School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
College of Xinjiang Uyghur Medicine, Hetian, Xinjiang, China.
Front Public Health. 2023 Sep 19;11:1180853. doi: 10.3389/fpubh.2023.1180853. eCollection 2023.
This study aimed to develop and validate a questionnaire to evaluate nursing college students' mentally-passive and mentally-active sedentary time (M-PAST) in China.
An initial M-PAST questionnaire with mentally-passive and mentally-active sedentary behaviors was developed with content validity undertaken through a consensus panel and pilot test where a convenience sample of six nursing students was recruited to assess the relevance, comprehensiveness, and comprehensibility of the refined questionnaire after expert panelists' responses. A cross-sectional online survey using a self-reported questionnaire was distributed to nursing students by email and then conducted using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to assess the construct validity of the M-PAST questionnaire and factor structures. Finally, the criterion validity was examined by exploring the associations between the M-PAST and the IPAQ sitting time, psychological distress, and insomnia.
Eight items regarding learning and leisure were included in the final version of the M-PAST questionnaire. A group of 650 nursing college students in China completed the study. Principal component analysis revealed two factors (i.e., mentally-passive and mentally-active sedentary behaviors), which explained 41.98% of the variance contributing to the questionnaire. The CFA reached the adaptive standard. Cronbach's ranged from 0.730 to 0.742. The correlations between M-PAST and IPAQ total sitting time were significant ( < 0.01, = 0.125-0.396). Mentally-passive sedentary time was associated with psychological distress and insomnia ( < 0.01, = 0.078-0.163), while no significant associations were found in mentally-active sedentary behaviors.
The M-PAST questionnaire appears to be a reliable and valid tool that reported both mentally-passive and mentally-active sedentary behaviors in nursing college students in China. However, future studies may need to further examine its validity among international nursing college students. This study further confirmed that mentally-passive sedentary behavior was positively associated with psychological distress and insomnia. Effective strategies are needed to reduce nursing college students' mentally-passive sedentary time to improve their health and wellbeing in China.
本研究旨在开发和验证一种评估中国护理专业学生心理被动和心理主动久坐时间（M-PAST）的问卷。
通过专家小组的共识和预试验，对初始 M-PAST 问卷进行内容效度评估，采用便利抽样方法招募 6 名护理学生，对经过专家小组反馈后的精炼问卷的相关性、全面性和可理解性进行评估。采用自我报告问卷的横断面在线调查，通过探索性因子分析（EFA）和验证性因子分析（CFA）评估 M-PAST 问卷的结构效度和因子结构。最后，通过探讨 M-PAST 与 IPAQ 久坐时间、心理困扰和失眠之间的关联来检验效标效度。
最终的 M-PAST 问卷包括 8 项关于学习和休闲的条目。在中国，共有 650 名护理专业学生完成了研究。主成分分析显示，问卷存在两个因子（即心理被动和心理主动久坐行为），解释了 41.98%的方差，有助于问卷的构建。CFA 达到了适应性标准。克朗巴赫系数范围为 0.730 至 0.742。M-PAST 与 IPAQ 总静坐时间之间存在显著相关性（<0.01，r=0.125-0.396）。心理被动久坐时间与心理困扰和失眠相关（<0.01，r=0.078-0.163），而心理主动久坐行为则没有显著相关性。
M-PAST 问卷似乎是一种可靠且有效的工具，可在中国护理专业学生中报告心理被动和心理主动的久坐行为。然而，未来的研究可能需要进一步检验其在国际护理专业学生中的有效性。本研究进一步证实，心理被动久坐行为与心理困扰和失眠呈正相关。需要采取有效的策略来减少护理专业学生的心理被动久坐时间，以改善他们在中国的健康和幸福感。
