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Measuring Nurses' Organizational Well-Being: A Systematic Review of Available Instruments. 测量护士的组织幸福感:对现有工具的系统评价。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2023-10-19 DOI: 10.1177/01632787231207018
Giovanni Gioiello, Francesco Zaghini, Valerio Della Bella, Jacopo Fiorini, Alessandro Sili

This systematic review aimed to identify and compare instruments measuring nurses' organizational well-being, summarise the dimensions measured by these instruments, the statistical analysis performed for validity evidence and identify an instrument that comprehensively investigates nurses' organizational well-being. The JBI Manual for Evidence Synthesis and the PRISMA checklist were used as guidelines. The search was conducted on Medline, CINAHL, Cochrane Library and Scopus. Critical appraisal and data extraction were drawn on the COSMIN checklist. Dimensions were conceptually synthesized by the measurement concepts' similarity. Twenty-two articles were retrieved and they included 21 instruments that measured nurses' organizational well-being. The instruments vary by dimension number (range 2-19), items (range 12-118) and concept elicitation. A plurality of methodologies has been used in instrument development and assessments of evidence for validity. Only four instruments reported a concurrent criterion validity or a measurement comparison with an already tested-for-validity instrument. Similar dimensions were leadership and support, relationships and communication, work-family balance, work demands, violence, control and autonomy, satisfaction and motivation, work environment and resources, careers, and organizational policy. This review underlines the core areas of the instruments that measure nursing organizational well-being. It allows administrators and researchers to choose the appropriate instruments for monitoring this multidimensional concept.

本系统综述旨在确定和比较测量护士组织幸福感的工具,总结这些工具测量的维度,对有效性证据进行的统计分析,并确定一种全面调查护士组织幸福的工具。JBI证据综合手册和PRISMA检查表被用作指南。搜索在Medline、CINAHL、Cochrane Library和Scopus上进行。关键评估和数据提取是根据COSMIN检查表进行的。维度是通过测量概念的相似性在概念上合成的。检索到22篇文章,其中包括21种测量护士组织幸福感的工具。文书因维度数量(范围2-19)、项目(范围12-118)和概念启发而有所不同。在工具开发和有效性证据评估中使用了多种方法。只有四种仪器报告了同时的标准有效性或与已经测试的有效性仪器的测量比较。类似的维度包括领导和支持、关系和沟通、工作与家庭平衡、工作需求、暴力、控制和自主、满意度和动机、工作环境和资源、职业和组织政策。这篇综述强调了衡量护理组织幸福感的工具的核心领域。它允许管理人员和研究人员选择适当的工具来监测这一多维概念。
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引用次数: 0
Fading Focus: Addressing the Association Between Challenge Stressors, Role Blurring, Insomnia, Fatigue, and Workplace Cognitive Failure. 焦点逐渐消失:解决挑战压力、角色模糊、失眠、疲劳和职场认知失败之间的关联。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2024-07-18 DOI: 10.1177/01632787241264597
Homayoun Pasha Safavi, Mona Bouzari

The primary goal of the present study is to inspect the plausible job-related (i.e., challenge stressors and role blurring) and individual factors (i.e., fatigue and insomnia) that potentially lead to work-related cognitive failures among healthcare staff. Through the judgmental sampling technique, data was collected from healthcare personnel in Iran. The results revealed that challenge stressors in the form of time pressure, job responsibility, and work overload are significantly related to role blurring. Moreover, role blurring increases fatigue and insomnia among medical staff, and both insomnia and fatigue cause workplace cognitive failure. The results also confirm the mediation effect of role blurring in the association between challenge stressors, insomnia, and fatigue. According to the results, insomnia and fatigue similarly mediate the role blurring on workplace cognitive failure association. Theoretical implications, useful suggestions for practitioners, and prospective research avenues are debated in the study.

本研究的主要目的是探究可能导致医护人员工作认知失败的工作相关因素(即挑战压力源和角色模糊)和个人因素(即疲劳和失眠)。通过判断抽样技术,研究人员从伊朗的医护人员中收集了数据。结果显示,时间压力、工作责任和超负荷工作等挑战性压力因素与角色模糊有很大关系。此外,角色模糊会增加医务人员的疲劳和失眠,而失眠和疲劳都会导致工作场所认知失败。研究结果还证实了角色模糊在挑战压力源、失眠和疲劳之间的中介效应。结果表明,失眠和疲劳同样对角色模糊与职场认知失败的关联具有中介作用。本研究讨论了其理论意义、对从业人员的有益建议以及前瞻性研究途径。
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引用次数: 0
Factors Associated With Agreement Between Parent and Childhood Cancer Survivor Reports on Child's Health Related Quality of Life. 父母与儿童癌症幸存者关于儿童健康相关生活质量报告一致的相关因素。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2023-06-28 DOI: 10.1177/01632787231185856
Carol Y Ochoa-Dominguez, Ann S Hamilton, Xueyan Zhuang, Wendy J Mack, Joel E Milam

Pediatric Health Related Quality of Life (HRQoL) among childhood cancer survivors (CCS) measures the impact of illness and treatment from the patient's perspective. However, parents often serve as proxies when the child cannot provide information directly. Studies of agreement between parents' proxy assessment and child's self-report have shown discrepancies. Understanding the reasons for discrepancies is under studied. Thus, this study examined the agreement of 160 parent-CCS dyads on the child's domains of HRQoL by mean difference, intra-class correlation coefficients, and Bland-Altman plots. Differences in agreement were assessed by patients' age, ethnicity, and whether or not they lived with their parents. Overall, the Physical Function Score showed good agreement between parents and CCS (ICC = 0.62), while the Social Function Score had fair agreement (ICC = 0.39). CCS were more likely to rate their Social Function Score higher than their parent. The lowest agreement for the Social Function Score was found for 18-20 years old's (ICC = .254) versus younger or older CCS, and among non-Hispanic whites (ICC = 0.301) versus Hispanics. Differences in agreement varied by patient age and ethnicity, suggesting that other factors, including emotional, familial, and cultural factors, may influence parental awareness of CCS HRQoL.

儿童癌症幸存者(CCS)的儿科健康相关生活质量(HRQoL)从患者的角度衡量疾病和治疗的影响。然而,当儿童无法直接提供信息时,父母往往会充当代理人。有关父母代理评估与儿童自我报告之间一致性的研究表明两者之间存在差异。对产生差异的原因还没有进行深入研究。因此,本研究通过均值差异、类内相关系数和布兰德-阿尔特曼图,检验了 160 个父母-CCS 对儿童 HRQoL 领域的一致性。根据患者的年龄、种族以及是否与父母同住来评估一致性差异。总体而言,父母和社区保健服务人员对身体功能评分的一致性较好(ICC = 0.62),而对社会功能评分的一致性一般(ICC = 0.39)。社區輔導員對其社交功能分數的評分較其家長為高。18-20 岁的儿童(ICC = 0.254)与年轻或年长的儿童及青少年(ICC = 0.254)以及非西班牙裔白人(ICC = 0.301)与西班牙裔儿童(ICC = 0.301)在社会功能评分方面的一致性最低。患者年龄和种族不同,同意度也不同,这表明其他因素(包括情感、家庭和文化因素)可能会影响父母对儿童疾病患者 HRQoL 的认识。
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引用次数: 0
Psychometric Tests for Hepatitis B - A Systematic Review. 乙型肝炎心理测试--系统回顾。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2023-07-18 DOI: 10.1177/01632787231188458
Simona-Alexandra Ispas, Dragos Iliescu, Lily Ren, Samuel So, Mehlika Toy

Hepatitis B is a condition that directly affects hundreds of millions of people, who may require testing for certain psychological constructs. This systematic review presents the current state with regard to the instruments that are used for the measurement of psychological variables in relation to hepatitis B. We conducted a comprehensive search in bibliographic databases (PubMed, Embase, Scopus, Web of Science, PsycINFO, CINAHL, and the Cochrane Library), and grey literature search. We identified commonly used measures, their psychometric properties and gaps in the research. Our findings from the 38 papers included in the review indicate that while several tests have been developed to cater to hepatitis B patients, most are focused on quality of life, with few targeting other needed directions, such as stigma or attitudes to vaccination. We also show the limits in current measures and discuss potential improvements.

乙型肝炎是一种直接影响数亿人的疾病,他们可能需要对某些心理结构进行测试。我们在文献数据库(PubMed、Embase、Scopus、Web of Science、PsycINFO、CINAHL 和 Cochrane 图书馆)和灰色文献检索中进行了全面搜索。我们确定了常用的测量方法、其心理测量特性和研究空白。我们从收录在综述中的 38 篇论文中得出的结论表明,虽然已经开发了几种针对乙型肝炎患者的测试,但大多数都侧重于生活质量,很少有针对其他需要的方向,如耻辱感或对疫苗接种的态度。我们还显示了当前测量的局限性,并讨论了潜在的改进措施。
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引用次数: 0
The Validity and Reliability of the Turkish Version of Self-Perceived Barriers for Physical Activity Questionnaire. 土耳其版《体育锻炼自我感觉障碍问卷》的有效性和可靠性。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2023-06-22 DOI: 10.1177/01632787231182681
Esma Nur Kolbaşı, Pınar Van Der Veer, Tansu Birinci

Identifying the barriers to physical activity (PA) is important for comprehensive management strategies to decrease physical inactivity. This study aimed to translate and cross-culturally adapt the Self-Perceived Barriers for Physical Activity Scale (SPBPA) into Turkish and investigate its psychometric properties. One-hundred fifty-two young and middle-aged adults (mean age of 33.3 ± 12.66 years) were included. Within a 5-to-15-day period after the first assessment, the participants completed the Turkish version of SPBPA (SPBPA-T) to evaluate test-retest reliability. Cronbach's alpha (α) was used to assess internal consistency. The correlation between the SPBPA-T and Physical Activity Barriers Questionnaire (PABQ) and Short Form-12 (SF-12) was determined to check the validity. The SPBPA-T had a strong internal consistency (α = .83) and test-retest reliability (ICC2,1 = .90). There was a strong correlation between PABQ and SPBPA-T (r = 0.709; p < .0001), indicating strong construct validity. The convergent validity of SPBPA-T was confirmed with the mental component of SF-12 (r = -.228; p < .0001). There was no floor or ceiling effect. The questionnaire had a 1.083 SEM value and its MDC was 3.00 points. The SPBPA-T is semantically and linguistically adequate and has strong internal validity and test-retest reliability to determine the self-perceived barriers to PA among Turkish-speaking young adults.

确定体育锻炼(PA)的障碍对于减少缺乏体育锻炼的综合管理策略非常重要。本研究旨在将 "自我感觉的体育锻炼障碍量表"(SPBPA)翻译成土耳其语并进行跨文化改编,同时调查其心理测量学特性。研究对象包括 152 名中青年成年人(平均年龄为 33.3 ± 12.66 岁)。在首次评估后的 5-15 天内,受试者完成了土耳其语版 SPBPA(SPBPA-T),以评估测试-再测可靠性。Cronbach's alpha (α)用于评估内部一致性。为了检验SPBPA-T的有效性,还测定了SPBPA-T与体力活动障碍问卷(PABQ)和简表-12(SF-12)之间的相关性。SPBPA-T 具有很强的内部一致性(α = .83)和测试-再测可靠性(ICC2,1 = .90)。PABQ 和 SPBPA-T 之间存在很强的相关性(r = 0.709; p < .0001),表明两者具有很强的建构效度。SPBPA-T与SF-12心理部分的收敛效度得到了证实(r = -.228; p < .0001)。没有出现下限或上限效应。问卷的 SEM 值为 1.083,MDC 为 3.00 分。SPBPA-T在语义和语言上都是适当的,具有很强的内部效度和重测信度,可用于确定讲土耳其语的年轻成年人在自我认知的运动障碍方面的情况。
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引用次数: 0
Impact of Multi-point Nursing Strategies Under a Clinical Problem-Solving Framework on Adverse Events Associated With Thyroid Nodule Resection. 临床问题解决框架下的多点护理策略对甲状腺结节切除术相关不良事件的影响
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2023-04-24 DOI: 10.1177/01632787231172277
Jian Zhu, Yutao Zhao, Li Huang, Junqiang Ju

The impact of multi-point nursing strategies drawing on a problem-solving clinical framework to examine adverse events associated with thyroid nodule resection was investigated. Patients (n = 98) who underwent thyroid nodule resection were divided into observation and control groups. Patients in the control group received conventional care, and patients in the observation group received a multi-point care strategy under a clinical problem-solving framework. The length of stay (p < .001), hospitalization cost (p < .001), nursing satisfaction scores (p < .001) of the observation group were longer or higher and statistically significant. The incidence of complications in the observation group (8.16%) was lower than that in the control group (22.45%). The incidence of adverse events in the observation group (2.04%) was lower than that in the control group (14.29%), and statistically significant (p < .05). The multi-point nursing strategy using a clinical problem-solving framework provided evidence that it shortened the length of stay, reduce hospitalization costs, improve psychological status, increase nursing satisfaction, and reduce complications and adverse events in patients undergoing thyroid nodule resection.

本研究借鉴解决问题的临床框架,探讨了多点护理策略对甲状腺结节切除术相关不良事件的影响。将接受甲状腺结节切除术的患者(98 人)分为观察组和对照组。对照组患者接受常规护理,观察组患者接受临床问题解决框架下的多点护理策略。观察组患者的住院时间(p < .001)、住院费用(p < .001)、护理满意度评分(p < .001)更长或更高,且有统计学意义。观察组并发症发生率(8.16%)低于对照组(22.45%)。观察组不良反应发生率(2.04%)低于对照组(14.29%),差异有统计学意义(P < .05)。采用临床问题解决框架的多点护理策略为甲状腺结节切除术患者缩短住院时间、降低住院费用、改善心理状态、提高护理满意度、减少并发症和不良事件提供了证据。
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引用次数: 0
Assessment of Medical Education on Transgender Health: A Scoping Literature Review. 跨性别健康医学教育评估:范围文献综述。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-01 Epub Date: 2023-11-15 DOI: 10.1177/01632787231214531
Samuel Dubin, Eric Kutscher, Ian Nolan, Nathan Levitt, Tiffany E Cook, Richard E Greene

Little is known about how physician learners are assessed following educational interventions about providing gender-affirming care to transgender and gender diverse (TGD) people. The inclusion of learner assessments with educational interventions is essential to understand and measure health professionals' knowledge and skills. We seek to describe how the medical literature has approached the assessment of learners following educational interventions about TGD health. A scoping literature review was done. The guiding research question was "What are the current learner-assessment practices in medical education pedagogy about TGD health?" A total of 270 manuscripts were reviewed. 17 manuscripts were included for data extraction. Miller's pyramid was used to categorize results. 15 used pre- and post-intervention knowledge questionaries to assess learners. Six used simulated patient encounters to assess learners. Most assessments of TGD knowledge and skills among physician learners are pre- and post-surveys. There is sparse literature on higher level assessment following educational interventions that demonstrate learner skills, behaviors, or impact on patient outcomes. Discrete, one-time interventions that are lecture or workshop-based have yet to rigorously assess learners' ability to provide clinical care to TGD patients that is both culturally humble and clinically astute.

很少有人知道如何评估医师学习者在教育干预提供性别肯定护理变性和性别多样化(TGD)的人。将学习者评估纳入教育干预措施对于了解和衡量卫生专业人员的知识和技能至关重要。我们试图描述如何医学文献已经接近学习者的评估教育干预后的TGD健康。进行了范围界定文献综述。指导研究的问题是“目前医学教育教学中关于TGD健康的学习者评估实践是什么?”审稿共270份。纳入17篇稿件进行数据提取。米勒金字塔被用来对结果进行分类。15使用干预前和干预后的知识问卷来评估学习者。其中六人使用模拟病人接触来评估学习者。医生学习者对TGD知识和技能的大多数评估是在调查前和调查后进行的。在教育干预后的高水平评估中,很少有文献表明学习者的技能、行为或对患者预后的影响。以讲座或研讨会为基础的离散的、一次性的干预措施尚未严格评估学习者为TGD患者提供临床护理的能力,这种能力既要在文化上谦虚,又要在临床上精明。
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引用次数: 0
A Systematic Review: What Are the Impacts of Receiving Extrinsic Feedback on Health Professions Students in Higher Education? 系统回顾:接受外在反馈对高等教育卫生专业学生有何影响?
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-08-29 DOI: 10.1177/01632787241277826
Raymond Boon Tar Lim, Kelly Voo, Claire Gek Ling Tan, Huili Zheng

Effective feedback is crucial for educating health professions students. This systematic review investigates the impact of extrinsic feedback on health professions students, encompassing medical, dental, and nursing fields. Through meticulous gathering and analysis of 37 studies, this review highlights verbal and visual feedback as predominant forms, often delivered immediately by instructors and supplemented by peer or simulated input. Notably, technology is increasingly utilised to enhance the provision of feedback. The impacts of feedback span various domains, including surgical skills and patient communication, revealing notable improvements in procedural skills such as suturing and knot-tying, as well as general patient communication proficiency. Meta-analyses underscore significant enhancements in communication skills and provide nuanced insights into chest compression techniques. Overall, the findings provide initial evidence that extrinsic feedback enhances surgical procedural skills and general patient communication proficiency among health professions students. The evolving role of technology in feedback provision is promising. Future studies should assess extrinsic feedback across different health professions to better understand its impacts and alignment with specific educational needs and accreditation standards, thereby enhancing learning outcomes.

有效的反馈对卫生专业学生的教育至关重要。这篇系统性综述调查了外在反馈对健康专业学生的影响,包括医学、牙科和护理领域。通过对 37 项研究的细致收集和分析,本综述强调口头和视觉反馈是主要的反馈形式,通常由教师立即提供,并辅以同伴或模拟输入。值得注意的是,越来越多的技术被用来加强反馈的提供。反馈的影响横跨各个领域,包括手术技能和患者沟通,显示了手术技能(如缝合和打结)以及一般患者沟通熟练程度的显著提高。元分析强调了沟通技能的显著提高,并对胸外按压技术提供了细致入微的见解。总之,研究结果提供了初步证据,证明外在反馈可提高卫生专业学生的外科手术技能和一般患者沟通能力。技术在提供反馈方面不断发展的作用令人充满希望。未来的研究应评估不同卫生专业的外在反馈,以更好地了解其影响以及与特定教育需求和认证标准的一致性,从而提高学习效果。
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引用次数: 0
Combining Business Education With Clinical Acumen … is it Necessary? 将商业教育与临床能力相结合......有必要吗?
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-08-20 DOI: 10.1177/01632787241276210
Elizabeth Loftus

The evolving landscape of healthcare necessitates a paradigm shift in professional education, blending clinical expertise with business acumen. This paper delves into the need for healthcare professionals to acquire a comprehensive understanding of both clinical intricacies and business dynamics while examining the emergence of joint degree programs aimed to equip graduates with multifaceted skills required to navigate the complexities our of modern healthcare delivery systems. Drawing from a diverse literature review, this paper highlights the pros and cons of this dual-degree education and the benefits that it brings given today's challenging healthcare landscape. It explores the profound impact of such programs on student outcomes, emphasizing the cultivation of leadership, financial acumen, and strategic thinking alongside clinical competencies. Moreover, it addresses concerns regarding academic rigor and the feasibility of integrating business education into an already demanding healthcare curricula. Analysis of current trends and future projections underscores the growing demand for professionals who possess hybrid skill sets. With healthcare workforce shortages and evolving industry challenges, individuals equipped with both clinical and business proficiencies are poised to lead innovation and drive organizational success.

医疗保健行业不断发展,需要转变专业教育模式,将临床专业知识与商业头脑相结合。本文深入探讨了医疗保健专业人员全面了解临床复杂性和商业动态的必要性,同时研究了联合学位课程的出现,这些课程旨在培养毕业生掌握现代医疗保健服务体系复杂性所需的多方面技能。本文通过对各种文献的回顾,强调了这种双学位教育的利弊,以及在当今充满挑战的医疗环境下所带来的益处。本文探讨了此类课程对学生学习成果的深远影响,强调在培养临床能力的同时,还要培养学生的领导力、财务敏锐度和战略思维。此外,它还探讨了学术严谨性以及将商业教育融入要求已经很高的医疗保健课程的可行性。对当前趋势和未来预测的分析凸显了对具备混合技能组合的专业人才日益增长的需求。随着医疗保健行业劳动力的短缺和不断变化的行业挑战,同时具备临床和商业技能的人才将引领创新,推动组织成功。
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引用次数: 0
Validation and Measurement Invariance of the Tendency to Avoid Physical Activity and Sport Scale (TAPAS) Among Thai Young Adults. 泰国青少年避免体育活动和运动倾向量表 (TAPAS) 的验证和测量不变性。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-08-16 DOI: 10.1177/01632787241271117
Kamolthip Ruckwongpatr, Daniel Kwasi Ahorsu, Apiradee Pimsen, Chirawat Paratthakonkun, Serene En Hui Tung, Iqbal Pramukti, Nadia Bevan, Jung-Sheng Chen, Chi Hsien Huang, Amir H Pakpour, Mark D Griffiths, Chung-Ying Lin

Examining ways of reducing physical inactivity has been at the forefront of public health research. Moreover, valid and reliable scales are needed to objectively assess physical activity (PA) avoidance. Previous research has shown that experiencing weight stigma and physical appearance-related concerns are associated with physical inactivity. However, there is currently no Thai instrument that assesses physical inactivity in relation to weight stigma. Therefore, the present study examined the psychometric properties of the Thai version of the Tendency to Avoid Physical Activity and Sport Scale (TAPAS). Thai university students (N = 612) recruited via convenience sampling completed an online survey using SurveyMonkey between September 2022 and January 2023. Confirmatory factor analysis (CFA), multigroup CFA, and Pearson correlations (between TAPAS scores, age, body mass index, and time spent exercising) were used to analyze the data. The CFA showed robust psychometric properties for the Thai version of TAPAS regarding its unidimensional structure. The TAPAS was measurement invariant across sex, weight status, and daily hours of exercise. However, no significant Pearson correlations were found. In general, the results showed that the TAPAS is a good scale for assessing PA avoidance among Thai young adults across different sexes, weight status, and daily hours of exercise.

研究减少缺乏运动的方法一直是公共卫生研究的前沿课题。此外,还需要有效可靠的量表来客观评估避免体育锻炼(PA)的情况。以往的研究表明,体重污名化和与外貌相关的担忧与缺乏体育锻炼有关。然而,目前泰国还没有一种工具可以评估与体重鄙视相关的不运动情况。因此,本研究考察了泰语版避免体育锻炼和运动倾向量表(TAPAS)的心理测量特性。在 2022 年 9 月至 2023 年 1 月期间,通过便利抽样招募的泰国大学生(N = 612)使用 SurveyMonkey 完成了在线调查。数据分析采用了确认因素分析(CFA)、多组CFA和皮尔逊相关(TAPAS得分、年龄、体重指数和锻炼时间之间)。CFA显示,泰语版TAPAS的单维结构具有稳健的心理测量特性。TAPAS 在不同性别、体重状况和每天运动时间之间具有测量不变性。不过,没有发现明显的皮尔逊相关性。总之,研究结果表明,TAPAS 是一个很好的量表,可用于评估不同性别、体重状况和每天运动时间的泰国年轻人对 PA 的回避情况。
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