Fischer就医态度量表的汉化及信效度分析  

Chinesization of the attitudes toward medical help-seeking scale and its reliability and validity

作　　者：杨柳青 郝志红[1] Yang Liuqing;Hao Zhihong(Department of Mental Health and Psychology,Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]天津医科大学精神卫生与心理学系,300070

出　　处：《中华行为医学与脑科学杂志》2020年第8期757-762,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：教育部人文社会科学青年基金项目(15YJC190004)。

摘　　要：目的对Fischer编制的简版就医态度量表(attitudes toward medical help-seeking scale,ATMHSS)进行汉化,并分析就医态度量表中文版在中国居民群体中的信度和效度。方法以方便取样的方法,选取来自不同城市居民769名,进行问卷调查,通过项目分析及探索性因素分析初步筛选,确定量表最终项目。检验ATMHSS的中文修订版的信度和效度。结果通过探索性因子分析,共提取四个主因子,分别为行为意向(10个条目)、非宿命论(10个条目)、医疗信任(6个条目)和非回避态度(4个条目)。ATMHSS各维度与总分相关系数在0.641~0.839之间,各维度相关系数在0.213~0.556之间。ATMHSS与各效标变量均呈显著正相关(r=0.406~0.696,均P<0.01)。验证性因素分析结果显示,各项目拟合度良好(χ^2=752.572,df=391,χ^2/df=1.925,RMSEA=0.045,SRMR=0.058,CFI=0.902,GFI=0.903,IFI=0.903,TLI=0.891)。ATMHSS的内部一致性信度在0.726~0.879之间,重测信度在0.622~0.736之间。结论ATMHSS中文修订版信效度良好,可作为测量就医态度的有力工具。Objective To translate the attitudes toward medical help-seeking scale(ATMHSS)and evaluate the reliability and validity of ATMHSS Chinese version in Chinese residents.Methods Totally 769 residents were chosen through convenient sampling method.Based on item analysis and exploratory factor analysis,ATMHSS Chinese version was determined and its reliability and validity were examined.Results Four main factors were extracted by exploratory factor analysis which were pro-action(10 items),non-fatalistic(10 items),med trust(6 items)and non-avoidant(4 items).Correlations between each dimension and the total score ranged from 0.641 to 0.839 and the correlations between each dimension were from 0.213 to 0.556.There was a significant positive correlation between ATMHSS and criterion variables(r=0.406-0.696,all P<0.01).The confirmatory factor analysis showed the four-factor model fit the data well(χ^2=752.572,df=391,χ^2/df=1.925,RMSEA=0.045,SRMR=0.058,CFI=0.902,GFI=0.903,IFI=0.903,TLI=0.891).The Cronbach'sαcoefficients of ATMHSS degreed from 0.726 to 0.879,the retest reliability of ATMHSS degreed from 0.622 to 0.736.Conclusion The revised ATMHSS Chinese version shows good reliability and validity,which could be used as a tool for relevant research and application.

关 键 词：就医态度 就医态度量表 信度 效度 

分 类 号：R195[医药卫生—卫生统计学]