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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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | International Journal of Infectious Diseases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971221008250 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-22T20:07:13Z |
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| id | doaj.art-89feb0919036408d870ab5bf6659694a |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-12-22T20:07:13Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-89feb0919036408d870ab5bf6659694a2022-12-21T18:14:06ZengElsevierInternational Journal of Infectious Diseases1201-97122022-01-0111497104Adaptation and validation of the Van Rie tuberculosis stigma scale in VietnamLisa Redwood0Ellen M.H. Mitchell1Thu Anh Nguyen2Kerri Viney3Linh Duong4Huu Thuong Phạm5Binh Hoa Nguyen6Viet Nhung Nguyen7Greg J. Fox8The University of Sydney Central Clinical School, The Faculty of Medicine and Health, The University of Sydney, NSW, Australia 2006; The Woolcock Institute of Medical Research, Glebe, NSW, Australia 2037; Corresponding author: Lisa Redwood, Central Clinical School, Room 5214, Level 2, Medical Foundation Building (K25), 92–95 Parramatta Road, Camperdown, NSW 2050, Australia. Tel.: +61 476978098.Department of Public Health, Institute for Tropical Medicine, Antwerp, BelgiumThe University of Sydney Central Clinical School, The Faculty of Medicine and Health, The University of Sydney, NSW, Australia 2006; The Woolcock Institute of Medical Research, Glebe, NSW, Australia 2037Research School of Population Health, Australian National University, Canberra, Australia; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden; School of Public Health, The Faculty of Medicine and Health, The University of Sydney, Sydney, AustraliaThe Woolcock Institute of Medical Research, Glebe, NSW, Australia 2037Hanoi Lung Hospital, Hanoi, VietnamHanoi Lung Hospital, Hanoi, VietnamNational Tuberculosis Program, VietnamThe University of Sydney Central Clinical School, The Faculty of Medicine and Health, The University of Sydney, NSW, Australia 2006; The Woolcock Institute of Medical Research, Glebe, NSW, Australia 2037Objectives: 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.http://www.sciencedirect.com/science/article/pii/S1201971221008250PsychometricsTBMeasurementConfirmatory factor analysisVietnamStigma |
| spellingShingle | 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 International Journal of Infectious Diseases Psychometrics TB Measurement Confirmatory factor analysis Vietnam Stigma |
| title | 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_short | 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 |
| topic | Psychometrics TB Measurement Confirmatory factor analysis Vietnam Stigma |
| url | http://www.sciencedirect.com/science/article/pii/S1201971221008250 |
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