Cross-cultural adaptation and validation of the Chinese version of the quality of communication questionnaire

作者：Jacqueline Kwan Yuk Yuen, Helen Y. L. Chan, Tepsam Ol Chen, Steven T. Chu, Annie O. L. Kwok, Doris Y. P. Leung, Harinder Gill, Kwok-Wai Tsang, Doris M. W. Tse, Desmond Y. H. Yap, Terence Yip, Robert M. Arnold · 发表于：BMC Palliative Care · 年份：2025 · DOI：10.1186/s12904-025-01786-3 · 被引用次数：3 · 研究领域：Palliative Care and End-of-Life Issues、Patient-Provider Communication in Healthcare、Patient Satisfaction in Healthcare

BACKGROUND: Effective clinician-patient communication is essential for delivering quality end-of-life care. However, there are no validated measures to assess the quality of end-of-life communication for Chinese patients. METHODS: This study aims to cross-culturally adapt and validate the patient-reported Quality of Communication Questionnaire (QOC) for Chinese speaking patients. The QOC was translated and adapted using a standardized methodology consisting of forward translations, backward translations, expert panel review, and testing with patients. We conducted a cross-sectional study to perform principal component, content validity, internal consistency, convergent and discriminant validity analyses of the 16-item Chinese QOC (C-QOC). Subjects were Chinese-speaking advanced cancer (n = 82) and advanced chronic kidney disease (n = 68) patients attending outpatient clinics in five hospitals or receiving home-based palliative care in Hong Kong. RESULTS: The content validity of the C-QOC was established by an expert panel. The C-QOC has a 3-component structure (general communication skills, communication about illness trajectory, and end-of-life care planning subscales) and demonstrated good internal consistency (Cronbach's α = 0.88; subscales 0.84-0.90). Convergent validity was supported by positive association between C-QOC score and overall clinician communication quality (r = 0.47, p < 0.001) and clinician comfort in discussing dying (r = 0.63, p < 0.001). Discriminant va...