Psychometric properties of the Chinese Version of the Readiness for Hospital Discharge Scale for people living with HIV.
Chen Chen, Xiaoxia Zhang, Chulei Tang and 3 others
PMID 32685620WHAT IT FOUND
The Chinese discharge readiness questionnaire gave consistent scores among HIV inpatients, but expected support was lowest.
A single yes/no question said almost everyone was ready, and the full scale scored fewer patients as ready.
Key findings
01The questionnaire's scores were internally consistent: total Cronbach’s α was 0.912, and the four subscales were 0.787 to 0.912.
02A single yes/no readiness item was answered yes by 97.0% of patients, and 72.4% scored 7 or above on the scale.
03The scale kept four subscales, and after adjustment the model fit the patients' answers acceptably.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 203 valid questionnaires were analysed from 213 recruited patients in two HIV clinics, and participants were recruited consecutively rather than randomly. The results may not apply to other HIV populations. The scale's predictive validity and criterion validity were not assessed, so it is not known whether low scores actually predict readmission, depression, medication adherence, or quality of life. The four-factor model fit only after post hoc modifications, so the original structure was not confirmed without adjustment. Most participants were male and Han, and many had been diagnosed within six months. The sample may not represent women, other ethnic groups, or people living longer with HIV.
Declared interests
The study was funded by the Hunan Key Laboratory Platform for Nursing (2017TP1004), and the authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that using this scale improves discharge outcomes for people living with HIV. The study tested questionnaire reliability and factor structure, not whether scores predict readmission, depression, medication adherence, or quality of life.