健康行为量表-简式中文版：基于经典测量理论和项目反应理论的验证性研究。

Health behavior inventory - short form: a Chinese validation study using classical test theory and item response theory.

机构信息

Research Management and Development Department, Kiang Wu Nursing College of Macau, Macao, China.

Education Department, Kiang Wu Nursing College of Macau, Macao, China.

出版信息

BMC Public Health. 2024 Aug 22;24(1):2281. doi: 10.1186/s12889-024-19774-2.

DOI:10.1186/s12889-024-19774-2

PMID:39174965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11340048/

Abstract

BACKGROUND

It is imperative to use a validated tool to measure and understand health behavior as it greatly impacts health status. It has been demonstrated that the Health Behavior Inventory - Short Form (HBI-SF) is valid in several countries. The purpose of this study was to translate the HBI-SF into Chinese and test its psychometric properties.

METHODS

This study employed a two-phase methodology. The phase one entailed the cross-cultural adaptation of the HBI-SF, while the subsequent phase evaluated the psychometric properties of the scale. This evaluation encompassed classical test theory (CTT) and item response theory (IRT) tests to assess reliability and validity. It involved 1058 participants, of whom 1036 completed the questionnaire successfully. Out of these, 518 were analyzed for CTT, along with 518 for IRT.

RESULTS

The S-CVI was found to be 0.935, while the I-CVI ranged from 0.889 to 1.000. The results of the confirmatory factor analysis suggested the goodness-of-fit indices for the four-factor model was acceptable. Regarding the subscales, the average variance extracted (AVE) and Heterotrait-Monotrait Ratio of Correlations (HTMT) matrix also met the cutoff values (AVE > 0.5 and HTMI < 0.85). Furthermore, the internal consistency and composite reliability indices of all factors were greater than 0.7. Infit and/or outfit values indicated that all items fitted the Rasch model. The Wright map revealed that the average person measures for the participants (mean = - 0.994, SD = 0.430) were comparatively lower than the average item measures (mean = 0.000, SD = 0.257). The person separation reliability values for the four factors ranged from 0.600 to 0.746, indicating an acceptable level of reliability. Two items showed differential item functioning.

CONCLUSIONS

The findings derived from both CTT and IRT analyses demonstrate favorable levels of reliability and validity for the Chinese version of the HBI-SF.

摘要

背景

使用经过验证的工具来衡量和了解健康行为至关重要，因为它极大地影响着健康状况。已经证明，健康行为量表-短式（HBI-SF）在多个国家是有效的。本研究的目的是将 HBI-SF 翻译成中文，并测试其心理测量特性。

方法

本研究采用两阶段方法。第一阶段包括 HBI-SF 的跨文化适应，第二阶段评估量表的心理测量特性。该评估包括经典测试理论（CTT）和项目反应理论（IRT）测试，以评估可靠性和有效性。共有 1058 名参与者参与，其中 1036 名成功完成了问卷。其中，518 名用于 CTT 分析，518 名用于 IRT 分析。

结果

S-CVI 为 0.935，而 I-CVI 范围为 0.889 至 1.000。验证性因子分析的结果表明，四因素模型的拟合优度指数是可以接受的。关于子量表，平均方差提取（AVE）和特质间-特质内相关比（HTMT）矩阵也符合截值（AVE>0.5 和 HTMI<0.85）。此外，所有因素的内部一致性和综合可靠性指数均大于 0.7。拟合和/或 outfit 值表明，所有项目均符合 Rasch 模型。 Wright 图谱显示，参与者的平均个人测量值（均值=-0.994，SD=0.430）低于平均项目测量值（均值=0.000，SD=0.257）。四个因素的个体分离可靠性值范围为 0.600 至 0.746，表明具有可接受的可靠性水平。有两个项目显示出不同的项目功能。