King's College London, Department of Palliative Care Policy and Rehabilitation, Cicely Saunders Institute, Bessemer Road, London, SE5 9PJ, UK,
Qual Life Res. 2014 Aug;23(6):1701-11. doi: 10.1007/s11136-014-0627-6. Epub 2014 Jan 28.
To detect any problems with completion of the Functional Assessment of Chronic Illness Therapy Spiritual Well-being Scale (FACIT-Sp-12), to analyse the causes of such problems and to propose solutions to overcome them.
We audio-recorded face-to-face interviews with 17 older people living in one of three nursing homes in London, UK, while they completed FACIT-Sp-12. We used cognitive interviewing methods to explore residents' responses. Our analysis was based on the Framework approach to qualitative analysis. We developed the framework of themes a priori. These comprised: comprehension of the question; retrieval from memory of relevant information; decision processes; and response processes.
Ten residents completed the FACIT-Sp-12 with no missing data. Most problems involved comprehension and/or selecting response options. Twelve residents had problems with comprehension of at least one question, particularly with abstract concepts (e.g. harmony, productivity), or where there were assumptions inherent in the questions (e.g. they had an illness). When residents had problems comprehending the question, they also found it difficult to select a response. Thirteen residents had difficulties selecting responses (e.g. categories did not reflect their views or were not meaningful in the context of the statement). Some chose not to respond, others responded to the question as they understood it.
The FACIT-Sp-12 could provide valuable insights into the spiritual concerns of nursing home residents; however, data may be neither valid nor reliable if they do not comprehend the questions as intended and respond appropriately. Providing clear and detailed instructions, including definitions of abstract concepts, may improve the validity of this measure for this population.
检测慢性疾病治疗功能评估量表-精神健康部分（FACIT-Sp-12）完成情况是否存在问题，分析问题产生的原因，并提出解决方案。
我们对居住在英国伦敦的 3 家养老院中的 17 位老年人进行了面对面的访谈，并对访谈进行了录音，访谈过程中受访者完成了 FACIT-Sp-12。我们采用认知访谈方法来探索受访者的反应。我们的分析基于定性分析框架方法。我们预先制定了主题框架，包括：理解问题；从记忆中检索相关信息；决策过程；以及反应过程。
10 位受访者完成了 FACIT-Sp-12，没有缺失数据。大多数问题涉及理解和/或选择反应选项。12 位受访者至少有一个问题理解上存在问题，尤其是对于抽象概念（例如和谐、生产力），或者问题中存在假设（例如他们患有疾病）。当受访者理解问题存在困难时，他们也难以选择反应。13 位受访者在选择反应时存在困难（例如类别无法反映他们的观点，或者在陈述的上下文中没有意义）。有些人选择不回答，有些人则根据自己的理解回答问题。
FACIT-Sp-12 可以为养老院居民的精神健康状况提供有价值的见解；但是，如果他们没有按照预期理解问题并做出适当的反应，那么数据可能既不有效也不可靠。提供清晰详细的说明，包括对抽象概念的定义，可能会提高该测量方法在这一人群中的有效性。
