慢性病共存治疗负担问卷的汉化及信效度检验

Translation of the multimorbidity treatment burden questionnaire and assessment of its reliability and validity among the elderly

目的汉化慢性病共存治疗负担问卷(The Multimorbidity Treatment Burden Questionnaire,MTBQ),并在老年慢性病共存患者中进行信效度检验。方法采用Brislin模式对MTBQ进行正译、综合、回译及文化调适。采用便利抽样法抽取郑州市1所社区卫生服务中心下属4个社区的220例老年慢性病患者进行调查,评价问卷的信效度。结果中文版MTBQ量表水平的内容效度指数为0.97,各条目水平的内容效度指数为0.83~1.00。共得到3个公因子,累计方差贡献率为54.351%。问卷总的Cronbach’sα系数为0.808,重测信度为0.743,3个公因子的Cronbach’sα系数分别为0.796、0.653、0.611,重测信度分别为0.827、0.806、0.713。结论中文版MTBQ具有良好的信效度,可用于我国老年慢性病共存患者治疗负担的评估。

Objective To translate the multimorbidity treatment burden questionnaire(MTBQ) and assess its reliability and validity among the elderly patients with multimorbidity. Methods The Brislin model was used to translate,synthesize,back-translate and cross-culturally adapt the MTBQ. 220 patients from 4 communities under the jurisdiction of a community health service center in Zhengzhou were selected by convenient sampling method,and the patients were investigated to evaluate the reliability and validity of the questionnaire. Results The Chinese version of the MTBQ had validity index of horizontal content 0.97,and the validity index was item level content was 0.83~1.00. 3 common factors were obtained,and the cumulative variance contribution rate was 54.351%. The total Cronbach’s α coefficient of the questionnaire was 0.808,and the test-retest reliability was 0.743. The Cronbach’s α coefficients of the 3 common factors were 0.796,0.653 and 0.611;the test-retest reliability were0.827,0.806 and 0.713. Conclusion The Chinese version of the MTBQ questionnaire has good reliability and validity in elderly patients with multimorbidity,and can be used to evaluate the multimorbidity elderly treatment burden of patients in China.