Department of Medicine, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.
J Clin Epidemiol. 2012 Nov;65(11):1227-35. doi: 10.1016/j.jclinepi.2012.05.004.
To develop a culturally adapted Bengali version of the Short Form-36 (SF-36) Health Survey and to test its acceptability, reliability, and validity in patients with rheumatoid arthritis (RA).
The US English SF-36 was translated into Bengali after established cross-cultural adaptation procedures. The questionnaire was interviewer administered to 125 consecutive outpatients with RA and readministered after 2 weeks to 40 randomly selected patients.
Most participants (86.4%) did not have any problem in understanding the Bengali SF-36 and 98.4% of the questionnaires were fully completed. Only the role-physical and role-emotional scales showed substantial floor and ceiling effects. Principal component analysis confirmed that the hypothesized two-factor structure and tests of scaling assumptions were 100% successful for all eight scales expect physical functioning (98.8%) and general health (77.5%). Cronbach's α was higher than 0.78 and the test-retest reliability was high (r>0.82) for all scales. Correlations with other disease activity parameters were generally as expected and summary scores were able to discriminate between relevant subgroups.
The interviewer-administered Bengali SF-36 appears to be an acceptable, reliable, and valid instrument for measuring health-related quality of life in Bangladeshi patients with RA. The questionnaire should be further evaluated in people from the general population and in patients with different medical conditions.
开发一种经文化调适的孟加拉语版简式 36 健康调查（SF-36），并检验其在类风湿关节炎（RA）患者中的可接受性、信度和效度。
在既定的跨文化调适程序后，将美国英文版 SF-36 翻译成孟加拉语。采用访谈式调查法，对 125 例连续 RA 门诊患者进行问卷调查，其中 40 例随机患者在 2 周后重新接受调查。
大多数患者（86.4%）在理解孟加拉语版 SF-36 时没有任何问题，98.4%的问卷均完整填写。仅身体机能和情绪角色两个量表存在明显的地板效应和天花板效应。主成分分析证实，除身体机能（98.8%）和总体健康（77.5%）外，其余所有 8 个量表均符合假设的两因素结构和量表设定检验（100%成功）。所有量表的克朗巴赫 α值均高于 0.78，重测信度较高（r＞0.82）。与其他疾病活动参数的相关性符合预期，且综合评分能够区分相关亚组。
访谈式调查的孟加拉语版 SF-36 似乎是一种可接受、可靠且有效的工具，可用于评估孟加拉国 RA 患者的健康相关生活质量。该问卷应在一般人群和不同疾病患者中进一步评估。
