老年人门诊初级保健服务量表获取的心理测量特征。

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Evaluation & the Health Professions Pub Date : 2023-06-01 DOI:10.1177/01632787231158806
Gerardo Santoyo-Sánchez, Hortensia Reyes-Morales, Sergio Flores-Hernández, Blanca Estela Pelcastre-Villafuerte, César Merino-Soto
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引用次数: 0

摘要

本研究评估了老年人获得门诊初级保健卫生服务量表(AOAOPHSS)的心理测量特性,在研究中,从14个农村和1个城市地区选择707名墨西哥老年人。AOAOPHSS探讨了可及性和个人能力两个综合子量表的10个维度。数据分析分五个阶段进行。首先,确定了潜在的偏见反应。其次,评估了项目的响应效率及其与外部变量的关联。第三,采用非参数Mokken标度分析(MSA)对AOAOPHSS各子量表维度得分的基本属性进行识别。第四,运用结构方程建模方法对潜在构念的内部结构属性进行识别。最后,在得分和项目水平上评估信度和内部一致性。结果如下。13个无效回答选项被删除,24个使用MSA保留。后者的潜在结构是基于可达性子量表5个维度的21个条目来定义的。其内部一致性信度范围为0.67 ~ 0.81 (ω系数),0.61 ~ 0.78 (alpha系数)。在此基础上,本文讨论了使用可达性子量表的总体意义。
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Psychometric Properties of the Access of Older Adults to Outpatient Primary-Care Health Services Scale.

This study evaluates the psychometric properties of the Access of Older Adults to Outpatient Primary-Care Health Services Scale (AOAOPHSS), in research conducted among 707 Mexican older adults selected by convenience from 14 rural and one urban locations. The AOAOPHSS explores 10 dimensions of two integrated subscales: Accessibility and Personal Abilities. Data analysis was performed in five phases. First, potentially biased responses were identified. Second, the response efficiency of the items and their association with external variables were evaluated. Third, the basic properties of the scores for the subscales' dimensions of the AOAOPHSS were identified using non-parametric Mokken Scaling Analysis (MSA). Fourth, the Structural Equation Modeling methodology was used to identify the properties of the internal structure of the latent construct. Finally, reliability and internal consistency were evaluated at both score and item levels. The following findings emerged. 13 items with inefficient response options were removed, and 24 were retained using the MSA. The latent structure of the latter was defined based on 21 items of five Accessibility Subscale dimensions. Its internal consistency reliability ranged between 0.67 and 0.81 (omega coefficients) and between 0.61 and 0.78 (alpha coefficients). Accordingly, this paper discusses the overall implications of using the Accessibility Subscale.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
31
审稿时长
>12 weeks
期刊介绍: Evaluation & the Health Professions is a peer-reviewed, quarterly journal that provides health-related professionals with state-of-the-art methodological, measurement, and statistical tools for conceptualizing the etiology of health promotion and problems, and developing, implementing, and evaluating health programs, teaching and training services, and products that pertain to a myriad of health dimensions. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 31 days
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