Khomsan Ali, Dewi Mira, Dwiriani Cesilia Meti, Lukito Widjaja
Departement of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia.
Departement of Nutrition, Polytechnic of the Ministry of Health Gorontalo, Gorontalo, Indonesia.
J Educ Health Promot. 2025 Feb 28;14:65. doi: 10.4103/jehp.jehp_498_24. eCollection 2025.
The health belief model (HBM) questionnaire for dietary patterns and physical activity is important for assessing behavior in prediabetes subjects. Assessing health behavior important to design intervention that can control development of prediabetes. The study aimed to examine the validity and reliability of the HBM questionnaire for dietary patterns and physical activity in prediabetes.
A descriptive method was used comprising validity and reliability tests; specifically, the content validity was assessed by 10 panelists of nutrition in public health and education experts. Meanwhile, face validity and reliability tests were performed by 10 and 30 respondents, respectively. Content validity was conducted quantitatively with the content validity index (CVI), kappa statistics score, along with qualitative assessment. The reliability test was carried out based on Cronbach's alpha.
The results showed that CVI analysis and kappa statistics obtained values between 0.77-1 and -5.24-0.99, respectively. The face validity analysis produced a value >1,5, while the reliability test obtained Cronbach's alpha value of 0,821. The final questionnaire was based on the recommendations of the panelists as well as the results of validity and reliability tests including 47 HBM item statements.
The HBM questionnaire was found to be valid and reliable for assessing behavior about dietary patterns and physical activity in prediabetic. This instrument could be used by healthcare providers in studies and clinical practice to measure behavior dietary patterns and physical activity as well as to develop interventions for prediabetes.
用于评估糖尿病前期患者饮食模式和身体活动的健康信念模型(HBM)问卷对于评估其行为非常重要。评估健康行为对于设计能够控制糖尿病前期发展的干预措施至关重要。本研究旨在检验HBM问卷在糖尿病前期患者饮食模式和身体活动方面的有效性和可靠性。
采用描述性方法,包括有效性和可靠性测试;具体而言,由10名公共卫生营养专家和教育专家组成的小组评估内容效度。同时,分别由10名和30名受访者进行表面效度和可靠性测试。通过内容效度指数(CVI)、kappa统计得分进行内容效度的定量分析,并进行定性评估。可靠性测试基于Cronbach's alpha进行。
结果显示,CVI分析和kappa统计分别得出0.77 - 1和 - 5.24 - 0.99之间的值。表面效度分析得出的值>1.5,而可靠性测试得出Cronbach's alpha值为0.821。最终问卷基于专家小组的建议以及有效性和可靠性测试结果,包括47条HBM项目陈述。
发现HBM问卷在评估糖尿病前期患者饮食模式和身体活动行为方面有效且可靠。该工具可被医疗保健提供者用于研究和临床实践中,以测量饮食模式和身体活动行为,并制定针对糖尿病前期的干预措施。