青少年哮喘自我效能问卷（AASEQ）的开发与验证
2019/05/10
摘要
自我效能感是一个人可以管理未来情况的一种信念。良好的哮喘自我管理效能感与较好的哮喘结局相关。然而，缺乏一个成熟和有效的工具来衡量青少年哮喘自我管理的自我效能。我们的目标是开发和验证青少年哮喘自我效能问卷（AASEQ）。研究的第一阶段包括文献回顾、对哮喘青少年的访谈以及与父母和相关医疗专业人员的协商，以形成原型量表。为了评估信度和效度，又有一组青少年完成了原型量表、一般自我效能量表和儿童应付方式量表。为评估纵向效度进行了重新测试，对28名青少年进行了访谈，并与其他利益相关者进行了协商，得出了38项原型量表。主要主题是药物治疗、症状管理、诱因、知识、态度和对哮喘的信念、支持关系、学校和医疗保健专业人员。原型量表由243名青少年完成。因素和可靠性分析将其减少到27项量表，分为4个部分：症状管理；药物；朋友、家人和学校；哮喘信念。27项量表具有良好的内部一致性（α’s 0.78-0.91），63名患者完成两次量表，结果随时间稳定（ICC=0.82）。更好的青少年哮喘自我效能与更好的一般自我效能和更好的哮喘管理指数相关。AASEQ是一个可靠和有效的工具，可能有助于未来的研究和实践，侧重于青少年哮喘自我管理，并可能是一个有用的中间结果测量，以评估行为干预的影响。
Development and validation of the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).
Holley S, Knibb R, Latter S, Liossi C, Mitchell F, Radley R, Roberts G.
Abstract
Perceived self-efficacy is the belief that one can manage prospective situations. Good asthma self-management self-efficacy is associated with better asthma outcomes. However, a well-developed and validated tool to measure adolescent asthma self-management self-efficacy is lacking. Our objective was to develop and validate an Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).The first stage of the study included a review of the literature, interviews with adolescents with asthma and consultations with parents and relevant healthcare professionals to develop a prototype scale. To assess reliability and validity, a further group of adolescents completed the prototype scale, the General Self-Efficacy Scale and KidCope (measures coping styles). Re-testing was undertaken to assess longitudinal validity.Interviews with 28 adolescents and consultations with other stakeholders resulted in a 38-item prototype scale. Key themes were medication, symptom management, triggers, knowledge, attitude and beliefs around asthma, supportive relationships, schools and healthcare professionals. The prototypte scale was completed by 243 adolescents. Factor and reliability analysis reduced it to a 27-item scale with 4 sub-sections: symptom management; medication; friends, family and school; asthma beliefs. The 27-item scale had respectable to excellent internal consistency (α's 0.78-0.91) with results that were stable over time (ICC=0.82) in 63 who completed it twice. Better adolescent asthma self-efficacy was associated with better general self-efficacy and indices of better asthma management.The AASEQ is a reliable and valid tool that is likely to aid future research and practice focused on adolescent asthma self-management and could be a useful intermediate outcome measure to assess the impact of behavioural interventions.
自我效能感是一个人可以管理未来情况的一种信念。良好的哮喘自我管理效能感与较好的哮喘结局相关。然而，缺乏一个成熟和有效的工具来衡量青少年哮喘自我管理的自我效能。我们的目标是开发和验证青少年哮喘自我效能问卷（AASEQ）。研究的第一阶段包括文献回顾、对哮喘青少年的访谈以及与父母和相关医疗专业人员的协商，以形成原型量表。为了评估信度和效度，又有一组青少年完成了原型量表、一般自我效能量表和儿童应付方式量表。为评估纵向效度进行了重新测试，对28名青少年进行了访谈，并与其他利益相关者进行了协商，得出了38项原型量表。主要主题是药物治疗、症状管理、诱因、知识、态度和对哮喘的信念、支持关系、学校和医疗保健专业人员。原型量表由243名青少年完成。因素和可靠性分析将其减少到27项量表，分为4个部分：症状管理；药物；朋友、家人和学校；哮喘信念。27项量表具有良好的内部一致性（α’s 0.78-0.91），63名患者完成两次量表，结果随时间稳定（ICC=0.82）。更好的青少年哮喘自我效能与更好的一般自我效能和更好的哮喘管理指数相关。AASEQ是一个可靠和有效的工具，可能有助于未来的研究和实践，侧重于青少年哮喘自我管理，并可能是一个有用的中间结果测量，以评估行为干预的影响。
(中日友好医院呼吸与危重症医学科 李红雯 摘译 林江涛 审校)
(Eur Respir J. 2019 May 2. pii: 1801375. doi: 10.1183/13993003.01375-2018.)
(Eur Respir J. 2019 May 2. pii: 1801375. doi: 10.1183/13993003.01375-2018.)
Development and validation of the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).
Holley S, Knibb R, Latter S, Liossi C, Mitchell F, Radley R, Roberts G.
Abstract
Perceived self-efficacy is the belief that one can manage prospective situations. Good asthma self-management self-efficacy is associated with better asthma outcomes. However, a well-developed and validated tool to measure adolescent asthma self-management self-efficacy is lacking. Our objective was to develop and validate an Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).The first stage of the study included a review of the literature, interviews with adolescents with asthma and consultations with parents and relevant healthcare professionals to develop a prototype scale. To assess reliability and validity, a further group of adolescents completed the prototype scale, the General Self-Efficacy Scale and KidCope (measures coping styles). Re-testing was undertaken to assess longitudinal validity.Interviews with 28 adolescents and consultations with other stakeholders resulted in a 38-item prototype scale. Key themes were medication, symptom management, triggers, knowledge, attitude and beliefs around asthma, supportive relationships, schools and healthcare professionals. The prototypte scale was completed by 243 adolescents. Factor and reliability analysis reduced it to a 27-item scale with 4 sub-sections: symptom management; medication; friends, family and school; asthma beliefs. The 27-item scale had respectable to excellent internal consistency (α's 0.78-0.91) with results that were stable over time (ICC=0.82) in 63 who completed it twice. Better adolescent asthma self-efficacy was associated with better general self-efficacy and indices of better asthma management.The AASEQ is a reliable and valid tool that is likely to aid future research and practice focused on adolescent asthma self-management and could be a useful intermediate outcome measure to assess the impact of behavioural interventions.
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自我管理支持干预对老年哮喘预后的影响：SAMBA研究随机临床试验
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检查行为改变技术的哮喘管理应用程序的系统评估
