Development and psychometric testing of a Chinese version of the Fatigue Scale-Children in Taiwan
Development and psychometric testing of a Chinese version of the Fatigue Scale-Children in Taiwan
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DOI：
10.1111/j.1365-2702.2007.02138.x
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发表时间：
2008-05-01
影响因子：
4.2
通讯作者：
Yang, Chao-Ping
中科院分区：
文献类型：
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作者：
Chiang, Yi-Chien;Hinds, Pamela S.;Yang, Chao-Ping
目标。本研究旨在编制儿童疲劳量表（FS-C-C）并对其进行心理测量学评价。癌症相关疲劳是儿童肿瘤患者在癌症治疗期间和之后报告的最令人痛苦和最普遍的症状之一。一个可靠和有效的工具来衡量疲劳是必不可少的成功的临床护理的儿科肿瘤病人在台湾谁经历这种令人不安的症状。设计和方法。共有108名7-12岁的台湾儿科肿瘤患者参加了这项横断面仪器研究。通过使用已建立的翻译/回译方法将FS-C翻译成中文。量表的信效度包括内部一致性、内容效度、结构效度、聚合效度、效标关联效度和已知群体效度。FS-C-C获得了可接受的内部一致性系数。内容效度中等偏高（内容效度指数范围为83-100%）。验证性因素分析支持三因素模型作为可接受的模型拟合（拟合优度指数和调整后的拟合优度指数均大于0.9;范数拟合指数为0.89;均方根残差为0.15）。虽然结果不支持已知组假设，但FS-C-C的收敛效度、同时效度和预测效度分别与PedsQL多维疲劳量表、儿童行为量表的焦虑/抑郁分量表以及癌症儿童生活质量量表的一般和疾病特异性得分显著相关。我们新开发的FS-C-C是一个可靠和有效的工具，用于测量台湾儿童癌症相关的疲劳强度。FS-C-C可以提供有用的信息，以指导临床实践中评估和管理癌症相关的疲劳儿童癌症患者在台湾。
Aims. The aim of this study was to develop and evaluate the psychometric properties of a Chinese version of the Fatigue Scale-Children (FS-C-C).Background. Cancer-related fatigue is one of the most distressing and prevalent symptoms reported by paediatric oncology patients during and after their cancer treatment. A reliable and valid instrument to measure fatigue is essential to the successful clinical care of paediatric oncology patients in Taiwan who experience this troubling symptom.Design and methods. A total of 108 paediatric oncology Taiwanese patients who were aged 7-12 years participated in this cross-sectional, instrumentation study. The FS-C was translated into Chinese by using an established translation/back-translation method. The psychometric testing of the FS-C-C included internal consistency, content validity, construct validity, convergent validity, criterion-related validity and known-group validity.Results. The FS-C-C achieved an acceptable internal consistency coefficient. Content validity was moderately high (content validity indices ranged from 83-100%). Confirmatory factor analysis supported the three-factor model as an acceptable model fit (the goodness-of-fit index and adjusted goodness-of-fit index both were greater than 0.9; normed fit index, 0.89; root-mean-square residual, 0.15). Although the results did not support the known-group hypothesis, the convergent validity, concurrent validity and predictive validity of the FS-C-C were supported by significant associations with the PedsQL Multidimensional Fatigue Scale, the Anxious/Depressed subscale of the Child Behaviour Checklist and the generic and disease-specific scores on the Quality of Life for Children with Cancer instrument, respectively.Conclusion. Our newly developed FS-C-C is a reliable and valid instrument for the measurement of cancer-related fatigue intensity in Taiwanese children.Relevance to clinical practice. The FS-C-C could provide useful information to guide clinical practice in assessing and managing cancer-related fatigue in childhood cancer patients in Taiwan.