Validity and reliability of the Japanese version of the CARE Measure in a general medicine outpatient setting
Validity and reliability of the Japanese version of the CARE Measure in a general medicine outpatient setting
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DOI：
10.1093/fampra/cmt053
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发表时间：
2014-02-01
期刊：
影响因子：
2.2
通讯作者：
Mercer, Stewert W.
中科院分区：
文献类型：
--
作者：
Aomatsu, Muneyoshi;Abe, Hinako;Mercer, Stewert W.
同理心是医学的一个重要属性，影响着咨询的过程和结果。然而，在日本没有经过验证的工具可以收集患者对医生同理心的反馈。为研究咨询与关系共情（CARE）量表的日语版的心理测量学特性，在日本的一家初级医疗诊所，采用翻译和回译两个循环的方法，对317名患者进行了日语版CARE量表的测试。内部信度和效度的测试包括Cronbachs α，项目总相关和因素分析。通过Spearmans rho评估了CARE测量评分与其他变量之间的预测关联。缺失值（8.29.8%）和不适用回答（01.3%）的数量较少，表明日本CARE测量的可接受性和表面效度较高。内部可靠性高（Cronbachs α 0.984），并减少了删除任何10个项目。高校正项目总相关（0.8970.946）表明同质性。因子分析显示，一个单一的解决方案与高项目负荷（0.9170.957）。结构效度与会诊总体满意度之间存在显著相关性（Spearmans rho 0.74，P < 0.001）。日本护理测量在初级医疗保健环境中有效且可靠。需要进一步的工作来确定其区分医生的能力。
Empathy is an important attribute in medicine, influencing both the process and outcome of consultations. However, there are no validated tools available in Japan to gather patient feedback on physicians empathy. The Consultation and Relational Empathy (CARE) Measure developed in the UK is widely used internationally.To investigate the psychometric properties of a Japanese version of the CARE Measure.Following two cycles of translation and back translation, the Japanese CARE Measure was completed by 317 patients in a primary medical care clinic in Japan. Tests of internal reliability and validity included Cronbachs alpha, item-total correlations and factor analysis. Predicted associations between CARE Measure score and other variables were assessed by Spearmans rho.Low numbers of missing values (8.29.8%) and not applicable responses (01.3%) suggested high acceptability and face validity of the Japanese CARE Measure. Internal reliability was high (Cronbachs alpha 0.984) and was reduced by the removal of any of 10 items. High corrected item-total correlations (0.8970.946) suggested homogeneity. Factor analysis showed a single solution with high item loadings (0.9170.957). Construct validity was supported by a significant relationship (Spearmans rho 0.74, P < 0.001) with overall satisfaction with the consultation.The Japanese CARE Measure appears to be valid and reliable in a primary medical care setting. Further work is required to determine its ability to discriminate between doctors.