The intercultural development and validation of the Indigenous 'Escala de Bienestar Kankuamo' (Kankuamo Well-Being Scale)

A capability approach

Dados Bibliográficos

ID2960342
AutoresCatharina Van Der Boor (0000-0003-2710-7601, Department for Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, autor correspondente), D M Agudelo-Ortiz (0000-0002-0729-5708, Faculty of Social and Human Sciences, Externado University of Colombia, Bogotá), G C Sánchez Díaz (Faculty of Social and Human Sciences, Externado University of Colombia, Bogotá), C I Molina-Bulla (0000-0002-4381-953X, Faculty of Social and Human Sciences, Externado University of Colombia, Bogotá), Luisa Juliana Guevara Morales (Universidad Externado de Colombia), Anna Chiumento (0000-0002-0526-0173, University of Edinburgh), D M Aponte Canencio (Faculty of Social and Human Sciences, Externado University of Colombia, Bogotá), Diego Mauricio Aponte-Canencio (0000-0002-4129-9980, Universidad Externado de Colombia), R White (0000-0003-4026-6439, Queen's University Belfast)
Ano2025
Volume62
Fascículo6
Páginas722-736
Data de publicação2025-08-17
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoTranscultural Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1363-4615 • E-ISSN: 1461-7471
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634615251359777
PMID40820339
OpenAlexW4413297466
IdiomaEN
Citações recebidas2
Referências citadas40

This article describes the development and validation of a capability-based well-being scale: 'Escala de Bienestar Kankuamo' (EBK; the Kankuamo Well-Being Scale). The EBK is designed to measure the well-being of the Indigenous Kankuamo community of Colombia from an intercultural perspective. The mixed-methods study was composed of two phases. In phase I, an initial 27 items, which had been generated using qualitative data from a previous study, were reviewed and adjusted through workshops with the Kankuamo community. In phase II, an adapted list of 28 items was piloted within the Kankuamo communities (sample N = 213). A preliminary exploratory factor analysis was carried out. The internal consistency of the EBK was measured using McDonald's ω. Convergent and divergent validity were tested with the World Health Organization-Five Well-Being Index (WHO-5) and the Patient Health Questionnaire-9. Incremental validity was tested through a hierarchical regression analysis to determine the effect on the WHO-5 of age, gender, community and EBK. The exploratory factor analysis resulted in a 14-item scale with seven domains: (1) Relating (to others and one's emotions), (2) Guiding principles, (3) Choice of healthcare, (4) Self-grown food, (5) Community contributions, (6) Agency and (7) Respect and equality. The EBK had high internal consistency (McDonald's ω = 0.86). Statistical analyses aimed at determining the convergent and divergent validity were inconclusive, suggesting a need for caution in using western standardised mental health measures in Indigenous communities because these may lack adequate cultural fit. The findings of the current study identify local priorities and needs, and evidence the feasibility of operationalising the capability approach for Indigenous populations

Convergent validity · Exploratory factor analysis · Geography · Indigenous · Internal consistency · Psychometrics · Clinical Psychology · Health disparities and outcomes · Health, psychology, and well-being · Psychological Well-being and Life Satisfaction · Psychology · Social Psychology · Ecology