Validation of Portuguese-translated computer touch-screen questionnaires in patients with rheumatoid arthritis and spondyloarthritis, compared with paper formats
Validation of Portuguese-translated computer touch-screen questionnaires in patients with rheumatoid arthritis and spondyloarthritis, compared with paper formats
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DOI：
10.1007/s00296-015-3347-5
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发表时间：
2015-12-01
影响因子：
4
通讯作者：
Silva, Tiago
中科院分区：
文献类型：
--
作者：
Cunha-Miranda, Luis;Santos, Helena;Silva, Tiago
本文的目的是评估触摸屏标准葡萄牙语版本的以下患者报告结局（PRO）在类风湿性关节炎（RA）和脊柱关节炎患者中的有效性和可靠性，与纸质格式相比：Bath强直性脊柱炎疾病活动指数（BASDAI）、Bath强直性脊柱炎功能指数（BASFI）、强直性脊柱炎生活质量量表（ASQoL），测量疼痛和疾病负担的简明健康量表（SF-36）、健康评估问卷（HAQ）和视觉模拟量表（VAS）。从2013年3月至2014年1月招募了在葡萄牙风湿病研究所就诊的RA和脊柱关节炎成人患者。患者填写标准葡萄牙语版本PRO的纸质和触摸屏格式。使用两组VAS，RA和银屑病关节炎（Global VAS）和另一组特定于脊柱关节炎（Spa-VAS）。在触摸屏格式之前15分钟填写纸质问卷。格式之间的协议（有效性）进行了评估组内相关系数（ICC），而内部一致性的规模（可靠性）进行了评估Cronbach的α。总体而言，134例患者入选，平均年龄为51岁，74.6%为女性，57.5%为RA患者。BASDAI、BASFI、HAQ和ASQoL显示出纸张和触摸屏格式之间的高ICC（分别为0.977、0.958、0.974和0.940）。整体VAS的ICC范围为0.906 - 0.921，而Spa-VAS范围为0.867 - 0.943。所有SF-36领域的平均ICC为0.889（每个领域的ICC范围为0.781 - 0.944）。这些PRO的触摸屏标准葡萄牙语格式可能是流变学中PRO测量的有效和可靠的工具。
The aim of this paper was to assess the validity and reliability of the touch-screen standard Portuguese version of the following patient-reported outcomes (PROs), compared with paper format, in patients with rheumatoid arthritis (RA) and spondyloarthritis: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life scale (ASQoL), Short-Form 36 (SF-36), Health Assessment Questionnaire (HAQ) and visual analogue scales (VAS) measuring pain and burden of disease. Adult patients with RA and spondyloarthritis attending the Portuguese Institute of Rheumatology were recruited from March 2013 to January 2014. Patients filled the paper and touch-screen formats of the standard Portuguese versions of the PROs. Two groups of VAS were used, RA and psoriatic arthritis (Global VAS) and another specific for spondyloarthrites (Spa-VAS). Paper questionnaires were filled 15 min before touch-screen formats. Agreement between formats (validity) was assessed by intraclass correlation coefficient (ICC), while internal consistency of scales (reliability) was assessed by Cronbach's alpha. Overall, 134 patients were included with a mean age of 51 years, 74.6 % female and 57.5 % presenting RA. BASDAI, BASFI, HAQ and ASQoL showed high ICC between paper and touch-screen formats (0.977, 0.958, 0.974 and 0.940, respectively). ICC for Global VAS ranged from 0.906 to 0.921, while Spa-VAS ranged from 0.867 to 0.943. The mean ICC for all SF-36 domains was 0.889 (ICC for each domain ranged from 0.781 to 0.944). Touch-screen standard Portuguese formats of these PROs may be valid and reliable tools for PRO measurement in rheumatology.