Chinese Translation of the Stanford Expectations of Treatment Scale and Its Application Evaluation on Traditional Chinese Medicine for Diarrhea-Predominant Irritable Bowel Syndrome with Liver-Constraint and Spleen-Deficiency Syndrome
Objective To adapt the Stanford Expectations of Treatment Scale(SETS)into Chinese(C-SETS)and test the feasibility,validity and reliability of its application in patients with diarrhea-predominant irritable bowel syn-drome(IBS-D)with liver-constraint and spleen-deficiency syndrome treated with traditional Chinese medicine(TCM).Methods We obtained authorisation from the developer of the SETS,and followed the principle of"two-way translation"to translate the SETS by literal translation and back translation to form the C-SETS.Ninety-six IBS-D patients with liver-constraint and spleen-deficiency syndrome were enrolled as respondents and filled out C-SETS be-fore receiving treatment;the feasibility was assessed by the recall rate,completion rate and the duration of filling out the scale;the reliability was assessed by Cronbach's α;the structural validity was assessed by exploratory and confir-matory factor analysis,and the content validity was assessed by correlation analysis.Results The C-SETS consists of 10 items,with the 1st,3rd,and 5th rating items constituting the Positive Expectations subscale,and the 2nd,4th,and 6th rating items constituting the Negative Expectations subscale,each of which is rated on a 7-point Likert Scale.The recall of C-SETS was 100%(96/96),the completion rate was 89.58%(86/96);Cronbach's α for the Positive and Negative Treatment Expectations subscales were 0.845 and 0.854,respectively;exploratory factor anal-ysis showed that the coefficient of commonality for all six entries was larger than 0.4,and that the six entries could be used by both factors to explain 77.092%of the total variance;validation factor analysis showed that the goodness-of-fit index,comparative fit index,root mean square of approximation error,canonical fit coefficient,and chi-square de-grees of freedom ratio took the values of 0.943,1.003,0,0.943,and 0.626,respectively;and the results of Spearman's analysis suggested that the C-SETS had good content validity.Conclusion The C-SETS has well feasi-bility,reliability,and validity,which initially proves that it can be used as a tool to assess the treatment expectation of patients with IBS-D with liver-constraint and spleen-deficiency syndrome before receiving TCM treatment.
Stanford Expectations of Treatment Scale(SETS)treatment expectationsirritable bowel syndromediarrhealiver constraint and spleen deficiency syndromereliabilityvalidity