Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation
Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation
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DOI：
10.1136/jech.57.4.259
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发表时间：
2003-04-01
影响因子：
6.3
通讯作者：
Shen, Y
中科院分区：
文献类型：
--
作者：
Li, L;Wang, HM;Shen, Y
研究目的：编制简明健康调查问卷(SF-36)的中国大陆版，用于中国健康相关的生活质量测量。设计：采用翻译、量表构建和评分假设检验、效度和常态化三个阶段的方案。研究对象：杭州18个社区的1000户家庭。被试：采用多阶段混合抽样的方法招募1688名被调查者。主要结果：活力和心理健康量表违反了等间隔假设。记录的项目值被用来计算量表分数。项目均值的聚类和排序与来源和其他两个中文版本相同。除躯体功能、躯体疼痛、社会功能外，各量表条目的标准差相似。除社会功能量表和活力量表外，其余项目假设量表的相关系数均相同。除社会功能量表外，其他量表的收敛效度和区分效度均令人满意。Cronbach‘sα系数除社会功能量表为0.39，活力量表为0.66外，其余为0.72~0.88。两周重测信度系数在0.66~0.94之间。因子分析确定了两个主成分，可解释总方差的56.3%。结论：本研究提示中国(大陆)版SF-36在杭州普通人群中具有较好的功能，中国与美国原始测试人群有较好的一致性。建议在对社会功能和活力量表的解释中保持谨慎，以待进一步研究。
Study objective: To develop a self administered Chinese (mainland) version of the Short-Form Health Survey (SF-36) for use in health related quality of life measurements in China.Design: A three stage protocol was followed including translation, tests of scaling construction and scoring assumptions, validation, and normalisation.Setting: 1000 households in 18 communities of Hangzhou.Participants: 1688 respondents recruited by multi-stage mixed sampling.Main results: The assumption of equal intervals was violated for the vitality and mental health scales. The recoded item values were used to calculate scale scores. The clustering and ordering of item means was the same as that of the source and other two Chinese versions. The items in each scale had similar standard deviations except those in the physical functioning, boduily pain, social functioning scales. The item hypothesised scale correlations were identical for all except the social functioning and vitality scales. Convergent validity and discriminant validity were satisfactory for all except the social functioning scale. Cronbach's a coefficients ranged from 0.72 to 0.88 except 0.39 for the social functioning scale and 0.66 for the vitality scale. Two weeks test-retest reliability coefficients ranged from 0.66 to 0.94. Factor analysis identified two principal components explaining 56.3% of the total variance. The Chinese SF-36 could distinguish known groups.Conclusions: This study suggested that the Chinese (mainland) version of the SF-36 functioned in the general population of Hangzhou, China quite similarly to the original American population tested. Caution is recommended in the interpretation of the social functioning and vitality scales pending further studies.