2型糖尿病患者中糖尿病健康素养量表（DHLS）波斯语版本的心理测量特性。
Psychometric properties of Persian version of diabetes health literacy scale (DHLS) in patients with type 2 diabetes.
作者信息
Moshki Mahdi, Alami Ali, Zadehahmad Zohreh, Ghelichi-Ghojogh Mousa, Dogonchi Mitra, Jafari Alireza
机构信息
Department of Health Education and Health Promotion, School of Health, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Epidemiology and Bio-Statistics, School of Public Health, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
出版信息
Diabetol Metab Syndr. 2022 Sep 27;14(1):139. doi: 10.1186/s13098-022-00910-0.
BACKGROUND
The purpose of this study was to investigate the psychometric properties of the Persian version of Diabetes Health Literacy Scale in type 2 diabetic patients.
METHOD
This cross-sectional study was conducted in 2021 in 1040 patients with type 2 diabetes in eastern Iran. Participants was selected by proportional stratified sampling method. The validity of DHLS was investigated through qualitative face validity, qualitative content validity, and structural validity (exploratory factor analysis and confirmatory factor analysis). The reliability of DHLS was checked by Cronbach's alpha coefficient, McDonald omega coefficient, and test-retest.
RESULTS
In exploratory factor analysis, 3 factors with eigenvalues greater than 1 were extracted, explaining 68.57% of the variance. These factors entered the confirmatory factor analysis, none of the questions were removed, and all questions had factor loading above 0.4. Cronbach's alpha coefficient and McDonald omega coefficient of DHLS were 0.919 and 0.922. Also, the Intraclass correlation coefficient of DHLS was 0.957. Finally, the DHLS was approved with 14 questions and the three subscales of Informational Health Literacy (6 items), Numerate Health Literacy (5 items), and Communicative Health Literacy (3 items).
CONCLUSIONS
DHLS with 14 questions and the three subscales is a valid and reliable tool for examining diabetes health literacy in people with type 2 diabetes.
背景
本研究旨在调查糖尿病健康素养量表波斯语版本在2型糖尿病患者中的心理测量特性。
方法
本横断面研究于2021年在伊朗东部的1040例2型糖尿病患者中进行。参与者采用比例分层抽样方法选取。通过定性表面效度、定性内容效度和结构效度（探索性因素分析和验证性因素分析）来研究糖尿病健康素养量表（DHLS）的效度。通过克朗巴哈α系数、麦克唐纳ω系数和重测法来检验DHLS的信度。
结果
在探索性因素分析中，提取出3个特征值大于1的因素，解释了68.57%的方差。这些因素进入验证性因素分析，没有问题被剔除，所有问题的因素负荷均高于0.4。DHLS的克朗巴哈α系数和麦克唐纳ω系数分别为0.919和0.922。此外，DHLS的组内相关系数为0.957。最后，DHLS以14个问题以及信息健康素养（6项）、数字健康素养（5项）和沟通健康素养（3项）这三个子量表获得认可。
结论
具有14个问题和三个子量表的DHLS是一种有效且可靠的工具，用于检测2型糖尿病患者的糖尿病健康素养。
Zotero 插件