title: Further validation of the Health Scale of Traditional Chinese Medicine (HSTCM).
abstract: BACKGROUND
  Few health measurement scales are based on Chinese medicine theory. The Health Scale of Traditional Chinese Medicine (HSTCM) was developed to fill this gap. The aim of this study is to validate the HSTCM.
  
  
  METHODS
  A convenience sample of 630 participants was recruited in 11 settings. All participants were asked to complete the HSTCM and World Health Organization Quality of Life Measure-Abbreviated Version (WHOQOL-BREF).
  
  
  RESULTS
  Properties of the HSTCM were tested. Intra-class correlation coefficient representing the inter-interviewer reliability was 0.99 (95%CI) for the overall instrument. Spearman-Brown correlation coefficient and Cronbach's coefficient alpha were 0.81 and 0.94 respectively, indicating satisfactory internal reliability and inter-interviewer reliability. Spearman's rho correlation coefficient between the HSTCM and WHOQOL-BREFF was -0.67. A receiver operating characteristic (ROC) curve analysis was performed to test the discriminate validation. Areas under the ROC curve analysis for the HSTCM and its domains ranged 0.71-0.87 and all the lower levels of 95%CI were greater than 0.50.
  
  
  CONCLUSIONS
  The HSTCM was validated as a generic health scale and may complement existing health measurement scales in Chinese medicine health care.
authors.affiliation: Second Affiliated Hospital of the Guangzhou University of Chinese Medicine, Guangzhou, PR China. darongwu@163.com
authors.forename: Darong
authors.initials: D
authors.lastname: Wu
authors.forename: Shilong
authors.initials: S
authors.lastname: Lai
authors.forename: Luojing
authors.initials: L
authors.lastname: Zhou
authors.forename: Xinfeng
authors.initials: X
authors.lastname: Guo
authors.forename: Weixiong
authors.initials: W
authors.lastname: Liang
authors.forename: Zehuai
authors.initials: Z
authors.lastname: Wen
authors.forename: Aihua
authors.initials: A
authors.lastname: Ou
authors.forename: Guangqing
authors.initials: G
authors.lastname: Zhang
authors.forename: Keji
authors.initials: K
authors.lastname: Chen