Baheiraei Azam, Khoori Elham, Ahmadi Fazlollah, Foroushani Abbas Rahimi, Ghofranipour Fazlollah, Weiler Robert M
Department of Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran ; Centers for Community-Based Participatory Research, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry. 2013 Mar;8(1):28-36.
It is important to consider the health concerns of adolescents before developing and implementing public health promotion or health education curriculum programs aimed at ameliorating priority health problems experienced by adolescents. The aim of this study was to test the psychometric properties of the original Adolescent Health Concern Inventory (AHCI) for use with an Iranian population.
This was a methodological study in which 50 adolescents with age range of 14-18 years were selected using convenience sampling. The translation and cultural adaptation process of The AHCI followed recognized and established guidelines. The face and content validity was established by analyzing feedback solicited from teenagers and professionals with expertise in health, sociology and psychology. Reliability was examined using test-retest and Cronbach's alpha for internal consistency reliability. Kappa and McNemar tests were used to examine test-retest reliability for each item.
Minor cultural differences were identified and resolved during the translation process and determining the validity of the checklist. Results from Kappa and McNemar tests indicate a high degree of test-retest reliability. Internal consistency reliability as measured by Cronbach's alpha for the subscales were between 0.68 and 0.87 with total instrument reliability of 0.96 indicating considerable overall reliability.
The Persian version of the AHCI appears valid and reliable. Hence, it can be used for filling a gap in identifying the adolescents' health concerns in the research and community settings and school health education programs in Iran to design appropriate interventions.
在制定和实施旨在改善青少年面临的主要健康问题的公共卫生促进或健康教育课程计划之前,考虑青少年的健康问题非常重要。本研究的目的是测试原始青少年健康关注量表(AHCI)在伊朗人群中的心理测量特性。
这是一项方法学研究,采用便利抽样法选取了50名年龄在14至18岁之间的青少年。AHCI的翻译和文化适应过程遵循公认的既定指南。通过分析从青少年以及健康、社会学和心理学领域的专业人士那里征求到的反馈意见来确定表面效度和内容效度。使用重测法和克朗巴哈系数来检验内部一致性信度。使用卡帕检验和麦克尼马尔检验来检验每个条目的重测信度。
在翻译过程以及确定清单的效度时发现并解决了一些细微的文化差异。卡帕检验和麦克尼马尔检验的结果表明重测信度很高。各分量表的克朗巴哈系数所衡量的内部一致性信度在0.68至0.87之间,整个量表的信度为0.96,表明总体信度相当高。
AHCI的波斯语版本似乎有效且可靠。因此,它可用于填补伊朗在研究和社区环境以及学校健康教育计划中识别青少年健康问题方面的空白,以设计适当的干预措施。