Cross-cultural adaptation and validation of the Malay Adult cirrhosiS Knowledge Questionnaire (ASK-QM).

Q3 Medicine

Medical Journal of Malaysia Pub Date : 2025-03-01

H K Leung, S Mahadeva, R B Rajaram, H Omar, P S M Lai

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引用次数: 0

Abstract

Introduction: Cirrhosis is common in Malaysia, but no questionnaire in the local language (Malay) has been developed to assess patients' knowledge of this disease. This study aimed to adapt and validate the Malay Adult cirrhosiS Knowledge Questionnaire (ASK-QM).

Materials and methods: ASK-QM was translated from English to Malay according to international guidelines. It was validated among cirrhotic patient who understand Malay language from two major liver centers in Klang Valley, Malaysia (University of Malaya and Hospital Selayang) from January 2021 to March 2022, at week 0 and 2. Patients with hepatic encephalopathy were excluded.

Results: 121 out of 132 patients with cirrhosis agreed to participate (response rate=91.7%). The overall median score of the ASK-QM was 54.5 [38.6-68.2] and the difficulty factor was 0.5 (range: 0.1-0.8 for each domain). Confirmatory factor analysis showed a good model fit with results of Comparative fit index (CFI) ranging from 0.836 to 1.000, whilst, the Tucker-Lewis index (TLI) ranged from 0.690 to 1.004 across all four domains. The root mean square error of approximation (RMSEA) value was reported from 0.000 to 0.100. For standardized root mean squared residual (SRMR) was from 0.008 to 0.015. Patients with tertiary education scored higher compared to those without (63.6 [45.5-77.3] vs 52.3 [36.4-63.6], p<0.05). The overall Kuder-Richardson (KR) coefficient was 0.761 indicating adequate internal consistency. Test-retest among 82 out of 121 patients (response rate=67.7%) demonstrated adequate reliability with eighteen out of 22 items having Wilcoxon signed-rank test values that were statistically not significant, p>0.005.

Conclusion: The ASK-QM was found to be a valid and reliable questionnaire for evaluating knowledge of liver cirrhosis amongst Malay-speaking adults.

本刊更多论文

马来成人肝硬化知识问卷（ASK-QM）的跨文化适应与验证。

简介：肝硬化在马来西亚很常见，但没有当地语言（马来语）的调查问卷来评估患者对这种疾病的了解。本研究旨在调整和验证马来成人肝硬化知识问卷（ASK-QM）。材料和方法：根据国际标准将ASK-QM从英语翻译成马来语。在2021年1月至2022年3月期间，在马来西亚巴生谷的两个主要肝脏中心（马来亚大学和Selayang医院）的第0周和第2周，对懂马来语的肝硬化患者进行了验证。排除肝性脑病患者。结果：132例肝硬化患者中有121例同意参与（有效率=91.7%）。ASK-QM的总体中位数得分为54.5[38.6-68.2]，困难系数为0.5（每个领域范围：0.1-0.8）。验证性因子分析表明，模型拟合良好，比较拟合指数（CFI）在0.836 ~ 1.000之间，而塔克-刘易斯指数（TLI）在0.690 ~ 1.004之间。均方根近似误差（RMSEA）值从0.000到0.100。标准化均方根残差（SRMR）为0.008 ~ 0.015。接受过高等教育的患者得分高于未接受过高等教育的患者(63.6 [45.5-77.3]vs 52.3 [36.4-63.6], p0.005。结论：ASK-QM是一份有效、可靠的马来语成人肝硬化知识评估问卷。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Journal of Malaysia Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

165

期刊介绍： Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.