College of Nursing, Kaohsiung Medical University, Taiwan.
J Adv Nurs. 2011 Jan;67(1):204-14. doi: 10.1111/j.1365-2648.2010.05486.x. Epub 2010 Oct 25.
This paper is a report of the development and psychometric testing of the Chinese version of the Diabetes Empowerment Process Scale.
In people living with diabetes, empowerment can improve metabolic and psychosocial outcomes. A scale for measuring empowerment processes can also help healthcare professionals to optimize their empowering actions and would improve their interactions with people living with diabetes.
Based on literature reviews and interviews with people living with diabetes, a 27-item Chinese Diabetes Empowerment Process Scale was developed. Fifteen items were produced after item analysis and content validity testing. To test construct validity, concurrent validity and internal consistency, 211 outpatients living with diabetes completed the Chinese Diabetes Empowerment Process Scale, a Self-care Behaviour Scale and a Diabetes Empowerment Scale. Test-retest reliability was also analysed with 30 patients. The study was conducted in 2008 and 2009 in Taiwan.
Confirmatory factor analysis indicated that a second-order factorial model with four subscales and 15 items best fitted the data. The four subscales were Mutual participation, Raising awareness, Providing necessary information and Open communication. Scores on the Chinese Diabetes Empowerment Process Scale correlated statistically significantly with those on the Self-care Behaviour Scale (r=0.21-0.40; P<0.01) and Diabetes Empowerment Scale (r=0.35-0.65; P<0.01). Reliability was supported by acceptable Cronbach's α (range: 0.73-0.91) and test-retest reliability scores (range: 0.75-0.83).
The Chinese Diabetes Empowerment Process Scale has satisfactory validity and reliability for measuring the empowerment process of health professionals. Further studies are needed to test the applicability of the scale to other populations.
本文旨在报告中文版糖尿病赋能进程量表的编制及心理测量学测试结果。
在糖尿病患者中，赋能可以改善代谢和心理社会结局。衡量赋能进程的量表也可以帮助医护人员优化赋能行为，改善与糖尿病患者的互动。
基于文献回顾和与糖尿病患者的访谈，编制了中文版糖尿病赋能进程量表，共 27 个条目。经项目分析和内容效度检验，产生 15 个条目。为检验构想效度、同时效度和内部一致性，211 名门诊糖尿病患者完成了中文版糖尿病赋能进程量表、自我护理行为量表和糖尿病赋能量表。30 名患者还进行了重测信度分析。该研究于 2008 年至 2009 年在台湾进行。
验证性因子分析表明，二阶四因子模型（包含四个分量表和 15 个条目）对数据拟合度最佳。四个分量表分别是共同参与、提高意识、提供必要信息和开放沟通。中文版糖尿病赋能进程量表的得分与自我护理行为量表（r=0.21-0.40；P<0.01）和糖尿病赋能量表（r=0.35-0.65；P<0.01）显著相关。量表具有可接受的 Cronbach's α 系数（范围：0.73-0.91）和重测信度（范围：0.75-0.83）。
中文版糖尿病赋能进程量表具有良好的信度和效度，可用于测量医护人员的赋能进程。进一步的研究需要检验该量表在其他人群中的适用性。
