一项评估巴基斯坦母亲对人乳头瘤病毒疫苗接种健康观念的工具的翻译及心理测量学评估。
Translation and psychometric evaluation of an instrument to assess the health beliefs of Pakistani mothers regarding human papillomavirus vaccination.
作者信息
Lee Pinky P K, Chan Dorothy N S, Choi K C, So Winnie K W
机构信息
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China.
出版信息
Asia Pac J Oncol Nurs. 2024 Jan 26;11(4):100384. doi: 10.1016/j.apjon.2024.100384. eCollection 2024 Apr.
OBJECTIVE
Investigating mothers' health beliefs regarding human papillomavirus (HPV) vaccination is essential for understanding their decisions regarding vaccinating their daughters against HPV. There is no available validated instrument to measure the health beliefs of Pakistani mothers regarding HPV vaccination for their daughters. The purpose of this study was to translate the Human Papillomavirus Vaccination Scale - Health Belief Model (HPVS-HBM) into Urdu and to evaluate the psychometric properties of the translated Urdu version among Pakistani mothers in Hong Kong.
METHODS
This was a descriptive correlational study for which a convenience sample of 260 Pakistani women was recruited. The original HPVS-HBM questionnaire was translated from English to Urdu according to Brislin's model. A panel of experts reviewed the translated questionnaire and assessed the content validity of the items and the scale. Face validity was assessed in a sample of five Pakistani mothers, while structural validity was examined by an exploratory factor analysis. Internal consistency and test-retest reliability were assessed to evaluate the reliability of the translated instrument.
RESULTS
The translated questionnaire demonstrated good face validity and content validity (item-level content validity index: 0.83-1.00; scale-level content validity index: 0.89-1.00). Factor analysis of the 22 items in the scale revealed a three-factor structure (perceived susceptibility, perceived severity and perceived benefits), which accounted for 77.66% of the total variance. The translated questionnaire also showed good internal consistency (Cronbach's alpha: 0.93-0.98) and acceptable test-retest reliability (weighted kappa: 0.49-0.96; intra-class correlation coefficient: 0.83-0.93).
CONCLUSIONS
The translated Urdu version of the HPVS-HBM demonstrated desirable psychometric properties, indicating that it could be used as a valid and reliable instrument for measuring Pakistani mothers' health beliefs regarding HPV vaccination for their daughters in Hong Kong.
目的
调查母亲们对人乳头瘤病毒（HPV）疫苗接种的健康信念，对于理解她们为女儿接种HPV疫苗的决策至关重要。目前尚无经过验证的工具来衡量巴基斯坦母亲对女儿接种HPV疫苗的健康信念。本研究的目的是将人乳头瘤病毒疫苗接种量表-健康信念模型（HPVS-HBM）翻译成乌尔都语，并在香港的巴基斯坦母亲中评估翻译后的乌尔都语版本的心理测量特性。
方法
这是一项描述性相关性研究，招募了260名巴基斯坦女性作为便利样本。原始的HPVS-HBM问卷根据布里斯林模型从英语翻译成乌尔都语。一个专家小组审查了翻译后的问卷，并评估了项目和量表的内容效度。在五名巴基斯坦母亲的样本中评估表面效度，通过探索性因素分析检验结构效度。评估内部一致性和重测信度以评估翻译工具的信度。
结果
翻译后的问卷显示出良好的表面效度和内容效度（项目水平的内容效度指数：0.83-1.00；量表水平的内容效度指数：0.89-1.00）。对量表中的22个项目进行因素分析，揭示了一个三因素结构（感知易感性、感知严重性和感知益处），占总方差的77.66%。翻译后的问卷还显示出良好的内部一致性（克朗巴赫α系数：0.93-0.98）和可接受的重测信度（加权kappa系数：0.49-0.96；组内相关系数：0.83-0.93）。
结论
HPVS-HBM的翻译后的乌尔都语版本显示出理想的心理测量特性，表明它可以作为一种有效且可靠的工具，用于测量香港的巴基斯坦母亲对女儿接种HPV疫苗的健康信念。
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