| 《青少年心理健康素养评定量表》编制及在医学生中的应用 |
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| 引用本文： | 李丹琳,胡婕,黄雪雪,薛艳妮,陈思娴,汪姗姗,万宇辉,陶芳标,张诗晨.《青少年心理健康素养评定量表》编制及在医学生中的应用[J].中国学校卫生,2021,42(7):1038-1041. |
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| 作者姓名： | 李丹琳 胡婕 黄雪雪 薛艳妮 陈思娴 汪姗姗 万宇辉 陶芳标 张诗晨 |
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| 作者单位： | 1.安徽医科大学公共卫生学院儿少卫生与妇幼保健学系，合肥 230032 |
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| 基金项目： | 国家自然科学基金项目81402699安徽医科大学"早期接触科研"训练计划项目2019-ZQKY-87 |
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| 摘 要： | 目的 编制《青少年心理健康素养评定量表》并评价在医学生中应用的信、效度，为研究中国青少年心理健康素养提供有效的测评工具。 方法 在文献综述的基础上，基于心理健康素养的概念框架和知信行理论构建了4个维度36个条目，采用Likert 1~5级评分标准进行评分。方便整群抽取安徽省2所医学类院校的大一、大二3 826名学生进行分析。通过t检验、Pearson相关分析、因子分析等方法对条目进行筛选，采用同质信度、半分信度和结构效度等评价问卷的信效度。 结果 《青少年心理健康素养评定量表》由4个维度22个条目组成，方差累积贡献率为62.213%，总问卷的Cronbach α系数为0.897，分半信度为0.800，各维度的Cronbach α系数为0.796~0.885，各维度的分半系数为0.725~0.846，问卷的信度良好。验证性因子分析显示，χ2/df值为19.319(P < 0.01)，近似均方根残差(RMSEA)为0.069，各拟合度指标均大于或接近0.9，模型拟合优度良好。 结论 《青少年心理健康素养评定量表》符合心理统计学要求，具有良好的信、效度，可以作为大学生心理健康素养水平的评定工具。
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| 关 键 词： | 精神卫生 健康教育 问卷调查 青少年 学生 |
| 收稿时间： | 2020-10-25 |
Development and application of the Adolescent Mental Health Literacy Assessment Questionnaire among medical undergraduates |
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| Affiliation: | 1.Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei(230032), China |
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| Abstract: | Objective To develop the Adolescent Mental Health Literacy Assessment Questionnaire (AMHLAQ), and to evaluate its reliability and validity among undergraduates. Methods On the basis of the definition of mental health literacy (MHL) and the Knowledge, Attitudes and Practices (KAP) theory, this study constructed a total of 36 items consisting of four dimensions, and scores were measured according to a five-point Likert-type scale. Using a cluster sampling method, a questionnaire survey was conducted among 3 826 freshmen and sophomore students from two medical schools in Anhui Province. The items were screened by performing t-tests, Pearson's correlation coefficient analysis and factor analysis. The reliability and validity of the questionnaire were evaluated using indicators including homogeneity reliability, the split-half reliability coefficient, and construct validity. Results Factor analysis revealed that the AMHLAQ consisted of 22 questions grouped into four domains. The variance cumulative contribution rate was 62.213%. The reliability result showed that the Cronbach's alpha coefficient of the total questionnaire was 0.897, the split-half reliability was 0.800, the Cronbach's coefficient of each dimension was 0.796 to 0.885, the split-half reliability of each dimension was 0.725 to 0.846, and the indicators had a high level of reliability. Confirmatory factor analysis showed that the model fit was good (χ2/df=19.319, P < 0.01; RMSEA=0.069). Conclusion AMHLAQ is consistent with the evaluation standard of psychometrics, has good reliability and validity, and can be used to estimate the level of MHL among undergraduates. |
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