CULTURAL ADAPTATION AND VALIDATION IN BRAZIL OF THE TUBERCULOSIS-RELATED STIGMA SCALE

• Grant number: 13/11208-1
• Support Opportunities: Scholarships in Brazil - Doctorate
• Start date: September 01, 2013
• End date: February 28, 2014
• Field of knowledge: Health Sciences - Nursing - Public Health Nursing
• Principal Investigator: Ricardo Alexandre Arcêncio
• Grantee: Juliane de Almeida Crispim
• Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

The current epidemiological reality of tuberculosis (TB) in Brazil and in the world appoint to the requirement of research focused in sociocultural aspects involved to the cure and its rehabilitation. Given the lack of tools available in portuguese to measure stigma that yet reaches TB patients, this study to aim at culturally adapt and validate in Brazil the of Tuberculosis-related stigma scale. The scale was developed and validated in Southern Thailand, aimed to measure stigma associated with tuberculosis, to determine the factors underlying such stigma, identify points of intervention, and evaluate the effects of stigma reduction programs. The scale has 23 items answer type Likert that were selected from the following key domains: fear of transmission and disease, values and attitudes associated with shame, blame, judgment and disclosure of disease status. The validation process in our country it will adopt two important fronts work: steps of translation-back translation, semantic evaluation and pilot test, denominated Phase I and Phase II, since it is intended to obtain the possible confirmation of the initial psychometric properties. The study count with a sample of patients with TB, treated in referral centers in the municipality, with age 18 years or more. Phase I, will performed the descriptive analysis with calculation of frequency and proportion, average and standard deviation. In addition to checking the existence "floor" and "ceiling" effects, convergent validity and discriminant validity, according to the the multitrait-multimethod analysis. In the Phase II, will use Confirmatory Factor Analysis, considering of factor loadings tests and adjustment measures: Root Mean Square Error of Approximation (RMSEA); Goodness-of-fit index (GFI); Normal Fit Index (NFI); Nonnormed Fit Index (NNFI). Regarding to scale confiability, the authors will consider the Cronbach's alpha, adopting as acceptable values higher than 0,70, and also the variance extracted of factors, having as reference, values higher than 50%. After completing the process of validation in the county, the scale will become available to Brazilian researchers to measure stigma and to compare of other cultures, contributing with changing practices directed to TB patients.

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

CRISPIM, JULIANE DE ALMEIDA; CAETANO DA SILVA, LAIS MARA; YAMAMURA, MELLINA; POPOLIN, MARCELA PASCHOAL; VIEIRA RAMOS, ANTONIO CARLOS; ARROYO, LUIZ HENRIQUE; REGO DE QUEIROZ, ANA ANGELICA; BELCHIOR, AYLANA DE SOUZA; DOS SANTOS, DANIELLE TALITA; PIERI, FLAVIA MENEGUETTI; et al. Validity and reliability of the tuberculosis-related stigma scale version for Brazilian Portuguese. BMC INFECTIOUS DISEASES, v. 17, JUL 21 2017. (13/11208-1)

Academic Publications

(References retrieved automatically from State of São Paulo Research Institutions)

CRISPIM, Juliane de Almeida. Cultural adaptation and validation of the Tuberculosis-Related Stigma Scale to Brazil - Phase I. 2016. Doctoral Thesis - Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC) Ribeirão Preto.