Practical Geriatrics ›› 2025, Vol. 39 ›› Issue (12): 1289-1293.doi: 10.3969/j.issn.1003-9198.2025.12.020

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Reliability and validity of the Chinese version of Cancer Empowerment Questionnaire in elderly patients with malignant neoplasms

LI Jinhua, XU Xin, LI Na, SANG Ni, ZHU Ling   

  1. The Second Ward of Oncology (LI Jinhua);Geriatric Neurology and Gastroenterology Ward (XU Xin, LI Na, SANG Ni);The Second Ward of Geriatric Gastroenterology (ZHU Ling), Jiangsu Province Hospital (the First Affiliated Hospital with Nanjing Medical University), Nanjing 210029, China
  • Received:2025-08-12 Published:2025-12-26
  • Contact: ZHU Ling, Email: millie201@126.com

Abstract: Objective To develop an empowerment scale for older adults with malignant tumors in line with Chinese cultural characteristics, and to test its reliability and validity. Methods The Cancer Empowerment Questionnaire (CEQ) was translated, back-translated, and culturally adjusted, and 48 experts were invited to evaluate its content validity, finally developed the Chinese CEQ (C-CEQ). A total of 306 elderly patients with malignant tumors in Department of Geriatrics of Jiangsu Province Hospital were selected for the C-CEQ questionnaire survey to evaluate the reliability and validity of the scale. Results After analyzing the mean value of the critical ratio of each item, 32 items of the C-CEQ with statistical significance were obtained. Four factors were extracted by exploratory factor analysis, and the Kaiser-Meyer-Olkin (KMO) value was 0.949, and the cumulative variance contribution rate was 64.73%. Confirmatory factor analysis showed that the model had good fitness and reliability, and the average variance extracted (AVE) values were all above 0.5. The Cronbach’s α coefficient of the C-CEQ scale was 0.941, and the split-half reliability coefficients were 0.895 and 0.944, respectively. Conclusions The C-CEQ shows good reliability and validity in the elderly patients with malignant tumors with Chinese cultural characteristics and can be used as a tool for the clinical evaluation of the empowerment level. The C-CEQ plays an important role in evaluating the health empowerment level of the patients with malignant tumors and the effect of health empowerment interventions. It is of great significance to improve the theory of health empowerment and understand the needs of elderly patients with malignant tumors.

Key words: aged, malignant tumor, patient empowerment, reliability, validity, Chinese version

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