Cross-cultural validation of instruments measuring health beliefs about colorectal cancer screening among Korean Americans

Journal of Korean Academy of Nursing
Shin-Young Lee, Eunice E Lee

Abstract

The purpose of this study was to report the instrument modification and validation processes to make existing health belief model scales culturally appropriate for Korean Americans (KAs) regarding colorectal cancer (CRC) screening utilization. Instrument translation, individual interviews using cognitive interviewing, and expert reviews were conducted during the instrument modification phase, and a pilot test and a cross-sectional survey were conducted during the instrument validation phase. Data analyses of the cross-sectional survey included internal consistency and construct validity using exploratory and confirmatory factor analysis. The main issues identified during the instrument modification phase were (a) cultural and linguistic translation issues and (b) newly developed items reflecting Korean cultural barriers. Cross-sectional survey analyses during the instrument validation phase revealed that all scales demonstrate good internal consistency reliability (Cronbach's alpha=.72~.88). Exploratory factor analysis showed that susceptibility and severity loaded on the same factor, which may indicate a threat variable. Items with low factor loadings in the confirmatory factor analysis may relate to (a) lack of knowledge abou...Continue Reading

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Citations

Nov 22, 2017·Revista brasileira de enfermagem·Regina Szylit BoussoEstela Regina Ferraz Bianchi
Oct 19, 2019·Nursing & Health Sciences·Shin-Young LeeSeonah Lee
May 24, 2021·Gastroenterología y hepatología·Martín Menéndez RodríguezJoaquín Cubiella

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