Osborne Richard H, Elsworth Gerald R, Whitfield Kathryn
Centre for Rheumatic Diseases, Department of Medicine, The University of Melbourne, Royal Melbourne Hospital, Parkville, Melbourne, Victoria 3050, Australia.
Patient Educ Couns. 2007 May;66(2):192-201. doi: 10.1016/j.pec.2006.12.002. Epub 2007 Feb 22.
This paper describes the development and validation of the Health Education Impact Questionnaire (heiQ). The aim was to develop a user-friendly, relevant, and psychometrically sound instrument for the comprehensive evaluation of patient education programs, which can be applied across a broad range of chronic conditions.
Item development for the heiQ was guided by a Program Logic Model, Concept Mapping, interviews with stakeholders and psychometric analyses. Construction (N=591) and confirmatory (N=598) samples were drawn from consumers of patient education programs and hospital outpatients. The properties of the heiQ were investigated using item response theory and structural equation modeling.
Over 90 candidate items were generated, with 42 items selected for inclusion in the final scale. Eight independent dimensions were derived: Positive and Active Engagement in Life (five items, Cronbach's alpha (alpha)=0.86); Health Directed Behavior (four items, alpha=0.80); Skill and Technique Acquisition (five items, alpha=0.81); Constructive Attitudes and Approaches (five items, alpha=0.81); Self-Monitoring and Insight (seven items, alpha=0.70); Health Service Navigation (five items, alpha=0.82); Social Integration and Support (five items, alpha=0.86); and Emotional Wellbeing (six items, alpha=0.89).
The heiQ has high construct validity and is a reliable measure of a broad range of patient education program benefits.
The heiQ will provide valuable information to clinicians, researchers, policymakers and other stakeholders about the value of patient education programs in chronic disease management.
本文描述了健康教育影响问卷（heiQ）的开发与验证过程。目的是开发一种用户友好、相关且心理测量学上合理的工具，用于全面评估患者教育项目，该工具可应用于广泛的慢性疾病。
heiQ的项目开发以项目逻辑模型、概念映射、与利益相关者的访谈以及心理测量分析为指导。构建样本（N = 591）和验证样本（N = 598）来自患者教育项目的消费者和医院门诊患者。使用项目反应理论和结构方程模型研究了heiQ的特性。
生成了90多个候选项目，最终量表中纳入了42个项目。得出了八个独立维度：积极参与生活（五个项目，克朗巴哈系数（α）= 0.86）；健康导向行为（四个项目，α = 0.80）；技能和技术获取（五个项目，α = 0.81）；建设性态度和方法（五个项目，α = 0.81）；自我监测与洞察（七个项目，α = 0.70）；健康服务导航（五个项目，α = 0.82）；社会融合与支持（五个项目，α = 0.86）；以及情绪健康（六个项目，α = 0.89）。
heiQ具有较高的结构效度，是衡量一系列患者教育项目益处的可靠指标。
heiQ将为临床医生、研究人员、政策制定者和其他利益相关者提供有关患者教育项目在慢性病管理中的价值的宝贵信息。
