Development and evaluation of a Traditional Chinese Medicine syndrome questionnaire for measuring sub-optimal health status in China
Development and evaluation of a Traditional Chinese Medicine syndrome questionnaire for measuring sub-optimal health status in China
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DOI：
10.1016/s0254-6272(13)60001-1
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发表时间：
2012-06-01
影响因子：
2.6
通讯作者：
Chen Jia-xu
中科院分区：
文献类型：
--
作者：
Zhao Hui;Xiong Wei-hong;Chen Jia-xu
目的：次优健康状态是指人的身心处于一种介于疾病与健康之间的低质量状态，已成为中国不容忽视的公共卫生问题。SHS测量对学术界提出了挑战。方法：在文献综述、专家问卷调查和小组访谈的基础上，构建问卷的理论框架。采用统计分析和定性分析相结合的方法，通过先导性研究，筛选出量表和问卷条目。信度检验包括重测信度、Cronbach‘sα系数、分半信度；效度检验包括内容效度、效标效度、区分效度和结构效度。结果：SHSQ-50包括50个5类可量化项目，包括肝郁证、肝气虚证、脾气虚证、肝火证、心火证、胃火证、心气虚证、肺气虚证和湿热证。288名SHS受试者中有268名(93.0%)完成了问卷调查，94名健康受试者中有86名(91.5%)完成了问卷调查。总分和分量表的Cronbach a系数为0.70~0.95，分半系数为0.67~0.87，稳定性系数为0.88~0.98。经Wilcoxon等级检验，SHS组各分量表及总分与健康组比较，差异均有统计学意义(P
OBJECTIVE: Sub-optimal health status (SHS), in which a person's mind and body exists in a low-quality state of being between disease and health, has become a public health problem that cannot be ignored in China. SHS measurement presents a challenge to the academic fields. We developed and evaluated a questionnaire from the perspective of traditional Chinese medicine (TCM) that embodies the features of TCM syndrome diagnosis for measuring SHS in China.METHODS: The construction of the theoretical framework of the questionnaire was based on a literature review, an expert questionnaire survey and group interviews. The subscales and questionnaire items were screened through a pilot study using statistical means and qualitative analysis. Reliability tests that were used included test-retest reliability, Cronbach's a coefficient, split-half reliability; validity tests included content validity, criterion validity, discrimination validity and construct validity.RESULTS: The final questionnaire, the SHSQ-50, included 50 five-class quantifiable items that encompassed nine subscales: liver stagnation syndrome, liver-Qi deficiency syndrome, spleen-Qi deficiency syndrome, liver-fire syndrome, heart-fire syndrome, stomach-fire syndrome, heart-Qi deficiency syndrome, lung-Qi deficiency syndrome and dampness syndrome. Questionnaires were completed by 268 of the 288 SHS subjects (93.0%) and by 86 of the 94 healthy subjects (91.5%). The Cronbach a coefficients, split-half coefficients and stability coefficients ranged from 0.70 to 0.95, 0.67 to 0.87 and 0.88 to 0.98, respectively, for the overall scores and subscales. The Wilcoxon rank test showed statistically significant differences in the subscales and overall scores between the SHS group and the healthy group (P