社区老年人居家适老化改造知信行问卷的 编制及信效度检验
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男,本科,主管护师

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2023年度黑龙江省卫生健康委科研课题(20231212090297)


Development and psychometric validation of a Knowledge, Attitude, and Practice (KAP) Questionnaire on Home Modification for Aging in Place Among Community-Dwelling Older Adults
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    目的 编制社区老年人居家适老化改造知信行评估工具,为实施针对性干预提供依据。方法 基于知信行理论,通过文献回顾、小组讨论、德尔菲专家函询编制社区老年人居家适老化改造知信行问卷。采用便利抽样法,选取哈尔滨市、青岛市各4个社区的541名居家老年人进行问卷调查,对问卷进行项目分析和信效度检验。结果 社区老年人居家适老化改造知信行问卷包含知识、信念和行为3个维度共44个条目。探索性因子累计方差贡献率为64.635%;验证性因子分析显示模型拟合良好(χ2/df=2.568,RMSEA=0.076,GFI、AGFI、RFI、NFI、CFI、IFI、TLI均>0.900);量表水平的内容效度指数为0.886,条目水平的内容效度指数为0.882~1.000;总问卷Cronbach′s α系数为0.949,重测信度为0.766。结论 社区老年人居家适老化改造知信行问卷具有良好的信效度,可作为我国社区老年人居家适老化改造知信行水平的测评工具。

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    Objective To develop a Knowledge, Attitude, and Practice (KAP) Questionnaire on Home Modification for Aging in Place Among Community-Dwelling Older Adults, and to provide a basis for implementing targeted interventions. Methods Based on the Knowledge, Attitude/Belief, and Practice (KAP) theory, a questionnaire on home modification for aging in place among community-dwelling older adults was developed through literature review, group discussions, and Delphi expert consultations. Convenience sampling was used to select 541 elderly residents from four communities in Harbin and Qingdao for the questionnaire survey, followed by item analysis and reliability and validity testing of questionnaire. Results The Knowledge, Attitude, and Practice (KAP) Questionnaire on Home Modification for Aging in Place Among Community-Dwelling Older Adults included 44 items across three dimensions: knowledge, beliefs, and behaviors. The cumulative variance contribution rate of the exploratory factor analysis was 64.635%; the confirmatory factor analysis showed that the model was fit well (χ2/df=2.568, RMSEA=0.076, GFI, AGFI, RFI, NFI, CFI, IFI, TLI all >0.900); the content validity index at the scale level was 0.886, and the content validity index at the item level was 0.882~1.000; the overall Cronbach′s α coefficient of the questionnaire was 0.949, and the retest reliability was 0.766. Conclusion The Knowledge, Attitude, and Practice (KAP) Questionnaire on Home Modification for Aging in Place Among Community-Dwelling Older Adults has good reliability and validity and can serve as an assessment tool for evaluating the KAP level of home geriatric modifications among community-dwelling older adults in China.

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朱崇宽,秦军丽,邢崔崔,于杰,姜小雨,刘倩宏.社区老年人居家适老化改造知信行问卷的 编制及信效度检验[J].护理学杂志,2025,(12):100-104

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  • 收稿日期:2025-01-16
  • 最后修改日期:2025-03-22
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  • 在线发布日期: 2025-07-18