Questionnaire and a previously validated 36-Item Short-Form Health Survey Questionnaire were given to 391 patients with idiopathic scoliosis or congenital scoliosis without neurologic deficits. Of those, 136 patients were randomly selected for a second identical SRS-22 Questionnaire filled 1 week later and mailed back with a stamped return envelope.Results. A total of 333 patients fully completed both SRS-22 and 36-Item Short-Form Health Survey Questionnaires. Good consistency was observed for all the five domains of the SRS-22. Poorer internal consistency was found in questions 15 and 18. If question 15 was excluded, the a coefficient would increase to 0.68. The pain domain of SRS-22 had a high ceiling effect being 67.5%. The test-retest reproducibility was observed "good" in the pain domain and "excellent" for the remaining domains of SRS-22 Questionnaire. Good (10 domains) and moderate (23 domains) correlations were demonstrated while seven domains had poor correlation.Conclusion. The simplified Chinese version of the SRS-22 Questionnaire was re-evaluated by a multicenter study to respect the diversity of population and cultural differences in mainland China, which showed good internal consistency and satisfactory test-retest reproducibility. It might be useful for clinical evaluation of Chinese adolescents and young adults with scoliosis treated with bracing or surgery, although it also encountered previously reported difficulties with some of the items related to different cultures and health care systems.