摘要
目的:分析中文版高肌张力评估工具(HAT)在脑性瘫痪儿童人群评估中的信度、效度等心理测量学特征,为HAT在国内推广应用提供临床依据。方法:33例4—13岁(男24例,女9例,平均月龄84.24±34.36)的脑性瘫痪儿童参加此项研究,使用校正Kappa(PABAK)测定HAT的重测信度、评价者间信度;以小儿神经专科医师对33例脑性瘫痪儿童的高肌张力类型评价结果为效标确定HAT的效度。结果:HAT在鉴别肢体高肌张力类型方面具有良好的重测信度(PABAK=0.82—1),同时具有良好的评价者间信度(PABAK=0.77—1);HAT与小儿神经专科医师的高肌张力类型评价结果间具有极好的一致性(PABAK=0.81—1)。结论:中文版HAT的信度和效度指标满足心理测量学要求,可以作为测量中国脑性瘫痪儿童的高肌张力类型的工具。
Objective: To analyze the psychometric characters of Chinese version of hypertonia assessment tool (HAT) for children with cerebral palsy: reliability and validity. Method: The HAT was administered in 33 children (24 males and 9 females, mean age 84.24 months, SD 34.36 months, age range 4—13 years) with cerebral palsy. Pediatric neurological examination provided the gold standard diagnosis. Test-retest reliability, interrater reliability and criterion validity were assessed using prevalence and bias-adjusted kappa (PABAK). Result: Test-retest reliability was good for assessing types of hypertomia: spasticity, dystonia and the absence of rigidity(PABAK=0.82—1). Interrater reliability was excellent for the three subtypes of hypertonia(PABAK= 0.87—1), but was substantial for item 4 which was identified the spasticity(PABAK=0.77).Criterion validity was excellent for assessing types of hypertomia: spasticity, dystonia and the absence of rigidity(PABAK=0.81—1). Conclusion: This study extends the reliability and validity of Chinese version of HAT with supporting its use in clinical practice and research and satisfying the psychometric demands. Chinese version of HAT can be uti- lized to classify the hypertonia for children with cerebral palsy in China. Author's address Guangzhou Women and Children's Medical Center, Guangzhou, 510120.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2014年第8期726-730,共5页
Chinese Journal of Rehabilitation Medicine
基金
广州市科技计划项目
广东省医学科研基金资助项目(A2013514)
关键词
高肌张力评估工具
高肌张力
脑性瘫痪
信度
效度
hypertonia assessment tool
hypertonia
cerebral palsy
reliability
validity