关键词: bifactor model hemianopia homonymous visual field defects reading rehabilitation reliability self-report questionnaire validity

来  源:   DOI:10.3390/healthcare12151527   PDF(Pubmed)

Abstract:
The ability to read is important for daily life functioning. Individuals with homonymous visual field defects (iwHs) after brain injury experience frequent reading difficulties. The current study presents a novel self-report questionnaire aimed at measuring the wide variety of reading difficulties iwHs can experience: the Hemianopia Reading Questionnaire (HRQ). The 24-item HRQ was developed with help from clinical experts and experts by experience and was inspired by existing reading questionnaires for adults. The three tested subscales of the HRQ assess the relationship to reading, reading skills and daily life functional reading. The factor structure, reliability, convergent validity and divergent validity were examined in a large community sample (i.e., individuals without homonymous visual field defects) with a comparable distribution of age, gender and level of education to those who have suffered a stroke (N = 998). Two competing hypothesized models were tested and a good fit was found for a three-bifactor model of the HRQ. The reliability of the three subscales was found to be good (ω range 0.93-0.99), as well as the convergent and divergent validity (9 out of 12 Spearman\'s correlations, according to expectations). The results support further use of the HRQ in iwHs, especially in the context of reading rehabilitation. Suggestions for clinical and scientific use and future psychometric research on the HRQ are provided.
摘要:
阅读能力对日常生活功能很重要。脑损伤后具有同义视野缺陷(iwHs)的个体经常遇到阅读困难。当前的研究提出了一种新颖的自我报告问卷,旨在衡量iwHs可能经历的各种阅读困难:偏盲阅读问卷(HRQ)。24项HRQ是在临床专家和经验专家的帮助下开发的,并受到现有成人阅读问卷的启发。HRQ的三个测试子量表评估了与阅读的关系,阅读技巧和日常生活功能阅读。因素结构,可靠性,在大型社区样本中检查了收敛效度和发散效度(即,没有同义视野缺陷的个体)具有可比的年龄分布,中风患者的性别和教育水平(N=998)。测试了两个竞争的假设模型,并发现了HRQ的三双因子模型的良好拟合。三个分量表的可靠性被发现是好的(ω范围0.93-0.99),以及收敛有效性和发散有效性(12个斯皮尔曼相关性中的9个,根据期望)。结果支持HRQ在iwHs中的进一步使用,尤其是在阅读康复的背景下。为HRQ的临床和科学使用以及未来的心理测量学研究提供了建议。
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