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《汉语失语症快速筛查量表修订版的新兴效度验证》

Emerging Validation for the Adapted Chinese Version of Quick Aphasia Battery.

作者信息

Zhu Dan, Qi Zhi, Wang Aili, Zhang Yongqing, Yu Haiping

机构信息

School of Medicine, Tongji University, Shanghai, 200082, People's Republic of China.

Department of Pediatric, Shanghai United Family Healthcare, Shanghai, 200050, People's Republic of China.

出版信息

J Multidiscip Healthc. 2023 Aug 30;16:2557-2566. doi: 10.2147/JMDH.S417810. eCollection 2023.

Abstract

PURPOSE

The quick aphasia battery (QAB) was designed to evaluate language disorder from multi-dimension efficiently, which had been translated into several languages but lacked in Chinese. This study conducted cross-cultural adaption for the Chinese version and verified its psychometric properties.

MATERIAL AND METHODS

First, the Chinese Version of quick aphasia battery (CQAB) was adapted following WHO literature guidelines with steps of forward translation, expert panel, back-translation, pre-test, and interview, then develop the final version. Second, the psychometric properties tests were conducted in 128 post-stroke patients to identify if aphasia happens and verify the validity and reliability of CQAB.

RESULTS

The Cronbach's alpha coefficient of the CQAB is 0.962, test-retest reliability 0.849, and inter-rater reliability 0.998. Content validity 0.917, KMO 0.861, exploratory factor analysis extracted 2 factors named "language understanding" and "language program", cumulative variance contribution rate is 91.588% >50%. Calibration association validity 0.977. Sensitivity 0.977, specificity 0.932, with the optimal cutoff point is 8.86.

CONCLUSION

The study supported CQAB, which adapted following standardized guidelines, is reliable and effective to assess language impairment in post-stroke patients.

摘要

目的

快速失语症成套测验(QAB)旨在从多维度有效评估语言障碍,已被翻译成多种语言,但缺乏中文版。本研究对中文版进行跨文化调适并验证其心理测量学特性。

材料与方法

首先,按照世界卫生组织文献指南对中文版快速失语症成套测验(CQAB)进行调适,步骤包括正向翻译、专家小组审核、回译、预测试和访谈,然后制定最终版本。其次,对128例中风后患者进行心理测量学特性测试,以确定是否发生失语症,并验证CQAB的有效性和可靠性。

结果

CQAB的克朗巴赫α系数为0.962,重测信度为0.849,评分者间信度为0.998。内容效度为0.917,KMO值为0.861,探索性因素分析提取出2个因素,分别命名为“语言理解”和“语言程序”,累积方差贡献率为91.588%>50%。校准关联效度为0.977。敏感性为0.977,特异性为0.932,最佳截断点为8.86。

结论

该研究支持CQAB,其按照标准化指南进行调适,对评估中风后患者的语言损伤是可靠且有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9599/10475279/fbd6d2e993bf/JMDH-16-2557-g0001.jpg

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