Oneal Gail A, Postma Julie, Odom-Maryon Tamara, Butterfield Patricia
Washington State University College of Nursing, SNRS 345, PO Box 1495, Spokane, WA 99210.
Washington State University College of Nursing, Spokane, WA.
Res Nurs Health. 2016 Aug;39(4):277-85. doi: 10.1002/nur.21730. Epub 2016 May 26.
Household Risk Perception (HRP) and Self-Efficacy in Environmental Risk Reduction (SEERR) instruments were developed for a public health nurse-delivered intervention designed to reduce home-based, environmental health risks among rural, low-income families. The purpose of this study was to test both instruments in a second low-income population that differed geographically and economically from the original sample. Participants (N = 199) were recruited from the Women, Infants, and Children (WIC) program. Paper and pencil surveys were collected at WIC sites by research-trained student nurses. Exploratory principal components analysis (PCA) was conducted, and comparisons were made to the original PCA for the purpose of data reduction. Instruments showed satisfactory Cronbach alpha values for all components. HRP components were reduced from five to four, which explained 70% of variance. The components were labeled sensed risks, unseen risks, severity of risks, and knowledge. In contrast to the original testing, environmental tobacco smoke (ETS) items was not a separate component of the HRP. The SEERR analysis demonstrated four components explaining 71% of variance, with similar patterns of items as in the first study, including a component on ETS, but some differences in item location. Although low-income populations constituted both samples, differences in demographics and risk exposures may have played a role in component and item locations. Findings provided justification for changing or reducing items, and for tailoring the instruments to population-level risks and behaviors. Although analytic refinement will continue, both instruments advance the measurement of environmental health risk perception and self-efficacy. © 2016 Wiley Periodicals, Inc.
家庭风险认知(HRP)和环境风险降低自我效能感(SEERR)工具是为一项由公共卫生护士实施的干预措施而开发的,该干预旨在降低农村低收入家庭基于家庭的环境健康风险。本研究的目的是在与原始样本在地理和经济上不同的第二个低收入人群中测试这两种工具。参与者(N = 199)从妇女、婴儿和儿童(WIC)项目中招募。经过研究培训的学生护士在WIC站点收集纸笔调查问卷。进行了探索性主成分分析(PCA),并与原始PCA进行比较以进行数据简化。工具的所有组成部分均显示出令人满意的克朗巴哈α值。HRP的组成部分从五个减少到四个,解释了70%的方差。这些组成部分被标记为感知风险、不可见风险、风险严重性和知识。与原始测试不同,环境烟草烟雾(ETS)项目不是HRP的一个单独组成部分。SEERR分析显示四个组成部分解释了71%的方差,项目模式与第一项研究相似,包括一个关于ETS的组成部分,但项目位置存在一些差异。尽管两个样本均为低收入人群,但人口统计学和风险暴露的差异可能在组成部分和项目位置方面发挥了作用。研究结果为改变或减少项目以及根据人群层面的风险和行为调整工具提供了依据。尽管分析优化将继续进行,但这两种工具都推进了对环境健康风险认知和自我效能感的测量。© 2016威利期刊公司