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开发和验证日本版本的多病症治疗负担调查问卷
Takuya Aoki1, Tadao Okada2, Shoichi Masumoto3,4
1Division of Clinical Epidemiology, Research Center for Medical Sciences, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato- ku, Tokyo, 105-8461, Japan. taoki@jikei.ac.jp.
Scientific reports
|July 17, 2025
概括
开发和验证了多病症治疗负担问卷 (J-MTBQ) 的新日文版本. 该工具有助于识别患有高治疗负担的患者,以改善多病症的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
- 老年学是一门学科.
背景情况:
- 多病症,定义为存在两个或两个以上的长期疾病,影响了成年人口的很大一部分.
- 评估多病症患者所经历的治疗负担对于优化医疗保健提供至关重要.
- 现有的工具可能无法充分捕捉不同文化背景中的治疗负担的细微差别,需要适应文化工具.
研究的目的:
- 开发和验证多病症治疗负担问卷 (J-MTBQ) 的日本版本.
- 在日本人群中评估J-MTBQ的心理测量特性,包括有效性和可靠性.
- 提供一种可靠的测量方法,用于识别具有多病症的日语成年人中治疗负担较高的患者.
主要方法:
- 原始MTBQ的前后翻译,随后进行认知面试,以确保文化相关性和内容有效性.
- 一项全国性的邮政调查,对日本成年多发病症 (≥2种长期疾病) 患者进行了调查.
- 统计分析包括用于结构有效性的确认因素分析,用于收和已知组有效性的假设测试,以及用于内部一致性可靠性的Cronbach的alpha.
主要成果:
- 认知面试证实了翻译问卷的良好可接受性和内容有效性.
- 确认因素分析支持J-MTBQ的结构有效性,使用一个单一因素解决方案.
- J-MTBQ表现出良好的心理测量特性,包括高的内部一致性 (Cronbach's alpha),以及与健康相关的生活质量,自我评估健康,疾病数量和药物相关的有效关联.
结论:
- 开发的日本多病症治疗负担问卷 (J-MTBQ) 是一个有效和可靠的工具.
- J-MTBQ可以有效地识别具有多病症的日语成年人,他们经历了高治疗负担.
- 这种经过验证的尺度可以为日本多病症护理的质量改善举措和干预评估提供信息.
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