Department of Health Education and Promotion, School of Public Health, HIV/STI Surveillance Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Department of Health Education and Promotion, School of Health, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
BMC Public Health. 2023 Feb 28;23(1):406. doi: 10.1186/s12889-023-15311-9.
Drug addiction is a chronic and relapsing brain disease. Practicing self-care is one of the rules offered by therapists to improve the withdrawal process and prevent relapse. Based on the evidence, health beliefs, including Pender's proposed model, are significantly effective in adopting self-care behaviors in patients. On the other hand, in order to evaluate preventive interventions regarding drug use and relapse of drug use; Having a good and appropriate tool is a special priority. Therefore, the present study aims to design and determine the psychometric characteristics of the questionnaire for measuring health-promoting self-care behaviors in patients recovered from drug addiction has been carried out in the west of Mazandaran province.
The current study is a cross-sectional descriptive methodological research. In the first stage, the items and primary classes of the new tool were extracted based on the review of studies consistent with Pender's self-care promotion and a questionnaire was designed. In the second stage, the psychometric characteristics of the designed questionnaire were examined using face validity, content validity, construct validity and reliability. In the construct validity, the number of participants was 245 for exploratory factor analysis and 203 for confirmatory factor analysis. In the reliability test, 25 people participated to check internal consistency and test-retest. Random sampling was done from 12 drug addiction treatment clinics in two cities of Tonkabon and Ramsar in the west of Mazandaran province during 2021-2022. Data were analyzed using SPSS and AMOS software version 23.
The exploratory factor analysis revealed 7 factors containing 29 item explained more than 61% of the total observed variance. The results of confirmatory factor analysis showed that the data fit the model. In the reliability test, Cronbach's alpha coefficient indicated the appropriate internal consistency of the tool and retesting the tool with an interval of 2 weeks showed acceptable stability of the tool.
The present study showed that the researcher-made questionnaire has good validity and reliability and can be used to measure self-care behaviors of patients who have recovered from addiction in order to provide appropriate solutions to prevent the relapse of drug use.
药物成瘾是一种慢性且易复发的脑部疾病。自我护理是治疗师提供的规则之一，可改善戒断过程并预防复发。基于证据，健康信念，包括 Pender 提出的模型，对患者采用自我护理行为具有显著效果。另一方面，为了评估预防药物使用和药物使用复发的干预措施；拥有一个良好且合适的工具是一个特别的优先事项。因此，本研究旨在设计并确定用于测量已戒毒患者促进健康自我护理行为的问卷的心理计量学特征，该研究已在马赞达兰省西部进行。
本研究是一项横断面描述性方法学研究。在第一阶段，根据与 Pender 的自我护理促进一致的研究综述，提取新工具的项目和主要类别，并设计了一份问卷。在第二阶段，使用表面效度、内容效度、结构效度和信度检验来检验设计问卷的心理计量学特征。在结构效度方面，探索性因子分析的参与者人数为 245 人，验证性因子分析的参与者人数为 203 人。在信度测试中，有 25 人参加了内部一致性和重测检验。2021 年至 2022 年期间，采用随机抽样方法从马赞达兰省西部的通卡邦和拉姆萨尔市的 12 个戒毒治疗诊所抽取 25 名参与者。数据使用 SPSS 和 AMOS 软件版本 23 进行分析。
探索性因子分析显示，7 个因子包含 29 个项目，解释了总观察方差的 61%以上。验证性因子分析的结果表明，数据符合模型。在信度测试中，Cronbach's alpha 系数表明该工具具有适当的内部一致性，并且在间隔 2 周后重新测试该工具表明该工具具有可接受的稳定性。
本研究表明，研究者自制的问卷具有良好的效度和信度，可用于测量已戒毒患者的自我护理行为，以便为预防药物使用复发提供适当的解决方案。
