Ardebili Hasan Eftekhar, Khosravi Shahla, Larijani Bagher, Nedjat Saharnaze, Nasrabadi Alireza Nikbakht
Department of Health Services Management, School of Public Health, Institute of Health Research, Tehran University, Tehran, Iran.
Department of Community Medicine, Faculty Member of Medicine, PhD candidate of Tehran School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2014 Sep;5(9):1178-85.
Men, much like women, are faced with age-related menopause-like symptoms as they age. In recent years, increasing attention has been drawn to clinical research into elderly men and their health-related quality of life. The Aging Male Scales (AMS) questionnaire is an international tool for assessing the health-related quality of life in elderly men. Hence far this questionnaire has not been subjected to psychometric assessment in Iran. This study aims to evaluate the validity and reliability of the Persian version of the AMS questionnaire specific to the health of elderly men in Iran.
To validate this instrument, a cross-sectional study was conducted on 521 healthy Iranian men aged 40-65 years old, who attended the blood transfusion center clinic between February 2011 and June 2012. The English version of the AMS questionnaire was translated to Persian and then back-translated. To determine the reliability of the AMS questionnaire, internal consistency was evaluated and test-retest was done. The questionnaire was validated using convergent and structural validity methods. To assess the factor structure of the questionnaire, a correlation matrix of questions and domains was used.
Cronbach's alpha was higher than 0.7 (0.73-0.88) in all domains. A Pearson's correlation coefficient of 0.87 between pretest and posttest indicated a high correlation and an acceptable reliability. The convergent validity of the questionnaire was found acceptable by calculating the correlation between the domains and items-total correlation ranging 0.40-0.85, except for question 14 that had a 0.28 correlation with the whole test. The criterion-related validity of the questionnaire in the psychological domain was confirmed with the "two-item Patient Health Questionnaire" (r = 0.63, P < 0.001).
According to the results, the Persian version of the AMS questionnaire has high validity and reliability and may be used to assess the health-related quality of life of men between 40 and 65 years old.
男性与女性一样，随着年龄增长会面临与年龄相关的类似更年期的症状。近年来，老年男性及其健康相关生活质量的临床研究受到越来越多的关注。衰老男性量表（AMS）问卷是评估老年男性健康相关生活质量的国际工具。迄今为止，该问卷在伊朗尚未进行心理测量评估。本研究旨在评估针对伊朗老年男性健康的波斯语版AMS问卷的有效性和可靠性。
为验证该工具，对2011年2月至2012年6月期间前往输血中心诊所的521名年龄在40 - 65岁的健康伊朗男性进行了横断面研究。AMS问卷的英文版被翻译成波斯语，然后再回译。为确定AMS问卷的可靠性，评估了内部一致性并进行了重测。该问卷采用收敛效度和结构效度方法进行验证。为评估问卷的因子结构，使用了问题与领域的相关矩阵。
所有领域的Cronbach's alpha均高于0.7（0.73 - 0.88）。前测和后测之间的Pearson相关系数为0.87，表明相关性高且可靠性可接受。通过计算领域与项目 - 总分相关性（范围为0.40 - 0.85），发现问卷的收敛效度可接受，但问题14与整个测试的相关性为0.28除外。问卷在心理领域的效标关联效度通过“两项患者健康问卷”得到证实（r = 0.63，P < 0.001）。
根据结果，波斯语版AMS问卷具有较高的有效性和可靠性，可用于评估40至65岁男性的健康相关生活质量。
