Design and development of scales within the primary care domain: practical steps and statistical methods

Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-11-23 Cooperative journals: 《中国全科医学》

王飞 汤靖琪 孙小楠 孙昕霙 黎俊 孟星星 吴一波

Abstract：

This study outlines statistical methods and practical steps for the design and development of valid and reliable questionnaires within the primary health care domain. A series of studies on questionnaire development and scale design are reviewed and a standard process for scale design within the primary care domain is developed. The process addresses key practical steps in the scale design process as well as statistical methods, and is illustrated by examples from previous relevant studies within the field. We suggest the following seven-step approach to primary health care questionnaire development: (1) defining the conceptions to be measured; (2) generating the pool of items; (3) selecting the scoring system and response format; (4) pretesting (assessing content validity and face validity, etc.); (5) eliminating items by item analysis; (6) initial evaluation of the scale, including reliability evaluation of the scale, and factor analysis or Rasch analysis; (7) re-evaluation of the scale, which reexamines the nature of the scale, including retest reliability and construct validity. In general, scale design type of studies should strictly follow the standard steps of scale development, and the integrated use of Rasch model and factor analysis will make the results of measurement more objective.

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