Reliability and validity of the Chinese version Gothenburg empowerment scale among limb disabilities
10.3969/j.issn.1001-1242.2025.07.007
- VernacularTitle:中文版哥德堡赋能量表在四肢伤残患者中的信效度研究
- Author:
Liyan ZHU
1
;
Lingyan YANG
1
Author Information
1. 上海市养志康复医院(上海市阳光康复中心)医疗保险办公室,上海市,201619
- Publication Type:Journal Article
- Keywords:
limb disabilities;
rehabilitation;
patient empowerment;
exploratory structural equation model;
scale;
Chi-neselization
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(7):1017-1024
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Chineselization of patient empowerment scale suitable for adult rehabilitation patients with long-term diseases-the Gothenburg empowerment scale(GES).To evaluate the reliability,validity and cultural applicability of the Chinese version GES in limb disabilities.Method:The Chinese version of the GES was produced by translating,back translating,and adjusting the GES according to the process of Beaton,DE.Convenience sampling method was used to select patients with limb disabilities over 18 years old from Shanghai YangZhi rehabilitation hospital as research object.The factor validi-ty,discriminant validity,convergent validity,confirmatory factor analysis(CFA)and exploratory structural equa-tion model(ESEM)were evaluated by Mplus 8.3.Adopt Cronbach's α coefficient and McDonald's ω coeffi-cient were used for reliability test of the scale.The floor and ceiling effects were used to evaluate the respon-siveness of the scale.Result:Total 274 valid samples with limb disabilities were obtained.The Chinese version GES consisted of 15 items,with 3 items connected to each dimension:Knowledge and understanding,personal control,identity,shared decision-making,and Enabling others.The Cronbach's α of total scale as well as the five dimensions ranged from 0.759-0.896.The McDonald's ω ranged from 0.737-0.953 in CFA and ESEM.CFA,ESEM,and second-order confirmatory factor analysis model all fitted well.The ESEM's fit indices(χ2/df=1.113,RMSEA=0.020,TLI=0.994,CFI=0.998,SRMR=0.014)were significantly better than the CFA's fit indices(χ2/df=1.516,RM-SEA=0.043,TLI=0.972,CFI=0.978,SRMR=0.042).The Chinese version GES had good discriminate and con-vergent validity,and responsiveness was good.Conclusion:The various indicators of the Chinese version GES meet the requirements of psychometrics and can be used in the mental study of adult limb disability rehabilitation patients.
