Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey

被引:423
作者
Lam, CLK
Gandek, B
Ren, XHS
Chan, MS
机构
[1] Univ Hong Kong, Ap Lei Chau Clin, Family Med Unit, Hong Kong, Peoples R China
[2] Tufts Univ New England Med Ctr, Hlth Inst, Boston, MA 02111 USA
[3] Edith Nourse Rogers Mem Vet Adm Hosp, Ctr Hlth Qual Outcomes & Econ Res, Bedford, MA 01730 USA
[4] Univ Hong Kong, Dept Chinese, Hong Kong, Peoples R China
关键词
SF-36 Health Survey; health-related quality of life; Chinese; cross-cultural; construct validity;
D O I
10.1016/S0895-4356(98)00105-X
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Few health-related quality of life (HRQOL) survey instruments are available to the Chinese, although many have been developed for Western populations. This article describes the testing of the acceptability, conceptual equivalence, scaling assumptions and construct validity of a Chinese (HK [Kong Kong]) version to the MOS SF-36 Health Survey. A Chinese (HK) SF-36 survey form was developed by an iterative translation process. It was administered to 236 Chinese subjects who also rated the understanding, difficulty, relevance, and acceptability of each question. The scores were tested against the original scaling assumptions. The SF-36 profile of our subjects was compared to U.S. results for conceptual equivalence. Most subjects did not have any problem in understanding and answering the SF-36. Item means were generally clustered as hypothesized. All but a few items satisfied all scaling assumptions. The shape of the eight-scale SF-36 profile was similar to that of American patients, suggesting conceptual equivalence. We conclude that the Chinese (HK) version of the SF-36 Health Survey has achieved conceptual equivalence and satisfied the psychometric scaling assumptions well enough to warrant further use and testing, using the standard scoring algorithms. (C) Elsevier Science Inc.
引用
收藏
页码:1139 / 1147
页数:9
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