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Table 2 Item analysis of “the community health workers perceptual and behavioral competency scale for preventing non-communicable diseases”

From: Development of a community health workers perceptual and behavioral competency scale for preventing non-communicable diseases (COCS-N) in Japan

n = 3120

No.

Item

Item difficultya

Population distributionb

Kurtosis / Skewnessc

Correlation of itemd

Good-Poor analysise

Item-Total correlationf

0

1

2

3

1

The activities of a community health worker bring interest to my life and make it feel worthwhile.

1.0

1.4

16.8

55.6

26.1

−0.093

− 0.343

.000**

.657**

2

What I do as a community health worker makes me aware of the importance of my own health.

0.6

0.3

3.3

40.4

56.0

0.105

−0.808

.000**

.562**

3

I feel that my family and neighbors support my activities as a community health worker.

0.8

4.9

31.7

46.0

17.4

−0.499

−0.135

.000**

.589**

4

I find that I enjoy what I do as a community health worker because I can learn new things about health.

1.0

0.4

7.9

47.6

44.1

−0.18

−0.575

.000**

.622**

5

I feel motivated to convey information and advice on healthy lifestyles to my family and neighbors.

0.6

0.6

9.3

54.2

35.8

−0.026

−0.432

.000**

.692**

6

I’m happy to see that other people are pleased with my activities as a community health worker.

0.7

0.9

12.5

44.7

41.8

−0.272

− 0.606

.000**

.669**

7

I enjoy the time I spend with the local people, helping them enhance their health.

0.7

1.3

16.7

48.4

33.6

−0.407

− 0.428

.000**

.717**

8

I want to work with the local people to maintain and improve everyone’s health as much as possible.

0.5

0.6

8.1

46.9

44.4

−0.05

− 0.628

.000**

.693**

9

I trust the professionals (public health nurses, nutritionists, etc.) who are supporting the activities of community health workers.

0.5

0.1

4.0

34.5

61.4

0.231

−1.006

.000**

.472**

10

I like and respect the colleagues I work with, such as the community health workers whose team I’m on.

0.7

0.4

6.3

40.3

53.0

0.179

−0.850

.000**

.560**

11

I can try out beneficial lifestyle habits myself that I have found out about through my activities as a community health worker.

1.0

0.3

9.4

56.4

33.9

−0.269

−0.29

.000**

.643**

12

I can collect well-grounded scientific information on health.

0.9

1.0

16.9

56.2

25.9

−0.222

−0.27

.000**

.575**

13

I can incorporate seasonal food ingredients into daily meals and share the enjoyment of eating them with my family and neighbors.

0.9

1.6

17.7

52.4

28.2

−0.25

−0.366

.000**

.554**

14

I can recommend physical exercises and sports to my family and neighbors, and invite them to take part in them.

0.6

3.9

26.3

44.5

25.3

−0.601

−0.270

.000**

.699**

15

I can convey to my family and neighbors the importance of eating well-balanced meals.

0.8

3.1

24.2

52.0

20.7

−0.269

−0.278

.000**

.658**

16

I can teach physical exercises and sports to my family and neighbors that they can easily incorporate into their daily lives.

0.9

6.3

32.6

43.7

17.4

−0.562

−0.128

.000**

.681**

17

I can talk about health to local people at sites of community gatherings.

0.9

7.4

32.2

43.2

17.3

−0.578

−0.152

.000**

.687**

18

I can communicate to professionals (doctors, public health nurses, etc.) the health concerns that the local people have.

0.9

8.2

37.1

39.2

15.5

−0.635

−0.014

+

.000**

.610**

19

I can share, with professionals (public health nurses, nutritionists, etc.), information about the health challenges that the community faces.

1.0

6.2

32.2

45.6

16.0

−0.475

−0.152

+

.000**

.625**

20

I can cooperate with area organizations and engage in programs to promote people’s health.

0.7

2.9

19.0

53.0

25.1

−0.077

−0.421

.000**

.679**

  1. Exclusion criteria for the item analysis
  2. aThe proportion of items with no answers was over 5% of the sample
  3. bItems with a score (0 to 3) of 55% or higher in the sample
  4. cAbsolute value of skewness or kurtosis was less than −1 or greater than 1
  5. dCorrelation was over 0.6
  6. eDifference in the average score between the highest scoring group and the lowest scoring group was not significant (P ≥ 0.05)
  7. fThe correlation coefficient between the item and the total of all the items (not including the item itself) was 0.5 or lower
  8. **P < 0.001