Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test
Abstract Background Alertness is an important part of attention which is different from the opposite of sleepiness. This study aimed to translate and assess the measurement properties of the Toronto Hospital Alertness Test (THAT) in Hong Kong Chinese population. Methods The standard forward-backward...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-05-01
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| Series: | Journal of Patient-Reported Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41687-020-00197-7 |
| _version_ | 1819077034220978176 |
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| author | Sha Li Daniel Yee Tak Fong Janet Yuen Ha Wong Kate Wilkinson Colin Shapiro Edmond Pui Hang Choi Bradley McPherson Cindy Lo Kuen Lam Mary Sau Man Ip |
| author_facet | Sha Li Daniel Yee Tak Fong Janet Yuen Ha Wong Kate Wilkinson Colin Shapiro Edmond Pui Hang Choi Bradley McPherson Cindy Lo Kuen Lam Mary Sau Man Ip |
| author_sort | Sha Li |
| collection | DOAJ |
| description | Abstract Background Alertness is an important part of attention which is different from the opposite of sleepiness. This study aimed to translate and assess the measurement properties of the Toronto Hospital Alertness Test (THAT) in Hong Kong Chinese population. Methods The standard forward-backward translation procedure and cognitive debriefing were conducted to obtain the Chinese THAT. One hundred Chinese adults completed the Chinese THAT, the Center for Epidemiological Studies Depression Scale (CES-D), the Pittsburgh Sleep Quality Index (PSQI), and the Athens Insomnia Scale (AIS) by telephone interviews. Results The factorial validity was assessed by confirmatory factor analysis, and the internal reliability was examined by coefficient omega. The two negatively worded items of the THAT had low factor loadings and were removed. One more item was removed based on the modification indices of the eight-item model. The remaining seven-item THAT showed satisfactory unidimensionality with root mean square error of approximation (RMSEA) = 0.06, standardized root mean square residual (SRMR) = 0.08, and comparative fit index (CFI) = 1.00. The coefficient omega of the seven-item Chinese THAT was 0.80 (95% CI: 0.74–0.86). Convergent validity was demonstrated with THAT moderately associated with CES-D (r = − 0.45, P < 0.01), PSQI (r = − 0.40, P < 0.01), and AIS (r = − 0.45, P < 0.01). Conclusions The Chinese version of THAT demonstrated acceptable reliability and validity in a Chinese population. |
| first_indexed | 2024-12-21T18:50:47Z |
| format | Article |
| id | doaj.art-d7d402bf2ae84386ae50a3f7e2cc86a6 |
| institution | Directory Open Access Journal |
| issn | 2509-8020 |
| language | English |
| last_indexed | 2024-12-21T18:50:47Z |
| publishDate | 2020-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Patient-Reported Outcomes |
| spelling | doaj.art-d7d402bf2ae84386ae50a3f7e2cc86a62022-12-21T18:53:46ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202020-05-01411710.1186/s41687-020-00197-7Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness TestSha Li0Daniel Yee Tak Fong1Janet Yuen Ha Wong2Kate Wilkinson3Colin Shapiro4Edmond Pui Hang Choi5Bradley McPherson6Cindy Lo Kuen Lam7Mary Sau Man Ip8School of Nursing, The University of Hong KongSchool of Nursing, The University of Hong KongSchool of Nursing, The University of Hong KongDepartment of Psychiatry, University of TorontoDepartment of Psychiatry, University of TorontoSchool of Nursing, The University of Hong KongHuman Communication, Development, and Information Sciences, The University of Hong KongDepartment of Family Medicine and Primary Care, The University of Hong KongDepartment of Medicine, The University of Hong KongAbstract Background Alertness is an important part of attention which is different from the opposite of sleepiness. This study aimed to translate and assess the measurement properties of the Toronto Hospital Alertness Test (THAT) in Hong Kong Chinese population. Methods The standard forward-backward translation procedure and cognitive debriefing were conducted to obtain the Chinese THAT. One hundred Chinese adults completed the Chinese THAT, the Center for Epidemiological Studies Depression Scale (CES-D), the Pittsburgh Sleep Quality Index (PSQI), and the Athens Insomnia Scale (AIS) by telephone interviews. Results The factorial validity was assessed by confirmatory factor analysis, and the internal reliability was examined by coefficient omega. The two negatively worded items of the THAT had low factor loadings and were removed. One more item was removed based on the modification indices of the eight-item model. The remaining seven-item THAT showed satisfactory unidimensionality with root mean square error of approximation (RMSEA) = 0.06, standardized root mean square residual (SRMR) = 0.08, and comparative fit index (CFI) = 1.00. The coefficient omega of the seven-item Chinese THAT was 0.80 (95% CI: 0.74–0.86). Convergent validity was demonstrated with THAT moderately associated with CES-D (r = − 0.45, P < 0.01), PSQI (r = − 0.40, P < 0.01), and AIS (r = − 0.45, P < 0.01). Conclusions The Chinese version of THAT demonstrated acceptable reliability and validity in a Chinese population.http://link.springer.com/article/10.1186/s41687-020-00197-7AlertnessConfirmatory factor analysisReliabilityValidity |
| spellingShingle | Sha Li Daniel Yee Tak Fong Janet Yuen Ha Wong Kate Wilkinson Colin Shapiro Edmond Pui Hang Choi Bradley McPherson Cindy Lo Kuen Lam Mary Sau Man Ip Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test Journal of Patient-Reported Outcomes Alertness Confirmatory factor analysis Reliability Validity |
| title | Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test |
| title_full | Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test |
| title_fullStr | Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test |
| title_full_unstemmed | Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test |
| title_short | Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test |
| title_sort | psychometric evaluation of the chinese version of the toronto hospital alertness test |
| topic | Alertness Confirmatory factor analysis Reliability Validity |
| url | http://link.springer.com/article/10.1186/s41687-020-00197-7 |
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