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首页> 外文期刊>BMC Infectious Diseases >Chinese health literacy scale for tuberculosis patients: a study on development and psychometric testing
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Chinese health literacy scale for tuberculosis patients: a study on development and psychometric testing

机译:结核病患者的中国健康识字规模:开发和心理学检测研究

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The role of health literacy on tuberculosis patients has not been evaluated in China, in part because few special health literacy measurements exist. A three-step design process was used: (1) Scale construction: Based on the model of revised Bloom's taxonomy, the item-pool was drafted from a literature review, focus group discussion, and in-depth interviews. In addition, a Delphi survey was used in order to select items for inclusion in the scales; (2) Pilot study: Acceptability and clarity were tested with 60 tuberculosis patients; and (3) Psychometric testing: Validity analysis includes content validity, construct validity, and discriminative validity. The Cronbach's alpha coefficient, split-half reliability, and test-retest method were used to assess reliability. Finally, a receiver operating characteristic analysis was conducted to generate a cut-off point. The final scale had 29 items with four domains. The item level Content Validity Index ranged from 0.70 to 1.0, and the scale level Content Validity Index was 0.95. The mean score among the lowest 27% group was significantly lower than that those of the highest 27% group (p??0.01), which supports adequate discriminant validity. Explanatory factor analysis produced a clear four-factor construct, explaining 47.254% of the total variance. Factor 1 and Factor 2 were consistent with read and memorize TB-related words; Factor 3 was associated with understand the meaning of the health education leaflets and examine if TB patients can apply the correct approach to correct context; Factor 4 was related to the ability of TB patient to calculate and identify what unspecified assumptions are included in known conditions. The confirmatory factory analysis results confirmed that a four-factor model was an acceptable fit to the data, with a goodness-of-fit index?=?0.930, adjusted goodness of fit index?=?0.970, root mean square error of approximation?=?0.069, and χ2/df?=?2.153. The scale had good internal consistency and test-retest reliability. Additionally, the receiver operating characteristic analysis indicated that the cut-off point for the instrument was set at 45 and 35. The Chinese Health Literacy scale for Tuberculosis has good reliability and validity, and it could be used for measuring the health literacy of Chinese patients with tuberculosis.
机译:健康识字对肺结核患者的作用尚未在中国进行评估,部分原因是存在少数特殊的健康识字率测量。使用三步设计过程:(1)规模构建:根据修订盛开分类的模型,从文献综述,重点小组讨论和深入访谈中起草了项目池。此外,使用了Delphi调查,以便在尺度中选择包含在尺度上的物品; (2)试验研究:用60例结核病患者测试可接受性和清晰度;和(3)心理测量测试:有效性分析包括内容有效性,构建有效性和鉴别性有效性。 Cronbach的alpha系数,分裂半可靠性和测试重新测试方法用于评估可靠性。最后,进行了接收器操作特征分析以产生截止点。最终规模有29个具有四个域的项目。项目级内容有效性索引从0.70到1.0,尺度级内容有效性索引为0.95。最低27%组的平均得分显着低于最高27%组(P?<0.01),这支持足够的判别有效性。解释性因素分析产生了明确的四因素构建体,解释了总方差的47.254%。因子1和因子2与读取和记忆相关的词语一致;因子3与了解健康教育传单的含义,并检查TB患者是否可以将正确的方法应用于纠正上下文;因子4与结核病患者计算和确定已知条件中包含的未指定假设的能力有关。确认的工厂分析结果证实,四因素模型是可接受的拟合对数据的拟合,具有拟合指数?=?0.930,调整拟合指数的良好性?=?0.970,近似的根均线误差? = 0.069和χ2/ df?=?2.153。尺度具有良好的内部一致性和测试 - 保持可靠性。此外,接收器操作特征分析表明仪器的截止点设定为45和35.结核病的中国健康识字规模具有良好的可靠性和有效性,可用于衡量中国患者的健康识字用结核病。

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