Simplified Chinese Research Articles

The cross-cultural adaptation and psychometric properties of the Graded Chronic Pain Scale-Revised-Simplified Chinese version.

Chronic pain is a prevalent issue worldwide and is a significant contributor to human suffering and disability. The Graded Chronic Pain Scale-Revised has exhibited favorable reliability and validity. However, its applicability yet to be explored in China. We aimed to create a simplified Chinese version of the Graded Chronic Pain Scale-Revised for chronic pain patients by conducting cross-cultural adaptation and psychometric evaluation. This study employs a two- phase design. In phase 1, the Graded Chronic Pain Scale-Revised was cross-culturally translated and adapted in accordance with international guidelines. In phase 2, the simplified Chinese version of the Graded Chronic Pain Scale-Revised was administered to 417 participants along with Numerical Rating Scale to assess its psychometric properties. The final analysis consisted of data from 376 participants. The scale had a Cronbach's α coefficient of 0.944. Moreover, the scale exhibited excellent content validity and was divided into two dimensions: identifying high impact chronic pain; and the Pain, Enjoyment, and General Activities subscale. Exploratory and confirmatory factor analyses revealed that these dimensions had a good model fit. Additionally, the simplified Chinese version of the Graded Chronic Pain Scale-Revised demonstrated good convergent and discriminant validity. The receiver operating characteristic curve demonstrated that grades 2 and 3 had a good predictive effect on limiting participants' work ability, and the area under the receiver operating characteristic curve was equal to 0.91. The present study demonstrates the successful adaptation of the Graded Chronic Pain Scale-Revised into Simplified Chinese, with the revised version exhibiting favorable psychometric properties. This scale addresses the shortcomings of domestic chronic pain grading assessment tools, providing a valuable instrument for evaluating the severity of chronic pain in Chinese clinical practice and serving as a reference and basis for other research related to chronic pain.

Development and validation of the simplified Chinese Author Recognition Test: Evidence from eye movements of Chinese adults in Mainland China

BackgroundIt is well evident that individuals' levels of print exposure are significantly correlated with their reading ability across languages, and an author recognition test is commonly used to measure print exposure objectively. For the first time, the current work developed and validated a Simplified Chinese Author Recognition Test (SCART) and examined its role in explaining Chinese online reading.MethodsIn Study 1, we constructed the SCART for readers of simplified Chinese and validated the test using data collected from 203 young adults in Mainland China. Participants were measured on the SCART and three self‐report tasks about their reading experiences and habits. Study 2 recruited additional 68 young adults in Mainland and measured their print exposure (with the same tasks used in Study 1), reading‐related cognitive ability (working memory, rapid automatic naming, Chinese character reading, and vocabulary knowledge), and Chinese online reading via an eye‐tracking passage reading task.ResultsResults of Study 1 support the high reliability and validity of the SCART. Results of Study 2 indicate that SCART scores significantly predicted participants' online reading processing while controlling for subjective reading experiences and habits, and reading‐related cognitive abilities. Across two studies, we found converging evidence that the in‐depth recognition of the authors (i.e., participants have read the books written by these authors) appears to be a better indicator of print exposure than the superficial recognition of the author names.ConclusionsTaken together, this work filled in the gap in the literature by providing an evidence‐based, objective print exposure measure for simplified Chinese and contributes to a broader understanding of print exposure and online reading processing across different writing systems.

Women’s Cardiac Rehabilitation Barriers: Results of the International Council of Cardiovascular Prevention and Rehabilitation’s First Global Assessment

BackgroundCardiac rehabilitation (CR) programs are underutilized globally, especially by women. In this study we investigated sex differences in CR barriers across all world regions, to our knowledge for the first time, the characteristics associated with greater barriers in women, and women’s greatest barriers according to enrollment status. MethodsIn this cross-sectional study, the English, Simplified Chinese, Arabic, Portuguese, or Korean versions of the Cardiac Rehabilitation Barriers Scale was administered to CR-indicated patients globally via Qualtrics from October 2021 to March 2023. Members of the International Council of Cardiovascular Prevention and Rehabilitation community facilitated participant recruitment. Mitigation strategies were provided and rated. ResultsParticipants were 2163 patients from 16 countries across all 6 World Health Organization regions; 916 (42.3%) were women. Women did not report significantly greater total barriers overall, but did in 2 regions (Americas, Western Pacific) and men in 1 (Eastern Mediterranean; all P < 0.001). Women’s barriers were greatest in the Western Pacific (2.6 ± 0.4/5) and South East Asian (2.5 ± 0.9) regions (P < 0.001), with lack of CR awareness as the greatest barrier in both. Women who were unemployed reported significantly greater barriers than those not (P < 0.001). Among nonenrolled referred women, the greatest barriers were not knowing about CR, not being contacted by the program, cost, and finding exercise tiring or painful. Among enrolled women, the greatest barriers to session adherence were distance, transportation, and family responsibilities. Mitigation strategies were rated as very helpful (4.2 ± 0.7/5). ConclusionsCR barriers—men’s and women’s—vary significantly according to region, necessitating tailored approaches to mitigation. Efforts should be made to mitigate unemployed women’s barriers in particular.

Measuring musical sophistication in the Chinese general population: Validation and replication of the Simplified Chinese Gold-MSI

The Goldsmiths Musical Sophistication Index has been translated into several European languages. In the East Asian area, a traditional Chinese language translation is available. Due to differences in written characters and language use in various Chinese regions, a translation using simplified Chinese would reach a wider audience in mainland China and other regions. Our study, therefore, aimed to validate the simplified Chinese version of the Gold-MSI (Gold-MSI-SC) to replicate psychometric properties and factor structures of the Gold-MSI and to investigate the relationship between socioeconomic status (SES) and factors of the Gold-MSI-SC in a mainland Chinese sample ( N = 64,555). Following the translation guidelines for intercultural research, the Gold-MSI-SC self-report questionnaire, two music listening tests, and the Musical-Rhythmic Intelligence subscale (M-RI) were included in the main study together with the demographic and SES-related questions. All subscales of the Gold-MSI-SC showed high internal consistency (Cronbachs’ ɑ = [.80–.91]) and good test-retest reliability ( rtt = [.842–.935]). Confirmatory factor analysis revealed that the original bi-factor structure was replicated with satisfactory fit (root mean square error of approximation (RMSEA) = .053 and comparative fit index (CFI) = .888). Correlations between the Gold-MSI-SC and the music tests, as well as the M-RI, demonstrated strong convergent and discriminant validity; structural equation models revealed negative relationships between age and the Gold-MSI factors, while SES positively correlated with all of the subscales. The Gold-MSI-SC has thus been shown to be a reliable tool in assessing multidimensional musical behaviors in simplified Chinese and in supporting the measurability of musical sophistication in different cultures.

Establishing the criterion validity of an adapted dietary screener for Asian Americans amongst Chinese American adults

ObjectiveTo assess the criterion validity of a dietary screener questionnaire adapted for Asian Americans (ADSQ) compared to Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA-24) food diary data amongst Chinese American Adults (CHAs). The ADSQ incorporated example ethnic foods from six Asian American groups. Lessons learned with respect to translating the ADSQ from English into Simplified Chinese were also documented.DesignAgreement between a two-day food diary (one weekend day and one weekday) and the ADSQ was assessed for vegetable, fruit, dairy, added sugar, fiber, calcium, and whole grain intake using paired t-tests to compare means and Spearman correlations to assess agreement between intake of food components.SettingData were collected online and via phone interviews.ParticipantsThirty-three CHAs aged 19–62 years (63.6% female).ResultsMean differences were small for fruit, dairy, fiber, calcium, and whole grain intake, but were significantly different for vegetables and added sugar intake. Spearman correlations were < 0.5 and non-significant (p > 0.05) for all components. Both the ASA-24 and the ADSQ identified the same categories where CHAs intake is misaligned with dietary recommendations: whole grains, total fruit, and dairy. Difficulties were encountered in translating 13 out of 26 questions.ConclusionsThe ADSQ may be a useful tool to identify intervention targets for improving dietary quality, but caution is warranted when interpreting vegetable and added sugar estimates. Differences in the English and Chinese languages underscore the need to take into account both literal translations and semantics in translating the ADSQ into other languages.

LexCHI: A quick lexical test for estimating language proficiency in Chinese.

A prominent methodological issue in cognitive research on bilingualism is the lack of consistency in measuring second language (L2) proficiency. To reduce the inconsistency in L2 proficiency measurements, brief and valid vocabulary tests have been developed as an objective measure of proficiency in a variety of languages (e.g., English, French, Spanish). Here, we present LexCHI, a valid lexical test to measure Chinese proficiency. This freely available short test consists of 60 two-character items presented in simplified Chinese. Although it only takes a few minutes to complete LexCHI, the LexCHI scores in two studies correlated significantly with L2 participants' performance in a translation task and a cloze test. We believe that LexCHI is a useful tool for researchers who need to objectively measure Chinese proficiency as part of their investigations.

Comparing word recognition in simplified and traditional Chinese: A megastudy approach.

Although it is well established that the visual complexity of a written word can influence processing, it is far less clear from a cross-script perspective, whether the overall visual complexity of the entire written lexicon also affects word recognition. This question can be answered with the data in megastudy of lexical decision in Chinese (MELD-CH), which was developed with over 800 participants responding to 12,587 simplified and traditional Chinese words. The results showed that lexical decision was slower but more accurate in simplified Chinese, which has about 22.5% less strokes, than traditional Chinese. This pattern could not be explained by a speed-accuracy trade-off. Moderate correlations were found in response times and error rates between the two scripts, indicating considerable overlap in processing despite the script difference. In addition, (generalised) linear mixed-effects modelling was used to examine whether the simplified and traditional Chinese groups differed in sensitivity towards linguistic variables. The results showed that the effects of word frequency, word length, and number of strokes were stronger in recognising simplified Chinese words, whereas the effects of number of words formed and number of meanings of the constituent characters were stronger in traditional Chinese. These results suggested that the visual-perceptual processing demands of simplified Chinese might force readers to focus more on local properties of the words, making them less sensitive to global properties that are defined over the entire lexicon. Finally, limitations and alternative explanations of the results were discussed.

Translating Postmodern Picturebooks: The Incredible Book Eating Boy in Japanese, Traditional Chinese, and Simplified Chinese

Metafiction emphasises a text’s fictionality by drawing the reader’s attention to how texts create meaning through numerous textual devices. This paper examines translations of the postmodern picturebook The Incredible Book Eating Boy (2006) by Oliver Jeffers. It compares the original English text to its Japanese, Traditional Chinese, and Simplified Chinese translations across verbal translation, visual and verbal-visual interactions, specifically focusing on metafictive devices. Using Gideon Toury’s model for descriptive translation analysis indicates that socio-cultural contexts influence preliminary norms and are closely related to operational norms applied by both translators and publishing houses.

Do Chinese/Chinese-American patients prefer indirect communication methods?

e24195 Background: Cancer care requires high quality, patient-centered communication. Existing studies of communication preferences of Chinese/Chinese-American pts suggested that they prefer an indirect approach to bad news. We administered the Measure of Patient Preferences (MPP) to pts at our cancer center, many of whom identify as Chinese or Chinese-American. The MPP is a survey comprised of 46 communication-related statements patients (pts) rate on the Likert scale centered on bad news delivery, published by Parker et al in 2001. Methods: The MPP was used with the original author’s permission. Pts were approached in private settings after screening through the EMR. All survey items, including demographic data, were optional. Pts self-identified as Chinese. Forms were available in English, simplified and traditional Chinese. Pts could complete the survey on paper, online, or return by mail. The first statistical analysis found means and medians of data to discover highest and lowest rated communication aspects. Results: Among 185 pts, 52% were women. 9% identified as Chinese (10% total Asian), 73% were white, 17% were black, Latino, other or did not provide data. 29% had a high school education or less, 28% had attended some college, 38% had a college education or higher (data missing for 5%). 57% of pts were older than 65. Malignancies included 18% hematologic, 16% ENT, 13% gynecologic, 10% lymphomas, 9% breast, 8% lung (the rest were comprised of GU, GI, skin, other, and pts who did not provide data). The top rated measures, including some of “directness,” are listed below. Scale was as follows: 1. Not important; 2. Optional; 3. Important; 4. Very important; 5. Essential. The lowest rated measures were “The doctor holding my hand or touching my arm while telling me the news” (2.22 all, 2.5 Chinese) and “My doctor helps me figure out how to tell my family and friends about the cancer” (2.82 all, 3.17 Chinese). Conclusions: Pts placed high value on having doctors tell them the best treatment and having their questions answered. The “directness” preferences between all versus Chinese pts were numerically very similar, challenging existing knowledge. Further analysis and studies are needed.[Table: see text]

Asian Americans and Pacific Islanders’ preferences in recruitment strategies/messaging for participation in a research recruitment registry for Alzheimer’s disease and related dementias, aging, and caregiving research: A discrete choice experiment survey

AbstractBackgroundUnderrepresentation of Asian Americans and Pacific Islanders (AAPIs) in research requires urgent attention. The Collaborative Approach for AAPIs Research and Education (CARE) registry aims to increase AAPIs’ representation in research. We report results from a multilingual discrete choice experiment (DCE), an innovative method to determine older AAPIs’ preferences for tailored recruitment strategies and messaging.MethodsInitial DCE recruitment strategy/messaging attributes and attribute levels were selected based on feedback from CARE focus groups. A pilot study (16 participants from 7 AAPI cultural groups) refined attribute wording and levels. The final DCE survey was translated into Simplified and Traditional Chinese, Korean, and Vietnamese. CARE academic and community partners recruited participants (AAPIs aged ≥50 years) for the survey, asking them to select their preference in each of 12 pairs of recruitment strategies (randomly selected from 48 different combinations) of three attributes: (1) from whom they would like to learn about CARE; (2) what would motivate them to join CARE; and (3) how they would prefer hearing about CARE. A custom Qualtrics survey displayed image pairs of randomly selected messaging combinations. Analyses utilized conditional logistic regression models to estimate odds ratios with 95% confidence intervals.ResultsA total of 356 (mean age = 65.0; range: 50‐93) participants from 7 AAPI cultural groups (Asian Indian, Chinese, Filipino, Japanese, Korean, Samoan, and Vietnamese) completed the survey. Overall, participants had similar preferences for learning about CARE between community organizations and the healthcare community, however, participants preferred learning about CARE from the healthcare community (e.g., doctors, clinics) relative to community champions and faith‐based organizations. Participants were more motivated to join CARE to help advance research relative to sharing personal experiences; and preferred to hear about CARE via social media and instant messaging relative to a flyer or workshop/seminar. Importantly, preferences varied by age, cultural group, survey completion language, and whether the participant received assistance with the survey.ConclusionsTo our knowledge, this is the first study using a DCE approach to elicit preferences for registry recruitment strategies among AAPIs. Findings will inform appropriate tailoring of recruitment strategies/messaging to successfully engage AAPI participants in a registry for ADRD research.aging after age 90.

Translation and Validation of the Brief Inventory of Technology Self-Efficacy (BITS): Simplified and Traditional Chinese Versions

Computer self-efficacy (CSE) continues to be an important construct in research and application. Two measures of CSE, the Brief Inventory of Technology Self-Efficacy (BITS) and the Brief Inventory of Technology Self-Efficacy – Short Form (BITS-SF) were recently developed to correct for issues in other available measures. The BITS and BITS-SF were originally written in English, and their psychometric properties assessed in samples from the United States. The current two studies translated the BITS and BITS-SF into simplified Chinese (Mainland China) and traditional Chinese (Taiwan) and assessed their psychometric properties. In Study 1, 207 adults in Mainland China completed the simplified Chinese BITS and BITS-SF, as well as measures given to assess convergent, discriminant, and concurrent validity. In Study 2, 273 adults in Taiwan did the same, except that they completed the traditional Chinese BITS and BITS-SF. In both studies, the translated BITS showed evidence of a three-factor correlated structure, and the translated BITS-SF yielded several underlying classes consistent with theory and scoring interpretation. Additionally, the translated measures’ scores showed solid evidence of convergent, discriminant, and concurrent validity. The results replicate the findings using the original BITS and BITS-SF and extend them to simplified Chinese and traditional Chinese translated versions. These versions are recommended for use in research and applied settings to assess CSE and are available for use. Both the original and translated measures are available for download at www.bitssurvey.com .

The Chinese Version of the Patient Education Materials Assessment Tool for Printable Materials: Translation, Adaptation, and Validation Study.

Providing people with understandable and actionable health information can considerably promote healthy behaviors and outcomes. To this end, some valid and reliable scales assessing the patient-friendliness of health education materials, like the PEMAT-P (Patient Education Materials Assessment Tool for printable materials), have been well developed in English-speaking countries. However, the English version of the PEMAT-P has not been translated and adapted into simplified Chinese and validated in mainland China. This study sought to translate the PEMAT-P tool into a simplified Chinese (Mandarin) version (C-PEMAT-P, a Chinese version of the Patient Education Materials Assessment Tool for printable materials) and verify its validity and reliability for assessing the comprehensibility and actionability of health education resources written in simplified Chinese. As a result, the validated C-PEMAT-P could be used to guide health researchers and educators to design more comprehensible and actionable materials for more tailored and targeted health education and interventions. We translated the PEMAT-P into simplified Chinese in the following three steps: (1) forward-translating the PEMAT-P into simplified Chinese, (2) back-translating the simplified Chinese version into English, and (3) testing translation equivalence linguistically and culturally by examining the original English version of the PEMAT-P and the back-translated English version of the tool. Any discrepancies between the original English tool and the back-translated English tool were resolved through a panel discussion among the research team of all authors to produce a revised forward-translated Chinese version (C-PEMAT-P). We then evaluated the clarity of construction and wording as well as the content relevance of the C-PEMAT-P using a 4-point ordinal scale to determine its content validity. After that, 2 native Chinese speakers (health educators) used the C-PEMAT-P to rate 15 health education handouts concerning air pollution and health to validate their reliability. We calculated the Cohen coefficient and Cronbach α to determine the interrater agreement and internal consistency of the C-PEMAT-P, respectively. We finalized the translated Chinese tool after discussing the differences between the 2 English versions (original and back-translated) of the PEMAT-P, producing the final Chinese version of the PEMAT-P (C-PEMAT-P). The content validity index of the C-PEMAT-P version was 0.969, the Cohen coefficient for the interrater scoring agreement was 0.928, and the Cronbach α for internal consistency was .897. These values indicated the high validity and reliability of the C-PEMAT-P. The C-PEMAT-P has been proven valid and reliable. It is the first Chinese scale for assessing the comprehensibility and actionability of Chinese health education materials. It can be used as an assessment tool to evaluate health education materials currently available and a guide to help health researchers and educators design more comprehensible and actionable materials for more tailored and targeted health education and interventions.

Translation, cross-cultural adaptation and validation of the traditional Chinese Food Allergy Quality of Life-Parental Burden questionnaire into simplified Chinese for use in mainland China.

The study aimed to translate and adapt the traditional Chinese Food Allergy Quality of Life-Parental Burden Questionnaire (TC-FAQL-PB) into simplified Chinese language and determine the validity and reliability of the translated version. A methodologic study design involving instrument translation and psychometric evaluation was used for the present study. The simplified Chinese FAQL-PB (SC-FAQL-PB) was developed following Guillemin's guidelines for cross-cultural adaptation. A convenience sample of 230 participants was recruited. The psychometric properties were examined using internal consistency, test-retest reliability, item discrimination, content validity and construct validity. The values of I-CVI ranged from 0.83 to 1.00. The CFA model revealed that the study supported the two-factor model. The questionnaire had good internal consistency with a Cronbach's alpha coefficient of 0.946. The item-total correlation values ranged from 0.707 to 0.866. Test-retest reliability showed that the intraclass correlation coefficient was 0.926 (95% CI, 0.830-0.968).

The Interplay Between Anxiety and Avoidance Dimensions of Attachment to Chinese Fathers in Internalizing Problem Behavior among Early Adolescents: An Intercultural Investigation

Guided by the attachment theory, this study investigated the interplay between anxiety and avoidance dimensions of attachment to Chinese fathers in early adolescents’ internalizing problem behavior. This study further examined whether this association might exhibit an intercultural difference between the Han and Dong-Xiang ethnic groups. A total of 1019 adolescents between 10 and 15 years old (Mage = 12.66, SD = 1.51; 52.8% girls) participated in this study. Participants were uniformly instructed to complete a packet of well-established questionnaires written in simplified Chinese. Based on a hierarchical linear regression, interactive patterns of anxiety and avoidance exhibited an intercultural difference: adolescents with a fearful attachment style reported the highest levels of internalizing problem behavior among the Han, whereas adolescents with a preoccupied attachment style did so among the Dong-Xiang. Through these results, the current study highlights the vital role of attachment to fathers in early adolescents’ internalizing problem behavior and emphasizes the interactive patterns between anxiety and avoidance in interpreting the variance of internalizing problem behavior. Further, the results not only have important theoretical implications for the discussion of attachment as a universal or cultural phenomenon, but also highlight practical ways to mitigate early adolescents’ internalizing problem behavior.

Chinese Patients’ and Family Caregivers’ Perception of Care Quality, A Qualitative Study in Australian Hospitals

Cultural diversity in the Australian population is significant. It challenges health professionals in Australia's acute and critical care settings to provide culturally competent care for ethnic minority patients. Chinese Australians are the largest ethnic minority group in Australia. However, their experiences in acute hospital settings remain largely unknown. Studies on this patient group are much needed to address the research gap and add research evidence on transcultural nursing for the international community. The aim of this study was to explore Chinese patients’ and their family caregivers’ perceptions of care quality in Australian hospitals. A qualitative descriptive study design was used in this study. Adult Chinese patients born in mainland China and who had an acute and critical care admission were recruited from metropolitan hospitals in South Australia in 2019 using the snowball method. Semi-structured interviews were conducted in Mandarin. Data were transcribed verbatim in simplified Chinese for thematic analysis. Results were translated to English and checked by a bilingual team member. Ten participants participated in the study. Four main themes were identified from the data analysis: 1) the feeling of being disoriented in the ICU; 2) desire for comfort; 3) lack of engagement in treatment and care plans; and 4) lack of participation in quality improvement feedback to the care system. Chinese people have unique cultural beliefs, communication patterns, and health-seeking behaviors. To provide culturally competent care for acute and critically ill Chinese patients, health professionals are required to incorporate transcultural nursing theory, knowledge, skills, and attitudes into everyday practice.

West meets east: Taking a stab at acupuncture point names.

Acupuncture point names written in Chinese Han characters often provide clinically useful information in both their literal and figurative meanings about location and therapeutic use. The World Health Organization (WHO) standard acupuncture nomenclature includes these names in Han characters in an unusual array that includes both "original" forms and, in parentheses, simplified forms. Construction of a multilingual table of acupuncture point names during development of a database revealed that the assumption that the "original" form in the WHO nomenclature was the traditional Chinese character was frequently false. The Han character forms in the pdf of the 2009 reprint of WHO Standard Acupuncture Point Locations were carefully compared with Han characters used in traditional and simplified Chinese, Japanese and Korean writing systems. This work utilized three online tools: UnicodePlus, Unihan Database Lookup, and Wiktionary. Only 48% of the "original" character forms were traditional Chinese characters. The Unicode number was correct in 99%, but in most cases the East Asian font used was not a traditional Chinese one. The issue about Han character forms was also found in all earlier versions of the WHO standard acupuncture nomenclature. Other detected problems included the use of wrong characters for an "original" character form in one name and for a simplified character form in another name. The WHO standard acupuncture nomenclature should be revised with a focus on accuracy in the usage of Han characters.

Psychometric properties of the Chinese version of the fathers' fear of childbirth scale: A cross-sectional study.

Fear of childbirth (FOC) is one of the most common mental health concerns among expectant fathers, which can cause adverse consequences for themselves and their families. A valid and accurate tool is the key to the identification of FOC. This study aimed to translate and culturally adapt the fathers' fear of childbirth scale (FFCS) into simplified Chinese and test the scale's psychometric properties among expectant fathers in mainland China. Researchers obtained translation permission and followed the multiphase translation guidelines to develop the Chinese version of the fathers' fear of childbirth scale (C-FFCS). Relevant psychometric properties were selected for the scale's psychometric validation on the basis of the Consensus-based Standards for the Selection of Health Status Measurement Instruments checklist. In this cross-sectional study, two samples of expectant fathers were collected in a university-affiliated hospital in Hangzhou between September and October 2022. A total of 381 expectant fathers completed the C-FFCS, resulting in an effective response rate of 95.6%. The C-FFCS is a 3-factor structure consisting of 16 items, which explained 66.374% of the total variance. The content validity index of items ranged from 0.833 to 1.00, and the scale-level content validity index was 0.931. The confirmatory factor analysis confirmed the scale's 3-factor structure. Evidence of convergent validity (average variance extracted = 0.508-0.780) as well as discriminant validity offered excellent psychometric support. The Cronbach's α coefficient, McDonald's ω coefficient, intraclass correlation coefficient, Spearman-Brown coefficient, and Guttman split-half coefficient are within the satisfactory range (> 0.80). Significant correlations between the scores of the C-FFCS and Childbirth Attitude Questionnaire (r = 0.658, p < 0.01) and Fear of Birth Scale (r = 0.555, p < 0.01) both revealed good concurrent validity. The structure of C-FFCS was invariant across different parity groups, with no floor and ceiling effect. The C-FFCS was demonstrated to be a sound instrument with good reliability and validity for measuring Chinese expectant fathers' FOC levels. However, further studies are advocated to verify the C-FFCS among a larger sample that is more representative of the Chinese expectant father population.

Translating and Adapting the DISCERN Instrument Into a Simplified Chinese Version and Validating Its Reliability: Development and Usability Study.

There is a wide variation in the quality of information available to patients on the treatment of the diseases afflicting them. To help patients find clear and accessible information, many scales have been designed to evaluate the quality of health information, including the Patient Education Materials Assessment Tool; the Suitability Assessment of Materials for evaluation of health-related information for adults; and DISCERN, an instrument for judging the quality of written consumer health information on treatment choices. These instruments are primarily in English. Few of them have been translated and adapted into simplified Chinese tools for health information assessment in China. This study aimed to translate and adapt DISCERN into the first simplified Chinese version and validate the psychometric properties of this newly developed scale for judging the quality of patient-oriented health information on treatment choices. First, we translated DISCERN into simplified Chinese using rigorous guidelines for translation and validation studies. We tested the translation equivalence and measured the content validity index. We then presented the simplified Chinese instrument to 3 health educators and asked them to use it to assess the quality of 15 lung cancer-related materials. We calculated the Cohen κ coefficient and Cronbach α for all items and for the entire scale to determine the reliability of the new tool. We decided on the simplified Chinese version of the DISCERN instrument (C-DISCERN) after resolving all problems in translation, adaptation, and content validation. The C-DISCERN was valid and reliable: the content validity index was 0.98 (47/48, 98% of the items) for clarity and 0.94 (45/48, 94% of the items) for relevance, the Cronbach α for internal consistency was .93 (95% CI 0.699-1.428) for the whole translated scale, and the Cohen κ coefficient for internal consistency was 0.53 (95% CI 0.417-0.698). C-DISCERN is the first simplified Chinese version of the DISCERN instrument. Its validity and reliability have been attested to assess the quality of patient-targeted information for treatment choices.

Psychometric properties of the simplified Chinese version of Kihon Checklist in the Chinese older people.

The 25-item Kihon Checklist (KCL) is a comprehensive screening tool for identifying frail older people who are at risk of becoming dependent. It has been widely used in different countries and revealed good validity and reliability. The KCL was translated into Simplified Chinese (KCL-SC) in 2019. The study aims to evaluate the psychometric properties of the KCL-SC. The study employed a cross-sectional study design and recruited 258 community-dwelling older people in Shenzhen, China. The reliability of internal consistency, split-half reliability and 2-week test-retest reliability were evaluated. An expert panel examined the content validity. Concurrent validity of KCL-SC was evaluated by its correlation with the other measure of frailty (FRAIL Scale, FS), activities of daily living (ADL, Katz index of independence in ADL) and depressive mood (5-item Geriatric Depression Scale, GDS-5). Construct validity was examined by exploratory factor analysis. Criteria validity in discriminating different frailty status (with FS as criteria) were evaluated with the receiver-operating characteristic curves (ROC). The Cronbach's α was 0.827; split-half reliability coefficient was 0.737; and test-retest reliability was 0.974. The content validity index was 0.960. The KCL-SC and dimensions were significantly correlated with the scores of FS, Katz ADL and GDS-5 (p < 0.05). Seven factors were recognised in the exploratory factor analysis and explained 56.36% of the total variances. The areas under the ROC in discriminating frail/nonfrail, frail/prefrail and prefrail/robust were 0.925, 0.880 and 0.758, respectively. The cut-off values for identifying prefrailty and frailty were 11 and 5, respectively. The KCL-SC revealed satisfactory psychometric properties in identifying frailty among the Chinese community-dwelling older people.

Disruption of Healthcare in New York City During the COVID-19 Pandemic: Findings From Residents Living in North and Central Brooklyn, the South Bronx, and East and Central Harlem.

The COVID-19 pandemic has disproportionately affected some New York City (NYC) neighborhoods that primarily consist of Black, Indigenous, and Latinx residents. In comparison to the rest of NYC, these neighborhoods experienced high hospitalization and COVID-related death rates, which has been attributed to a longstanding history of structural racism and disinvestment. While stay-at-home orders were implemented to reduce the spread of COVID-19, this may have also affected access and utilization of non-COVID related healthcare services. This study aims to assess the prevalence of and reasons for the disruption of non-COVID related healthcare services during the first 18 months of the pandemic. From September 30, 2021 to November 4, 2021, the NYC Health Department administered the COVID-19 Community Recovery Survey to a subset of residents who were part of the NYC Health Panel a probability-based survey panel. This cross-sectional survey, which included closed and open-ended questions, was either self-administered online or completed via CATI (Computer Assisted Telephone Interviewing) in English, Spanish, and Simplified Chinese. Descriptive statistics were used to summarize responses and unweighted, weighted, age-adjusted percentages, and 95% Confidence Intervals (CIs) were calculated. With a response rate of 30.3% (N = 1358), more than half of participants (54%) reported disruption to either routine physical healthcare or mental health services. Concern about getting COVID-19 (61%), stay-at-home policies (40%), belief that care could safely be postponed (35%), and appointment challenges (34%) were among reasons for delaying routine healthcare. Concern about getting COVID-19 (38%) and reduced hours of service (36%) were primary reasons for delaying mental healthcare. Reported reasons for the sustained delay of care past 18 months involved COVID concerns, appointment, and insurance challenges. Due to the pandemic, some disruption to healthcare was expected. However, most study participants either avoided or experienced a delay in healthcare. The delay of non-COVID related healthcare throughout the pandemic may result in the further widening of the health inequity gap among NYC residents dealing with a higher chronic disease burden before the start of the COVID-19 pandemic in March 2020. Findings from this study can support equitable COVID-19 recovery, and guide efforts with health promotion.