The current study determined the test-retest reliability of the Chinese version of the scale by evaluating participants. Residents were revisited 3 days later by a different assessor who they had not met previously, and the scale was assessed again. Using the comprehensive Cohen κ statistic, including 95 % confidence intervals, the personal items and the administrator rating were compared under continuous testing. The κ value is expressed as a number between 0 and 1, where 0 indicates no agreement and 1 indicates complete agreement; therefore, κ values of ≥ 0.81 indicate almost perfect agreement, those between 0.80 and 0.61 indicate substantial agreement, and those between 0.60 and 0.41 indicate moderate agreement [33].

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