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目的:评价健康和疾病定量测试法大众版(RTHD-P)在精神障碍流行病学调查中的信度和效度,以及用于健康与疾病状态筛查和帮助建立居民健康档案的适用性。方法:应用分层整群抽样抽取宁波市6个社区和6个自然村的15岁以上常住人口650名,分别代表城市和农村。先用RTHD-P进行筛检,同时分别用RTHD-知情人评定表(RTHD-PI)和RTHD—临床评定者量表(RTHD-PC)对同一受检者评定,进行平行信度分析。然后用诊断量表RTHD—科研版(RTHD-R)复核(效度检验),以验证RTHD-P作为筛检工具的科学性和效度分析。在评估后的7～14天内,由另一名研究者对随机抽取的200例患者进行第二次RTHD-P评定,以评价RTHD-P的重测信度。结果:RTHD-P各个分量表的Cronbach’sα系数在0.7231～0.8751之间,但在性病、吸毒、精神病等条目中需要知情人评定和临床评定员的进一步访谈,方能确定相关信息。经诊断量表RTHD-R的效度检验显示,在心理健康、躯体健康和社会功能因子kappa=0.97-1.00(P<0.01)。结论:RTHD-P 3种版本具有很好的信度。通过正确使用RTHD-P的3种版本,经RTHD-R验证,可以提高在躯体健康、心理健康和社会功能方面的评定效度,值得在流行病学调查及疾病筛查中推广应用,并适于帮助建立居民健康档案。
PURPOSE: To evaluate the reliability and validity of the RTHD-P in the epidemiological survey of mental disorders, as well as to assess the health and disease status and to help establish the health records of residents. Methods: Using stratified cluster sampling, 650 permanent residents over the age of 15 from 6 communities and 6 villages in Ningbo City were sampled, representing cities and rural areas respectively. First RTHD-P screening, at the same time, respectively, with the RTHD-informed person rating scale (RTHD-PI) and RTHD-clinical assessor scale (RTHD-PC) on the same subject assessment, parallel reliability analysis. The RTHD-R review (validity test) was then used to validate the scientific and validity of RTHD-P as a screening tool. A second RTHD-P assessment was performed by another investigator of randomly selected 200 patients within 7 to 14 days after the assessment to assess the retest reliability of RTHD-P. Results: The Cronbach’s alpha coefficients of RTHD-P subscales ranged from 0.7231 to 0.8751. However, informants and further evaluations by clinical assessors were needed in STDs, drug addiction and psychiatric disorders to confirm the relevant information. The validity test of RTHD-R by the diagnostic scale showed that in the mental health, physical health and social function factor kappa = 0.97-1.00 (P <0.01). Conclusion: The three versions of RTHD-P have good reliability. Through the proper use of the three versions of RTHD-P, validation by RTHD-R can improve the validity of assessment in physical health, mental health and social function, which is worth popularizing and applying in epidemiological investigation and disease screening. To help establish resident health records.