González-Calvo J, González V M, Lorig K
Women's Studies Program, California State University, Fresno 93740-0078, USA.
Arthritis Care Res. 1997 Dec;10(6):448-56. doi: 10.1002/art.1790100613.
The development of instruments for use in culturally diverse settings and populations really involves much more than mere translation. Measurements must be tested for content validity and appropriate meaning among members of the group to be studied. Attention to issues of validity, reliability, and cross-cultural differences will lead to effective assessment, culturally competent health care, and the enhancement of the client/provider relationship. The concerns surrounding the use of quantitative measurement in diverse cultural groups are substantial. While the refinement of scales to meet the needs of various groups is a challenging task, such effort is essential to the diagnosis of disease, determination of health status, and the measurement of health outcomes in the diverse subgroups of this country's population.
开发适用于文化多元环境和人群的工具，所涉及的远不止单纯的翻译。必须对测量方法在待研究群体成员中的内容效度和恰当意义进行测试。关注效度、信度和跨文化差异等问题，将有助于实现有效评估、具备文化胜任力的医疗保健，并增进客户/提供者关系。围绕在不同文化群体中使用定量测量的担忧相当多。虽然改进量表以满足不同群体的需求是一项具有挑战性的任务，但这种努力对于该国人口不同亚群体的疾病诊断、健康状况确定以及健康结果测量至关重要。
