Liu Zhunzhun, Gudenkauf Lisa, Zhang Lanfeng, Wang Zunhui
Departments of Nursing, Jiangsu Jiangyin People's Hospital, Jiangyin 214400, Jiangsu, China.
Department of Psychology, University of Miami, Coral Gables 33124-0751, FL, USA.
Eur J Oncol Nurs. 2016 Aug;23:87-96. doi: 10.1016/j.ejon.2016.04.005. Epub 2016 May 26.
To adapt the Benefit Finding Scale (BFS) from English to a Chinese version after considering cross-cultural influences, to validate the tool for assessing benefit in Chinese-speaking patients with early-stage cancer, and to analyze the relationships between BF and sociodemographic and disease-related variables.
In part I of the study, the Chinese BFS was adapted from the English version by developing guidelines after due consideration for cross-cultural influences. The translation validity index was used for assessing the quality of translation, and further refining was carried out by administering the scale on early-stage cancer patients (N1 = 200, N2 = 351) in part II and III. The Chinese version of the BFS was analyzed for reliability, dimensionality and construct validity. Relationships between BF and sociodemographic and disease-related variables were analyzed by ANOVA and regression models.
The Chinese BFS was received favorably by patients during the preliminary testing. Cronbach's alpha and interclass correlation coefficients exceeded 0.7, and factor analysis yielded six factors. Convergent validity, discriminant validity and concurrent validity results indicated a satisfactory psychometric value. Sociodemographic and disease-related predictors of BF were observed.
The Chinese BFS demonstrated good patient acceptability and exhibited strong psychometric properties among Chinese patients with early-stage cancer. There were differences between Chinese cancer patients' benefit finding and patients with cancer in foreign countries, domestic cancer patients revealed high score in social relationship and family relationship dimension. Educational level, monthly individual income, treatment and physical exercise were the predictors of Chinese cancer patients' benefit finding.
在考虑跨文化影响后，将益处发现量表（BFS）从英文改编为中文版，验证该工具在评估早期癌症的华语患者中的益处，并分析益处发现与社会人口统计学及疾病相关变量之间的关系。
在研究的第一部分，通过制定指南，在充分考虑跨文化影响的情况下，从英文版改编出中文BFS。使用翻译效度指数评估翻译质量，并在第二和第三部分对早期癌症患者（N1 = 200，N2 = 351）进行量表施测，以进一步完善。对中文BFS进行信度、维度和结构效度分析。通过方差分析和回归模型分析益处发现与社会人口统计学及疾病相关变量之间的关系。
在初步测试中，中文BFS受到患者的好评。Cronbach's α系数和组内相关系数超过0.7，因子分析产生六个因子。收敛效度、区分效度和同时效度结果表明具有令人满意的心理测量价值。观察到益处发现的社会人口统计学和疾病相关预测因素。
中文BFS在早期癌症的中国患者中表现出良好的患者可接受性和强大的心理测量特性。中国癌症患者的益处发现与国外癌症患者存在差异，国内癌症患者在社会关系和家庭关系维度上得分较高。教育水平、个人月收入、治疗和体育锻炼是中国癌症患者益处发现的预测因素。
