PDF(Pubmed)
Abstract：
OBJECTIVE: The Craig Hospital Inventory of Environmental Factors (CHIEF) is a tool designed to assess and quantify the impact of environmental factors on an individual\'s functioning and social participation. In this study, we aim to culturally adapt the CHIEF from its original English version into the Malay language (M-CHIEF) and examine its validity and reliability among older adults in Malaysia.
METHODS: The original CHIEF was cross-culturally adapted into the Malay language following the published guidelines on cross-cultural adaptation of health questionnaires. Its content and convergent validity were assessed using the content validity index and correlation with participants\' gait speed, respectively. The reliability of M-CHIEF was assessed for its internal consistency using Cronbach\'s coefficient alpha and Cohen\'s kappa and its test-retest reliability was assessed using intraclass correlation coefficients (ICCs).
RESULTS: The M-CHIEF was rated with excellent content validity with a scale-level content validity index (S-CVI) of 0.86. Its internal consistency was demonstrated to be high with Cronbach\'s alpha of 0.84. The test-retest reliability at a two-week interval showed a stable score of the M-CHIEF and its subscales with an ICC value of 0.89.
CONCLUSIONS: The M-CHIEF is deemed relevant for use among Malay speakers. It can function as an instrument to quantify the environmental barriers of an individual while considering broad environmental factors including policy, physical/ structural, work/school, attitude/support, and services/assistance.
METHODS: The original CHIEF was cross-culturally adapted into the Malay language following the published guidelines on cross-cultural adaptation of health questionnaires. Its content and convergent validity were assessed using the content validity index and correlation with participants\' gait speed, respectively. The reliability of M-CHIEF was assessed for its internal consistency using Cronbach\'s coefficient alpha and Cohen\'s kappa and its test-retest reliability was assessed using intraclass correlation coefficients (ICCs).
RESULTS: The M-CHIEF was rated with excellent content validity with a scale-level content validity index (S-CVI) of 0.86. Its internal consistency was demonstrated to be high with Cronbach\'s alpha of 0.84. The test-retest reliability at a two-week interval showed a stable score of the M-CHIEF and its subscales with an ICC value of 0.89.
CONCLUSIONS: The M-CHIEF is deemed relevant for use among Malay speakers. It can function as an instrument to quantify the environmental barriers of an individual while considering broad environmental factors including policy, physical/ structural, work/school, attitude/support, and services/assistance.
摘要：
目的：克雷格医院环境因素清单（CHIEF）是一种旨在评估和量化环境因素对个人功能和社会参与的影响的工具。在这项研究中,我们的目标是在文化上将CHIEF从其原始英语版本改编为马来语（M-CHIEF），并检查其在马来西亚老年人中的有效性和可靠性。
方法：根据已发布的健康问卷跨文化适应指南，原始CHIEF在跨文化上适应马来语。使用内容效度指数和与参与者步态速度的相关性评估其内容和收敛效度，分别。使用Cronbach系数α和Cohen的kappa评估M-CHIEF的内部一致性的可靠性，并使用组内相关系数（ICC）评估其测试重测可靠性。
结果：M-CHIEF的量表水平内容效度指数（S-CVI）为0.86，具有出色的内容效度。它的内部一致性被证明是高的，Cronbach的α为0.84。两周间隔的重测信度显示M-CHIEF及其子量表的稳定得分，ICC值为0.89。
结论：认为M-CHIEF与马来语使用者有关。它可以作为量化个人环境障碍的工具，同时考虑广泛的环境因素，包括政策，物理/结构，工作/学校,态度/支持，服务/援助。
方法：根据已发布的健康问卷跨文化适应指南，原始CHIEF在跨文化上适应马来语。使用内容效度指数和与参与者步态速度的相关性评估其内容和收敛效度，分别。使用Cronbach系数α和Cohen的kappa评估M-CHIEF的内部一致性的可靠性，并使用组内相关系数（ICC）评估其测试重测可靠性。
结果：M-CHIEF的量表水平内容效度指数（S-CVI）为0.86，具有出色的内容效度。它的内部一致性被证明是高的，Cronbach的α为0.84。两周间隔的重测信度显示M-CHIEF及其子量表的稳定得分，ICC值为0.89。
结论：认为M-CHIEF与马来语使用者有关。它可以作为量化个人环境障碍的工具，同时考虑广泛的环境因素，包括政策，物理/结构，工作/学校,态度/支持，服务/援助。
