Harith Sakinah, Tan Sze Lin
Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Terengganu, Malaysia.
School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Ann Geriatr Med Res. 2020 Jun;24(2):115-124. doi: 10.4235/agmr.20.0005. Epub 2020 Jun 10.
This study aimed to translate and validate the comprehensive geriatric assessment (CGA) questionnaire among older adult patients in Malaysia in the Malay language.
The questionnaire contained items on the socio-demographic characteristics, medical condition, quality of life (QOL), nutritional status, functional capacity, and depression status. The forward and backward translation processes of the original English language version of the questionnaire were undertaken by three independent linguistic translators, while its content was validated by an expert team consisting of seven geriatricians, physicians, dietitian, and lecturers. The Malay version of the questionnaire was tested for face validity in 10 older adult patients over 65 years of age. The internal consistency reliability and construct validity were evaluated among 166 older adult patients (mean age, 71.0 years; 73.5% male). The questionnaire was administered through face-to-face interviews with the patients. Minor amendments were made after the content and face validity tests.
The internal consistency reliability was good, as the Cronbach's alpha for most of the scales surpassed 0.70, ranging from 0.70 to 0.98, with only one exception (Mini Nutritional Assessment Short-Form, Cronbach's alpha=0.62). The factor loadings for all scales were satisfactory (>0.40), ranging from 0.45 to 0.90.
The Malay-version CGA showed evidence of satisfactory internal consistency reliability and construct validity in Malaysian geriatric patients.
本研究旨在将综合老年评估(CGA)问卷翻译成马来语,并在马来西亚老年患者中进行验证。
该问卷包含社会人口学特征、医疗状况、生活质量(QOL)、营养状况、功能能力和抑郁状态等项目。问卷的原始英文版本由三名独立的语言翻译人员进行正向和反向翻译,其内容由一个由七名老年病学家、内科医生、营养师和讲师组成的专家团队进行验证。该问卷的马来语版本在10名65岁以上的老年患者中进行了表面效度测试。在166名老年患者(平均年龄71.0岁;73.5%为男性)中评估了内部一致性信度和结构效度。通过与患者面对面访谈来发放问卷。在内容和表面效度测试后进行了一些小的修改。
内部一致性信度良好,因为大多数量表的克朗巴哈系数超过0.70,范围从0.70到0.98,只有一个例外(微型营养评定简表,克朗巴哈系数 = 0.62)。所有量表的因子载荷均令人满意(>0.40),范围从0.45到0.90。
马来语版的CGA在马来西亚老年患者中显示出令人满意的内部一致性信度和结构效度。