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曹文君, 孙衍, 陈美燕, 郭崇政, 郑建中. 糖尿病患健康促进量表信度和效度评价[J]. 中国公共卫生, 2016, 32(11): 1510-1512. DOI: 10.11847/zgggws2016-32-11-16
引用本文: 曹文君, 孙衍, 陈美燕, 郭崇政, 郑建中. 糖尿病患健康促进量表信度和效度评价[J]. 中国公共卫生, 2016, 32(11): 1510-1512. DOI: 10.11847/zgggws2016-32-11-16
CAO Wen-jun, SUN Yan, CHEN Mei-yan.et al, . Reliability and validity of Type 2 Diabetes and Health Promotion Scale among type 2 diabetes patients in China[J]. Chinese Journal of Public Health, 2016, 32(11): 1510-1512. DOI: 10.11847/zgggws2016-32-11-16
Citation: CAO Wen-jun, SUN Yan, CHEN Mei-yan.et al, . Reliability and validity of Type 2 Diabetes and Health Promotion Scale among type 2 diabetes patients in China[J]. Chinese Journal of Public Health, 2016, 32(11): 1510-1512. DOI: 10.11847/zgggws2016-32-11-16

糖尿病患健康促进量表信度和效度评价

Reliability and validity of Type 2 Diabetes and Health Promotion Scale among type 2 diabetes patients in China

  • 摘要: 目的 评价糖尿病患健康促进量表(T2DHPS)的信度和效度,为该量表在中国大陆人群的推广使用提供科学依据。方法 于2015年5月-2016年4月采用连续定点抽样方法在山西省长治医学院2家直属附属医院抽取180例2型糖尿病患者进行T2DHPS量表面访调查;采用Cronbach's α系数和分半信度评估量表的信度,采用探索性因子分析、区分效度和集合效度评估量表的效度。结果 T2DHPS量表的总体Cronbach's α系数为0.943,分半信度为0.935;运动行为、风险规避行为、压力处置行为、生命欣赏行为、健康责任行为、健康饮食行为6个维度的Cronbach's α系数分别为0.931、0.832、0.838、0.887、0.819、0.842,分半信度分别为0.897、0.741、0.802、0.765、0.669、0.707,量表具有较好的信度;探索性因子分析结果显示,T2DHPS量表符合预设的6个因子结构,累计方差贡献率为70.266%;T2DHPS量表运动行为、风险规避行为、压力处置行为、生命欣赏行为、健康责任行为、健康饮食行为6个维度的平均分分别为(16.0±7.6)、(17.5±6.6)、(14.7±5.4)、(11.2±3.6)、(8.6±3.8)、(9.7±3.5)分,集合效度均高于区分效度,量表具有较好的效度。结论 T2DHPS量表在中国大陆人群中的信度和效度指标均符合心理测量学的要求,可适用于中国糖尿病患者健康促进效果的评估。

     

    Abstract: Objective To assess the reliability and the validity of the Type 2 Diabetes and Health Promotion Scale(T2DHPS) among type 2 diabetes patients in China and to provide a scientific basis for the application of the scale in mainland China.Methods Fixed-point consecutive sampling was used to select 180 type 2 diabetes patients at two affiliated hospitals of Changzhi Medical College in Shanxi province and a face-to-face survey was conducted among the patients from May 2015 to April 2016 with T2DHPS.Cronbach's coefficient and split-half reliability were calculated to evaluate the reliability of T2DHPS and factor analysis,discriminant and convergent analysis were performed to measure the validity of the scale.Results The overall Cronbach's α coefficient of T2DHPS was 0.943 and the split-half (odd-even) reliability was 0.94.The domain Cronbach's α coefficients and split-half reliability were 0.931 and 0.897 for physical activity,0.832 and 0.741 for risk reduction,0.838 and 0.802 for stress management,0.887 and 0.669 for enjoying life,and 0.819 and 0.707 for health responsibility,respectively,suggesting a good reliability of the scale.The simplified version of the T2DHPS supported a presupposed six-factor structure,explaining 70.266% of the total variance revealed by exploratory factor analysis.The average domain scores of T2DHPS were 16.0±7.6 for physical activity,17.5±6.6 for risk reduction,14.7±5.4 for stress management,11.2±3.6 for enjoying life,8.6±3.8 for health responsibility,and 9.7±3.5 for healthy diet,respectively.The T2DHPS's convergent validity was significantly higher than its discriminant validity,demonstrating a good validity of the scale.Conclusion The reliability and validity of the simplified T2DHPS are in line with the requirements of psychometric test.The scale is suitable for measuring the efficiency of health promotion among type 2 diabetes patients in China.

     

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