The development of the vanderbilt pediatric dizziness handicap inventory for patient caregivers (DHI-PC)

The development of the vanderbilt pediatric dizziness handicap inventory for patient caregivers (DHI-PC)
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DOI:
10.1016/j.ijporl.2015.07.017
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发表时间:
2015-10-01
影响因子:
1.5
通讯作者:
Kemph, Alison J.
Kemph, Alison J.
中科院分区:
医学4区
文献类型:
--
作者:
McCaslin, Devin L.;Jacobson, Gary P.;Kemph, Alison J.

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目的:本调查的目的是开发一个心理测量健全的头晕残疾/残疾的结果措施,用于与5和12岁之间的儿童人口age.Methods:项目,包括第1阶段的DHI-PC创建的基础上,从父母,供应商和患者的报告。对86例儿科患者(平均年龄9岁,标准差= 2.83岁,45例女性)的护理者(平均年龄31.6岁,标准差5岁,74例女性)使用该版本。护理人员对每个项目的反应仅限于“是”(得分为4分),“有时”(得分为2分)或“否”(得分为0分)。结果:因子分析的规模第1阶段显示,有一个单一的因素(特征值为11.51),解释总方差的29%。Cronbach α分析的结果使我们能够消除15个项目,将量表减少到25个项目(即DHI-PC的第2阶段)。在排除项目-总系数低的项目后,对56名法律的监护人(平均患者年龄8岁,标准差4.65岁,37名女性)进行了DHI-PC的第二阶段。对这些数据的分析再次表明,有一个单一的因素(特征值为8.30),解释了33%的方差。四个项目的项目与总相关性小于0.40。最终版本的DHI-PC有21个项目,最高得分为84%。对10名患者(护理人员,平均年龄38岁,标准差= 7岁,10名女性)的一个子集评估了该DHI-PC的短期重测信度(即,测试和重测之间的3周间隔)。结果表明,该量表的短期重测信度较好(r = 0.98,p
Purpose: The purpose of the present investigation was to develop a psychometrically sound dizziness disability/handicap outcome measure for use with a pediatric population between 5 and 12 years of age.Methods: Items comprising Phase 1 of the DHI-PC were created based on reports from parents, providers and patients. This version was administered to the caregivers (mean age 31.6 years, sd 5 years, 74 female) of 86 pediatric patients (mean age 9 years, sd = 2.83 years, 45 female). The caregiver's responses to each item were limited to "yes" (scored as 4 points), "sometimes" (scored as 2 points) or "no" (scored as zero points).Results: A factor analysis for Phase 1 of the scale showed there to be a single factor (eigenvalue of 11.51) that explained 29% of the total variance. The results of Cronbach's alpha analysis enabled us to eliminate 15 items reducing the scale to 25 items (i.e. Phase 2 of the DHI-PC). Following elimination of the items with low item-total coefficients, the second phase of the DHI-PC was administered to 56 legal guardians (mean patient age 8 years, sd 4.65 years, 37 female). The analysis of this data again showed there to be a single factor (eigenvalue of 8.30) that explained 33% of the variance. Four items demonstrated item-total correlations less than 0.40. The final version of the DHI-PC has 21 items and a maximum score of 84%. Short-term test-retest reliability (i.e. three week interval between test and retest) of this DHI-PC was assessed for a subset of 10 patients (caregivers, mean age 38 years, sd = 7 years, 10 female). The results indicated the short-term, test-retest reliability to be strong (r = 0.98, p