Development of the multidimensional health perceptions questionnaire in English and Spanish

Juengst, Shannon B.; Vega, Marlene; Holland, Alexandra B.; Herrera, Susan; Higashi, Robin T.; Braga, Maria Boix; Khera, Alka; Kew, Chung Lin; Silva, Valeria

doi:10.1186/s41687-022-00512-4

Cited by 3 publications

(3 citation statements)

References 41 publications

(40 reference statements)

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“…22 Cognitive interviews are commonly used and play an important role in evaluating survey instruments, particularly when translation is involved. [22][23][24][25] When cross-cultural equivalency is ignored, a serious threat to the comparability of survey results between different language speakers can occur, which limits the usability of the data. 21 Furthermore, it is especially important to assess the reliability of transcreated measures for understandability and cultural sensitivity before use in larger studies.…”

Section: Background and Significancementioning

confidence: 99%

“…Pilot testing in the target population is a crucial step to ensure that the transcreated items are equivalent to the source items,21 identify any problems that respondents have in understanding or responding to questions, and revise to improve participant understanding and ability to respond to survey items 22. Cognitive interviews are commonly used and play an important role in evaluating survey instruments, particularly when translation is involved 22-25. When cross-cultural equivalency is ignored, a serious threat to the comparability of survey results between different language speakers can occur, which limits the usability of the data 21.…”

Section: Background and Significancementioning

confidence: 99%

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Pilot Testing Transcreated Spanish-Language Study Materials for Symptom Research With Infants and Parents in the Neonatal Intensive Care Unit

Fortney,

Garcia,

Gerhardt

et al. 2024

Advances in Neonatal Care

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Background: Rising admission rates of Hispanic/Latinx families to the neonatal intensive care unit (NICU) have increased the number of non-English-speaking individuals who may wish to participate in research studies. However, a lack of appropriately translated research study materials may limit the opportunity for these families to be involved in research that could impact the care that infants and families receive in the NICU. Purpose: The primary purpose was to pilot test study materials that were transcreated from English to Spanish with the assistance of a bilingual community advisory board with Spanish-speaking parents of NICU infants. Methods: A total of 19 Spanish-speaking parents (15 mothers and 4 fathers) who were representative of the population of interest completed paper-and-pencil surveys, along with a cognitive interview. Preliminary data related to decision-making and goals of care, infant symptoms, and their experiences in the NICU were also collected. Results: The internal reliability of the transcreated study instruments ranged from good to excellent (α= 0.82-0.99). Participants reported that study materials were not offensive and did not make them feel uncomfortable; however, they found some words/phrases to be confusing. Parents had the opportunity to provide suggested wording changes. Implications for Practice and Research: Language barriers and a lack of cultural responsiveness can affect the care that infants and their families receive. More accurate and culturally appropriate transcreation of study materials can remove barriers to research participation and facilitate better communication with non-English-speaking families, which may lead to the development of better-informed evidence-based interventions and clinical practices in the NICU.

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Section: Background and Significancementioning

confidence: 99%

Section: Background and Significancementioning

confidence: 99%

Pilot Testing Transcreated Spanish-Language Study Materials for Symptom Research With Infants and Parents in the Neonatal Intensive Care Unit

Fortney,

Garcia,

Gerhardt

et al. 2024

Advances in Neonatal Care

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“…There are documented examples of ways in which the US healthcare system can impact individuals’ healthcare utilization, including vaccination intentions. Previous studies found that individuals’ perceptions of the healthcare system were important drivers of intentions to use healthcare services 11 (e.g., when individuals perceived barriers to their healthcare and/or concerns over receiving equal treatment, they were less likely to engage with the healthcare system 12–14 ). In many cases, negative perceptions of the healthcare system decreased intentions to vaccinate.…”

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confidence: 99%

Perceptions of Racial-Ethnic Inequities in COVID-19 Healthcare and Willingness to Receive the COVID-19 Vaccine

Sherchan,

Fernandez,

Njoku

et al. 2024

Epidemiology

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Background: Perceptions of the U.S. healthcare system can impact individuals’ healthcare utilization, including vaccination intentions. This study examined the association between perceived racial–ethnic inequities in COVID-19 healthcare and willingness to receive the COVID-19 vaccine. Methods: This study used data from the REACH-US study, a large, diverse study of U.S. adults (N=5,145 January-March 2021). Confirmatory factor and regression analyses examined a latent factor of perceived racial–ethnic inequities in COVID-19 healthcare, whether the factor was associated with willingness to receive the COVID-19 vaccine, and whether associations varied across racial–ethnic groups reported as probit estimates (B) and 95% confidence intervals (CIs). Results: Perceived racial–ethnic inequities in COVID-19 healthcare were highest among Black/African American adults (mean latent factor score: 0.65 +/- 0.43) and lowest among White adults (mean latent factor score: 0.04 +/-0.67). Black/African American (B = -0.08 [95% CI: -0.19, 0.03]) and Native Hawaiian/Pacific Islander (B = -0.08 [95% CI: -0.23, 0.07]) adults who perceived greater racial–ethnic inequities in COVID-19 healthcare were less willing than participants who perceived lower inequities. In contrast, American Indian/Alaska Native (B = 0.15 [95% CI: -0.01, 0.30]), Asian (B = 0.20 [95% CI: 0.08, 0.31]), Hispanic/Latino (English language preference) (B = 0.22 [95% CI: 0.01, 0.43]), Multiracial (B = 0.23 [95% CI: 0.09, 0.36]), and White (B = 0.31 [95% CI: 0.19, 0.43]) adults who perceived greater racial–ethnic inequities in COVID-19 healthcare were more willing to receive the COVID-19 vaccine than participants perceiving higher inequities. Conclusions: Greater perceived racial–ethnic inequities in COVID-19 healthcare were associated with less willingness to receive the COVID-19 vaccine among Black/African American and Native Hawaiian/Pacific Islander adults.

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Factor Structure of the Multidimensional Health Perceptions Questionnaire in English- and Spanish-speakers

Juengst,

Sander,

Vega

et al. 2024

Preprint

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Objective: To determine the factor structure of the Multidimensional Health Perceptions Questionnaire (MHPQ), a self-reported multidimensional assessment of health perceptions, in English-speakers and Spanish-speakers in the U.S with and without various health conditions (general population). Methods: The MHPQ previously demonstrated excellent content validity (content validity index=98.1%) and conceptual equivalence in English and Spanish, with a reading grade level of <8th grade in both languages. We administered the original 93-item MHPQ as an anonymous survey (REDCap™) to participants in the general population (items rated on a 1=Strongly disagree to 5=Strongly agree response scale). Results: N=357 participants completed the MHPQ (n=331 English, n=26 Spanish). The sample was 74.2% women, 18-82 years old, 24.1% Hispanic/Latino, predominantly White (68.9%), and highly educated (52.1% with at least an Associate degree). Exploratory Factor Analysis resulted in 65 final items with a multidimensional structure and good internal consistency reliabilities, with the following seven health perceptions domains (% variance, Cronbach’s α): Anticipated Discrimination and Judgement (18.9%, α=.92); Spiritual Health Beliefs (8.6%, α=.89); Social and Emotional Well-being (5.5%, α=.71); Confidence in Healthcare Providers and Medicine (3.5%, α=.85); Health Self-Efficacy (2.9%, α=.79); Trust in Social Health Advice (2.8%, α=.74); and Health Literacy (2.2%, α=.86). Conclusions: Results suggest that the MHPQ may be a valid and reliable measure for comprehensively characterizing health beliefs in the general population. Future work should validate the MHPQ in specific populations.

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Development of the multidimensional health perceptions questionnaire in English and Spanish

Cited by 3 publications

References 41 publications

Pilot Testing Transcreated Spanish-Language Study Materials for Symptom Research With Infants and Parents in the Neonatal Intensive Care Unit

Pilot Testing Transcreated Spanish-Language Study Materials for Symptom Research With Infants and Parents in the Neonatal Intensive Care Unit

Perceptions of Racial-Ethnic Inequities in COVID-19 Healthcare and Willingness to Receive the COVID-19 Vaccine

Factor Structure of the Multidimensional Health Perceptions Questionnaire in English- and Spanish-speakers

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