Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study
BackgroundChronic kidney disease (CKD) represents a significant global public health challenge, characterized by its high prevalence and the complexity of its treatment, which collectively impose substantial burdens on patients’ quality of life and healthcare systems. Hemodialysis remains a critical...
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Frontiers Media S.A.
2025-04-01
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| author | Chuang Li Chuang Li Youbei Lin Jiaxin Cheng Danfeng Xu Danfeng Xu Lan Zhang |
| author_facet | Chuang Li Chuang Li Youbei Lin Jiaxin Cheng Danfeng Xu Danfeng Xu Lan Zhang |
| author_sort | Chuang Li |
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| description | BackgroundChronic kidney disease (CKD) represents a significant global public health challenge, characterized by its high prevalence and the complexity of its treatment, which collectively impose substantial burdens on patients’ quality of life and healthcare systems. Hemodialysis remains a critical life-sustaining treatment for CKD patients, with arteriovenous fistulas (AVFs) being the most commonly used vascular access. The long-term functionality of AVFs relies heavily on patients’ self-care abilities, encompassing their knowledge of maintenance practices, appropriate attitudes toward care, and the implementation of effective self-care behaviors. Consequently, accurately assessing the self-care capabilities of patients with AVFs is essential for optimizing treatment outcomes and enhancing their overall quality of life.ObjectiveThis study aims to translate the scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula (SKAPS-AVF) into Chinese and evaluate its psychometric properties among Chinese patients to ensure its validity and reliability in clinical and research settings.MethodThe study employed the Brislin translation model to translate and back-translate the original scale, followed by cultural adaptation to ensure its relevance to the Chinese context. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to assess the structural validity of the scale. Reliability was evaluated by calculating Cronbach’s alpha, split-half reliability, and McDonald’s Omega (Ω) to determine the internal consistency and stability of the scale.ResultsExploratory factor analysis (EFA) revealed that the translated scale has a three-factor structure, with eigenvalues greater than 1 for all factors and a total variance explanation rate of 63.099%. Confirmatory factor analysis (CFA) demonstrated good model fit, with fit indices such as the chi-square value, Comparative Fit Index (CFI), Tucker–Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) meeting acceptable standards. Reliability analysis indicated that Cronbach’s alpha, split-half reliability, and McDonald’s Omega values all exceeded 0.7, suggesting good internal consistency and stability of the scale.ConclusionThe C-SKAPS-AVF demonstrated good psychometric properties, with high structural validity and reliability, making it a robust tool for assessing self-care capabilities in patients with arteriovenous fistulas. This scale provides a reliable measurement tool for related clinical interventions and research. However, future studies should consider expanding the sample size and evaluating the scale’s longitudinal stability and applicability across different cultural contexts. |
| format | Article |
| id | doaj-art-dac1eb346f2d45e1a6355a06eb5541e2 |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-04-01 |
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| spelling | doaj-art-dac1eb346f2d45e1a6355a06eb5541e22025-08-20T03:53:32ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-04-011310.3389/fpubh.2025.15882711588271Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification studyChuang Li0Chuang Li1Youbei Lin2Jiaxin Cheng3Danfeng Xu4Danfeng Xu5Lan Zhang6Department of Nursing, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaDepartment of Nursing, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, ChinaDepartment of Nursing, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, ChinaDepartment of Nursing, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaDepartment of Nursing, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, ChinaBackgroundChronic kidney disease (CKD) represents a significant global public health challenge, characterized by its high prevalence and the complexity of its treatment, which collectively impose substantial burdens on patients’ quality of life and healthcare systems. Hemodialysis remains a critical life-sustaining treatment for CKD patients, with arteriovenous fistulas (AVFs) being the most commonly used vascular access. The long-term functionality of AVFs relies heavily on patients’ self-care abilities, encompassing their knowledge of maintenance practices, appropriate attitudes toward care, and the implementation of effective self-care behaviors. Consequently, accurately assessing the self-care capabilities of patients with AVFs is essential for optimizing treatment outcomes and enhancing their overall quality of life.ObjectiveThis study aims to translate the scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula (SKAPS-AVF) into Chinese and evaluate its psychometric properties among Chinese patients to ensure its validity and reliability in clinical and research settings.MethodThe study employed the Brislin translation model to translate and back-translate the original scale, followed by cultural adaptation to ensure its relevance to the Chinese context. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to assess the structural validity of the scale. Reliability was evaluated by calculating Cronbach’s alpha, split-half reliability, and McDonald’s Omega (Ω) to determine the internal consistency and stability of the scale.ResultsExploratory factor analysis (EFA) revealed that the translated scale has a three-factor structure, with eigenvalues greater than 1 for all factors and a total variance explanation rate of 63.099%. Confirmatory factor analysis (CFA) demonstrated good model fit, with fit indices such as the chi-square value, Comparative Fit Index (CFI), Tucker–Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) meeting acceptable standards. Reliability analysis indicated that Cronbach’s alpha, split-half reliability, and McDonald’s Omega values all exceeded 0.7, suggesting good internal consistency and stability of the scale.ConclusionThe C-SKAPS-AVF demonstrated good psychometric properties, with high structural validity and reliability, making it a robust tool for assessing self-care capabilities in patients with arteriovenous fistulas. This scale provides a reliable measurement tool for related clinical interventions and research. However, future studies should consider expanding the sample size and evaluating the scale’s longitudinal stability and applicability across different cultural contexts.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1588271/fullarteriovenous fistuladialysisend stage renal diseasepsychometric assessmenthealth literacy and knowledge |
| spellingShingle | Chuang Li Chuang Li Youbei Lin Jiaxin Cheng Danfeng Xu Danfeng Xu Lan Zhang Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study Frontiers in Public Health arteriovenous fistula dialysis end stage renal disease psychometric assessment health literacy and knowledge |
| title | Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study |
| title_full | Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study |
| title_fullStr | Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study |
| title_full_unstemmed | Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study |
| title_short | Psychometric properties of the Chinese version of scales of knowledge, attitude, and practice of self-care for patients with arteriovenous fistula: a translation and verification study |
| title_sort | psychometric properties of the chinese version of scales of knowledge attitude and practice of self care for patients with arteriovenous fistula a translation and verification study |
| topic | arteriovenous fistula dialysis end stage renal disease psychometric assessment health literacy and knowledge |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1588271/full |
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