Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Department of Women's and Children's Health, Clinical Psychology in Healthcare, Uppsala University, Uppsala, Sweden.
Worldviews Evid Based Nurs. 2021 Feb;18(1):42-49. doi: 10.1111/wvn.12477. Epub 2020 Dec 6.
Homelessness is an increasing problem worldwide, and the origins of homelessness in high-income countries are multifaceted. Due to stigma and discrimination, persons in homelessness delay seeking health care, resulting in avoidable illness and death. The Attitudes Towards Homelessness Inventory (ATHI) was developed to cover multiple dimensions of attitudes toward persons in homelessness and to detect changes in multiple segments of populations. It has, however, not previously been translated to Swedish.
The aim of the present study was to translate, cross-culturally adapt, and psychometrically test the ATHI for use in a Swedish healthcare context.
The project used a traditional forward- and back-translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back-translation; (4) expert review committee deliberations; (5) pre-testing with cognitive interviews including registered nurses (n = 5), nursing students (n = 5), and women in homelessness (n = 5); and (6) psychometric evaluations. The final ATHI questionnaire was answered by 228 registered nurses and nursing students in the year 2019.
The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential, and conceptual equivalence. Confirmatory factor analysis was used to examine if the collected data fitted the hypothesized four-factor structure of the ATHI. Overall, it was found that the model had an acceptable fit and that the Swedish version of ATHI may be used in a Swedish healthcare context.
The ATHI has been shown to be a psychometrically acceptable research instrument for use in a Swedish healthcare context. The systematic and rigorous process applied in this study, including experts with diverse competencies in translation proceedings and testing, improved the reliability and validity of the final Swedish version of the ATHI. The instrument may be used to investigate attitudes toward women in homelessness among nursing students and RNs in Sweden.
homelessness 是一个全球性的日益严重的问题，高收入国家 homeless 的起源是多方面的。由于耻辱和歧视， homeless 的人会延迟寻求医疗保健，导致可避免的疾病和死亡。 Attitudes Towards Homelessness Inventory (ATHI) 是为了涵盖对 homeless 的人的态度的多个方面，并检测多个人群的多个部分的变化而开发的。然而，它以前没有被翻译成瑞典语。
本研究的目的是翻译、跨文化适应并对 ATHI 进行心理测试，以便在瑞典医疗保健环境中使用。
该项目使用传统的正向和反向翻译过程，分为六个阶段：（1）由两名双语专家同时进行翻译；（2）专家评审委员会综合；（3）盲文回译；（4）专家评审委员会审议；（5）预测试，包括注册护士（n=5）、护理学生（n=5）和 homeless 的女性（n=5）进行认知访谈；（6）心理测试评估。最终的 ATHI 问卷在 2019 年由 228 名注册护士和护理学生回答。
翻译过程是系统进行的，并涉及到语义、惯用、经验和概念等价物的讨论。验证性因子分析用于检查所收集的数据是否符合 ATHI 的假设四因素结构。总的来说，发现该模型具有可接受的拟合度，瑞典语版的 ATHI 可用于瑞典医疗保健环境。
ATHI 已被证明是一种在瑞典医疗保健环境中使用的心理测量学上可接受的研究工具。本研究中应用的系统和严格的过程，包括在翻译程序和测试方面具有不同能力的专家，提高了最终瑞典语版 ATHI 的可靠性和有效性。该工具可用于调查瑞典护理学生和注册护士对 homeless 的女性的态度。
