德国中风和失语生活质量量表第39号通用版的心理测量特性。

IF 3.4 3区 医学 Q1 REHABILITATION
Caterina Breitenstein, Katerina Hilari, Annette Baumgaertner, Tanja Grewe, Agnes Flöel, Wolfram Ziegler, Peter Martus, Erich B Ringelstein, Walter Huber, Karl G Haeusler, Stefanie Bruehl, Klaus Willmes
{"title":"德国中风和失语生活质量量表第39号通用版的心理测量特性。","authors":"Caterina Breitenstein, Katerina Hilari, Annette Baumgaertner, Tanja Grewe, Agnes Flöel, Wolfram Ziegler, Peter Martus, Erich B Ringelstein, Walter Huber, Karl G Haeusler, Stefanie Bruehl, Klaus Willmes","doi":"10.23736/S1973-9087.25.08963-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The international expert consensus core outcome set for post-stroke aphasia recommends the Stroke and Aphasia Quality of Life Scale - 39/generic (SAQOL-39g) for assessing patient-reported health-related quality of life. Cultural adaptations of the SAQOL-39g are mandatory in stroke rehabilitation.</p><p><strong>Aim: </strong>We adapted the original English SAQOL-39g into German and evaluated its psychometric quality.</p><p><strong>Design: </strong>Evaluation of a self-report scale embedded in a prospective multicenter parallel group randomized waitlist-controlled trial on the effectiveness of intensive speech and language therapy.</p><p><strong>Setting: </strong>Nineteen in- and outpatient aphasia rehabilitation centers in Germany.</p><p><strong>Population: </strong>People with chronic post-stroke aphasia (N.=156) of all types and severity levels.</p><p><strong>Methods: </strong>We followed applicable guidelines for cross-cultural test adaptations and psychometric evaluations. Psychometric analyses are based on the assessment before three weeks of intensive speech and language therapy (acceptability, internal consistency, validity; N.=156), on the assessments before and after three weeks of waiting in the control group (test-retest reliability; N.=78), and on the assessments before and after three weeks of intensive speech and language therapy (responsiveness; N.=156).</p><p><strong>Results: </strong>The German SAQOL-39g was feasible across all aphasia severity grades (no missing data; no floor/ceiling effects). Internal consistency was excellent (Cronbach's α=0.90); test-retest reliability was moderate-to-good (intraclass-correlations: ICC=0.73 for single/0.85 for average measures). Both exploratory factor analyses and multidimensional scaling of proximity data/graphical network analysis supported the 3-dimensional structure (domains: physical, psychosocial, communication) of the English original version. Convergent (|r|=0.29 to 0.48) and discriminative (|r|=0.03 to 0.07) validities were acceptable. Responsiveness to intervention-induced change showed a small-to-medium treatment effect (group difference after intervention compared to waiting-list control: Cohen's d=0.34).</p><p><strong>Conclusions: </strong>The German SAQOL-39g is a reliable, valid and change-sensitive patient-reported outcome measure to assess the physical, communication and psychosocial quality of life in chronic post-stroke aphasia, with comparable psychometric properties and factorial structure to the original English version.</p><p><strong>Clinical rehabilitation impact: </strong>The German SAQOL-39g is an easy-to-administer and -score patient-reported scale that can be used in rehabilitation settings to measure health-related quality of life and support patient-centered goal setting in people with chronic post-stroke aphasia of different ages, stroke durations, severity and type of aphasia.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 3","pages":"425-436"},"PeriodicalIF":3.4000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406953/pdf/","citationCount":"0","resultStr":"{\"title\":\"Psychometric properties of the German Stroke and Aphasia Quality of Life Scale 39 generic version.\",\"authors\":\"Caterina Breitenstein, Katerina Hilari, Annette Baumgaertner, Tanja Grewe, Agnes Flöel, Wolfram Ziegler, Peter Martus, Erich B Ringelstein, Walter Huber, Karl G Haeusler, Stefanie Bruehl, Klaus Willmes\",\"doi\":\"10.23736/S1973-9087.25.08963-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The international expert consensus core outcome set for post-stroke aphasia recommends the Stroke and Aphasia Quality of Life Scale - 39/generic (SAQOL-39g) for assessing patient-reported health-related quality of life. Cultural adaptations of the SAQOL-39g are mandatory in stroke rehabilitation.</p><p><strong>Aim: </strong>We adapted the original English SAQOL-39g into German and evaluated its psychometric quality.</p><p><strong>Design: </strong>Evaluation of a self-report scale embedded in a prospective multicenter parallel group randomized waitlist-controlled trial on the effectiveness of intensive speech and language therapy.</p><p><strong>Setting: </strong>Nineteen in- and outpatient aphasia rehabilitation centers in Germany.</p><p><strong>Population: </strong>People with chronic post-stroke aphasia (N.=156) of all types and severity levels.</p><p><strong>Methods: </strong>We followed applicable guidelines for cross-cultural test adaptations and psychometric evaluations. Psychometric analyses are based on the assessment before three weeks of intensive speech and language therapy (acceptability, internal consistency, validity; N.=156), on the assessments before and after three weeks of waiting in the control group (test-retest reliability; N.=78), and on the assessments before and after three weeks of intensive speech and language therapy (responsiveness; N.=156).</p><p><strong>Results: </strong>The German SAQOL-39g was feasible across all aphasia severity grades (no missing data; no floor/ceiling effects). Internal consistency was excellent (Cronbach's α=0.90); test-retest reliability was moderate-to-good (intraclass-correlations: ICC=0.73 for single/0.85 for average measures). Both exploratory factor analyses and multidimensional scaling of proximity data/graphical network analysis supported the 3-dimensional structure (domains: physical, psychosocial, communication) of the English original version. Convergent (|r|=0.29 to 0.48) and discriminative (|r|=0.03 to 0.07) validities were acceptable. Responsiveness to intervention-induced change showed a small-to-medium treatment effect (group difference after intervention compared to waiting-list control: Cohen's d=0.34).</p><p><strong>Conclusions: </strong>The German SAQOL-39g is a reliable, valid and change-sensitive patient-reported outcome measure to assess the physical, communication and psychosocial quality of life in chronic post-stroke aphasia, with comparable psychometric properties and factorial structure to the original English version.</p><p><strong>Clinical rehabilitation impact: </strong>The German SAQOL-39g is an easy-to-administer and -score patient-reported scale that can be used in rehabilitation settings to measure health-related quality of life and support patient-centered goal setting in people with chronic post-stroke aphasia of different ages, stroke durations, severity and type of aphasia.</p>\",\"PeriodicalId\":12044,\"journal\":{\"name\":\"European journal of physical and rehabilitation medicine\",\"volume\":\"61 3\",\"pages\":\"425-436\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406953/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European journal of physical and rehabilitation medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.23736/S1973-9087.25.08963-4\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of physical and rehabilitation medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S1973-9087.25.08963-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

摘要

背景:国际专家共识卒中后失语的核心结局集推荐卒中和失语生活质量量表-39 /通用(SAQOL-39g)用于评估患者报告的与健康相关的生活质量。在中风康复中,SAQOL-39g的文化适应是强制性的。目的:对原英语SAQOL-39g量表进行德语改编,并对其心理测量质量进行评价。设计:评估一项前瞻性多中心平行组随机候补对照试验中嵌入的自我报告量表,以评估强化言语和语言治疗的有效性。地点:德国19个失语症门诊和门诊康复中心。人群:所有类型和严重程度的慢性中风后失语症患者(n =156)。方法:我们遵循适用的跨文化测试适应和心理测量评估指南。心理测量分析基于强化言语治疗三周前的评估(可接受性、内部一致性、效度,n =156)、对照组等待三周前后的评估(重测信度,n =78)、强化言语治疗三周前后的评估(反应性,n =156)。结果:德国SAQOL-39g在所有失语严重程度等级中都是可行的(没有缺失数据;没有下限/上限效应)。内部一致性极好(Cronbach’s α=0.90);重测信度为中等至良好(类内相关性:单项测量的ICC=0.73 /平均测量的ICC= 0.85)。探索性因素分析和邻近数据/图形网络分析的多维尺度都支持英语原版的三维结构(领域:身体、心理、沟通)。收敛效度(|r|=0.29至0.48)和判别效度(|r|=0.03至0.07)均可接受。对干预引起的变化的反应性显示出中小型的治疗效果(干预后与等候名单对照组的组差异:Cohen’s d=0.34)。结论:德国SAQOL-39g量表是一种可靠、有效、变化敏感的患者报告结果测量方法,用于评估慢性卒中后失语症患者的身体、沟通和社会心理生活质量,其心理测量特性和析因结构与原版英文量表相当。临床康复影响:德国SAQOL-39g是一种易于管理和评分的患者报告量表,可在康复环境中用于测量与健康相关的生活质量,并支持不同年龄、卒中持续时间、严重程度和失语症类型的慢性卒中后失语症患者以患者为中心的目标设定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psychometric properties of the German Stroke and Aphasia Quality of Life Scale 39 generic version.

Psychometric properties of the German Stroke and Aphasia Quality of Life Scale 39 generic version.

Background: The international expert consensus core outcome set for post-stroke aphasia recommends the Stroke and Aphasia Quality of Life Scale - 39/generic (SAQOL-39g) for assessing patient-reported health-related quality of life. Cultural adaptations of the SAQOL-39g are mandatory in stroke rehabilitation.

Aim: We adapted the original English SAQOL-39g into German and evaluated its psychometric quality.

Design: Evaluation of a self-report scale embedded in a prospective multicenter parallel group randomized waitlist-controlled trial on the effectiveness of intensive speech and language therapy.

Setting: Nineteen in- and outpatient aphasia rehabilitation centers in Germany.

Population: People with chronic post-stroke aphasia (N.=156) of all types and severity levels.

Methods: We followed applicable guidelines for cross-cultural test adaptations and psychometric evaluations. Psychometric analyses are based on the assessment before three weeks of intensive speech and language therapy (acceptability, internal consistency, validity; N.=156), on the assessments before and after three weeks of waiting in the control group (test-retest reliability; N.=78), and on the assessments before and after three weeks of intensive speech and language therapy (responsiveness; N.=156).

Results: The German SAQOL-39g was feasible across all aphasia severity grades (no missing data; no floor/ceiling effects). Internal consistency was excellent (Cronbach's α=0.90); test-retest reliability was moderate-to-good (intraclass-correlations: ICC=0.73 for single/0.85 for average measures). Both exploratory factor analyses and multidimensional scaling of proximity data/graphical network analysis supported the 3-dimensional structure (domains: physical, psychosocial, communication) of the English original version. Convergent (|r|=0.29 to 0.48) and discriminative (|r|=0.03 to 0.07) validities were acceptable. Responsiveness to intervention-induced change showed a small-to-medium treatment effect (group difference after intervention compared to waiting-list control: Cohen's d=0.34).

Conclusions: The German SAQOL-39g is a reliable, valid and change-sensitive patient-reported outcome measure to assess the physical, communication and psychosocial quality of life in chronic post-stroke aphasia, with comparable psychometric properties and factorial structure to the original English version.

Clinical rehabilitation impact: The German SAQOL-39g is an easy-to-administer and -score patient-reported scale that can be used in rehabilitation settings to measure health-related quality of life and support patient-centered goal setting in people with chronic post-stroke aphasia of different ages, stroke durations, severity and type of aphasia.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
8.50
自引率
4.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: The European Journal of Physical and Rehabilitation Medicine publishes papers of clinical interest in physical and rehabilitation medicine.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信