背景:脊柱侧凸被定义为脊柱的三维畸形,其特征在于椎骨的横向倾斜和轴向旋转。其在前平面中的大小由大于10°的Cobb角识别。该研究的目的是系统地检查脊柱外观问卷(SAQ)在不同语言的跨文化适应中的临床特性。
方法:Medline(PubMed),CINAHL,EMBASE,科学直接,PsycINFO和WorldWideScience.org数据库用于筛选研究,直到2022年7月16日。在这项研究中,关于发展的记录,包括SAQ仪器在青少年特发性脊柱侧凸中的评估和翻译。此外,两名独立审稿人定义了这些研究是否合格,并分析了它们的内部一致性的心理测量特性,可靠性,内容有效性,跨文化有效性,结构效度和结构效度,根据基于Consensus的健康测量指标选择标准(COSMIN)。修改后的等级用于证据合成。
结果:通过标题和摘要共选择了95篇文章。删除重复项并读取和搜索引用后,本综述共纳入13项研究.SAQ的原始版本用英语描述,乐器被翻译成波兰语,加拿大法语,简体中文,西班牙语(欧洲),丹麦语,繁体中文,葡萄牙语(巴西),韩语,德语,土耳其语和波斯语。结构效度的证据是适度的,内部一致性较低,并且可靠性和跨文化效度非常低;内容和结构效度属性没有提供分类的最低数据。
结论:关于SAQ仪器在青少年特发性脊柱侧凸患者中的临床特性的证据质量较低,原因是缺乏临床特性或方法学质量可疑。然而,用于临床实践和研究,我们建议使用该仪器评估青少年对脊柱的自我感知.对于未来的翻译和改编,我们建议使用COSMIN指南。
BACKGROUND: Scoliosis is defined as a three-dimensional deformity of the spine characterized by lateral tilt and axial rotation of the vertebrae. Its magnitude in the frontal plane is identified by a Cobb angle greater than 10o. The aim of the study was to systematically examine the clinimetric properties of the Spinal Appearance Questionnaire (SAQ) in its cross-cultural adaptations in different languages.
METHODS: Medline (PubMed), CINAHL, EMBASE, Science Direct, PsycINFO and WorldWideScience.org databases were used for screening studies until July 16, 2022. In this study, records on the development, evaluation and translation of the SAQ instrument in adolescents with idiopathic scoliosis were included. In addition, two independent reviewers defined whether the studies were eligible and analyzed their psychometric properties of internal consistency, reliability, content validity, cross-cultural validity, construct validity and structural validity, according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). The modified GRADE was applied for evidence synthesis.
RESULTS: A total of 95 articles were selected by title and abstract. After removing duplicates and reading and searching the references, a total of 13 studies were included in this
review. The original version of the SAQ was described in English, and the instrument was translated into Polish, Canadian French, Simplified Chinese, Spanish (Europe), Danish, Traditional Chinese, Portuguese (Brazil), Korean, German, Turkish and Persian. The evidence was moderate for construct validity, low for internal consistency, and very low for reliability and cross-cultural validity; the content and structural validity properties did not present minimum data for classification.
CONCLUSIONS: The quality of the evidence regarding the clinimetric properties of the SAQ instrument in adolescents with idiopathic scoliosis was low due to the absence of clinimetric properties or dubious methodological quality. However, for clinical practice and research, we recommend the use of the instrument to assess the self-perception of the spine in adolescents. For future translations and adaptations, we recommend the use of the COSMIN guidelines.