Balancing cultural specificity and generalizability: Brief qualitative methods for selecting, adapting, and developing measures for research with American Indian communities.
Balancing cultural specificity and generalizability: Brief qualitative methods for selecting, adapting, and developing measures for research with American Indian communities.
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DOI：
10.1037/pas0001092
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发表时间：
2022-04
影响因子：
3.6
通讯作者：
Cwik, Mary
中科院分区：
文献类型：
--
作者：
Haroz, Emily E;Ivanich, Jerreed D;Barlow, Allison;O'Keefe, Victoria M;Walls, Melissa;Kaytoggy, Cindy;Suttle, Rose;Goklish, Novalene;Cwik, Mary
文化上适当、有效和可靠的措施对于评估干预措施如何影响健康至关重要。具体文化背景的衡量标准与允许对样本进行比较的更一般的衡量标准之间存在着紧张关系。我们说明了一个可行的方法来测量选择，适应和测试的简短干预措施，以防止美国印第安青年10-24岁之间的自杀的研究。我们使用了一个修改后的名义组技术（NGT）与N = 7阿帕奇社区心理健康专家（CMHS），以得出研究中的干预措施的优先影响。然后，我们在基线时对N = 93名青年进行了信度和效度测试。NGT的结果包括选择替代措施，项目删除和添加，并创建一个当地的福祉指数。测量测试表明，优秀到良好的内部一致性（α：0.82-0.96）和较强的结构效度。研究结果表明，一个可行的方法来平衡文化的特殊性和普遍性，同时产生有效和可靠的措施，用于干预试验。
Culturally appropriate, valid and reliable measures are critical to assessing how interventions impact health. There is a tension between measures for specific cultural settings versus more general measures that permit comparisons across samples. We illustrate a feasible approach to measurement selection, adaptation and testing for a study of brief interventions to prevent suicide among American Indian youth ages 10–24. We used a modified Nominal Group Technique (NGT) with N = 7 Apache Community Mental Health Specialists (CMHS’) to elicit priority impacts of interventions under study. We then tested the reliability and validity in N = 93 youth at baseline. The NGT results included selection of alternative measures, item removal and addition, and creation of a local well-being index. Measurement testing indicated excellent to good internal consistency (α: 0.82–0.96) and strong construct validity. Study results demonstrate a feasible approach to balancing cultural specificity and generalizability while producing valid and reliable measures to use in an intervention trial.