Adaptation and Validation of the Shame Questionnaire Among Ugandan Youth Living with HIV.
Adaptation and Validation of the Shame Questionnaire Among Ugandan Youth Living with HIV.
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乌干达艾滋病毒青年羞耻调查问卷的改编和验证。
DOI：
10.1007/s12187-018-9570-3
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发表时间：
2019
影响因子：
2.8
通讯作者：
Ssewamala,FredM
中科院分区：
文献类型：
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作者：
Michalopoulos,LynnMurphy;Meinhart,Melissa;Barton,SamMonroe;Kuhn,Jillian;Mukasa,MiriamN;Namuwonge,Flavia;Feiring,Candice;Ssewamala,FredM
这项研究的目的是在乌干达艾滋病毒携带者青年中调整和验证与艾滋病毒相关的羞耻感的测量方法-羞耻问卷(SQ)。在准确评估与艾滋病毒有关的羞耻感(一种痛苦的内化情绪，包括自我受损和有缺陷的感觉)对心理社会功能的影响以及确定撒哈拉以南非洲艾滋病毒感染者青年干预措施的效力方面，具有文化相关性、可靠和有效的衡量至关重要。我们使用定性(即认知访谈；N= 31)和定量(即经典测验理论和项目反应理论；N= 150)的方法来建立、内容、标准和构建SQ的效度。认知面谈导致修改了8个SQ条目中的2个的措辞。支持羞耻的参与者比不支持羞耻的参与者有显著更高的SQ得分(p<； 0.001)，这表明标准的有效性。我们发现，在参与者中，SQ分数和平均创伤症状分数之间存在统计学上显著的正相关(p<； 0.001)，这也表明了标准的有效性。最后，我们发现，分级反应IRT模型的结构效度和判别参数都在较高的范围内，难度参数的范围较大。总体而言，我们的结果表明，在乌干达感染艾滋病毒的青年中，SQ是一种与背景相关的、有效的和可靠的评估工具。研究结果支持在调整跨文化使用的措施时使用定性和定量方法，以保持有效性和背景相关性。
The purpose of this study was to adapt and validate a measure of HIV-related shame, the Shame Questionnaire (SQ), among Ugandan youth living with HIV. Culturally relevant, reliable and valid measurement is critical in the accurate assessment of HIV-related shame (a painful internalized emotion encompassing feelings that the self is damaged and defective) on psychosocial functioning, as well as the determination of the efficacy of interventions among youth living with HIV in sub-Saharan Africa. We utilized qualitative (i.e., cognitive interviews;N= 31) and quantitative (i.e., classical test theory and item response theory;N= 150) methods to establish, content, criterion and construct validity of the SQ. Cognitive interviews resulted in the revision in the wording of 2 out of 8 SQ items. Participants who endorsed having shame had statistically significant higher SQ scores than participants who did not endorse having shame (p< 0.001), suggesting criterion validity. We found a statistically significant positive relationship between SQ scores and average trauma symptom scores among participants (p< 0.001), also suggesting criterion validity. Finally, we found construct validity with discrimination parameters of the graded response IRT model all in the high range with a wide range of difficulty parameters across the 8 items of the SQ. Overall our results suggest that the SQ is a contextually relevant, valid and reliable assessment tool among Ugandan youth living with HIV. Findings provide support for the utilization of qualitative and quantitative methods in the adaptation of measures for cross-cultural use in order to maintain validity and contextual relevance.