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

Authors Zhao H, Dong Z, Xie F, Wang G, Wen Z, Zhang L, Ndosi M, Luo W

Received 23 January 2018

Accepted for publication 14 March 2018

Published 3 May 2018 Volume 2018:12 Pages 695—705

DOI https://doi.org/10.2147/PPA.S163492

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 3

Editor who approved publication: Professor Qizhi (Cathy) Yao


Huiwen Zhao,1,* Zhe Dong,2,* Fei Xie,3,4 Guanxin Wang,2 Zhihua Wen,5 Lixia Zhang,5 Mwidimi Ndosi,6,7 Wen Luo1

1Joint Department, The 2nd Ward of Joint Surgery, Tianjin Hospital, Tianjin, China; 2Medical Examination Center, No 6 Hospital, Beijing, China; 3Nursing Experimental Teaching Center, Tianjin Hospital, Tianjin, China; 4College of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China; 5Joint Department, The 1st Ward of Joint Surgery, Tianjin Hospital, Tianjin, China; 6Department of Nursing, University of the West of England, Bristol, UK; 7Academic Rheumatology Unit, Bristol Teaching Hospitals, Bristol, UK

*These authors contributed equally to this work

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.

Keywords: assessment, educational needs, knee osteoarthritis, instrument validation

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