Validation of a self-report questionnaire version of the Child Activity Limitations Interview (CALI): The CALI-21.

Validation of a self-report questionnaire version of the Child Activity Limitations Interview (CALI): The CALI-21.
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DOI:
10.1016/j.pain.2008.06.022
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发表时间:
2008-10-31
期刊:
影响因子:
7.4
通讯作者:
Burant CJ
Burant CJ
中科院分区:
医学1区
文献类型:
--
作者:
Palermo TM;Lewandowski AS;Long AC;Burant CJ

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儿童活动受限访谈(卡利)是一项旨在评估学龄儿童慢性疼痛所致功能障碍的措施。在这项研究中,我们提出了一个自我报告问卷版本的卡利(卡利-21),扩展了原来的采访措施。本研究的目的是提供内部一致性,交叉信息的可靠性和结构效度的卡利-21的儿童和青少年慢性疼痛的临床样本。155名慢性疼痛儿童和青少年(65名男性,90名女性;年龄8-18岁,M = 14.31,SD =2.45)在儿科疼痛管理诊所的咨询访视时完成了问卷调查,作为其诊所就诊程序的一部分。进行了探索性因素分析,以衡量更广泛的功能障碍领域内的潜在结构。探索性因素分析的结果产生了两个因素,代表父母和孩子报告中的活动和常规活动的限制。父母和孩子的总卡利分数与疼痛强度的措施,但是,不同的模式之间的相关性出现年龄,疼痛强度,抑郁症状,和活动和常规因素。卡利-21显示出良好的内部一致性,高的交叉信息可靠性,并证明了结构效度。卡利-21通过问卷形式增加了评估儿童疼痛相关活动受限的灵活性。因子分析扩展了儿童所经历的特定类型的活动限制的信息。
The Child Activity Limitations Interview (CALI) is a measure designed to assess functional impairment due to chronic pain in school-age children. In this study, we present a self-report questionnaire version of the CALI (the CALI-21) that extends the original interview measure. The purpose of the current study was to provide internal consistency, cross-informant reliability and construct validity of the CALI-21 on a clinical sample of children and adolescents with chronic pain conditions. One hundred fifty-five children and adolescents (65 males, 90 females; ages 8–18 years, M = 14.31, SD =2.45) with chronic pain completed questionnaires as part of their clinic intake procedures at their consultation visit in a pediatric pain management clinic. An exploratory factor analysis was conducted to measure latent constructs within the broader domain of functional impairment. Results of the exploratory factor analysis yielded two factors representing limitation in Active and Routine activities on both parent and child report. Parent and child total CALI scores correlated with measures of pain intensity, however, different patterns of correlations emerged between age, pain intensity, depressive symptoms, and the Active and Routine factors. The CALI-21 showed good internal consistency, high cross-informant reliability, and demonstrated construct validity. The CALI-21 provides increased flexibility via the questionnaire format in the assessment of pain-related activity limitations in children. Factor analysis extends information about specific types of activity limitations experienced by children.
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