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Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version

BACKGROUND: The statement format of the Decisional Conflict Scale (sf-DCS) is designed and widely used to assess patients’ state of uncertainty during health related decision making. As yet no Mandarin version of the sf-DCS has been produced. This study aims to produce the first Mandarin version of...

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Autores principales: Lu, Cui, Mu, Wei, Jin, Ying-hui, Shi, Yue-xian, Li, Ge, Li, Yan, Han, Fei, Xia, Tian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6873697/
https://www.ncbi.nlm.nih.gov/pubmed/31752845
http://dx.doi.org/10.1186/s12913-019-4717-6
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author Lu, Cui
Mu, Wei
Jin, Ying-hui
Shi, Yue-xian
Li, Ge
Li, Yan
Han, Fei
Xia, Tian
author_facet Lu, Cui
Mu, Wei
Jin, Ying-hui
Shi, Yue-xian
Li, Ge
Li, Yan
Han, Fei
Xia, Tian
author_sort Lu, Cui
collection PubMed
description BACKGROUND: The statement format of the Decisional Conflict Scale (sf-DCS) is designed and widely used to assess patients’ state of uncertainty during health related decision making. As yet no Mandarin version of the sf-DCS has been produced. This study aims to produce the first Mandarin version of the sf-DCS and test its validity and reliability in mainland China. METHODS: The translation and cross-cultural adaptation of the original English version of the sf-DCS into Mandarin was carried out in accordance with previously published guidelines. The psychometric properties of sf-DCS were assessed in two hypothesized decision-making contexts through online surveys. RESULTS: In the online survey designed to test scale validity and reliability, 437 people responded to the influenza immunization survey and 238 responded to the breast cancer screening survey. The results confirm that the Mandarin version of sf-DCS has good criteria validity and the exploratory factor analysis suggested a fitted revised five factors model by removing three items. Respondents who were “unsure” about their decisions/intentions, had read less information, and reported lower self-perceived prior knowledge level scored higher on sf-DCS. The Cronbach’s alpha for the sf-DCS total score was 0.963 and that for each subscale ranged from 0.784 to 0.937 in both decision making contexts, and the test-retest correlation coefficient was 0.528. CONCLUSIONS: The Mandarin version of sf-DCS has good criteria validity and its internal consistency is satisfactory. Our analysis suggests a refinement of the original sf-DCS’s factor structure is needed.
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spelling pubmed-68736972019-11-25 Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version Lu, Cui Mu, Wei Jin, Ying-hui Shi, Yue-xian Li, Ge Li, Yan Han, Fei Xia, Tian BMC Health Serv Res Research Article BACKGROUND: The statement format of the Decisional Conflict Scale (sf-DCS) is designed and widely used to assess patients’ state of uncertainty during health related decision making. As yet no Mandarin version of the sf-DCS has been produced. This study aims to produce the first Mandarin version of the sf-DCS and test its validity and reliability in mainland China. METHODS: The translation and cross-cultural adaptation of the original English version of the sf-DCS into Mandarin was carried out in accordance with previously published guidelines. The psychometric properties of sf-DCS were assessed in two hypothesized decision-making contexts through online surveys. RESULTS: In the online survey designed to test scale validity and reliability, 437 people responded to the influenza immunization survey and 238 responded to the breast cancer screening survey. The results confirm that the Mandarin version of sf-DCS has good criteria validity and the exploratory factor analysis suggested a fitted revised five factors model by removing three items. Respondents who were “unsure” about their decisions/intentions, had read less information, and reported lower self-perceived prior knowledge level scored higher on sf-DCS. The Cronbach’s alpha for the sf-DCS total score was 0.963 and that for each subscale ranged from 0.784 to 0.937 in both decision making contexts, and the test-retest correlation coefficient was 0.528. CONCLUSIONS: The Mandarin version of sf-DCS has good criteria validity and its internal consistency is satisfactory. Our analysis suggests a refinement of the original sf-DCS’s factor structure is needed. BioMed Central 2019-11-21 /pmc/articles/PMC6873697/ /pubmed/31752845 http://dx.doi.org/10.1186/s12913-019-4717-6 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lu, Cui
Mu, Wei
Jin, Ying-hui
Shi, Yue-xian
Li, Ge
Li, Yan
Han, Fei
Xia, Tian
Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version
title Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version
title_full Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version
title_fullStr Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version
title_full_unstemmed Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version
title_short Cross-cultural adaptation and psychometric assessment of the statement format Decisional Conflict Scale for Mandarin version
title_sort cross-cultural adaptation and psychometric assessment of the statement format decisional conflict scale for mandarin version
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6873697/
https://www.ncbi.nlm.nih.gov/pubmed/31752845
http://dx.doi.org/10.1186/s12913-019-4717-6
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