Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
KU Leuven Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
PLoS One. 2018 Jul 20;13(7):e0201007. doi: 10.1371/journal.pone.0201007. eCollection 2018.
Empowerment in patients can lead to a higher participation in care and self-management skills. However, there are a limited number of high-quality instruments to assess empowerment and its various dimensions in young persons. The aim was to develop and assess the psychometric properties of the Gothenburg Young Persons Empowerment Scale (GYPES).
The GYPES is a 15-item questionnaire designed to measure patient empowerment in young persons with chronic conditions. Three studies were conducted to evaluate the psychometric properties of the scale. Studies I and II assessed face, content and factorial validity, as well as responsiveness and reliability in young persons with congenital heart disease and diabetes. After these studies problematic items were identified and reworded and the final version of the GYPES was tested in young persons with diabetes in study III.
The content and face validity of the scale was confirmed in study I. Confirmatory factor analyses (CFA) in study II supported the five-factor structure of the GYPES. However, one item had a low factor loading. The scale was revised and evaluated in study III. CFA of this version supported adequate model fit with factor loadings ranging from 0.385-0.941. A second-order model had an adequate fit to the data. Cronbach's alpha for the overall scale was 0.858 and for each subscale, alphas range from 0.609-0.858.
GYPES was developed to measure patient empowerment in young persons with chronic conditions. Preliminary evidence supports that the GYPES may be a valid and reliable tool for assessing young persons' empowerment.
赋予患者权力可以提高他们对护理的参与度和自我管理技能。然而，目前评估年轻人赋权及其各个维度的高质量工具数量有限。本研究旨在开发和评估哥德堡年轻人赋权量表（GYPES）的心理测量学特性。
GYPES 是一个 15 项的问卷，旨在测量患有慢性疾病的年轻人的患者赋权。进行了三项研究来评估该量表的心理测量学特性。研究 I 和 II 评估了量表的表面效度、内容效度、结构效度、反应度和信度，研究对象为先天性心脏病和糖尿病患者。在这些研究之后，确定了有问题的项目并进行了重新措辞，然后在研究 III 中对糖尿病患者进行了 GYPES 的最终版本测试。
研究 I 证实了量表的表面效度和内容效度。研究 II 的验证性因子分析（CFA）支持了 GYPES 的五因素结构。然而，有一个项目的因子负荷较低。该量表在研究 III 中进行了修订和评估。该版本的 CFA 支持了适当的模型拟合，因子负荷范围为 0.385-0.941。二阶模型对数据具有适当的拟合度。总体量表的克朗巴赫 α 系数为 0.858，每个子量表的 α 系数范围为 0.609-0.858。
GYPES 旨在测量患有慢性疾病的年轻人的患者赋权。初步证据支持 GYPES 可能是评估年轻人赋权的有效且可靠的工具。
