摘要目的:编制2型糖尿病高危人群主动健康行为量表，为社区医护人员提供一个多维度测量主动健康行为的评估工具。方法:以信息-动机-行为技巧理论为指导，通过文献研究、半结构访谈、德尔菲专家函询、预调查形成2型糖尿病高危人群主动健康行为量表测试版。采用便利抽样法，于2024年2—6月选取唐山市路北区社区的696例2型糖尿病高危人群为研究对象进行量表的项目分析和信效度检验。本次调查共发放问卷696份，回收有效问卷664份，问卷有效回收率为95.40%。结果:编制的2型糖尿病高危人群主动健康行为量表包括预防知识、预防动机、预防技巧、预防行为4个维度，共38个条目。探索性因子分析提取4个公因子，累计方差贡献率为64.203%；验证性因子分析结果显示模型拟合良好。量表总的Cronbach's α系数为0.940，折半信度系数为0.964，重测信度系数为0.859。结论:2型糖尿病高危人群主动健康行为量表具有良好的信效度，可用于评价2型糖尿病高危人群主动健康行为的水平。

abstractsObjective:To develop the Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus to provide community healthcare workers with an assessment tool to measure proactive health behaviors in a multidimensional manner.Methods:Guided by the information-motivation-behavioral skills theory, a test version of the Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus was developed through literature research, semi-structured interviews, Delphi expert consultation, and pre-survey. Convenience sampling was used to select 696 cases of type 2 diabetes mellitus high-risk people in the community of Lubei District, Tangshan City, from February to June 2024 for the item analysis, reliability and validity test. A total of 696 questionnaires were distributed and 664 valid questionnaires were recovered, with a valid recovery rate of 95.40%.Results:The Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus included four dimensions, including prevention knowledge, prevention motivation, prevention skills, and prevention behaviors, with a total of 38 items. Exploratory factor analysis extracted four common factors, with a cumulative variance contribution rate of 64.203%. Confirmatory factor analysis showed good model fit. The total Cronbach's α coefficient for the scale was 0.940, the half fold reliability coefficient was 0.964, and the test-retest reliability coefficient was 0.859.Conclusions:The Proactive Health Behavior Scale for Population at High Risk of Type 2 Diabetes Mellitus has good reliability and validity, which can be used to evaluate the proactive health behaviors in population at high-risk of type 2 diabetes mellitus.