Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale Bracci, 16 53100, Siena, Italy.
Centre for Global Health and Equity, Swinburne University of Technology, Melbourne, Australia.
Health Qual Life Outcomes. 2020 Mar 30;18(1):89. doi: 10.1186/s12955-020-01329-9.
The health education impact Questionnaire (heiQ) measures eight self-management skills in people with chronic conditions. It seems to be important to provide cross-cultural evidence on its properties in non-English healthcare contexts. The present study assessed the psychometric properties of the heiQ in Italian adults with chronic conditions.
Two hundred ninety-nine individuals with a chronic condition (mean age = 61.4 years, 50.16% females) completed the heiQ and the Medical Outcomes Study-Short Form (SF-36). Confirmatory factor analyses, Composite Reliability Indices, and bivariate correlations were performed.
Structural validity based on 8 correlated factors with good fit was in line with previous research. Concurrent validity was confirmed, as shown by moderate associations between the scores on the Constructive attitudes and approaches, Self-monitoring and insight, Health directed activities, Social integration and support, and Emotional distress subscales and the scores on SF-36 Physical functioning, General health perceptions, Vitality, Social functioning, Perceived mental health and Role limitations due to physical and emotional problems subscales.
The Italian heiQ has strong properties and it can be used routinely also in the Italian healthcare services.
健康教育影响问卷（heiQ）衡量了慢性病患者的八项自我管理技能。在非英语医疗保健环境中提供其跨文化属性的证据似乎很重要。本研究评估了 heiQ 在意大利慢性病成年人中的心理测量特性。
299 名患有慢性病的个体（平均年龄 61.4 岁，50.16%为女性）完成了 heiQ 和医疗结果研究-简短表格（SF-36）。进行了验证性因素分析、综合可靠性指数和双变量相关性分析。
基于 8 个相关因素的结构有效性与先前的研究一致，拟合良好。同时验证了效标关联效度，表现为建设性态度和方法、自我监测和洞察力、健康导向活动、社会融合和支持、情绪困扰子量表的得分与 SF-36 生理功能、一般健康感知、活力、社会功能、心理健康感知和身体和情绪问题导致的角色限制子量表的得分之间存在中度关联。
意大利 heiQ 具有较强的特性，也可以在意大利的医疗保健服务中常规使用。
