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Chinese version of the Seniors Empowerment and Advocacy in Patient Safety(SEAPS) scale and validation of reliability and validity in elderly stroke patients
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Jiansu LIAO1, 2, Danfeng GU1, Xiaobo WANG1, 2, Wen XIAO1, 2, Tao XU1, 2, Hailin LU1, Huihong WANG1
Chinese Nursing Research | 2026, 40(5) : 814 - 822
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Chinese Nursing Research | 2026, 40(5): 814-822
• Scale Study •
Chinese version of the Seniors Empowerment and Advocacy in Patient Safety(SEAPS) scale and validation of reliability and validity in elderly stroke patients
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Jiansu LIAO1, 2, Danfeng GU1, Xiaobo WANG1, 2, Wen XIAO1, 2, Tao XU1, 2, Hailin LU1, Huihong WANG1
Affiliations
  • 1Affiliated Hospital of Jiangnan University, Jiangsu 214122 China
  • 2Jiangnan University
Published: 2026-03-10 doi: 10.12102/j.issn.1009-6493.2026.05.015
Outline
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Objective

To adapt the Seniors Empowerment and Advocacy in Patient Safety(SEAPS) scale into the local context and to validate its among elderly stroke patients,so as to provide a reliable tool for assessing the level of self-advocacy in older patients.

Methods

The Brislin translation model was used for translation,back-translation, and cultural adaptation of the SEAPS. A convenience sample of 431 elderly stroke patients from a Grade A tertiary hospital in Wuxi city was surveyed to test the reliability and validity of the scale.

Results

Exploratory factor analysis extracted four factors:behavior,self-efficacy,outcome efficacy,and attitude,with a cumulative variance contribution rate of 83.495%. Item analysis showed correlations between each item and the total score.Content validity analysis indicated that the item-level content validity index(I-CVI) ranged from 0.83 to 1.00,and the scale-level content validity index(S-CVI/Ave) was 0.968.Confirmatory factor analysis demonstrated a good model fit for the scale.The scale's Cronbach's α coefficient was 0.966,and the test-retest reliability was 0.916.

Conclusions

The Chinese version of the SEAPS has good psychometric properties.It can be effectively used to assess the level of self-advocacy in elderly stroke patients.

aged  /  patient safety  /  self-advocacy  /  stroke  /  reliability  /  validity  /  Delphi technique
廖建苏, 顾丹凤, 王小波, 肖雯, 徐涛, 陆海林, 王慧虹. 老年病人安全赋权倡权量表的汉化及其在老年脑卒中病人中的信效度检验. 护理研究, 2026 , 40 (5) : 814 -822 . DOI: 10.12102/j.issn.1009-6493.2026.05.015
Jiansu LIAO, Danfeng GU, Xiaobo WANG, Wen XIAO, Tao XU, Hailin LU, Huihong WANG. Chinese version of the Seniors Empowerment and Advocacy in Patient Safety(SEAPS) scale and validation of reliability and validity in elderly stroke patients[J]. Chinese Nursing Research, 2026 , 40 (5) : 814 -822 . DOI: 10.12102/j.issn.1009-6493.2026.05.015
Appendix
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Year 2026 volume 40 Issue 5
45
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.05.015
  • Receive Date：2025-04-04
  • Online Date：2026-10-28
  • Published：2026-03-10
Article Data
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History
  • Received：2025-04-04
  • Revised：2025-11-25
Affiliations
    1Affiliated Hospital of Jiangnan University, Jiangsu 214122 China
    2Jiangnan University

Corresponding:

WANG Huihong， E-mail：
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