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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (8): 717-723.doi: 10.3736/jcim20090803

• Original Clinical Research • Previous Articles     Next Articles

A study of scale response for Health Scale of Traditional Chinese Medicine

Da-rong Wua,b,c,Shi-long Laia,d,Wei-xiong Liangd,Xin-feng Guod,Ai-hua Oua,b,c,Ze-huai Wenc,d   

  1. a Applied Clinical Epidemiology Research Unit, the Second Clinical Medical College,Guangzhou University 〇£ Chinese Medicine,Guangzhou 510120,Guangdong Province,China
    b Applied Clinical Epidemiology Research Unit, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, Guangdong Province,China
    c Key Chinese Medical Methodology Research Unit of Clinical Study, Guangdong Provincial Academy of Chinese Medical Sciences,Guangzhou 510120,Guangdong Province,China
    d DME Center,Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong Province,China
  • Received:2009-04-27 Accepted:2009-06-26 Online:2009-08-20 Published:2009-08-15
  • Contact: Shi-long Lai E-mail:gzxuntcm@pub.guangzhou.gd.cn

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Objective

To select appropriate descriptors for responses of the Health Scale of Traditional Chinese Medicine (HSTCM).Methods: A cross-sectional investigation was carried out among 28 hospital staff members by using 151 scale descriptors. This investigation involved all the descriptors from the initial version of HSTCM. Each response scale had five ordinal descriptors, including two anchors at extreme levels and three intermediates. The participants were invited to determine the two anchors of extreme levels, and then to place each descriptor on a 10-centimeter (0 to 10 cm) line according to where they considered the descriptor lay in relation to the two anchors.
Results

The selection of scale descriptors was based on comprehensive considerations regarding the median, average score and standard deviation of each descriptor. The main rule of selection was to choose the descriptor of extreme level anchor with a median value closer to 0 or 10, and the same for the selection of descriptors of the intermediates, which should possess a median value closer to 2.5 or 5 or 7.5. If two descriptors had similar median values, we compare the average score and/or the standard deviation of these descriptors and prefer to keep the one containing either an average score closer to anchor point or a less value of standard deviation. Furthermore, the codes of Chinese language were also considered. Four kinds of response scales including capacity, frequency, evaluation, and intensity with a total of 85 scale descriptors were selected. For HSTCM, a total of 8.24% (7/85) descriptors for 14.9% (7/47) items were revised based on the study results.
Conclusion

The scale descriptors selected are suitable for HSTCM and the results can be referenced in developing similar health profile assessment.

Key words: Traditional Chinese medicine, Health, Scale

Table 1

Median, mean and standard deviation of the scale descriptors"

Category & Aspect
分类和种类		 Scale descriptor
量词		 n Median Mean Standard
deviation
Capacity能力类
Degree of difficulty困难程度 Not difficult at all完全不困难* 28 0.05 0.211 0.483 3
Not difficult不困难 28 1.3 1.546 1.178 7
Not very difficult不太困难* 28 2.5 2.850 1.072 4
Neither difficult nor not difficult难说困不困难 28 4.9 3.989 1.675 8
Hard to describe the difficulty degree说不清困不困难 27 5 4.222 1.552 3
A little difficult有些困难* 28 6.25 5.814 1.628 6
Moderately difficult比较困难* 28 7.5 6.886 1.590 4
Very difficult很困难 28 8.75 8.543 1.749 4
Extremely difficult根本做不到* 28 10 9.314 2.261 9
Degree of capability能力程度 Completely capable总是能* 27 9.6 9.396 0.693 6
Mostly capable比较能* 28 7.5 7.404 0.739 6
Moderately capable过得去（能）* 28 5 5.157 0.945 3
A little capable不太能* 28 2.5 2.729 1.095 7
Not capable at all根本不能* 28 0.100 0.143 0.181 4
Frequency频率类
Degree of frequency频繁程度 Not at all根本不觉得* 28 0.1 0.282 0.656 6
Not very often不太觉得 28 2.5 2.043 1.141 0
Occasionally很少觉得* 28 2.5 2.975 1.664 8
Sometimes有时觉得* 28 5 4.996 2.099 1
Very often经常觉得* 28 7.55 7.596 2.137 8
Always总是觉得* 24 9.8 9.362 2.014 5
Absolutely possible肯定会* 28 9.75 9.450 1.044 4
Likely possible可能会* 28 7.5 7.150 1.009 8
Neither possible nor impossible难说（会不会）* 28 5 5.243 0.747 1
Hard to exactly describe the degree说不准（会不会） 27 5 4.952 0.363 1
Not likely possible可能不会* 28 2.5 2.675 0.716 8
Not possible肯定不会* 28 0.2 0.457 0.955 5
Not possible at all根本不会* 28 0.00 0.254 0.938 7
Not very possible不太会 27 1.6 1.974 1.449 3
Seldom possible很少会* 28 1.8 2.025 1.171 1
Hard to describe the degree难说（会不会） 26 4.85 3.977 1.377 9
Hard to clearly describe说不清（会不会） 27 5 4.237 1.318 6
Most likely possible一般都会 27 5 5.607 1.549 4
Sometimes possible有时会* 28 5.05 5.500 1.320 5
Mostly possible多数都会* 28 7.5 7.443 0.746 6
Always possible总是会* 27 8.7 8.541 0.989 3
Possible at every occasion次次都会 27 9.8 9.263 1.119 8
Possible at each occasion每次都会 28 9.8 9.454 1.017 4
Moderately possible会 27 9 8.615 1.679 4
Not occur at all根本没有* 28 0.00 0.268 0.937 3
Seldom occur很少有* 28 2 1.943 0.951 6
Sometimes occur有时有* 28 2.75 3.568 1.264 6
Quite often occur比较多 27 5.8 5.837 1.443 6
Very often occur经常有* 28 7.1 6.639 1.330 4
Mostly occur非常多 27 8.4 8.019 1.714 9
Always occur总是有* 28 9.3 8.693 1.860 9
Occur everyday天天都有 26 9.65 9.142 1.882 4
Occur all the time极多 27 9.9 9.422 1.871 9
Evaluation评估类
Degree of status change变化情况 Much poorer差多了* 28 1 1.150 1.140 7
Poorer差了一些* 28 2.55 3.079 0.863 0
No change没有变化* 28 5 5.096 0.472 6
Better好了一些* 28 7.1 6.693 1.158 5
Much better好多了* 28 8.85 8.772 0.962 4
Degree of concern关心程度 Extremely concern非常关心 28 9.85 9.393 1.585 6
Very much concern比较关心 28 7.5 7.321 1.003 5
A moderate amount of concern有时关心 28 5 5.189 0.590 3
A little concern不太关心 28 2.5 2.836 1.042 9
Not concern at all根本不关心 27 0.1 0.141 0.152 6
Degree of ease费力程度 Extremely easy根本不费力 28 0.1 0.468 1.438 1
Very much easy不太费力 28 2.5 2.532 1.056 9
Neither easy nor uneasy既非费力也非不费力 27 5 4.504 0.955 7
Hard to describe the degree of ease
说不清（费力不费力）		 27 5 5.130 1.187 4
A little easy比较费力 28 7.5 7.257 0.982 6
Not easy at all很费力 28 9.75 9.236 1.772 3
Degree of limitation受限程度 Not be limited at all根本不受限制 28 0.05 0.468 1.644 3
A little limited较少受限制 28 2.5 2.550 1.198 3
A moderate amount of limitation受一些限制 28 5 4.525 0.934 8
Very much limited较多受限制 28 7.5 7.236 0.700 9
An extreme amount of limitation总是受限制 28 9.85 9.461 1.239 0
Degree of requirement需要程度 Not at all (need)根本不需要 28 0.100 0.375 1.391 1
A little (need)不太需要 28 2.5 2.479 1.132 1
Moderately (need)有时需要 28 5 4.489 1.103 0
Very much (need)比较需要 28 7.5 6.918 1.327 2
Always (need)总是需要 28 9.8 9.489 1.390 5
Degree of vigor精力程度 Very poor根本没有精力* 28 0.100 0.321 0.922 3
Poor精力较差* 28 2.5 2.300 0.948 7
Neither poor nor good马马虎虎（精力）* 27 5 4.474 0.770 4
Moderately过得去（精力） 27 5 5.222 0.516 1
Good精力较好* 28 7.5 7.457 0.619 1
Very good精力充沛* 28 9.8 9.732 0.477 7
Amount of change变化程度 Not changed at all根本没有变* 28 0.05 0.204 0.455 8
A little changed变化比较小* 28 2.5 2.132 0.683 2
A moderate amount of change有一些变化* 28 5 4.200 1.186 3
Very much changed变化比较大* 28 7.5 7.071 1.132 6
Completely changed完全变了* 28 10 9.593 1.431 6
Degree of good/poor status
好坏程度		 Extremely poor很差* 28 0.45 0.668 1.016 2
Very poor很不好 27 0.9 1.170 1.065 1
Poor不好 27 2.5 2.437 1.433 7
Fairly poor比较差* 28 2.5 3.050 0.974 7
Fairly not good比较不好 27 3.2 3.615 1.301 4
Not good不太好 28 5 4.575 1.077 2
Neither poor nor good马马虎虎（好）* 27 5 5.530 0.811 4
Moderately (good)过得去（好） 27 7.1 6.474 1.189 2
Fairly good比较好* 28 7.6 7.904 0.801 1
Very good很好* 28 9.8 9.529 0.947 1
Degree of happiness快乐程度 Very happy很快乐* 28 9.5 9.311 1.038 3
Fairly happy比较快乐* 28 7.5 7.496 0.780 1
Neither happy nor unhappy马马虎虎（快乐）* 27 5.1 5.585 0.827 3
Moderately (happy)一般（快乐） 28 5 5.096 0.412 3
Fairly unhappy不太快乐* 28 2.5 2.886 0.732 7
Very unhappy不快乐* 28 0.4 0.696 0.998 3
Degree of satisfaction满意程度 Very satisfied很满意* 28 9.5 9.350 1.013 4
Fairly satisfied比较满意* 28 7.5 7.396 0.945 0
Neither satisfied nor unsatisfied马马虎虎（满意）* 27 5.1 5.493 0.856 2
Moderately (satisfied)过得去（满意） 28 5 5.171 0.540 8
Fairly unsatisfied不太满意* 28 2.6 2.936 0.893 7
Very unsatisfied很不满意* 28 0.35 0.561 0.915 8
Degree of easiness容易程度 Very easy很容易 28 9.5 9.314 1.010 6
Fairly easy比较容易 28 7.5 7.464 0.679 4
Neither easy nor uneasy难说（容易不容易） 28 5 5.257 0.503 6
Hard to describe the degree of easiness
说不清（容易不容易）		 27 5 4.811 0.477 4
Fairly uneasy不太容易 28 2.6 2.757 0.704 7
Very uneasy根本不容易 28 0.2 0.418 0.934 9
Degree of meaningfulness
有意义程度		 Very much meaningful很有意义* 28 9.7 9.496 0.948 1
Mostly meaningful比较有意义* 28 7.5 7.486 0.597 3
Neither meaningful nor non-meaningful
难说（有没有意义）*		 27 5 5.215 0.566 8
Hard to describe the degree说不清（有没有意义） 28 5 4.846 0.444 3
A little meaningful不太有意义* 28 2.5 2.736 0.617 2
Not meaningful at all没有意义* 28 0.4 0.571 0.957 2
Degree of care在乎程度 Very much care很在乎 28 9.55 9.307 1.091 0
Mostly care比较在乎 28 7.5 7.414 0.794 8
Neither care nor not care无所谓在不在乎 28 5 5.207 0.654 9
A little care不太在乎 28 2.6 3.046 1.071 7
Not care at all不在乎 28 0.35 0.654 1.396 9
Degree of physical strength
体力足够程度		 Very poor physical strength体力不够* 28 0.85 1.211 1.619 6
Poor physical strength体力不太够* 28 2.55 3.150 1.334 0
Neither poor nor good physical strength
马马虎虎（体力）*		 27 5 5.096 0.772 3
A moderate amount of physical strength过得去（体力） 27 5 5.570 0.940 9
Good physical strength体力比较够* 27 7.5 7.619 0.325 9
Very good physical strength体力足够* 27 9.7 9.607 0.508 3
Degree of accuracy正确程度 Absolutely right完全正确* 28 10 9.861 0.493 9
Mostly right比较正确* 28 7.5 7.879 0.629 7
Neither right nor wrong难说（正不正确）* 27 5 5.333 0.716 8
Hard to describe说不准（正不正确） 28 5 4.943 0.689 8
Not quite right不太正确* 28 2.5 2.707 1.032 1
Absolutely wrong完全错误* 28 0.05 0.371 1.403 7
Degree of normality正常程度 Normal正常* 27 0.4 0.781 1.013 0
Fairly normal比较正常* 27 2.5 2.667 0.929 8
Neither normal nor abnormal马马虎虎（正常）* 26 5 4.638 0.966 7
Moderately normal过得去（正常） 27 5 4.993 1.165 8
Fairly abnormal不太正常* 27 7.5 7.222 1.428 1
Abnormal不正常* 27 9.7 9.196 1.826 4
Amount of change of interest
兴趣下降程度		 Not decreased at all（兴趣）根本没有下降 28 0.00 0.225 0.473 5
A little deceased（兴趣）下降得比较少 28 2.5 2.371 0.519 9
A moderate amount of decrease（兴趣）有一些下降 28 5 4.525 1.003 6
Very much decreased（兴趣）下降得比较多 28 7.5 7.161 1.027 5
Extremely decreased完全没了兴趣 28 10 9.611 1.404 3
Intensity强度类
Impact extent影响程度 Not affected at all根本不影响* 28 0.05 0.207 0.489 1
A little affected影响较小* 28 2.5 2.604 1.130 9
Moderately affected影响一般* 28 5 4.743 1.104 0
Very much affected影响较大* 28 7.5 7.218 1.303 9
Extremely affected影响极大* 28 9.9 9.386 1.816 5
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