Psychometric validation and cultural adaptation of the Chinese version of the CarerQol-7D instrument.

IF 3.2 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health and Quality of Life Outcomes Pub Date : 2025-05-09 DOI:10.1186/s12955-025-02379-7

Richard Huan Xu, Yuanshuo Xu, Mengping Zhao, Nan Liu, Pei Wang, Xiao Liang, Lingming Zhou

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引用次数: 0

Abstract

Objective: This study aims to translate and validate the CarerQol in a sample of informal caregivers in China.

Method: The CarerQol was translated following a standard process. Validation data was collected from multiple sources, including hospitals, patient associations, and community health centers between September 2023 and December 2024 in China. Caregivers of individuals with disability or long-term care needs were recruited. The psychometric properties of the CarerQol-7D were evaluated through ceiling and floor effects, factorial structure, convergent and divergent validity, known-groups validity, and test-retest reliability.

Results: A total of 324 participants completed the survey and provided validated responses. The mean CarerQol level sum score was 12.8 (SD = 2.9). The CarerQol-7D showed no ceiling or floor effects at either dimension or scale levels. Test-retest reliability of the CarerQol-7D was satisfactory, as supported by ICC and Gwet's AC1 measures. Correlation analysis confirmed all hypothesized pairs of dimensions and level sum scores/utility scores between CarerQol-7D, SF-6Dv2, and ICECAP-A. The CarerQol-7D successfully distinguished between risk groups through ANOVA testing. Confirmatory factor analysis revealed that a one-factor model of the CarerQol-7D fit the data.

Conclusion: This study provides the Chinese version of the CarerQol and confirms its sound psychometric properties for informal caregivers in China. These findings demonstrate the CarerQol's value in cost-effectiveness analyses of caregiving interventions and strategies.

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中文版CarerQol-7D量表的心理测量验证与文化适应。

目的：本研究旨在翻译和验证中国非正式护理人员的护理质量。方法：按标准流程翻译。验证数据收集自多个来源，包括中国2023年9月至2024年12月期间的医院、患者协会和社区卫生中心。招募残障人士或需要长期护理的人。通过天花板效应和地板效应、析因结构、收敛效度和发散效度、已知组效度和重测信度来评价CarerQol-7D的心理测量特性。结果：共有324名参与者完成了调查并提供了有效的回答。平均CarerQol水平和评分为12.8 （SD = 2.9）。CarerQol-7D在维度和尺度水平上均无上限或下限效应。在ICC和Gwet的AC1测量中，CarerQol-7D的重测信度令人满意。相关分析证实了CarerQol-7D、SF-6Dv2和ICECAP-A之间所有假设的维度对和水平总和得分/效用得分。CarerQol-7D通过方差分析（ANOVA）成功区分了不同的风险组。验证性因子分析显示CarerQol-7D的单因素模型与数据拟合。结论：本研究提供了中文版的CarerQol，并证实了其在中国非正式照顾者中的良好心理测量特性。这些发现证明了CarerQol在护理干预措施和策略的成本效益分析中的价值。

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

Health and Quality of Life Outcomes 医学-卫生保健

CiteScore

7.30

自引率

2.80%

发文量

154

审稿时长

3-8 weeks

期刊介绍： Health and Quality of Life Outcomes is an open access, peer-reviewed, journal offering high quality articles, rapid publication and wide diffusion in the public domain. Health and Quality of Life Outcomes considers original manuscripts on the Health-Related Quality of Life (HRQOL) assessment for evaluation of medical and psychosocial interventions. It also considers approaches and studies on psychometric properties of HRQOL and patient reported outcome measures, including cultural validation of instruments if they provide information about the impact of interventions. The journal publishes study protocols and reviews summarising the present state of knowledge concerning a particular aspect of HRQOL and patient reported outcome measures. Reviews should generally follow systematic review methodology. Comments on articles and letters to the editor are welcome.