中文译文：健康相关饮食和锻炼自我效能量表简体中文版的翻译及心理计量学测试在中国。
Translation and psychometric testing of the simplified version of the health-related diet and exercise self-efficacy scale in China.
机构信息
School of Nursing, Yueyang Vocational Technical College, Yueyang, 414000, Hunan, China.
Xiangya School of Nursing, Central South University, 172 Tongzipo Road, Changsha, 414000, Hunan Province, China.
出版信息
Health Qual Life Outcomes. 2022 Aug 27;20(1):127. doi: 10.1186/s12955-022-02037-2.
BACKGROUND
Measuring health-related diet and exercise self-efficacy is an important first step in improving healthy behaviors and health outcomes. However, we did not find a self-efficacy measurement in Chinese that is specifically targeted at diet and exercise self-efficacy among healthy adults.
AIM
The present study aimed to translate the Health-Related Diet and Exercise Self-Efficacy Scale -simplified version into Mandarin Chinese (HRDESES) and evaluate its reliability and validity in Chinese healthy adults.
METHODS
The HRDESES was translated and adapted to the Chinese context, with a good content validity of 0.86 among seven experts. The survey was then carried out in 216 adults in Hunan, China. Testing of the reliability included internal consistency reliability and test-retest reliability, while validity included content validity, construct validity, and criterion validity.
RESULTS
The Cronbach's α of the HRDESES was 0.87 for the total scale, 0.86 for the diet subscale and 0.91 for the exercise subscale; the McDonald's ω of the HRDESES-SC was 0.85 for the total scale, 0.86 for the diet subscale and 0.91 for the exercise subscale, all demonstrating good internal consistency. The test-retest reliability was 0.88 for the total scale, 0.81 for the diet subscale and 0.82 for the exercise subscale, demonstrating good test-retest reliability. For construct validity, the scale effectively distinguished subjects by age, gender, education, occupation, marital status, and family income, showing good discriminant validity. The confirmatory factor analysis (CFA) supported a two-factor structure of the scale: diet and exercise subscale. It was demonstrated that the HRDESES was highly associated with the General Self-Efficacy Scale and its two subscales, with correlation coefficients ranging from 0.83 to 0.86 (p < 0.05), showing high criterion validity.
CONCLUSION
The HRDESES had good reliability and validity and could be used as a simple and effective tool for assessing the health-related diet and exercise self-efficacy in Chinese healthy adults.
背景
衡量与健康相关的饮食和运动自我效能感是改善健康行为和健康结果的重要第一步。然而，我们没有发现针对健康成年人的饮食和运动自我效能感的特定中文测量工具。
目的
本研究旨在将简化版健康相关饮食和运动自我效能量表（Health-Related Diet and Exercise Self-Efficacy Scale-simplified version，HRDESES）翻译成中文，并评估其在中国健康成年人中的信度和效度。
方法
HRDESES 经过翻译和改编，以适应中文语境，七位专家认为其内容效度为 0.86。然后在中国湖南的 216 名成年人中进行了调查。可靠性测试包括内部一致性信度和重测信度，而有效性则包括内容有效性、结构有效性和标准有效性。
结果
HRDESES 的总量表的 Cronbach's α 为 0.87，饮食分量表为 0.86，运动分量表为 0.91；HRDESES-SC 的 McDonald's ω 为 0.85，饮食分量表为 0.86，运动分量表为 0.91，均表现出良好的内部一致性。总量表的重测信度为 0.88，饮食分量表为 0.81，运动分量表为 0.82，表明具有良好的重测信度。结构有效性方面，该量表能够有效区分年龄、性别、教育程度、职业、婚姻状况和家庭收入等方面的受试者，表现出良好的区分效度。验证性因子分析（CFA）支持该量表的两因素结构：饮食分量表和运动分量表。研究表明，HRDESES 与一般自我效能感量表及其两个分量表高度相关，相关系数在 0.83 到 0.86 之间（p<0.05），表明具有较高的标准有效性。
结论
HRDESES 具有良好的信度和效度，可作为评估中国健康成年人与健康相关的饮食和运动自我效能感的简单而有效的工具。
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