Development, Content Validity, and Test-Retest Reliability of a Childhood Hydrocephalus Severity Scale.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Pediatric Neurosurgery Pub Date : 2025-02-13 DOI:10.1159/000544165

Olufemi Emmanuel Idowu, Jeuel Ogooluwa Idowu

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引用次数: 0

Abstract

Introduction: This study aimed to develop and validate a reliable, multidomain scale for assessing childhood hydrocephalus severity and to enhance communication, guide treatment decisions, and improve patient care.

Methods: A stepwise consensus approach informed by a modified Delphi technique was employed. Healthcare professionals participated in anonymous surveys and face-to-face meetings to define the core domains of the scale. Content validity, internal consistency, and inter-rater reliability were assessed.

Results: The Delphi process yielded a refined 7-item, 10-point Childhood Hydrocephalus Severity Scale (CHS) focusing on age, Evans index, associated malformations, neurological deficit, intraventricular hemorrhage, and mid-arm circumference. Content validity analysis using the Content Validity Index (CVI) demonstrated strong agreement (mean I-CVI = 0.91) among experts regarding the relevance of CHS items. All individual item CVI scores exceeded 0.8, supporting the inclusion of each factor. The CHS exhibited excellent internal consistency (Cronbach's alpha = 0.988). High intraclass correlation coefficients (ICCs) were observed for both single measures (ICC = 0.902, 95% CI: 0.862-0.931) and average measures (ICC = 0.985, 95% CI: 0.978-0.990), indicating near-perfect agreement between raters. Both ICC values were statistically significant (p < 0.001).

Conclusion: The CHS demonstrates promising potential as a reliable and valid tool for childhood hydrocephalus severity assessment. This scale has the potential to enhance communication, guide treatment decisions, and improve patient care in childhood hydrocephalus.

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儿童脑积水严重程度量表的编制、内容效度和重测信度。

本研究旨在开发和验证一种可靠的、多领域的儿童脑积水严重程度评估量表，以加强沟通、指导治疗决策和改善患者护理。方法：采用改进的德尔菲技术逐步达成共识的方法。医疗保健专业人员参与了匿名调查和面对面会议，以定义该量表的核心领域。评估了内容效度、内部一致性和评分者间信度。结果：德尔菲过程产生了一个精细的7项，10分儿童脑积水严重程度量表（CHS），重点是年龄，埃文斯指数，相关畸形，神经功能缺损，脑室内出血和中臂围。使用内容效度指数（CVI）的内容效度分析显示，专家对CHS项目相关性的一致性很强（平均I-CVI = 0.91）。所有单项CVI得分均超过0.8，支持各因素的纳入。CHS具有良好的内部一致性（Cronbach’s alpha = 0.988）。单测量（ICC = 0.902, 95% CI: 0.862-0.931）和平均测量（ICC = 0.985, 95% CI: 0.978-0.990）均观察到高类内相关系数（ICC），表明评分者之间几乎完全一致。两个ICC值均有统计学意义（p < 0.001）。结论：CHS可作为儿童脑积水严重程度评估的可靠有效工具。该量表具有加强沟通、指导治疗决策和改善儿童脑积水患者护理的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Neurosurgery 医学-临床神经学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Articles in ''Pediatric Neurosurgery'' strives to publish new information and observations in pediatric neurosurgery and the allied fields of neurology, neuroradiology and neuropathology as they relate to the etiology of neurologic diseases and the operative care of affected patients. In addition to experimental and clinical studies, the journal presents critical reviews which provide the reader with an update on selected topics as well as case histories and reports on advances in methodology and technique. This thought-provoking focus encourages dissemination of information from neurosurgeons and neuroscientists around the world that will be of interest to clinicians and researchers concerned with pediatric, congenital, and developmental diseases of the nervous system.