Cross-Cultural Validation Study of the Japanese Version of the ABILOCO-Kids in Ambulatory Children With Cerebral Palsy Using Rasch Analysis
Cross-Cultural Validation Study of the Japanese Version of the ABILOCO-Kids in Ambulatory Children With Cerebral Palsy Using Rasch Analysis
复制标题
使用 Rasch 分析对日文版 ABILOCO-Kids 在脑瘫门诊儿童中的跨文化验证研究
DOI：
10.1080/01942638.2019.1609150
复制
发表时间：
2019
影响因子：
2.1
通讯作者：
Mori Mitsuru
中科院分区：
文献类型：
--
作者：
Himuro Nobuaki;Nishibu Hisato;Abe Hirokazu;Mori Mitsuru
目的：检验日文版ABILOCO-KIDS量表在脑瘫儿童中的结构效度、结构效度、跨文化效度、内部一致性和重测信度。方法：116名脑瘫儿童家长(粗大运动功能分类系统I级[n= 66]、II级[n= 32]和III级[n= 18])采用日文版ABILOCO-KIDS对行走能力进行评估。结果：ABILOCO-Kids Logit平均得分为2.48(范围-7.44~5.83)。采用Rasch分析和主成分分析进行结构效度检验。根据粗大运动功能分类系统不同等级之间ABILOCO-Kids评分的差异，确认结构效度。克朗巴赫的α和项目与总分的相关系数支持内部一致性。类内相关系数为0.96，测量标准偏差为0.56，最小可检测偏差为1.55。项目难度不变性分析和人的能力估计的跨文化效度分析表明，项目功能存在差异。结论：ABILOCO-Kids是日本脑瘫儿童行走能力的一种可靠、有效的测量工具。缺乏关于跨文化效度的证据表明，在进行国际比较时，我们应该谨慎地解读结果。
Aims: To determine the structural validity, construct validity, cross-cultural validity, internal consistency and test–retest reliability of the Japanese version of the ABILOCO-Kids in children with cerebral palsy.Methods: One-hundred sixteen parents of children with cerebral palsy (Gross Motor Function Classification System level I [n= 66], II [n= 32], and III [n= 18]) reported on walking ability using the Japanese version of the ABILOCO-Kids. For test–retest reliability, 23 participants were evaluated.Results: The mean ABILOCO-Kids logit score was 2.48 (range –7.44 to 5.83). Rasch analysis and principal component analysis were used to determine the structural validity. The construct validity was confirmed on the basis of differences in the ABILOCO-Kids scores among the Gross Motor Function Classification System levels. Cronbach’s α and the item-to-total correlation coefficient supported the internal consistency. The intra-class correlation coefficient was 0.96, standard error of measurement 0.56 and minimal detectable change 1.55. The cross-cultural validity analyses showed differential item functioning according to the analyses of the invariance of item difficulty and person’s ability estimates.Conclusions: The ABILOCO-Kids is a reliable and valid measure of walking ability in children with cerebral palsy in Japan. The lack of evidence on cross-cultural validity indicates we should interpret results cautiously in cases of international comparison.