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Reliability and Validity of the Thai Version of the Carolinas Comfort Scale

Pimprapa Verasmith MD¹, Suphakarn Techapongsatorn MD¹, Amarit Tansawet MD¹, Wisit Kasetsermwiriya MD¹, Issaree Laopeamthong MD¹

Affiliation : ¹ Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand


Objective: To evaluate the reliability and validity of the Thai version of the Carolinas Comfort Scale (CCS) to measure health-related quality of life (HRQoL) in post-hernia repaired patients.
Materials and Methods: Three hundred twenty-eight patients that underwent the inguinal hernia repair procedure in Vajira Hospital were recruited in the present study. The Thai version of CCS (TCCS) was performed entirely by the patient, and the test-retest reliability was conducted at a 2-week interval.
Results: The TCCS’s internal consistency reliability was excellent (Cronbach’s alpha 0.89). The inter-rater reliability was found to agree with the intraclass correlation coefficient of 0.90. The test-retest reliability over two weeks was high, with an intraclass correlation coefficient of 0.92.
Conclusion: The Thai version of CCS was found to have adequate reliability and validity and could be used to measure HRQoL in Thai patients that undergo inguinal hernia repair.
Received 9 March 2021 | Revised 15 October 2021 | Accepted 18 October 2021

doi.org/10.35755/jmedassocthai.2021.11.12652

Keywords : Reliability; Validity; Carolinas Comfort Scale; Thai version


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