应用德尔菲法建立幼托儿童手足口病健康教育评价指标体系

Establishment of evaluation index system for health education of hand,foot and mouth disease in nursery children by Delphi method

目的应用德尔菲法建立幼托儿童手足口病健康教育评价指标体系。方法参考相关文献建立初始的幼托儿童手足口病健康教育指标体系,包括一级指标4个、二级指标12个、三级指标46个。采用德尔菲法开展两轮专家咨询,采用应答率评价专家的积极性,采用权威系数(Cr)和变异系数(CV)评价专家的权威性,根据第一轮专家咨询结果分析及研究讨论后形成第二轮咨询问卷,以同样的方式再次进行筛选、评分赋值。两轮讨论后最终确定托幼儿童手足口病健康教育评价指标体系。结果参与两轮咨询专家共13人,40~49岁4人,50~59岁9人。副高级职称2人,正高级职称11人。卫生行政部门1人,疾病预防控制中心6人,独立健康教育专业机构5人,托幼机构1人。两轮专家咨询均在设定时间内有效回收,应答率均为100%。第一轮判断系数(Ca)为0.92±0.06,熟悉程度系数(Cs)为0.85±0.12,Cr为0.88±0.06。经专家商议后,第一轮共增加一级指标1项、二级指标2项和三级指标12项;删除三级指标6项;对1项二级指标、10项三级指标进行相应顺序的调整和内容完善。第二轮Ca为0.95±0.07,Cs为0.88±0.10,Cr为0.91±0.06。第二轮咨询一、二、三级指标的协调系数(W)分别是0.170、0.166、0.283,CV均<0.25。经两轮咨询后,最终确立幼托儿童手足口病健康教育评价指标体系一级指标5个、二级指标14个和三级指标52个。结论应用Delphi法建立的幼托儿童手足口病健康教育评价指标体系具有较高的权威性和实用性,可用于幼托儿童手足口病健康教育综合效果评价。

Objective To establish an evaluation index system for health education of hand,foot and mouth disease(HFMD)in nursery children by Delphi method.Methods After referring to the relevant literature,an initial health education index system for HFMD of nursery children was established,including four first-level indicators,twelve second-level indicators and forty-six third-level indicators.Two rounds of expert consultation were conducted according to Delphi method.The enthusiasm of experts was evaluated by response rate,and the authority of experts was evaluated by authority and variation coefficient.The consultation questionnaire in the second round was based on the results of the first round and was scored again in the same way.Then the evaluation index system of HFMD health education for nursery children was finally determined.Results Thirteen experts participated in two rounds of consultation,including four aged 40-49 years and nine aged 50-59 years;two of deputy senior title and eleven of senior title;one worked in the health administration department,six in the CDC,five in health education institutions and one in kindergarten.The two rounds of expert consultation were carried out effectively within the time set and the response rate reached 100%.In the first round,the judgment coefficient,familiarity coefficient and authority coefficient were 0.92±0.06,0.85±0.12 and 0.88±0.06,respectively.One first-level indicator,two second-level indicators and twelve third-level indicators were added,seven third-level indicators were deleted,and the contents of one second-level indicator and ten third-level indicators were improved in the first round.In the second round,the judgment coefficient,familiarity coefficient and authority coefficient were 0.95±0.07,0.88±0.10 and 0.91±0.06,respectively.The coordination coefficients of the first-,second-and third-level indicators in the second round were 0.170,0.166 and 0.283,respectively,and the coefficients of variation were all less than 0.25.After two rounds of discussion,five first-level indicators,fourteen second-level indicators and fifty-two third-level indicators were finally established as the evaluation index system of HFMD health education for nursery children.Conclusion The evaluation index system of HFMD health education for nursery children established by Delphi method has high authority and practicability,and it can be used to comprehensively evaluate the effects of HFMD health education on nursery children.