Measurement of functional status in juvenile chronic arthritis: evaluation of a Swedish version of the Childhood Health Assessment Questionnaire.
Measurement of functional status in juvenile chronic arthritis: evaluation of a Swedish version of the Childhood Health Assessment Questionnaire.
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青少年慢性关节炎功能状态的测量：瑞典版儿童健康评估问卷的评估。
DOI：
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发表时间：
1993
影响因子：
3.7
通讯作者：
I. Wiklund
中科院分区：
文献类型：
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作者：
B. Andersson;Anders Fasth;I. Wiklund
很少有经过良好验证的自我和/或父母管理的仪器可用于测量患有风湿病的儿童的功能状态。斯坦福健康评估问卷（HAQ）的部分内容已被改编用于所谓的儿童HAQ。本研究的目的是调查该仪器在瑞典设置的有效性。儿童HAQ被用于参与瑞典西南部一项基于人群的青少年慢性关节炎（JCA）随访研究的186名患者和211名患者。采用EULAR标准纳入。9岁以上的儿童自我报告。通过重测、观察者间相关性和内部信度评估的信度非常好。通过残疾指数、疼痛和晨僵与疾病活动度和Steinbrocker功能分类的强相关性，证明了收敛效度。判别效度是由该工具评估患者活跃或缓解的能力证明的。因此，当使用父母或9岁以上的儿童作为响应者时，儿童HAQ在瑞典设置中显示出出色的测量性能。
Few well-validated self-and/or parent-administered instruments are available for measuring functional status in children with rheumatic diseases. Parts of the Stanford Health Assessment Questionnaire (HAQ) have been adapted for use in children in the so-called Child HAQ. The aim of this study was to investigate the validity of this instrument in a Swedish setting. The Child HAQ was administered to 186 patients and 211 patients participating in a population-based follow-up study of juvenile chronic arthritis (JCA) in southwestern Sweden. The EULAR criteria were used for inclusion. Children who were 9 years of age or older self-reported. Reliability, evaluated by test-retest, inter-observer correlations and internal reliability, was excellent. Convergent validity was demonstrated by strong correlations of the disability index, pain, and morning stiffness with disease activity and the Steinbrocker functional classes. Discriminant validity was evidenced by the capacity of the instrument to evaluate patients as being active or in remission. Thus, the Child HAQ showed excellent measurement performance in a Swedish setting when using parents or children more than 9 years old as responders.