Benzein Eva, Berg Agneta
Department of Health and Behavioural Sciences, Kalmar University, Kalmar, Sweden.
Scand J Caring Sci. 2003 Dec;17(4):409-15. doi: 10.1046/j.0283-9318.2003.00247.x.
The aim of this study was to assess the reliability and validity of the Swedish version (HHI-S) of the Herth Hope Index (HHI), developed by K. Herth. The HHI-S is a 12-item Likert scale, arranged with scores from 1 to 4, where 1 is 'strongly disagree' and 4 is 'strongly agree'. The HHI-S together with the Miller Hope Scale (TMHS) and Beck's Hopelessness Scale (HS-S) were distributed to 85 adults, 40 patients with cancer in palliative care and 45 family members to patients with cancer in palliative care, recruited from four different in- and out-patient oncology clinics. The result showed an internal consistency alpha coefficient of 0.88 for the HHI-S. Concurrent criterion-related validity was assessed by correlating the HHI-S with the TMHS (r = 0.82) and the discriminant validity was assessed by correlating the HHI-S with the HS-S (r = -0.69). A varimax-rotated principal component factor analysis was performed and identified two factors; reconciliation with life situation and religiosity. Although the instrument shows sound reliability and validity, it should be used with care in clinical palliative care settings, because of linguistic, conceptual and cultural difficulties when transferring the instrument into Swedish. The result demands the work of developing an instrument measuring hope, based in the Swedish culture.
本研究旨在评估由K. 赫思开发的《赫思希望指数》（HHI）瑞典语版本（HHI-S）的信度和效度。HHI-S是一个包含12个条目的李克特量表，评分范围为1至4，其中1表示“强烈不同意”，4表示“强烈同意”。HHI-S与米勒希望量表（TMHS）和贝克绝望量表（HS-S）一起分发给了85名成年人，其中40名是姑息治疗中的癌症患者，45名是姑息治疗中癌症患者的家庭成员，这些人员是从四个不同的门诊和住院肿瘤诊所招募而来的。结果显示，HHI-S的内部一致性阿尔法系数为0.88。通过将HHI-S与TMHS进行相关性分析来评估同时效度（r = 0.82），通过将HHI-S与HS-S进行相关性分析来评估区分效度（r = -0.69）。进行了方差最大化旋转主成分因子分析，确定了两个因子：与生活状况的和解以及宗教信仰。尽管该工具显示出良好的信度和效度，但由于将该工具翻译成瑞典语时存在语言、概念和文化方面的困难，在临床姑息治疗环境中使用时应谨慎。研究结果需要开展基于瑞典文化开发一种测量希望的工具的工作。
