背景:Salutogenesis专注于了解有助于积极健康结果的因素。模型的核心在于连贯感(SOC),在促进福祉和韧性方面发挥着至关重要的作用。
目的:使用validscaleStata命令,我们旨在评估法语版3维13项SOC问卷(SOC-13)的心理测量特性,包括可理解性,可管理性,和有意义的维度。我们还旨在确定是否有一个精确的量表,通过这种方法评估,与SOC-13相比,表现出优异的心理测量性能。
方法:从35个法国诊所招募的880名连续初级保健患者样本被要求完成SOC-13。我们使用Cronbachα和LoevingerH系数测试了内部一致性和可扩展性,分别,我们使用验证性因子分析和拟合优度指数(近似均方根误差[RMSEA]和比较拟合指数[CFI])测试了结构效度。
结果:在880名符合条件的患者中,804(91.4%)同意参加(n=527,65.6%的女性;平均年龄51岁)。SOC-13的Cronbachα和LoevingerH系数分别均<0.70和<0.30,表示内部一致性差和可扩展性差(可理解性为0.64和0.29,0.56和0.26的可管理性,0.46和0.17表示有意义,分别)。RMSEA和CFI>0.06(0.09)和<0.90(0.83),分别,表明配合不良。相比之下,单维8项目版SOC问卷(SOC-8)的心理测量特性非常好(Cronbachα=0.82,LoevingerH=0.38,RMSEA=0.05,CFI=0.97).
结论:三维SOC-13的心理测量特性较差,与一维SOC-8不同。仅使用这8个项目构建的问卷可能是测量SOC的良好候选人。然而,在推荐其用于研究之前,还需要进一步的验证研究.
BACKGROUND: Salutogenesis focuses on understanding the factors that contribute to positive health outcomes. At the core of the model lies the sense of coherence (
SOC), which plays a crucial role in promoting well-being and resilience.
OBJECTIVE: Using the validscale Stata command, we aimed to assess the psychometric properties of the French version of the 3-dimension 13-item SOC questionnaire (
SOC-13), encompassing the comprehensibility, manageability, and meaningfulness dimensions. We also aimed to determine if a refined scale, assessed through this method, exhibits superior psychometric properties compared to the SOC-13.
METHODS: A sample of 880 consecutive primary care patients recruited from 35 French practices were asked to complete the SOC-13. We tested for internal consistency and scalability using the Cronbach α and Loevinger H coefficients, respectively, and we tested for construct validity using confirmatory factor analysis and goodness-of-fit indices (root mean square error of approximation [RMSEA] and comparative fit index [CFI]).
RESULTS: Of the 880 eligible patients, 804 (91.4%) agreed to participate (n=527, 65.6% women; median age 51 years). Cronbach α and Loevinger H coefficients for the SOC-13 were all <0.70 and <0.30, respectively, indicating poor internal consistency and poor scalability (0.64 and 0.29 for comprehensibility, 0.56 and 0.26 for manageability, and 0.46 and 0.17 for meaningfulness, respectively). The RMSEA and CFI were >0.06 (0.09) and <0.90 (0.83), respectively, indicating a poor fit. By contrast, the psychometric properties of a unidimensional 8-item version of the SOC questionnaire (
SOC-8) were excellent (Cronbach α=0.82, Loevinger H=0.38, RMSEA=0.05, and CFI=0.97).
CONCLUSIONS: The psychometric properties of the 3-dimension SOC-13 were poor, unlike the unidimensional
SOC-8. A questionnaire built only with these 8 items could be a good candidate to measure the
SOC. However, further validation studies are needed before recommending its use in research.