Development and psychometric evaluation of a condom use self-efficacy measure in Spanish and English.

Development and psychometric evaluation of a condom use self-efficacy measure in Spanish and English.
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DOI:
10.1080/15284336.2016.1213487
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发表时间:
2016-09
影响因子:
--
通讯作者:
Peragallo N
Peragallo N
中科院分区:
医学4区
文献类型:
--
作者:
McCabe BE;Schaefer Solle N;Gattamorta K;Villegas N;Cianelli R;Mitrani VB;Peragallo N

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安全套自我效能是艾滋病毒/性传播感染预防和干预的重要组成部分。需要对使用安全套的自我效能进行心理测量学上的合理衡量,该安全套是为西班牙裔女性设计的,可以用西班牙语或英语做出反应。本研究的目的是开发和评估安全套使用自我效能的简短自我报告测量。我们根据西班牙裔女性测量和艾滋病毒/性传播感染预防的专家知识,采用翻译回译方法,制定了包含 15 项的安全套使用自我效能测量方法。参与者是来自美国东南部的 320 名西班牙裔女性。全面测量的内部一致性为 0.92。包含 5 个项目子集的工具的简短形式也具有可接受的内部一致性,alpha = .80,并且与满量程显着相关,rs = .93,p < .001。单个潜在因素可以解释这些项目中 9% 至 48% 的变异。通过量表与安全套使用的两种自我报告测量的相关性,提供了简表结构有效性的证据:使用安全套的 rs = .34**,阴道性交期间使用安全套的 rs = .37**。在安全套使用是一项重要行为结果的研究中,可以使用全面衡量标准或五项衡量标准,例如评估西班牙裔女性的预防干预措施。未来的研究应该考察这项措施在其他群体中的表现,包括西班牙裔男性以及其他种族和语言群体的成员。
Condom self-efficacy is an important construct for HIV/STI prevention and intervention. A psychometrically sound measure of the self-efficacy for using condoms that has been designed for Hispanic women to respond in Spanish or English is needed. The goal of this study was to develop and evaluate a brief self-report measure of condom use self-efficacy. We developed a 15-item measure of condom use self-efficacy based on expert knowledge of measurement and HIV/STI prevention with Hispanic women using a translation-back translation approach. Participants were 320 Hispanic women from the Southeastern U.S. Internal consistency of the full measure was .92. A short form of the instrument with a subset of 5 items also had acceptable internal consistency, alpha = .80, and was significantly correlated with the full scale, rs = .93, p < .001. A single latent factor explained 9 – 48% of the variation in these items. Evidence of construct validity of the short form was provided by correlations of the scale with two self-report measures of condom use: rs = .34** with condom use, rs = .37** with condom use during vaginal sex. Either the full measure or the five-item measure could be used in studies where condom use is an important behavioral outcome, such as evaluating prevention interventions, with Hispanic women. Future studies should examine the performance of this measure with other groups, including Hispanic men and members of other ethnic and language groups.
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