Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Validity and Reliability of the Turkish Version of the Health Belief Model Based Bicycle Helmet Attitudes Scale Among University Students
Sağlık İnanç Modeli Temelli Bisiklet Kaskı Tutum Ölçeği'nin Türkçe Versiyonunun Üniversite Öğrencilerinde Geçerlik ve Güvenirliği
Asiye KARTALa, Eda KILINÇa, Nazan KOŞTUa
aDepartment of Public Health Nursing, Pamukkale University Faculty of Health Sciences, Denizli, TURKEY
Turkiye Klinikleri J Nurs Sci. 2021;13(2):275-86
doi: 10.5336/nurses.2020-78656
Article Language: EN
Full Text
ABSTRACT
 Objective: Measuring health beliefs and attitudes that support bicycle helmet use assists healthcare professionals in increasing the use. This study aimed to provide the Turkish society with an instrument that can measure students' attitudes related to health beliefs in bicycle helmet use and to analyze its validity-reliability. Material and Methods: This methodological research was carried out in psychological counseling and guidance department of Pamukkale University in Turkey among students between January and March 2019 (n=326). The data were collected in face-to-face interviews with the socio-demographic question form and the Bicycle Helmet Attitudes Scale. Internal consistency coefficient and test-retest analyses were used for the reliability of the scale, and content validity index and confirmatory factor analyses for its validity. Results: Turkish form of the scale is composed of 56 items and 10 factors. Cronbach alpha values of the sub-dimensions ranged from 0.70 to 0.88. The confirmatory factor analysis concluded χ2/df=2.18; root mean square error of approximation=0.06; comparative fit index=0.94; incremental fit index=0.94. The test-retest correlation value of the sub-dimensions is between 0.50 and 1.00. The confirmatory factor analysis showed acceptable values and acceptable fit for the model fit statistics. Conclusion: Turkish form is an instrument with sufficient validity and reliability indicators. The Turkish form which can be easily applied to individuals of all age groups can determine health belief levels associated with individuals' bicycle helmet use and identify vulnerability, severity, benefit, barrier and cues to action.

Keywords: Head protective devices; attitude to health; nursing
ÖZET
 Amaç: Bisiklet kaskı kullanımını engelleyen/destekleyen; sağlık, inanç ve tutumları ölçmek, bisiklet kaskı kullanımını artırmada, sağlık profesyonellerine destek sağlamaktadır. Bu çalışmada amaç, öğrencilerin bisiklet kaskı kullanımında sağlık inancıyla ilişkili tutumlarını ölçebilen bir ölçüm aracını Türk toplumuna kazandırmak ve geçerlik- güvenirliğini analiz etmektir. Gereç ve Yöntemler: Bu metodolojik araştırma, Türkiye'de bulunan Pamukkale Üniversitesinin psikolojik danışma ve rehberlik bölümünde öğrenim gören öğrenciler arasında Ocak ve Mart 2019 tarihlerinde yapılmıştır (n=326). Veriler, sosyodemografik veri formu ve Bisiklet Kaskı Tutum Ölçeği kullanılarak yüz yüze görüşme yöntemi ile toplanmıştır. Ölçeğin, güvenirliği için iç tutarlılık katsayısı ve test-tekrar test analizleri, geçerliliği için kapsam geçerliği indeksi ve doğrulayıcı faktör analizi kullanılmıştır. Bulgular: Ölçeğin Türkçe uyarlaması 56 madde ve 10 faktörden oluşmuş olup, alt boyutların Cronbach alfa katsayısı ise sırasıyla 0,70 ile 0,88 arasındadır. Doğrulayıcı faktör analizi sonucunda χ2/df=2,18; ortalama hata karakök yaklaşımı=0,06; karşılaştırmalı uyum indeksi=0,94; artımlı uyum indeksi= 0,94 değerindedir. Alt boyutların test-tekrar test korelasyon değeri 0,50 ile 1,00 arasındadır (p<0,01). Doğrulayıcı faktör analizi sonucunda, model uyum istatistikleri için kabul edilebilir değer ve uyum göstermiştir. Sonuç: Türkçe ölçek yeterli geçerlik ve güvenirlik göstergeleri olan bir ölçüm aracıdır. Tüm yaş grubundaki bireylere kolaylıkla uygulanabilen Türkçe ölçek, bireylerin bisiklet kaskı kullanımına ilişkin sağlık inanç düzeylerini belirlenmekle birlikte duyarlılık, ciddiyet, yarar, engel ve onları eyleme geçirecek algıların neler olduğu saptanabilir.

Anahtar Kelimeler: Baş koruyucu cihazlar; sağlık tutumu; hemşirelik
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