Validating English- and Spanish-language patient-reported outcome measures in underserved patients with rheumatic disease.
Validating English- and Spanish-language patient-reported outcome measures in underserved patients with rheumatic disease.
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DOI：
10.1186/ar3219
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发表时间：
2011-01-05
影响因子：
4.9
通讯作者：
Mittleman BB
中科院分区：
文献类型：
--
作者：
Wallen GR;Middleton KR;Rivera-Goba MV;Mittleman BB
风湿性疾病是美国最常见和最令人衰弱的健康问题之一。这些疾病是慢性的，可导致身体和心理社会功能严重下降，影响患者的整体生活质量。对于在随机对照试验和前瞻性自然史研究中测量的最佳患者结局达成共识对于提供不同患者人群干预措施的有效性和安全性的最佳估计至关重要。对城市西班牙裔和非裔美国风湿病患者进行了面对面的英语和西班牙语认知访谈，以编制问卷小册子。包括六项验证患者报告结局的指标：关节炎自我效能量表、斯坦福大学健康评估问卷残疾指数、Wong-Baker面部疼痛量表、短期适应量表、流行病学研究中心抑郁量表和补充和替代医学实践清单。参加国家关节炎、肌肉骨骼和皮肤疾病研究所社区卫生中心的患者样本（n = 15）参加了最初的访谈。在健康中心登记后，在单独的患者样本（n = 109）中进一步测试了修订后的测量方法的可靠性。认知访谈为问卷的修改和提高内容有效性和数据质量的方法提供了反馈，包括丢弃多余的问题，酌情提供直观教具和具体例子，以及更多地使用种族和族裔一致的访谈者。认知访谈进一步阐明，一些上下文的假设和语言使用的原始问卷可能没有考虑到每个受访者的环境和社会文化背景。先前测试的测量的内部可靠性仍然很高（Cronbach α = 0.87-0.94）。认知访谈技术是有用的，在一个不同的样本种族和少数民族的风湿性疾病患者作为一种方法，以评估内容效度的具体结果的措施选择。本文所述的数据收集办法和方法最终提高了数据质量。在研究或实践中选择结果指标时需要保持警惕，特别是对于每种新的语言翻译和/或文化独特或多样化的样本。
Rheumatic diseases are among the most common and debilitating health problems in the United States. These diseases are chronic, can result in severe decrements of physical and psychosocial functioning and affect patients' overall quality of life. A consensus regarding the best patient outcomes to be measured in randomized, controlled trials and prospective natural history studies is essential to provide best estimates of efficacy and safety of interventions across diverse patient populations. Face-to-face English- and Spanish-language cognitive interviews were conducted among urban Hispanic and African American patients with rheumatic disease to develop a questionnaire booklet. Six measures validating patient-reported outcomes were included: the Arthritis Self-Efficacy Scale, the Stanford Health Assessment Questionnaire Disability Index, the Wong-Baker Faces Pain Scale, the Short Acculturation Scale, the Center for Epidemiologic Studies Depression Scale and the Inventory of Complementary and Alternative Medicine Practices. A sample of patients (n = 15) attending the National Institute of Arthritis and Musculoskeletal and Skin Diseases Community Health Center participated in the initial interviews. Revised measures were further tested for reliability in a separate sample of patients (n = 109) upon enrollment at the health center. Cognitive interviews provided feedback for questionnaire modifications and methods to enhance content validity and data quality, including discarding redundant questions, providing visual aids and concrete examples when appropriate and increasing the use of racially and ethnically concordant interviewers. The cognitive interviews further elucidated that some contextual assumptions and language usage in the original questionnaires may not have taken each respondent's environmental and sociocultural context into consideration. Internal reliability for previously tested measures remained high (Cronbach's α = 0.87-0.94). Cognitive interviewing techniques are useful in a diverse sample of racial and ethnic minority patients with rheumatic disease as a method to assess the content validity of the specific outcome measures selected. The data collection approaches and methods described here ultimately enhance data quality. Vigilance is required in the selection of outcome measures in studies or in practice, particularly with each new language translation and/or culturally unique or diverse sample.
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DOI：
10.1002/art.23307
发表时间：
2008-03-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Sleath, Betsy;Callahan, Leigh F.;Beard, Ashley
通讯作者：
Beard, Ashley
影响因子：
4.1
作者：
Strahl, C;Kleinknecht, RA;Dinnel, DL
通讯作者：
Dinnel, DL
影响因子：
3
作者：
Sox, Harold C.
通讯作者：
Sox, Harold C.
影响因子：
7.4
作者：
Brown, SC;Glass, JM;Park, DC
通讯作者：
Park, DC
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S