Hugelius K, Semrau M, Holmefur M
School of Health Sciences, Örebro University, Örebro, Sweden.
Center for Global Health Research, Brighton and Sussex Medical School, Brighton, UK.
BMC Public Health. 2020 Mar 12;20(1):323. doi: 10.1186/s12889-020-8387-4.
The Humanitarian Emergency Settings Perceived Needs Scale (HESPER) assesses a wide range of physical, psychological and social perceived needs across 26 questions, and can be used in humanitarian emergencies and disasters for needs assessment or research studies. The original HESPER collects data through individual interviews. Today, a large number of people have access to the internet, including in humanitarian emergencies and disasters. Therefore, this paper aimed to report the development, reliability evaluation and feasibility evaluation of the HESPER Web.
First, the original HESPER was developed into a web based survey. Thereafter, alternate forms reliability between the HESPER and HESPER Web, and test-retest reliability for the HESPER Web, was evaluated using a study sample of 85 asylum seekers in Sweden in total.
The alternate forms reliability evaluation showed that the HESPER Web was a reliable instrument to assess perceived needs. Intraclass correlation coefficient (ICC) for total number of serious needs was 0.96 (CI 0.93-09.98, p < 0.001). Cohen's κ was used to analyse the alternate forms reliability between the HESPER and HESPER Web item per item; the correspondence between HESPER and HESPER Web varied between 0.54 and 1.0 for the 26 questions. There was a strong nominal association in first priority need between the HESPER and HESPER Web (Cramer's V 0.845, p < 0.001). In the test-retest reliability evaluation of HESPER Web, ICC was 0.98 (CI 0.97-0.99, p < 0.001), and Cohen's κ varied between 0.53 and 1.0. There was a strong nominal association in first priority need between test and re-test (Cramer's V 0.93, p < 0.001). The HESPER Web was experienced as easy and safe to use and was found less time consuming than the original HESPER interview, according to the study participants.
The HESPER Web is a reliable and usable instrument to assess perceived needs. It can reduce a number of practical challenges both for needs assessment in disasters or humanitarian emergencies as well as in research.
人道主义紧急情况感知需求量表（HESPER）通过26个问题评估广泛的身体、心理和社会感知需求，可用于人道主义紧急情况和灾难中的需求评估或研究。原始的HESPER通过个人访谈收集数据。如今，包括在人道主义紧急情况和灾难中，大量人群可以访问互联网。因此，本文旨在报告HESPER网络版的开发、信度评估和可行性评估。
首先，将原始的HESPER开发成基于网络的调查问卷。此后，使用瑞典85名寻求庇护者的研究样本评估了HESPER与HESPER网络版之间的复本信度，以及HESPER网络版的重测信度。
复本信度评估表明，HESPER网络版是评估感知需求的可靠工具。严重需求总数的组内相关系数（ICC）为0.96（CI 0.93 - 0.98，p < 0.001）。使用Cohen's κ分析HESPER与HESPER网络版各项目之间的复本信度；26个问题中，HESPER与HESPER网络版之间的对应度在0.54至1.0之间。HESPER与HESPER网络版在首要需求方面存在很强的名义关联（Cramer's V为0.845，p < 0.001）。在HESPER网络版的重测信度评估中，ICC为0.98（CI 0.97 - 0.99，p < 0.001），Cohen's κ在0.53至1.0之间变化。测试与重测在首要需求方面存在很强的名义关联（Cramer's V为0.93，p < 0.001）。根据研究参与者的反馈，HESPER网络版使用起来轻松且安全，并且比原始的HESPER访谈耗时更少。
HESPER网络版是评估感知需求的可靠且可用的工具。它可以减少灾难或人道主义紧急情况中的需求评估以及研究中的一些实际挑战。
