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Instrument development and validation of the stroke pre-hospital delay behavior intention scale in a Chinese urban population.
- Source :
-
Health & Quality of Life Outcomes . 2014, Vol. 12 Issue 1, p170-178. 9p. 1 Diagram, 6 Charts. - Publication Year :
- 2014
-
Abstract
- Background: Several stroke impairment scales are currently available for stroke patients but none of them provide information regarding the pre-stroke behavioral intentions of high-risk stroke patients and their relatives. This study’s objective was to generate and validate a new written tool, the Stroke Pre-hospital Delay Behavior Intention (SPDBI) scale. It is suitable for use with high-risk stroke patients and their relatives to predict the likelihood of pre-hospital delay. Methods: From a review of related studies, we formulated a prototype scale. We interviewed ten stroke patients in a semi-structured iterative process that included interviews with experts, high-risk patients, and their family members. Then, we pretested and filtered items. We next used a large sample size and factor analysis to determine the scale’s structure. Finally, we checked the reliability and validity of the scale. Results: We identified five sub-domains (stroke warning signs, non-treatment justification, symptom attributions, habitual response style, and emergency system use). The SPDBI demonstrated good internal consistency and test-retest reliability (Cronbach’s α =0.808; Intraclass Correlation Coefficient [ICC] =0.797). Conclusions: This SPDBI scale is a reliable, and valid measure of the likeliness of pre-hospital delay in high-risk stroke patients and their family members. It may provide scientific assessment for targeted health education intervention. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14777525
- Volume :
- 12
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Health & Quality of Life Outcomes
- Publication Type :
- Academic Journal
- Accession number :
- 101215664
- Full Text :
- https://doi.org/10.1186/s12955-014-0170-8