糖尿病接纳与行动问卷的汉化及信效度检验
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摘要
[目的]翻译并验证糖尿病接纳与行动问卷,为我国糖尿病病人开展接纳与承诺疗法相关研究提供测量工具。[方法]通过跨文化调适形成初始量表;对124例糖尿病病人进行探索性因子分析;从总体随机选取30例病人重测。[结果]问卷结果显示:条目鉴别度检验P<0.001,条目同质性检验相关系数为0.57～0.74;探索性因子分析,只有1个特征根>1的公因子,可解释总变异的43.61%;内部一致性Cronbach′sα系数、分半信度、重测信度分别为0.76、0.73和0.89。[结论]中文版糖尿病接纳与行动问卷具有良好的心理测量学指标,能为我国糖尿病接纳与承诺疗法相关研究提供有效的测评工具。
Objective:To translate and verify the reliability and validity of the Acceptance and Action Diabetes Questionnaire(AADQ),and provide measurement tools for the study of acceptance and commitment therapy for diabetic patients in China.Methods:The initial scale was formed through cross-cultural adaptation;exploratory factor analysis was performed on 132 diabetic patients;30 patients were randomly selected to re-test from the population.Results:The results of the questionnaire showed that the item identification test P<0.001,the item homogeneity test correlation coefficient was 0.57～0.74,and the exploratory factor analysis,only one characteristic root was greater than 1 common factor,explained 43.61% of the total variation.The internal consistency Cronbach′sαcoefficient,split-half reliability,and test-retest reliability were 0.76,0.73,and 0.89,respectively.Conclusions:The Chinese version of AADQ had good psychometric indicators,which could provide an effective evaluation tool for the study of diabetes acceptance and commitment therapy in China.
Objective:To translate and verify the reliability and validity of the Acceptance and Action Diabetes Questionnaire(AADQ),and provide measurement tools for the study of acceptance and commitment therapy for diabetic patients in China.Methods:The initial scale was formed through cross-cultural adaptation;exploratory factor analysis was performed on 132 diabetic patients;30 patients were randomly selected to re-test from the population.Results:The results of the questionnaire showed that the item identification test P<0.001,the item homogeneity test correlation coefficient was 0.57～0.74,and the exploratory factor analysis,only one characteristic root was greater than 1 common factor,explained 43.61% of the total variation.The internal consistency Cronbach′sαcoefficient,split-half reliability,and test-retest reliability were 0.76,0.73,and 0.89,respectively.Conclusions:The Chinese version of AADQ had good psychometric indicators,which could provide an effective evaluation tool for the study of diabetes acceptance and commitment therapy in China.
引文
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[13]MCCRACKEN L M.Committed action:an application of the psychological flexibility model to activity patterns in chronic pain[J].J Pain,2013,14(8):828-835.
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[15]SCHMITT A,REIMER A,KULZER B,et al.Assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control[J].Diabetes Medicine,2014,31(11):1446-1451.
[16]孙振球.医学统计学[M].3版.北京:人民卫生出版社,2010:1.
[17]American Diabetes Association.Diagnosis and classification of diabetes mellitus[J].Diabetes Care,2014,37(Suppl 1):581-590.
[18]GREGG J A,CALLAGHAN G M,HAYES S C,et al.Improving diabetes self-management through acceptance,mindfulness,and values:a randomized controlled trial[J].Journal of Consulting and Clinical Psychology,2007,75(2):336-343
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[21]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.
[22]LYNN M R.Determination and quantification of content validity[J].Nursing Research,1986,35(6):382-385
[23]周玲,孔红武,王薇.慢性疼痛患者整体疼痛评估量表的汉化及信效度评价[J].中华护理杂志,2014,49(9):1121-1124
[24]SCHMITT A,GAHR A,HERMANNS N,et al.Evaluation der deutschen Fassung des Fragebogens AADQ zur Diabetes akzeptanz[J].Diabetes Stoffw Herz,2013,2:9-15.
[25]APINI R K.Effects of diabetes self-management,related distress and non-acceptance on glycemic control among diabetics in selected hospitals in Ashanti Region[D].Kwame Nkrumah:Kwame Nkrumah University of Science and Technology,2016.
[26]KAMODY R C,BERLIN K S,RYBAK T M,et al.Psychological flexibility among youth with type 1diabetes:relating patterns of acceptance,adherence,and stress to adaptation[J].Behaviour Medicine,2017,44(4):271-279.
[27]贺采英.护生实习满意度量表的翻译、修订及应用[D].长沙:中南大学,2013.
[28]金娅娜,唐晓君,肖楠梓,等.重庆地区2型糖尿病患者生存质量及其影响因素分析[J].华中科技大学学报(医学版),2016,45(1):340-343.
[29]SHAYEGHIAN Z,HASSANABADI H,AGUILAR-VAFAIE ME,et al.A randomized controlled trial of acceptance and commitment therapy for type 2diabetes management:the moderating role of coping styles[J].PLoS One,2016,11(12):e0166599.
[30]LINDHOLM-OLINDER A,FISCHIER J,FRIES J,et al.A randomised wait-list controlled clinical trial of the effects of acceptance and commitment therapy in patients with type 1diabetes:a study protocol[J].BMC Nurs,2015,14:61.
[31]ATAIE M V,ATAIE M R,MOAZEZI M.Effectiveness of acceptance and commitment therapy for depression,psychological well-being and feeling of guilt in 7-15years old diabetic children[J].Iran J Pediatr,2015,25(4):e2436.
[2]TABAK A G,AKBARALY T N,BATTY G D,et al.Depression and type 2diabetes:a causal association[J].Lancet Diabetes Endocrinol,2014,2(3):236-245.
[3]ANDENDON R J,CLOUSE R E,FREEDLAND K E,et al.The prevalence of comorbid depression in adults with diabetes[J].Diabetes Care,2001,24(6):1069-1078.
[4]MUSSELMAN D L,BETAN E,LARSEN H,et al.Relationship of depression to diabetes types 1and 2:epidemiology,biology,and treatment[J].Biological Psychiatry,2003(54):317-329.
[5]KAWAKAMI N,SHIMIZU H,TAKATSUKA N,et al.Depressive symptoms and occurrence of type 2diabetes among Japanese men[J].Diabetes Care,1999,22(7):1071-1076
[6]EATON W W,ARMENIAN H,GALLO J,et al.Depression and risk for onset of typeⅡdiabetes:aprospective population-based study[J].Diabetes Care,1996,19(10):1097-1102.
[7]严茂.糖尿病患者抑郁焦虑现状调查与分析[J].中华现代护理杂志,2016,22(8):1086-1089.
[8]KAHL K G,WINTER L,SCHWEIGER U,et al.The third wave of cognitive-behavioural psychotherapies:concepts and efficacy[J].Fortschritte der Neurologie-Psychiatrie,2011,79(6):330-339
[9]HAYES S C,LEVIN M E,PLUMB-VILARDAGA J,et al.Acceptance and commitment therapy and contextual behavioral science:examining the progress of a distinctive model of behavioral and cognitive therapy[J].Behav Ther,2013,44(2):180-98.
[10]HAYES S C,WILSON K G.Acceptance and commitment therapy:altering the verbal support for experiential avoidance[J].The Behavior Analyst/MABA,1994,17(2):289-303
[11]YOVEL I.Acceptance and commitment therapy and the new generation of cognitive behavioral treatments[J].Isr J Psychiatry Relat Sci,2009,46(4):304-309.
[12]HAYES S C.Acceptance and commitment therapy,relational frame theory and the third wave of behavioral and cognitive therapies-republished article[J].Behaviour Therapy,2016,47(6):869-885.
[13]MCCRACKEN L M.Committed action:an application of the psychological flexibility model to activity patterns in chronic pain[J].J Pain,2013,14(8):828-835.
[14]HAYES S C,STROSAHL K,WILSON K G,et al.Measuring experiential avoidance:apreliminary test of a working model[J].Psychological Record,2004,54(4):553-578.
[15]SCHMITT A,REIMER A,KULZER B,et al.Assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control[J].Diabetes Medicine,2014,31(11):1446-1451.
[16]孙振球.医学统计学[M].3版.北京:人民卫生出版社,2010:1.
[17]American Diabetes Association.Diagnosis and classification of diabetes mellitus[J].Diabetes Care,2014,37(Suppl 1):581-590.
[18]GREGG J A,CALLAGHAN G M,HAYES S C,et al.Improving diabetes self-management through acceptance,mindfulness,and values:a randomized controlled trial[J].Journal of Consulting and Clinical Psychology,2007,75(2):336-343
[19]BEATON D E,BOMBARDIER C,GUILLEMIN F,et al.Guidelines for the process of cross-cultural adaptation of self-report measures[J].Spine,2000,25(24):3186-3191.
[20]吴明隆.SPSS统计应用实务[M].北京:中国铁道出版社,2000:1.
[21]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.
[22]LYNN M R.Determination and quantification of content validity[J].Nursing Research,1986,35(6):382-385
[23]周玲,孔红武,王薇.慢性疼痛患者整体疼痛评估量表的汉化及信效度评价[J].中华护理杂志,2014,49(9):1121-1124
[24]SCHMITT A,GAHR A,HERMANNS N,et al.Evaluation der deutschen Fassung des Fragebogens AADQ zur Diabetes akzeptanz[J].Diabetes Stoffw Herz,2013,2:9-15.
[25]APINI R K.Effects of diabetes self-management,related distress and non-acceptance on glycemic control among diabetics in selected hospitals in Ashanti Region[D].Kwame Nkrumah:Kwame Nkrumah University of Science and Technology,2016.
[26]KAMODY R C,BERLIN K S,RYBAK T M,et al.Psychological flexibility among youth with type 1diabetes:relating patterns of acceptance,adherence,and stress to adaptation[J].Behaviour Medicine,2017,44(4):271-279.
[27]贺采英.护生实习满意度量表的翻译、修订及应用[D].长沙:中南大学,2013.
[28]金娅娜,唐晓君,肖楠梓,等.重庆地区2型糖尿病患者生存质量及其影响因素分析[J].华中科技大学学报(医学版),2016,45(1):340-343.
[29]SHAYEGHIAN Z,HASSANABADI H,AGUILAR-VAFAIE ME,et al.A randomized controlled trial of acceptance and commitment therapy for type 2diabetes management:the moderating role of coping styles[J].PLoS One,2016,11(12):e0166599.
[30]LINDHOLM-OLINDER A,FISCHIER J,FRIES J,et al.A randomised wait-list controlled clinical trial of the effects of acceptance and commitment therapy in patients with type 1diabetes:a study protocol[J].BMC Nurs,2015,14:61.
[31]ATAIE M V,ATAIE M R,MOAZEZI M.Effectiveness of acceptance and commitment therapy for depression,psychological well-being and feeling of guilt in 7-15years old diabetic children[J].Iran J Pediatr,2015,25(4):e2436.