Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study
Workers with tuberculosis (TB) are often stigmatized, negatively impacting their socioeconomic position, mental health, and TB treatment outcomes. There is a dearth of validated tools to assess stigma in the worker population. This study aimed to develop and validate a novel, culturally adapted tool...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827323000022 |
| _version_ | 1811164944063791104 |
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| author | Dewi Sumaryani Soemarko Frisca Aprillia Halim Aria Kekalih Faisal Yunus Retno Asti Werdhani Agus Sugiharto Muchtaruddin Mansyur Tom Wingfield Ahmad Fuady |
| author_facet | Dewi Sumaryani Soemarko Frisca Aprillia Halim Aria Kekalih Faisal Yunus Retno Asti Werdhani Agus Sugiharto Muchtaruddin Mansyur Tom Wingfield Ahmad Fuady |
| author_sort | Dewi Sumaryani Soemarko |
| collection | DOAJ |
| description | Workers with tuberculosis (TB) are often stigmatized, negatively impacting their socioeconomic position, mental health, and TB treatment outcomes. There is a dearth of validated tools to assess stigma in the worker population. This study aimed to develop and validate a novel, culturally adapted tool to measure TB-related stigma among workers in Indonesia. We translated, adapted, applied, and internally validated Van Rie's TB-Stigma Scale to the worker population in varying sizes businesses (formal and informal business sectors) in Indonesia. Psychometric evaluation using exploratory and confirmatory factor analyses (EFA and CFA) was performed to check the tool's internal consistency and reliability. The translation and cultural adaptation phases resulted in a final 11-item tool. From 172 participant responses, the EFA found two loading factors relating to responses on isolation and exclusion from the workplace. The CFA confirmed that the developed model had moderate fit with R2 values for each item ranging from 0.37 to 0.84. The tool was reliable (Cronbach's alpha 0.869). This validated, consistent and reliable adapted tool is ready to use in larger scale evaluations of TB-related stigma amongst workers in formal and informal business sectors of Indonesia to develop strategies to eliminate TB-related stigma from the workplace. |
| first_indexed | 2024-04-10T15:30:33Z |
| format | Article |
| id | doaj.art-b862b9060f2748cdbc04b61058fae7c1 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-10T15:30:33Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-b862b9060f2748cdbc04b61058fae7c12023-02-14T04:07:01ZengElsevierSSM: Population Health2352-82732023-03-0121101337Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation studyDewi Sumaryani Soemarko0Frisca Aprillia Halim1Aria Kekalih2Faisal Yunus3Retno Asti Werdhani4Agus Sugiharto5Muchtaruddin Mansyur6Tom Wingfield7Ahmad Fuady8Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, IndonesiaMaster of Occupational Medicine Study Program, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, IndonesiaDepartment of Pulmonology and Respiration, Faculty of Medicine, Universitas Indonesia, Jl. Persahabatan Raya No.1, Jakarta, 13230, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, Indonesia; South East Asian Ministers of Education Organization Regional Center for Food and Nutrition, Jakarta, 13120, IndonesiaDepartments of Clinical Sciences and International Public Health, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK; Department of Global Public Health, WHO Collaborating Centre on Tuberculosis and Social Medicine, Karolinska Institute, Stockholm, 171 76, Sweden; Tropical and Infectious Disease Unit, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, L7 8XP, UKDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta, 10310, Indonesia; Primary Health Care Research and Innovation Center, Indonesian Medical Education and Research Institute, Faculty of Medicine Universitas Indonesia, Jl. Salemba Raya No.6, Jakarta, 10430, Indonesia; Corresponding author. Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jl. Pegangsaan No.16, Jakarta, 10310, Indonesia.Workers with tuberculosis (TB) are often stigmatized, negatively impacting their socioeconomic position, mental health, and TB treatment outcomes. There is a dearth of validated tools to assess stigma in the worker population. This study aimed to develop and validate a novel, culturally adapted tool to measure TB-related stigma among workers in Indonesia. We translated, adapted, applied, and internally validated Van Rie's TB-Stigma Scale to the worker population in varying sizes businesses (formal and informal business sectors) in Indonesia. Psychometric evaluation using exploratory and confirmatory factor analyses (EFA and CFA) was performed to check the tool's internal consistency and reliability. The translation and cultural adaptation phases resulted in a final 11-item tool. From 172 participant responses, the EFA found two loading factors relating to responses on isolation and exclusion from the workplace. The CFA confirmed that the developed model had moderate fit with R2 values for each item ranging from 0.37 to 0.84. The tool was reliable (Cronbach's alpha 0.869). This validated, consistent and reliable adapted tool is ready to use in larger scale evaluations of TB-related stigma amongst workers in formal and informal business sectors of Indonesia to develop strategies to eliminate TB-related stigma from the workplace.http://www.sciencedirect.com/science/article/pii/S2352827323000022TuberculosisStigmaWorkerToolValidationIndonesia |
| spellingShingle | Dewi Sumaryani Soemarko Frisca Aprillia Halim Aria Kekalih Faisal Yunus Retno Asti Werdhani Agus Sugiharto Muchtaruddin Mansyur Tom Wingfield Ahmad Fuady Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study SSM: Population Health Tuberculosis Stigma Worker Tool Validation Indonesia |
| title | Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study |
| title_full | Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study |
| title_fullStr | Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study |
| title_full_unstemmed | Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study |
| title_short | Developing a tool to measure tuberculosis-related stigma in workplaces in Indonesia: An internal validation study |
| title_sort | developing a tool to measure tuberculosis related stigma in workplaces in indonesia an internal validation study |
| topic | Tuberculosis Stigma Worker Tool Validation Indonesia |
| url | http://www.sciencedirect.com/science/article/pii/S2352827323000022 |
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