Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam

Objectives: Tuberculosis (TB) stigma contributes to diagnostic delay, disease concealment, and reduced wellbeing for affected individuals. Despite the availability of several TB stigma scales, most high-TB burden countries do not have a culturally validated version available. This study evaluated th...

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Autores principales: Lisa Redwood, Ellen M.H. Mitchell, Thu Anh Nguyen, Kerri Viney, Linh Duong, Huu Thuong Phạm, Binh Hoa Nguyen, Viet Nhung Nguyen, Greg J. Fox
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Lenguaje:EN
Publicado: Elsevier 2022
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spelling oai:doaj.org-article:89feb0919036408d870ab5bf6659694a2021-11-28T04:29:15ZAdaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam1201-971210.1016/j.ijid.2021.10.040https://doaj.org/article/89feb0919036408d870ab5bf6659694a2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221008250https://doaj.org/toc/1201-9712Objectives: Tuberculosis (TB) stigma contributes to diagnostic delay, disease concealment, and reduced wellbeing for affected individuals. Despite the availability of several TB stigma scales, most high-TB burden countries do not have a culturally validated version available. This study evaluated the Van Rie TB stigma scale (VTSS) among people with TB in Vietnam. Methods: This study consisted of two phases. In phase 1, the VTSS was culturally and linguistically adapted to the Vietnamese context. In phase 2, people with TB were invited to complete a survey containing the VTSS, a depression scale, and a quality of life scale. The data analysis included confirmatory factor analysis (CFA), exploratory factor analysis (EFA), construct validity, and floor or ceiling effects. Results: In phase 1, items were reworded from the third person to the first person. The TB/HIV co-infection items (items 7 and 11) were the least relevant for people with TB (62% and 73% relevance, respectively). In phase 2, the CFA demonstrated adequate goodness-of-fit indices (GFI = 0.88, CFI = 0.96, RMSEA = 0.058); however several of the item factor loadings were low. The EFA demonstrated good internal consistency (α = 0.85) and revealed one dominant factor. Construct validity was low. Conclusions: The VTSS demonstrated good psychometric properties in Vietnam. Depending on the purpose of the scale, the HIV co-infection items and item 10 could be considered for removal.Lisa RedwoodEllen M.H. MitchellThu Anh NguyenKerri VineyLinh DuongHuu Thuong PhạmBinh Hoa NguyenViet Nhung NguyenGreg J. FoxElsevierarticlePsychometricsTBMeasurementConfirmatory factor analysisVietnamStigmaInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 114, Iss , Pp 97-104 (2022)
institution DOAJ
collection DOAJ
language EN
topic Psychometrics
TB
Measurement
Confirmatory factor analysis
Vietnam
Stigma
Infectious and parasitic diseases
RC109-216
spellingShingle Psychometrics
TB
Measurement
Confirmatory factor analysis
Vietnam
Stigma
Infectious and parasitic diseases
RC109-216
Lisa Redwood
Ellen M.H. Mitchell
Thu Anh Nguyen
Kerri Viney
Linh Duong
Huu Thuong Phạm
Binh Hoa Nguyen
Viet Nhung Nguyen
Greg J. Fox
Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam
description Objectives: Tuberculosis (TB) stigma contributes to diagnostic delay, disease concealment, and reduced wellbeing for affected individuals. Despite the availability of several TB stigma scales, most high-TB burden countries do not have a culturally validated version available. This study evaluated the Van Rie TB stigma scale (VTSS) among people with TB in Vietnam. Methods: This study consisted of two phases. In phase 1, the VTSS was culturally and linguistically adapted to the Vietnamese context. In phase 2, people with TB were invited to complete a survey containing the VTSS, a depression scale, and a quality of life scale. The data analysis included confirmatory factor analysis (CFA), exploratory factor analysis (EFA), construct validity, and floor or ceiling effects. Results: In phase 1, items were reworded from the third person to the first person. The TB/HIV co-infection items (items 7 and 11) were the least relevant for people with TB (62% and 73% relevance, respectively). In phase 2, the CFA demonstrated adequate goodness-of-fit indices (GFI = 0.88, CFI = 0.96, RMSEA = 0.058); however several of the item factor loadings were low. The EFA demonstrated good internal consistency (α = 0.85) and revealed one dominant factor. Construct validity was low. Conclusions: The VTSS demonstrated good psychometric properties in Vietnam. Depending on the purpose of the scale, the HIV co-infection items and item 10 could be considered for removal.
format article
author Lisa Redwood
Ellen M.H. Mitchell
Thu Anh Nguyen
Kerri Viney
Linh Duong
Huu Thuong Phạm
Binh Hoa Nguyen
Viet Nhung Nguyen
Greg J. Fox
author_facet Lisa Redwood
Ellen M.H. Mitchell
Thu Anh Nguyen
Kerri Viney
Linh Duong
Huu Thuong Phạm
Binh Hoa Nguyen
Viet Nhung Nguyen
Greg J. Fox
author_sort Lisa Redwood
title Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam
title_short Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam
title_full Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam
title_fullStr Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam
title_full_unstemmed Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam
title_sort adaptation and validation of the van rie tuberculosis stigma scale in vietnam
publisher Elsevier
publishDate 2022
url https://doaj.org/article/89feb0919036408d870ab5bf6659694a
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