Medical Records Management Room, Fujian Medical University Union Hospital, Fuzhou, China.
Orthopedics, Fujian Provincial Corps Hospital of Chinese People's Armed Police Force, Fuzhou, China.
Health Qual Life Outcomes. 2022 Jul 23;20(1):111. doi: 10.1186/s12955-022-02025-6.
We aimed to create a standardized cross-cultural adaptation of the simplified Chinese version of VISA-A, test its reliability and validity and conduct exploratory factor analysis on the correlation between items.
According to international recommendations for the cross-cultural adaptation of questionnaires, after considering the opinions of patients, we translated and revised the English version to create a simplified Chinese version of the questionnaire. We recruited healthy subjects in the general specialty of one university (n = 90) and the physical education specialty of another university (n = 89), and we recruited patients with Achilles tendinopathy in a third group (n = 85). Reliability was evaluated by calculating test-retest reliability and internal consistency, validity was evaluated by exploring structural and criterion validity (correlation with the physical function and body pain items of the SF-36), and responsiveness was evaluated by calculating area under the receiver operating characteristic curve (AUC).
The simplified Chinese version of the VISA-A had no ceiling or floor effects. Four common factors were extracted and explained by the exploratory factor analysis. The test-retest reliability (ICC = 0.97) and internal consistency (Cronbach's alpha = 0.84) were adequate. The questionnaire had moderate correlations with the physical function and body pain items of the SF-36. The AUC was 0.9407.
The simplified Chinese version of the VISA-A had good reliability and validity and excellent responsiveness, but the factorial structure is not inconsistent with the dimensions of the original version. It can be used to assess and manage patients with Achilles tendinitis in the Chinese culture.
我们旨在创建 VISA-A 简体中文版的标准化跨文化适应度测试，检验其信度和效度，并对项目间相关性进行探索性因子分析。
根据问卷跨文化适应度的国际建议，在考虑患者意见后，我们对英文版进行翻译和修订，从而创建问卷简体中文版。我们招募了一所大学普通专科（n=90）和另一所大学体育专科（n=89）的健康受试者，以及第三组跟腱病患者（n=85）。通过计算重测信度和内部一致性来评估信度，通过探索结构和标准效度（与 SF-36 的身体功能和身体疼痛项目的相关性）来评估效度，并通过计算接收者操作特征曲线下面积（AUC）来评估反应度。
VISA-A 简体中文版无天花板或地板效应。通过探索性因子分析提取并解释了四个共同因素。重测信度（ICC=0.97）和内部一致性（Cronbach's alpha=0.84）良好。问卷与 SF-36 的身体功能和身体疼痛项目有中度相关性。AUC 为 0.9407。
VISA-A 简体中文版具有良好的信度和效度以及极佳的反应度，但因子结构与原始版本的维度不一致。它可用于评估和管理中国文化背景下的跟腱炎患者。
