Dubasi Sravan Kumar, Ranjan Piyush, Arora Charu, Vikram Naval K, Dwivedi Sada N, Singh Namrata, Kaloiya Gauri S
Department of Medicine, AIIMS, New Delhi, India.
Department of Home Science, University of Delhi, New Delhi, India.
J Family Med Prim Care. 2019 Feb;8(2):689-694. doi: 10.4103/jfmpc.jfmpc_338_18.
Lifestyle-related diseases have assumed significant public health problem across the globe including developing nations. High rate of nonadherence to treatment poses challenges to family physicians in its treatment.
To develop a valid and reliable questionnaire for assessment of adherence to lifestyle modification advices.
The questionnaire was developed following a systematic, scientifically accepted methodology which included literature review, focused group discussions, detailed interviews, and expert evaluation. Comprehensibility, replicability, face validity, content validity, patient acceptance, and ease of usage of the questionnaire were analyzed. Five-point Likert scale was employed as response options. Cronbach's alpha was calculated to assess internal consistency of overall questionnaire. A cross-sectional survey was then performed on 100 obese patients with nonalcoholic fatty liver disease to validate the questionnaire.
The developed questionnaire consists of 14 questions under two domains, 12 items under diet and 2 items under the physical activity domain. Each of these questions is on a 5-point Likert scale. The tool has shown satisfactory validity. It also has adequate reliability and internal consistency with Cronbach's alpha value of 0.9.
It is a valid and reliable tool which can be used in clinical practice to assess adherence to lifestyle modification advices by family physicians.
包括发展中国家在内，与生活方式相关的疾病已成为全球重大的公共卫生问题。治疗依从性低给家庭医生的治疗带来了挑战。
开发一种有效且可靠的问卷，用于评估对生活方式改变建议的依从性。
该问卷按照系统的、科学认可的方法制定，包括文献综述、焦点小组讨论、详细访谈和专家评估。分析了问卷的可理解性、可重复性、表面效度、内容效度、患者接受度和易用性。采用五点李克特量表作为回答选项。计算克朗巴哈系数以评估问卷整体的内部一致性。随后对100名非酒精性脂肪性肝病肥胖患者进行横断面调查以验证该问卷。
所开发的问卷由两个领域的14个问题组成，饮食领域有12项，身体活动领域有2项。这些问题均采用五点李克特量表。该工具显示出令人满意的效度。它还具有足够的信度和内部一致性，克朗巴哈系数值为0.9。
这是一种有效且可靠的工具，可用于临床实践，以评估家庭医生对生活方式改变建议的依从性。
