Translation and psychometric validation of the Chinese version of the meaningful and enjoyable activities scale for mild dementia

Hongyu Chen; Yuanyuan Wang; Minyi Zhang; Ning Wang; Xixi Hao; Zhihan Xue; Kui Fang; Yan Liu

doi:10.3389/fpsyt.2023.1148838

Translation and psychometric validation of the Chinese version of the meaningful and enjoyable activities scale for mild dementia

Front Psychiatry. 2023 Mar 13:14:1148838. doi: 10.3389/fpsyt.2023.1148838. eCollection 2023.

Authors

Hongyu Chen¹, Yuanyuan Wang², Minyi Zhang², Ning Wang¹, Xixi Hao¹, Zhihan Xue¹, Kui Fang¹, Yan Liu¹

Affiliations

¹ Department of Neurosurgery, The First Hospital of China Medical University, Shenyang, China.
² Department of Nursing, Children's Hospital of Nanjing Medical University, Nanjing, China.

Abstract

Objectives: To translate 20-item Meaningful and Enjoyable Activities Scale into Chinese and evaluate its psychometric properties amongst Chinese with mild dementia.

Methods: A cross-sectional study of 450 people with mild dementia recruited from a memory disorders clinic was conducted with the C-MEAS. Raw data were randomly divided into two parts for exploratory factor analysis and confirmatory factor analysis, to evaluate the construct validity. Content validity and reliability were tested by content validity index and Cronbach's α coefficients, respectively.

Results: Adaptation results showed that the Chinese version of the scale is adequate for linguistic and content validation. Confirmatory factor analysis indicated a significantly good fit for a three-factor model. Cronbach's alpha coefficient was 0.84 for the overall scale.

Conclusion: The C-MEAS for people with mild dementia is a reliable and valid instrument with satisfactory psychometric properties. Future studies should recruit a more representative sample of people with mild dementia in China to verify the applicability of the scale.

Keywords: Chinese; meaningful activity; people with mild dementia; reliability; validity.