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

TitleCultural adaptation and psychometric properties of the Chinese Burden of Treatment Questionnaire (C-TBQ) in primary care patients with multi-morbidity
Authors
Issue Date2019
PublisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/
Citation
Family Practice, 2019, Epub of 2019 How to Cite?
AbstractObjectives: 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.
Persistent Identifierhttp://hdl.handle.net/10722/268315
ISSN
2017 Impact Factor: 1.675
2015 SCImago Journal Rankings: 1.048

 

DC FieldValueLanguage
dc.contributor.authorChin, WY-
dc.contributor.authorWong, CKH-
dc.contributor.authorNg, CW-
dc.contributor.authorChoi, PH-
dc.contributor.authorLam, CLK-
dc.date.accessioned2019-03-18T04:23:04Z-
dc.date.available2019-03-18T04:23:04Z-
dc.date.issued2019-
dc.identifier.citationFamily Practice, 2019, Epub of 2019-
dc.identifier.issn0263-2136-
dc.identifier.urihttp://hdl.handle.net/10722/268315-
dc.description.abstractObjectives: 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.-
dc.languageeng-
dc.publisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/-
dc.relation.ispartofFamily Practice-
dc.titleCultural adaptation and psychometric properties of the Chinese Burden of Treatment Questionnaire (C-TBQ) in primary care patients with multi-morbidity-
dc.typeArticle-
dc.identifier.emailChin, WY: chinwy@hku.hk-
dc.identifier.emailWong, CKH: carlosho@hku.hk-
dc.identifier.emailChoi, PH: ephchoi@hku.hk-
dc.identifier.emailLam, CLK: clklam@hku.hk-
dc.identifier.authorityChin, WY=rp00290-
dc.identifier.authorityWong, CKH=rp01931-
dc.identifier.authorityChoi, PH=rp02329-
dc.identifier.authorityLam, CLK=rp00350-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/fampra/cmz008-
dc.identifier.hkuros297147-
dc.identifier.volumeEpub of 2019-
dc.publisher.placeUnited Kingdom-

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