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健康行为动机量表的汉化及信效度检验

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目的 对健康行为动机量表(health behavior motivation scale,HBMS)进行汉化,并检验该量表在社区老年人中的信效度.方法 在获得原作者授权后,采用 Brislin翻译原则将HBMS翻译成中文并进行跨文化调适.采用便利抽样法,从辽宁省锦州市3 个社区(古塔区、凌河区、太和区)内选取442 名老年人作为研究对象.通过项目分析探讨项目的区别性;采用德尔菲法分析内容效度,使用探索性因子分析(exploratory factor analysis,EFA)和验证性因子分析(confirmatory factor analysis,CFA)对量表中潜在的因素结构进行探讨和验证;计算内部一致性和重测信度,以检验信度.结果 项目分析共保留30 个项目,翻译量表的内容效度指数为0.957.在EFA中,提取了内在调节、整合与识别调节、内摄调节、外部监管和无动机 5 个公因子,解释了总方差的 71.254%.CFA 结果显示,x2/df=1.521,NFI=0.901,TLI=0.959,CFI= 0.963,IFI=0.964,RMSAE=0.049.中文版 HBMS的 Cronbach's α 系数、分半信度和重测信度分别为 0.965、0.883 和0.882.结论 中文版HBMS有着良好的信效度,可用于测量社区老年人的健康行为动机水平.
The Chinese Version of the Health Behavior Motivation Scale(HBMS)and Its Reliability and Validity in the Elderly in the Community
Objective The Health Behavior Motivation Scale(HBMS)was translated into Chinese,and the reliability and va-lidity of HBMS in the elderly people in the community were tested.Methods After obtaining authorization from the original author,HBMS was translated into Chinese and adapted across cultures using Brislin translation principles.A total of 442 elderly people were selected from 3 districts(Guta District,Linghe District and Taihe District)in Jinzhou City,Liaoning Province by convenience sam-pling method.Through project analysis,project differentiation is discussed.Delphi method was used to analyze the content validity,and exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)were used to explore and verify the potential factor structure in the scale.Calculate internal consistency and retest reliability to test reliability.Internal consistency was calculated and reli-ability was retested to test reliability.Results A total of 30 items were retained in the analysis,and the content validity index of the translation scale was 0.957.In EFA,five common factors including intrinsic regulation,integration and recognition regulation,in-trinsic regulation,external regulation and unmotivation were extracted.71.254%of the total variance was explained.CFA results showed thatx2/df=1.521,NFI=0.901,TLI=0.959,CFI=0.963,IFI=0.964,RMSAE=0.049.Cronbach's α coefficient,split-half reliability and test-retest reliability of Chinese HBMS were 0.965,0.883 and 0.882,respectively.Conclusion The Chinese version of HBMS has good reliability and validity,and can be used to measure the level of health behavior motivation of the elderly in the community.

the elderlyhealth behaviormotivationreliabilityvalidity

姜美、孔令慧、王亚楠、张会君、王健

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锦州医科大学附属第一医院,辽宁 锦州 121000

锦州医科大学护理学院

老年人 健康行为 动机 信度 效度

辽宁省社会科学基金(2021)

L21BGL023

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(2)
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