Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Phayathai, Rachathewi, Bangkok, 10400, Thailand.
Cardiovascular Pulmonary Physical Therapy Unit, Chaopraya Hospital, Borommaratchachonnani Road, Arun Amarin, Bangkoknoi, Bangkok, 10700, Thailand.
BMC Public Health. 2023 Apr 11;23(1):663. doi: 10.1186/s12889-023-15566-2.
Coronavirus disease 2019 (COVID-19) can develop into a long-term COVID in some cases, which can have a major impact on various health systems requiring appropriate treatment involving multi-disciplinary healthcare. The COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) is a standardized tool widely used for screening the symptoms and severity of long-term COVID. Translation of the English version of the C19-YRS into the Thai language and testing it is essential for the psychometric evaluation of the severity of the long-term COVID syndrome prior to providing rehabilitation care for community members.
Forward-and back-translations including cross-cultural aspects were conducted in order to develop a preliminary Thai version of that tool. Five experts evaluated the content validity of the tool and produced a highly valid index. A cross-sectional study was then conducted on a sample of 337 Thai community members recovering from COVID-19. Assessment of internal consistency and individual item analyses were also performed.
The content validity resulted in valid indices. The analyses showed that 14 items had acceptable internal consistency, based on the corrected item correlations. However, five symptom severity items and two functional ability items were deleted. The Cronbach's alpha coefficient of the final C19-YRS was 0.723, indicating acceptable internal consistency and reliability of the survey instrument.
This study indicated that the Thai C19-YRS tool had acceptable validity and reliability for the evaluation and testing of the psychometric variables in a Thai community population. The survey instrument also had acceptable validity and reliability for screening the symptoms and severity of long-term COVID. Further studies are warranted in order to standardize the various applications of this tool.
在某些情况下，2019 年冠状病毒病（COVID-19）会发展成长期 COVID，这会对需要多学科医疗保健介入的各种卫生系统造成重大影响。COVID-19 约克郡康复量表（C19-YRS）是一种广泛用于筛查长期 COVID 症状和严重程度的标准化工具。将 C19-YRS 的英文版本翻译成泰文并进行测试，对于在为社区成员提供康复护理之前对长期 COVID 综合征的严重程度进行心理计量学评估至关重要。
进行了正向和反向翻译，包括跨文化方面，以开发该工具的初步泰文版本。五位专家评估了工具的内容效度，并得出了一个高度有效的指标。然后对 337 名从 COVID-19 中康复的泰国社区成员进行了横断面研究。还进行了内部一致性评估和个别项目分析。
内容效度得出了有效的指标。分析表明，根据校正后的项目相关性，14 个项目具有可接受的内部一致性。然而，有五个症状严重程度项目和两个功能能力项目被删除。最终的 C19-YRS 的 Cronbach's alpha 系数为 0.723，表明调查工具具有可接受的内部一致性和可靠性。
本研究表明，泰文版 C19-YRS 工具在评估和测试泰国社区人群的心理计量学变量方面具有可接受的有效性和可靠性。该调查工具还具有可接受的有效性和可靠性，可用于筛查长期 COVID 的症状和严重程度。需要进一步的研究来规范该工具的各种应用。
