Clinic of Psychosomatic Medicine and Psychotherapy, LVR-University Hospital, University of Duisburg-Essen, 45147 Essen, Germany.
Int J Environ Res Public Health. 2021 Jun 4;18(11):6044. doi: 10.3390/ijerph18116044.
The objective of this study was the translation and validation of a health consciousness scale in order to provide an economically and empirically confirmed measurement of health consciousness, which is associated with health-related behavior. We evaluated this translation on the basis of psychometric testing in a German convenience sample. A cross-sectional online survey ( = 470) was carried out using a translated version of the health consciousness scale, oriented on the basis of international guidelines. As previous studies have not consistently confirmed the factorial structure of the health consciousness scale, we conducted a Confirmatory Factor Analysis to verify its factorial structure. Furthermore, we cross-validated the questionnaire with other scales in order to verify convergent and discriminant validity. The results indicated a two-factor solution for the Health Consciousness Scale-German (HCS-G). The criterion validity was confirmed on the basis of a significantly positive correlation between the HCS-G and health literacy. Furthermore, strict measurement invariance was able to be verified, indicating that the HCS-G is an applicable measurement, regardless of gender. In practical research, this questionnaire can help to assess health consciousness and its influence on health-related constructs. Future studies should consider possible mediating variables between health consciousness and health outcomes.
本研究的目的是翻译和验证健康意识量表，以提供一种经济且经实证确认的健康意识测量方法，这种方法与健康相关行为有关。我们在德国便利样本的心理测试基础上对该翻译进行了评估。一项横断面在线调查（n=470）使用健康意识量表的翻译版本进行，该版本基于国际准则进行了定向。由于之前的研究并未一致证实健康意识量表的因子结构，我们进行了验证性因子分析以验证其因子结构。此外，我们还使用其他量表对问卷进行了交叉验证，以验证收敛和判别效度。结果表明，健康意识量表-德语版（HCS-G）存在两因素解决方案。基于 HCS-G 与健康素养之间呈显著正相关，标准效度得到了确认。此外，严格的测量不变性也得到了验证，表明 HCS-G 是一种适用的测量方法，无论性别如何。在实际研究中，该问卷可用于评估健康意识及其对健康相关结构的影响。未来的研究应考虑健康意识与健康结果之间的可能中介变量。
