Cross-cultural adaptation and psychometric evaluation of the Thai version of the Enhancing Recovery in Coronary Heart Disease Social Support Inventory in individuals with chronic illnesses  

泰语版冠心病患者社会支持量表的跨文化调适及信效度检验

作　　者：Santi Phetrnui Jom Suwanno Chantira Chiaranai Chonchanok Bunsuk Naruebeth Koson Wanna Kumanjan Chennet Phonphet Ladda Thiamwong 

机构地区：[1]School of Nursing,Walailak University,Nakhon Si Thammarat,Thailand [2]The Excellent Center of Community Health Promotion,Walailak University,Thailand [3]Institute of Nursing,Suranaree University of Technology,Nakhon Ratchasima,Thailand [4]Boromarajonani College of Nursing Nakhon Si Thammarat,Faculty of Nursing,Praboromarajchanok Institute,Nakhon Si Thammarat,Thailand [5]University of Central Florida College of Nursing,Orlando,FL,USA

出　　处：《International Journal of Nursing Sciences》2025年第1期65-73,I0004,共10页国际护理科学(英文)

基　　金：supported by Walailak University(grant number:WU65240,Year 2022).

摘　　要：Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.目的该研究翻译了促进冠心病康复(Enhancing Recovery in Coronary Heart Disease,ENRICHD)社会支持量表(Social Support Inventory,ESSI)并验证了其在慢性病患者中应用的信效度。方法采用准备、正向翻译、对比、反向翻译、反向翻译审查、协调、认知报告、认知报告审查和定稿、校对9个步骤将英语版本问卷翻译为泰语,并对翻译的有效性进行了评估。于2022年7月至11月在泰国南部16所初级护理中心选取405例慢性病患者为研究对象。采用探索性因子分析及验证性因子分析评估量表的效度。假设检验通过与自我护理自我效能量表3.0版(Self-Care Self-Efficacy Scale version 3.0,SCSES-v3.0)和慢性病自我护理量表4.c版(Self-Care Self-Efficacy Scale version 4.c,SC-CII-v4.c)的相关性进行评估。信度采用Cronbach’sα系数和内部一致性信度进行评估。结果量表的内容效度指数为1.00。探索性因子结果显示量表为一个因子结构,6个条目表现出较高的因子负荷(0.76~0.85);而条目7表现出弱负荷(0.23)。6个条目的量表具有拟合良好的单因素结构。该量表与SCSES-v3.0和SC-CII-v4.c量表呈正相关;量表的Cronbach’sα系数从7个条目的0.88提高到6个条目的0.91,且都表现出较好的重测信度。结论ESSI在慢性病患者中具有较好的有效性和可靠性,适用于评估慢性病患者自我护理中的社会支持。

关 键 词：Chronic illness Reliability SELF-CARE Social support Validity 

分 类 号：H31[语言文字—英语]