Alyn水中适应性测试量表2的汉化及在脊髓损伤患者中的信度与效度  

Water Orientation Test of Alyn 2(Chinese) and Its Reliability and Validity in Patients with Spinal Cord Injury

作　　者：崔尧[1,2] 丛芳[1,2] 李建军[1,2,3] 朱爱玲 曾明[4] 金龙 司凤山[1,2] 姚斌[1,2] 贾威[1,2] 萧敦武[1,2] 李东洋 张凯 CUI Yao;CONG Fang;LI Jian-jun;ZHU Ai-ling;ZENG Ming;JIN Long;SI Feng-shan;YAO Bin;JIA Wei;XIAO Dun-wu;LI Dong-yang;ZHANG Kai(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Chinese Institute of Rehabilitation Science,Beijing 100068,China;The Second Hospital of Jiaxing City,Jiaxing,Zhejiang 314000,China;Zibo Wanjie Rehabilitation Hospital,Zibo,Shandong 255200,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院,北京市100068 [3]中国康复科学所,北京市100068 [4]嘉兴市第二医院,浙江嘉兴市314000 [5]淄博万杰康复医院,山东淄博市255200

出　　处：《中国康复理论与实践》2018年第11期1302-1308,共7页Chinese Journal of Rehabilitation Theory and Practice

基　　金：首都医科大学校长基金(No.2018JYJX083);中央级公益性科研院所基本科研业务费专项资金项目(No.2013CZ-50)~~

摘　　要：目的翻译Alyn水中适应性测试量表2 (WOTA2),并检验其用于脊髓损伤患者的信度和效度。方法获得授权后,将英文版WOTA2及其培训手册翻译成中文。2018年1月至9月,采用汉化后的WOTA2对137例脊髓损伤患者进行评定。先由两名评定者独立进行WOTA2测试;3 d后,其中一名评定者再次进行测试。计算Cronbachα系数、Spearman-Brown系数、组内相关系数(ICC)和Kappa系数评估信度。利用单项内容效度指数(I-CVI)和量表内容效度指数(S-CVI)评价内容效度,利用因子分析评价结构效度。结果中文版WOTA2全部条目Cronbachα系数为0.947,心理适应条目为0.890,水中技能条目为0.954。奇偶折半法两部分评分之间Pearson相关系数为0.948,折半信度为0.973。重测ICC总分为0.965,百分制总分为0.965,心理适应部分为0.847,水中技能部分为0.970;评定者间ICC总分为0.964,百分制总分为0.965,心理适应部分为0.847,水中技能部分为0.970。27个条目重测Kappa系数为0.528～0.927,评定者间为0.478～0.936。I-CVI为0.8～1.0,S-CVI为0.63。因子分析提取4个公共因子,符合理论预设,累积方差贡献率67%。结论中文版WOTA2应用于脊髓损伤患者有良好的信度和效度,可在国内水中运动疗法临床实践中推广应用。Objective To translate theWater Orientation Test of Alyn 2(WOTA2)into Chinese,and to study its reliability and validity for patients with spinal cord injury.Methods After authorizing,the English version WOTA2 scale and its training package were translated into Chinese.From January to September,2018,137 patients with spinal cord injury were evaluated with the Chinese version WOTA2 by two evaluators independently,and evaluated again three days later by one of the evaluators.The Cronbach'sα,Spearman-Brown coefficient,intra-group correlation coefficient(ICC)and Kappa coefficient were calculated to evaluate the reliability.Content Validity Index(CVI)of items(I-CVI)and scale(S-CVI)were used to evaluate the content validity,and factors analysis was used to evaluate the structure validity.Results The Cronbach'sαwas 0.947 in all items of the scale,0.890 in mental adjustment items and 0.954 in aquatic skills items.Pearson correlation coefficient of the half scales separated by odd and even items was 0.948,and the Spearman-Brown coefficient was 0.973.The ICC of test-retest was 0.965 in total score,0.965 in centesimal system total score,0.847 in mental adjustment score and 0.970 in aquatic skills score.The ICC of inter-testers was 0.964 in total score,0.965 in centesimal system total score,0.847 in mental adjustment score and 0.970 in aquatic skills score.The Kappa coefficient was 0.528 to 0.927 in test-retest and 0.528 to 0.927 in inter-testers.The I-CVI was 0.8 to 1.0 and S-CVI was 0.63.Factors analysis extracted four factors,which met the theory,and contributed 67%of cumulative variance.Conclusion The Chinese version WOTA2 is good in reliability and validity for patients with spinal cord injury,and can be used in the clinical practice of aquatic therapeutic exercise in China.

关 键 词：Alyn水中适应性测试量表 水中运动疗法 脊髓损伤 水中功能评定 康复 Halliwick理念 

分 类 号：R651.2[医药卫生—外科学]