害怕跌倒避免行为问卷的汉化及信度、效度检验  

Translation and validation of Chinese version fear of falling avoidance behaviour questionnaire

作　　者：申颖 梁红涛 张燕 王凡 宋艳 Shen Ying;Liang Hongtao;Zhang Yan;Wang Fan;Song Yan(Department of Rehabilitation Medicine,the Second Affiliated Hospital,the Air Force Military Medical University,Xi’an,710038,China)

机构地区：[1]空军军医大学第二附属医院康复医学科,陕西西安710038

出　　处：《现代临床护理》2024年第5期19-24,共6页Modern Clinical Nursing

基　　金：空军军医大学第二附属医院2021年护理科研课题,项目编号TDHLKY-2021-15。

摘　　要：目的汉化害怕跌倒避免行为问卷(fear of falling avoidance behaviour questionnaire,FFABQ),并对其进行信度、效度检验,为临床提供测评工具。方法2022年4月—7月通过运用Brislin翻译模型对原量表进行翻译和回译,并结合专家咨询和预调查,对量表进行文化调适,最终形成FFABQ;于2022年8月—2023年3月,采用便利抽样选择西安市1家三级甲等综合医院的269例老年患者进行调查,采用项目分析、内容效度、探索性因子分析、Cronbachα系数、折半信度、重测信度(配对t检验)测量量表的信度、效度。结果254例老年患者完成研究。中文版FFABQ涵盖3个维度(步行、日常活动、工作/休闲活动),共14个条目。项目分析结果显示,14个条目的CR值在3.978~11.755之间(均P<0.05),各条目与问卷总分的相关系数在0.473~0.930(均P<0.001)。条目水平内容效度指数为0.834~1.000,量表水平内容效度指数为0.968。通过探索性因子分析提取出3个公因子,累计方差贡献率为85.347%。问卷Cronbachα系数为0.929,折半信度为0.877,重测信度为0.954,且配对t检验两次测量结果得分比较,差异无统计学意义(P>0.05)。结论汉化版FFABQ具有良好的信度、效度,其可为临床对老年人恐惧跌倒相关性活动限制方面提供测评工具。Objective To introduce and translate the fear of falling avoidance behaviour questionnaire (FFABQ) into a Chinese version and test its reliability and validity. Methods The Brislin translation model was employed to translate and back-translate the original FFABQ. The back-translated FFABQ was modified based on expert consultations and a pre-survey,followed by cultural adaptation evaluation. To assess the reliability and validity of the Chinese version FFABQ (FFABQ-CHN),a convenient sampling method was used to select a total of 269 elderly patients from a general hospital in Xi'an to participate the survey. The item analysis,content validity,exploratory factor analysis,Cronbach α coefficient,split-half reliability,test-retest reliability and paired t-test were employed in the evaluation of the reliability and validity of FFABQ-CHN. Results The Chinese version FFABQ comprised 3 dimensions of walking,daily activities and work/leisure activities,with 14 items in total. A total of 254 patients had responded to the survey. Item analysis revealed that CR values of the 14 items ranged from 3.978 to 11.755 (all P<0.05),with correlation coefficients between each item and the total score of the questionnaire from 0.473 to 0.930 (all P<0.001). The content validity index at the item level ranged from 0.834 to 1.000,while the content validity index at the scale level was 0.968. Exploratory factor analysis extracted three common factors,with a cumulative variance contribution rate of 85.347%. The Cronbach α coefficient,half-half reliability and test-retest reliability of the questionnaire were 0.929,0.877,and 0.954,respectively. Paired t-test indicated no significant difference between the scores (all P>0.05). Conclusions The Chinese version FFABQ demonstrates strong a reliability and validity in the assessment of activity restriction related to fear of falling in the elderly. Thus,it serves as an effective tool for medical practitioners in evaluation of the restrictions in fear-of-falling-related activities of the elderly.

关 键 词：害怕跌倒避免行为问卷 信度 效度 

分 类 号：R47[医药卫生—护理学]