Reliability and validity of the Spanish version of the TAPQOL: A health-related quality of life (HRQOL) instrument for 1- to 5-year-old children
Reliability and validity of the Spanish version of the TAPQOL: A health-related quality of life (HRQOL) instrument for 1- to 5-year-old children
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DOI：
10.1016/j.ijnurstu.2010.09.004
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发表时间：
2011-05-01
影响因子：
8.1
通讯作者：
Alonso, Jordi
中科院分区：
文献类型：
--
作者：
Rajmil, Luis;Abad, Sandra;Alonso, Jordi
目的：评估西班牙版 TNO-AZL 学龄前儿童生活质量 (TAPQOL) 的可靠性和有效性。方法：从西班牙的初级保健中心和两家教学医院招募连续的儿童样本（3 个月至 5 岁）。向家长进行了 TAPQOL 和一系列与孩子健康状况相关的问题。临床诊断是从临床记录中收集的。采用最大方差旋转的主成分分析 (PCA) 来分析仪器的结构。使用效应量 (ES) 和方差分析 (ANOVA) 来分析已知健康状况不佳的亚组与健康亚组之间的差异。结果：共有 228 名儿童参与了该研究（应答率 = 95%）。 12 个量表中有 10 个量表显示出超过 30% 的天花板效应。除一个维度外，所有维度的 Cronbach's alpha 系数都大于 0.7。 PCA 解释了 75% 的方差。一般来说，健康儿童的得分高于其他亚组。存在健康状况不佳风险和患有呼吸系统问题的儿童在多个量表中的得分均低于健康亚组。 结论：尽管西班牙 TAPQOL 显示出不可忽视的天花板效应，但它对于西班牙婴幼儿来说似乎是一个可靠且有效的工具，并且具有与原始版本相似的心理测量特征。未来的研究应尝试改进问卷结构并评估其对变化的敏感性。 (C) 2010 Elsevier Ltd. 保留所有权利。
Objectives: To evaluate the reliability, and construct validity of the Spanish version of the TNO-AZL preschool children quality of life (TAPQOL).Methods: A consecutive sample of children (3 months to 5 years old) was recruited from primary care centers and two teaching hospitals in Spain. The TAPQOL and a set of questions related to their child's health status were administered to parents. Clinical diagnoses were collected from clinical records. Principal component analysis (PCA) with varimax rotation was used to analyze the instrument's structure. Effect size (ES) and analysis of variance (ANOVA) were used to analyze differences between subgroups known to be in poor health compared to the healthy subgroup.Results: A total of 228 children participated in the study (response rate = 95%). Ten of the 12 scales showed more than 30% ceiling effect. All dimensions except one had Cronbach's alpha coefficients greater than 0.7. PCA explained 75% of the variance. Healthy children in general had better scores than the other subgroups. Children at risk of poor health outcomes and those with respiratory problems scored lower in several scales than the healthy subgroup.Conclusions: Although the Spanish TAPQOL shows a non-negligible ceiling effect, it seems to be a reliable and valid instrument for Spanish infants and toddlers, and with similar psychometric characteristics to the original version. Future studies should try to improve questionnaire's structure and assess its sensitivity to change. (C) 2010 Elsevier Ltd. All rights reserved.