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Construction of community-based primary prevention behavior compliance scale for elderly patients with stroke based on Delphi method
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Jie DING, Zi-ying LI, Yu-ting YANG, Tong-xia ZHAN
Modern Preventive Medicine | 2026, 53(2) : 287 - 292
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Modern Preventive Medicine | 2026, 53(2): 287-292
• Primary Health Services •
Construction of community-based primary prevention behavior compliance scale for elderly patients with stroke based on Delphi method
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Jie DING, Zi-ying LI, Yu-ting YANG, Tong-xia ZHAN
Affiliations
  • School of Nursing, Shandong Second Medical University, Weifang, Shandong 261053, China
Published: 2026-01-25 doi: 10.20043/j.cnki.MPM.202508088
Outline
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Objective

To construct the Compliance Scale for primary prevention of stroke among the elderly in the community, to evaluate the compliance level of the elderly in the community as a whole, and to provide reference tools for the investigation of the current situation of primary prevention, influencing factors and health education.

Methods

In accordance with the 2024 Guideline for the Primary Prevention of Stroke from the American Heart Association/American Stroke Association, the theory of self-care for chronic diseases was used as the theoretical framework. Literature review and Delphi method were used to conduct two rounds of consultation with 18 experts. A pilot study was conducted among community-dwelling older adults to validate the applicability of the scale items.

Results

The questionnaire recovery rate for both rounds of inquiry reached 100%, and the expert authority coefficient was 0.89. In the two rounds of correspondence, the average importance of items was >3.5, the full score ratio was >0.2, the CV (coefficient of variation) stood at ≤0.25, and the Kendall W coordination coefficient was 0.305 and 0.265 respectively (all P<0.001). The final form is a community-based primary prevention behavior compliance scale for elderly stroke with 3 dimensions, 10 sub dimensions and 33 items.

Conclusion

Based on the guidelines for primary prevention of stroke (2024) and the theory of self-care for chronic diseases as the theoretical framework, the community elderly stroke primary prevention behavior compliance scale has good reliability and scientificity, and can be used as an evaluation tool to evaluate the community elderly stroke primary prevention behavior compliance.

Stroke  /  Community elderly population  /  Primary prevention behavior  /  Compliance  /  Delphi method
丁洁, 李姿莹, 杨雨婷, 战同霞. 社区老年人脑卒中一级预防行为依从性量表的构建. 现代预防医学, 2026 , 53 (2) : 287 -292 . DOI: 10.20043/j.cnki.MPM.202508088
Jie DING, Zi-ying LI, Yu-ting YANG, Tong-xia ZHAN. Construction of community-based primary prevention behavior compliance scale for elderly patients with stroke based on Delphi method[J]. Modern Preventive Medicine, 2026 , 53 (2) : 287 -292 . DOI: 10.20043/j.cnki.MPM.202508088
Year 2026 volume 53 Issue 2
16
8
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doi: 10.20043/j.cnki.MPM.202508088
  • Receive Date:2025-08-06
  • Online Date:2026-11-02
  • Published:2026-01-25
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  • Received:2025-08-06
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    School of Nursing, Shandong Second Medical University, Weifang, Shandong 261053, China
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表12种不同金属材料的力学参数
科
Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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