青春期性与生殖健康知信行量表的编制及信效度检验  

Development and reliability and validity testing of the knowledge,attitude,and behavior scale for adolescent sexual and reproductive health

作　　者：赵慧娟 杨巧娟 张蓉 严文静 ZHAO Hui-juan;YANG Qiao-juan;ZHANG Rong;YAN Wen-jing(Dali Nursing Vocational College,Dali,Yunnan 671000,China;不详)

机构地区：[1]大理护理职业学院,云南大理671000 [2]大理大学护理学院,云南大理671006

出　　处：《现代预防医学》2024年第21期3899-3904,共6页Modern Preventive Medicine

基　　金：云南省教育厅科学研究基金项目(2023J1961);云南省科技厅地方高校联合专项(202001BA070001-076)。

摘　　要：目的 编制青春期性与生殖健康知信行量表,并进行信度和效度检验,为评估青少年性与生殖健康知信行水平提供测评工具。方法 基于知信行理论框架,通过查阅文献、专家会议法、预调查形成初始量表。采用便利整群抽样法,纳入符合标准的347名中学生进行项目分析和信效度检验,形成正式版量表。结果 正式版量表包含三个维度,分别是知识、态度和行为,总共33个条目。专家权威系数得分为0.89,Kendall W系数为0.478。条目水平的内容效度为0.82~1.00,量表水平的内容效度为0.93。用Amos 24.0进行验证性因子分析,模型的χ^(2)/v为1.831,RMSEA为0.049,GFI为0.842,CFI为0.91,PGFI为0.739,模型拟合良好和结构效度较好。Cronbach α为0.914,各维度Cronbachα为0.924、0.767、0.741;总量表的折半信度为0.76。重测信度总量表相关系数(r)为0.717(P<0.001)。结论 青春期性与生殖健康知信行量表具有良好的信度和效度,可用于测评青少年性与生殖健康知信行水平。Objective To develop a Knowledge,Attitude,and Behavior Scale for Adolescent Sexual and Reproductive Health and to conduct reliability and validity testing,providing a measurement tool for assessing adolescents ' knowledge,attitudes,and behaviors regarding sexual and reproductive health.Methods Based on the Knowledge,Attitude,and Behavior theoretical framework,an initial scale was formed through literature review,expert meetings,and preliminary surveys.A convenience cluster sampling method was employed to include 347 middle school students who met the criteria for item analysis and reliability and validity testing,resulting in the formal version of the scale.Results The formal scale consists of three dimensions:knowledge,attitude,and behavior,with a total of 33 items.The expert authority coefficient score was 0.89,and Kendall 's W coefficient was 0.478.The content validity at the item level ranged from 0.82 to 1.00,while the content validity at the scale level was 0.93.Confirmatory factor analysis using Amos 24.0 yielded a model χ2/v of 1.831,RMSEA of 0.049,GFI of 0.842,CFI of 0.91,and PGFI of 0.739,indicating good model fit and structural validity.The overall Cronbach 's α was 0.914,with dimension-specific Cronbach's α values of 0.924,0.767,and 0.741;the split-half reliability of the total scale was 0.76.The test-retest reliability correlation coefficient(r) for the total scale was 0.717(P<0.001).Conclusion The Knowledge,Attitude,and Behavior Scale for Adolescent Sexual and Reproductive Health demonstrates good reliability and validity and can be used to assess adolescents' knowledge,attitudes,and behaviors regarding sexual and reproductive health.

关 键 词：青春期 性与生殖健康 知信行 信度 效度 

分 类 号：G627[文化科学—教育学] R193[医药卫生—卫生事业管理]