家庭脆弱度表:内容和内部结构有效性的证据
Evelyn Lima de Souza1, Ilana Eshriqui1, Flávio Rebustini2
1Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil.
PloS one
|October 25, 2023
概括
开发并验证了巴西新的家庭脆弱性表 (EVFAM-BR). 这项14项工具有效地识别了初级保健机构的低,中等和高家庭脆弱性层.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 家庭脆弱性评估对于定制初级保健干预措施至关重要.
- 现有的家庭脆弱性工具缺乏足够的有效性证据,用于不同的巴西环境.
- 巴西需要一个与文化相关且在心理测量上健全的仪器.
研究的目的:
- 开发和建立巴西家庭脆弱性量表 (EVFAM-BR) 的有效性证据.
- 创建一个可靠的工具来分层家庭在初级保健中的脆弱性.
- 为了支持基于证据的医疗保健指导在不同的巴西社会经济和文化环境.
主要方法:
- 通过对123名医疗保健专业人员进行定性研究来生成项目.
- 由73名多学科专家进行的内容有效率 (CVR) 评估,细化为38项.
- 使用探索性因子分析 (EFA) 对1,255个个体进行内部结构有效性测试,用于维度和交叉验证的强有力的并行分析.
主要成果:
- 最终的EVFAM-BR由四个维度的14个项目组成,解释了79.02%的差异.
- 满意的有效性和可靠性指数 (α = 0.71, ω = 0.70, glb = 0.83, ORION = 0.80-0.93) 是令人满意的.
- 规范化得分定义了三个脆弱性层:低 (0-4),中等 (5-6),高 (7-14).
结论:
- 该EVFAM-BR证明了令人满意的有效性,一致性,可靠性和稳定性.
- 该尺度是衡量和区分家庭脆弱程度的简洁有效工具.
- 在巴西,EVFAM-BR支持针对性的初级保健策略.
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