Sebo Paul, Tudrej Benoit, Bernard Augustin, Delaunay Bruno, Dupuy Alexandra, Malavergne Claire, Maisonneuve Hubert
Institut universitaire de Médecine de Famille et de l'Enfance (University Institute for Primary Care), University of Geneva, Geneva, Switzerland.
University College of General Medicine, University Claude Bernard Lyon 1, Lyon, France.
Interact J Med Res. 2024 Jul 16;13:e50284. doi: 10.2196/50284.
Salutogenesis focuses on understanding the factors that contribute to positive health outcomes. At the core of the model lies the sense of coherence (SOC), which plays a crucial role in promoting well-being and resilience.
Using the validscale Stata command, we aimed to assess the psychometric properties of the French version of the 3-dimension 13-item SOC questionnaire (SOC-13), encompassing the comprehensibility, manageability, and meaningfulness dimensions. We also aimed to determine if a refined scale, assessed through this method, exhibits superior psychometric properties compared to the SOC-13.
A sample of 880 consecutive primary care patients recruited from 35 French practices were asked to complete the SOC-13. We tested for internal consistency and scalability using the Cronbach α and Loevinger H coefficients, respectively, and we tested for construct validity using confirmatory factor analysis and goodness-of-fit indices (root mean square error of approximation [RMSEA] and comparative fit index [CFI]).
Of the 880 eligible patients, 804 (91.4%) agreed to participate (n=527, 65.6% women; median age 51 years). Cronbach α and Loevinger H coefficients for the SOC-13 were all <0.70 and <0.30, respectively, indicating poor internal consistency and poor scalability (0.64 and 0.29 for comprehensibility, 0.56 and 0.26 for manageability, and 0.46 and 0.17 for meaningfulness, respectively). The RMSEA and CFI were >0.06 (0.09) and <0.90 (0.83), respectively, indicating a poor fit. By contrast, the psychometric properties of a unidimensional 8-item version of the SOC questionnaire (SOC-8) were excellent (Cronbach α=0.82, Loevinger H=0.38, RMSEA=0.05, and CFI=0.97).
The psychometric properties of the 3-dimension SOC-13 were poor, unlike the unidimensional SOC-8. A questionnaire built only with these 8 items could be a good candidate to measure the SOC. However, further validation studies are needed before recommending its use in research.
健康生成学专注于理解促成积极健康结果的因素。该模型的核心是连贯感（SOC），它在促进幸福感和恢复力方面起着关键作用。
使用有效的Stata命令，我们旨在评估包含可理解性、可管理性和意义性维度的三维13项SOC问卷（SOC - 13）法语版的心理测量特性。我们还旨在确定通过这种方法评估的精简量表是否比SOC - 13表现出更好的心理测量特性。
从35家法国医疗机构连续招募的880名初级保健患者样本被要求完成SOC - 13。我们分别使用Cronbach α系数和Loevinger H系数测试内部一致性和可扩展性，并使用验证性因子分析和拟合优度指标（近似均方根误差[RMSEA]和比较拟合指数[CFI]）测试结构效度。
在880名符合条件的患者中，804名（91.4%）同意参与（n = 527，65.6%为女性；中位年龄51岁）。SOC - 13的Cronbach α系数和Loevinger H系数分别均<0.70和<0.30，表明内部一致性差和可扩展性差（可理解性分别为0.64和0.29，可管理性分别为0.56和0.26，意义性分别为0.46和0.17）。RMSEA和CFI分别>0.06（0.09）和<0.90（0.83），表明拟合不佳。相比之下，SOC问卷的一维8项版本（SOC - 8）的心理测量特性极佳（Cronbach α = 0.82，Loevinger H = 0.38，RMSEA = 0.05，CFI = 0.97）。
与一维的SOC - 8不同，三维的SOC - 13的心理测量特性较差。仅由这8个项目构建的问卷可能是测量SOC的良好候选问卷。然而，在推荐其用于研究之前，还需要进一步的验证研究。
