Institute of Gerontology, Faculty of Behavioural and Cultural Studies, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany.
Center for Preventive Medicine and Digital Health, Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Straße 7-11, 68167 Mannheim, Germany.
Int J Environ Res Public Health. 2022 Dec 3;19(23):16198. doi: 10.3390/ijerph192316198.
The Theoretical Domains Framework (TDF) investigates the determinants influencing the implementation behaviour of actors in healthcare. Caring for people with dementia (PWD) can be burdensome. Therefore, caring relatives (CRs) often rely on support of various actors in their community (CAs). However, the support of this target group is not sufficient, and the implementation of support services needs to be optimised. As it stands, there is no German-language questionnaire to investigate the factors that influence the implementation behaviour of CAs. Therefore, based on the TDF, the Community Implementation Behaviour Questionnaire (CIBQ) was developed in this study. A total of 205 CAs from 16 German communities were surveyed. The 34-item CIBQ asked about their implementation behaviour regarding support services for CRs of PWD. To identify the best model fit, the internal consistency and construct validity were computed. After adaptation, the final CIBQ consisted of ten domains and thirty-one items. The psychometric properties of the questionnaire are as follows: CMIN/DF = 1.63; SRMR = 0.05; RMSEA = 0.07; CFI = 0.92; Cronbach's alpha 0.74-0.89; inter-item correlation 0.38-0.88. The initial results show satisfactory internal consistency and construct validity of the CIBQ. Using the CIBQ enables the health and care optimisation of CRs of PWD.
理论领域框架（TDF）研究影响医疗保健行为者实施行为的决定因素。照顾痴呆症患者（PWD）可能会带来负担。因此，照顾者（CRs）经常依赖社区中的各种行为者（CAs）的支持。然而，对这一目标群体的支持还不够，需要优化支持服务的实施。目前，还没有德语版的问卷来调查影响 CAs 实施行为的因素。因此，本研究基于 TDF 开发了社区实施行为问卷（CIBQ）。共有来自 16 个德国社区的 205 名 CAs 接受了调查。该 34 项的 CIBQ 询问了他们对 PWD 的 CRs 的支持服务的实施行为。为了确定最佳模型拟合，计算了内部一致性和结构有效性。经过调整，最终的 CIBQ 由十个领域和三十一个项目组成。问卷的心理测量特性如下：CMIN/DF = 1.63；SRMR = 0.05；RMSEA = 0.07；CFI = 0.92；Cronbach's alpha 0.74-0.89；项目间相关性 0.38-0.88。初步结果表明，CIBQ 的内部一致性和结构有效性令人满意。使用 CIBQ 可以优化 PWD 的 CRs 的健康和护理。
