Chinesization of the attitudes toward medical help-seeking scale and its reliability and validity / 中华行为医学与脑科学杂志

ABSTRACT

Objective:To translate the attitudes toward medical help-seeking scale (ATMHSS) and evaluate the reliability and validity of ATMHSS Chinese version in Chinese residents.Methods:Totally 769 residents were chosen through convenient sampling method.Based on item analysis and exploratory factor analysis, ATMHSS Chinese version was determined and its reliability and validity were examined.Results:Four main factors were extracted by exploratory factor analysis which were pro-action (10 items), non-fatalistic (10 items), med trust (6 items) and non-avoidant (4 items). Correlations between each dimension and the total score ranged from 0.641 to 0.839 and the correlations between each dimension were from 0.213 to 0.556.There was a significant positive correlation between ATMHSS and criterion variables ( r=0.406-0.696, all P<0.01). The confirmatory factor analysis showed the four-factor model fit the data well(χ 2=752.572, df=391, χ 2/ df=1.925, RMSEA=0.045, SRMR=0.058, CFI=0.902, GFI=0.903, IFI=0.903, TLI=0.891). The Cronbach's α coefficients of ATMHSS degreed from 0.726 to 0.879, the retest reliability of ATMHSS degreed from 0.622 to 0.736. Conclusion:The revised ATMHSS Chinese version shows good reliability and validity, which could be used as a tool for relevant research and application.