Iranian Journal of Psychiatry and Clinical Psychology
مجله روانپزشكي و روانشناسي باليني ايران
IJPCP
Medical Sciences
http://ijpcp.iums.ac.ir
18
journal18
1735-4315
2228-7515
10.32598/ijpcp
fa
jalali
1391
11
1
gregorian
2013
2
1
18
4
online
1
fulltext
fa
روایی و پایایی پرسشنامه کیفیت زندگی مرتبط با سلامت کیداسکرین 27گویهای در نمونهای از دانشآموزان ایرانی
Validity and Reliability of Health Related Quality of Life Questionnaire “KIDSCREEN-27” in a Sample of Iranian Students
روانپزشکی و روانشناسی
Psychiatry and Psychology
پژوهشي اصيل
Original Research
<p class="a" style="LINE-HEIGHT: 18pt MARGIN: 0cm 1cm 0pt mso-line-height-rule: exactly" dir="rtl"><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">هدف</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> هدف پژوهش حاضر وارسی مقدماتی روایی و پایایی نسخه 27گویهای پرسشنامه کیفیت زندگی مرتبط با سلامت کیداسکرین در نمونهای از دانشآموزان ایرانی بود. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">روش</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> 551 دانشآموز مقطع راهنمایی و دبیرستان شهر یزد با دامنه سنی 19-11 سال با استفاده از روش نمونهگیری چندمرحلهای انتخاب شدند. پرسشنامه پس از اجرای مقدماتی و انجام مصاحبه شناختی روی نمونه اصلی اجرا شد. افزون بر نسخه خودسنجی کیداسکرین 27گویه</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal">ای، نسخه چهارم پرسشنامه کیفیت زندگی بیماریهای کودکان، مقیاسهای مرکزی عام (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">PedsQL</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، نسخه 28گویهای پرسشنامه سلامت عمومی</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>(</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">GHQ-28</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، شاخص بهزیستی شخصی، نسخه دانشآموزان (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">PWI-SC</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، مقیاس چندبعدی رضایت از زندگی دانشآموزان (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">MSLSS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، پرسشنامه عزت نفس کوپر اسمیت (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">CSSEI</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، پرسشنامه نقاط قوت و ضعف (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SDQ</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) و پرسشنامه ویژگیهای اجتماعی- اقتصادی اجرا شد. روایی کیداسکرین به روشهای تحلیل روایی سازه (تحلیل عاملی تأییدی و افتراقی) و همگرا و واگرا و پایایی به روشهای آلفای کرونباخ و بازآزمایی (با فاصله دو هفته) بررسی شد. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">یافتهها</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> اثر کف برای ابعاد بهزیستی روانشناختی، حمایت اجتماعی و همسالان و ارتباط با پدر و مادر و خودمختاری و اثر سقف برای تمام ابعاد مشاهده شد که از میزان قابل توجهی برخوردار نبود. یافتههای تحلیل عاملی تأییدی حاکی از برازندگی مناسب مدل با دادهها بود. بررسی روایی همگرا و واگرا نشان داد همبستگی میان ابعاد کیداسکرین، جز بُعد حمایت اجتماعی و همسالان، با ابعاد مشابه در سایر پرسشنامهها که ساختارهای مشابهی را میسنجیدند، در حد متوسط و قوی بود (01/0</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p<</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>). همچنین میان دو گروه با وضعیت اجتماعی- اقتصادی بالا و پایین و سه گروه وضعیت روانشناختی (بهنجار، مرزی و نابهنجار) در بعضی از ابعاد کیداسکرین تفاوت وجود داشت (05/0</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p<</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>). ضرایب آلفای کرونباخ برای تمامی ابعاد، جز بُعد محیط مدرسه بالاتر از 70/0 و ضرایب بازآزمایی دوهفتهای برای تمام ابعاد در حد قوی بود (01/0</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p<</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) که نمایانگر ثبات آزمون در طول زمان است. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">نتیجهگیری</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> کیداسکرین 27گویهای از روایی و پایایی مناسبی در جامعه ایرانی برخوردار است. <p></p></span></p>
<p class="MsoNormal" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify LINE-HEIGHT: 14pt TEXT-KASHIDA: 0% MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: ltr mso-line-height-rule: exactly"><font face="Times New Roman"><b><u><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">Objectives</span></u></b><b><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">:</span></b><span style="COLOR: black FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> The aim of present study was to</span><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> assess preliminary validity and reliability of the Health Related Quality of Life Questionnaire "KIDSCREEN-27" in a sample of Iranian students. <b><u>Method</u>:</b> <span style="COLOR: black">551 students were selected from middle and high schools of Yazd city age 11 to 19</span>, using multistage sampling. The questionnaire administered after pilot study and cognitive interview. Besides self report KIDSCREEN-27, 4<sup>th</sup> version of</span><span style="FONT-SIZE: 9pt"> </span><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">Pediatric Quality of Life Inventory Generic Core Scales, General Health Questionnaire 28 item version <span style="LETTER-SPACING: -0.3pt">(GHQ-28), Personal Well-being Index-School Children (PWI-SC), </span></span><span lang="EN-AU" style="LETTER-SPACING: -0.3pt FONT-SIZE: 9pt mso-ansi-language: EN-AU mso-bidi-font-family: 'Times New Roman'">Multidimensional</span><span lang="EN-AU" style="FONT-SIZE: 9pt mso-ansi-language: EN-AU mso-bidi-font-family: 'Times New Roman'"> <span style="LETTER-SPACING: -0.2pt">Students’ Life Satisfaction Scale (MSLSS), </span></span><span style="LETTER-SPACING: -0.2pt FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">Cooper Smith Self<span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span>-</span>Esteem Inventory</span><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> (CSSEI), Strengths and Difficulties Questionnaire (SDQ), and Socioeconomic <span style="LETTER-SPACING: -0.2pt">Properties Questionnaire were performed. To examine validity of the questionnaire</span>, construct validity (confirmatory factor analysis and discriminate validity) and convergent and divergent validity were employed, and using Cronbach’s alpha and test-retest (two week apart) coefficient its reliability was verified. <b><u>Results</u>:</b> Floor effect was observed in psychological well-being, social support and peers, and autonomy and relation with parents, and ceiling effect was observed for all dimensions that were negligible. Confirmatory factor analysis revealed an appropriate fitness between the model and the data.<span dir="rtl"></span><span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span>There was moderate to strong correlation between KIDSCREEN dimensions, <span style="LETTER-SPACING: -0.2pt">except for social support and peers, with similar dimensions in other questionnaires</span> that assess the same constructs (p< 0.01). Significant differences in some KIDSCREEN dimentions were found between high and low socioeconomic, as well as among three and <span style="LETTER-SPACING: -0.2pt">tree mental health (normal, borderline and abnormal) groups (p<0.05). Cronbach’s</span> alpha coefficients for all <span style="LETTER-SPACING: -0.2pt">dimensions</span>, except for school environment <span style="LETTER-SPACING: -0.2pt">dimension</span>, were above 0.70 and test-retest reliability coefficients for all dimensions were strong (p<0.01).</span><font size="3"> </font><b><u><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">Conclusion</span></u></b><b><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">:</span></b><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> KIDSCREEN-27 has an appropriate validity and reliability in Iranian population</span><span style="FONT-SIZE: 9pt mso-bidi-font-family: Mitra">. </span></font><span style="FONT-SIZE: 9pt"><p><font face="Times New Roman"> </font></p></span></p>
پرسشنامه کیفیت زندگی مرتبط با سلامت کیداسکرین، نوجوانان، روایی، پایایی
KIDSCREEN Health related quality of life questionnaire, adolescents, validity, reliability
310
321
http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-652&slc_lang=fa&sid=1
Amir
Nik-Azin
امیر
نیکآذین
anikazin@yahoo.com
180031947532846007953
180031947532846007953
Yes
Shahed University
دانشگاه شاهد
Mohamad Reza
Naeinian
محمدرضا
نائینیان
180031947532846007954
180031947532846007954
No
Shahed University
دانشگاه شاهد
Mohamad Reza
Shairi
محمدرضا
شعیری
180031947532846007955
180031947532846007955
No
Shahed University
دانشگاه شاهد