By Combining The Establishment Of TCM Syndrome Scale Evaluation System Angina Disease And Syndrome Scale Reorganization Study

Purpose：Based on the original studies, we brought about the core concept and assessingoutcome models on the scale system of Traditional Chinese MedicineDisease-Syndromes integration outcomes evaluations. With the new conceptualframework and its assessing models, we were to reset the General Model and formthe guideline of model scale development.Material and method：1. Experts panel and consultation were used for testing the new scale systemand identifying the new conceptual framework.2. Inclusion criteria were set for data abstraction and missing data.3. Scale psychometrics properties and statistics analyses: feasible analysesincluding rates of scale response, rates of scale completion, duration forscale completion, floor or ceiling effect and missing item analysis; validityincluding content validity, construct validity and criterion-relatedvalidity; reliability including Cronbach’s alpha coefficient, split-halfreliability and test-retest reliability; and discriminate validity frompatients’ quality of life, doctors’ CCSC judges, Duke score of treadmillexercise test, and level of cholesterol.4. General Model was applied for the comparison of different groups.5. Exploratory factor analysis was used for detecting how much General Modeloverlapped with SAQ and SF-12.6. SPSS15.0were applied in the essay with binary P<0.05statisticallysignificant difference. Apply the appropriate statistical methods fordifferent kinds of data.Results：1. Experts panel had a consensus on the new conceptual framework of the scalesystem of Traditional Chinese Medicine Disease-Syndromes integration outcomes evaluations: based on the concepts of TCM hosliticity anddifferentiating TCM syndromes, and the view of Disease-Syndromes integrationas an assessing model, General Model scales and Spersific Model scales havebeen established for assessing the angina patients’outcomes.2.1756data have been included according to the criteria, and the missing itemsmechanisms were missing completely at random (MCAR) by the Little’s MCARtest, so while doing statistics analyses, cases pair-wise were excluded.3. Index in feasibility analyses were good, except Item1,2,3from “activitylimitations” facet with ceiling effect. Expert consensus and item-facet/item-domain high correlation showed good content validity. Eight factors forconstruct validity were in accordance with the hypothesized framework, withconvergent and discriminate validities good. Significant correlations ofGeneral Model and SAQ, SF-12demonstrated good criterion-related validity.Reliability of general model was good with Cronbach’s alpha coefficients from0.77to0.96, and split-half reliability from0.88to0.96, and test-retestreliability from0.88to0.97. Disease and TCM general symptoms domain andGeneral Module total score could discriminate the different groups of theknown difference.4. Results of general model application showed that doctors might pay moreattention on those who were over60year-old male in-patients with more than2years history of angina, but without any systematic drug treatment. Besides,doctors should provide more health education and arrange suitable therapiesfor those people.5. Angina, sleep and appetite facets were the characteristics of General Model,different from SAQ and SF-12scales.Conclusion：1. The core concept on the scale system of Traditional Chinese MedicineDisease-Syndromes integration outcomes evaluations could help physicianschoose right scales for clinical outcomes evaluation. 2. General Model were good for assessing the angina patients’outcomes.3. Methods and techniques of developing the general Model of Traditional ChineseMedicine Disease-Syndromes integration were an example for scaledevelopment.