Development of the Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus and its reliability and validity test
10.3760/cma.j.cn115682-20250114-00234
- VernacularTitle:2型糖尿病高危人群主动健康行为量表的编制及信效度检验
- Author:
Yafei WAN
1
;
Yabo SUN
1
;
Yuting ZHENG
1
;
Ran WANG
1
;
Shuxing LI
1
Author Information
1. 华北理工大学护理与康复学院，唐山 063210
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
High-risk population;
Proactive health behavior;
Reliability;
Validity;
Community nursing
- From:
Chinese Journal of Modern Nursing
2025;31(27):3702-3708
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop the Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus to provide community healthcare workers with an assessment tool to measure proactive health behaviors in a multidimensional manner.Methods:Guided by the information-motivation-behavioral skills theory, a test version of the Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus was developed through literature research, semi-structured interviews, Delphi expert consultation, and pre-survey. Convenience sampling was used to select 696 cases of type 2 diabetes mellitus high-risk people in the community of Lubei District, Tangshan City, from February to June 2024 for the item analysis, reliability and validity test. A total of 696 questionnaires were distributed and 664 valid questionnaires were recovered, with a valid recovery rate of 95.40%.Results:The Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus included four dimensions, including prevention knowledge, prevention motivation, prevention skills, and prevention behaviors, with a total of 38 items. Exploratory factor analysis extracted four common factors, with a cumulative variance contribution rate of 64.203%. Confirmatory factor analysis showed good model fit. The total Cronbach's α coefficient for the scale was 0.940, the half fold reliability coefficient was 0.964, and the test-retest reliability coefficient was 0.859.Conclusions:The Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus has good reliability and validity, which can be used to evaluate the proactive health behaviors in population at high-risk of type 2 diabetes mellitus.
