本文選題：肥胖　切入點：青少年　出處：《浙江大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的我國肥胖及超重青少年的生命質(zhì)量研究開展較晚,目前還缺乏相應(yīng)的工具。本研究的目的在于對原有體重有關(guān)生命質(zhì)量量表進行漢化,采用定性研究半結(jié)構(gòu)訪談法了解我國青少年獨特的與體重有關(guān)的生活感受,發(fā)展新條目,研制YQOL-W量表的中文版初稿,為量表內(nèi)容效度提供重要的證據(jù)。 方法根據(jù)華盛頓大學(xué)衛(wèi)生服務(wù)系關(guān)于量表翻譯過程的指南,通過前譯、后譯得到量表初始版本,并在目標(biāo)人群中進行兩輪認知訪談,對條目語言及用詞進行修改使之適用于青少年,對量表進行文化調(diào)適。運用定性研究經(jīng)典理論“扎根理論”,采用半結(jié)構(gòu)訪談法,對杭州市不同地區(qū)、不同BMI指數(shù)的11-18歲青少年進行訪談。訪談進行現(xiàn)場錄音,并逐字轉(zhuǎn)錄。應(yīng)用Atlas ti5.7.1軟件對數(shù)據(jù)進行編碼分析。發(fā)現(xiàn)新概念,設(shè)計新條目,對新條目進行認知訪談。將修改后的新條目與已有量表相結(jié)合,組成青少年體重有關(guān)生命質(zhì)量量表的測試版。 結(jié)果量表大部分條目在翻譯的時候并無困難,可以用中文精確表達,根據(jù)兩輪認知訪談的結(jié)果,對部分條目進行了修正。訪談杭州市22名來自城市、農(nóng)村和移民群體的肥胖、超重、正常的青少年,從22個轉(zhuǎn)錄稿中總共抽取出129個與體重有關(guān)的片段、句子、段落,其中19條分類為“自我”領(lǐng)域(14.7%)；54條分類為“社會”領(lǐng)域(41.9%)；56條分類為“環(huán)境”領(lǐng)域(43.4%)。其中14條文本與源量表概念不匹配,根據(jù)內(nèi)容獨特性以及代表性等標(biāo)準(zhǔn)撰寫了5個新條目。在目標(biāo)人群中對新條目進行三輪認知訪談,反復(fù)修改,使條目內(nèi)容反映概念,文字表達符合青少年的特點。 結(jié)論本研究運用扎根理論,發(fā)展適用于中國青少年、具有文化敏感性的體重特異性生命質(zhì)量評估工具,提供了量表內(nèi)容效度的證據(jù)。進一步的研究將評價量表的測試性能。量表的研制有助于評估我國青少年與體重有關(guān)的生活體驗,以及作為體重管理和干預(yù)的結(jié)局指標(biāo)。
[Abstract]:Objective to study the quality of life of obese and overweight adolescents in China. A qualitative semi-structured interview method was used to understand the unique life experience of Chinese adolescents related to weight, to develop new items, and to develop the first draft of the Chinese version of the YQOL-W scale, which provided important evidence for the validity of the scale content. Methods according to the guidelines of the Department of Health Services of the University of Washington on the translation process of the scale, the initial version of the scale was obtained through pre-translation and post-translation, and two rounds of cognitive interviews were conducted among the target population. To modify the language and words of items to apply to teenagers, to adapt the scale to culture, to apply qualitative research to the "rooted theory" of classical theory, and to use semi-structured interview method to study different areas of Hangzhou. Interviews were conducted among 11-18 year olds with different BMI indices. Interviews were recorded live and verbatim transcribed. Data were encoded and analyzed using Atlas ti5.7.1 software. New concepts were discovered and new entries were designed. A cognitive interview was conducted on the new items. The revised new items were combined with the existing scales to form a test version of the adolescent weight-related quality of life (QOL) scale. Results most of the items in the scale were not difficult to translate and could be accurately expressed in Chinese. According to the results of two rounds of cognitive interviews, some items were revised. 22 people from urban, rural and immigrant groups were interviewed in Hangzhou. Overweight, normal teenagers, out of a total of 129 body weight related fragments, sentences, paragraphs from 22 transcripts, Of these, 19 were classified as "self" and 54 were classified as "social", and 56 were classified as "environment", and 14 of them did not match the concept of source scale. According to the criteria of uniqueness and representativeness of content, five new items were written. Three rounds of cognitive interviews were carried out among the target population to make the contents reflect the concept and the text expression accorded with the characteristics of teenagers. Conclusion using the rooted theory, this study developed a culturally sensitive weight specific quality of life assessment tool for Chinese adolescents. Further research will evaluate the test performance of the scale. The development of the scale will help to evaluate the life experience of Chinese adolescents related to weight, as well as the outcome of weight management and intervention.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R195

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