The Validation of the Hong Kong Chinese Version of the Lawton Instrumental Activities of Daily Living Scale for Institutionalized Elderly Persons

2002 ◽  
Vol 22 (4) ◽  
pp. 132-142 ◽  
Author(s):  
Angela Y.C. Tong ◽  
David W.K. Man

The Lawton Instrumental Activities of Daily Living (IADL) scale is the assessment tool most commonly used by occupational therapists in Hong Kong. However, there has been no cross-cultural validation study of the Lawton IADL-Chinese Version (IADL-CV) scale as applied to Hong Kong's older adults. This was the first study of content validity, construct validity, and reliability of the Lawton IADL-CV. A total of 155 institutionalized older adults were recruited from three different hostels and one care-and-attention home by using a convenience sampling method. Expert panel review and pilot testing on the subjects established the linguistic and content validity of the Hong Kong Chinese version. The content of the scale, the scoring criteria, translation, and level of rating scale were examined. It was shown that all nine IADL items apart from “handyman work” were culturally relevant (more than 78% agreement). Nine items altogether had good representation in assessing the IADL ability of Hong Kong older adults (73% agreement). The scoring criteria were refined with reference to the local culture. Both panel review and the related psychometric properties supported the change of the level of rating scale from a three-point to a four-point scale. The inter-rater and test-retest reliability estimated by intraclass correlation coefficient (ICC) gave a value of 0.99 and 0.90, respectively. The Cronbach's alpha estimating the internal consistency was 0.86. In the study of the construct validity, the factor analysis and known-groups methods were used. The construct validity was examined by factor analysis of the Lawton IADL scores of 111 hostel subjects. The result showed that one factor was extracted from the nine items of the Lawton IADL-CV scale. The known-groups method was performed using the Lawton IADL-CV to separate 146 institutionalized subjects into their corresponding living institutions: hostel or care-and-attention home. An overall prediction ability of 78% was achieved so as to correctly discriminate between residents in the hostel and care-and-attention home. In conclusion, the Lawton IADL-CV scale is a valid and reliable instrument to assess the older adults' IADL ability to live independently in the community.

2020 ◽  
Author(s):  
Jun-Yao Fan ◽  
Hui-Min Zhao ◽  
Yue-Ting Liu ◽  
Ling-Lin Kong ◽  
Jing Mao ◽  
...  

Abstract Background The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students. Methods By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability. Results The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis. Conclusions FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against the older adults in Chinese medical students.


2020 ◽  
Author(s):  
Jun-Yao Fan ◽  
Hui-Min Zhao ◽  
Yue-Ting Liu ◽  
Ling-Lin Kong ◽  
Jing Mao ◽  
...  

Abstract Background The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students.Methods By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability.Results The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis.Conclusions FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against the older adults in Chinese medical students.


2021 ◽  
Author(s):  
Joyce Oi Kwan Chung ◽  
William Ho Cheung Li ◽  
Xia Wei ◽  
Ankie Tan Cheung ◽  
Laurie Long Kwan Ho ◽  
...  

Abstract Background: To test the psychometric properties of a traditional Chinese version of the Resilience Scale for Children (RS-10) and examine its factorial structure via a confirmatory factor analysis (CFA).Methods: One hundred and eighty-six Hong Kong Chinese children with cancer were recruited in the paediatric oncology units of two public acute-care hospitals in Hong Kong to participate in this cross-sectional study. The psychometric properties of the traditional Chinese version of the RS-10 were assessed, namely its content validity, convergent and discriminant validity, construct validity, internal consistency and test–retest reliability.Results: The newly translated traditional Chinese version of the RS-10 demonstrated adequate internal consistency, excellent test–retest reliability, good content validity and appropriate convergent and discriminant validity. The CFA results demonstrated that there was a good fit between the factor structure of the Chinese version of the RS-10 and the observed data, thereby confirming the construct validity of this instrument.Conclusions: The traditional Chinese version of the RS-10 was found to be a reliable and valid tool for assessing the resilience of Hong Kong Chinese children with cancer. The newly developed traditional Chinese version of the RS-10 is an appropriate clinical research tool for evaluating the effectiveness of nursing interventions in enhancing the resilience of and promoting mental well-being in children with cancer. Trial registration: NCT03544190


2019 ◽  
Vol 99 (5) ◽  
pp. 614-635
Author(s):  
Wing Hong Chui ◽  
Kevin Kwok-yin Cheng

Using a Hong Kong–sourced sample of participants, this study set out to validate the Chinese version of the Attitudes Toward Prisoners (ATP-C) Scale and evaluate its psychometric properties. To provide further evidence for the ATP-C Scale’s validity, it was then administered to three groups varying in their volunteering experience in Hong Kong. Exploratory factor analysis revealed a four-factor structure that differs from the unidimensional model proposed by the scale developers. Cronbach’s alpha values were satisfactory for all four subscales, and construct validity of the ATP-C Scale was also assessed with a second sample of participants. Implications for the assessment of attitudes toward prisoners away from a one-dimensional spectrum and further directions for cross-cultural studies on related topics are discussed.


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Ari Setiawan ◽  
Widowati Pusporini ◽  
Hanandyo Dardjito

This study aims to 1) identify the content validity of observations of students' social attitudes, 2) identify the construct validity of the observation instruments of students 'social attitudes, and 3) identify the reliability of observations of students' social attitudes. The subjects of this study were grades IV, and V of elementary school students in Yogyakarta province selected using cluster random sampling. Observation guidelines were used to collect the data using a summative rating scale model. The content validity was analyzed by applying Aiken assisted by Microsoft Excel, the construct validity by using second-order Confirmatory Factor Analysis assisted by Lisrel, and the reliability by using the Omega reliability approach. The results indicated that all items were valid by which the content validity. The construct validity with the Confirmatory Factor Analysis is high. The reliability values of the observation instruments were reliable. 


PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0130702 ◽  
Author(s):  
En-Chi Chiu ◽  
Yen Lee ◽  
Kuan-Yu Lai ◽  
Chian-Jue Kuo ◽  
Shu-Chun Lee ◽  
...  

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Joyce Oi Kwan Chung ◽  
William Ho Cheung Li ◽  
Xia Wei ◽  
Ankie Tan Cheung ◽  
Laurie Long Kwan Ho ◽  
...  

Abstract Background To test the psychometric properties of a traditional Chinese version of the Resilience Scale for Children (RS-10) and examine its factorial structure via a confirmatory factor analysis (CFA). Methods One hundred and eighty-six Hong Kong Chinese children with cancer were recruited in the paediatric oncology units of two public acute-care hospitals in Hong Kong to participate in this cross-sectional study. The psychometric properties of the traditional Chinese version of the RS-10 were assessed, namely its content equivalence, convergent and discriminant validity, construct validity, internal consistency and test–retest reliability. Results The newly translated traditional Chinese version of the RS-10 demonstrated adequate internal consistency (Cronbach’s α = .83, McDonald’s Ω = .80), excellent test–retest reliability (.89), good content equivalence (CVI = 96%) and appropriate convergent (r =  − .52, P = .01) and discriminant validity (r = .61, P = .01). The CFA results demonstrated that there was a good fit between the factor structure of the Chinese version of the RS-10 and the observed data (χ2/df = 2.34, TLI = .951, RMSEA = .053, CFI = .962, GFI = .948, SRMR = .052), thereby confirming the construct validity of this instrument. Conclusions The traditional Chinese version of the RS-10 was found to be a reliable and valid tool for assessing the resilience of Hong Kong Chinese children with cancer. The newly developed traditional Chinese version of the RS-10 is an appropriate clinical research tool for evaluating the effectiveness of nursing interventions in enhancing the resilience of and promoting mental well-being in children with cancer. Trial registration NCT03544190.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Qiqi Zhuo ◽  
Changsheng Cui ◽  
Hongmin Liang ◽  
Yangjuan Bai ◽  
Qiulan Hu ◽  
...  

Abstract Background Health education basing on patients’ information-seeking styles can improve the effectiveness of health education and patients’ health outcomes. The Miller Behavioral Style Scale (MBSS) is widely used to identify individual’s information-seeking styles, but the Chinese version is lacking. The study aim was to translate and culturally adapt the MBSS into Chinese version and test the content validity, construct validity and internal consistency reliability of the Chinese version of MBSS (C-MBSS). Methods The forward-back-translation procedure was adopted in the translation of the MBSS. Content validity was assessed in a panel of experts. In a sample of 1343 individuals including patients, patients’ caregivers, university students, and medical staff, reliability and construct validity were assessed using Cronbach’s alpha coefficient and factor analysis. The measurement invariance across samples was tested using multigroup confirmatory factor analysis (MGCFA). Floor and ceiling effects were checked. Results The C-MBSS achieved conceptual and semantic equivalence with the original scale. The item-level content validity index (I-CVI) of each item ranged from 0.78 to 1, and the averaging scale-level content validity index (S-CVI/ Ave) was 0.95. The exploratory factor analysis resulted in 2-factor assumption for each hypothetical threat-evoking scenario. Confirmatory factor analysis demonstrated a good fit between theoretical model and data, which provided confirmatory evidence for the second-order factor structure of 2-factor solution (Monitoring and Blunting). The Cronbach's alpha coefficients for the Monitoring and Blunting sub-scales of the C-MBSS were 0.75 and 0.62 respectively. MGCFA results supported the measurement invariance for the Monitoring sub-scale of the C-MBSS across samples. No floor or ceiling effects occurred. Conclusions This study indicates that the C-MBSS has good content and construct validity. The Monitoring sub-scale of the C-MBSS had acceptable internal consistency reliability while the Blunting sub-scale had unsatisfactory one, which suggest that the Monitoring sub-scale of the C-MBSS can be used to identify individuals’ information-seeking styles in Chinese contexts across different populations.


2021 ◽  
Author(s):  
Qiqi Zhuo ◽  
Changsheng Cui ◽  
Hongmin Liang ◽  
Yangjuan Bai ◽  
Qiulan Hu ◽  
...  

Abstract Background: Health education basing on patients’ information-seeking styles can improve the effectiveness of health education and patients’ health outcomes. The Miller Behavioral Style Scale (MBSS) is widely used to identify individual’s information-seeking styles, but the Chinese version is lacking. The study aim was to translate and culturally adapt the MBSS into Chinese version and test the content validity, construct validity and internal consistency reliability of the Chinese version of MBSS (C-MBSS).Methods: The forward-back-translation procedure was adopted in the translation of the MBSS. Content validity was assessed in a panel of experts. In a sample of 1343 individuals including patients, patients’ caregivers, university students, and medical staff, reliability and construct validity were assessed using Cronbach’s alpha coefficient and factor analysis. The measurement invariance across samples was tested using multigroup confirmatory factor analysis (MGCFA). Floor and ceiling effects were checked.Results: The C-MBSS achieved conceptual and semantic equivalence with the original scale. The item-level content validity index (I-CVI) of each item ranged from 0.78 to 1, and the averaging scale-level content validity index (S-CVI/ Ave) was 0.95. The exploratory factor analysis resulted in 2-factor assumption for each hypothetical threat-evoking scenario. Confirmatory factor analysis demonstrated a good fit between theoretical model and data, which provided confirmatory evidence for the second-order factor structure of 2-factor solution (Monitoring and Blunting). The Cronbach's alpha coefficients for the Monitoring and Blunting sub-scales of the C-MBSS were 0.75 and 0.62 respectively. MGCFA results supported the measurement invariance for the Monitoring sub-scale of the C-MBSS across samples. No floor or ceiling effects occurred. Conclusions: This study indicates that the C-MBSS has good content and construct validity. The Monitoring sub-scale of the C-MBSS had acceptable internal consistency reliability while the Blunting sub-scale had unsatisfactory one, which suggest that the Monitoring sub-scale of the C-MBSS can be used to identify individuals’ information-seeking styles in Chinese contexts across different populations.


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