老年健康促进量表的跨文化调适及信效度检验

Cross-cultural adaptation of Geriatric Health Promotion Scale and testing of its reliability and validity

目的对老年健康促进量表进行跨文化调适,并在社区老年人中进行信效度检验。方法对老年健康促进量表进行跨文化调适,经过修订和预调查后形成大陆版。采用便利抽样法在辽宁省锦州市3个社区选取572人作为研究对象,采用项目分析法和因子分析法对量表进行信效度检验。结果量表总的Cronbach′sα值0.893,各维度Cronbach′sα值为0.802~0.906;量表的分半信度为0.668,重测信度为0.732,内容效度指数为0.952;提取6个公因子,能解释总变异的80.596%。验证性因子分析的拟合指标GFI=0.954,AGFI=0.930,RMSEA=0.048,TLI=0.974,CFI=0.981,IFI=0.981,PGFI=0.636,PNFI=0.721,CMIN/df=2.311。结论大陆版老年健康促进量表具有理想的区分度、信度和效度,可以用于评估我国大陆老年人健康促进水平。

Objective to cross-culturally adapt the Geriatric Health Promotion Scale,and to test its reliability and validity among the elderly living in the community.Methods Cross-cultural adaptation was made to the Geriatric Health Promotion Scale,and the mainland version was formed after revision and pilot test.Using convenience sampling method,572 elderly people were selected from 3 communities in Jinzhou City of Liaoning Province,and the reliability and validity of the Chinese version scale were tested by item analysis and factor analysis.Results The Cronbach′sαcoefficient was 0.893 for the whole scale,and 0.881 to 0.892 for the dimensions;the test-retest reliability coefficient was 0.732;the content validity index was 0.952.Six factors were extracted through exploratory factor analysis and could explained 80.596%of the total variation.Confirmatory factor analysis showed good fitting(CFI=0.954,AGFI=0.930,RMSEA=0.048,TLI=0.974,CFI=0.981,IFI=0.981,PGFI=0.636,PNFI=0.721,CMIN/DF=2.311).Conclusion The mainland version of the Geriatric Health Promotion Scale has ideal discrimination,reliability and validity,and can be used to evaluate the health promotion level of the elderly in China's Mainland.