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Background In the clinical care and rehabilitation of older patients with stroke, the application of technology has become increasingly prevalent, yet the issue of technology anxiety among this population has not received sufficient attention. Studies regarding technology anxiety in older patients with stroke are still rare in China due to the lack of reliable tools. This makes it difficult to accurately assess the actual level and core triggers of technology anxiety in older patients with stroke, thereby hindering the in-depth development of related studies. Information related to technology anxiety in Chinese older patients with stroke is still needed. Therefore, it is urgent to supplement research data on technology anxiety tailored to the characteristics of Chinese older patients with stroke, so as to provide data support and theoretical evidence for the formulation of subsequent intervention strategies. Objective To translate the Abbreviated Technology Anxiety Scale (ATAS) into Chinese and test the reliability and validity of the Chinese version among older patients with stroke. Methods Following Brislin’s translation principles, the original scale was subjected to forward translation, back-translation, and cultural adaptation to form the Chinese version of ATAS (C-ATAS). Using convenience sampling, 203 older patients with stroke from a tertiary hospital in Tianjin were recruited between November 2024 and April 2025 for a questionnaire survey to evaluate the reliability and validity of the C-ATAS. Results The C-ATAS comprised 11 items and was a unidimensional scale. Exploratory factor analysis extracted one common factor, with factor loadings of items ranging from 0.747 to 0.964. The Cronbach’s alpha coefficient of the scale was 0.963, the split-half reliability was 0.962, and the test–retest reliability was 0.812. The content validity at the item level was 0.833–1.000, and the average content validity at the scale level was 0.970. Conclusion The C-ATAS demonstrates good reliability and validity, making it an effective evaluation tool for technology anxiety in older patients with stroke. This study provides a reliable measurement tool for relevant clinical interventions and research on technology anxiety older patients with stroke. Future research should conduct more large-sample and multi-center studies to further verify the practicality and psychometric properties of the C-ATAS in other populations, as well as examine its psychometric properties across different cultural contexts.
Zhang et al. (Fri,) studied this question.