Article(id=1324077533502767902, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077443828560770, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202509370, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1758556800000, receivedDateStr=2025-09-23, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793614284158, onlineDateStr=2026-11-02, pubDate=1775750400000, pubDateStr=2026-04-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793614284158, onlineIssueDateStr=2026-11-02, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793614284158, creator=13701087609, updateTime=1793614284158, updator=13701087609, issue=Issue{id=1324077443828560770, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='7', pageStart='1153', pageEnd='1344', issueExtLink='null', onlineDate='null', pubDate='1775750400000', pubDateStr='2026-04-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793614262778, creator='13701087609', updateTime=1793614352085, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1324077818509918661, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077443828560770, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1324077818509918662, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077443828560770, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=1292, endPage=1296, ext={EN=ArticleExt(id=1324077533733454623, articleId=1324077533502767902, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Development of an MTM-based medication adherence scale for patients with tuberculosis and testing of its reliability and validity, columnId=1228016567846367388, journalTitle=Modern Preventive Medicine, columnName=Health Policy and Management, runingTitle=null, highlight=null, articleAbstract=
Objective To develop a medication adherence scale for tuberculosis (TB) patients and to validate its reliability and validity.
Methods The initial scale was constructed based on a multi-theory model (MTM) through literature review, expert consultation, and a pilot survey with TB patients. A survey was conducted among 310 TB patients from Yangzhou Third People's Hospital between October 2024 and March 2025 to assess the scale's reliability and validity.
Results The final scale contained 6 dimensions (perceived benefits, perceived barriers, emotional transformation, self-efficacy, social support, and behavioral transformation) with a total of 48 items. The item-total correlations ranged from 0.592 to 0.884 (all P<0.001). Exploratory factor analysis identified 6 common factors, which collectively explained 85.234% of the total variance. Confirmatory factor analysis demonstrated good model fit. The overall Cronbach's α coefficient was 0.978, with subscale coefficients ranging from 0.959 to 0.982, and the split-half reliability was 0.831.
Conclusion The MTM-based medication adherence scale for tuberculosis patients shows good reliability and validity, and can be used as a specific assessment tool for medication adherence in patients with tuberculosis.
, authors=Xiu-feng MENG
1, 2, Hui-wen XU
2, Ming-fen ZHOU
1, Juan CHEN
1, Yan XU
1, Chun-li DING
1, Yan-li WU
1, Yan-xia GAO
1, Lin BI
1, authorsList=Xiu-feng MENG, Hui-wen XU, Ming-fen ZHOU, Juan CHEN, Yan XU, Chun-li DING, Yan-li WU, Yan-xia GAO, Lin BI, authorCompany=null, correspAuthors=Hui-wen XU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1324077534052221728, articleId=1324077533502767902, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=基于多理论模型的肺结核患者服药依从性量表的编制和信效度检验, columnId=1228016568014139551, journalTitle=现代预防医学, columnName=卫生政策与管理, runingTitle=null, highlight=null, articleAbstract=
目的 编制肺结核患者服药依从性量表，并验证其信效度。
方法 通过文献回顾、专家函询及肺结核患者预调查，基于多理论模型构建初始量表；于2024年10月—2025年3月选取扬州市第三人民医院310例肺结核患者进行调查，验证量表信效度。
结果 肺结核患者服药依从性量表由感知益处、感知障碍、情感转变、自我效能、社会支持以及行为转变6个维度构成，共计48个条目。各条目与量表总分之间的相关系数为0.592~0.884（均P<0.001）。探索性因子分析共提取出6个公因子，累积方差贡献率达到85.234%。验证性因子分析显示模型拟合较好。总量表的Cronbach α系数为0.978，各分量表为0.959~0.982，折半信度为0.831。
结论 基于多理论模型的肺结核患者服药依从性量表具有良好的信效度，可作为肺结核患者特异性服药依从性的评价工具。
, authors=孟秀凤
1, 2, 徐慧文
2, 周明芬
1, 陈娟
1, 徐艳
1, 丁春丽
1, 吴艳丽
1, 高艳霞
1, 毕琳
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孟秀凤（1978—），女，本科，主任护师，研究方向：传染病护理与预防、护理管理
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=B1eM/XzMb58TqSu7x2lRTg==, magXml=QOeTBwcgDfNQdNVPepuK+Q==, pdfUrl=null, pdf=JdN/QHtKzIVxxbEO+5KDcg==, pdfFileSize=791022, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=aq2Iyqm5mNGJvKOqkGNgFw==, mapNumber=null, fund=null)}, authors=[Author(id=1324077534463263527, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1324077534563926826, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, authorId=1324077534463263527, language=EN, stringName=Xiu-feng MENG, firstName=Xiu-feng, middleName=null, lastName=MENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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et al. Development and validation of a novel Tool to measure medication adherence for noncommunicable diseases in India: protocol for an exploratory sequential mixed methods multicentric study[J].
JMIR Research Protocols,
2024,
13: e60805., articleTitle=Development and validation of a novel Tool to measure medication adherence for noncommunicable diseases in India: protocol for an exploratory sequential mixed methods multicentric study, refAbstract=null)], funds=[Fund(id=1324077542159811430, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, awardId=HZKY20220165; 202201257, language=CN, fundingSource=教育部“春晖计划”合作科研项目(HZKY20220165; 202201257), fundOrder=null, country=null), Fund(id=1324077542256280423, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, awardId=HX2205, language=CN, fundingSource=江苏省人兽共患病学重点实验室“护馨基金”项目(HX2205), fundOrder=null, country=null), Fund(id=1324077542327583592, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, awardId=MS2023176, language=CN, fundingSource=江苏省中医药科技发展计划项目(MS2023176), fundOrder=null, country=null), Fund(id=1324077542424052585, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, awardId=2024-2-18, language=CN, fundingSource=2024年度扬州市基础研究计划（联合专项）卫生健康类立项项目(2024-2-18), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1324077534270325537, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, xref=1., ext=[AuthorCompanyExt(id=1324077534278714146, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, companyId=1324077534270325537, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Yangzhou Third People's Hospital, Yangzhou, Jiangsu 225002, China), AuthorCompanyExt(id=1324077534287102755, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, companyId=1324077534270325537, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
1.扬州市第三人民医院，江苏 扬州 225002)]), AuthorCompany(id=1324077534362600228, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, xref=2., ext=[AuthorCompanyExt(id=1324077534375183141, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, companyId=1324077534362600228, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
2.扬州大学护理学院，江苏 扬州 225009)])], figs=[ArticleFig(id=1324077541476139872, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, language=EN, label=Table 1, caption=
General information of patients (n=310)
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 分类 | 人数 | 构成比（%） |
|---|
| 性别 | 男 | 207 | 66.8 |
| 女 | 103 | 33.2 |
| 年龄（岁） | ≤20 | 10 | 3.2 |
| 21~29 | 17 | 5.5 |
| 30~39 | 31 | 10.0 |
| 40~49 | 33 | 10.6 |
| 50~59 | 64 | 20.6 |
| 60~69 | 66 | 21.3 |
| 70~79 | 89 | 28.7 |
| 文化程度 | 小学及以下 | 123 | 39.7 |
| 初中 | 88 | 28.4 |
| 高中/中专 | 60 | 19.4 |
| 大专 | 11 | 3.5 |
| 本科及以上 | 28 | 9.0 |
| 婚姻状况 | 未婚 | 41 | 13.2 |
| 已婚 | 269 | 86.8 |
| 医保方式 | 职工医保 | 124 | 40.0 |
| 居民医保 | 44 | 14.2 |
| 农保 | 133 | 42.9 |
| 商业医疗保险 | 2 | 0.6 |
| 自费 | 7 | 2.3 |
| 服用抗结核药物的种类（种） | 1 | 32 | 10.3 |
| 2 | 112 | 36.1 |
| 3 | 122 | 39.4 |
| >3 | 44 | 14.2 |
| 服用抗结核药物的时间（月） | <1 | 145 | 46.8 |
| 1~<3 | 73 | 23.5 |
| 3~<6 | 47 | 15.2 |
| >6 | 45 | 14.5 |
), ArticleFig(id=1324077541580997473, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, language=CN, label=表1, caption=
调查对象一般资料（n=310）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 分类 | 人数 | 构成比（%） |
|---|
| 性别 | 男 | 207 | 66.8 |
| 女 | 103 | 33.2 |
| 年龄（岁） | ≤20 | 10 | 3.2 |
| 21~29 | 17 | 5.5 |
| 30~39 | 31 | 10.0 |
| 40~49 | 33 | 10.6 |
| 50~59 | 64 | 20.6 |
| 60~69 | 66 | 21.3 |
| 70~79 | 89 | 28.7 |
| 文化程度 | 小学及以下 | 123 | 39.7 |
| 初中 | 88 | 28.4 |
| 高中/中专 | 60 | 19.4 |
| 大专 | 11 | 3.5 |
| 本科及以上 | 28 | 9.0 |
| 婚姻状况 | 未婚 | 41 | 13.2 |
| 已婚 | 269 | 86.8 |
| 医保方式 | 职工医保 | 124 | 40.0 |
| 居民医保 | 44 | 14.2 |
| 农保 | 133 | 42.9 |
| 商业医疗保险 | 2 | 0.6 |
| 自费 | 7 | 2.3 |
| 服用抗结核药物的种类（种） | 1 | 32 | 10.3 |
| 2 | 112 | 36.1 |
| 3 | 122 | 39.4 |
| >3 | 44 | 14.2 |
| 服用抗结核药物的时间（月） | <1 | 145 | 46.8 |
| 1~<3 | 73 | 23.5 |
| 3~<6 | 47 | 15.2 |
| >6 | 45 | 14.5 |
), ArticleFig(id=1324077541719409506, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, language=EN, label=Table 2, caption=
The factor loading of the medication adherence scale for tuberculosis patients
, figureFileSmall=null, figureFileBig=null, tableContent=
| 条目 | 感知益处 | 感知障碍 | 情感转变 | 自我效能 | 社会支持 | 行为转变 |
|---|
| 如果遵医嘱持续服药，可以改善精神状态。 | 0.831 | | | | | |
| 如果遵医嘱持续服药，可以减轻疾病症状。 | 0.833 | | | | | |
| 如果遵医嘱持续服药，可以预防疾病复发。 | 0.851 | | | | | |
| 如果遵医嘱持续服药，可以避免肺结核病情恶化。 | 0.866 | | | | | |
| 如果遵医嘱持续服药，可以降低传染性，避免传染给他人。 | 0.797 | | | | | |
| 如果遵医嘱持续服药，可以帮助我增加社会交往。 | 0.837 | | | | | |
| 如果遵医嘱持续服药，可以促进康复，早日恢复正常生活。 | 0.854 | | | | | |
| 如果遵医嘱持续服药，会让我受到药物副作用和不良影响。 | | 0.941 | | | | |
| 如果遵医嘱持续服药，会加重我的经济负担。 | | 0.951 | | | | |
| 如果遵医嘱持续服药，会让我多重用药增加身体负担。 | | 0.963 | | | | |
| 我有治愈肺结核的信心。 | | | 0.593 | | | |
| 我能接受现有的治疗方案。 | | | 0.623 | | | |
| 我有信心坚持按疗程服药。 | | | 0.647 | | | |
| 我能理解药物的副作用。 | | | 0.628 | | | |
| 我会主动激励自己按时按量服药。 | | | 0.670 | | | |
| 我会减轻对药物副作用的担忧。 | | | 0.643 | | | |
| 我能按医生的指导正确服药。 | | | | 0.620 | | |
| 当感觉疾病症状好转时，我仍会坚持服药。 | | | | 0.688 | | |
| 当感觉身体有不舒服时，我会和医护人员联系，在他们的指导下继续服药。 | | | | 0.669 | | |
| 我不会自行减少或增加药量。 | | | | 0.754 | | |
| 我不会因为药物费用问题而推迟开药时间。 | | | | 0.713 | | |
| 我会避免因疏忽导致漏服药。 | | | | 0.746 | | |
| 我会在药物用完之前，提前计划开药。 | | | | 0.733 | | |
| 我不会出现断药的情况。 | | | | 0.774 | | |
| 我有良好的生活习惯，作息规律，按时一日三餐。 | | | | 0.704 | | |
| 在微信、电子药盒等智能工具提示下，我能够按时按量服药。 | | | | 0.636 | | |
| 当外出旅游或长时间离家时，我会记得随身携带药物。 | | | | | 0.514 | |
| 我能够在所在地获得所需抗结核药物。 | | | | | 0.534 | |
| 我到定点医院随诊很方便。 | | | | | 0.560 | |
| 我所就诊的结核病防治机构诊疗药设备齐全。 | | | | | 0.600 | |
| 我所就诊的结核病防治机构诊疗药物品种齐全。 | | | | | 0.586 | |
| 如果服用药物缺货，我会和主诊医生联系，及时调整药物。 | | | | | 0.612 | |
| 我对就诊过程中医务人员的服务态度感到满意。 | | | | | 0.861 | |
| 医务人员详细告知了结核病相关知识。 | | | | | 0.859 | |
| 医务人员详细告知了病情。 | | | | | 0.874 | |
| 医务人员详细告知了抗结核药物的服药方法。 | | | | | 0.886 | |
| 医务人员详细告知了抗结核药物治疗期间可能发生的不良反应。 | | | | | 0.881 | |
| 医护人员让我确信结核病能够被治愈。 | | | | | 0.877 | |
| 在医务人员或家庭成员督导下，我能够按时按量服药。 | | | | | 0.895 | |
| 我能够负担得起定期检测和护肝治疗的费用。 | | | | | 0.845 | |
| 我的家人或朋友能够提醒我及时服药或复诊。 | | | | | 0.846 | |
| 我了解国家对肺结核病人的支持政策。 | | | | | | |
| 从现在开始，我能够每天按时按量服药。 | | | | | | 0.793 |
| 在接下来的一周里，我能够按时按量服药。 | | | | | | 0.769 |
| 在接下来的一个月里，我能够按时按量服药。 | | | | | | 0.736 |
| 在接下来的三个月里，我能够按时按量服药。 | | | | | | 0.634 |
| 在以后的治疗疗程中，我能够按时按量服药。 | | | | | | 0.639 |
| 出现意外情况（过敏、肝损等）断药时，我能坚持完成试药阶段，进入规范治疗。 | | | | | | 0.538 |
), ArticleFig(id=1324077541803295587, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, language=CN, label=表2, caption=
肺结核患者用药依从性量表各因子载荷
, figureFileSmall=null, figureFileBig=null, tableContent=
| 条目 | 感知益处 | 感知障碍 | 情感转变 | 自我效能 | 社会支持 | 行为转变 |
|---|
| 如果遵医嘱持续服药，可以改善精神状态。 | 0.831 | | | | | |
| 如果遵医嘱持续服药，可以减轻疾病症状。 | 0.833 | | | | | |
| 如果遵医嘱持续服药，可以预防疾病复发。 | 0.851 | | | | | |
| 如果遵医嘱持续服药，可以避免肺结核病情恶化。 | 0.866 | | | | | |
| 如果遵医嘱持续服药，可以降低传染性，避免传染给他人。 | 0.797 | | | | | |
| 如果遵医嘱持续服药，可以帮助我增加社会交往。 | 0.837 | | | | | |
| 如果遵医嘱持续服药，可以促进康复，早日恢复正常生活。 | 0.854 | | | | | |
| 如果遵医嘱持续服药，会让我受到药物副作用和不良影响。 | | 0.941 | | | | |
| 如果遵医嘱持续服药，会加重我的经济负担。 | | 0.951 | | | | |
| 如果遵医嘱持续服药，会让我多重用药增加身体负担。 | | 0.963 | | | | |
| 我有治愈肺结核的信心。 | | | 0.593 | | | |
| 我能接受现有的治疗方案。 | | | 0.623 | | | |
| 我有信心坚持按疗程服药。 | | | 0.647 | | | |
| 我能理解药物的副作用。 | | | 0.628 | | | |
| 我会主动激励自己按时按量服药。 | | | 0.670 | | | |
| 我会减轻对药物副作用的担忧。 | | | 0.643 | | | |
| 我能按医生的指导正确服药。 | | | | 0.620 | | |
| 当感觉疾病症状好转时，我仍会坚持服药。 | | | | 0.688 | | |
| 当感觉身体有不舒服时，我会和医护人员联系，在他们的指导下继续服药。 | | | | 0.669 | | |
| 我不会自行减少或增加药量。 | | | | 0.754 | | |
| 我不会因为药物费用问题而推迟开药时间。 | | | | 0.713 | | |
| 我会避免因疏忽导致漏服药。 | | | | 0.746 | | |
| 我会在药物用完之前，提前计划开药。 | | | | 0.733 | | |
| 我不会出现断药的情况。 | | | | 0.774 | | |
| 我有良好的生活习惯，作息规律，按时一日三餐。 | | | | 0.704 | | |
| 在微信、电子药盒等智能工具提示下，我能够按时按量服药。 | | | | 0.636 | | |
| 当外出旅游或长时间离家时，我会记得随身携带药物。 | | | | | 0.514 | |
| 我能够在所在地获得所需抗结核药物。 | | | | | 0.534 | |
| 我到定点医院随诊很方便。 | | | | | 0.560 | |
| 我所就诊的结核病防治机构诊疗药设备齐全。 | | | | | 0.600 | |
| 我所就诊的结核病防治机构诊疗药物品种齐全。 | | | | | 0.586 | |
| 如果服用药物缺货，我会和主诊医生联系，及时调整药物。 | | | | | 0.612 | |
| 我对就诊过程中医务人员的服务态度感到满意。 | | | | | 0.861 | |
| 医务人员详细告知了结核病相关知识。 | | | | | 0.859 | |
| 医务人员详细告知了病情。 | | | | | 0.874 | |
| 医务人员详细告知了抗结核药物的服药方法。 | | | | | 0.886 | |
| 医务人员详细告知了抗结核药物治疗期间可能发生的不良反应。 | | | | | 0.881 | |
| 医护人员让我确信结核病能够被治愈。 | | | | | 0.877 | |
| 在医务人员或家庭成员督导下，我能够按时按量服药。 | | | | | 0.895 | |
| 我能够负担得起定期检测和护肝治疗的费用。 | | | | | 0.845 | |
| 我的家人或朋友能够提醒我及时服药或复诊。 | | | | | 0.846 | |
| 我了解国家对肺结核病人的支持政策。 | | | | | | |
| 从现在开始，我能够每天按时按量服药。 | | | | | | 0.793 |
| 在接下来的一周里，我能够按时按量服药。 | | | | | | 0.769 |
| 在接下来的一个月里，我能够按时按量服药。 | | | | | | 0.736 |
| 在接下来的三个月里，我能够按时按量服药。 | | | | | | 0.634 |
| 在以后的治疗疗程中，我能够按时按量服药。 | | | | | | 0.639 |
| 出现意外情况（过敏、肝损等）断药时，我能坚持完成试药阶段，进入规范治疗。 | | | | | | 0.538 |
), ArticleFig(id=1324077541933319012, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, language=EN, label=Table 3, caption=
Reliability of the medication adherence scale for tuberculosis patients
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 条目数 | Cronbach α系数 | Guttman折半信度系数 |
|---|
| 总量表 | 48 | 0.978 | 0.831 |
| 感知益处 | 7 | 0.971 | 0.935 |
| 感知障碍 | 3 | 0.966 | 0.874 |
| 情感转变 | 6 | 0.965 | 0.936 |
| 自我效能 | 10 | 0.973 | 0.958 |
| 社会支持 | 16 | 0.982 | 0.928 |
| 行为转变 | 6 | 0.959 | 0.923 |
), ArticleFig(id=1324077542029788005, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077533502767902, language=CN, label=表3, caption=
肺结核患者服药依从性量表的信度
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 条目数 | Cronbach α系数 | Guttman折半信度系数 |
|---|
| 总量表 | 48 | 0.978 | 0.831 |
| 感知益处 | 7 | 0.971 | 0.935 |
| 感知障碍 | 3 | 0.966 | 0.874 |
| 情感转变 | 6 | 0.965 | 0.936 |
| 自我效能 | 10 | 0.973 | 0.958 |
| 社会支持 | 16 | 0.982 | 0.928 |
| 行为转变 | 6 | 0.959 | 0.923 |
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