用于评估墨西哥青少年慢性肾病相关健康社会资本的问卷的开发与验证
Development and validation of a questionnaire to assess the health related Social Capital for Chronic Kidney Disease among Mexican adolescents.
作者信息
Quiñones-Villalobos Carolina, Prado-Aguilar Carlos Alberto, Obrador-Vera Gregorio Tomás, Arreola-Guerra José Manuel, Padilla-López Jannett, Alanis-Ocádiz Alicia, Cisneros-García Diana Lorena, Navarro-Rodriguez Diana Cristina, Tirado-Gómez Laura Leticia
机构信息
Programa de Doctorado en Ciencias Médicas, Odontológicas y de la Salud, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Coordinación Auxiliar de Investigación en Salud, Instituto Mexicano del Seguro Social, Aguascalientes, Aguascalientes, Mexico.
出版信息
PLoS One. 2025 Jul 21;20(7):e0328386. doi: 10.1371/journal.pone.0328386. eCollection 2025.
BACKGROUND
Social Capital on health has been studied widely, to date there is no valid and reliable questionnaire that measure it in Chronic Kidney Disease (CKD).
OBJECTIVE
To develop, validate and assess the reliability of Social Capital related to CKD questionnaire for Mexican adolescents.
METHODS
An instrumental study was employed to validate a questionnaire that assesses the cognitive and structural domains of Social Capital related to CKD. The questionnaire was generated by operationalization of the constructs and validated by assessing the content, face validity, criteria and construct validity. Reliability was assessed through the Cronbach´s alpha.
RESULTS
The content validity of the questionnaire was confirmed through Kendall's W of 0.925 (p = 0.01) and its face validity was evaluated by four focus groups. A principal component analysis on a sample of 281 adolescents indicated that 72.78% of the variance was explained by the cognitive domain and 83.20% by the structural domain. A confirmatory analysis returned a chi-squared value of 142.99 (p = 0.05), a CFI of 0.97, a TLI of 0.96, a RMSEA of 0.040 and a SRMR of 0.07 for the cognitive domain. Similarly, a chi-squared of 408.296 (p < 0.001), a CFI of 0.98, a TLI of 0.97, a RMSEA 0.03 and a SRMR of 0.06 were returned for the structural domain. The validity of the criteria was assessed through a Pearson's correlation for both the cognitive and structural domains. There was a mild-to-strongly significant correlation (p ≤ 0.001) among items and dimensions within each domain, with correlation coefficients ranging from 0.23 to 0.83. As a determinant of the reliability of the questionnaire, the Cronbach's alpha was 0.84 and 0.94 for the cognitive and structural domain, respectively.
CONCLUSIONS
A valid and reliable questionnaire has been developed to measure the influence of Social Capital on health in relation to CKD among Mexican adolescents.
背景
社会资本对健康的影响已得到广泛研究，但迄今为止，尚无有效且可靠的问卷来衡量慢性肾脏病（CKD）患者的社会资本。
目的
开发、验证并评估墨西哥青少年慢性肾脏病相关社会资本问卷的信度。
方法
采用工具性研究来验证一份评估慢性肾脏病相关社会资本认知和结构领域的问卷。该问卷通过对概念的操作化生成，并通过评估内容效度、表面效度、标准效度和结构效度进行验证。通过克朗巴哈系数评估信度。
结果
问卷的内容效度通过肯德尔和谐系数W为0.925（p = 0.01）得到确认，其表面效度由四个焦点小组进行评估。对281名青少年样本进行的主成分分析表明，认知领域解释了72.78%的方差，结构领域解释了83.20%的方差。验证性分析得出认知领域的卡方值为142.99（p = 0.05），CFI为0.97，TLI为0.96，RMSEA为0.040，SRMR为0.07。同样，结构领域的卡方值为408.296（p < 0.001），CFI为0.98，TLI为0.97，RMSEA为0.03，SRMR为0.06。通过皮尔逊相关性评估标准效度，用于认知和结构领域。每个领域内的项目和维度之间存在轻度到高度显著的相关性（p ≤ 0.001），相关系数范围为0.23至0.83。作为问卷信度的决定因素，认知领域和结构领域的克朗巴哈系数分别为0.84和0.94。
结论
已开发出一份有效且可靠的问卷，用于衡量社会资本对墨西哥青少年慢性肾脏病相关健康的影响。
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