Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults

Abstract Purpose To translate, cross-culturally adapt and validate the Composite Physical Function (CPF) scale in Chinese community-dwelling older adults. Methods The Chinese version of the CPF (C-CPF) was constructed by following Brislin’s guidelines. A cross-sectional study was conducted to evalua...

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Main Authors: Jiaying Qi, Jing Xu, Hui Zhang, Mingshuai Feng, Hongyan Meng, Li Wang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Geriatrics
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Online Access:https://doi.org/10.1186/s12877-025-05743-w
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author Jiaying Qi
Jing Xu
Hui Zhang
Mingshuai Feng
Hongyan Meng
Li Wang
author_facet Jiaying Qi
Jing Xu
Hui Zhang
Mingshuai Feng
Hongyan Meng
Li Wang
author_sort Jiaying Qi
collection DOAJ
description Abstract Purpose To translate, cross-culturally adapt and validate the Composite Physical Function (CPF) scale in Chinese community-dwelling older adults. Methods The Chinese version of the CPF (C-CPF) was constructed by following Brislin’s guidelines. A cross-sectional study was conducted to evaluate the measurement properties of the C-CPF in 477 eligible older adults. Factor analysis, hypotheses testing, internal consistency and test-retest were performed to evaluate the validity and reliability of the C-CPF. Results The C-CPF was consistent with the original version, which consisted of a single dimension with 12 items. It had a Cronbach’s alpha coefficient of 0.901, fold-half reliability of 0.831 and test–retest reliability of 0.994. Structural validity was determined through exploratory factor analysis for a single-factor structure explained 75.391% of the total variance. Confirmatory factor analysis for a modified model provided an average fit index (chi-square/free ratio = 3.596, root mean square error of approximation = 0.099, normal fit index = 0.908, incremental fit index = 0.931, comparative fit index = 0.931 and Tucker–Lewis index = 0.909). Construct validity analysis revealed a significant difference in C-CPF scores amongst older adults in groups of different ages, regular exercise and physical activity habits (P < 0.01). Criterion validity was tested for the correlation between the results of C-CPF and the Senior Fitness Test (r = 0.446, P < 0.01). Conclusions The C-CPF scale serves as a valid and practical tool for widespread health screening to measure the level of comprehensive physical function and its decline amongst Chinese older adults. Further research is needed to explore the eligibility of the application of the C-CPF in a broad range of populations.
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spelling doaj-art-423cfd5396b9469c8d018c3134d4f9792025-02-09T12:53:27ZengBMCBMC Geriatrics1471-23182025-02-0125111210.1186/s12877-025-05743-wTranslation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adultsJiaying Qi0Jing Xu1Hui Zhang2Mingshuai Feng3Hongyan Meng4Li Wang5Cardiovascular Department, First Affiliated Hospital of Soochow UniversitySchool of Nursing, Suzhou Medical College of Soochow UniversitySchool of Nursing, Suzhou Medical College of Soochow UniversitySchool of Nursing, Suzhou Medical College of Soochow UniversityCardiovascular Department, First Affiliated Hospital of Soochow UniversitySchool of Nursing, Suzhou Medical College of Soochow UniversityAbstract Purpose To translate, cross-culturally adapt and validate the Composite Physical Function (CPF) scale in Chinese community-dwelling older adults. Methods The Chinese version of the CPF (C-CPF) was constructed by following Brislin’s guidelines. A cross-sectional study was conducted to evaluate the measurement properties of the C-CPF in 477 eligible older adults. Factor analysis, hypotheses testing, internal consistency and test-retest were performed to evaluate the validity and reliability of the C-CPF. Results The C-CPF was consistent with the original version, which consisted of a single dimension with 12 items. It had a Cronbach’s alpha coefficient of 0.901, fold-half reliability of 0.831 and test–retest reliability of 0.994. Structural validity was determined through exploratory factor analysis for a single-factor structure explained 75.391% of the total variance. Confirmatory factor analysis for a modified model provided an average fit index (chi-square/free ratio = 3.596, root mean square error of approximation = 0.099, normal fit index = 0.908, incremental fit index = 0.931, comparative fit index = 0.931 and Tucker–Lewis index = 0.909). Construct validity analysis revealed a significant difference in C-CPF scores amongst older adults in groups of different ages, regular exercise and physical activity habits (P < 0.01). Criterion validity was tested for the correlation between the results of C-CPF and the Senior Fitness Test (r = 0.446, P < 0.01). Conclusions The C-CPF scale serves as a valid and practical tool for widespread health screening to measure the level of comprehensive physical function and its decline amongst Chinese older adults. Further research is needed to explore the eligibility of the application of the C-CPF in a broad range of populations.https://doi.org/10.1186/s12877-025-05743-wOlder adultsPhysical functionReliabilityValidity
spellingShingle Jiaying Qi
Jing Xu
Hui Zhang
Mingshuai Feng
Hongyan Meng
Li Wang
Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults
BMC Geriatrics
Older adults
Physical function
Reliability
Validity
title Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults
title_full Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults
title_fullStr Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults
title_full_unstemmed Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults
title_short Translation, cross-cultural adaptation and validation of the composite physical function scale in Chinese community-dwelling older adults
title_sort translation cross cultural adaptation and validation of the composite physical function scale in chinese community dwelling older adults
topic Older adults
Physical function
Reliability
Validity
url https://doi.org/10.1186/s12877-025-05743-w
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