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Health and Quality of Life Outcomes

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Open Access 01-12-2014 | Research

Instrument development and validation of the stroke pre-hospital delay behavior intention scale in a Chinese urban population

Authors: Qiuli Zhao, Li Yang, Qingqing Zuo, Xuemei Zhu, Xiao Zhang, Yanni Wu, Liu Yang, Wei Gao, Minghui Li

Published in: Health and Quality of Life Outcomes | Issue 1/2014

Abstract

Background

Several stroke impairment scales are currently available for stroke patients but none of them provide information regarding the pre-stroke behavioral intentions of high-risk stroke patients and their relatives. This study’s objective was to generate and validate a new written tool, the Stroke Pre-hospital Delay Behavior Intention (SPDBI) scale. It is suitable for use with high-risk stroke patients and their relatives to predict the likelihood of pre-hospital delay.

Methods

From a review of related studies, we formulated a prototype scale. We interviewed ten stroke patients in a semi-structured iterative process that included interviews with experts, high-risk patients, and their family members. Then, we pretested and filtered items. We next used a large sample size and factor analysis to determine the scale’s structure. Finally, we checked the reliability and validity of the scale.

Results

We identified five sub-domains (stroke warning signs, non-treatment justification, symptom attributions, habitual response style, and emergency system use). The SPDBI demonstrated good internal consistency and test-retest reliability (Cronbach’s α =0.808; Intraclass Correlation Coefficient [ICC] =0.797).

Conclusions

This SPDBI scale is a reliable, and valid measure of the likeliness of pre-hospital delay in high-risk stroke patients and their family members. It may provide scientific assessment for targeted health education intervention.

Available only for authorised users

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Title: Instrument development and validation of the stroke pre-hospital delay behavior intention scale in a Chinese urban population
Authors: Qiuli Zhao
Li Yang
Qingqing Zuo
Xuemei Zhu
Xiao Zhang
Yanni Wu
Liu Yang
Wei Gao
Minghui Li
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/s12955-014-0170-8

ACC 2024 Congress

Springer Medicine

Instrument development and validation of the stroke pre-hospital delay behavior intention scale in a Chinese urban population

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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