Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia.
Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia.
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DOI：
10.1186/s40359-023-01161-y
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发表时间：
2023-04-13
期刊：
影响因子：
3.6
通讯作者：
Wingfield, Tom
中科院分区：
文献类型：
--
作者：
Fuady, Ahmad;Arifin, Bustanul;Yunita, Ferdiana;Rauf, Saidah;Fitriangga, Agus;Sugiharto, Agus;Yani, Finny Fitry;Nasution, Helmi Suryani;Putra, IWayan Gede Artawan Eka;Mansyur, Muchtaruddin;Wingfield, Tom
结核病 (TB) 仍然是一种备受污名化的疾病，可能导致或加剧精神健康障碍。尽管人们越来越认识到减少结核病耻辱感的重要性，但衡量结核病耻辱感的有效工具仍然很少。本研究旨在从文化上调整和验证印度尼西亚（全球结核病发病率第二高的国家）的 Van Rie 结核病耻辱量表。我们分三个阶段验证了量表：翻译、文化适应和心理评估。我们邀请了不同的专家参加跨文化适应的跨学科小组，然后对该量表进行了心理测量评估：探索性和验证性因素分析、可靠性分析以及与患者健康问卷 9 [PHQ-9] 的相关性分析。我们在翻译和文化适应阶段对原始音阶的语言和内容进行了文化调整。在对印度尼西亚七个省份的 401 名参与者进行心理测量评估后，我们删除了两项。新量表有两种形式：(A) 患者和 (B) 社区观点形式。两种形式都具有良好的内部一致性，Cronbach's alpha 值分别为0.738 和0.807。我们在表格 A 中确定了三个负荷因素（披露、隔离和有罪），在表格 B 中确定了两个负荷因素（隔离和疏远）。该量表显示与 PHQ-9 相关（A 型，rs = 0.347，p< 0.001；B 型，rs = 0）。 Van Rie 结核病耻辱量表的文化适应印度尼西亚版本全面、可靠、内部一致且有效。该量表现已准备好在研究和实践中扩大应用，以衡量结核病耻辱感并评估印度尼西亚减少结核病耻辱感干预措施的影响。在线版本包含可在 10.1186/s40359-023-01161-y 获取的补充材料。
Tuberculosis (TB) remains a highly stigmatised disease that can cause or exacerbate mental health disorders. Despite increased awareness of the importance of reducing TB stigma, validated tools to measure TB stigma remain scarce. This study aimed to culturally adapt and validate the Van Rie TB Stigma Scale in Indonesia, a country with the second largest TB incidence worldwide. We validated the scale in three phases: translation, cultural adaptation, and psychometric evaluation. We invited diverse experts to an interdisciplinary panel for the cross-cultural adaptation, then performed a psychometric evaluation of the scale: exploratory and confirmatory factor analyses, reliability analysis, and correlation analysis with Patient Health Questionnaire 9 [PHQ-9]. We culturally adapted the original scale's language and content during the translation and cultural adaptation phases. After psychometric evaluation with 401 participants in seven provinces of Indonesia, we removed two items. The new scale had two forms: (A) patient and (B) community perspective forms. Both forms had good internal consistency, with respective Cronbach's alpha values of 0.738 and 0.807. We identified three loading factors in Form A (disclosure, isolation, and guilty) and two loading factors in Form B (isolation and distancing). The scale showed correlation with PHQ-9 (Form A, rs = 0.347, p < 0.001; Form B, rs = 0). The culturally adapted Indonesian version of Van Rie's TB Stigma Scale is comprehensive, reliable, internally consistent, and valid. The scale is now ready for applied scale-up in research and practice to measure TB-stigma and evaluate the impact of TB-stigma reduction interventions in Indonesia. The online version contains supplementary material available at 10.1186/s40359-023-01161-y.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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