Crist Janice D, Michaels Cathleen, Gelfand Donald E, Phillips Linda R
The University of Arizona, Tucson, USA.
Res Theory Nurs Pract. 2007;21(2):119-34. doi: 10.1891/088971807780852002.
Mexican American elders' and their caregivers' awareness of available home care services is one of nine factors hypothesized to be associated with underuse of home care services. Previous instruments did not fully measure service awareness. The objective of this study was to explore the conceptual foundation of service awareness, generate items, and establish language equivalence in Spanish and English for the Service Awareness Scale. A hybrid use of the literature and fieldwork were used to develop the concept and generate items. The team used back-translation and community collaboration to test for language equivalence. Concept development and language equivalence were achieved for the Service Awareness Scale. Teaching/learning theories contributed to the definition and inductive validity of service awareness and item generation and can shape future interventions. Bicultural/bilingual community and research team partners refined its measure. The scale will be usable in research and practice designed to promote equity in health care use.
墨西哥裔美国老年人及其照顾者对现有家庭护理服务的认知，是被假设与家庭护理服务使用不足相关的九个因素之一。以往的工具未能充分衡量服务认知。本研究的目的是探索服务认知的概念基础，生成条目，并为服务认知量表建立西班牙语和英语的语言等效性。综合运用文献研究和实地调查来发展概念并生成条目。研究团队采用回译和社区合作来检验语言等效性。服务认知量表实现了概念发展和语言等效性。教学/学习理论有助于服务认知的定义、归纳效度以及条目的生成，并可塑造未来的干预措施。双语/双文化社区和研究团队合作伙伴对其测量方法进行了完善。该量表将可用于旨在促进医疗保健使用公平性的研究和实践中。
