疾病观念与求医行为自评问卷的初步编制及信效度分析

Reliability and validity of the Self-Rating Scale of Illness Conception and Health Seeking Behavior

目的:编制适合中国文化背景的疾病观念与求医行为自评问卷(SSICHSB)。方法:根据理论构想,初编了含60个条目的问卷,在昆明市选取不同年龄、职业和受教育程度的801例受试进行施测。4周后对其中的120例进行重测。结果:SSICHSB共16个条目,分为3个因子。16个条目与总分的相关在0.14～0.60之间,与所在因子的相关在0.43～0.71之间。验证性因素分析显示模型的拟合指数为χ2/df=1.5,NFI=0.89,CFI=0.92,IFI=0.92,RM SEA=0.04。整个问卷的Cronbachα系数为0.71,3个因子的α系数在0.62～0.79之间;整个问卷的重测信度为0.72,3个因子的重测信度为0.61～0.78之间。结论:疾病观念与求医行为自评问卷符合心理测量学要求,可用于疾病观念与求医行为的评估。

Objective： To develop the Self-Rating Scale of Illness Conception and Health Seeking Behavior （SSICHSB） . Methods： Totally 801 subjects were selected and assessed with a draft scale comprised of 60 i- tems. The reliability and validity were examined. And 120 subjects were retested 4 weeks later. Results： The explor- atory factor analysis and confirmatory factor analysis confirmed the construct validity. The scale had 3 dimensions, consisting of 16 items. The fitting indices of confirmatory factor analysis were x2/df = 1.5, NFI = 0. 89, CFI = 0. 915, IF[ = 0. 924, and RMSEA = 0. 043. The internal consistency reliability was 0. 71 （Cronbach c0. The internal consistency reliabilities of the 3 dimensions ranged from 0.62 - 0. 79. The test-retest reliability of the total score was 0. 72. Those of the 3 dimensions ranged from 0. 61 to 0. 78. Conclusion： It suggests that the structure, validity and reliability of scale are acceptable and it could be used to access illness concention and health seeking behavior.