Cross-cultural adaptation of the awareness and beliefs about cancer measure for Hispanics/Latinos living in the United States

Bibliographic Data

ID22077496
AuthorsJennifer Contreras (0000-0003-3905-026X, University of Maryland, Baltimore), Chun Wang (0009-0002-7869-0892, University of Washington), Wendy Camelo Castillo, Wendy Castillo (0000-0003-1336-8106, University of Maryland, Baltimore), Juan Carlos Caicedo (0000-0003-3936-6395), Juan Caicedo, Monica Guerrero Vazquez (0000-0002-4072-3954), Tania Robalino (Catholic Charities), Aida Hidalgo-Arroyo (University of Washington), Ester Villalonga-Olives (0000-0001-7418-4365, University of Maryland, Baltimore, corresponding author)
Year2024
Volume12
Pages1351729-1351729
Publication date2024-09-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1351729
PMID39286745
OpenAlexW4402126422
LanguageEN
References cited21

Introduction: The purpose of this study is to culturally adapt the Awareness and Beliefs about Cancer (ABC) measure for use in the Hispanic/Latino population living in the United States (US). Methods: In accordance with Patient Reported Outcomes (PRO) Consortium guidelines for cross-cultural adaptation of measures for content and linguistic validity, we conducted: two forward-translations, reconciliation, two back-translations, revision and harmonization, six cognitive interviews, revision, external expert review, and finalization of the version. We used a mixed methods approach, conducting cognitive interviews with Hispanic/Latino community members while also convening an expert panel of six clinicians, health professionals, and community representatives and including the in the entire process. After cross-culturally adapting the ABC measure, we assessed the psychometric properties of the instrument using item response theory analysis. Item parameters, discrimination and category thresholds, and standard errors were calculated. For each of the adapted subdomains, we used item information curves to report the graphical profile of item effectiveness. Results: Twenty-two Hispanic/Latino community members were enrolled in cognitive interviews, and Hispanics/Latinos fluent in Spanish completed the measure to assess its psychometric properties. Cognitive interviews revealed opportunities to improve items. Key changes from the original measure include the inclusion of gender inclusive language and an inquiry into e-cigarette use on items related to smoking habits. Psychometric property analyses revealed that the anticipated delay in seeking medical help, general cancer beliefs, and cancer screening beliefs and behaviors subdomains had some slope parameters that were < 1; this implies that those items were not able to adequately discriminate the latent trait and had poor performance. Discussion: The adapted ABC measure for US Hispanics/Latinos meets content and linguistic validity standards, with construct validity confirmed for cancer symptom recognition and barriers to symptomatic presentation subdomains, but revisions are necessary for others, highlighting the need for ongoing refinement to ensure the cultural appropriateness of instruments

Cognition · Cognitive interview · Content validity · Environmental health · Population · Psychiatry · Psychometrics · Cancer survivorship and care · Clinical Psychology · Global Cancer Incidence and Screening · Head and Neck Cancer Studies · Medicine · Psychology · Social Psychology · Gerontology

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