慢性病成年患者应对与适应处理量表简版中文版的心理测量测试
Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness.
作者信息
Wang Xiyi, Tang Leiwen, Howell Doris, Shao Jing, Qiu Ruolin, Zhang Qi, Ye Zhihong
机构信息
Department of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, China.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
出版信息
Front Psychol. 2020 Jul 23;11:1642. doi: 10.3389/fpsyg.2020.01642. eCollection 2020.
BACKGROUND
Adaptive capacity may serve as an indicator of the individuals' coping behaviors toward illness management and may contribute to day-to-day living with chronic illness and improved quality of life. Practical and well-constructed instruments for measuring adaptation have not been adequately explored. An English 15-item Coping and Adaptation Processing-Short Form (CAPS-SF) for assessing adaptation has been created and validated in line with the underlying tenets of Coping and Adaptation Processing theory, but there is no applicable Chinese version.
METHODS
The CAPS-SF was translated and culturally adapted into simplified Chinese. Among Chinese adults with chronic illness, 81 patients were selected for cultural adaptation and 288 patients were approached for psychometric testing. Content validity was evaluated by an expert panel. Construct validity was tested by confirmatory factor analysis. Concurrent validity and predictive validity were analyzed by Spearman correlation coefficient. Reliability was assessed by internal consistency and test-retest coefficients. Floor/ceiling effect was calculated.
RESULTS
Adequate content validity was ensured by the expert panel. A four-factor structure (resourceful and focused, self-initiated and knowing-based, physical and fixed, and positive and systematic) describing individuals' coping strategies was identified and verified. Concurrent validity and predictive validity were demonstrated by strong correlations with the confrontation of coping mode ( = 0.46) and a quality-of-life measure ( = 0.58). The McDonald's omega coefficient of total scale was 0.82. Split-half reliability and test-retest reliability were 0.87 and 0.87. No floor/ceiling effect was present.
CONCLUSION
The Chinese version CAPS-SF is a theoretically based and culturally acceptable instrument with sound psychometric properties. Further studies are advocated to refine its four-factor structure.
背景
适应能力可作为个体应对疾病管理行为的指标，有助于慢性病患者的日常生活并提高生活质量。然而，用于测量适应能力的实用且构建良好的工具尚未得到充分探索。一种用于评估适应能力的15项英文应对与适应处理简表（CAPS-SF）已根据应对与适应处理理论的基本原理创建并验证，但尚无适用的中文版。
方法
将CAPS-SF翻译成简体中文并进行文化调适。在患有慢性病的中国成年人中，选取81名患者进行文化调适，288名患者进行心理测量测试。由专家小组评估内容效度。通过验证性因子分析检验结构效度。通过Spearman相关系数分析同时效度和预测效度。通过内部一致性和重测系数评估信度。计算地板效应/天花板效应。
结果
专家小组确保了足够的内容效度。确定并验证了一个描述个体应对策略的四因素结构（足智多谋且专注、自我主动且基于知识、身体层面且固定、积极且系统）。与应对方式的对抗性（=0.46）和生活质量测量指标（=0.58）的强相关性证明了同时效度和预测效度。总量表的McDonald's omega系数为0.82。分半信度和重测信度分别为0.87和0.87。不存在地板效应/天花板效应。
结论
中文版CAPS-SF是一种基于理论且文化可接受的工具，具有良好的心理测量特性。建议进一步研究以完善其四因素结构。
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