Rowland通用痴呆评估量表的汉化和信效度检验

doi:10.3969/j.issn.1003-9198.2021.07.002

摘要/Abstract

摘要： 目的汉化Rowland通用痴呆评估量表(Rowland Universal Dementia Assessment Scale,RUDAS),对其进行信效度检验并确定临界值。方法得到Rowland医生授权后,采用Brislin法对RUDAS进行翻译、回译、跨文化调适和预试验形成中文版。采用便利抽样法在3家社区养老院对符合纳入标准的受试者进行调查。使用SPSS 23.0和AMOS 21.0软件对数据进行统计分析。结果中文版RUDAS的Cronbach's α系数为0.818,重测信度为0.942,评定者间信度为0.977,内容效度为 0.97,与中文版MMSE的效标关联效度为0.886。探索性因子分析得到单因子分析模型,累计贡献率为60.423%,6个条目在相应主成分载荷均＞0.4。验证性因子分析显示,卡方值和自由度之比(χ²/df)=1.686、绝对拟合优度指数(GFI)=0.962、近似误差均方根(RESEA)=0.074、比较拟合指数(CFI)=0.981,提示该模型拟合良好;平均方差抽取量(AVE)=0.621,组合信度(CR)=0.88,说明模型具有良好的聚合(收敛)效度。根据约登指数(YI)最大化原则,以21分作为中文版RUDAS的截断值最佳。结论作为一个多元文化认知评估量表,中文版RUDAS条目简洁,信效度良好,适用于我国临床和社区中低文化程度或文盲的痴呆高危人群的筛查。

关键词: 痴呆, Rowland通用痴呆评估量表, 信度, 效度

Abstract: Objective To translate the Rowland Universal Dementia Assessment Scale (RUADS) into a Chinese version, and to conduct a reliability and validity test and determine a cut-off value. Methods After being authorized by Dr. Rowland, the Brislin method was used in the translation of RUDAS, back translation, cross-cultural adaptation and pre-test to form a Chinese version. Convenience sampling was used to survey subjects who match the inclusion criteria in three nursing homes in the community. SPSS 23.0 and AMOS 21.0 software were used for statistical analysis of the data. Results The Cronbach's α coefficient of the Chinese version of RUDAS was 0.818, and the test-retest reliability was 0.942, and the inter-rater reliability was 0.977, and the content validity was 0.97, and the criterion-related validity was 0.886. The exploratory factor analysis obtained a single factor analysis model, with a cumulative contribution rate of 60.423%, and the corresponding principal component loadings of 6 items were all> 0.4. Confirmatory factor analysis showed a ratio of chi-square value to degrees of freedom (χ²/df)=1.686, a goodness of fit index (GFI)=0.962, a root mean square of approximate error (RESEA) of 0.074, and a comparative fit index (CFI) of 0.981, and the results suggested that the model fit well. Average Variance Extracted (AVE)=0.621 and composite reliability (CR)=0.88 indicated good aggregation (convergence) validity. According to the Youden Index (YI) maximization principle, 21 was are the best cut-off value for the Chinese version of RUDAS. Conclusions As a multicultural cognitive assessment scale, the Chinese version of RUDAS has concise entries and good reliability and validity. It is suitable for the screening of high-risk populations of dementia with low education or illiteracy in clinical and community.

Key words: dementia, Rowland Universal Dementia Assessment Scale, reliability, validity

中图分类号:

R 749.16

黄馨仪, 韩悦, 翁卫群, 耿桂灵, 顾婷. Rowland通用痴呆评估量表的汉化和信效度检验[J]. 实用老年医学, 2021, 35(7): 668-672.

HUANG Xin-yi, HAN Yue, GENG Gui-ling, GU Ting. Reliability and validity of the Chinese version of the Rowland Universal Dementia Assessment Scale[J]. Practical Geriatrics, 2021, 35(7): 668-672.

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