Translation and Psychometric Testing of the Chinese Version of the Multidimensional Assessment of Interoceptive Awareness

中文版多維度內在感受覺察量表之翻譯及測試

10.1097/jnr.0000000000000182

林鳳蓮(Feng-Lien Lin)；許晴哲(Chin-Che Hsu)；Wolf Mehling；葉美玲(Mei-Ling Yeh)

mind-body ； multidimensional assessment of interoceptive awareness (MAIA) ； scale ； reliability ； validity ； 身心 ； 多維度內在感受覺察 ； 量表 ； 信度 ； 效度

The Journal of Nursing Research

25卷1期（2017 / 02 / 01）

76 - 84

英文

Background: Mind-body interventions are used to alleviate physical and psychological symptoms. The multidimensional assessment of interoceptive awareness (MAIA), which is used to self-report the effects of mind-body interventions, is not currently available in Chinese. Purpose: This study aimed to translate the MAIA from English into Chinese (MAIA-C) and to examine the psychometric properties of the MAIA-C. Methods: This was a methodological study. The MAIA was translated forward and backward systematically, and content validity was assessed by a panel of experts. A convenience sample of adult participants with mind-body practice was recruited from social clubs in Taiwan. The MAIA-C was administered to study participants. Internal consistency and test-retest reliability were tested using Cronbach's alpha and intraclass correlation coefficient. Construct validity was assessed in two ways: using confirmatory factor analysis and using the differences between the known groups to divide the sample into two groups of highly experienced and less experienced participants. Results: The complete data for the 294 participants were analyzed. The eight-factor structure of the MAIA-C was confirmed. Cronbach's a was.91 overall and .46-.88 for the individual scales of the instrument. Intraclass correlation coefficient and composite reliability for the scales ranged from .60 to .85 and .55 to .87, respectively. The result of confirmatory factor analysis revealed a fair fit of the model to the data with a root mean square error of approximation of .076 and a comparative fit index of .95. Significant differences were found for the seven scales between the two groups. Conclusions/Implications for Practice: The MAIA-C showed acceptable reliability and validity in psychometric testing. Therefore, this scale may be used in studies that assess interoceptive awareness in Chinese-speaking populations who are undergoing mind-body interventions.

背景　身心介入可緩解生理及心理之症狀，而其介入成效可使用多維度內在感受覺察量表來評估。然而，目前缺乏該量表之中文版。目的　本研究旨在翻譯多維度內在感受覺察量表，並且測試其信度與效度。方法　本研究採方法學研究設計，以系統性翻譯及回覆翻譯量表，並由專家群評估內容效度。研究對象為參與身心活動社團的成人，採方便取樣。內在一致性及再測信度分別以Cronbach's α及組內相關係數呈現。建構效度採驗證性因素分析，並檢定經驗多與經驗少的身心活動已知族群的差異。結果　以294位參與者的資料確認中文版多維度內在感受覺察量表共有八構面。整體量表及各次量表的Cronbach's α分別為.91及.46∼.88。組內相關係數及組合信度分別為.60∼.85及.55∼.87。驗證性因素分析呈現適配結果，近似誤差均方根及比較適配指標分別為.076及.95。經驗多與經驗少的身心活動參與者在七個次量表有顯著差異。結論／實務應用　中文版多維度內在感受覺察量表具有可接受的信度與效度，且可用於華語族群之身心介入後的內在感受覺察評估。

1. Huang, H. W.,Hsueh, K. C.,Lu, C. C.,Huang, C. L.(2016).Psychometric evaluation of the cigarette withdrawal scale (Chinese version) in male smokers in Taiwan.The Journal of Nursing Research,24(2),118-125.
   連結：
2. National Center for Complementary and Integrative Health. (2015). Mind and Body Practices. Retrieved from https://nccih.nih.gov/health/mindbody
3. Currey, S. S., Callahan, L. F., & DeVellis, R. F. (2002). Five-item rheumatology attitudes index (RAI): Disadvantages of a single positively worded item (Unpublished paper). Thurston Arthritis Research Center, University of North Carolina, Chapel Hill.
4. Ainley, V.,Maister, L.,Brokfeld, J.,Farmer, H.,Tsakiris, M.(2013).More of myself: Manipulating interoceptive awareness by heightened attention to bodily and narrative aspects of the self.Consciousness and Cognition,22(4),1231-1238.
5. Bagozzi, R. P.,Yi, Y.(1988).On the evaluation of structural equation models.Journal of the Academic of Marketing Science,16(1),76-79.
6. Barry, L. C.,Kerns, R. D.,Guo, Z.,Duong, B. D.,Iannone, L. P.,Reid, M. C.(2004).Identification of strategies used to cope with chronic pain in older persons receiving primary care from a Veterans Affairs Medical Center.Journal of the American Geriatrics Society,52(6),950-956.
7. Beaton, D. E.,Bombardier, C.,Guillemin, F.,Ferraz, M. B.(2000).Guidelines for the process of cross-cultural adaptation of self-report measures.Spine,25(24),3186-3191.
8. Bornemann, B.,Herbert, B. M.,Mehling, W. E.,Singer, T.(2015).Differential changes in self-reported aspects of interoceptive awareness through 3 months of contemplative training.Frontiers in Psychology,5,1504.
9. Calí, G.,Ambrosini, E.,Picconi, L.,Mehling, W. E.,Committeri, G.(2015).Investigating the relationship between interoceptive accuracy, interoceptive awareness, and emotional susceptibility.Frontiers in Psychology,6,1202.
10. Chan, R. R.,Giardino, N.,Larson, J. L.(2015).A pilot study: Mindfulness meditation intervention in COPD.International Journal of Chronic Obstructive Pulmonary Disease,10,445-454.
11. Donesky-Cuenco, D.,Nguyen, H. Q.,Paul, S.,Carrieri-Kohlman, V.(2009).Yoga therapy decreases dyspnearelated distress and improves functional performance in people with chronic obstructive pulmonary disease: A pilot study.Journal of Alternative and Complementary Medicine,15(3),225-234.
12. Fleiss, J. L.,Levin, B.,Paik, M. C.(2004).The measurement of interrater agreement. Statistical methods for rates and proportions.Hoboken, NJ:John Wiley.
13. Garfinkel, S.N.,Seth, A. K.,Barrett, A. B.,Suzuki, K.,Critchley, H. D.(2015).Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness.Biological Psychology,104,65-74.
14. Goubert, L.,Crombez, G.,Eccleston, C.,Devulder, J.(2004).Distraction fromchronic pain during a pain-inducing activity is associated with greater post-activity pain.Pain,110(1-2),220-227.
15. Jameson, E.,Trevena, J.,Swain, N.(2011).Electronic gaming as pain distraction.Pain Research & Management,16(1),27-32.
16. Kaplan, D.(1990).Evaluating and modifying covariance structure models: A review and recommendation.Multivariate Behavioral Research,25(2),137-155.
17. Khalsa, S. S.,Rudrauf, D.,Damasio, A. R.,Davidson, R. J.,Lutz, A.,Tranel, D.(2008).Interoceptive awareness in experienced meditators.Psychophysiology,45(4),671-677.
18. Khalsa, S. S.,Rudrauf, D.,Feinstein, J. S.,Tranel, D.(2009).The pathways of interoceptive awareness.Nature Neuroscience,12(12),1494-1496.
19. Kinser, P. A.,Elswick, R. K.,Kornstein, S.(2014).Potential long-termeffects of a mind-body intervention for women with major depressive disorder: Sustained mental health improvements with a pilot yoga intervention.Archives of Psychiatric Nursing,28(6),377-383.
20. Lee, C. Y.,Cheng, S. F.,Wang, J. J.,Lin, J. I.(2008).Chronic pain coping experiences of institutionalized elderly.The Journal of Nursing,55(4),53-62.
21. Mehling, W. E.,Daubenmier, J.,Price, C. J.,Acree, M.,Bartmess, E.,Stewart, A. L.(2013).Self-reported interoceptive awareness in primary care patients with past or current low back pain.Journal of Pain Research,6,403-418.
22. Mehling, W. E.,Gopisetty, V.,Daubenmier, J.,Price, C. J.,Hecht, F. M.,Stewart, A.(2009).Body awareness: Construct and self-report measures.PLoS One,4(5),e5614.
23. Mehling, W. E.,Price, C.,Daubenmier, J. J.,Acree, M.,Bartmess, E.,Stewart, A.(2012).The Multidimensional Assessment of Interoceptive Awareness (MAIA).PLoS One,7(11),e48230.
24. Mehling,W. E.,Wrubel, J.,Daubenmier, J. J.,Price, C. J.,Kerr, C. E.,Silow, T.,Stewart, A. L.(2011).Body awareness: A phenomenological inquiry into the common ground of mind-body therapies.Philosophy, Ethics, and Humanities in Medicine,6,6.
25. Moore, A.,Gruber, T.,Derose, J.,Malinowski, P.(2012).Regular, brief mindfulness meditation practice improves electrophysiological markers of attentional control.Frontiers in Human Neuroscience,6,18.
26. Nunnally, J. C.,Bernstein, I. H.(1994).Psychometric theory.New York, NY:McGraw-Hill.
27. Parkin, L.,Morgan, R.,Rosselli, A.,Howard, M.,Sheppard, A.,Evans, D.,Dunn, B.(2014).Exploring the relationship between mindfulness and cardiac perception.Mindfulness,5(3),298-313.
28. Peters, M.,Passchier, J.(2006).Translating instruments for cross-cultural studies in headache research.Headache,46(1),82-91.
29. Polit, D. F.,Beck, C. T.(2010).Nursing research: Generating and assessing evidence for nursing practice.Philadelphia, PA:Lippincott Williams & Wilkins.
30. Portney, L. G.,Watkins, M. P.(2009).Foundations of clinical research: Applications to practice.Upper Saddle River, NJ:Pearson/Prentice Hall.
31. Raine-Eudy, R.(2000).Using structural equationmodeling to test for differential reliability and validity: An empirical demonstration.Structural Equation Modeling,7(1),124-141.
32. Raykov, T.(1997).Estimation of composite reliability for congeneric measures.Applied Psychological Measurement,21(2),173-184.
33. Robert McComb, J. J.,Tacon, A.,Randolph, P.,Caldera, Y.(2004).A pilot study to examine the effects of a mindfulness-based stress-reduction and relaxation program on levels of stress hormones, physical functioning, and submaximal exercise responses.Journal of Alternative and Complementary Medicine,10(5),819-827.
34. Robins, J. L.,McCain, N. L.,Gray, D. P.,Elswick, R. K., Jr.,Walter, J. M.,McDade, E.(2006).Research on psychoneuroimmunology: Tai Chi as a stress management approach for individuals with HIV disease.Applied Nursing Research,19(1),2-9.
35. Valenzuela-Moguillansky, C.,Reyes-Reyes, A.(2015).Psychometric properties of the multidimensional assessment of interoceptive awareness (MAIA) in a Chilean population.Frontiers in Psychology,6,120.
36. van 't Wout, M.,Faught, S.,Menino, D.(2013).Does interoceptive awareness affect the ability to regulate unfair treatment by others?.Frontiers in Psychology,4,880.
37. Waltz, C. F.,Strickland, O.,Lenz, E. R.(2010).Measurement in nursing and health research.New York, NY:Springer Publishing Company.
38. Wolsko, P. M.,Eisenberg, D. M.,Davis, R. B.,Phillips, R. S.(2004).Use of mind-body medical therapies.Journal of General Internal Medicine,19(1),43-50.
39. Yan, J. H.,Guo, Y. Z.,Yao, H. M.,Pan, L.(2013).Effects of Tai Chi in patients with chronic obstructive pulmonary disease: Preliminary evidence.PLoS One,8(4),e61806.
40. Yeh, M. L.(2002).Assessing the reliability and validity of the Chinese version of the California critical thinking disposition inventory.International Journal of Nursing Studies,39(2),123-132.
41. Yeh, M. L.、Chen, H. H.(1998)。Translation and validity of measurement instruments。Chang Gung Nursing，9(1)，64-68。
42. Yeh, M. L.、Gau, M. L.(1999)。Introduction to structural equation modeling and LISREL。The Journal of Nursing Research，7(5)，490-497。
43. Yen, M.,Lo, L. H.(2002).Examining test-retest reliability: An intra-class correlation approach.Nursing Research,51(1),59-62.
44. Yu, S.,Yu, H. Y.(2003).The management of chronic pain for community elderly.The Journal of Nursing,50(3),43-48.

1. 葉美玲、陳杏雯(2017)。菸害健康認知量表之發展與測試。榮總護理，34(2)，179-187。