SH Ho Urology Centre, Division of Urology, Department of Surgery, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hong Kong Med J. 2023 Aug;29(4):311-321. doi: 10.12809/hkmj219261. Epub 2023 Aug 3.
We conducted translation and psychometric validation of a self-administered, 22-item dichotomous response-based questionnaire to identify nocturia aetiologies and co-morbidities in adult patients.
The Targeting the individual's Aetiology of Nocturia to Guide Outcomes (TANGO) questionnaire was forward- and backward-translated, then finalised using a standardised methodology. The resulting version, a Chinese version of the TANGO [TANGO (CV)], was evaluated for internal consistency, test-retest reliability, content validity, convergent validity, criterion validity, and discriminant validity via responses from 65 participants (46 men and 19 women; mean age, 67 years, range, 50-88), in comparison with other validated questionnaires and a 4-day bladder/sleep diary.
Only 0.4% of responses were missing; 3% of participants required assistance with comprehension. The Kuder-Richardson Formula 20 (KR-20) coefficient for the whole tool was 0.711. Kappa values for individual domains and the whole tool varied from 0.871 to 0.866, indicating satisfactory test-retest reliability. There was strong agreement between the sum of positive responses to each domain and the whole tool (intra-class correlation coefficient=0.878-1.000). Modest correlations (ρ=0.4-0.6) were detected between the tool and bladder/sleep diary-based parameters for convergent validity. Criterion validity was confirmed for each domain and the whole tool [ρ=0.287-0.687]. In receiver operating characteristic analysis, the tool could distinguish patients (≥2 nocturia episodes/night) from controls (≤1 nocturia episode/night) [Youden's J statistic=0.453, area under the curve=0.818, 95% confidence interval (CI)=0.683-0.953] and patients with significant nocturia distress from patients with mild nocturia distress (Youden's J statistic=0.398, area under the curve=0.729, 95% CI=0.581-0.878).
The TANGO (CV) was formally crossculturally adapted and translated. Its psychometric properties (except sensitivity to change) were validated.
我们对一个自我管理的、22 项二分类反应式问卷进行了翻译和心理测量学验证，旨在识别成人患者夜尿症的病因和合并症。
前瞻性和反向翻译靶向个体夜尿症病因以指导结局（TANGO）问卷，然后使用标准化方法定稿。该版本为 TANGO 的中文版本[TANGO（CV）]，通过对 65 名参与者（46 名男性和 19 名女性；平均年龄 67 岁，范围 50-88 岁）的反应进行了内部一致性、重测信度、内容有效性、收敛有效性、标准有效性和判别有效性的评估，与其他经过验证的问卷和 4 天的膀胱/睡眠日记进行了比较。
只有 0.4%的回答缺失；3%的参与者需要帮助理解。整个工具的 Kuder-Richardson 公式 20（KR-20）系数为 0.711。各个领域和整个工具的 Kappa 值为 0.871 至 0.866，表明重测信度良好。每个领域和整个工具的阳性反应总和之间具有很强的一致性（组内相关系数=0.878-1.000）。工具与基于膀胱/睡眠日记的参数之间存在适度的相关性（ρ=0.4-0.6），用于收敛有效性。各领域和整个工具的标准有效性均得到证实[ρ=0.287-0.687]。在受试者工作特征分析中，该工具可以区分（≥2 次夜间排尿/夜）患者与对照组（≤1 次夜间排尿/夜）[尤登 J 统计量=0.453，曲线下面积=0.818，95%置信区间（CI）=0.683-0.953]和有明显夜尿症困扰的患者与有轻度夜尿症困扰的患者（尤登 J 统计量=0.398，曲线下面积=0.729，95%置信区间=0.581-0.878）。
TANGO（CV）经过正式跨文化适应性和翻译。其心理测量学特性（除了对变化的敏感性）得到了验证。
