Chinese version of the abbreviated Comprehensive Geriatric Assessment and its reliability and validity in cancer patients
10.3760/cma.j.cn115682-20221026-05182
- VernacularTitle:简版老年综合评估问卷的汉化及在癌症患者中的信效度研究
- Author:
Qin ZHANG
1
;
Ming YU
;
Mingbing XIAO
;
Haiou YAN
Author Information
1. 南通大学附属医院护理研究所,南通 226001
- Keywords:
Neoplasms;
Aged;
Frailty;
Reliability;
Validity
- From:
Chinese Journal of Modern Nursing
2023;29(29):3978-3984
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To translate the abbreviated Comprehensive Geriatric Assessment (aCGA) into Chinese and test its reliability and validity.Methods:According to the guideline of instruments or scales for use in cross-cultural health care research, the English version of aCGA was translated correctly, back translated, and cross-cultural adapted, ultimately forming the Chinese version of aCGA. From February to July 2021, 275 elderly cancer patients from three departments of Affiliated Hospital of Nantong University were selected as the study subject by convenience sampling. Patients were surveyed using the General Information Questionnaire, Chinese version of aCGA, and the Fried Frailty Phenotype. SPSS 25.0 and AMOS 24.0 software were used to test the reliability and validity of the questionnaire.Results:The Chinese version of aCGA consisted of three dimensions and 15 items. The Cronbach's α coefficient of the questionnaire was 0.806, and the coefficients of depression, function, and cognition dimensions were 0.919, 0.957, and 0.806, respectively. The Kappa value for consistency between raters was 0.778. The content validity index at the item level was 0.833 to 1.000, and the content validity index at the questionnaire level was 0.943. Exploratory factor analysis identified three common factors, with a cumulative variance contribution rate of 81.181%. The evaluation results of the questionnaire was strongly correlated with the Fried Frailty Phenotype, and the difference was statistically significant ( r=0.629, P<0.01) . Conclusions:The Chinese version of aCGA has good reliability, validity, and screening performance, making it suitable for preliminary screening of frailty in elderly cancer patients.