Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness

BackgroundAdaptive capacity may serve as an indicator of the individuals’ coping behaviors toward illness management and may contribute to day-to-day living with chronic illness and improved quality of life. Practical and well-constructed instruments for measuring adaptation have not been adequately...

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Main Authors: Xiyi Wang, Leiwen Tang, Doris Howell, Jing Shao, Ruolin Qiu, Qi Zhang, Zhihong Ye
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2020.01642/full
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author Xiyi Wang
Leiwen Tang
Doris Howell
Jing Shao
Ruolin Qiu
Qi Zhang
Zhihong Ye
Zhihong Ye
author_facet Xiyi Wang
Leiwen Tang
Doris Howell
Jing Shao
Ruolin Qiu
Qi Zhang
Zhihong Ye
Zhihong Ye
author_sort Xiyi Wang
collection DOAJ
description BackgroundAdaptive capacity may serve as an indicator of the individuals’ coping behaviors toward illness management and may contribute to day-to-day living with chronic illness and improved quality of life. Practical and well-constructed instruments for measuring adaptation have not been adequately explored. An English 15-item Coping and Adaptation Processing–Short Form (CAPS-SF) for assessing adaptation has been created and validated in line with the underlying tenets of Coping and Adaptation Processing theory, but there is no applicable Chinese version.MethodsThe CAPS-SF was translated and culturally adapted into simplified Chinese. Among Chinese adults with chronic illness, 81 patients were selected for cultural adaptation and 288 patients were approached for psychometric testing. Content validity was evaluated by an expert panel. Construct validity was tested by confirmatory factor analysis. Concurrent validity and predictive validity were analyzed by Spearman correlation coefficient. Reliability was assessed by internal consistency and test–retest coefficients. Floor/ceiling effect was calculated.ResultsAdequate content validity was ensured by the expert panel. A four-factor structure (resourceful and focused, self-initiated and knowing-based, physical and fixed, and positive and systematic) describing individuals’ coping strategies was identified and verified. Concurrent validity and predictive validity were demonstrated by strong correlations with the confrontation of coping mode (r = 0.46) and a quality-of-life measure (r = 0.58). The McDonald’s omega coefficient of total scale was 0.82. Split-half reliability and test–retest reliability were 0.87 and 0.87. No floor/ceiling effect was present.ConclusionThe Chinese version CAPS-SF is a theoretically based and culturally acceptable instrument with sound psychometric properties. Further studies are advocated to refine its four-factor structure.
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spelling doaj.art-7326fe2c27ce43f899b283082672f8b52022-12-22T00:52:52ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-07-011110.3389/fpsyg.2020.01642539599Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic IllnessXiyi Wang0Leiwen Tang1Doris Howell2Jing Shao3Ruolin Qiu4Qi Zhang5Zhihong Ye6Zhihong Ye7Department of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, ChinaDepartment of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, ChinaLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, CanadaDepartment of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, ChinaDepartment of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, ChinaDepartment of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, ChinaDepartment of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaBackgroundAdaptive capacity may serve as an indicator of the individuals’ coping behaviors toward illness management and may contribute to day-to-day living with chronic illness and improved quality of life. Practical and well-constructed instruments for measuring adaptation have not been adequately explored. An English 15-item Coping and Adaptation Processing–Short Form (CAPS-SF) for assessing adaptation has been created and validated in line with the underlying tenets of Coping and Adaptation Processing theory, but there is no applicable Chinese version.MethodsThe CAPS-SF was translated and culturally adapted into simplified Chinese. Among Chinese adults with chronic illness, 81 patients were selected for cultural adaptation and 288 patients were approached for psychometric testing. Content validity was evaluated by an expert panel. Construct validity was tested by confirmatory factor analysis. Concurrent validity and predictive validity were analyzed by Spearman correlation coefficient. Reliability was assessed by internal consistency and test–retest coefficients. Floor/ceiling effect was calculated.ResultsAdequate content validity was ensured by the expert panel. A four-factor structure (resourceful and focused, self-initiated and knowing-based, physical and fixed, and positive and systematic) describing individuals’ coping strategies was identified and verified. Concurrent validity and predictive validity were demonstrated by strong correlations with the confrontation of coping mode (r = 0.46) and a quality-of-life measure (r = 0.58). The McDonald’s omega coefficient of total scale was 0.82. Split-half reliability and test–retest reliability were 0.87 and 0.87. No floor/ceiling effect was present.ConclusionThe Chinese version CAPS-SF is a theoretically based and culturally acceptable instrument with sound psychometric properties. Further studies are advocated to refine its four-factor structure.https://www.frontiersin.org/article/10.3389/fpsyg.2020.01642/fullpsychometricscopingadaptationchronic illnessinstrumentChinese translation
spellingShingle Xiyi Wang
Leiwen Tang
Doris Howell
Jing Shao
Ruolin Qiu
Qi Zhang
Zhihong Ye
Zhihong Ye
Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
Frontiers in Psychology
psychometrics
coping
adaptation
chronic illness
instrument
Chinese translation
title Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
title_full Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
title_fullStr Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
title_full_unstemmed Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
title_short Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
title_sort psychometric testing of the chinese version of the coping and adaptation processing scale short form in adults with chronic illness
topic psychometrics
coping
adaptation
chronic illness
instrument
Chinese translation
url https://www.frontiersin.org/article/10.3389/fpsyg.2020.01642/full
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