Development of patient’s usage intention towards diabetes applications scale
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摘要: 目的 编制糖尿病应用程序使用意向量表并检验其信效度,为进一步研究患者糖尿病应用程序使用意向提供工具。 方法 以整合技术接受模型为理论依据,结合糖尿病患者半结构访谈和专家咨询等方法收集条目。形成正式调查表后,于2019年7—10月调查安徽省蚌埠市3所综合性医院共430例糖尿病患者。在利用相关系数法、Cronbach'sα系数法、决断值及t检验法删除项目后,将有效回收问卷分为2个部分,其中数据库1(201份)用于探索性因素分析,确定糖尿病应用程序使用意向量表的条目和维度;数据库2(201份)用于进行验证性因素分析和考察糖尿病应用程序量表的信度和效度。本研究通过分析患者移动医疗使用行为与糖尿病应用程序使用意向总分的相关程度验证糖尿病应用程序使用意向量表的效标关联效度。 结果 最终版量表共包含3个维度18个条目;解释总变异量的71.191%;验证性因素分析得出模型拟合指数:χ2/df=2.060、GFI=0.858、AGFI=0.816、CFI=0.944、RMSEA=0.073;糖尿病应用程序使用意向总分与使用糖尿病移动医疗行为的相关系数r=0.683(P<0.01)。总量表Cronbach'sα系数为0.930,绩效期望、努力期望、社会影响维度的Cronbach'sα系数分别为0.906、0.919、0.888;总量表的重测信度为0.934,绩效期望、努力期望、社会影响维度的重测信度分别为0.900、0.897、0.857。 结论 量表具有良好的信度和效度,可作为评估糖尿病应用程序使用意向的工具。Abstract: Objective To develop patient's usage intention towards diabetes applications scale and test its reliability and validity,in order to provide tools for further research on the intention of using diabetes application in patients. Methods Based on the Unified Theory of Acceptance and Use of Technology, the items were collected based on semi-structured interviews and consultations of diabetic patients were experted. After the formal questionnaire was formed, a total of 430 patients with diabetes were surveyed in three general hospitals in Bengbu city, Anhui Province from July to October 2019. After item analysis, the database was divided into two parts, of which database 1(n=201) was used for exploratory factor analysis. In order to determine dimensions and items, database 2(n=201) was used for confirmatory factor analysis and to examine the reliability and validity. The correlation validity of the diabetes application intention scale was verified by analyzing the correlation degree between patients' mobile medical use behavior and the total score of diabetes application intention. Results The final version of the scale contains 18 items,3 dimensions. The cumulative variance contribution rate was 71.191%, and the confirmatory factor analysis indicated that: χ2/df=2.060, GFI=0.858, AGFI=0.816, CFI=0.944, RMSEA=0.073, the correlation coefficient between the total intention score of diabetic application use and the use of diabetes mobile medical behavior r=0.683, P<0.01. The Cronbach's α coefficient of the total scale is 0.930, and the Cronbach's α coefficients of the performance expectations, effort expectations, and social impact dimensions were 0.906, 0.919,and 0.888, respectively. The test-retest reliability of the total scale was 0.934, and the retesting reliability of performance expectations, effort expectations, and social impaction dimensions were 0.900, 0.897, and 0.857, respectively. Conclusion The scale has good reliability and validity and can be a tool for assessing the intention of diabetes applications.
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Key words:
- Diabetes /
- Mobile medical treatment /
- Mobile APP /
- Reliability /
- Validity
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