| Objective:In recent years,with the development of Constitution in Chinese Medicine,the Constitutional Chinese Medicine Questionaire(CCMQ)and the corresponding "Classification and Judgment of Constitution in Chinese Medicine" standards have been widely promoted and applied,and become the main means of preventing disease.Although the constitution of infants and young children is different from that of adults,there are also differences in constitution formed by innate endowments and acquired acquisitions.Therefore,it can also be classified into constitution in Chinese medicine,in spite of the constitution of infants and young children is more inherited from innate factors.At present,whether it is in the field of children’s TCM primary care or pediatric clinics,there is a lack of standardized and practical methods and tools for evaluating health status of infants and young children under the concept of Chinese medicine.In this paper,based on the Nine Body Types in Constitutional Medicine established by academician Wang Qi,the infant version of the Constitutional Chinese Medicine Questionaire is developed to serve clinical and public health applications.Method:1.Based on the Constitutional Identification Questionnaire in Chinese Medicine for Children 2-6 Years Old compiled by the research team,the 2009 version of the "Classification and Judgment of Constitution in Chinese Medicine" standard as the basic framework,drawing on the expressions of infants and young children’s constitution in ancient books and modern literature,through interviews and expert argumentation,compilation of the "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)".2.Based on the epidemiological survey data,carry out statistical analysis of the scale items,use the four methods of critical value Test,item-total correlation coefficient method,Cronbach’s a coefficient method,and factor loading method to statistically screen the items.The entries are deleted according to the statistical results.3.Test the reliability and validity of the "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)" after the deleted items.Cronbach’s a coefficient is used for internal consistency reliability,Spearman-Brown coefficient was used for split half reliability,Pearson coefficient was used for retest reliability,and factor analysis is used for structural validity.Statistical analysis was performed using SPSS23.0,and P≤ 0.05 was considered statistically significant.Results:1.The revised preliminary test version of the "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)" consists of 45 items and 9 subscales.Among them,the subscale of healthy constitution is composed of 5 items;the subscale of qi deficiency constitution is composed of 6 items;the subscale of yang deficiency constitution is composed of 4 items;the yin deficiency constitution scale is composed of 7 items;the subscale of phlegm dampness constitution is composed of 4items;the subscale of damp heat constitution is composed of 5 items;the subscale of blood stasis constitution is composed of 4 items;the subscale of qi stagnation constitution is composed of 5 items;the subscale of allergic constitution is composed of 5 items.2.Through a cross-sectional survey of 1503 cases,the project analysis results of the preliminary test version of the "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)" are:items Q1,Q2,Q3,and Q45 meet the three analysis requirements,and Q44 meets two Analysis requirements;item Q34 only meets one type of analysis requirement,and all other items meet four types of analysis requirements.After discussion by the core group,it was decided to delete the Q44 and Q34 items of calmness and depression,and keep the other items.3.The second test version of the "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)" consists of 43 items and 9 subscales.Among them,the subscale of healthy constitution is composed of 4 items;the subscale of qi deficiency constitution is composed of 6 items;the subscale of yang deficiency constitution is composed of 4 items;the yin deficiency constitution subscale is composed of 7 items;the subscale of phlegm dampness constitution is composed of 4items;the subscale of damp heat constitution is composed of 5 items;the subscale of blood stasis constitution is composed of 4 items;the subscale of qi stagnation constitution is composed of 4 items;the subscale of allergic constitution is composed of 5 items.4.Through 565 cross-sectional investigations,the recovery rate and completion rate of the second test version of the "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)”are both 100%,and the average filling time of the scale is 5.92 ± 3.27 minutes,indicating that the second test version scale has good acceptability.The Cronbach’s a coefficient of the second test version of the total scale is 0.881,with 9 subscales of healthy constitution,qi deficiency constitution,yang deficiency constitution,yin deficiency constitution,phlegm dampness constitution,damp heat constitution,blood stasis constitution,qi stagnation constitution,and allergic constitution ranges from 0.522 to 0.742,which are respectively 0.533,0.593,0.575,0.630,0.522,0.690,0.742,0.685,0.732;the retest reliability coefficient of the overall scale is 0.898,the range of retest reliability coefficients of the subscale is between 0.880-0.967,which are 0.950,0.960,0.944,0.938,0.964,0.896,0.880,0.967,0.898,which are all greater than 0.70,and P≤0.01;The split-half reliability coefficient of the overall scale is 0.831;the split-half reliability coefficients of the 9 subscales range from 0.427 to 0.766,which are 0.494,0.591,0.545,0.658,0.427,0.702,0.751,0.766,0.678.Except for the haelthy and phlegm dampness subscale,the other subscales are all higher than 0.50,indicating that the reliability of the second-test version of the scale is better.The results of the structural validity analysis showed that the KMO value was 0.897,the χ2 value of the Bartlett sphere test was 6947.277,P=0.000<0.01,10 common factors were extracted according to the characteristic root value>1,and the cumulative contribution rate of the variance of the 10 common factors totals 53.736%,nine common factors were further extracted,and the results showed that the cumulative contribution rate was 51.291%,indicating that the second test version scale has good structural validity.Conclusion:1.The final version of "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)" compiled by this research consists of 9 subscales and a total of 43 items,all of which are positive score.2.The "Wang Qi’s Nine Body Types in Constitutional Medicine Questionaire(0-3 Years Old Version)" has good feasibility.The internal consistency reliability and retest reliability have good performance.The content validity and structure validity also have good performance. |
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