Soni Sandeep, Walia Shefali, Noohu Majumi Mohamad
Department of Physiotherapy, ISIC Institute of Rehabilitation Sciences, New Delhi.
Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India.
J Neurosci Rural Pract. 2016 Jan-Mar;7(1):13-22. doi: 10.4103/0976-3147.172170.
The Craig Hospital Inventory of Environmental Factors instrument (CHIEF) is one of the few tools to assess the environmental barriers. The purpose of this study was to translate long and short CHIEF into Hindi language, and to determine its validity and reliability.
The study design was observational case series with repeated measures. It was carried out at Indian Spinal Injuries Centre New Delhi, a specialized center for rehabilitation for spinal cord injury.
The CHIEF instrument was translated from English to Hindi based on the Beaton guidelines for the cross-cultural adaptation of health status measures. The Hindi version of the CHIEF instrument was then administered on a convenience sample of 30 spinal cord injured subjects. Its content validity, internal consistency, test-rest reliability (intraclass correlation coefficient [ICC] 2,1), standard error of measurement (SEM), and minimum detectable change (MDC) were determined for both the longer and shorter version.
The mean ± SD of total of Hindi-CHIEF instrument, longer version was 1.44 ± 0.82 and total score of the shorter version was 1.07 ± 0.66. The content validity determined by the content validity ratio was found to be 1 for all the items except item number 5, 11, and 12. The content validity index was 0.97 for the longer version and for the shorter version it was 0.98. Internal consistency, Cronbach's α value was found to be 0.92 and test-retest value (ICC 2,1) was 0.80 (P < 0.001). The MDC was found to be 0.99 and SEM was 0.36 for the longer version. The Cronbach's α was 0.731, ICC 2,1 was 0.63 (P < 0.001), SEM was 0.24, and MDC was 0.66 for the shorter version.
The Hindi translated version of the CHIEF scale has acceptable content validity and reliability. It can be used to assess environmental barriers perceived by spinal cord injury patients.
克雷格医院环境因素量表（CHIEF）是少数用于评估环境障碍的工具之一。本研究的目的是将CHIEF的长版和短版翻译成印地语，并确定其有效性和可靠性。
本研究设计为重复测量的观察性病例系列。研究在新德里的印度脊髓损伤中心进行，该中心是脊髓损伤康复的专业中心。
根据健康状况测量跨文化适应的比顿指南，将CHIEF量表从英语翻译成印地语。然后，对30名脊髓损伤受试者的便利样本进行印地语版CHIEF量表的施测。确定了长版和短版的内容效度、内部一致性、重测信度（组内相关系数[ICC]2,1）、测量标准误（SEM）和最小可检测变化（MDC）。
印地语-CHIEF量表长版的总分均值±标准差为1.44±0.82，短版的总分均值±标准差为1.07±0.66。除第5、11和12项外，所有项目的内容效度比确定的内容效度均为1。长版的内容效度指数为0.97，短版的内容效度指数为0.98。内部一致性方面，Cronbach's α值为0.92，重测值（ICC 2,1）为0.80（P<0.001）。长版的MDC为0.99，SEM为0.36。短版的Cronbach's α为0.731，ICC 2,1为0.63（P<0.001），SEM为0.24，MDC为0.66。
CHIEF量表的印地语翻译版本具有可接受的内容效度和可靠性。它可用于评估脊髓损伤患者感知到的环境障碍。
