欢迎访问《中国循证儿科杂志》官方网站，今天是
English Version
中国循证儿科杂志

中国循证儿科杂志 ›› 2023, Vol. 18 ›› Issue (3): 215-220.DOI: 10.3969/j.issn.1673-5501.2023.03.010

• 论著 • 上一篇    下一篇

基于选择健康测量工具共识标准评价SNAP-Ⅳ量表测量属性的系统评价

赵泽慧,胡思源,蔡秋晗,陈月月,蔡莉莉   

  1. 天津中医药大学第一附属医院/国家中医针灸临床医学研究中心天津，300381
  • 收稿日期:2022-08-30 修回日期:2022-10-14 出版日期:2023-06-25 发布日期:2023-06-25
  • 通讯作者: 胡思源

Systematic review of SNAP-Ⅳ measurement properties based on COSMIN

ZHAO Zehui, HU Siyuan, CAI Qiuhan, CHEN Yueyue, CAI Lili   

  1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300181, China

  • Received:2022-08-30 Revised:2022-10-14 Online:2023-06-25 Published:2023-06-25
  • Contact: HU Siyuan, email: husiyuan1963@126.com

PDF

218

补充材料

1

摘要： 背景：SNAP量表（Swanson, Nolan, and Pelham, version scale）是评估注意缺陷多动障碍(ADHD)患儿核心症状应用最广泛的测评工具，但仍无针对其测量性能的系统评价，由其导致的偏倚，可能影响测量工具的评价效力。 目的：基于选择健康测量工具共识标准（COSMIN）系统评价SNAP-Ⅳ量表的测量属性，为儿童ADHD的筛查、协助诊断和疗效评估提供有证据支持的推荐。 设计：系统评价。 方法：系统检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Cochrane Library、EMBASE、Web of Science，时间为建库至2022年4月21日，由2人背靠背行文献筛选，并参照COSMIN手册对SNAP-Ⅳ量表的测量性能进行客观评价。 主要结局指标：SNAP-Ⅳ量表内容效度、内部一致性。 结果：共纳入14项研究，涉及6个语言版本。SNAP-Ⅳ量表内容效度综合评价，相关性、全面性和可理解性均为“充足”（中等质量证据），未报道SNAPⅣ量表研发的相关内容。SNAP-Ⅳ量表父母版和教师版均表现为“充足”的内部一致性（高质量证据）。没有高质量证据表明测量属性“不足”，总体推荐意见为“A”。 结论：推荐SNAP-Ⅳ量表用于ADHD患儿的筛查、协助诊断和治疗评估，其结果可信。

关键词: 注意缺陷/多动障碍, SNAP-Ⅳ, 选择健康测量工具共识标准, 系统评价

Abstract: Background：The Swanson, Nolan, and Pelham, version scale (SNAP-Ⅳ) is the most widely used assessment tool for evaluating the core symptoms of attention-deficit/hyperactivity disorder (ADHD) in children. However, there is still a lack of systematic review of the measurement properties of the SNAP-Ⅳ scale, which may introduce bias and potentially affect the assessment validity of the measurement tool. Objective：To evaluate the measurement properties of the SNAP-Ⅳ based on the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN), and to provide evidence-based measurement instrument recommendations for the screening, diagnosis and efficacy evaluation of children with ADHD. Design：Systematic review. Methods：Related literature was systematically searched in databases of China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, China Biomedical Literature Database (CBM), PubMed, Cochrane Library, EMBASE, and Web of Science from the inception to April 21, 2022. Two reviewers independently screened the literature, and the measurement properties of the SNAP-Ⅳ scale were objectively evaluated according to the COSMIN manual. Main outcome measures：Content validity and internal consistency of the SNAP-Ⅳ scale. Results：A total of 14 studies involving 6 language versions were included. The content validity of the SNAP-Ⅳ scale was rated as "sufficient" (moderate quality evidence) in terms of relevance, comprehensiveness, and comprehensibility. However, there was no reported content on the development of the SNAP-Ⅳ scale. The parent and teacher versions of the SNAP-Ⅳ scale showed "sufficient" internal consistency (high-quality evidence). There was no high-quality evidence indicating "insufficient" measurement properties. The overall recommendation was classified as level A. Conclusion：The SNAP-Ⅳ scale is recommended for the screening, diagnosis, and treatment evaluation of children with ADHD, and its results can be considered reliable.

Key words: Attention deficits/hyperactivity disorders, SNAP-IV, COSMIN, Systematic review