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《原住民妇女遭受伴侣暴力经历量表(AEPVS)的制定、可接受性和结构有效性:一项嵌套在澳大利亚原住民和托雷斯海峡岛民出生队列中的共同设计、多阶段研究》

Development, acceptability and construct validity of the Aboriginal Women's Experiences of Partner Violence Scale (AEPVS): a co-designed, multiphase study nested within an Australian Aboriginal and Torres Strait Islander birth cohort.

机构信息

Intergenerational Health, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.

Women and Kids Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

出版信息

BMJ Open. 2022 Aug 25;12(8):e059576. doi: 10.1136/bmjopen-2021-059576.

Abstract

OBJECTIVE

Few studies employ culturally safe approaches to understanding Indigenous women's experiences of intimate partner violence (IPV). The aim of this study was to develop a brief, culturally safe, self-report measure of Aboriginal and Torres Strait Islander women's experiences of different types of IPV.

DESIGN

Multistage process to select, adapt and test a modified version of the Australian Composite Abuse Scale using community discussion groups and pretesting. Revised draft measure tested in Wave 2 follow-up of an existing cohort of Aboriginal families. Psychometric testing and revision included assessment of the factor structure, construct validity, scale reliability and acceptability to create the Aboriginal Women's Experiences of Partner Violence Scale (AEPVS).

SETTING

South Australia, Australia.

PARTICIPANTS

14 Aboriginal women participated in discussion groups, 58 women participated in pretesting of the draft version of the AEPVS and 216 women participating in the Aboriginal Families Study completed the revised draft version of the adapted measure.

RESULTS

The initial version of the AEPVS based on item review and adaptation by the study's Aboriginal Advisory Group comprised 31 items measuring physical, emotional and financial IPV. After feedback from community discussion groups and two rounds of testing, the 18-item AEPVS consists of three subscales representing physical, emotional and financial IPV. All subscales had excellent construct validity and internal consistency. The AEPVS had high acceptability among Aboriginal women participating in the Aboriginal Families Study.

CONCLUSIONS

The AEPVS is the first co-designed, multidimensional measure of Aboriginal women's experience of physical, emotional and financial IPV. The measure demonstrated cultural acceptability and construct validity within the setting of an Aboriginal-led, community-based research project. Validation in other settings (eg, primary care) and populations (eg, other Indigenous populations) will need to incorporate processes for community governance and tailoring of research processes to local community contexts.

摘要

目的

很少有研究采用文化安全的方法来了解土著妇女遭受亲密伴侣暴力(IPV)的经历。本研究旨在开发一种简短、文化安全、自我报告的工具,用于评估澳大利亚原住民和托雷斯海峡岛民妇女遭受不同类型 IPV 的经历。

设计

采用多阶段的方法,使用社区讨论小组和预测试来选择、改编和测试澳大利亚综合虐待量表的修改版本。修订后的草案措施在现有的土著家庭队列的第二波随访中进行了测试。心理测量测试和修订包括评估因素结构、构建有效性、量表可靠性和可接受性,以创建土著妇女伴侣暴力经历量表(AEPVS)。

地点

澳大利亚南澳大利亚州。

参与者

14 名土著妇女参加了讨论小组,58 名妇女参加了 AEPVS 草案的预测试,216 名参加了土著家庭研究的妇女完成了改编后的草案措施。

结果

基于研究的土著咨询小组的项目审查和改编,初始版本的 AEPVS 由 31 个项目组成,用于衡量身体、情感和经济 IPV。在社区讨论小组和两轮测试的反馈后,由 18 个项目组成的 AEPVS 包括代表身体、情感和经济 IPV 的三个分量表。所有分量表均具有良好的结构有效性和内部一致性。AEPVS 在参加土著家庭研究的土著妇女中具有很高的可接受性。

结论

AEPVS 是第一个由土著主导、基于社区的研究项目共同设计的、多维度的土著妇女身体、情感和经济 IPV 经历的衡量工具。该措施在土著领导的社区研究项目的背景下表现出文化上的可接受性和结构有效性。在其他环境(例如,初级保健)和人群(例如,其他土著人群)中进行验证需要纳入社区治理流程和针对当地社区情况调整研究流程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe8d/9422811/b1cec2306237/bmjopen-2021-059576f01.jpg

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