Translation, Cross-cultural Adaptation and Psychometric Validation of the Korean-Language Cardiac Rehabilitation Barriers Scale (CRBS-K).
Translation, Cross-cultural Adaptation and Psychometric Validation of the Korean-Language Cardiac Rehabilitation Barriers Scale (CRBS-K).
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DOI：
10.5535/arm.2017.41.5.858
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发表时间：
2017-10
期刊：
影响因子：
--
通讯作者：
Kim WS
中科院分区：
文献类型：
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作者：
Baek S;Park HW;Lee Y;Grace SL;Kim WS
对心脏康复障碍量表（CRBS）进行翻译和跨文化适应，以在韩国使用，然后进行心理测量学验证。开发CRBS是为了评估患者对患者、提供者和卫生系统层面障碍影响其心脏康复（CR）参与程度的感知。CRBS由21个项目（依从性障碍）组成，采用5分制Likert量表进行评分。第一阶段是翻译和跨文化调整CRBS以适应韩语。在回译后，两个版本都由一个委员会审查。通过半结构化访谈，在有急性心肌梗死病史的韩国患者（n=53）样本中评估表面效度。第二阶段是通过在104例患者中使用翻译版本、方差最大旋转主成分分析和交叉引用CR，分别评估韩语翻译的结构和标准效度以及内部可靠性。问卷的长度、可读性和清晰度都很好，证明了表面效度。分析揭示了一个六因素的解决方案，证明了结构效度。Cronbach’s alpha大于0.65。被评为最高的障碍包括不知道CR和没有被程序联系。未参加者的平均CRBS评分（2.71±0.26）显著高于CR参加者（2.51±0.18）（p<0.01）。韩国版的CRBS已经证明了面子，内容和标准的有效性，这表明它可能是有用的评估障碍，CR利用在韩国。
To perform a translation and cross-cultural adaptation of the Cardiac Rehabilitation Barriers Scale (CRBS) for use in Korea, followed by psychometric validation. The CRBS was developed to assess patients' perception of the degree to which patient, provider and health system-level barriers affect their cardiac rehabilitation (CR) participation. The CRBS consists of 21 items (barriers to adherence) rated on a 5-point Likert scale. The first phase was to translate and cross-culturally adapt the CRBS to the Korean language. After back-translation, both versions were reviewed by a committee. The face validity was assessed in a sample of Korean patients (n=53) with history of acute myocardial infarction that did not participate in CR through semi-structured interviews. The second phase was to assess the construct and criterion validity of the Korean translation as well as internal reliability, through administration of the translated version in 104 patients, principle component analysis with varimax rotation and cross-referencing against CR use, respectively. The length, readability, and clarity of the questionnaire were rated well, demonstrating face validity. Analysis revealed a six-factor solution, demonstrating construct validity. Cronbach's alpha was greater than 0.65. Barriers rated highest included not knowing about CR and not being contacted by a program. The mean CRBS score was significantly higher among non-attendees (2.71±0.26) than CR attendees (2.51±0.18) (p<0.01). The Korean version of CRBS has demonstrated face, content and criterion validity, suggesting it may be useful for assessing barriers to CR utilization in Korea.