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. 2020 Dec 24;10(3):100713. doi: 10.1016/j.imr.2020.100713

Table 5.

Summary of measurement property validations.

Instrument Structural validity Internal consistency Test-retest reliability Criterion validity
Result
[Quality of measurement property]*
Result
[Quality of measurement property]#
Result
[Quality of measurement property]@
Result
[Quality of measurement property]+
Traditional Chinese Medicine Functional Gastrointestinal Disorders Scale31
  • Total CFI and RMSEA: 0.87; 0.064

  • CFI and RMSEA of each identified factor (TCM pattern):
    • Stomach dampness-heat (pattern of FD) – 0.52; 0.15
    • Liver qi depression (pattern of IBS) – 0.72; not reported
    • Liver qi invading the spleen (pattern of IBS) – 0.69; 0.17
    • Spleen-stomach weakness (pattern of IBS) – 0.56; 0.16
    • Cold-heat complex (pattern of IBS) – 0.81; 0.20
  • [Insufficient]

  • Not validated

Not validated Not validated
Traditional Chinese Medicine Syndrome Differentiation Instrument for Functional Gastrointestinal Disorders32
  • Total CFI and RMSEA: 0.83; 0.052

  • [Sufficient]

  • Not validated

Not validated Not validated
Traditional Chinese Medicine Syndrome Differentiation Instrument for Functional Gastrointestinal Disorders (Amended)35
  • KMO: 0.777

  • Bartlett's sphericity test: p<0.001

  • EFA:
    • 8 factors with eigenvalue >1, contributed to 59.4% of total variance
    • Factors were not related to TCM patterns
  • [Insufficient]

Not validated
  • Not validated

  • Not validated

Traditional Chinese Medicine Functional Dyspepsia Scale33 Not validated Not validated
  • Cohen's kappa of each identified factor (TCM pattern):
    • Spleen-stomach qi deficiency – 0.65
    • Liver qi depression– 0.82
    • Heat – 0.74
    • Stagnation of phlegm-dampness – 0.76
    • Qi stagnation – 0.68
  • [Insufficient]

  • Gold standard: Diagnosis made by Chinese medicine experts

  • Sensitivity and specificity of each factor (TCM pattern):
    • Spleen-stomach qi deficiency – 0.73; 0.95
    • Liver qi depression – 0.88; 0.94
    • Heat – 0.90; 0.90
    • Stagnation of phlegm-dampness – 0.90; 0.89
    • Qi stagnation – 0.76; 0.93
  • [Indeterminate]

Stomach
Qi Deficiency Pattern Assessment Scale34
Not validated
  • Cronbach's alpha: 0.87

  • [Indeterminate]

  • Not validated

  • Gold standard: Diagnosis made by Korean medical doctors

  • Sensitivity: 93.33%

  • Specificity: 86.67%

  • AUC: 0.916

  • [Sufficient]

CFI: Comparative fit index; TCM: Traditional Chinese Medicine; FD: Functional dyspepsia; IBS: Irritable bowel syndrome; RMSEA: Root mean square error of approximation; KMO: Kaiser-Meyer-Olkin Test; EFA: Exploratory factor analysis; AUC: Area under the Receiver Operator Curve

Sufficient: CFI >0.95 OR RMSEA <0.06; indeterminate: not all information for “sufficient” reported; insufficient: criteria for “sufficient” not met

#

Sufficient: Sufficient structural validity AND Cronbach's alpha(s) ≥0.70 for each unidimensional scale or subscale; indeterminate: criteria for “sufficient structural validity” not met; insufficient: sufficient structural validity AND Cronbach's alpha(s) <0.70 for each unidimensional scale or subscale

@

Sufficient: Cohen's kappa ≥0.70; indeterminate: Cohen's kappa not reported; insufficient: Cohen's kappa <0.70

+

Sufficient: Correlation with gold standard ≥0.70 OR AUC ≥0.70; indeterminate: not all information for “sufficient” reported; insufficient: correlation with gold standard <0.70 OR AUC <0.70