Adaptação cultural para o Brasil da escala Tuberculosis-related stigma

Crispim, Juliane de Almeida; Touso, Michelle Mosna; Yamamura, Mellina; Popolin, Marcela Paschoal; Garcia, Maria Concebida da Cunha; Santos, Cláudia Benedita dos; Palha, Pedro Fredemir; Arcêncio, Ricardo Alexandre

doi:10.1590/1413-81232015217.10582015

Cited by 10 publications

(7 citation statements)

References 19 publications

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“…One of the most widely used tools is Van Rie's TB Stigma scale [17,18]. This scale has showed good internal consistency and been validated in various languages and settings including Thailand [17], Portugal [19], Mexico [20], Turkey [21], and Vietnam [22].…”

Section: Introductionmentioning

confidence: 99%

Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia

et al. 2023

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Introduction Tuberculosis (TB) remains a highly stigmatised disease that can cause or exacerbate mental health disorders. Despite increased awareness of the importance of reducing TB stigma, validated tools to measure TB stigma remain scarce. This study aimed to culturally adapt and validate the Van Rie TB Stigma Scale in Indonesia, a country with the second largest TB incidence worldwide. Methods We validated the scale in three phases: translation, cultural adaptation, and psychometric evaluation. We invited diverse experts to an interdisciplinary panel for the cross-cultural adaptation, then performed a psychometric evaluation of the scale: exploratory and confirmatory factor analyses, reliability analysis, and correlation analysis with Patient Health Questionnaire 9 [PHQ-9]. Results We culturally adapted the original scale's language and content during the translation and cultural adaptation phases. After psychometric evaluation with 401 participants in seven provinces of Indonesia, we removed two items. The new scale had two forms: (A) patient and (B) community perspective forms. Both forms had good internal consistency, with respective Cronbach's alpha values of 0.738 and 0.807. We identified three loading factors in Form A (disclosure, isolation, and guilty) and two loading factors in Form B (isolation and distancing). The scale showed correlation with PHQ-9 (Form A, rs = 0.347, p < 0.001; Form B, rs = 0). Conclusions The culturally adapted Indonesian version of Van Rie's TB Stigma Scale is comprehensive, reliable, internally consistent, and valid. The scale is now ready for applied scale-up in research and practice to measure TB-stigma and evaluate the impact of TB-stigma reduction interventions in Indonesia.

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Section: Introductionmentioning

confidence: 99%

Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia

et al. 2023

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“…Despite the scientific advances in infectious diseases, tuberculosis (TB), an ancient disease caused by Mycobacterium tuberculosis, is still one of the top 10 causes of death worldwide and the leading cause of death from a single infectious agent (ranking above Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS)) [1], re-quiring greater attention from the professionals involved in the control and guarantee of public health care [2,3].…”

Section: Introductionmentioning

confidence: 99%

A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures

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et al. 2021

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Tuberculosis (TB) is an infectious communicable disease, which despite global efforts, still needs special attention in regions with difficult access. This study aims to describe the spatial and epidemiological trends of TB incidences from 2013 to 2018 in Marajó Island, the Amazonian region, Pará, Brazil. We have obtained secondary data from the Brazilian TB databases and performed geospatial and statistical analyses on the data for new TB cases, relapses, and re-admissions. From 2013 to 2018, 749 new cases were reported, in which the diagnostics (culture) was not performed for 652 (87.2%) patient samples, the drug resistance test (DST) was performed for nine (1.2%) samples, and one (0.13%) was multidrug-resistant TB (MDR-TB). The rapid molecular testing (RMT) was performed on 40 (5.3%) patient samples, with results indicating that eight (20%) were susceptible to rifampicin and two (5%) were rifampicin resistant. Overall, the cure rate was 449 (66.7%), while relapses and re-admissions were 41 and 44, respectively. On the geospatial distribution, the municipality of Soure stands out with a high number of incidences, relapses, and re-admissions. Spatially, the eight MDR cases were randomly distributed. Our data highlight the urgent need for TB control measures in this region, by introducing the Xpert-Ultra® MTB/RIF (Cepheid, Sunnyvale, CA, USA) and Ogawa-Kudoh.

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“…Back translation into the original language was then carried out by two native speakers of the English language who did not know the objectives of the study. The consensus version in English was subsequently compared with the original version of the scale and analysed/approved by the project leader in southern Thailand [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Validity and reliability of the tuberculosis-related stigma scale version for Brazilian Portuguese

et al. 2017

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BackgroundStigma associated with tuberculosis (TB) has been an object of interest in several regions of the world. The behaviour presented by patients as a result of social discrimination has contributed to delays in diagnosis and the abandonment of treatment, leading to an increase in the cases of TB and drug resistance. The identification of populations affected by stigma and its measurement can be assessed with the use of valid and reliable instruments developed or adapted to the target culture. This aim of this study was to analyse the initial psychometric properties of the Tuberculosis-Related Stigma scale in Brazil, for TB patients.MethodsThe Tuberculosis-Related Stigma scale is a specific scale for measuring stigma associated with TB, originally validated in Thailand. It presents two dimensions to be assessed, namely Community perspectives toward tuberculosis and Patient perspectives toward tuberculosis. The first has 11 items regarding the behaviour of the community in relation to TB, and the second is made up of 12 items related to feelings such as fear, guilt and sorrow in coping with the disease. A pilot test was conducted with 83 TB patients, in order to obtain the initial psychometric properties of the scale in the Brazilian Portuguese version, enabling simulation of the field study.ResultsAs regards its psychometric properties, the scale presented acceptable internal consistency for its dimensions, with values ≥0.70, the absence of floor and ceiling effects, which is favourable for the property of scale responsiveness, satisfactory converging validity for both dimensions, with values over 0.30 for initial studies, and diverging validity, with adjustment values different from 100%.ConclusionThe results found show that the Tuberculosis-Related Stigma scale can be a valid and reliable instrument for the Brazilian context.

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Adaptação cultural para o Brasil da escala Tuberculosis-related stigma

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Cited by 10 publications

References 19 publications

Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia

Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia

A Clinical-Epidemiological and Geospatial Study of Tuberculosis in a Neglected Area in the Amazonian Region Highlights the Urgent Need for Control Measures

Validity and reliability of the tuberculosis-related stigma scale version for Brazilian Portuguese

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