Kocoglu-Tanyer Deniz, Dengiz Kubra Sultan, Sacikara Zeynep
Department of Public Health Nursing, Faculty of Nursing, Selcuk University, Konya, Turkey.
Department of Public Health Nursing, Faculty of Nursing, Necmettin Erbakan University, Konya, Turkey.
J Adv Nurs. 2020 Jun;76(6):1458-1468. doi: 10.1111/jan.14349. Epub 2020 Mar 29.
The aim of this study was to develop and psychometrically evaluate the Public Attitude Towards Vaccination Scale - Health Belief Model.
A methodological and prospective psychometric study.
A three-phase construct was used to develop the Public Attitude Towards Vaccination Scale - Health Belief Model and to determine its psychometric properties: (1) creation of the item pool/conceptualization; (2) evaluation of the items; and (3) psychometric evaluation. This scale was tested using the construct validity (exploratory and confirmatory factor analyses) and the reliability analysis. A psychometric assessment of the scale was conducted with 586 individuals. Data were collected between January - April 2018.
Items of the scale were obtained by appraising the literature concerning vaccination and the other Health Belief Model scale and conducting interviews with mothers. The content validity ratio of this scale calculated according to experts' opinions ranged between 0.769 and 1.00. According to the exploratory factor analysis, there were five factors with an eigenvalue higher than 1 in the scale. These five factors accounted for 68.9% of the total variance. In confirmatory factor analysis, values of fit indices were excellent or acceptable. This scale had high internal consistency and test-retest reliability.
This study successfully developed the Public Attitude Towards Vaccination Scale - Health Belief Model. In addition to researchers, this scale can be used by nurses while providing counselling for people with vaccine hesitancy/refusal.
This measurement tool can be used to understand and address 'vaccine hesitancy' by researchers. The results of the research using this measurement tool will provide valuable information to policymakers for preventing vaccine hesitancy. The validity and reliability of this scale can easily be conducted in different languages.
本研究旨在开发并对疫苗接种公众态度量表 - 健康信念模型进行心理测量学评估。
一项方法学和前瞻性心理测量学研究。
采用三阶段构建法来开发疫苗接种公众态度量表 - 健康信念模型并确定其心理测量学特性：（1）项目池创建/概念化；（2）项目评估；（3）心理测量学评估。使用结构效度（探索性和验证性因素分析）和信度分析对该量表进行测试。对586名个体进行了该量表的心理测量学评估。数据于2018年1月至4月收集。
通过评估有关疫苗接种的文献和其他健康信念模型量表并对母亲进行访谈获得了该量表的项目。根据专家意见计算的该量表的内容效度比在0.769至1.00之间。根据探索性因素分析，该量表中有五个特征值大于1的因素。这五个因素占总方差的68.9%。在验证性因素分析中，拟合指数值极佳或可接受。该量表具有较高的内部一致性和重测信度。
本研究成功开发了疫苗接种公众态度量表 - 健康信念模型。除研究人员外，护士在为有疫苗犹豫/拒绝情况的人提供咨询时也可使用该量表。
该测量工具可被研究人员用于理解和解决“疫苗犹豫”问题。使用该测量工具的研究结果将为政策制定者预防疫苗犹豫提供有价值的信息。该量表的效度和信度可轻松在不同语言中进行。
