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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (8): 1-5.doi: 10.16460/j.issn1008-9969.2020.08.001

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Development of Protection Motivation Questionnaire for High Risk Population of Stroke and Its Reliability and Validity

DENG Li-ping1, XIE Xiao-hua2, WANG Ya-ping2, YANG Jie1, PAN Lu2, MA Jia-hui1, XIAO Jing-yi3, XIONG Xiao-yun3   

  1. 1. Anhui Medical University, Clinical College of the Second Shenzhen Hospital, Shenzhen 518035, China;
    2. The Second People's Hospital of Shenzhen, the First Affiliated Hospital of Shenzhen University, Shenzhen 518035, China;
    3. School of Nursing, Guangzhou Medical University, Guangzhou 510000,China
  • Received:2019-09-19 Online:2020-04-25 Published:2020-07-14

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Abstract: Objective To develop a protective motivation questionnaire for stroke high-risk population（PMQ-SHR） and to test its reliability and validity. Methods Guided by the protection motivation theory, the initial questionnaire was formed through guidelines and literature review, Delphi consulting, and pre-experiment. A total of 304 stroke high-risk patients by convenient sampling method were chosen to test its reliability and validity. Results There were 6 dimensions in the developed PMQ-SHR including severity, susceptibility, internal and external reward, response efficacy, response cost and self-efficacy, and 42 items. The cumulative variance contribution rate of the factors was 64.162%, 47.559%, 53.396%, 63.531%, 50.235%, and 49.636%, respectively. The content validity index of the questionnaire was 0.963, and that of the items ranged from 0.857 to 1. The Cronbach α coefficient was 0.872 for the questionnaire, and 0.779 to 0.874 for all the dimensions. The half-fold reliability of the questionnaire was 0.909; the test-retest reliability coefficient 0.810 for the questionnaire, and 0.718~0.885 for all the dimensions (P<0.01). Conclusion With good reliability and validity, the developed PMQ-SHR can be used to explain and predict the intention of healthy behavior of high-risk population of stroke.

Key words: stroke, high risk population, protective motivation theory, Delphi Technique, reliability, validity

CLC Number: 

  • R473
[1] 国家卫生和计划生育委员会脑卒中筛查与防治工程委员会. 卒中筛查与防治技术规范[J]. 中华神经科杂志, 2014, 47(3):199-203.DOI:10.3760/cma.j.issn.1006-7876.2014.03.014.
[2] 《中国脑卒中防治报告2018》编写组. 我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J]. 中国循环杂志, 2019, 34(2):105-119.DOI:10.3969/j.issn.1000-3614.2019.02.001.
[3] O'donnell MJ, Chin SL, Rangarajan S, et al.Global and Regional Effects of Potentially Modifiable Risk Factors Associated with Acute Stroke in 32 Countries (Interstroke): ACase-control Study[J]. Lancet, 2016, 388(10046):761-775.DOI:10.1016/s0140-6736(16)30506-2.
[4] Rogers RW.A Protection Motivation Theory of Fear Appeals and Attitude Change1[J]. J Psychol, 1975, 91(1):93-114.DOI:10.1080/00223980.1975.9915803.
[5] Gidlow CJ, Ellis NJ, Cowap L, et al.A Qualitative Study of Cardiovascular Disease Risk Communication in Nhs Health Check Using Different Risk Calculators: Protocol for the Risk Communication in Nhs Health Check (Rico) Study[J]. BMC Fam Pract, 2019, 20(1):11.DOI:10.1186/s12875-018-0897-0.
[6] Chambers RS, Rosenstock S, Lee A, et al.Exploring the Role of Sex and Sexual Experience in Predicting American Indian Adolescent Condom Use Intention Using Protection Motivation Theory[J]. Front Public Health, 2018, (6):318.DOI:10.3389/fpubh.2018.00318.
[7] Thrul J, Stemmler M, Buhler A, et al.Adolescents' Protection Motivation and Smoking Behaviour[J]. Health Educ Res, 2013, 28(4):683-691.DOI:10.1093/her/cyt062.
[8] Mirkarimi K, Eri M, Ghanbari MR, et al.Modifying Attitude and Intention Toward Regular Physical Activity Using Protection Motivation Theory: A Randomized Controlled Trial[J]. Eastern Mediterr Health J, 2017, 23(8):543-550.
[9] Chan CW, Choi KC, Wong RS, et al.Examining the Cervical Screening Behaviour of Women Aged 50 or above and Its Predicting Factors: A Population-based Survey[J].Int J Environ Res Public Health, 2016, 13(12):E1195. DOI:10.3390/ijerph13121195.
[10] 陈娟,谢继安,徐莲英,等. 保护动机干预模式对社区中老年高血压患者自我管理行为的影响[J]. 重庆医学, 2018, 47(27):3576-3579.DOI:10.3969/j.issn.1671-8348.2018.27.025.
[11] 陈洁,吴茜,程小霁. 对妊娠期糖尿病患者基于保护动机理论的护理干预[J]. 护理学杂志,2017, 32(6):25-27.DOI:10.3870/j.issn.1001-4152.2017.06.025.
[12] 朱晨茜,赵江丽,王春霞. 脑卒中护理咨询门诊的建立与思考[J]. 齐鲁护理杂志, 2016, 22(7):88-90.DOI:10.3969/j.issn.1006-7256.2016.07.046.
[13] 吴明隆. 问卷统计分析实务-SPSS操作与应用[M]. 重庆:重庆大学出版社, 2010:160-244.
[14] 麦舒敏. 基于DART模型患者价值共创行为量表研制及应用[D].广州:南方医科大学, 2019.
[15] Je M, Rogers RW.Protection Motivation and Self-efficacy: A Revised Theory of Fear Appeals and Attitude Change[J]. Health Psychology, 1983, 19(5):469-479.
[16] 钱湘云,何炜,耿桂灵,等.社区老年高血压保护动机模型建立与分析[J]. 中国老年学杂志, 2015, 35(17):4970-4973.DOI:10.3969/j.issn.1005-9202.2015.17.116.
[17] Xiao H, Peng M, Yan H, et al.An Instrument Based on Protection Motivation Theory to Predict Chinese Adolescents' Intention to Engage in Protective Behaviors Against Schistosomiasis[J]. Global Health Res and Policy, 2016, 1:15.DOI:10.1186/s41256-016-0015-6.
[18] Wang W, Jiang B, Sun H, et al.Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-based Survey of 480 687 Adults[J]. Circulation,2017, 135(8):759-771.DOI:10.1161/circulationaha.116.025250.
[19] Chamroonsawasdi K, Chottanapund S, Tunyasitthisundhorn P, et al.Development and Validation of a Questionnaire to Assess Knowledge, Threat and Coping Appraisal, and Intention to Practice Healthy Behaviors Related to Non-Communicable Diseases in the Thai Population[J]. Behav Sci (Basel, Switzerland),2017,7(2):E20.DOI:10.3390/bs7020020.
[20] Goldstein LB, Bushnell CD, Adams RJ, et al.Guidelines for the Primary Prevention of Stroke[J]. Stroke, 2011, 42(2):517-584.DOI:10.1161/STR.0b013e3181fcb238.
[21] 杨莘. 中国脑卒中护理指导规范[M]. 国家卫生计生委脑卒中防治工程委员会, 2015:8-14.
[22] Ping W, Cao W, Tan H, et al.Health Protective Behavior Scale: Development and Psychometric Evaluation[J]. PloS one, 2018,13(1):e0190390.DOI:10.1371/journal.pone.0190390.
[23] 梅永霞. 脑卒中照顾者获益感概念框架及其评估工具的研究[D].郑州:郑州大学, 2018.
[24] 张凡,张静萍. 基于Delphi-AHP法多发伤患者ICU护理监测评估量表的构建[J]. 护理学报, 2019, 26(22):11-15.DOI:10.16460/j.issn1008-9969.2019.22.011.
[25] 李峥,刘宇. 护理学研究方法[M]. 北京:人民卫生出版社, 2018:251.
[26] Hickman RLJ, Pignatiello GA, Tahir S.Evaluation of the Decisional Fatigue Scale Among Surrogate Decision Makers of the Critically Ill[J]. West J Nurs Res, 2018, 40(2):191-208.DOI:10.1177/0193945917723828.
[27] 王妍,刘峰,田敏,等. 心内科护理安全管理评价量表的编制及信度效度检验[J]. 护理学报, 2019, 26(15):5-8.DOI:10.16460/j.issn1008-9969.2019.15.005.
[28] Koh YL, Lua YH, Hong L, et al.Using a Web-based Approach to Assess Test-retest Reliability of the "Hypertension Self-care Profile" Tool in an Asian Population[J]. Medicine (Baltimore), 2016, 95(9):e2955.DOI:10.1097/MD.0000000000002955.
[29] Dikken J, Hoogerduijn JG, Kruitwagen C, et al.Content Validity and Psychometric Characteristics of the "Knowledge about Older Patients Quiz" for Nurses Using Item Response Theory[J].J Am Geriatr Soc, 2016, 64(11):2378-2383.DOI:10.1111/jgs.14476.
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