Forslin Mia, Kottorp Anders, Kierkegaard Marie, Johansson Sverker
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, , Sweden.
J Rehabil Med. 2016 Nov 11;48(10):872-879. doi: 10.2340/16501977-2151.
To translate and culturally adapt the Acceptance of Chronic Health Conditions (ACHC) Scale for people with multiple sclerosis into Swedish, and to analyse the psychometric properties of the Swedish version.
Ten people with multiple sclerosis participated in translation and cultural adaptation of the ACHC Scale; 148 people with multiple sclerosis were included in evaluation of the psychometric properties of the scale.
Translation and cultural adaptation were carried out through translation and back-translation, by expert committee evaluation and pre-test with cognitive interviews in people with multiple sclerosis. The psychometric properties of the Swedish version were evaluated using Rasch analysis.
The Swedish version of the ACHC Scale was an acceptable equivalent to the original version. Seven of the original 10 items fitted the Rasch model and demonstrated ability to separate between groups. A 5-item version, including 2 items and 3 super-items, demonstrated better psychometric properties, but lower ability to separate between groups.
The Swedish version of the ACHC Scale with the original 10 items did not fit the Rasch model. Two solutions, either with 7 items (ACHC-7) or with 2 items and 3 super-items (ACHC-5), demonstrated acceptable psychometric properties. Use of the ACHC-5 Scale with super-items is recommended, since this solution adjusts for local dependency among items.
将慢性健康状况接受度（ACHC）量表翻译成瑞典语并进行文化调适，供多发性硬化症患者使用，并分析瑞典语版本的心理测量特性。
10名多发性硬化症患者参与了ACHC量表的翻译和文化调适；148名多发性硬化症患者纳入了该量表心理测量特性的评估。
通过翻译和回译、专家委员会评估以及对多发性硬化症患者进行认知访谈的预测试来进行翻译和文化调适。使用拉施分析评估瑞典语版本的心理测量特性。
ACHC量表的瑞典语版本与原始版本相当。原始的10个条目中有7个符合拉施模型，并显示出区分不同组别的能力。一个包含2个条目和3个超条目的5条目版本显示出更好的心理测量特性，但区分不同组别的能力较低。
包含原始10个条目的ACHC量表瑞典语版本不符合拉施模型。两种解决方案，即7个条目（ACHC-7）或2个条目加3个超条目（ACHC-5），显示出可接受的心理测量特性。建议使用带有超条目的ACHC-5量表，因为该解决方案考虑到了条目的局部依赖性。
