Translation, Validation and Exploration of the Chinese Version of the Health Care Climate Questionnaire Among Hypertensive Patients in Healthcare Settings.
{"title":"Translation, Validation and Exploration of the Chinese Version of the Health Care Climate Questionnaire Among Hypertensive Patients in Healthcare Settings.","authors":"Wenjing Peng, Ciyu Chen, Juan Wang","doi":"10.2147/PPA.S533784","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Healthcare providers' autonomy support influences patients' health behaviors. The Health Care Climate Questionnaire (HCCQ) effectively measures perceived autonomy support in healthcare settings, but its Chinese version lacks proper reliability and validity testing, hindering objective evaluations in China.</p><p><strong>Purpose: </strong>This study aimed to cross-culturally adapt and validate the HCCQ for assessing perceived autonomy support among Chinese hypertensive patients.</p><p><strong>Methods: </strong>Following the Brislin translation model, the Chinese version of the HCCQ was adapted. From September 2023 to January 2024, 375 hospitalized hypertensive patients from a Guangzhou tertiary hospital completed the adapted questionnaire. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to test the structural validity; internal consistency and item-total correlations were used to assess reliability.</p><p><strong>Results: </strong>After excluding invalid questionnaires, this study finally analyzed data from 357 patients (with 105 cases used for EFA in the first stage and 252 cases used for CFA in the second stage). Consistent with the original questionnaire, the Chinese version of the HCCQ contains a total of 15 items and extracts one common factor, which explains 66.019% of the variance. According to the CFA results, the fitted model meets each goodness-of-fit index. The Cronbach's α coefficient of the Chinese version of the HCCQ is 0.961.</p><p><strong>Conclusion: </strong>Within the scope of this study, the Chinese version of the HCCQ demonstrates good validity and reliability in measuring the perceived autonomy support of hypertensive patients in healthcare settings, which can provide some reference for related research. To a certain extent, the Chinese version of the HCCQ can assist health professionals in assessing and guiding patients' perceived autonomy support.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2919-2932"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449881/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient preference and adherence","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/PPA.S533784","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Healthcare providers' autonomy support influences patients' health behaviors. The Health Care Climate Questionnaire (HCCQ) effectively measures perceived autonomy support in healthcare settings, but its Chinese version lacks proper reliability and validity testing, hindering objective evaluations in China.
Purpose: This study aimed to cross-culturally adapt and validate the HCCQ for assessing perceived autonomy support among Chinese hypertensive patients.
Methods: Following the Brislin translation model, the Chinese version of the HCCQ was adapted. From September 2023 to January 2024, 375 hospitalized hypertensive patients from a Guangzhou tertiary hospital completed the adapted questionnaire. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to test the structural validity; internal consistency and item-total correlations were used to assess reliability.
Results: After excluding invalid questionnaires, this study finally analyzed data from 357 patients (with 105 cases used for EFA in the first stage and 252 cases used for CFA in the second stage). Consistent with the original questionnaire, the Chinese version of the HCCQ contains a total of 15 items and extracts one common factor, which explains 66.019% of the variance. According to the CFA results, the fitted model meets each goodness-of-fit index. The Cronbach's α coefficient of the Chinese version of the HCCQ is 0.961.
Conclusion: Within the scope of this study, the Chinese version of the HCCQ demonstrates good validity and reliability in measuring the perceived autonomy support of hypertensive patients in healthcare settings, which can provide some reference for related research. To a certain extent, the Chinese version of the HCCQ can assist health professionals in assessing and guiding patients' perceived autonomy support.
期刊介绍：
Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal.
As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
