Cross-cultural validation of the educational needs assessment tool into Chinese for use in severe knee osteoarthritis

Zhao, Huiwen; Dong, Zhe; Xie, Fei; Wang, Guanxin; Wen, Zhihua; Zhang, Lixia; Ndosi, Mwidimi; Luo, Wen

Abstract

© 2018 Zhao et al. Background: Patient education is an integral part of the management of osteoarthritis. The educational needs assessment tool (ENAT) was developed in the UK to help direct needs-based patient education in rheumatic diseases. Aim: The aim of the study was to adapt and validate the ENAT into Chinese, for use in severe knee osteoarthritis (KOA). Methods: This cross-cultural validation study took two phases: 1) adaptation of the ENAT into Chinese (CENAT) and 2) validation of the CENAT. The Construct validity was determined using factor analysis and criterion-related validity by comparing data from CENAT with data from different self-efficacy scales: patient–physician interactions scale (PEPPI-10), self-efficacy for rehabilitation outcome scale (SER), and the self-efficacy for exercise scale (SEE). Results: The sample comprised 196 patients, with mean age 63.6±8.7 years, disease duration was 11.5 years, and 57.1% were female. The CENAT was found to have high internal consistency. The CENAT had weak correlations with the Chinese versions of PEPPI r=0.40, SER r=0.40, and SEE r=0.39. There were no correlations with age r=−0.03 or disease duration r=−0.11. Conclusion: The ENAT translated well into Chinese and has evidence of validity in KOA. Future studies will further inform its usefulness in clinics, community, and online settings.

• Journal Article Type: Article
• Acceptance Date: Mar 14, 2018
• Publication Date: May 3, 2018
• Deposit Date: May 8, 2018
• Publicly Available Date: May 8, 2018
• Journal: Patient Preference and Adherence
• Electronic ISSN: 1177-889X
• Publisher: Dove Press
• Peer Reviewed: Peer Reviewed
• Volume: 12
• Issue: 12
• Pages: 695-705
• DOI: https://doi.org/10.2147/PPA.S163492
• Keywords: assessment, educational needs, knee osteoarthritis, instrument validation
• Public URL: https://uwe-repository.worktribe.com/output/868399
• Publisher URL: https://doi.org/10.2147/PPA.S163492
• Contract Date: May 8, 2018