南非受艾滋病毒影响的年轻母亲的复原力:儿童和青少年复原力测量-修订版(CYRM-R)在大型群体中的适应性和心理测量特性

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2023-12-15 DOI:10.1016/j.ssmmh.2023.100285
Wylene Saal , Angelique Thomas , Christina Laurenzi , Hlokoma Mangqalaza , Jane Kelly , Janke Tolmay , Vuyolwetu Tibini , Elona Toska
{"title":"南非受艾滋病毒影响的年轻母亲的复原力:儿童和青少年复原力测量-修订版(CYRM-R)在大型群体中的适应性和心理测量特性","authors":"Wylene Saal ,&nbsp;Angelique Thomas ,&nbsp;Christina Laurenzi ,&nbsp;Hlokoma Mangqalaza ,&nbsp;Jane Kelly ,&nbsp;Janke Tolmay ,&nbsp;Vuyolwetu Tibini ,&nbsp;Elona Toska","doi":"10.1016/j.ssmmh.2023.100285","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>While growing evidence has documented risks and resilience to HIV and poor sexual and reproductive health (SRH) among young women, young mothers’ abilities to respond to and overcome challenges have been understudied. Developing appropriate methodologies to measure resilience in the context of HIV, especially among young mothers, is a critical first step to filling this gap. We aimed to improve the relevance, and comprehensibility of an open-access resilience measure for use among young mothers living in HIV-endemic communities in South Africa. This paper summarizes a two-stage study that was carried out in the Eastern Cape, South Africa.</p></div><div><h3>Methods</h3><p>First, n = 9 cognitive interviews were conducted to inform the adaptation of the Child and Youth Resilience Measure Revised (CYRM-R) for use among young mothers (n = 7 living with HIV). The adapted measure was applied in remote interviews with 892 adolescent mothers during the COVID-19 pandemic (December 2021–April 2023). We investigated the basic psychometric properties of the adapted measure using STATA16.</p></div><div><h3>Results</h3><p>Cognitive interviews offered unique perspectives on how to modify items in English and isiXhosa, including items that had similar understandings and responses, with new probes and additional key words added to seven items. Participants' understanding of item wording and the translation of items resulted in word changes or substitution to maximise participants’ understanding of eight out of 17 items. The utilization of vignettes proved to be useful in engaging participants to reflect on their experiences. The revised scale had moderate psychometric properties. The EFA confirmed a two-factor structure, and the internal consistency of the CYRM-R was moderate (α = 0.75; ω = 0.75).</p></div><div><h3>Conclusion</h3><p>Cognitive interviews supported the adaptation of a resilience measure for adolescent mothers affected by HIV in South Africa. Initial psychometric properties highlight possible further adaptations needed, potentially due to the unique population of adolescent mothers.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":null,"pages":null},"PeriodicalIF":4.1000,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323001007/pdfft?md5=ca9aa118135a6d154a66b26b60f17c9d&pid=1-s2.0-S2666560323001007-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Resilience among young mothers affected by HIV in South Africa: Adaptations and psychometric properties of the Child and Youth Resilience Measure-Revised (CYRM-R) in a large cohort\",\"authors\":\"Wylene Saal ,&nbsp;Angelique Thomas ,&nbsp;Christina Laurenzi ,&nbsp;Hlokoma Mangqalaza ,&nbsp;Jane Kelly ,&nbsp;Janke Tolmay ,&nbsp;Vuyolwetu Tibini ,&nbsp;Elona Toska\",\"doi\":\"10.1016/j.ssmmh.2023.100285\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>While growing evidence has documented risks and resilience to HIV and poor sexual and reproductive health (SRH) among young women, young mothers’ abilities to respond to and overcome challenges have been understudied. Developing appropriate methodologies to measure resilience in the context of HIV, especially among young mothers, is a critical first step to filling this gap. We aimed to improve the relevance, and comprehensibility of an open-access resilience measure for use among young mothers living in HIV-endemic communities in South Africa. This paper summarizes a two-stage study that was carried out in the Eastern Cape, South Africa.</p></div><div><h3>Methods</h3><p>First, n = 9 cognitive interviews were conducted to inform the adaptation of the Child and Youth Resilience Measure Revised (CYRM-R) for use among young mothers (n = 7 living with HIV). The adapted measure was applied in remote interviews with 892 adolescent mothers during the COVID-19 pandemic (December 2021–April 2023). We investigated the basic psychometric properties of the adapted measure using STATA16.</p></div><div><h3>Results</h3><p>Cognitive interviews offered unique perspectives on how to modify items in English and isiXhosa, including items that had similar understandings and responses, with new probes and additional key words added to seven items. Participants' understanding of item wording and the translation of items resulted in word changes or substitution to maximise participants’ understanding of eight out of 17 items. The utilization of vignettes proved to be useful in engaging participants to reflect on their experiences. The revised scale had moderate psychometric properties. The EFA confirmed a two-factor structure, and the internal consistency of the CYRM-R was moderate (α = 0.75; ω = 0.75).</p></div><div><h3>Conclusion</h3><p>Cognitive interviews supported the adaptation of a resilience measure for adolescent mothers affected by HIV in South Africa. Initial psychometric properties highlight possible further adaptations needed, potentially due to the unique population of adolescent mothers.</p></div>\",\"PeriodicalId\":74861,\"journal\":{\"name\":\"SSM. Mental health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.1000,\"publicationDate\":\"2023-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666560323001007/pdfft?md5=ca9aa118135a6d154a66b26b60f17c9d&pid=1-s2.0-S2666560323001007-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SSM. Mental health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666560323001007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SSM. Mental health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666560323001007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

背景:虽然越来越多的证据记录了年轻妇女面临的艾滋病毒风险和抵御能力,以及性健康和生殖健康状况不佳,但对年轻母亲应对和克服挑战的能力的研究却不足。制定适当的方法来衡量艾滋病毒背景下的复原力,特别是年轻母亲的复原力,是填补这一空白的关键第一步。我们的目标是提高在南非艾滋病毒流行社区的年轻母亲中使用的开放获取复原力测量的相关性和可理解性。本文总结了在南非东开普省进行的一项分两阶段的研究。方法首先,进行了n = 9次认知访谈,以了解儿童和青年弹性测量修订版(CYRM-R)在年轻母亲(n = 7名艾滋病毒感染者)中的适应性。在2019冠状病毒病大流行期间(2021年12月至2023年4月),对892名青少年母亲进行了远程访谈,采用了调整后的措施。我们使用STATA16研究了适应测量的基本心理测量特性。结果认知访谈对英语和西班牙语的修饰题提供了独特的视角,包括具有相似理解和反应的题,并在7个题中增加了新的探针和额外的关键词。参与者对项目措辞的理解和项目的翻译导致单词的变化或替换,以最大限度地提高参与者对17个项目中的8个的理解。事实证明,利用小插曲有助于吸引参与者反思他们的经历。修订后的量表具有中等的心理测量性质。EFA证实了双因子结构,CYRM-R的内部一致性中等(α = 0.75;ω = 0.75)。结论:认知访谈支持南非受艾滋病毒影响的青少年母亲适应弹性措施。最初的心理测量特性强调了可能需要进一步的适应,这可能是由于青少年母亲的独特群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Resilience among young mothers affected by HIV in South Africa: Adaptations and psychometric properties of the Child and Youth Resilience Measure-Revised (CYRM-R) in a large cohort

Background

While growing evidence has documented risks and resilience to HIV and poor sexual and reproductive health (SRH) among young women, young mothers’ abilities to respond to and overcome challenges have been understudied. Developing appropriate methodologies to measure resilience in the context of HIV, especially among young mothers, is a critical first step to filling this gap. We aimed to improve the relevance, and comprehensibility of an open-access resilience measure for use among young mothers living in HIV-endemic communities in South Africa. This paper summarizes a two-stage study that was carried out in the Eastern Cape, South Africa.

Methods

First, n = 9 cognitive interviews were conducted to inform the adaptation of the Child and Youth Resilience Measure Revised (CYRM-R) for use among young mothers (n = 7 living with HIV). The adapted measure was applied in remote interviews with 892 adolescent mothers during the COVID-19 pandemic (December 2021–April 2023). We investigated the basic psychometric properties of the adapted measure using STATA16.

Results

Cognitive interviews offered unique perspectives on how to modify items in English and isiXhosa, including items that had similar understandings and responses, with new probes and additional key words added to seven items. Participants' understanding of item wording and the translation of items resulted in word changes or substitution to maximise participants’ understanding of eight out of 17 items. The utilization of vignettes proved to be useful in engaging participants to reflect on their experiences. The revised scale had moderate psychometric properties. The EFA confirmed a two-factor structure, and the internal consistency of the CYRM-R was moderate (α = 0.75; ω = 0.75).

Conclusion

Cognitive interviews supported the adaptation of a resilience measure for adolescent mothers affected by HIV in South Africa. Initial psychometric properties highlight possible further adaptations needed, potentially due to the unique population of adolescent mothers.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
118 days
期刊最新文献
State-level variation in the prevalence of child psychopathology symptoms in the US: Results from the ABCD study Perceptions around occupational mental well-being of community health workers and an intervention package for its promotion: A mixed-methods study in rural Chiapas, Mexico The ties that bind: Understanding the mental health consequences of the Windrush Scandal and hostile immigration policies on survivors in the UK Barriers and enablers to a coordinated MHPSS response in Lebanon: A case study of the MHPSS Taskforce Understanding depression and the PHQ-9 items among people living with HIV: A multiple methods qualitative study in Yaoundé, Cameroon
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1