Zhang Xiangchun, Wang Anni, Guan Tingyu, Kuang Yi, Zhang Yuyi, Wu Fangqi
School of Nursing, Fudan University, Shanghai, China.
Front Psychol. 2023 Jan 17;13:1095958. doi: 10.3389/fpsyg.2022.1095958. eCollection 2022.
To test the reliability and validity of the Chinese version of the Walsh Family Resilience Questionnaire among community-dwelling disabled elderly individuals (WFRQ-CE).
Convenience sampling was used to select 566 dyads of disabled elderly individuals and their caregivers. The Walsh Family Resilience Questionnaire Chinese Version (WFRQ-C) was tested among elderly individuals. The Family Care Capacity Scale for Elderly Patients (FCCSE) was used as a concurrent validation tool for the caregivers, and the Psychological Resilience Scale (CD-RISC-10), and the Social Support Assessment (SSRS-10) were used as concurrent validation tools for both the elderly individuals and the caregivers.
Exploratory factor analysis (EFA) revealed four common factors-"Family belief," "Organization and problem solving," "Family communication," and "Utilization of external resources"-with a cumulative variance contribution rate of 56.94%. Confirmatory factor analysis (CFA) yielded the following fit indices: chi-square/freedom degree (χ2/df) = 2.007, Tucker Lewis index (TLI) = 0.900, incremental fit index (IFI) = 0.917, comparative fit index (CFI) = 0.916, parsimony goodness-of-fit index (PGFI) = 0.681, and root-mean-square error of approximation (RMSEA) = 0.060. The concurrent scales were significantly correlated with the WFRQ-C total score and the scores for each factor ( values between 0.23 and 0.60, < 0.01). The Cronbach's alpha coefficient was 0.93 for the WFRQ-CE and 0.87, 0.83, 0.89, and 0.65 for the four factors; the retest reliability was 0.96 for the total scale and 0.95, 0.92, 0.92, and 0.95 for the four factors; the split-half reliability was 0.85 for the total scale, and 0.81, 0.78, 0.79, and 0.68 for the four factors.
The WFRQ-CE has good reliability and validity among community-dwelling disabled elderly individuals and can be used to evaluate the level of family resilience.
检验中文版沃尔什家庭复原力问卷（WFRQ-CE）在社区居住的残疾老年人中的信度和效度。
采用便利抽样法选取566对残疾老年人及其照料者。对老年人进行中文版沃尔什家庭复原力问卷（WFRQ-C）测试。将老年患者家庭照料能力量表（FCCSE）用作照料者的同时效度验证工具，将心理复原力量表（CD-RISC-10）和社会支持评定量表（SSRS-10）用作老年人及照料者的同时效度验证工具。
探索性因素分析（EFA）揭示了四个共同因素——“家庭信念”“组织与问题解决”“家庭沟通”和“外部资源利用”，累积方差贡献率为56.94%。验证性因素分析（CFA）得出以下拟合指数：卡方/自由度（χ2/df）=2.007，塔克·刘易斯指数（TLI）=0.900，增值拟合指数（IFI）=0.917，比较拟合指数（CFI）=0.916，简约拟合优度指数（PGFI）=0.681，近似均方根误差（RMSEA）=0.060。同时效度量表与WFRQ-C总分及各因素得分显著相关（r值在0.23至0.60之间，P<0.01）。WFRQ-CE的克朗巴赫α系数为0.93，四个因素的克朗巴赫α系数分别为0.87、0.83、0.89和0.65；重测信度方面，总量表为0.96，四个因素分别为0.95、0.92、0.92和0.95；分半信度方面，总量表为0.85，四个因素分别为0.81、0.78、0.79和0.68。
WFRQ-CE在社区居住的残疾老年人中具有良好的信度和效度，可用于评估家庭复原力水平。
