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Development and Evaluation of Health Empowerment Scale for North Korean Women Defectors

Journal of Korean Academy of Nursing 2022³â 52±Ç 1È£ p.80 ~ 91
KMID : 0806120220520010080
ÀÓ¼¼¹Ì ( Lim Se-Mi ) - Gwangju University Department of Nursing

°­À±Èñ ( Kang Youn-Hee ) - Ewha Womans University College of Nursing

Abstract

Purpose: This study developed an instrument to evaluate the health empowerment of North Korean women refugees and examined its validity and reliability.

Methods: Through literature review and focused group interviews, 66 preliminary items with three constructs, including perceived control, perceived competence, and goal internalization were selected based on Menon¡¯s psychological health empowerment model. A questionnaire survey was conducted with 239 North Korean women refugees in the community from August 31 to September 4, 2020. Content, construct, convergent, and discriminative validity were evaluated. Cronbach¡¯s ¥á was used to evaluate the reliability of scale.

Results: The final instrument consisted of 31 items with three factors that were identified through confirmatory factor analysis. The convergent validity showed that the correlation coefficient was .52 (p < .001), which confirmed the validity of the developed measurement tool. Cronbach¡¯s ¥á for all the items was .94, and Cronbach's ¥á for the factors was .76~.91.
Conclusion: This health empowerment scale has been developed to include aspects of health empowerment, provide a conceptual framework, and offer objective indicators to evaluate the effectiveness of a health education program.
KeyWords
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North Korea, Health, Empowerment, Reliability and Validity
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