Psychometric evaluation of the Chinese version of the BENEFITS-CCCSAT based on CTT and IRT: a cross-sectional design translation and validation study

作者：Chuang Li, Youbei Lin, Betül Tosun, Pei Wang, Hong Guo-Parke, Cheng Rong Ling, Qi Ran, Qi Luo, Yan Wang, Fang Sheng Huang, Jiaqi Wang, Hui Shu, Dan Xu, Sicheng Wu, Lan Zhang · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1532709 · 被引用次数：7 · 研究领域：Cultural Competency in Health Care、Nursing education and management、Health Education and Validation

Background: The importance of culturally competent care in multicultural environments is increasingly recognized; however, effective tools to assess nursing students' cross-cultural competence remain limited. This study aimed to validate the BENEFITS-CCCSAT for Chinese nursing students. Methods: The original BENEFITS-CCCSAT was translated, back-translated, culturally adapted, and pre-tested using the Brislin model to form a Chinese version. A combined approach of classical test theory (CTT) and item response theory (IRT) was then used for multidimensional validation. Results: coefficient of 0.80, dimension reliability values ranging from 0.700 to 0.905, a test-retest reliability value of 0.881, and a scale-level content validity index (S-CVI) value of 0.928. The criterion-related validity value was 0.619. The confirmatory factor analysis (CFA) indicated a good model fit (CMIN/DF = 1.071, RMSEA = 0.08), with factor loadings ≥0.50. The Rasch analysis showed an item reliability value of 1, person reliability values ranging from 0.76 to 0.89, item separation index values ranging from 17.37 to 60.34, and person separation index values ranging from 1.76 to 2.89. The information-weighted fit statistic mean square (infit MNSQ) and outlier-sensitive fit statistic mean square (outfit MNSQ) values for all items ranged from 0.86 to 1.27. Overall, the scale demonstrated good reliability and validity for the Chinese nursing students. Conclusion: The 25-item C-BENEFITS-CCCSAT demonstrates g...