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已发表论文
在医疗环境中对高血压患者进行的医疗保健氛围问卷中文版的翻译、验证与探索
Authors Peng W, Chen C, Wang J
Received 11 April 2025
Accepted for publication 10 September 2025
Published 16 September 2025 Volume 2025:19 Pages 2919—2932
DOI https://doi.org/10.2147/PPA.S533784
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Qizhi (Cathy) Yao
Wenjing Peng,1,2 Ciyu Chen,3 Juan Wang1
1School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou City, Guangdong Province, People’s Republic of China; 2Department of Nursing, Affiliated Hospital of Guangdong Medical University, Zhanjiang City, Guangdong Province, People’s Republic of China; 3Department of Neurology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou City, Guangdong Province, People’s Republic of China
Correspondence: Juan Wang, School of Nursing, Guangzhou University of Chinese Medicine, No. 232, East Waihuan Road, Higher Education Mega Center, Panyu District, Guangzhou City, Guangdong Province, People’s Republic of China, Tel +86-20-159-8903-4266, Email wangjuan8181@gzucm.edu.cn
Background: Healthcare providers’ autonomy support influences patients’ health behaviors. The Health Care Climate Questionnaire (HCCQ) effectively measures perceived autonomy support in healthcare settings, but its Chinese version lacks proper reliability and validity testing, hindering objective evaluations in China.
Purpose: This study aimed to cross-culturally adapt and validate the HCCQ for assessing perceived autonomy support among Chinese hypertensive patients.
Methods: Following the Brislin translation model, the Chinese version of the HCCQ was adapted. From September 2023 to January 2024, 375 hospitalized hypertensive patients from a Guangzhou tertiary hospital completed the adapted questionnaire. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to test the structural validity; internal consistency and item-total correlations were used to assess reliability.
Results: After excluding invalid questionnaires, this study finally analyzed data from 357 patients (with 105 cases used for EFA in the first stage and 252 cases used for CFA in the second stage). Consistent with the original questionnaire, the Chinese version of the HCCQ contains a total of 15 items and extracts one common factor, which explains 66.019% of the variance. According to the CFA results, the fitted model meets each goodness-of-fit index. The Cronbach’s α coefficient of the Chinese version of the HCCQ is 0.961.
Conclusion: Within the scope of this study, the Chinese version of the HCCQ demonstrates good validity and reliability in measuring the perceived autonomy support of hypertensive patients in healthcare settings, which can provide some reference for related research. To a certain extent, the Chinese version of the HCCQ can assist health professionals in assessing and guiding patients’ perceived autonomy support.
Keywords: autonomy support, self-determination theory, validation study, chronic disease
1School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou City, Guangdong Province, People’s Republic of China; 2Department of Nursing, Affiliated Hospital of Guangdong Medical University, Zhanjiang City, Guangdong Province, People’s Republic of China; 3Department of Neurology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou City, Guangdong Province, People’s Republic of China
Correspondence: Juan Wang, School of Nursing, Guangzhou University of Chinese Medicine, No. 232, East Waihuan Road, Higher Education Mega Center, Panyu District, Guangzhou City, Guangdong Province, People’s Republic of China, Tel +86-20-159-8903-4266, Email wangjuan8181@gzucm.edu.cn
Background: Healthcare providers’ autonomy support influences patients’ health behaviors. The Health Care Climate Questionnaire (HCCQ) effectively measures perceived autonomy support in healthcare settings, but its Chinese version lacks proper reliability and validity testing, hindering objective evaluations in China.
Purpose: This study aimed to cross-culturally adapt and validate the HCCQ for assessing perceived autonomy support among Chinese hypertensive patients.
Methods: Following the Brislin translation model, the Chinese version of the HCCQ was adapted. From September 2023 to January 2024, 375 hospitalized hypertensive patients from a Guangzhou tertiary hospital completed the adapted questionnaire. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to test the structural validity; internal consistency and item-total correlations were used to assess reliability.
Results: After excluding invalid questionnaires, this study finally analyzed data from 357 patients (with 105 cases used for EFA in the first stage and 252 cases used for CFA in the second stage). Consistent with the original questionnaire, the Chinese version of the HCCQ contains a total of 15 items and extracts one common factor, which explains 66.019% of the variance. According to the CFA results, the fitted model meets each goodness-of-fit index. The Cronbach’s α coefficient of the Chinese version of the HCCQ is 0.961.
Conclusion: Within the scope of this study, the Chinese version of the HCCQ demonstrates good validity and reliability in measuring the perceived autonomy support of hypertensive patients in healthcare settings, which can provide some reference for related research. To a certain extent, the Chinese version of the HCCQ can assist health professionals in assessing and guiding patients’ perceived autonomy support.
Keywords: autonomy support, self-determination theory, validation study, chronic disease