Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany.
LVR-Institute of Health Care Research, LVR Clinic Cologne, Cologne, Germany.
Eur J Cancer Care (Engl). 2021 Mar;30(2):e13386. doi: 10.1111/ecc.13386. Epub 2021 Jan 12.
The development and validation of a health behaviour scale for cancer patients (HBSCP).
An 11-item scale was developed based on existing literature on health behaviour and cancer prevention and care. Identified dimensions include the following: nutrition and weight, physical activity, nicotine and alcohol use, stress, and adherence to medical health services. Experts rated the items in regard to content and wording. The scale was tested in two cross-sectional datasets of n = 4626 and n = 4558 newly diagnosed breast cancer patients in North Rhine-Westphalia, Germany. Psychometric properties were assessed (internal consistency, item discrimination, exploratory and confirmatory factor analysis). Correlations with physical functioning (EORTC QLQ-C30) and personality traits (Big Five Inventory) were computed (full assessment of construct validity was not possible).
A two-factor structure (1. adherence to medical health services; 2. Individual protective health behaviour) with nine items (item reduction due to findings in the factor analyses) with good item properties and reliability was identified. The scale showed significant associations with physical functioning and the personality traits of conscientiousness.
The HBSCP is an instrument with good psychometric properties that measures cancer patients' health behaviour. Healthcare providers and researchers can use the HBSCP in the context of health promotion and prevention.
开发和验证一种用于癌症患者的健康行为量表（HBSCP）。
根据现有的健康行为和癌症预防与护理文献，开发了一个 11 项的量表。确定的维度包括以下内容：营养与体重、身体活动、尼古丁和酒精使用、压力以及对医疗保健服务的依从性。专家对这些项目的内容和措辞进行了评估。该量表在德国北莱茵-威斯特法伦州的两个横断面数据集（n=4626 和 n=4558 例新诊断的乳腺癌患者）中进行了测试。评估了心理测量特性（内部一致性、项目区分度、探索性和验证性因子分析）。还计算了与身体功能（EORTC QLQ-C30）和人格特质（大五人格量表）的相关性（由于无法全面评估结构效度，因此无法进行）。
确定了具有良好项目特性和可靠性的两因素结构（1. 对医疗保健服务的依从性；2. 个体保护性健康行为），包括 9 个项目（由于因子分析中的发现而进行了项目缩减）。该量表与身体功能和人格特质的尽责性显著相关。
HBSCP 是一种具有良好心理测量特性的工具，可衡量癌症患者的健康行为。医疗保健提供者和研究人员可以在健康促进和预防的背景下使用 HBSCP。
