特发性震颤分级量表生活质量的翻译与验证

IF 1.1 3区 医学 Q2 CLINICAL NEUROLOGY
Victor S. Hvingelby, Lisa Østergaard Bak, Martin Andreasen, Rikke Nan Valdemarsen, Mette Møller, Andreas Nørgaard Glud
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引用次数: 0

摘要

原发性震颤是一种常见的运动障碍,以动态性震颤为特征,最常见于上肢。特发性震颤患者生活质量(QUEST)量表是特发性震颤患者常用的震颤严重程度和生活质量(QoL)主观评定量表,包括监测晚期治疗后的主观改善情况。它包含与总体和健康相关的生活质量有关的子域,震颤严重程度的自我评估以及震颤对日常生活活动的功能影响。该问卷尚未在丹麦进行验证。本研究旨在翻译和验证QUEST,并在丹麦ET患者中进行试点。方法按照世界卫生组织(WHO)和国际药物经济学与成果研究学会(ISPOR)翻译与文化适应工作组的指导方针,对QUEST进行翻译与文化适应。随后在一组ET患者中传播。结果QUEST在112例ET患者中成功翻译和试点。受访者认为QUEST是可以理解的(75/77;97.4%)。对于分类题,重测时的回答有很高的一致性(60.0% ~ 94.0%)。根据科恩的kappa,大多数人的意见都很一致。连续结果变化更大,尤其是功能自我评估的子领域。每个子领域的平均得分为工作和金融19.46 (SD 21.87),沟通24.13 (SD 25.31),心理社会32.49 (SD 23.21),爱好和休闲40.21 (SD 34.11),身体42.77 (SD 27.08)。总体而言,子域与整体健康和生活质量呈弱至中度相关。结论:我们已经成功翻译并验证了QUEST问卷在丹麦ET患者中的应用。丹麦临床医生和研究人员现在可以使用该问卷来治疗ET患者。结果表明在丹麦的震颤患者队列中存在一些未满足的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Translation and Validation of the Quality of Life in Essential Tremor Rating Scale

Translation and Validation of the Quality of Life in Essential Tremor Rating Scale

Background

Essential tremor is a common movement disorder, characterized by kinetic tremor, most commonly of the upper extremities. The Quality of Life in Essential Tremor (QUEST) scale is an oft-used subjective rating scale of tremor severity and quality of life (QoL) in these patients, including for monitoring subjective improvement after advanced treatment. It contains subdomains concerned with overall and health-related QoL, a self-assessment of tremor severity and of the functional impact of tremor on activities of daily living. The questionnaire has not been validated in Danish. This study was aimed at translating and validating the QUEST and piloting it among Danish ET patients.

Methods

The translation and cultural adaptation of the QUEST was carried out per the guidelines of the World Health Organization (WHO) and the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) task force for translation and cultural adaptation. It was subsequently disseminated among a cohort of ET patients.

Results

The QUEST was successfully translated and piloted among 112 ET patients. Respondents found the QUEST to be understandable (75/77; 97.4%). For categorical items, there was a high degree of agreement in responses at retest (60.0%–94.0%). According to Cohen′s kappa, agreement was mostly strong. Continuous outcomes were more variable, particularly the subdomains of the functional self-assessment. The mean score for each subdomain ranged from 19.46 (SD 21.87) for work and finance, 24.13 (SD 25.31) for communication, 32.49 (SD 23.21) for psychosocial, 40.21 (SD 34.11) for hobby and leisure, and 42.77 (SD 27.08) for physical. In general, subdomains were weakly to moderately correlated with overall health and QoL.

Conclusion

We have successfully translated and validated the QUEST questionnaire for use among Danish ET patients. The questionnaire is now available for Danish clinicians and researchers treating ET patients. The results indicate some unmet needs in the Danish cohort of tremor patients.

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来源期刊
Acta Neurologica Scandinavica
Acta Neurologica Scandinavica 医学-临床神经学
CiteScore
6.70
自引率
2.90%
发文量
161
审稿时长
4-8 weeks
期刊介绍: Acta Neurologica Scandinavica aims to publish manuscripts of a high scientific quality representing original clinical, diagnostic or experimental work in neuroscience. The journal''s scope is to act as an international forum for the dissemination of information advancing the science or practice of this subject area. Papers in English will be welcomed, especially those which bring new knowledge and observations from the application of therapies or techniques in the combating of a broad spectrum of neurological disease and neurodegenerative disorders. Relevant articles on the basic neurosciences will be published where they extend present understanding of such disorders. Priority will be given to review of topical subjects. Papers requiring rapid publication because of their significance and timeliness will be included as ''Clinical commentaries'' not exceeding two printed pages, as will ''Clinical commentaries'' of sufficient general interest. Debate within the speciality is encouraged in the form of ''Letters to the editor''. All submitted manuscripts falling within the overall scope of the journal will be assessed by suitably qualified referees.
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