中文版头颈癌信息需求问卷应用于患者及照顾者的信效度分析

Reliability and validity of the Chinese version of the Head and Neck Information Needs Questionnaire for patients with head and neck cancer and their caregivers

目的评估中文版头颈癌信息需求问卷(the Head and Neck Information Needs Questionnaire,HaNiQ)的信度和效度.方法采用国际公认的正译-回译法将HaNiQ翻译成中文版,用Cronbach'sα系数、折半信度、探索性因子分析和Pearson相关分析来评价该问卷的信度和效度.结果共有207例不同病程的头颈肿瘤患者和174名照顾者完成了中文版HaNiQ.问卷内部一致性在良好和非常好之间(Cronbach's α 0.74~0.90),折半信度和内容效度指数分别为83.5%和83.33%.5个因子对头颈癌患者及其照顾者的累计贡献率分别为62.41%和61.19%.中文版头颈癌患者照顾者问卷在因子归属上与原问卷稍有不同,条目22、23、27在原问卷中属于心理维度,在中文版中属于生存维度.结论中文版HaNiQ是测量头颈癌患者及其照顾者信息需求的可靠且有效的评估工具.在本研究中,中文版HaNiQ在头颈癌患者照顾者中探索出不同的结构,今后需进行相关研究进一步进行验证.

Objectives:This study aimed to assess the reliability and validity of the Chinese version of the Head and Neck Information Needs Questionnaire(HaNiQ).Methods:The HaNiQ was translated into a Chinese version using internationally recognized forwardand back-translation procedures.The reliability and validity of the HaNiQ were measured using Cronbach’s a coefficient,split-half reliability,exploratory factor analysis,and Pearson correlation analysis.Results:A total of 207 patients in different head and neck cancer(HNC)stages and 174 caregivers completed the Chinese version of the HaNiQ.Internal consistencies varied between good and very well(Cronbach’s α coefficient 0.74-0.90);the split-half coefficient and the content validity index(CVI)of the questionnaire were 83.5%and 83.33%,respectively.The cumulative contribution rates of the 5 subscales in patients with HNCand their caregivers were 62.41%and 61.19%,respectively.However,there are some differences between the Chinese questionnaire for caregiver and the original questionnaire regarding the attribution of items.Items 22,23,and 27 in the Psychosocial subscale of the English version were assigned to the Survivorship subscale in the Chinese version for caregivers.Conclusions:The results demonstrated that the Chinese version of the HaNiQ is a reliable and valid instrument for measuring the information needs of patients with HNC and that of their caregivers.Though the structure of the Chinese versionwas different from the English version for caregivers of HNC patients,the Chinese version of the HaNiQ appears to be reliable and would benefit from further testing.