Cross-cultural translation into Chinese and psychometric evaluation of a screening tool for nocturia: the Targeting the individual's Aetiology of Nocturia to Guide Outcomes (TANGO) questionnaire
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摘要Introduction: We conducted translation and psychometric validation of a self-administered, 22-item dichotomous response-based questionnaire to identify nocturia aetiologies and co-morbidities in adult patients. Methods: The Targeting the individual's Aetiology of Nocturia to Guide Outcomes (TANGO) questionnaire was forward-and backward translated, then finalised using a standardised methodology. The resulting version, a Chinese version of the TANGO [TANGO (CV)], was evaluated for internal consistency, test-retest reliability, content validity, convergent validity, criterion validity, and discriminant validity via responses from 65 participants (46 men and 19 women; mean age, 67 years, range, 50-88), in comparison with other validated questionnaires and a 4-day bladder/sleep diary. Results: Only 0.4% of responses were missing; 3% of participants required assistance with comprehension. The Kuder-Richardson Formula 20 (KR-20) coefficient for the whole tool was 0.711. Kappa values for individual domains and the whole tool varied from 0.871 to 0.866, indicating satisfactory test-retest reliability. There was strong agreement between the sum of positive responses to each domain and the whole tool (intra-class correlation coefficient=0.878-1.000). Modest correlations (& rho;=0.4-0.6) were detected between the tool and bladder/sleep diary-based parameters for convergent validity. Criterion validity was confirmed for each domain and the whole tool [& rho;=0.2870.687]. In receiver operating characteristic analysis, the tool could distinguish patients (& GE;2 nocturia episodes/night) from controls (& LE;1 nocturia episode/ night) [Youden's J statistic=0.453, area under the cur ve=0.818, 95% confidence interval (CI)=0.6830.953] and patients with significant nocturia distress from patients with mild nocturia distress (Youden's J statistic=0.398, area under the cur ve=0.729, 95% CI=0.581-0.878). Conclusion: The TANGO (CV) was formally cross culturally adapted and translated. Its psychometric properties (except sensitivity to change) were validated.
出版社接受日期03.08.2023
著者Yuen SKK, Bower W, Ng CF, Chiu PKF, Teoh JYC, Li CSY, Kwok HSW, Chan CK, Hou SSM
期刊名稱Hong Kong Medical Journal
出版年份2023
月份8
卷號29
期次4
出版社Hong Kong Academy of Medicine
頁次311 - 321
國際標準期刊號1024-2708
語言英式英語
關鍵詞Mass screening, Nocturia, Surveys and questionnaires