Hatch R L, Burg M A, Naberhaus D S, Hellmich L K
Department of Community Health and Family Medicine, University of Florida, Gainesville 32614, USA.
J Fam Pract. 1998 Jun;46(6):476-86.
Spirituality is receiving greater attention in the medical literature, especially in the family practice journals. A widely applicable instrument to assess spirituality has been lacking, however, and this has hampered research on the relationship between spirituality and health in the clinical setting.
A new instrument, called the Spiritual Involvement and Beliefs Scale, was designed to be widely applicable across religious traditions, to assess actions as well as beliefs to address key components not assessed in other available measures, and to be easily administered and scored. The instrument is a questionnaire containing 26 items in a modified Likert-type format. Following careful pretesting, the instrument was administered to 50 family practice patients and 33 family practice educators. The validity and reliability of the instrument were then evaluated.
By several measures, instrument reliability and validity are very good, with high internal consistency (Cronbach's alpha = .92); strong test-retest reliability (r = .92); a clear four-factor structure; and a high correlation (r = .80) with another established measure of spirituality, the Spiritual Well-Being Scale.
The Spiritual Involvement and Beliefs Scale (SIBS) appears to have good reliability and validity. Compared with other instruments that assess spirituality, the SIBS has several theoretical advantages, including broader scope, use of terms that avoid cultural-religious bias, and assessment of both beliefs and actions. More testing is underway to further assess its usefulness.
灵性在医学文献中受到越来越多的关注，尤其是在家庭医学期刊中。然而，一直缺乏一种广泛适用的评估灵性的工具，这阻碍了临床环境中灵性与健康关系的研究。
设计了一种名为“灵性参与和信仰量表”的新工具，旨在广泛适用于各种宗教传统，评估行为以及信仰，以涵盖其他现有测量方法未评估的关键要素，并且易于实施和评分。该工具是一份问卷，包含26个采用改良李克特式格式的项目。经过仔细的预测试后，该工具被应用于50名家庭医学患者和33名家庭医学教育工作者。然后对该工具的有效性和可靠性进行了评估。
通过多种测量方法，该工具的可靠性和有效性非常好，具有高内部一致性（克朗巴哈系数α = 0.92）；强重测信度（r = 0.92）；清晰的四因素结构；并且与另一种已确立的灵性测量工具“灵性幸福感量表”具有高相关性（r = 0.80）。
“灵性参与和信仰量表”（SIBS）似乎具有良好的可靠性和有效性。与其他评估灵性的工具相比，SIBS具有几个理论优势，包括范围更广、使用避免文化宗教偏见的术语以及对信仰和行为的评估。正在进行更多测试以进一步评估其有用性。
