Anatchkova Milena D, Redding Colleen A, Rossi Joseph S
Cancer Prevention Research Center, University of Rhode Island, Lincoln, Rhode Island 02865-4207, USA.
Subst Use Misuse. 2007;42(1):23-41. doi: 10.1080/10826080601094140.
The goal of this study was to develop, translate, and evaluate measures for decisional balance and situational temptations for Bulgarian adolescent nonsmokers and to test the predicted relationships with stages of change. Students in the last grades of high school (15-19 years old) recruited in 12 randomly selected schools participated in the study. Data from the 369 nonsmokers (61.8% female, mean age 16.4 years, 97.1% Bulgarian) were used in the measurement development. A two-factor model for decisional balance (CFI=.94) and a hierarchical three-factor model for temptations (CFI=.90) demonstrated the best fit. The predicted crossover pattern for decisional balance and decreasing trend for temptations across the stages of change was verified. Both measures demonstrated tau-equivalent invariance across gender, in addition to good psychometric properties. These results, with the caveat of the noted limitations, support the cross-cultural validity of these transtheoretical model (TTM) constructs and indicate that they can be used as a basis for development of smoking prevention interventions.
本研究的目的是为保加利亚青少年非吸烟者开发、翻译并评估决策平衡和情境诱惑的测量方法，并检验与改变阶段的预测关系。在12所随机选取的学校中招募的高中最后年级（15 - 19岁）的学生参与了该研究。测量方法的开发使用了369名非吸烟者的数据（61.8%为女性，平均年龄16.4岁，97.1%为保加利亚人）。决策平衡的双因素模型（CFI = 0.94）和诱惑的分层三因素模型（CFI = 0.90）显示出最佳拟合度。决策平衡的预测交叉模式以及诱惑在改变阶段的下降趋势得到了验证。除了良好的心理测量特性外，这两种测量方法在性别上都表现出tau等效不变性。这些结果，在注意到所指出的局限性的前提下，支持了这些跨理论模型（TTM）结构的跨文化有效性，并表明它们可作为开发吸烟预防干预措施的基础。
