Cross-cultural validation of the Educational Needs Assessment Tool in RA in 7 European countries.
Cross-cultural validation of the Educational Needs Assessment Tool in RA in 7 European countries.
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DOI：
10.1186/1471-2474-12-110
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发表时间：
2011-05-24
影响因子：
2.3
通讯作者：
Hill J
中科院分区：
文献类型：
--
作者：
Ndosi M;Tennant A;Bergsten U;Kukkurainen ML;Machado P;de la Torre-Aboki J;Vlieland TP;Zangi HA;Hill J
教育需求评估工具 (ENAT) 是一份包含 39 项的患者问卷，最初在英国开发，用于评估类风湿关节炎 (RA) 患者的教育需求。本研究的目的是评估 ENAT 在 7 个欧洲国家的跨文化有效性。通过使用 Beaton 的跨文化适应流程，ENAT 被翻译成荷兰语、芬兰语、挪威语、葡萄牙语、西班牙语和瑞典语版本，并通过各国 RA 患者的方便样本完成。对生成的特定国家数据进行构建有效性评估，然后使用 Rasch 分析进行汇总和评估跨文化不变性。针对具体国家的分析表明，在对域内的本地依赖性进行调整后，Rasch 模型充分适合。当汇集不同国家的数据时，这 39 个项目显着偏离 Rasch 模型的预期（X2 = 977.055，DF = 351，p = 0.000，PSI = 0.976）。同样，领域内的大多数项目被发现是局部依赖的，显着影响适合度。因此，每个域都被视为一个单元（即 testlet），并且 ENAT 被重新分析为七个 testlet 量表，从而很好地拟合 Rasch 模型（X2 = 71.909；DF = 63；p = 0.207，PSI = 0.951）。严格的一维性测试证实所有域都有助于测量单个结构。通过分割 DIF 的域，跨文化的非不变性被打折扣，保持与 Rasch 模型的完美契合。这允许将 ENAT 校准为间隔刻度。 ENAT 是一个简单的工具，可以有效衡量 RA 患者的教育需求。如果要汇总或比较来自 7 个欧洲国家的数据，则可以对跨文化非不变性进行调整。
The Educational Needs Assessment Tool (the ENAT) is a 39-item patient questionnaire originally developed in the UK to assess educational needs of patients with rheumatoid arthritis (RA). The objective of this study was to assess the cross-cultural validity of the ENAT in 7 European countries. The ENAT was translated into Dutch, Finnish, Norwegian, Portuguese, Spanish and Swedish versions by using Beaton's cross-cultural adaptation process, and was completed by a convenience sample of patients with RA in each country. The generated country-specific data were assessed for construct validity and were then pooled and assessed for cross-cultural invariance using Rasch analysis. Individual country-specific analysis showed adequate fit to the Rasch model after adjustment for local dependency within domains. When data from the different countries were pooled, the 39 items deviated significantly from Rasch model's expectations (X2 = 977.055, DF = 351, p = 0.000, PSI = 0.976). Again, most items within domains were found to be locally dependent, significantly affecting the fit. Consequently each domain was treated as a unit (i.e. testlet) and the ENAT was re-analysed as a seven-testlet scale resulting into a good fit to the Rasch model (X2 = 71.909; DF = 63; p = 0.207, PSI = 0.951). A test of strict unidimensionality confirmed that all domains contributed to measuring a single construct. Cross-cultural non-invariance was discounted by splitting domains for DIF maintaining an excellent fit to the Rasch model. This allowed calibration of the ENAT into an interval scale. The ENAT is a simple tool, which is a valid measure of educational needs of people with RA. Adjustment for cross-cultural non-invariance is available if data from the 7 European countries are to be pooled or compared.
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影响因子：
3.5
作者：
Petersen, MA;Groenvold, M;Sullivan, M
通讯作者：
Sullivan, M
DOI：
10.1016/j.apmr.2006.10.005
发表时间：
2007-01-01
影响因子：
4.3
作者：
Keenan, Anne-Maree;Redmond, Anthony C.;Tennant, Alan
通讯作者：
Tennant, Alan
影响因子：
2.3
作者：
Alonso-Ruiz, Alberto;Pijoan, Jose Ignacio;Quintana, Antonio
通讯作者：
Quintana, Antonio
影响因子：
3
作者：
ANDERSEN, EB
通讯作者：
ANDERSEN, EB
影响因子：
--
作者：
BLAND, JM;ALTMAN, DG
通讯作者：
ALTMAN, DG