Sahib Mohanad Naji
Faculty of Pharmacy, Al-Rafidain University College, Baghdad, Iraq.
Patient Prefer Adherence. 2018 Jan 31;12:223-232. doi: 10.2147/PPA.S155152. eCollection 2018.
Any educational program should be implemented with a good understanding of the population's beliefs. Therefore, the aims of this study were to validate the Arabic version of the Osteoporosis Health Belief Scale (OHBS-A) and assess the osteoprotective attitude among the Iraqi population.
A cross-sectional design, with a random cluster sampling method from the community, was used. The forward-backward-forward translation method was used to translate the questionnaire from English to Arabic. In addition, the Arabic version of Osteoporosis Knowledge Tool (OKT-A) and the Arabic version of Osteoporosis Self-Efficacy Scale (OSES-A) were used to assess the osteoprotective behaviors.
The results showed good face validity and reliability. The construct validity analysis showed seven factors that explain 72.82% of the variance. In addition, the results revealed a low health belief score (149.95±35.936) with only 36.67% of the study population found to have a high OHBS-A level. The results showed significant differences among employment status, marital status, and osteoporosis (OP) awareness groups in relation to total OHBS-A scores. In addition, there were significant associations between age groups and OP awareness with health belief levels. Moreover, both exercise and calcium intake subscales of the Osteoporosis Knowledge Tool (OKT) positively correlated with all OHBS-A subscales. Exercise and calcium intake subscales of Osteoporosis Self-Efficacy Scale (OSES) positively correlated with the perceived susceptibility and perceived barriers toward exercise and calcium intake. The binary logistic regression analysis showed that OKT levels, OSES levels, and age were predictors of OHBS-A levels.
Besides cultural obstacles, an educational program for both genders and all age groups is important and should be tailored according to culture needs.
任何教育项目的实施都应充分了解目标人群的信念。因此，本研究旨在验证阿拉伯语版骨质疏松症健康信念量表（OHBS - A），并评估伊拉克人群的骨保护态度。
采用横断面设计，从社区中随机整群抽样。采用正向 - 反向 - 正向翻译方法将问卷从英语翻译成阿拉伯语。此外，使用阿拉伯语版骨质疏松症知识工具（OKT - A）和阿拉伯语版骨质疏松症自我效能量表（OSES - A）来评估骨保护行为。
结果显示出良好的表面效度和信度。结构效度分析显示有七个因素解释了72.82%的方差。此外，结果显示健康信念得分较低（149.95±35.936），只有36.67%的研究人群OHBS - A水平较高。结果显示，就业状况、婚姻状况和骨质疏松症（OP）知晓组在总OHBS - A得分方面存在显著差异。此外，年龄组和OP知晓与健康信念水平之间存在显著关联。而且，骨质疏松症知识工具（OKT）的运动和钙摄入分量表与所有OHBS - A分量表均呈正相关。骨质疏松症自我效能量表（OSES）的运动和钙摄入分量表与对运动和钙摄入的感知易感性和感知障碍呈正相关。二元逻辑回归分析表明，OKT水平、OSES水平和年龄是OHBS - A水平的预测因素。
除了文化障碍外，针对所有性别和年龄组的教育项目很重要，并且应根据文化需求进行调整。
