Revisiting a measure of child postoperative recovery: development of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery.
Revisiting a measure of child postoperative recovery: development of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery.
复制标题
DOI：
10.1111/pan.12678
复制
发表时间：
2015-07
期刊：
影响因子：
--
通讯作者：
Fortier MA
中科院分区：
文献类型：
--
作者：
Jenkins BN;Kain ZN;Kaplan SH;Stevenson RS;Mayes LC;Guadarrama J;Fortier MA
采用住院后行为问卷（PHBQ）评估患儿住院后及术后新发行为变化。然而，在过去的五十年中，尽管手术实践发生了重大变化，但该量表的心理测量特性尚未重新评估。在这项研究中，我们检查了PHBQ的心理测量特性，以潜在地增加该仪器在当前围手术期环境中的有效性和相关性。本研究使用主成分分析，专家小组，克朗巴赫的α，和相关性，以检查当前的子量表结构的PHBQ和消除项目，以创建门诊手术后住院行为问卷（PHBQ-AS）。为了本文的目的，结合了使用PHBQ的既往研究（N = 1064，法师= 5.88）的数据。主成分分析表明，PHBQ的原始分量表结构不能被复制。随后，利用主成分分析和专家小组进行组合缩减，以消除量表的子量表结构，并将项目数从27个减少到11个，从而创建PHBQ-AS。PHBQ-AS表现出良好的内部一致性的信度和并行效度与另一项措施的儿童的心理和身体功能。修订前一个分量表结构，减少PHBQ中的项目数量，以创建PHBQ-AS，可以通过减少给药时间和消除项目冗余来减轻术后行为评估的负担，并可以更准确地测量儿童术后行为变化。
The Post Hospitalization Behavior Questionnaire (PHBQ) was designed for assessing children’s post-hospitalization and postoperative new-onset behavioral changes. However, the psychometric properties of the scale have not been re-evaluated in the past five decades despite substantial changes in the practice of surgery. In this investigation, we examined the psychometric properties of the PHBQ to potentially increase the efficacy and relevance of the instrument in current perioperative settings. This study used principal components analysis, a panel of experts, Cronbach’s alpha, and correlations to examine the current subscale structure of the PHBQ and eliminate items to create the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS). Data from previous investigations (N = 1064, Mage = 5.88) which utilized the PHBQ were combined for the purposes of this paper. A principal components analysis revealed that the original subscale structure of the PHBQ could not be replicated. Subsequently, a battery reduction, which utilized principal components analysis and a panel of experts, was used to eliminate the subscale structure of the scale and reduce the number of items from 27 to 11, creating the PHBQ-AS. The PHBQ-AS demonstrated good internal consistency reliability and concurrent validity with another measure of children’s psychosocial and physical functioning. Revising the former subscale structure and reducing the number of items in the PHBQ to create the PHBQ-AS may provide a means for reducing the burden of post-operative behavioral assessment through decreasing time of administration and eliminating redundancy of items and allow for more accurate measurement of child postoperative behavioral changes.
登录
查看更多内容
影响因子：
1.7
作者：
Fortier, Michelle A.;Del Rosario, Antonio M.;Kain, Zeev N.
通讯作者：
Kain, Zeev N.
影响因子：
1.7
作者：
Kain, Zeev N.;Maclaren, Jill;Mayes, Linda
通讯作者：
Mayes, Linda
影响因子：
1.7
作者：
Stargatt, Robyn;Davidson, Andrew J.;Jamsen, Kris
通讯作者：
Jamsen, Kris
影响因子：
1.7
作者：
Beringer, Richard M.;Segar, Philip;Kilpatrick, Nicky
通讯作者：
Kilpatrick, Nicky
影响因子：
3.6
作者：
WALKER, LS;GREENE, JW
通讯作者：
GREENE, JW