Instrument development and validation of the stroke pre-hospital delay behavior intention scale in a Chinese urban population

Health and Quality of Life Outcomes

Minghui Li²  Wei Gao²  Liu Yang²  Yanni Wu¹  Xiao Zhang²  Xuemei Zhu²  Qingqing Zuo²  Li Yang²  Qiuli Zhao² 

[1] Department of Nephrology, The 2nd Affiliated Hospital of Harbin Medical University, Harbin Medical University, Harbin 150086, HeiLongJiang Province, China;School of Nursing, The 2nd Affiliated Hospital of Harbin Medical University, Harbin Medical University, 246 Xuefu Road, Harbin 150086, HeiLongJiang Province, China

关键词: High-risk stroke patients;    Behavioral intention;    Pre-hospital delay;   

Others  :  1164483
DOI  :  10.1186/s12955-014-0170-8

 received in 2014-03-26, accepted in 2014-11-12,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Zhao et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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