Psychometric assessment and application of the Chinese version of the Compliance with Annual Diabetic Eye Exams Survey in people with diabetic retinopathy
Psychometric assessment and application of the Chinese version of the Compliance with Annual Diabetic Eye Exams Survey in people with diabetic retinopathy
复制标题
中文版糖尿病视网膜病变患者年度糖尿病眼科检查依从性调查的心理测量及应用
DOI：
10.1111/dme.14092
复制
发表时间：
2019-08-18
影响因子：
3.5
通讯作者：
Zou, H.
中科院分区：
文献类型：
--
作者：
Zhu, X.;Xu, Y.;Zou, H.
目的将糖尿病患者年度眼科检查依从性调查(CADEES)翻译成中文，评估其信度和效度，并找出预测年度眼科检查出勤率的变量。方法研究对象为上海地区糖尿病眼科门诊就诊的糖尿病视网膜病变患者。这项研究包括三个阶段：(1)翻译和跨文化适应；(2)初步研究(n=496)，以评估华裔学生的心理测量学特性；(3)初步横断面调查(n=3818)，以评估自我报告的年度眼科检查的出勤率。对缺勤相关因素进行单因素分析，建立多元Logistic回归模型。最后，建立组件模型和个体项目模型对出勤率进行预测。结果中国版CADEES具有较好的信度和效度。年度眼科检查出席率低的问题很严重。除13个健康信念项目外，居住在半城市郊区、糖尿病病程较短、血糖控制较差、文化程度较低、视力较好、糖尿病视网膜病变诊断较轻与缺勤显著相关。多变量预测模型能够预测参与者是否参加年度眼科检查，准确率为64.7%，并解释了出勤率差异的11.3%。结论CHINA-CADEES对糖尿病视网膜病变患者的年度眼科检查具有良好的信度和效度。临床医生和研究人员可以通过解决可修改的特征和增加关于糖尿病视网膜病变的教育和糖尿病患者眼睛健康的重要性来提高就诊率。
Aim To translate the Compliance with Annual Diabetic Eye Exams Survey (CADEES) into Chinese, allowing assessment of its reliability and validity, and to identify variables that predict attendance at annual eye examinations. Methods People with vision-threatening diabetic retinopathy were recruited from the Shanghai Diabetic Eye Study. The study involved three phases: (1) translation and cross-cultural adaptation, (2) a pilot study (n = 496) to evaluate the psychometric properties of the Chinese-CADEES, and (3) a primary cross-sectional survey (n = 3818) to assess self-reported attendance at annual eye examinations. Factors related to non-attendance were identified using univariate analysis, and then a multiple logistic regression model. Finally, a component model and individual item models were built to predict attendance. Results The Chinese-CADEES had satisfactory reliability and validity. The issue of low attendance at annual eye examinations was serious. In addition to 13 health belief items, living in semi-urban suburban areas, shorter duration of diabetes, poor glucose control, lower education level, better presenting visual acuity and milder diabetic retinopathy diagnosis were significantly related to non-attendance. The multivariate predictive model was able to predict, with 64.7% accuracy, whether or not participants were going to attend annual eye examinations and explained 11.3% of the variance in attendance. Conclusions The Chinese-CADEES showed good reliability and validity for predicting attendance at annual eye examinations in people with diabetic retinopathy. Clinicians and researchers can improve attendance by addressing modifiable characteristics and increasing education on diabetic retinopathy and the importance of eye health in people with diabetes.