Oo Htet Shwe Wah, Thato Ratsiri, Phyo Nyan Win
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
University of Nursing, Yangon, Myanmar.
Belitung Nurs J. 2024 Feb 28;10(1):114-121. doi: 10.33546/bnj.3109. eCollection 2024.
Acculturation provides a framework for exploring the health behaviors of ethnic minority or cultural groups. Research on the acculturation level and patterns of Myanmar migrants is crucial since there is ample evidence that acculturation promotes health-promoting behaviors. However, no Myanmar version has undergone cross-cultural validation.
This study aimed to translate the original East Asian Acculturation Measure (EAAM) into the Myanmar version (EAAM-M) and investigate its psychometric properties.
The validation study was conducted on a sample of 200 Myanmar migrants in three factories in Bangkok, Thailand, by a multistage random sampling method from August to September 2023. Brislin's back translation technique was applied to convert the original EAAM into its modified version, EAAM-M. The reliability, content validity, and construct validity of the EAAM-M were examined, and confirmatory factor analysis (CFA) was employed to test the appropriateness of the model that underpins the EAAM-M structure.
The average age of the participants was 38.39 years (SD = 5.56), and 68% of participants reported they earned less than 9000 baht. In terms of how long they stayed in Thailand, slightly over half (52.5%) did so for 1-5 years. Nearly half of them (46%) cannot communicate at all regarding their proficiency in speaking Thai. The score regarding the comparability of language and similarity of interpretability between the original EAAM and the EAAM-M was satisfactory. The overall alpha reliability of the EAAM-M was 0.76. Based on the CFA, the measurement model was well fit, with acceptable goodness-of-fit values (Chi-square test of model fit ( = 0.05), CMIN/df = 1.70 (χ = 624.931, df = 366), RMSEA = 0.02, CFI = 0.98, and SRMR = 0.06). The validity and reliability of the factors were affirmed through appropriate factor loadings and satisfactory levels of composite reliability (0.942) and average variance extracted (0.538).
The EAAM-M is a reliable and valid instrument to measure the acculturation patterns of Myanmar migrants. It is beneficial for scholars across various disciplines, including health professionals and nurses, to deliver culturally tailored care for migrants.
文化适应为探究少数民族或文化群体的健康行为提供了一个框架。对缅甸移民的文化适应水平和模式进行研究至关重要，因为有充分证据表明文化适应能促进健康促进行为。然而，尚无缅甸语版本经过跨文化验证。
本研究旨在将原始的东亚文化适应量表（EAAM）翻译成缅甸语版本（EAAM-M）并调查其心理测量特性。
2023年8月至9月，采用多阶段随机抽样方法，对泰国曼谷三家工厂的200名缅甸移民样本进行了验证研究。应用Brislin的回译技术将原始的EAAM转换为其修改版本EAAM-M。检验了EAAM-M的信度、内容效度和结构效度，并采用验证性因素分析（CFA）来检验支撑EAAM-M结构的模型的适宜性。
参与者的平均年龄为38.39岁（标准差=5.56），68%的参与者报告其收入低于9000泰铢。就他们在泰国停留的时间而言，略超过一半（52.5%）的人停留了1至5年。其中近一半（46%）在泰语口语能力方面完全无法交流。原始EAAM与EAAM-M在语言可比性和可解释性相似性方面的得分令人满意。EAAM-M的总体α信度为0.76。基于CFA，测量模型拟合良好，具有可接受的拟合优度值（模型拟合的卡方检验（=0.05），CMIN/df = 1.70（χ = 624.931，df = 366），RMSEA = 0.02，CFI = 0.98，SRMR = 0.06）。通过适当的因素载荷以及令人满意的组合信度（0.942）和平均提取方差（0.538）水平，确认了各因素的效度和信度。
EAAM-M是测量缅甸移民文化适应模式的可靠且有效的工具。它有助于包括健康专业人员和护士在内的各学科的学者为移民提供文化适应的护理。
