University of Eastern Finland, Finland.
University of Salford, UK.
Nurs Ethics. 2019 Nov-Dec;26(7-8):2511-2522. doi: 10.1177/0969733019832952. Epub 2019 Apr 9.
Adolescents' health choices have been widely researched, but the ethical basis of these choices, namely their rights, duties, and responsibilities, have been disregarded and scale is required to measure these.
To describe the development of a scale that measures adolescents' rights, duties, and responsibilities in relation to health choices and document the preliminary scale testing.
A multi-phase development method was used to construct the Health Rights Duties and Responsibilities () scale. The concepts and content were defined through document analysis, a systematic literature review, and focus groups. The content validity and clarity of the items were evaluated by expert panel of 23 adolescents, school nurses, and researchers. We calculated the content validity index and the content validity ratio at on item and scale levels. Preliminary testing was conducted with 200 adolescents aged 15-16 years. Descriptive statistics, Cronbach's alpha correlation, and statistics for the item-analysis were calculated.
Ethical approval and permission were obtained according to national legislation and responsible research practice was followed. Informed consent was obtained from the participants and the parents were informed about the study.
The Health Rights Duties and Responsibilities scale comprises of four sub-scales with 148 items: 15 on health choices, 36 on rights, 47 on duties, and 50 on responsibilities. The items had a 0.93 content validity index and a 0.85 content validity ratio. Cronbach's alpha correlation coefficient was 0.99 for the total scale and the individual sub-scales scores were health choices (0.93), rights (0.97), responsibilities (0.99), and duties (0.98).
The findings are discussed in light of the ethical concepts and validity and reliability of the developed scale.
The Health Rights Duties and Responsibilities scale defines and understands adolescents' rights, duties, and responsibilities in relation to health choices and has good content validity. Further testing and refinement of the concepts are needed.
青少年的健康选择已得到广泛研究，但这些选择的伦理基础，即他们的权利、义务和责任，却被忽视了，需要制定一个衡量这些的尺度。
描述一种衡量青少年与健康选择相关的权利、义务和责任的尺度的开发过程，并记录初步的尺度测试结果。
采用多阶段开发方法构建健康权利义务责任（Health Rights Duties and Responsibilities，HRDAR）尺度。通过文献分析、系统文献综述和焦点小组确定概念和内容。通过 23 名青少年、学校护士和研究人员组成的专家小组评估项目的内容有效性和清晰度。我们计算了项目和尺度水平的内容有效性指数和内容有效性比。对 200 名 15-16 岁的青少年进行了初步测试。计算了描述性统计、克朗巴赫α相关系数以及项目分析的统计数据。
根据国家立法获得了伦理批准和许可，并遵循了负责任的研究实践。获得了参与者的知情同意，并告知了家长研究情况。
健康权利义务责任尺度包括四个分量表，共 148 个项目：健康选择 15 个项目、权利 36 个项目、义务 47 个项目、责任 50 个项目。项目的内容有效性指数为 0.93，内容有效性比为 0.85。总尺度和各分量表得分的克朗巴赫α相关系数分别为 0.99，其中健康选择为 0.93，权利为 0.97，责任为 0.99，义务为 0.98。
根据制定的尺度的伦理概念、有效性和可靠性对结果进行了讨论。
健康权利义务责任尺度界定并理解了青少年与健康选择相关的权利、义务和责任，具有良好的内容有效性。需要进一步测试和完善概念。
