Psychometric properties of the Chinese version of the Chronic Illness Anticipated Stigma Scale
Objective:To translate the Chronic Illness Anticipated Stigma Scale(CIASS)into Chinese,and to test the reliability and validity among patients with permanent enterostomy,in order to provide a measuring tool for the evaluation of anticipated stigma among patients with permanent enterostomy in China.Methods:The Brislin model was adopted to conduct translation and cultural adjustment,pre-investigation of the CIASS was conducted.From March to December 2023,541 patients with permanent enterostomy in three tertiary grade A hospitals in Hunan province were investigated by using Chinese version of CIASS(CCIASS)to test the reliability and validity of the scale.Results:The I-CVI of the scale was 0.853-1.000,the S-CVI/UA was 0.865,and the S-CVI/Ave was 0.973.The KMO value was 0.893,and Bartlett's sphericity test chi square value was 1128.531(P<0.01).Three common factors were extracted,and the cumulative variance contribution rate was 68.725%.The results of confirmatory factor analysis showed that the model fitted well,with χ2/df of 2.027,RMSEA of 0.073,GFI of 0.915,CFI of 0.918,IFI of 0.936 and TLI of 0.922.In addition,the total score of CCIASS is positively correlated with the total score of Social Impact Scale(r=0.655,P<0.01).The total Cronbach's α coefficient of CCIASS was 0.925,Cronbach's α coefficients of friends and family members,work colleagues,and healthcare workers dimension were 0.907,0.893 and 0.916 respectively,and the test-retest reliability was 0.872.Conclusion:The CCIASS contains 3 dimensions and 12 items,and its reliability and validity are good in patients with permanent enterostomy,so it can be used to evaluate the anticipated stigma of patients with permanent enterostomy.
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