Sinicization of Family Caregiver Communication Tool-Chronic Illness and the test of its reliability and validity among dementia caregivers

doi:10.3761/j.issn.0254-1769.2025.22.008

Abstract

Abstract:

Objective To translate Family Caregiver Communication Tool-Chronic Illness（FCCT-CI） into Chinese and evaluate its reliability and validity among dementia family caregivers，thereby providing an effective assessment tool for evaluating communication patterns of dementia family caregivers. Methods Following Brislin’s translation model，the FCCT-CI was translated，back-translated，culturally adapted，and investigated to form the Chinese version. From May 2024 to May 2025，a convenience sample of 239 dementia caregivers was surveyed using the Chinese FCCT-CI. Totally 30 caregivers were retested after 6 weeks to evaluate the reliability and validity of the scale. 15 experts were invited to conduct content validity evaluation. Results 200 valid questionnaires were collected. The Chinese version of FCCT-CI consisted of 2 dimensions：conversation（5 items） and conformity（5 items）. Confirmatory factor analysis indicated acceptable model fit. The Item-Content Validity Index ranged from 0.867 to 1.000，and the Scale-Content Validity Index was 0.973. The Cronbach’s α coefficient for the overall scale was 0.822，and the test-retest reliability for the overall scale was 0.670. Conclusion The Chinese version of the FCCT-CI demonstrates satisfactory reliability and validity and is suitable for assessing communication patterns among dementia family caregivers in China，providing scientific basis for nursing interventions and decision-making.

Key words: Dementia, Caregivers, Communication Patterns, Scale, Reliability, Validity, Nursing Care

摘要：

目的对慢性病家庭照护者沟通模式量表（Family Caregiver Communication Tool-Chronic Illness，FCCT-CI）进行汉化，并在失智患者的主要照护者中检验其信效度，为评估失智患者主要照护者沟通模式提供有效的评估工具。方法按照Brislin翻译模型对FCCT-CI进行翻译、跨文化调试、预调查，形成中文版量表。2024年5月—2025年5月，采用便利抽样法对239名失智患者的主要照护者进行问卷调查，在6周后对30名主要照护者进行重测，以评价量表的信效度；邀请15名专家进行内容效度评价。结果回收有效问卷200份。中文版FCCT-CI包括对话（5个条目）和一致性（5个条目）2个维度。验证性因子分析结果显示，结构方程模型拟合指标均在可接受范围内。量表各条目内容效度为0.867~1.000，量表的内容效度为0.973。量表总的Cronbach’s α系数为0.822，重测信度为0.670。结论中文版FCCT-CI具有较好的信效度，适合用于评估国内失智患者主要照护者的沟通模式，可为护理干预和决策提供科学依据。

关键词: 失智, 照护者, 沟通模式, 量表, 信度, 效度, 护理

ZHANG Wenmin, CHEN Baoyu, YI Mo, WANG Zhiwen. Sinicization of Family Caregiver Communication Tool-Chronic Illness and the test of its reliability and validity among dementia caregivers[J]. Chinese Journal of Nursing, 2025, 60(22): 2737-2741.

张雯敏, 陈宝玉, 伊默, 王志稳. 慢性病家庭照护者沟通模式量表的汉化及在失智患者主要照护者中的信效度检验[J]. 中华护理杂志, 2025, 60(22): 2737-2741.

Figures/Tables 1

References 10

[1]	王刚, 齐金蕾, 刘馨雅, 等. 中国阿尔茨海默病报告2024[J]. 诊断学理论与实践, 2024, 23(3):219-256.
	Wang G, Qi JL, Liu XY, et al. China Alzheimer report 2024[J]. J Diagn Concepts Pract, 2024, 23(3):219-256.
[2]	李睿, 施雁, 孙晓, 等. 失智患者家庭照顾者衰弱的潜在剖面分析及护理启示[J]. 中华护理杂志, 2024, 59(16):2021-2029. DOI
	Li R, Shi Y, Sun X, et al. Latent profile analysis of frailty among family caregivers of patients with dementia[J]. Chin J Nurs, 2024, 59(16):2021-2029. DOI
[3]	徐勇, 王军, 王虹峥, 等. 2023中国阿尔茨海默病数据与防控策略[J]. 阿尔茨海默病及相关病杂志, 2023, 6(3):175-192. DOI
	Xu Y, Wang J, Wang HZ, et al. 2023 data and strategies of prevention and control for Alzheimer’s disease in China[J]. Chin J Alzheimer’s Dis Rel Dis, 2023, 6(3):175-192.
[4]	Huang HL, Shyu YL, Hsu WC. Care management needs of family caregivers at different stages of dementia[J]. Alzheimers Dement, 2023, 19:e064042. DOI URL
[5]	Wittenberg E, Bevan JL, Goldsmith JV. Assessing family care-giver communication in chronic illness:validation of the FCCT-CI[J]. Am J Hosp Palliat Care, 2023, 40(5):500-507. DOI URL
[6]	Podgorski CA, Anderson SD, Parmar J. A biopsychosocial-ecolo-gical framework for family-framed dementia care[J]. Front Psy-chiatry, 2021, 12:744806.
[7]	Valois LGJE. Dementia:comprehensive principles and practices[M]// Dickerson BAA. The role of the family in the care and management of patients with dementia. Oxford: Oxford University Press, 2014.
[8]	Myers ND, Ahn S, Jin Y. Sample size and power estimates for a confirmatory factor analytic model in exercise and sport:a Monte Carlo approach[J]. Res Q Exerc Sport, 2011, 82(3):412-423. DOI URL
[9]	王媛媛. 医学量表的编制与评价:理论、方法与实例操作[M]. 北京: 北京大学医学出版社, 2020.
	Wang YY. Compilation and evaluation of medical scale:theory,method and example operation[M]. Beijing: Peking University Medical Press, 2020.
[10]	张建玮, 梁建丽, 余建眉. 基于认知评价理论的家庭沟通模式在青年脑卒中患者随访管理中的应用[J]. 中华现代护理杂志, 2018, 24(29):3531-3535.
	Zhang JW, Liang JL, Yu JM. Application of cognitive evalua-tion theory-based family communication pattern in follow-up management in young stroke patients[J]. Chin J Mod Nurs, 2018, 24(29):3531-3535.

[1]	HUANG Panpan, LI Liling, HU Xiaojing. Research progress of early exercise rehabilitation in infants with congenital heart disease [J]. Chinese Journal of Nursing, 2025, 60(9): 1050-1055.
[2]	CHEN Liou, ZHANG Wenting, LIU Junqi, WANG Yuncong, WANG Zhenlin, QI Sai, YANG Na. Study on the effect of pulmonary lobes surface projection localization combined with pulmonary segment drainage and sputum expectoration technique on airway clearance in patients with aspiration pneumonia [J]. Chinese Journal of Nursing, 2025, 60(9): 1056-1061.
[3]	YANG Nana, CHENG Chuanli, ZENG Hui, FU Dandan, WANG Yan, CHEN Yue, RAN Hongmin, FAN Hongjing, LONG Xia. Evaluation of the effect of graded exercise rehabilitation on patients with acute exacerbation of chronic obstructive pulmonary disease [J]. Chinese Journal of Nursing, 2025, 60(9): 1062-1067.
[4]	CAO Yun, SUN Guozhen, CHEN Feng, JI Xueli, YAN Mengwan, JING Lei, QIAN Kun. A study of modified ankle pump exercise in stroke patients [J]. Chinese Journal of Nursing, 2025, 60(9): 1068-1074.
[5]	XIE Min, QI Wenkai, YIN Ling, ZHANG Xuan, ZHAO Ruqin. Potential profile analysis and influencing factors of kinesiophobia in patients with peritoneal dialysis [J]. Chinese Journal of Nursing, 2025, 60(9): 1080-1086.
[6]	CHEN Bingqian, ZHAO Bin, SUN Jiarong, HAO Sifang, HOU Xiaoli. Oral health management dilemmas of chronic periodontitis patients with implant dentures：a qualitative study [J]. Chinese Journal of Nursing, 2025, 60(9): 1087-1092.
[7]	QIN Chunlan, WU Zhenyun, QIAN Hongying, ZHAO Qian, SUN Jinting. Experiences of disease self-control among patients with chronic obstructive pulmonary disease：a qualitative study [J]. Chinese Journal of Nursing, 2025, 60(9): 1093-1098.
[8]	LI Ziwei, FENG Lijuan, CHEN Xusheng, HUANG Yi, YANG Jie. Development and application of a Fear of Movement Assessment Scale for patients with peripherally inserted central catheters [J]. Chinese Journal of Nursing, 2025, 60(9): 1099-1106.
[9]	CHENG Zhiqiang, ZHANG Baozhen, TANG Liping, LI Jing, XIA Jiaoyun, WEI Xueyan, GONG Zhixian, ZHANG Meizhen, LI Lusi. Reliability and validity test of the Chinese version of the Urinary Incontinence Awareness and Attitude Scale [J]. Chinese Journal of Nursing, 2025, 60(9): 1107-1112.
[10]	SHI Meiqin, WU Jianfang, ZHANG Duo, WU Chunping, CHEN Ling, TAO Lei. Nursing care for postoperative laryngeal function rehabilitation in a patient undergoing primary voice prosthesis implantation after total laryngectomy [J]. Chinese Journal of Nursing, 2025, 60(9): 1120-1123.
[11]	GU Qian, HUANG Xi, SHI Weixiong, WU Jing, TAN Ruoming, WANG Feng. Nursing care for a patient with cytokine release syndrome following T-cell immunotherapy [J]. Chinese Journal of Nursing, 2025, 60(9): 1124-1127.
[12]	ZHOU Miao, CHEN Xing, PENG Fei, SUN Shangxue, LI Yangyang. Systematic review of risk prediction instruments for central line associated bloodstream infections in ICU patients [J]. Chinese Journal of Nursing, 2025, 60(9): 1132-1139.
[13]	PENG Yingjie, LIU Aihong, ZHU Wenli, MEI Yuxin, ZHOU Meng, GUAN Wenjing. Systematic review of readiness assessment tools for advance care planning in older adults [J]. Chinese Journal of Nursing, 2025, 60(9): 1146-1153.
[14]	RAN Lingxiao, WANG Dongmin, XU Ke, WANG Cong, CAO Hua, CUN Wei, JIANG Yan. Application of biomechanical simulation based on three-dimensional human body model in preventing pressure ulcers：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1012-1018.
[15]	JIN Yujia, JIANG Hu, WANG Xiaoxuan, YI Jingna, MEI Yongxia, GUO Zhiting, ZHANG Zhenxiang, LIN Beilei. Application of information-based risk communication in primary prevention of cardiovascular diseases：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1019-1025.