Competency scale construction for primary health personnel responding to AIDS co-infection
Objective This study aimed to develop a competency scale for primary healthcare workers in managing the comorbidities of HIV/AIDS and other infectious diseases and to evaluate its reliability and validity.Methods A survey scale was designed based on the competency theory and incorporated knowledge related to the comorbidity of HIV/coronavirus disease 2019(COVID-19).Quota sampling was used to survey 52 primary healthcare institutions.Exploratory and confirmatory factor analyses were conducted using SPSS 26.0 and AMOS 24.0,respectively,to optimize the final scale and assess its reliability and validity.Results Among the 558 participants,179 were male,513 were aged between 20 and 49 years,and 255 were from clinical medicine disciplines.The overall competency score was 74.0±7.3.The competency scale consisted of four dimensions,comprising 16 items.The Cronbach's α coefficients for the overall scale and each dimension were 0.924,0.793,0.808,0.951,and 0.945,respectively.Exploratory factor analysis showed a significant Bartlett's sphericity test result,with a Kaiser-Meyer-Olkin(KMO)value of 0.912.The confirmatory factor analysis yielded a chi-square to degrees of freedom ratio of 2.775,a root mean square error of approximation(RMSEA)of 0.08,a normed fit index of 0.931,an incremental fit index(IFI)of 0.955,a Tucker-Lewis index(TLI)of 0.944,and a comparative fit index(CFI)of 0.955.The composite reliability(CR)values were greater than 0.7,and the average variance extracted(AVE)values were greater than 0.5.Conclusions The scale demonstrated good reliability and validity,providing a valuable tool for evaluating the competency of primary healthcare workers in managing comorbidities,using HIV/COVID-19 as an example.
万方数据
维普
