认知性访谈在PROMIS慢性病管理自我效能感量表汉化中的应用

Application of cognitive interview in Chinese version of PROMIS chronic disease management self efficacy scale

目的应用认知性访谈评估受访者对PROMIS慢性病管理自我效能感量表条目的理解并对条目进行修订。方法采用目的抽样法,于2020年6-8月,对30名受访者以回溯性探查方式进行2轮认知性访谈,访谈资料使用QAS-99问题评估系统编码,编码结果整理后,综合受访者反馈及翻译团队意见对条目进行修订。结果第1轮认知性访谈对37个条目进行修订,编码结果显示条目问题主要集中于“措辞”上;第2轮认知性访谈结果显示,修订后量表条目中英文实现了概念、语言及语义的基本一致。结论认知性访谈作为一种有效的前测方法,能够在量表汉化修订中提高条目与测量属性的一致性,可为后期患者报告结局评估工具测量奠定基础。

Objective Using cognitive interviewing techniques to evaluate the comprehension,wording and format of PROMIS self-efficacy items among Chinese living with chronic conditions after FACIT forward-backward translation and then to revise items based on subjects`feedback.Methods 2-round interview of 30 native Chinese speakers with diversity range of chronic conditions on 137 items of self-efficacy.Retrospective probing was chosen due to the self-administered questionnaire.Questionnaire appraisal system(QAS-99)was used to code the text data.A series of feedback from subjects were compiled.Then the experts and translation group reviewed the data and decided whether to revise or rewrite each potential item.Results 37 items were revised in the first round.All items were revised base on the subjects`feedback,linguistic rules and the expert suggestions.Conclusions Cognitive interviewing is a useful pre-testing method in conducting quality assessment of already developed questionnaire and adapting items in the context of simplified Chinese.It showed that the revised version of PROMIS self-efficacy items is conceptually,culturally and semantically equivalent to the original.