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目的在中西医学理论以及计算机自适应的指导下,运用经典测试理论和现代项目测试反应理论进行研制原发性骨质疏松症患者报告结局量表。方法通过成立研究组,制定量表的基本特征,规范基本概念和术语,构建量表的理论框架,收集所有关于骨质疏松症患者条目的相关文献,经过条目库构建和条目的初步筛选,初步概念框架的修订,条目定性评阅,专家评阅,认知采访,制定出调查量表的初稿,然后现场调查,收集380例骨质疏松症患者报告的条目以及92例健康者对照,进行定性研究,运用经典测试理论方法和现代项目反应理论等方法综合筛选以得出最终的原发性骨质疏松症PRO量表。结果经现场调查,整理数据,通过6种分析综合评价,从71个条目的调查量表中删除27个条目,最终建立建立了包括疾病生理、心理、社会、治疗领域4个领域,疾病表现、全身表现、心理表现、社会关系、日常活动能力、满意度等6个维度,共44个条目的原发性骨质疏松症PRO量表。结论最终研制出包含1个疾病、4个领域、6个维度的44个条目的骨质疏松症PRO量表。
OBJECTIVE To develop a report scale of patients with primary osteoporosis using the classical test theory and modern project test response theory under the guidance of Western and Chinese medical theories and computer adaptive methods. Methods By establishing the research group, the basic characteristics of the scale were established, the basic concepts and terminology were standardized, the theoretical framework of the scale was constructed, all relevant articles about the patients with osteoporosis were collected. After the construction of the item library and the preliminary screening of the items, preliminary The revision of the conceptual framework, the qualitative review of entries, the review of experts, the interview of cognition, and the drafting of the first draft of the questionnaire. After that, the site survey was conducted to collect the reports of the patients with osteoporosis in 380 cases and 92 healthy controls. Using classical test theory and modern project response theory and other methods comprehensive screening to get the final primary osteoporosis PRO scale. Results After the field survey, the data were sorted out and 27 kinds of items were removed from the questionnaire of 71 items through the six kinds of analysis and comprehensive evaluation, the final results were established and established in four fields including disease physiology, psychology, society and treatment, disease performance, Overall performance, psychological performance, social relations, daily activities ability, satisfaction and other six dimensions, a total of 44 items of the primary osteoporosis PRO scale. Conclusions Finally, we have developed a PRO scale of osteoporosis with 44 items in 1 disease, 4 fields and 6 dimensions.