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Development of a Chinese Version of the National Eye Institute Visual Function Questionnaire (CHI-VFQ-25) as a Tool to Study Patients with Eye Diseases in Hong Kong
  1. Catherine W S Chan (cath0320{at}hku.hk),
  2. David Wong (dr.david.wong{at}mac.com),
  3. Cindy L K Lam (clklam{at}hku.hk),
  4. Sarah McGhee (smmcghee{at}hku.hk),
  5. Wico W Lai (wicolai{at}hku.hk)
  1. Eye Institute, The University of Hong Kong, Hong Kong
  2. Eye Institute, The University of Hong Kong, Hong Kong
  3. Department of Medicine, Family Medicine Unit, The University of Hong Kong, Hong Kong
  4. Department of Community Medicine, The University of Hong Kong, Hong Kong
  5. Eye Institute, The University of Hong Kong, Hong Kong

    Abstract

    Background: To develop a Chinese version of the National Eye Institute Visual Function Questionnaire (CHI-VFQ-25) and to test its reliability and validity in a group of patients with eye diseases in Hong Kong.

    Methods: The National Eye Institute Visual Function Questionnaire (NEI-VFQ) was translated into Chinese. Patients were recruited from Hong Kong and their demographic data and visual acuity were documented. Psychometric properties of the CHI-VFQ-25, including internal consistency, test-retest reliability, item-scale correlations and construct validity were tested.

    Results: 250 patients were recruited. The mean age of the patients was 66.04 ± 14.00. 46% of them were male. The non-response rate and the floor and ceiling numbers of the CHI-VFQ-25 were calculated. The internal consistency was high in most subscales (except the general health and driving subscales), with Cronbach α ranging from 0.72-0.90. The test-retest reliability was excellent (intraclass correlation coefficient > 0.90). Patients with worse visual acuity had significantly lower scores on the CHI-VFQ-25 supporting construct validity.

    Conclusion: The CHI-VFQ-25 is a reliable and valid tool for assessing the visual functions of Chinese patients with eye diseases in Hong Kong. Some questions had high non-response rates and should be substituted by the available alternatives.

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