衡量乌干达接受产前护理的青少年的孕产妇健康素养：探索健康素养概念的维度——研究一个综合量表
Measuring Maternal Health Literacy in Adolescents Attending Antenatal Care in Uganda: Exploring the Dimensionality of the Health Literacy Concept Studying a Composite Scale.
作者信息
Guttersrud Øystein, Naigaga Mpolampola Desire Alice Sandra, Pettersen Kjell Sverre
机构信息
Oslo and Akershus University College of Applied Sciences, Norway.
出版信息
J Nurs Meas. 2015 Aug 1;23(2):50-66. doi: 10.1891/1061-3749.23.2.E50.
BACKGROUND AND PURPOSE
The purpose of this article is to test the requirement of "local independence" in the newly developed "Maternal Health Literacy" (MaHeLi) composite scale measuring health literacy in pregnant adolescents attending antenatal care.
METHODS
The 20-item scale was administered to 384 adolescents aged 15-19 years attending antenatal care in Uganda during the period July-December 2013. Rasch analysis was conducted using RUMM2030.
RESULTS
Differential item functioning was observed for 3 items. One item had disordered response categories. One subscale brought substantial multidimensionality into the MaHeLi scale.
CONCLUSIONS
Results support the use of a 12-item version of the MaHeLi scale. The article shows how Rasch analyses help us to identify violations of local independence in scales.
背景与目的
本文旨在检验新开发的“孕产妇健康素养”（MaHeLi）综合量表中“局部独立性”的要求，该量表用于测量接受产前护理的青少年孕妇的健康素养。
方法
2013年7月至12月期间，对乌干达384名年龄在15 - 19岁、接受产前护理的青少年进行了20个条目的量表测试。使用RUMM2030进行拉施分析。
结果
观察到3个条目的项目功能差异。一个条目具有无序的反应类别。一个子量表给MaHeLi量表带来了实质性的多维性。
结论
结果支持使用12个条目的MaHeLi量表版本。本文展示了拉施分析如何帮助我们识别量表中局部独立性的违反情况。
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