Cultural adaptation and psychometric properties of the Chinese Burden of Treatment Questionnaire (C-TBQ) in primary care patients with multi-morbidity

被引:20
作者
Chin, Weng Yee [1 ]
Wong, Carlos King Ho [1 ]
Ng, Cherry Cheuk Wai [2 ]
Choi, Edmond Pui Hang [3 ]
Lam, Cindy Lo Kuen [1 ]
机构
[1] Univ Hong Kong, Dept Family Med & Primary Care, Ap Lei Chau, Hong Kong, Peoples R China
[2] Hosp Author, Pok Oi Hosp, Dept Clin Psychol, Pok Oi, Hong Kong, Peoples R China
[3] Univ Hong Kong, Sch Nursing, Pokfulam, Hong Kong, Peoples R China
关键词
Chronic disease; multi-morbidity; primary care; psychometrics; quality of care; quality of life; QUALITY-OF-LIFE; MINIMALLY IMPORTANT DIFFERENCE; HEALTH-STATUS; MULTIMORBIDITY; CHARTS; INDEX; VALUATION; UTILITY; ADULTS; EQ-5D;
D O I
10.1093/fampra/cmz008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background. The Burden of Treatment Questionnaire (TBQ) assesses the impact of a patient's treatment workload on their quality of life Objectives. The aim was to translate and validate the TBQ on Chinese primary care patients with multi-morbidity. Methods. The English TBQ was translated and back-translated using professional translators. Cognitive debriefing interviews were performed on 15 patients. The resulting instrument was tested on 200 primary care patients with multi-morbidity (>1 chronic disease) to examine its psychometric performance including exploratory factor analysis, confirmatory factor analysis, internal consistency and reliability. The EuroQol Five-Dimension Five-Level Questionnaire (EQ-5D-5L), Short-Form Six-Dimension (SF-6D), WONCA COOP Charts and the Global Health Rating Scale were used to assess convergent and divergent validity. Results. Median age of the respondents was 62 years (range 22-95 years) with a median of four conditions. The median TBQ total score was 16 (interquartile range 7.25-30). There was a significant floor effect (>15%) observed for all items. Spearman's correlations was >0.4 for all items demonstrating adequate internal construct validity. TBQ global score correlated with number of conditions (P = 0.034), EQ-5D-5L (P < 0.001), SF-6D (P < 0.001) and the feelings (P = 0.004), daily activities (P = 0.003) and social activities (P < 0.001) domains of the WONCA COOP. There was no significant correlation between global health rating and TBQ global scores (P = 0.298). Factor analysis demonstrated a three-factor structure. There was good internal consistency (Cronbach's alpha = 0.842) and good test-retest reliability (intra-class correlation coefficient = 0.830). Conclusion. The newly translated Chinese version of the TBQ appears to be valid and reliable for use in Cantonese-speaking, adult primary care patients with multi-morbidity.
引用
收藏
页码:657 / 665
页数:9
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