健康行为与改变阶段问卷的验证
Validation of Health Behavior and Stages of Change Questionnaire.
作者信息
Gonzalez-Ramirez Leivy Patricia, De la Roca-Chiapas Jose Maria, Colunga-Rodriguez Cecilia, Preciado-Serrano Maria de Lourdes, Daneri-Navarro Adrian, Pedroza-Cabrera Francisco Javier, Martinez-Arriaga Reyna Jazmin
机构信息
Department of Health Sciences, University Centre of Tonala, University of Guadalajara, Guadalajara; Department of Psychology, Division of Health Sciences, Campus Leon, University of Guanajuato, Guanajuato.
Department of Psychology, Division of Health Sciences, Campus Leon, University of Guanajuato, Guanajuato.
出版信息
Breast Cancer (Dove Med Press). 2017 Mar 22;9:199-205. doi: 10.2147/BCTT.S129855. eCollection 2017.
BACKGROUND
The transtheoretical model (TTM) has been widely used to promote healthy behaviors in different groups. However, a questionnaire has not yet been developed to evaluate the health behaviors that medical practitioners often consider in individuals with cancer or at a high risk of developing cancer.
PURPOSE
The aim of this study was to construct and validate the Health Behavior and Stages of Change Questionnaire (HBSCQ), which is based on the TTM and health recommendations related to risk and factors that protect against cancer.
METHODS
Content validity was conducted in two phases (qualitative and quantitative). Item difficulty index, item discrimination index, and discrimination coefficient were obtained based on the classical test theory. Finally, Cronbach's alpha was used.
RESULTS
Measure of concordance showed scores considered adequate and excellent. The item discrimination index obtained a rating of "excellent" and suggested the preservation of all items. The discrimination coefficient scores are >0.74. The global internal consistency of the HBSCQ was 0.384. HBSCQ specification between groups of internal consistency for the sample of men was 0.712 and that for the sample of women was 0.378.
CONCLUSION/IMPLICATIONS FOR PRACTICE: The HBSCQ represents a proposal for a fast, simple, and innovative screening test, which aims to identify persons who may benefit from interventions to promote health behaviors delimited to the stage of change.
背景
跨理论模型（TTM）已被广泛用于促进不同群体的健康行为。然而，尚未开发出一种问卷来评估医疗从业者在癌症患者或癌症高危个体中经常考虑的健康行为。
目的
本研究的目的是构建并验证基于跨理论模型以及与癌症风险和预防因素相关的健康建议的健康行为与改变阶段问卷（HBSCQ）。
方法
内容效度分两个阶段进行（定性和定量）。基于经典测试理论获得项目难度指数、项目区分指数和区分系数。最后，使用克朗巴哈系数。
结果
一致性测量显示分数被认为是足够和优秀的。项目区分指数获得了“优秀”评级，并建议保留所有项目。区分系数得分>0.74。HBSCQ的总体内部一致性为0.384。男性样本组间HBSCQ内部一致性规范为0.712，女性样本组间为0.378。
结论/实践意义：HBSCQ代表了一种快速、简单且创新的筛查测试方案，旨在识别可能从促进限于改变阶段的健康行为的干预措施中受益的人群。
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