Translation, Cross-Cultural Adaptation, and Psychometric Validation of the Chinese/Mandarin Cardiac Rehabilitation Barriers Scale (CRBS-C/M).

IF 1.5 Q3 REHABILITATION

Rehabilitation Research and Practice Pub Date : 2021-06-17 eCollection Date: 2021-01-01 DOI:10.1155/2021/5511426

Xia Liu, Adeleke Fowokan, Sherry L Grace, Biao Ding, Shu Meng, Xiu Chen, Yinghua Xia, Yaqing Zhang

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引用次数: 0

Abstract

Objective: Cardiovascular diseases are among the leading causes of morbidity in China and around the world. Cardiac rehabilitation (CR) effectively mitigates this burden; however, utilization is low. CR barriers in China have not been well characterized; this study sought to translate, cross-culturally adapt, and psychometrically validate the CR Barriers Scale in Chinese/Mandarin (CRBS-C/M).

Methods: Independent translations of the 21-item CRBS were conducted by two bilingual health professionals, followed by back-translation. A Delphi process was undertaken with five experts to consider the semantics and cross-cultural relevance of the items. Following finalization, 380 cardiac patients from 11 hospitals in Shanghai were administered a validation survey including the translated CRBS. Following exploratory and confirmatory factor analysis, internal consistency was assessed. Validity was tested through assessing the association of the CRBS-C/M with the CR Information Awareness Questionnaire.

Results: Items were refined and finalized. Factor analysis of CRBS-C/M (Kaiser Meyer Olkin = 0.867, Bartlett's test p < 0.001) revealed five factors: perceived CR need, external logistical factors, time conflicts, program and health system-level factors, and comorbidities/lack of vitality; Cronbach's alpha (α) of the subscales ranged from 0.67 to 0.82. The mean total CRBS score was significantly lower in patients who participated in CR compared with those who did not, demonstrating criterion validity (2.35 ± 0.71 vs. 3.08 ± 0.55; p < 0.001). Construct validity was supported by the significant associations between total CRBS scores and CR awareness, sex, living situation, city size, income, diagnosis/procedure, disease severity, and several risk factors (all p < 0.05).

Conclusions: CRBS-C/M is reliable and valid, so barriers can be identified and mitigated in Mandarin-speaking patients.

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中文/粤语心脏康复障碍量表（CRBS-C/M）的翻译、跨文化适应和心理测量验证。

目的：心血管疾病是中国乃至全球发病率的主要原因之一。心脏康复（CR）能有效减轻这一负担，但使用率却很低。本研究试图翻译、跨文化调整并从心理统计学角度验证中文/普通话心脏康复障碍量表（CRBS-C/M）：方法：由两名双语医疗专业人员对 21 个项目的 CRBS 进行独立翻译，然后进行回译。五位专家参与了德尔菲程序，以考虑项目的语义和跨文化相关性。最后，来自上海 11 家医院的 380 名心脏病患者接受了包括 CRBS 译文在内的验证调查。经过探索性和确认性因素分析后，对内部一致性进行了评估。通过评估 CRBS-C/M 与 CR 信息认知问卷的关联性，对有效性进行了检验：结果：对项目进行了改进和最终确定。CRBS-C/M 的因子分析（Kaiser Meyer Olkin = 0.867，Bartlett's test p < 0.001）显示了五个因子：感知的 CR 需求、外部后勤因素、时间冲突、项目和医疗系统层面的因素以及合并症/缺乏活力；各分量表的 Cronbach's alpha (α) 在 0.67 到 0.82 之间。与未参加 CR 的患者相比，参加 CR 的患者 CRBS 平均总分明显较低，这证明了标准效度（2.35 ± 0.71 vs. 3.08 ± 0.55；P < 0.001）。CRBS总分与CR意识、性别、生活状况、城市规模、收入、诊断/手术、疾病严重程度和几个风险因素之间存在显著关联（均为P < 0.05），这支持了结构效度：结论：CRBS-C/M 具有可靠性和有效性，因此可以识别并减轻普通话患者的障碍。

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

Rehabilitation Research and Practice REHABILITATION-

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.