Department of Nursing at Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju, 501-759, Republic of Korea.
BMC Public Health. 2018 Nov 29;18(1):1328. doi: 10.1186/s12889-018-6240-9.
Culturally sensitive, reliable and valid cultural belief scales for colorectal cancer (CRC) screening in Koreans in the Republic of Korea are not available in the literature. The purpose of this study was to adapt and validate existing cultural belief scales for CRC screening in Koreans.
Individual interviews, expert reviews, and a pilot test were conducted for instrument adaptation, and a cross-sectional survey with 884 Koreans was conducted for instrument validation. Construct validity using exploratory and confirmatory factor analyses and reliability of the Korean version of the instruments were examined.
Exploratory factor analysis using c four factors that accounted for 48.12% of the variance. The validity and reliability of the cultural belief scales were supported by confirmatory factor analysis and Cronbach's alpha.
The results of the present study showed that the four-factor cultural belief scales were culturally sensitive, reliable and valid in Koreans. The final cultural belief scales could be used to identify cultural beliefs more accurately and specifically, as well as to develop effective interventions to increase CRC screening in Koreans in the Republic of Korea.
在韩国，目前缺乏针对韩国人群的、文化敏感性强、可靠且有效的结直肠癌（CRC）筛查文化信念量表。本研究旨在改编和验证现有的 CRC 筛查文化信念量表，使之适用于韩国人群。
采用个体访谈、专家评审和预试验进行量表改编，采用横断面调查方法对 884 名韩国人进行量表验证。采用探索性和验证性因子分析来评估结构效度，采用克朗巴赫α系数来评估量表的信度。
采用四个因子的探索性因子分析可以解释 48.12%的方差。验证性因子分析和克朗巴赫α系数支持文化信念量表的效度和信度。
本研究结果表明，改编后的四因素文化信念量表在韩国人群中具有文化敏感性、可靠性和有效性。最终的文化信念量表可以更准确、更具体地识别文化信念，以及制定更有效的干预措施，以提高韩国人群中 CRC 的筛查率。
