Establishing Validity of the Midlife Black Women's Stress-Reduction Wellness Program Materials Using a Mixed Methods Approach.
Establishing Validity of the Midlife Black Women's Stress-Reduction Wellness Program Materials Using a Mixed Methods Approach.
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DOI：
10.1097/jcn.0000000000000876
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发表时间：
2022-09-01
影响因子：
2
通讯作者：
Bakas, Tamilyn
中科院分区：
文献类型：
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作者：
Jones, Holly J.;Kovacic, Melinda Butsch;Bakas, Tamilyn
内容验证是干预措施开发的一个组成部分，应该在试验开始之前建立。本研究与社区研究顾问委员会合作，目的是分析中年黑人妇女减压健康（B-SWELL）干预材料的专家评级和定性反馈。B-SWELL干预是一项文化量身定制的8周干预，旨在通过减少压力和促进采用美国心脏协会的生活简单7健康生活方式行为（LS7）来降低中年黑人妇女心血管疾病的风险。采用混合方法，由中年黑人妇女（n=6）、研究人员（n=3）和综合健康专家（n=3）组成的12名专家对B-SWELL材料的内容准确性、主题相关性、压力相关性、文化适宜性、可行性、有用性、易用性和吸引力进行了评分，采用5分李克特量表（1分强烈不同意5分强烈同意）。定性叙事数据与评分相结合。B-SWELL材料的综合专家评级很高（范围4.43-4.66）。分组评分不同，中年黑人妇女在个体B-SWELL模块和整体粘合剂方面的平均评分最高（4.71,4.97），其次是研究人员（4.56,4.73）和综合健康专家（4.11,4.40）。定性数据提供了对缺陷的洞察，支持B-SWELL材料的改进。B-SWELL材料表现出强有力的内容和表面效度证据。鼓励研究人员和临床医生在实施针对高危人群的文化上适当的干预措施之前建立内容效度。
Content validation is an integral part of intervention development and should be established prior to initiation of trials. In collaboration with a community research advisory board, the objective of this study was to analyze expert ratings and qualitative feedback for the Midlife Black Women’s Stress Reduction Wellness (B-SWELL) intervention materials. The B-SWELL intervention is a culturally tailored 8-week intervention designed to lower cardiovascular disease risk in midlife Black women by leveraging stress reduction and promoting the adoption of the American Heart Association’s Life’s Simple 7 healthy lifestyle behaviors (LS7). Using a mixed methods approach, 12 experts consisting of midlife Black women (n=6), researchers (n=3), and integrative health specialists (n=3) rated the B-SWELL materials for content accuracy, topic relevance, stress relevance, cultural appropriateness, feasibility, usefulness, ease of use, and appeal using a 5-point Likert scale (1 strongly disagree to 5 strongly agree). Qualitative narrative data were integrated with the ratings. Combined expert ratings for the B-SWELL materials were high (range 4.43-4.66). Group ratings differed with midlife Black women having the highest mean ratings for both the individual B-SWELL modules and the overall binder (4.71, 4.97), followed by researchers (4.56, 4.73), and integrative health specialists (4.11, 4.40). Qualitative data provided insight into deficiencies, supporting refinements of the B-SWELL materials. The B-SWELL materials exhibited strong evidence of content and face validity. Researchers and clinicians are encouraged to establish content validity prior to implementation of culturally appropriate interventions aimed at high-risk populations.