冠心病患者运动恐惧量表的汉化及信度效度检验

Reliability and validity of the Chinese version of Fear of Activity in Patients with Coronary Artery Disease

目的:汉化冠心病患者运动恐惧量表(Fear of Activity in Patients with Coronary Artery Disease,Fact-CAD),为国内冠心病患者运动恐惧的评估提供科学、可靠的特异性工具。方法:遵循Brislin翻译模型对量表进行翻译、回译和文化调适,形成中文版Fact-CAD量表。于2022年10月至2023年2月,采用便利抽样法,选取杭州市某三级甲等医院的334例冠心病患者进行调查,结合Rasch模型分析和经典测量理论对问卷的信度、效度进行评价。结果:中文版Fact-CAD为单维度,包括19个条目。各条目的未加权均方拟合统计量值为0.72~2.10,加权均方拟合统计量为0.88~1.29,条目-总分的相关系数为0.04~0.58,各条目拟合结果符合Rasch模型。以中文版多维度运动自我效能量表作为聚合效度指标,相关系数为-0.636(P<0.01),量表平均内容效度指数为0.951。总量表的Cronbach’sα系数为0.901,Guttman折半信度为0.885,重测信度为0.893。结论:中文版Fact-CAD具有良好的信度、效度,量表条目少,评估时间短,难度适中,适用于我国冠心病患者运动恐惧的评估。

Objective:The Fear of Activity in Patients with Coronary Artery Disease(Fact-CAD)was translated into Chinese to provide a scientific and reliable specificity tool for the assessment of kinesiophobia in patients with CAD in China.Methods:Standard forward-back translation techniques,including translation,back translation and cross-cultural adaptation,were used in the translation of the Fact-CAD scale according to the Brislin translation model.From October 2022 to February,2023,totally 334 patients with CAD from a tertiary hospital in Hangzhou were selected for investigation.The reliability and validity of the questionnaire were evaluated by combining Rasch model analysis and CTT.Results:The Chinese version of Fact-CAD scale was single-dimensional and included 19 items.The Outfit Mean Square of each item was 0.72-2.10,the Infit Mean Square was 0.88-1.29,and the correlation coefficient of the item-total score was 0.04-0.58.The fit of each item was in line with the Rasch model,with moderate difficulty and good structural validity.The Chinese version of the Multi-dimensional Self Efficacy for Exercise Scale was used as the aggregate validity,the correlation coefficient was-0.636(P<0.01),and the average content validity index was 0.951.The Cronbach'sαcoefficient of the scale was 0.901,the Guttman split-half reliability was 0.885,and the retest reliability was 0.893.Conclusion:The Chinese version of Fact-CAD shows high validity and reliability,having the strengths of fewer items and shorter evaluating time,and can be suitable for the assessment of kinesiophobia in CAD patients in China.