中文版婴儿运动动机问卷在高危儿应用中的信度研究

关键词：中文版婴儿运动动机问卷  高危儿  信度研究  运动发育

Keywords:infant movement motivation questionnaire  high risk infants  inter- and intra-tester reliability  motor development

摘要：

      摘要 目的：确定中文版婴儿运动动机问卷（IMMQ）的测量信度。 方法：由研究小组中2名儿童康复医师和3名治疗师根据英语版IMMQ翻译、回译和集体讨论形成中文版IMMQ。以100例3—11月龄的高危儿为研究对象，高危儿父母现场填写纸质版或通过互联网问卷星手机端填写电子版IMMQ。高危儿的母亲和父亲均须完成第一次IMMQ调查，在完成第一次IMMQ调查后的1周（第7天），高危儿母亲或和父亲完成第二次IMMQ调查。分析IMMQ在高危儿父母间测试信度和重测信度，比较不同调查形式（现场问卷、互联网问卷星）、不同年龄段高危儿（3—6月龄、7—11月龄）、高危儿父母每日照料时长（1—3h，4—7h，8—12h，>12h）以及高危儿父母的文化程度（高中及初中、大学、研究生）的IMMQ信度。 结果：本研究共完成并收回符合标准的调查问卷为81例高危儿的资料。IMMQ总分和各分区分值测试者间信度ICC=0.776—0.878，IMMQ总分分值重测信度ICC=0.927，各分区分值重测信度：父母亲总体重测信度ICC=0.811—0.913，父亲重测信度ICC=0.798—0.890，母亲重测信度ICC=0.811—0.923；现场发放问卷形式的测试者间信度ICC=0.796—0.915，重测信度ICC=0.783—0.894，网络问卷星形式的测试者间信度ICC=0.811—0.951，重测信度ICC=0.796—0.978；3—6月龄和7—11月龄IMMQ总分分值测试者间信度ICC=0.880，3—6月龄IMMQ分区分值测试者间信度ICC=0.729—0.895，7—11月龄IMMQ分区分值测试者间信度ICC=0.669—0.897；不同文化程度父母的IMMQ总分和各分区分值测试重测信度ICC=0.892—0.976；不同照料时间父母的IMMQ总分和各分区分值测试重测信度ICC=0.822—0.947。 结论：中文版IMMQ在高危儿中应用具有较好的信度，可用于临床或研究目的。IMMQ可能成为早期运动发育领域的一个重要工具，将作为传统婴儿发育评估工具的有效补充。

Abstract:

      Abstract Objective： To study the reliability of the Chinese version of infant movement motivation questionnaire(IMMQ) in high-risk infants. Method： Two children rehabilitation physicians and three therapists from the research team will translate， back-translation and discuss together to form a Chinese version of the IMMQ. A total of 100 high-risk infants aged 3 to 11 months were recruited and the parents of high-risk infants were invited to fill out IMMQ through face to face or internet mobile terminal. Both mothers and fathers of high-risk infants must finish the first IMMQ survey. One week (7 days) after completing the first survey， both mothers and/or fathers of high-risk infants would complete the second survey. The intra- and inter-tester reliability of IMMQ between parents of high-risk infants were analysied， and the reliability of IMMQ in different survey methods (face to face and internet mobile terminals)， different ages of infants(3—6 months and 7—11 months)， length of parental care time(1—3h， 4—7h， 8—12h， >12h) and parent's education level(diploma of high school and junior high School， college and postgraduate) was compared. Result：In this study，the questionnaires of 81 high-risk infants were included for analyzing. The inter-tester reliability ICCs values of IMMQ total score and each factor score ranged from 0.776 to 0.878 and the intra-tester reliability ICCs values of IMMQ total score ranged from 0.915 to 0.931. The intra-tester reliability of each factor： 0.811 to 0.913 in parents， from 0.798 to 0.890 in father， from 0.678 to 0.923 in mother； The inter and intra-tester reliability ICCs values ranged respectively from 0.796 to 0.915 and from 0.783 to 0.894 in face to face method， and ranged respectively from 0.811 to 0.951 and from 0.796 to 0.978 in internet mobile terminals method. The inter-tester reliability ICCs values of IMMQ total score was at 0.880 between 3—6months and 7—11months， the inter-tester reliability ICCs values of each factor score ranged from 0.729 to 0.895 in 3—6months and from 0.669 to 0.897 in 7—11months； The intra-tester reliability ICCs values of IMMQ total score and each factor score ranged from 0.892 to 0.976 in parents with different educational levels；The intra-tester reliability ICCs values of IMMQ total score and each factor scoreranged from 0.822 to 0.947 in parents with different care times. Conclusion：There were high levels of inter-and intra-tester agreement in the Chinese version of the IMMQ in high-risk infants, which can be used for clinical or research purposes；The IMMQ may also be as an important tool in early motor development and will be an effective supplement to the traditional development assessment tools for infants.