Li Jialing, Zhang Xiaoxia, Zhang Fengying, Del Mar Fernandez-Alvarez Maria, Postigo Alvaro, Martin-Payo Ruben
Cancer Center, Division of Head and Neck Tumor Multimodality Treatment, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, 37 Guoxue Alley, Wuhou District, PO Box 610041, Chengdu, Sichuan, China.
Cancer Causes Control. 2025 Sep 5. doi: 10.1007/s10552-025-02050-y.
This study aimed to cross-culturally adapt the MARA-Chinese version questionnaire and test its psychometric properties among Chinese women.
This cross-cultural adaptation and validation study included three processes: cross-cultural adaptation, translation, and psychometric properties analysis. Original version of MARA was translated into Chinese. Content, conceptual, and semantic properties were compared with the original version and validated by an expertise panel. 600 participants, recruited in 16 provinces in China, filled out questionnaires to assess the reliability and the internal structure validity through exploratory factor analysis. 101 participants performed the retest to assess temporal stability.
MARA-Chinese version questionnaire is composed of four scales: risk factors knowledge, signs and symptoms knowledge, risk perception, and barriers. The evidence of accuracy and validity of the scores are adequate both in terms of internal structure (factorial loadings > 0.60; CFI = 0.994; RMSEA = 0.049; RMSR = 0.053) and internal consistency and stability (Cronbach's alpha > 0.75; Pearson correlation > 0.65).
MARA-Chinese version questionnaire has adequate psychometric properties and is a valid and reliable tool to assess the breast cancer awareness of Chinese women through the assessment of knowledge of the risk factors and signs and symptoms of breast cancer, risk perception, and barriers to participate in breast cancer screening.
本研究旨在对MARA中文版问卷进行跨文化调适，并在中国女性中测试其心理测量学特性。
这项跨文化调适与验证研究包括三个过程：跨文化调适、翻译以及心理测量学特性分析。将MARA的原始版本翻译成中文。将内容、概念和语义特性与原始版本进行比较，并由一个专家小组进行验证。在中国16个省份招募了600名参与者，她们填写问卷，通过探索性因素分析评估信度和内部结构效度。101名参与者进行重测以评估时间稳定性。
MARA中文版问卷由四个量表组成：危险因素知识、体征和症状知识、风险认知以及障碍。无论是在内部结构方面（因子载荷>0.60；CFI = 0.994；RMSEA = 0.049；RMSR = 0.053）还是在内部一致性和稳定性方面（Cronbach's alpha>0.75；Pearson相关性>0.65），得分的准确性和有效性证据都是充分的。
MARA中文版问卷具有充分的心理测量学特性，是一种有效且可靠的工具，可以通过评估乳腺癌危险因素和体征及症状的知识、风险认知以及参与乳腺癌筛查的障碍来评估中国女性对乳腺癌的认知。
