Patient Safety Research Center, Clinical Research Institute, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Biostatistics, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.
Health Qual Life Outcomes. 2022 Jan 29;20(1):16. doi: 10.1186/s12955-022-01922-0.
Despite the importance of assessing COVID-19 patients' educational needs, there is currently no standard tool for a comprehensive assessment of these needs. The present study was aimed at developing a questionnaire to assess the educational needs of COVID-19 patients and determining its psychometric properties.
This study was conducted using an exploratory sequential mixed methods design in 3 stages. At the first stage, patients' educational needs were explained and determined using conventional content analysis so that a total of 15 COVID-19 patients were first selected using purposive sampling and then interviewed. At the second stage, the questionnaire items were developed using the qualitative findings and a review of valid sources related to the study subject. At the third stage, the psychometric properties of the questionnaire were determined using internal consistency reliability and the face, content, and construct validities.
The mean content validity ratio and the content validity index were obtained to be 0.94 and 0.92, respectively. The internal consistency was evaluated using Cronbach's alpha, which was measured to be 0.97. Based on the exploratory factor analysis, the questionnaire was developed with 36 items in four subscales of "disease recognition and treatment follow-up", "prevention of infection transmission", "medication regimen", and "psychological and physiological needs". The results of confirmatory factor analysis also showed appropriateness and approval of the structural model obtained from the questionnaire.
This questionnaire was found to have the necessary psychometric criteria (validity and reliability) so that it can be applied to assess the educational needs of COVID-19 patients and provide better and more effective patient education for them.
尽管评估 COVID-19 患者的教育需求至关重要，但目前尚无用于全面评估这些需求的标准工具。本研究旨在开发一种评估 COVID-19 患者教育需求的问卷，并确定其心理测量学特性。
本研究采用探索性序贯混合方法设计，分三个阶段进行。在第一阶段，使用常规内容分析解释和确定患者的教育需求，共选择了 15 名 COVID-19 患者进行目的抽样访谈。在第二阶段，使用定性研究结果和与研究主题相关的有效来源综述开发问卷项目。在第三阶段，通过内部一致性信度和表面、内容和结构效度来确定问卷的心理测量学特性。
平均内容效度比和内容效度指数分别为 0.94 和 0.92。内部一致性采用 Cronbach's alpha 进行评估，其测量值为 0.97。根据探索性因子分析，问卷在四个分量表中开发了 36 个项目，分别是“疾病识别和治疗随访”、“预防感染传播”、“药物治疗方案”和“心理和生理需求”。验证性因子分析的结果也表明了问卷结构模型的适当性和可接受性。
该问卷具有必要的心理测量学标准（有效性和可靠性），因此可以用于评估 COVID-19 患者的教育需求，并为他们提供更好、更有效的患者教育。
