关键词: Abdominal bloating Health promoting behavior Lifestyle Quality of life Questionnaire Self-management

来  源:   DOI:10.7717/peerj.11444   PDF(Pubmed)

Abstract:
UNASSIGNED: Health management strategies may help patients with abdominal bloating (AB), but there are currently no tools that measure behaviour and awareness. This study aimed to validate and verify the dimensionality of the newly-developed Health Promoting Behaviour for Bloating (HPB-Bloat) scale.
UNASSIGNED: Based on previous literature, expert input, and in-depth interviews, we generated new items for the HPB-Bloat. Its content validity was assessed by experts and pre-tested across 30 individuals with AB. Construct validity and dimensionality were first determined using exploratory factor analysis (EFA) and Promax rotation analysis, and then using confirmatory factor analysis (CFA).
UNASSIGNED: During the development stage, 35 items were generated for the HPB-Bloat, and were maintained following content validity assessment and pre-testing. One hundred and fifty-two participants (mean age of 31.27 years, 68.3% female) and 323 participants (mean age of 27.69 years, 59.4% male) completed the scale for EFA and CFA, respectively. Using EFA, we identified 20 items that we divided into five factors: diet (five items), health awareness (four items), physical activity (three items), stress management (four items), and treatment (four items). The total variance explained by the EFA model was 56.7%. The Cronbach alpha values of the five factors ranged between 0.52 and 0.81. In the CFA model, one problematic latent variable (treatment) was identified and three items were removed. In the final measurement model, four factors and 17 items fit the data well based on several fit indices (root mean square error of approximation (RMSEA) = 0.044 and standardized root mean squared residual (SRMR) = 0.052). The composite reliability of all factors in the final measurement model was above 0.60, indicating acceptable construct reliability.
UNASSIGNED: The newly developed HPB-Bloat scale is valid and reliable when assessing the awareness of health-promoting behaviours across patients with AB. Further validation is needed across different languages and populations.
摘要:
健康管理策略可能有助于腹胀(AB)患者,但是目前还没有衡量行为和意识的工具。本研究旨在验证和验证新开发的腹胀健康促进行为(HPB-Bloat)量表的维度。
根据以前的文献,专家输入,和深度访谈,我们为HPB-Bloat生成了新项目。其内容有效性由专家评估,并对30名AB患者进行了预先测试。首先使用探索性因子分析(EFA)和Promax旋转分析确定结构效度和维度,然后使用验证性因子分析(CFA)。
在开发阶段,为HPB-Bloat生成了35个项目,并在内容有效性评估和预测试之后保持不变。一百五十二名参与者(平均年龄31.27岁,68.3%为女性)和323名参与者(平均年龄27.69岁,59.4%男性)完成了全民教育和CFA的量表,分别。使用EFA,我们确定了20个项目,我们分为五个因素:饮食(五个项目),健康意识(四项),身体活动(三项),压力管理(四项),和治疗(四项)。EFA模型解释的总方差为56.7%。五个因子的Cronbachα值介于0.52和0.81之间。在CFA模型中,确定了一个有问题的潜在变量(治疗),并删除了三项.在最终的测量模型中,4个因素和17个项目基于几个拟合指数(均方根近似误差(RMSEA)=0.044和标准化均方根残差(SRMR)=0.052)很好地拟合了数据。最终测量模型中所有因素的综合可靠性均高于0.60,表明结构可靠性可接受。
新开发的HPB-Bloat量表在评估AB患者对健康促进行为的认识时是有效且可靠的。需要对不同语言和人群进行进一步验证。
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