女运动员定期健康评价(PHE FA)调查的编制及重测信度。

IF 1.9 4区医学 Q2 ORTHOPEDICS

Physician and Sportsmedicine Pub Date : 2023-12-01 Epub Date: 2022-12-22 DOI:10.1080/00913847.2022.2158386

Neil Gordon Stevenson, Rachel Harris, Jemima Montag, Sharon Stay, Nirmala K Panagodage Perera

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引用次数: 0

摘要

目的:探讨澳大利亚优秀女运动员对定期健康评估的看法及其感知健康需求的调查，并评估其重测信度。方法:采用结构化三阶段调查编制法，编制女运动员定期健康评价(PHE FA)调查。最初，进行文献回顾和差距分析以确定主题和问题(第一阶段)。调查问题包括人口统计信息(n = 9);与运动相关的医学筛查(n = 19)和健康需求与信息(n = 7)(第二阶段)。然后评估调查的测试-重测信度(第三阶段)。通过Checkbox©调查软件(Checkbox Technology Inc.， San Francisco, CA)，对七个完成调查的高水平女运动员进行了有目的的抽样调查，间隔3周，两次完成调查。用类内相关系数(ICC)评估重测信度。结果:运动员平均年龄29岁(SD 4岁，范围24 ~ 34岁)。他们都是身体健全的运动员，71%的人参加了团队运动。86%的运动员参加过世界锦标赛，71%的运动员参加过奥运会。所有项目的平均ICC为0.998 (95% CI 0.997-0.998, p = 0.000)，表明两个时间点之间的测量具有极好的一致性。所有运动员都更喜欢运动和运动医学医师来指导他们的PHE, 86%的运动员更喜欢女医生。感兴趣的关键话题是盆底健康，包括尿失禁(100%);生育能力(86%);怀孕(71%);精神和情感健康(71%)。面对面的教育是接受健康信息的首选方式。结论:PHE FA调查是与运动员和其他关键利益相关者共同创建的。PHE FA调查的高测试-重测试信度表明两个时间点之间的测量具有良好的一致性。使用PHE FA调查收集的数据可以为知情的循证政策和流程做出贡献，以支持女运动员的健康和福祉。

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The development and test-retest reliability of the periodic health evaluation for female athletes (PHE FA) survey.

Objectives: To develop and assess the test-retest reliability of a survey exploring Australian high-performance female athlete's perspectives toward the periodic health evaluation and their perceived health needs.

Methods: A structured three-phase method for survey development was used to develop the periodic health evaluation for female athletes (PHE FA) survey. Initially, a literature review and gap analysis was performed to identify themes and questions (Phase 1). Survey questions were developed covering demographic information (n = 9); sports-related medical screening (n = 19) and health needs and information (n = 7) (Phase 2). Test-retest reliability of the survey was then assessed (Phase 3). The survey was administered to a purposeful sample of seven high-performance level female athletes who completed the survey, on two separate occasions, 3 weeks apart via Checkbox© survey software (Checkbox Technology Inc., San Francisco, CA). Test-retest reliability was assessed using the intraclass correlation coefficient (ICC).

Results: The mean age of the athletes was 29 years (SD 4 years, range 24-34 years). All were able-bodied athletes and 71% participated in team sports. Eighty-six percent of athletes have competed in world championships and 71% were Olympians. The average ICC of all items was 0.998 (95% CI 0.997-0.998, p = 0.000) demonstrating excellent consistency of measures between the two time points.All the athletes preferred a Sport and Exercise Medicine Physician to conduct their PHE and 86% preferred a female doctor. The key topics of interest were pelvic floor health including incontinence (100%); fertility (86%); pregnancy (71%); and mental and emotional wellbeing (71%). Face-to-face education was the preferred option to receive health information.

Conclusions: The PHE FA survey was co-created with an athlete and other key stakeholders. Excellent consistency of measures between the two time points was indicated by the high test-retest reliability of the PHE FA survey. Data collected using the PHE FA survey can contribute to informed evidence-based policies, and processes to support the health and wellbeing of female athletes.

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.