Development and evaluation of a patching treatment questionnaire for Chinese amblyopic children  

作　　者：Xu Jinling Lu Qun Huang Ying Chen Yuanyuan Chen Jie Yu Xinping 

机构地区：[1]Department of Strabismus and Amblyopia, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China [2]Department of Eye, People's Hospital, Qitaihe, Heilongjiang 154600,China [3]Second Affiliate Hospital, Wenzhou Medical University, Wenzhou,Zhejiang 325027, China

出　　处：《Chinese Medical Journal》2014年第7期1261-1265,共5页中华医学杂志（英文版）

摘　　要：Background Amblyopia is a common disease for children.The main treatment approach for amblyopia is to patch the normally sighted eye and force the use of the amblyopic eye.However,patching treatment in children may negatively impact psychological well-being of both the child and family.At present,no specific questionnaire is available to assess the health-related quality of life （HRQoL） of amblyopic treatment for children and their families in China.The purpose of our study was to develop a Chinese version of patching treatment questionnaire,and evaluate its reliability and validity.Methods The original patching treatment questionnaire of amblyopia treatment index （ATI） was translated into Chinese.Amblyopic patients aged 4-9 years receiving patching 4-8 hours per day or full-time were recruited.The reliability and validity of the Chinese version of the patching treatment questionnaire were determined by internal consistency,test-retest reliability,item-scale correlations,and construct validity.The associated baseline factors and the questionnaire responses were assessed.Results One hundred and nine children with amblyopia treated with patching were enrolled.Distribution of response options for individual items and correlation with the respective subscale were calculated.Factor analysis revealed that 16 of the 21 items were loaded in the three subscales as follows：＂adverse effects＂ of treatment,“difficulties with compliance＂ and ＂social stigma＂ of treatment.Intemal consistency values measured by Cronbach＇s a coefficient （0.768） and split-half coefficient （0.790） were satisfactory for the total scales.The intra-class correlation coefficient for test-retest reliability was 0.998.No significant difference was found between the overall questionnaire scores and children＇s age,sex,baseline visual acuity of amblyopic eyes,improvement of the amblyopic eye,or patching time.Conclusions We developed a Chinese version of the patching treatment questionnaire with satisfactory reliability and vBackground Amblyopia is a common disease for children.The main treatment approach for amblyopia is to patch the normally sighted eye and force the use of the amblyopic eye.However,patching treatment in children may negatively impact psychological well-being of both the child and family.At present,no specific questionnaire is available to assess the health-related quality of life （HRQoL） of amblyopic treatment for children and their families in China.The purpose of our study was to develop a Chinese version of patching treatment questionnaire,and evaluate its reliability and validity.Methods The original patching treatment questionnaire of amblyopia treatment index （ATI） was translated into Chinese.Amblyopic patients aged 4-9 years receiving patching 4-8 hours per day or full-time were recruited.The reliability and validity of the Chinese version of the patching treatment questionnaire were determined by internal consistency,test-retest reliability,item-scale correlations,and construct validity.The associated baseline factors and the questionnaire responses were assessed.Results One hundred and nine children with amblyopia treated with patching were enrolled.Distribution of response options for individual items and correlation with the respective subscale were calculated.Factor analysis revealed that 16 of the 21 items were loaded in the three subscales as follows：＂adverse effects＂ of treatment,“difficulties with compliance＂ and ＂social stigma＂ of treatment.Intemal consistency values measured by Cronbach＇s a coefficient （0.768） and split-half coefficient （0.790） were satisfactory for the total scales.The intra-class correlation coefficient for test-retest reliability was 0.998.No significant difference was found between the overall questionnaire scores and children＇s age,sex,baseline visual acuity of amblyopic eyes,improvement of the amblyopic eye,or patching time.Conclusions We developed a Chinese version of the patching treatment questionnaire with satisfactory reliability and v

分 类 号：R777.44[医药卫生—眼科]