老年人口腔自我保健健康信念问卷的编制及信效度检验
Development of a health belief scale on oral self-care for older adults:validity and reliability testing
徐晓东 1李娜 2刘顺梅 3韩佳南2
作者信息
- 1. 青岛大学附属青岛市口腔医院牙体牙髓科(山东青岛,266001)
- 2. 青岛大学附属青岛市口腔医院护理部(山东青岛,266001)
- 3. 青岛大学附属青岛市口腔医院修复科(山东青岛,266001)
- 折叠
摘要
目的 编制老年人口腔自我保健健康信念问卷并检验其信效度.方法 以健康信念模式为理论基础,通过文献回顾、半结构访谈构建条目池,通过专家函询、预调查形成初始问卷,便利抽样选取565名社区老年人进行问卷调查,检验信效度.结果 老年人口腔 自我保健健康信念问卷包括感知益处、感知障碍、感知严重性、感知易感性和感知 自我效能5个维度共25个条目.探索性因子分析共提取5个公因子,累计方差贡献率为71.524%;验证性因子分析:x2/df=2.766,IFI=0.929、CFI=0.928、TLI=0.917、PCFI=0.798、PNFI=0.768,RMESA=0.079.I-CVI 为 0.833~1.000,S-CVI/UA 为 0.920;问卷总体 Cronbach's α 系数为0.959.结论 老年人口腔自我保健健康信念问卷信效度良好,可用于老年人口腔自我保健健康信念测评.
Abstract
Objective To develop a health belief scale for measuring oral self-care in older adults and to test its reliability and validity.Methods Based on the health belief model,the item pool was formed through literature review and semi-structured interviews,then expert consultation and pilot survey were performed to develop the initial version of the scale.At last,565 community-dwelling ol-der adults were conveniently selected and surveyed to validate the scale.Results The scale included 5 dimensions named as perceived benefits,perceived barriers,perceived severity,perceived susceptibility and perceived self-efficacy,totaling 25 items.Five common factors were identified by exploratory factor analysis,accounting for 71.524%of the total variance.The results of confirmatory factor analysis suggested that the scale had a good model fit(X2/df=2.766,IFI=0.929,CFI=0.928,TLI=0.917,PCFI=0.798,PNFI=0.768,RMESA=0.079).The item-level content validity index(CVI)ranged from 0.833 to 1.000,and the uni-versal agreement scale-level CVI was 0.920.The overall Cronbach's α coefficient was 0.959.Conclusion The health belief scale on oral self-care for older adults has good reliability and validity,which can be used to measure health beliefs on oral self-care in the older population.
关键词
老年人/口腔自我保健/健康信念/调查问卷/信度/效度/测评工具Key words
the older population/oral self-care/health belief/questionnaire/reliability/validity/assessment tool引用本文复制引用
基金项目
青岛市医疗卫生重点学科建设项目资助(2022-2024)()
青岛市口腔疾病临床医学研究中心项目(22-3-7-lczx-7-nsh)
出版年
2024