Development and validation of a Behavioral Decision-making Scale for Glycemic Management in Pregnant Women with Gestational Diabetes
10.3761/j.issn.0254-1769.2024.22.012
- VernacularTitle:妊娠期糖尿病孕妇血糖管理行为决策量表的编制及信效度检验
- Author:
Yumei PENG
1
;
Huiying KE
;
Meijing ZHAO
;
Lili LIU
;
Baoyuan XIE
;
Yumei CHEN
;
Yaping XIE
;
Huifen ZHAO
Author Information
1. 350122 福州市 福建医科大学护理学院
- Keywords:
Gestational Diabetes Mellitus;
Blood Glucose Management;
Self-Management;
Behavioral Decision-Making;
Scale;
Reliability;
Validity;
Nursing Assessment
- From:
Chinese Journal of Nursing
2024;59(22):2766-2773
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a Behavioral Decision-making Scale for Glycemic Management in pregnant women with gestational diabetes and to test its reliability and validity.Methods Based on the trans-theoretical model and behavioral decision theory,the test version of the scale was formed through literature review,semi-structured interview,brainstorming,2 rounds of expert consultation and cognitive interview.A total of 560 pregnant women with gestational diabetes mellitus were recruited from 10 hospitals in Quanzhou,Fujian Province by convenience sampling method from 21 July to November 2023.The data were divided into 2 parts by random number method for exploratory factor analysis and confirmatory factor analysis.Results The scale included 4 dimensions of"behavioral decision-making motivation""behavioral decision-making influencing factors""behavioral decision-making intention"and"behavioral decision-making effectiveness"with 34 items.The Cronbach's αcoefficient of the total scale was 0.971;the split-half reliability was 0.919;the test-retest reliability was 0.863;the content validity index of the scale was 0.853.The exploratory factor analysis extracted 4 common factors,and the cumulative variance contribution rate was 78.28％.The confirmatory factor analysis showed that the factor structure of the scale was stable.Conclusion The scale has ideal reliability and validity,which can be used to measure the level of glycemic management behavior decision-making of pregnant women with gestational diabetes mellitus.
