摘要
目的：研制具有我国人群社会文化适应性和性能良好的糖尿病高危人群生活方式干预知识、态度、行为评价量表。方法经查阅文献、小组讨论、专家深入访谈，初步制定量表备选指标清单。通过德尔菲法，确定量表的核心指标，邀请临床医学、护理学、预防医学、健康教育及社区糖尿病防控专家，采用Email的方法发放专家咨询表（共两轮,分别发放了30、26份），对量表各个条目的重要性进行评分，并请专家对自己做出重要性的判断依据及对条目内容的熟悉程度进行评分。分析专家积极程度、权威程度、意见集中程度及协调程度，并确定入选条目。预试验选择31例糖尿病高危人群，采用面对面调查方式进行问卷调查，分析调查对象对量表条目内容和表述的理解情况，并修正量表。结果两轮咨询分别回收咨询表26份和23份，咨询表回收率分别为87%和88%。参加第1轮和第2轮量表咨询的专家权威程度分别为（0.79±0.14）和（0.87±0.10）分。总量表第1轮条目重要性评分为（4.32±0.25）分，变异系数为0.06，协调系数为0.163；第2轮分别为（4.58±0.21）分、0.05、0.150。第1轮咨询共有22位专家对量表条目提出修改意见及建议，提出意见的专家比例为85%（22/26）。第2轮咨询结束后，条目均在纳入标准范围内，最终入选条目30条。预试验共调查糖尿病高危人群男性13例，女性18例；年龄为（62.24±10.23）岁；量表完成时间为（9.35±2.71）min。预试验完成后，调整了量表的条目顺序以保证量表逻辑合理。结论通过德尔菲法和预试验研制的糖尿病高危人群生活方式干预知识、态度、行为评价量表，入选专家代表性好，积极性、权威程度高，专家意见集中程度及协调程度好，均达到了相关要求。
Objective To establish a scale of knowledge, attitude, and behavior of lifestyle interventions among a population at high risk of diabetes with good cultural adaptability, validity, and reliability. Methods The original item pool was formed based on a literature review, group discussions, and interviews with experts. We used the Delphi method to determine core items of the scale（30 cases in the first round and 26 cases in the second round, respectively）. We invited 30 experts from clinical medicine, nursing, preventive medicine, health education, and community diabetes prevention and control to completed expert consultation tables. For each item, experts were asked to provide an importance score, the judgment basis, and a familiarity score. We analyzed the positive coefficient, authoritative coefficient, degree of concentration, and harmonious coefficient, to determine the selected items. Using face-to-face questionnaire surveys, 31 participants at high risk of diabetes were selected for the pilot study. We analyzed understanding of the scale＇s content and presentation and corrected the scale based on the analysis. Results We received 26 and 23 inquiry forms, respectively, in two rounds of consultation. Responses rates of the two rounds were 87% and 88%. The scores of authoritative coefficients were 0.79 ± 0.14 and 0.87 ± 0.10. The score of total scale in the first consultation was 4.32 ± 0.25, the coefficient of variation was 0.06, and the coefficient of concordance was 0.163;in the second consultation, these were 4.58±0.21, 0.05, 0.150,＆amp;nbsp;respectively. In the first consultation, 22 experts proposed amendments and made suggestions, a rate of 85%（22/26）. After the second round, 30 items were included in the final scale. In the pilot study, 13 males and 18 females with high risk of diabetes were interviewed. Average age of the population was （62.24 ± 10.23） years. The time to complete the survey was （9.35 ± 2.71） minutes. After the pilot study was completed, the order of the items
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2016年第7期577-583,共7页
Chinese Journal of Preventive Medicine
关键词
糖尿病
德尔菲技术
量表
Diabetes mellitus
Delphi technique
Scale
