Rasmussen Trine Bernholdt, Berg Selina Kikkenborg, Dixon Jane, Moons Philip, Konradsen Hanne
The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Department of Cardiology, Gentofte University Hospital, Hellerup, Denmark.
Scand J Caring Sci. 2016 Dec;30(4):830-844. doi: 10.1111/scs.12311. Epub 2016 Jan 15.
Negative body perception has been reported in a number of patient populations. No instrument in Danish for measuring body image-related concerns has been available. Without such an instrument, understanding of the phenomenon in Danish-speaking populations is limited. The purpose of the study was thus to translate and validate a Danish version of the Body Image Quality of Life Inventory (BIQLI), in order to obtain a valid instrument applicable for healthcare research.
The study consisted of two phases: (i) instrument adaptation, including forward and back translation, expert committee comparisons and cognitive interviewing, and (ii) empirical testing of the Danish version (BIQLI-DA) with subsequent psychometric evaluation. Hypothesised correlations to other measures, including body mass index (BMI), Medical Outcome Short Form-8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 and Symptom Check List-90-Revised (SCL-90-R ) were tested. In addition, exploratory factor structure analysis (EFA) and internal consistency on item and scale level were performed.
The adapted instrument was found to be semantically sound, yet concerns about face validity did arise through cognitive interviews. Danish college students (n = 189, 65 men, M = 21.1 years) participated in the piloting of the BIQLI-DA. Convergent construct validity was demonstrated through associations to related constructs. Exploratory factor analysis revealed a potential subscale structure. Finally, results showed a high internal consistency (Cronbach's alpha = 0.92). Support for the validity of the BIQLI-DA might have been strengthened by repeating cognitive interviews after layout alterations, by piloting the instrument on a larger sample.
This study demonstrated tentative support for the validity of the Danish Body Image Quality of Life (BIQLI-DA) and found the measure to be reliable in terms of internal consistency. Further exploration of response processes and construct validity is needed.
在许多患者群体中都有负面身体感知的报道。丹麦一直没有用于测量与身体形象相关问题的工具。没有这样的工具，对讲丹麦语人群中这一现象的了解就很有限。因此，本研究的目的是翻译并验证丹麦版的身体形象生活质量量表（BIQLI），以获得适用于医疗保健研究的有效工具。
该研究包括两个阶段：（i）工具改编，包括正向和反向翻译、专家委员会比较和认知访谈，以及（ii）对丹麦版（BIQLI-DA）进行实证测试并随后进行心理测量评估。测试了与其他测量指标的假设相关性，包括体重指数（BMI）、医学结局简表-8（SF-8）、患者健康问卷-9（PHQ-9）、广泛性焦虑障碍-7和症状自评量表-90修订版（SCL-90-R）。此外，还进行了探索性因子结构分析（EFA）以及项目和量表层面的内部一致性分析。
改编后的工具在语义上是合理的，但通过认知访谈确实出现了对面效度的担忧。丹麦大学生（n = 189，65名男性，平均年龄M = 21.1岁）参与了BIQLI-DA的试点测试。通过与相关结构的关联证明了聚合效度。探索性因子分析揭示了一个潜在的子量表结构。最后，结果显示出较高的内部一致性（克朗巴哈系数α = 0.92）。在对量表布局进行修改后重复进行认知访谈，以及在更大样本上对该工具进行试点测试，可能会加强对BIQLI-DA效度的支持。
本研究初步支持了丹麦身体形象生活质量量表（BIQLI-DA）的效度，并发现该量表在内部一致性方面是可靠的。需要进一步探索反应过程和结构效度。
Zotero 插件