INTRODUCTION This study aimed to develop a scale to measure prenatal smoking cessation counseling for Japanese public health nurses (PHNs). METHODS A cross-sectional study was conducted via an anonymous, self-administered questionnaire. The sample included 1933 PHNs working in 424 municipal health centers nationwide, which were randomly selected. We created the draft scale based on semi-structured interviews, previous studies, and preliminary survey. Additionally, we conducted back translation for English version of the draft scale to be applicable in English countries. The analytic strategy consisted of item analysis, exploratory factor analysis, and differentiation by 'known groups'. RESULTS A total of 550 responses (28.5%) were included in the analysis. Most of the respondents were female (98.2%) and the mean age was 37.5±9.37 years. In the exploratory factor analysis, two factors were extracted and the factor loadings for all items were greater than 0.40. The first factor with eleven items was named as 'basic counseling' and the second factor with seven items was named as 'advanced counseling'. The Cronbach's alpha of the scale was 0.918, and the cumulative contribution was 44.908%. Multiple comparisons by experience years working as a PHN revealed significant differences in the scale and two factors. CONCLUSIONS In this study, we initially developed the prenatal smoking cessation counseling scale for Japanese PHNs, and the reliability and validity of the scale were considered to be acceptable.

中文翻译：

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日本公共卫生护士产前戒烟咨询量表的开发。


简介 本研究旨在制定一个量表来衡量日本公共卫生护士 (PHN) 的产前戒烟咨询情况。方法 通过匿名、自填问卷进行横断面研究。样本包括全国 424 个市级卫生院工作的 1933 名初级卫生保健人员，是随机抽取的。我们根据半结构化访谈、之前的研究和初步调查创建了量表草案。此外，我们还对英文版本的草案量表进行了反向翻译，以便适用于英语国家。分析策略包括项目分析、探索性因素分析和按“已知群体”进行区分。结果 分析中总共包含 550 份回复 (28.5%)。大多数受访者为女性（98.2%），平均年龄为37.5±9.37岁。在探索性因子分析中，提取了两个因子，所有项目的因子载荷均大于0.40。第一个因素有十一个项目，被命名为“基础咨询”，第二个因素有七个项目，被命名为“高级咨询”。该量表的Cronbach's alpha为0.918，累计贡献率为44.908%。按 PHN 工作经验年限进行的多重比较揭示了规模和两个因素的显着差异。结论 本研究初步制定了日本 PHN 产前戒烟咨询量表，该量表的信度和效度均可接受。