한국체육학회지인문사회과학편

Korean Alliance for Health: Physical Education: Recreation:and Dance (한국체육학회)
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Scale Development for Youth Obesity Prevention and Unified Validity Test through the Health Belief Model-I

건강신념모형을 적용한 청소년 비만예방척도개발과 통합적 타당도검증-I

  • Received : 2018.11.30
  • Accepted : 2019.01.21
  • Published : 2019.01.31
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Abstract

The purpose of the present study is to apply a health belief model to the serious perception of an increase in youth obesity, and to develop and validate a measurement tool for youth obesity prevention among this group who are experiencing increasing rates of obesity. The specific goals of this study are to 1) apply a health belief model to develop a measurement tool for obesity prevention among youth who are seeing rising rates of obesity, and 2) provide an integrated validation procedure and foundation for developing this measurement tool. A total of 1801 high school students[sample1: 902(male:464,female:438); sample2: 899(male:464,female:438)] were recruited and collected data from 12 high school in Seoul and Kyonggi area. For this study the analytic framework of unified validity was developed which can comprehensively reflect unified validity be Messick(1995), framework for conducting a strong program of construct validation by Benson(1998), the unified validity implementation method of Rasch model suggested by Wolfe and Smith(2007a, 2007b). Furthermore, after dividing the developed analytic framework into each stage(the substantive domain), the evidence of validity of Youth Obesity Prevention Scale(YOPS) applying Health Belief Model was systematically suggested. The YOPS suggested the evidence about the substantive domain of unified validity. The developed YOPS was consist of Susceptibility, Severity, Benefits, Barriers and Cues to Action. After 3 stage in substantive domain, the components of YOPS(5factors and 28items) satisfied the unidimensionality, and the 5 point Likert scale had the significant discrimination of the respondents' response.

본 연구는 청소년의 비만율이 증가하는 현 상황에서 건강신념모형을 적용하여 청소년 비만예방척도를 개발하고 선행연구에서 구축된 통합적 타당도의 틀로 분석하고 근거를 제시하고자 하였다. 이 연구에서는 Messick(1995)의 통합적 타당도, Benson(1998)의 강력한 구인타당도 프로그램 틀, Wolfe와 Smith(2007a, 2007b)가 제안한 Rasch 모형의 통합적 타당도 구현방안을 종합적으로 반영할 수 있도록 개발된 통합적 타당도 분석 틀(서은철, 2015)을 수정하여, 실제영역의 3단계를 분석하여 건강신념모형을 적용한 청소년 비만예방척도의 타당도 증거를 제시하였다. 연구대상은 서울-경기지역 12개 고등학교에서 1801명을 표집하였으며, 통합적 타당도 분석 틀의 적용을 위해 표본1에 902명(남:464명, 여:438명)과 표본2에 899명(남:464명, 여:435명)으로 무선 분류하였다. 자료처리는 SPSS 23.0과 WINSTEPS 4.30(Linacre, 2018)을 사용하였다. 연구결과 실제영역 1단계에서 개발된 청소년 비만예방척도는 5영역(민감성, 심각성, 유익성, 장애성, 건강동기) 33문항이었다. 2단계에서는 자료의 적합성(일차원성 검증, global fit statistic)을 확인, Rasch 모형의 문항적합도 검증에서 2개 문항이 삭제되었다. 3단계에서는 Rasch 부분점수모형을 적용하여 단계 조정값에 문제가 있는 3개 문항이 삭제되었다.

Keywords

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