摘要
目的在多个国外已有常用量表中文版的基础上综合研制简短及适合我国国情文化的老年健康功能多维评定量表,为我国老年健康研究提供测量工具。方法首先,通过文献研究拟定量表维度并建立条目池;其次,通过Delphi法确定维度并初筛条目获得初表,通过预试验进行文化调适;再次,通过联合经典测量理论、条目反应理论和Delphi法进行条目再筛获得终表;最后,采用Cronbach'sɑ系数和验证性因子分析对终表进行考评。条目再筛和终表考评数据分别来自由分层整群抽样得到的厦门市老年人面对面问卷调查。结果通过文献研究和Delphi法确定量表维度为社会关系资源、日常生活能力、身体健康、精神健康、经济资源和认知功能;条目池包含120个条目;初筛后的初表包含60个条目;利用539名老年人数据进行条目再筛后的终表包含30个条目;根据2032名老年人数据进行终表考评,Cronbach'sɑ系数为0.922,验证性因子分析的结果为CFI、NFI、IFI均大于0.90、RESMA小于0.08。结论本研究研制的老年健康功能多维评定量表包含社会关系资源、日常生活能力、身体健康、精神健康、经济资源和认知功能6个维度共30个条目,它不仅简短和适合我国国情文化,且具有良好的信度与效度。
Objective To develop a concise multidimensional health assessment scale of the elderly which is suitable for Chinese conditions based on multiple Chinese versions of foreign existing health assessment scales, in order to provide a suitable tool for the studies on the health of Chinese elderly. Methods Firstly, domains of the scale were tentatively constructed and the item pool was made by literature review method. Then domain ascertainment and preliminary selection resulting in initial scale were performed by the Delphi method. Items in initial scale encountered further culture adaptation by pre-test. Further selection was executed by the methods of classical test theory（CTT） ,item response theory（IRT） and Delphi, resulting in final scale （the Multidimensional Health Assessment of the Elderly）. Finally, evaluation of the final scale was performed by cronbach＇s o coefficient and confirmatory factor analysis. The further item selection and final scale evaluation were completed by data from stratified cluster sampling and face-to-face survey among Xiamen elderly. Results In this study, we determined the scale as six domains in which cognitive function was included besides the five mentioned above. The item pool contained 120 items initially. And half of them were remained to be the initial scale after preliminary selection. Then 30 items were removed by the further selection with a sample of 539 old people in Xiamen, and the other 30 items formed the final scale. Evaluation of the final scale based on a sample of 2032 old people showed that the CFI,NFI and IFI were all above 0. 9 ,the RESMA was below 0. 069 ,and the Cronbach＇s ct coefficient was 0. 922. Conclusion The multidimensional health assessment scale of the elderly comprised six domains and thirty items. It is not only concise and suitable for Chinese conditions but also with good reliability and validity.
出处
《中国卫生统计》
CSCD
北大核心
2015年第3期379-382,共4页
Chinese Journal of Health Statistics
基金
厦门大学基础创新科研基金(中央高校基本科研业务费专项资金)(CXB2012017)
福建省自然科学基金计划资助项目(12YJA790030)
教育部人文社会科学研究项目资助(2012J01303)
关键词
老年人
健康
多维
评价
量表
The elderly
Health
Multidimensional
Assessment
Scale
