儿童呼吸功能障碍结局测量仪器的测量特性：系统综述。

IF 2.7 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2025-10-10 DOI:10.1007/s11136-025-04078-8

Vikram Mohan, Chandrasekar Rathinam, Derick Yates, Andra Voicu, Charanjet Malotra, Isabelle Riley, Olalekan Lee Aiyegbusi, Prasad Nagakumar

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引用次数: 0

摘要

目的：临床医生通常使用各种结果测量仪器（OMIs）来评估儿童呼吸功能障碍（DB）。然而，还没有综述研究过它们的心理测量特性。本文系统地回顾了小儿DB中omi的心理测量特性。方法：纳入开发或评估小儿DB的OMIs测量特性的文章。检索了EbscoHost CINAHL Ultimate、Cochrane Library、Ovid Embase、EMCare和Medline，检索时间从成立到2024年10月10日。使用COSMIN（基于共识的健康测量工具选择标准）方法评估和综合了方法学质量和心理测量特性。结果：筛选14240篇文献后，有3篇文章符合纳入标准，确定了两种OMIs：法语过度通气综合征ambroise - par (SHAPE)和奈梅亨问卷（NQ）。SHAPE显示OMI开发和内容有效性“可疑”，结果评级为“不确定”。一项研究报告了结构有效性的方法质量“不足”，尽管属性本身被评为“足够”。另一项研究的方法学质量“非常好”，对标准和判别效度的评分“足够”。对NQ进行收敛效度评估；方法质量“不足”，但属性被评为“充分”。由于结果不确定，未对SHAPE的发展和内容效度的证据质量进行分级。对于其余的测量特性，所有研究的证据质量从低到非常低。结论：SHAPE问卷有OMI发展的初步支持，在某些心理测量学领域显示出前景。NQ缺乏儿科验证。开发与年龄相适应的、临床相关的OMIs对于准确评估儿童DB至关重要。普洛斯彼罗编号：CRD42024530540。

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Measurement properties of outcome measurement instruments for pediatric dysfunctional breathing: a systematic review.

Purpose: Clinicians commonly use various outcome measurement instruments (OMIs) to assess dysfunctional breathing (DB) in children. However, no review has examined their psychometric properties. This article systematically reviewed the psychometric properties of OMIs in pediatric DB.

Methods: Articles that developed or evaluated measurement properties of OMIs for pediatric DB were included. EbscoHost CINAHL Ultimate, Cochrane Library, Ovid Embase, EMCare, and Medline were searched from inception to October 10, 2024. Methodological quality and psychometric properties were assessed and synthesised using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) methodology.

Results: After screening 14,240 references, three articles met the inclusion criteria, identifying two OMIs: the Hyperventilation Syndrome Ambroise-Paré (SHAPE) in French and the Nijmegen Questionnaire (NQ). SHAPE showed 'doubtful' OMI development and content validity with an 'indeterminate' rating for the results. One study reported 'inadequate' methodological quality for structural validity, though the property itself was rated 'sufficient'. Another study had 'very good' methodological quality, with 'sufficient' ratings for the criterion and discriminative validity. The NQ was evaluated for convergent validity; the methodological quality was 'inadequate', but the property was rated 'sufficient'. GRADE quality of evidence for SHAPE's development and content validity was not graded due to indeterminate results. For the remaining measurement properties, evidence quality ranged from low to very low across studies.

Conclusions: The SHAPE questionnaire has preliminary support from OMI development and shows promise in some psychometric domains. The NQ lacks pediatric validation. Development of age-appropriate, clinically relevant OMIs is essential for accurate DB assessment in children. PROSPERO No: CRD42024530540.

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.