Health-related quality of life for children with anterior cruciate ligament deficiency: Ensuring content validity of the new KIDS-KNEES-ACL questionnaire

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-08-05 DOI:10.1002/ksa.12393

Christian Fugl Hansen, John Brandt Brodersen, Michael Rindom Krogsgaard

{"title":"Health-related quality of life for children with anterior cruciate ligament deficiency: Ensuring content validity of the new KIDS-KNEES-ACL questionnaire","authors":"Christian Fugl Hansen, John Brandt Brodersen, Michael Rindom Krogsgaard","doi":"10.1002/ksa.12393","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>The existing knee-specific pediatric patient-reported outcome measures (PROMs) lack content and construct validity for children with anterior cruciate ligament (ACL) injury. This impairs their accuracy which can lead to false interpretations of data and inaccurate clinical guidelines. The purpose of this study was to develop a content-valid PROM for children with an ACL injury.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The process adhered to the COnsensus-based Standards for the selection of health Measurement INstruments guidelines for PROM development. Informants were children with ACL deficiency and sampled based on age, sex, and treatment. Semistructured interviews were conducted exploring themes within the International Classification of Functioning, Disability and Health model. Interviews continued beyond data saturation. By thematic analysis and by probing items from the adult PROM ‘KNEES-ACL’, new themes and items emerged. Content coverage, relevance and understandability were continuously evaluated. All interviews were recorded and transcribed verbatim. The NVivo 12 software was used for data analysis and coding of items.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A PROM of 60 items across nine subscales was formed. From cognitive interviews, 19 new items emerged. Forty-one of 55 items from KNEES-ACL were endorsed as relevant; however, all required rewording to ensure understandability. Substantial differences in the psychosocial impact between adults and children were observed. The children experienced a more considerable negative psychosocial impact caused by a loss of participation in sports, lower self-confidence and loss of social networks. This resulted in four new domains. The physical issues were similar to adults, with few exceptions.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The ‘KIDS-KNEES-ACL’ 1.0 (qualitative version) was developed. This version will be subjected to psychometric analysis, resulting in adequate measurement properties of the final KIDS-KNEES-ACL 2.0. As the only adequate pediatric ACL-specific PROM, its use in clinical trials and databases will enhance PROM data quality, and strengthen clinical guidelines and thus the treatment of children with ACL injury.</p>\n </section>\n \n <section>\n \n <h3> Level of Evidence</h3>\n \n <p>Not applicable</p>\n </section>\n </div>","PeriodicalId":17880,"journal":{"name":"Knee Surgery, Sports Traumatology, Arthroscopy","volume":"33 2","pages":"555-566"},"PeriodicalIF":3.3000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knee Surgery, Sports Traumatology, Arthroscopy","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ksa.12393","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

The existing knee-specific pediatric patient-reported outcome measures (PROMs) lack content and construct validity for children with anterior cruciate ligament (ACL) injury. This impairs their accuracy which can lead to false interpretations of data and inaccurate clinical guidelines. The purpose of this study was to develop a content-valid PROM for children with an ACL injury.

Methods

The process adhered to the COnsensus-based Standards for the selection of health Measurement INstruments guidelines for PROM development. Informants were children with ACL deficiency and sampled based on age, sex, and treatment. Semistructured interviews were conducted exploring themes within the International Classification of Functioning, Disability and Health model. Interviews continued beyond data saturation. By thematic analysis and by probing items from the adult PROM ‘KNEES-ACL’, new themes and items emerged. Content coverage, relevance and understandability were continuously evaluated. All interviews were recorded and transcribed verbatim. The NVivo 12 software was used for data analysis and coding of items.

Results

A PROM of 60 items across nine subscales was formed. From cognitive interviews, 19 new items emerged. Forty-one of 55 items from KNEES-ACL were endorsed as relevant; however, all required rewording to ensure understandability. Substantial differences in the psychosocial impact between adults and children were observed. The children experienced a more considerable negative psychosocial impact caused by a loss of participation in sports, lower self-confidence and loss of social networks. This resulted in four new domains. The physical issues were similar to adults, with few exceptions.

Conclusion

The ‘KIDS-KNEES-ACL’ 1.0 (qualitative version) was developed. This version will be subjected to psychometric analysis, resulting in adequate measurement properties of the final KIDS-KNEES-ACL 2.0. As the only adequate pediatric ACL-specific PROM, its use in clinical trials and databases will enhance PROM data quality, and strengthen clinical guidelines and thus the treatment of children with ACL injury.

Level of Evidence

Not applicable

查看原文本刊更多论文

前交叉韧带缺损儿童的健康相关生活质量：确保新版 KIDS-KNEES-ACL 问卷内容的有效性。

目的：对于前交叉韧带（ACL）损伤的儿童而言，现有的针对膝关节的儿科患者报告结果测量（PROMs）缺乏内容和结构的有效性。这影响了其准确性，可能导致错误的数据解释和不准确的临床指南。本研究的目的是为前十字韧带损伤的儿童开发内容有效的 PROM：方法：研究过程遵循了《基于共识的健康测量工具选择标准》（Consensus-based Standards for the selection of health Measurement INstruments）中关于PROM开发的指导原则。受访者为患有前交叉韧带损伤的儿童，根据年龄、性别和治疗情况进行抽样。我们进行了结构化访谈，探讨国际功能、残疾和健康分类模型中的主题。访谈持续到数据饱和之后。通过主题分析和对成人 PROM "KNEES-ACL "项目的探究，出现了新的主题和项目。对内容覆盖面、相关性和可理解性进行了持续评估。所有访谈都进行了录音和逐字记录。采用 NVivo 12 软件进行数据分析和项目编码：结果：形成了包含 9 个分量表 60 个项目的 PROM。认知访谈中出现了 19 个新项目。在 KNEES-ACL 的 55 个项目中，有 41 个项目被认为是相关的；不过，所有项目都需要重新措辞以确保易懂。成人和儿童在社会心理影响方面存在巨大差异。儿童因无法参加体育活动、自信心下降和失去社交网络而受到的负面社会心理影响更为严重。这导致了四个新的领域。除少数例外情况外，身体问题与成人相似：结论：已开发出 "KIDS-KNEES-ACL "1.0（定性版）。结论："KIDS-KNEES-ACL "1.0（定性版）已开发完成，将对该版本进行心理测量分析，以确保最终的 "KIDS-KNEES-ACL 2.0 "具有充分的测量特性。作为目前唯一的小儿前交叉韧带专用PROM，在临床试验和数据库中使用该PROM将提高PROM数据质量，加强临床指南，从而改善前交叉韧带损伤儿童的治疗：证据等级：不适用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).