Moodi Mitra, Salehiniya Hamid, Baghernezhad Hesary Fatemeh, Miri Mohammadreza
Social Determinants of Health Research Center, School of Health, Birjand University of Medical Sciences, Birjand, Iran.
Department of Epidemiology and Biostatistics, School of Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Med J Islam Repub Iran. 2021 Oct 6;35:130. doi: 10.47176/mjiri.35.130. eCollection 2021.
The COVID-19 epidemic is a newly emerging infectious disease. This study was conducted to design an appropriate psychometric questionnaire of cultural and social characteristics to evaluate beliefs and preventive behaviors toward COVID-19 among the Iranian's population according to change behavior theory as health belief model (HBM). The study population included all those who had access to social networks and answered the questionnaire voluntarily. The sample size in this study was 350 people. In this cross-sectional study, a questionnaire was designed using scientific sources and based on the health belief model, and its face and content validity was determined by Content Validity Ratio (CVR), and reliability was determined by the internal consistency; Test-retest was applied to examine the internal consistency of the questionnaire. Data were analyzed using SPSS software version 19. Cronbach's alpha and Intra-class Correlation Coefficient (ICC) were used for the assessment of the reliability of data. Initially, the questionnaire was designed based on the literature reviews and expert's opinion in the field of health education with 79 items. After that, 2 of them were deleted and corrected qualitatively by performing the face and content validity of some items. Therefore, finally, a questionnaire with 77 questions was approved. Based on the constructs of the health belief model, the domains of the questionnaire included perceived sensitivity, severity, benefits barrier, self-efficacy, knowledge and behavior.The content validity of the questionnaire was confirmed. The Cronbach's alpha and ICC for each domain were greater than 0.7. The Questionnaire of beliefs and preventive behaviors toward COVID-19 based on HBM is a valid and reliable instrument in the Iranian population that could be used in related research.
新冠疫情是一种新出现的传染病。本研究旨在根据健康信念模型(HBM)这一行为改变理论,设计一份合适的关于文化和社会特征的心理测量问卷,以评估伊朗人群对新冠疫情的信念和预防行为。研究对象包括所有能够访问社交网络并自愿回答问卷的人。本研究的样本量为350人。在这项横断面研究中,使用科学资料并基于健康信念模型设计了一份问卷,其表面效度和内容效度通过内容效度比(CVR)确定,信度通过内部一致性确定;采用重测法检验问卷的内部一致性。使用SPSS 19版软件对数据进行分析。采用克朗巴赫α系数和组内相关系数(ICC)评估数据的信度。最初,问卷是基于健康教育领域的文献综述和专家意见设计的,有79个项目。之后,删除了其中2个项目,并通过对部分项目进行表面效度和内容效度分析对问卷进行了定性修正。因此,最终一份包含77个问题的问卷获得通过。基于健康信念模型的结构,问卷的领域包括感知易感性、严重性、益处障碍、自我效能感、知识和行为。问卷的内容效度得到了确认。每个领域的克朗巴赫α系数和ICC均大于0.7。基于HBM的新冠疫情信念和预防行为问卷在伊朗人群中是一种有效且可靠的工具,可用于相关研究。