The development and testing of PSYCHLOPS Kids: a new child-centred outcome measure
The development and testing of PSYCHLOPS Kids: a new child-centred outcome measure
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DOI：
10.1111/camh.12271
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发表时间：
2019-02-01
影响因子：
6.1
通讯作者：
Ashworth, Mark
中科院分区：
文献类型：
--
作者：
Godfrey, Emma;Aubrey, Molly;Ashworth, Mark
背景：目前还没有由来访者提出的测量方法能够捕捉儿童对通用治疗性心理健康干预措施价值的看法。我们开发了一种名为“心理障碍儿童”的新措施。它测量了对受访者个人重要性的领域，并包含定量和定性因素。我们的目标是试点这种新的结果测量并确定其心理测量特性。方法PSYCHLOPS儿童采用成人PSYCHLOPS问卷，这是一种经过验证的、可靠的、用于初级保健心理卫生的客户生成的测量方法。儿童心理障碍的发展包括一个专家小组，对戏剧治疗师进行初步测试，然后对7-13岁接受戏剧治疗的儿童进行心理测试。结果132名儿童完成了干预前后问卷调查。平均初始PSYCHLOPS Kids得分（0-12量表）为4.98 (SD: 3.42)；治疗后平均值为3.24 (SD: 3.03)；平均变化效应值为0.51。采用优势与困难问卷（SDQ）作为比较工具，由32名儿童的家长/照顾者完成；平均效应值为0.39。两种工具的效应量差异不显著（t = 1.05; p = 0.30）；PSYCHLOPS儿童问题域效应大小（平均0.68）显著大于SDQ （t = 2.06; p = 0.04）。心理障碍儿童变化项目自评的变化得分具有较强的预测力，证明了其并发效度；治疗师对改变的评估并不是改变得分的显著预测因子。PSYCHLOPS儿童与SDQ变化得分无显著相关。结论：PSYCHLOPS儿童是第一个由客户产生的心理健康结果测量，重点关注儿童普遍使用的问题。它对变化表现出适度的反应，对有效性和可靠性的测量方面进行了令人满意的测试。PSYCHLOPS Kids现在需要进一步的效度、信度和定性测试。
Background There are currently no client generated measures able to capture a child's perspective of the value of generic therapeutic mental health interventions. We have developed a new measure called 'PSYCHLOPS Kids'. It measures areas of individual importance to the respondent and contains both quantitative and qualitative elements. We aimed to pilot this new outcome measure and determine its psychometric properties. Methods PSYCHLOPS Kids was adapted from the adult PSYCHLOPS questionnaire, a validated and reliable client-generated measure used in primary care mental health. Development of PSYCHLOPS Kids involved an expert group, pilot testing with dramatherapists followed by psychometric testing with children receiving dramatherapy aged 7-13 years. Results One hundred and thirty-two children completed pre- and postintervention questionnaires. Mean initial PSYCHLOPS Kids scores (scale of 0-12) were 4.98 (SD: 3.42); mean post-therapy, 3.24 (SD: 3.03); mean effect size of change, 0.51. The Strengths and Difficulties Questionnaire (SDQ) was used as a comparator instrument completed by parent/carers of 32 children; mean effect size, 0.39. The effect size difference between both instruments was not significant (t = 1.05; p = .30); the PSYCHLOPS Kids Problem domain effect size (mean, 0.68) was significantly greater than for the SDQ (t = 2.06; p = .04). Concurrent validity was demonstrated by strong predictive power of change scores for the self-assessment of change item in PSYCHLOPS Kids; therapist-assessment of change was not a significant predictor of change scores. PSYCHLOPS Kids and SDQ change scores were not significantly correlated. Conclusions PSYCHLOPS Kids is the first client generated mental health outcome measure focussing on problems for generic use in children. It has demonstrated moderate responsiveness to change and satisfactory testing for measured aspects of validity and reliability. PSYCHLOPS Kids now requires further validity, reliability and qualitative testing.