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验证感知主动上学出行促进因素和障碍-家长(PASTEB-P)问卷,以支持干预规划和研究。

Validating the Perceived Active School Travel Enablers and Barriers-Parent (PASTEB-P) Questionnaire to Support Intervention Programming and Research.

机构信息

Human Environments Analysis Laboratory, Department of Geography and Environment, Western University, London, ON N6A 3K7, Canada.

Department of Geography and Environment, Western University, London, ON N6A 3K7, Canada.

出版信息

Int J Environ Res Public Health. 2023 May 19;20(10):5874. doi: 10.3390/ijerph20105874.

Abstract

A child's ability to participate in active school travel (AST) is complicated by several factors. Of particular note are parental controls, which are informed by their perceptions of the local built and social environments, assessments of their child's skills, and convenience preferences, among other considerations. However, there is currently a lack of AST-specific scales that include validated parental perception measures related to such notable barriers and enablers, or those that tend to frame their AST decision-making processes. Framed within the social-ecological model of health behaviour, the aims of the present paper were thus threefold, specifically to (1) outline and test the construct validity of measures delineating parental perceptions of barriers and enablers to AST, (2) evaluate the reliability and consistency of the developed measures, and (3) connect these measures to develop broader constructs for use in the Perceived Active School Travel Enablers and Barriers-Parent (PASTEB-P) questionnaire. To achieve these aims, a mixed-methods approach featuring cognitive interviews and surveys, along with qualitative (thematic analysis) and quantitative (Cohen's Kappa, McDonald's Omega, and confirmatory factor analysis) analyses, was applied across two studies. The validation processes of the two studies resulted in the development of fifteen items comprising seven distinct constructs (barriers: AST Skills, Convenience, Road Safety, Social Safety, and Equipment Storage; enablers: Supportive Environment and Safe Environment) related to parental perceptions of AST. The developed PASTEB-P questionnaire can be used to inform and evaluate AST intervention programming and can be applied for AST research purposes.

摘要

儿童参与积极的学校出行(AST)的能力受到多种因素的影响。特别值得注意的是父母的控制,这受到他们对当地建筑和社会环境的看法、对孩子技能的评估以及便利性偏好等因素的影响。然而,目前缺乏专门针对 AST 的量表,这些量表包括与这些显著障碍和促进因素相关的经过验证的父母感知测量,或者那些倾向于框定他们的 AST 决策过程的量表。本研究旨在以健康行为的社会生态学模型为框架,具体目标有三,即(1)概述和检验衡量父母对 AST 的障碍和促进因素的感知的测量的结构有效性,(2)评估开发的测量的可靠性和一致性,以及(3)将这些测量联系起来,为使用感知积极学校旅行促进因素和障碍-父母(PASTEB-P)问卷开发更广泛的结构。为了实现这些目标,本研究采用了混合方法,包括认知访谈和调查,以及定性(主题分析)和定量(Cohen's Kappa、McDonald's Omega 和验证性因素分析)分析。这两个研究的验证过程最终开发了十五个项目,涵盖了七个不同的结构(障碍:AST 技能、便利性、道路安全、社会安全和设备存储;促进因素:支持性环境和安全环境),这些结构与父母对 AST 的感知有关。开发的 PASTEB-P 问卷可用于为 AST 干预计划提供信息和评估,并可用于 AST 研究目的。

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