Psychometrics of the chronic liver disease questionnaire for Southern Chinese patients with chronic hepatitis B virus infection

Psychometrics of the chronic liver disease questionnaire for Southern Chinese patients with chronic hepatitis B virus infection
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DOI:
10.3748/wjg.15.3288
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发表时间:
2009-07-14
影响因子:
4.3
通讯作者:
Fong, Daniel Yee Tak
Fong, Daniel Yee Tak
中科院分区:
医学2区
文献类型:
--
作者:
Lam, Elegance Ting Pui;Lam, Cindy Lo Kuen;Fong, Daniel Yee Tak

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目的:目的:探讨慢性肝病问卷(CLDQ)中文(香港)译文的心理测量学特征。方法:通过反复翻译和认知报告,编制CLDQ中文(香港)译文。然后对香港72例无并发症和78例有并发症的慢性B型肝炎(CH B)患者进行问卷调查,同时使用SF-36健康调查问卷第2版(SF-36 v2)和服务利用问卷。发现了一个新的评估睡眠的因素,两个(疲劳和全身症状)分量表的项目倾向于加载在同一个因素上。不同分量表的内部一致性和重测信度在0.58-0.90之间。SF-36 v2健康调查和CLDQ评分之间的预期相关性证实了结构效度。CLDQ的平均分数显着降低复杂的CHB相比,简单的CHB,支持检测组间差异的敏感性。结论:中国(香港)CLDQ是有效的,可靠的和敏感的CHB患者。对尺度结构的一些修改可能会进一步改善其心理测量特性。(C)2009 WJG出版社和百世登。All rights reserved.
AIM: To test the psychometric properties of a Chinese [(Hong Kong) HK] translation of the chronic liver disease questionnaire (CLDQ).METHODS: A Chinese (HK) translation of the CLDQ was developed by iterative translation and cognitive debriefing. It was then administered to 72 uncomplicated and 78 complicated chronic hepatitis B (CHB) patients in Hong Kong together with a structured questionnaire on service utilization, and the Chinese (HK) SF-36 Health Survey Version 2 (SF-36v2).RESULTS: Scaling success was >= 80% for all but three items. A new factor assessing sleep was found and items of two (Fatigue and Systemic Symptoms) subscales tended to load on the same factor. Internal consistency and test-retest reliabilities ranged from 0.58-0.90 for different subscales. Construct validity was confirmed by the expected correlations between the SF-36v2 Health Survey and CLDQ scores. Mean scores of CLDQ were significantly lower in complicated compared with uncomplicated CHB, supporting sensitivity in detecting differences between groups.CONCLUSION: The Chinese (HK) CLDQ is valid, reliable and sensitive for patients with CHB. Some modifications to the scaling structure might further improve its psychometric properties. (C) 2009 The WJG Press and Baishideng. All rights reserved.