Abstract：
OBJECTIVE: Owing to the lack of a suitable tool for detecting the unmet needs of young stroke survivors, this study aims to develop a validated questionnaire for evaluating these unmet needs.
METHODS: A cross-sectional, observational research design.
METHODS: Chang Gung Memorial Hospital Linkou and Taoyuan branches in Taiwan.
METHODS: A total of 211 participants (average age 53 years; within 6 months post-stroke) completed the questionnaire.
METHODS: A qualitative approach was used to create an item pool. Experts verified item suitability, and content validity was evaluated using the item content validity index. Item analysis was applied to determine item quality, and factor analysis was used to explore construct validity. In addition, parallel analysis was employed to ascertain the optimal number of factors.
RESULTS: The scale development procedure resulted in a 27-item questionnaire that assesses the unmet needs of young stroke survivors after a stroke. The item content validity index was 1.0. The Unmet Needs Questionnaire has five factors: restoring prestroke abilities and life, rehabilitation-related resources, social support and self-adjustment, economic and post-stroke life adjustment, and stroke-related information. These five factors accounted for 54% of the variance. Cronbach\'s alpha for the total scale was 0.91, while the alpha for the subscales ranged from 0.74 to 0.88.
CONCLUSIONS: The Unmet Needs Questionnaire showed acceptable reliability and validity. It can help clinical professionals and government agencies identify stroke survivors\' unmet needs and develop tailored care plans. Future research should explore the trajectory of post-stroke unmet needs using this tool.
METHODS: A cross-sectional, observational research design.
METHODS: Chang Gung Memorial Hospital Linkou and Taoyuan branches in Taiwan.
METHODS: A total of 211 participants (average age 53 years; within 6 months post-stroke) completed the questionnaire.
METHODS: A qualitative approach was used to create an item pool. Experts verified item suitability, and content validity was evaluated using the item content validity index. Item analysis was applied to determine item quality, and factor analysis was used to explore construct validity. In addition, parallel analysis was employed to ascertain the optimal number of factors.
RESULTS: The scale development procedure resulted in a 27-item questionnaire that assesses the unmet needs of young stroke survivors after a stroke. The item content validity index was 1.0. The Unmet Needs Questionnaire has five factors: restoring prestroke abilities and life, rehabilitation-related resources, social support and self-adjustment, economic and post-stroke life adjustment, and stroke-related information. These five factors accounted for 54% of the variance. Cronbach\'s alpha for the total scale was 0.91, while the alpha for the subscales ranged from 0.74 to 0.88.
CONCLUSIONS: The Unmet Needs Questionnaire showed acceptable reliability and validity. It can help clinical professionals and government agencies identify stroke survivors\' unmet needs and develop tailored care plans. Future research should explore the trajectory of post-stroke unmet needs using this tool.
摘要：
目的：由于缺乏合适的工具来检测年轻中风幸存者的未满足需求，本研究旨在开发一份经过验证的问卷，以评估这些未满足的需求。
方法：横截面，观察性研究设计。
方法：长庚纪念医院在台湾林口和桃园分院。
方法：共有211名参与者（平均年龄53岁；卒中后6个月内）完成了问卷调查。
方法：使用定性方法创建项目池。专家验证了项目的适用性，并使用项目内容效度指数评估内容效度。应用项目分析确定项目质量，并采用因子分析方法探讨结构效度。此外,采用平行分析确定最佳因素数。
结果：量表开发程序产生了27项问卷，该问卷评估了年轻卒中幸存者在卒中后未满足的需求。项目内容有效性指数为1.0。未满足需求问卷有五个因素：恢复中风前的能力和生活，康复相关资源，社会支持和自我调整，经济和中风后生活调整，和中风相关信息。这五个因素占方差的54%。Cronbach的总量表α为0.91，而子量表的α范围为0.74至0.88。
结论：未满足需求问卷具有可接受的信度和效度。它可以帮助临床专业人员和政府机构确定中风幸存者未满足的需求，并制定量身定制的护理计划。未来的研究应该使用该工具探索中风后未满足需求的轨迹。
方法：横截面，观察性研究设计。
方法：长庚纪念医院在台湾林口和桃园分院。
方法：共有211名参与者（平均年龄53岁；卒中后6个月内）完成了问卷调查。
方法：使用定性方法创建项目池。专家验证了项目的适用性，并使用项目内容效度指数评估内容效度。应用项目分析确定项目质量，并采用因子分析方法探讨结构效度。此外,采用平行分析确定最佳因素数。
结果：量表开发程序产生了27项问卷，该问卷评估了年轻卒中幸存者在卒中后未满足的需求。项目内容有效性指数为1.0。未满足需求问卷有五个因素：恢复中风前的能力和生活，康复相关资源，社会支持和自我调整，经济和中风后生活调整，和中风相关信息。这五个因素占方差的54%。Cronbach的总量表α为0.91，而子量表的α范围为0.74至0.88。
结论：未满足需求问卷具有可接受的信度和效度。它可以帮助临床专业人员和政府机构确定中风幸存者未满足的需求，并制定量身定制的护理计划。未来的研究应该使用该工具探索中风后未满足需求的轨迹。
