Mothers' attitudes toward adolescent confidential services: development and validation of scales for use in English- and Spanish-speaking populations.
Mothers' attitudes toward adolescent confidential services: development and validation of scales for use in English- and Spanish-speaking populations.
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母亲对青少年保密服务的态度：开发和验证用于英语和西班牙语人群的量表。
DOI：
10.1016/j.jadohealth.2014.03.010
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Wibbelsman,CharlesJ
中科院分区：
文献类型：
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作者：
Tebb,KathleenP;Pollack,LanceM;Millstein,Shana;Otero-Sabogal,Regina;Wibbelsman,CharlesJ
目的探索父母对青少年保密服务的信念和态度，并开发一种工具来评估这些信念和态度，可以在说英语和西班牙语的人中使用。长期目标是利用这项研究更好地了解和评估干预措施，以提高父母对青少年获得和利用全面保密卫生服务的知识和态度。方法采用广泛的文献综述和理论框架，结合来自焦点小组的定性数据和深入访谈开发该工具。然后，对说英语和西班牙语的父母进行了随机抽样的试点测试，并进行了进一步修订。最终的测试工具随机抽取了1,000名母亲。结果该工具由12个量表组成。对于说西班牙语和英语的人来说，大多数克隆巴赫阿尔法字母都是.70英镑。在责任和沟通量表中为西班牙语使用者“加载”的条目较少。结论父母对青少年保密卫生服务态度问卷(PAACS-Q)由12个量表组成，是评价英语国家青少年家长对青少年保密卫生服务知识和态度的有效工具，除1个量表适用于西班牙语外，其余量表均适用。需要更多的研究来理解说西班牙语的人的关键结构。
PurposeTo explore parental beliefs and attitudes about confidential services for their teenagers; and to develop an instrument to assess these beliefs and attitudes that could be used among English and Spanish speakers. The long-term goal is to use this research to better understand and evaluate interventions to improve parental knowledge and attitudes toward their adolescent's access and utilization of comprehensive confidential health services.MethodsThe instrument was developed using an extensive literature review and theoretical framework followed by qualitative data from focus groups and in-depth interviews. It was then pilot tested with a random sample of English- and Spanish-speaking parents and further revised. The final instrument was administered to a random sample of 1,000 mothers. The psychometric properties of the instrument were assessed for Spanish and English speakers.ResultsThe instrument consisted of 12 scales. Most Cronbach alphas were >.70 for Spanish and English speakers. Fewer items for Spanish speakers “loaded” for the Responsibility and Communication scales. Parental Control of Health Information failed for Spanish speakers.ConclusionsThe Parental Attitudes of Adolescent Confidential Health Services Questionnaire (PAACS-Q) contains 12 scales and is a valid and reliable instrument to assess parental knowledge and attitudes toward confidential health services for adolescents among English speakers and all but one scale was applicable for Spanish speakers. More research is needed to understand key constructs with Spanish speakers.