Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Aşılama ve Human Papilloma Virüsü (HPV) Bilgisi Ölçeği Türkçe Geçerlik ve Güvenirliği: Metodolojik Bir Çalışma
Adaptation of the VaccinaTion & Hpv Knowledge (THinK) Questionnaire into Turkish: Validity and Reliability: A Methodological Study
Özgecan GÜNEŞERa , Rukiye ÖLÇÜOĞLUa , Melisa BİLALOĞLUa , Eda ÇAKMAKb , Pakize Eylem ŞEKER ARIc
aBaşkent Üniversitesi Tıp Fakültesi, Fizyoloji ABD, Ankara, Türkiye
bBaşkent Üniversitesi Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Ankara, Türkiye
cDr. Sami Ulus Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye
Turkiye Klinikleri J Med Sci. 2024;44(1):1-14
doi: 10.5336/medsci.2023-99126
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, Matranga ve ark.nın geliştirdiği ''Aşılama ve Human Papilloma Virüsü (HPV) Bilgisi Ölçeği''ni [The VaccinaTion & Hpv Knowledge (THinK)] Türk diline ve kültürüne adapte etmeyi ve ölçeğin geçerlik ve güvenirlik özelliklerini test etmeyi amaçlamaktadır. Gereç ve Yöntemler: Araştırma, Aralık 2022-Mart 2023 tarihleri arasında Lokman Hekim Üniversitesi Ankara Hastanesi Kadın Hastalıkları ve Doğum Ana Bilim Dalı Polikliniğine başvuran 300 kadın katılımcıyla gerçekleştirildi. Veriler, yüz yüze görüşme tekniği kullanılarak toplandı. İstatistiksel analizler IBM SPSS (25.0) ve AMOS (25.0) programları ile gerçekleştirildi. Bulgular: Ölçeğin dil geçerliği çeviri-geri çeviri yöntemi kullanarak sağlandı. Bu bağlamda, 4 uzman ve bir Türkçe dil uzmanından görüş alındı. Açıklayıcı faktör analizi sonucunda Türkçe uyarlamada elde edilen ölçek, 16 madde ve 3 alt boyuttan oluştu. Toplam açıklanan varyans %57,26 olarak hesaplandı. Orijinal ölçekte olduğu gibi ilk faktör ''Aşılar hakkındaki genel bilgi'', ikinci faktör ''HPV enfeksiyonu hakkındaki genel bilgi'' ve üçüncü faktör ''HPV'ye karşı aşılanmaya yönelik tutum'' olarak isimlendirildi. Doğrulayıcı faktör analizi, ölçeğin 3 faktörlü yapısını doğruladı. Model uyum indeksleri χ2 /sd=2,212, yaklaşık hataların ortalama karekökü=0,064, Karşılaştırmalı Uyum İndeksi=0,944, Uyum İyiliği İndeksi=0,935, Düzeltilmiş Uyum İyiliği İndeksi=0,903, Normlaştırılmış Uyum İndeksi=0,903 ve Tucker-Lewis İndeksi=0,928 olarak hesaplandı. İç tutarlılık ve ayırt edici geçerlik analizleri, ölçeğin madde iç tutarlılığını ve ayırt edici geçerliğini destekledi. Ölçeğin güvenirliği için iç tutarlılık Cronbach alfa katsayısı 0,801 olarak hesaplandı. Spearman-Brown katsayısı ise 0,874 olarak bulundu. Sonuç: THinK'in Türkçe adaptasyonu ve geçerlik-güvenirlik analizleri sonucunda, ölçeğin üç faktörlü yapısının sağlam bir yapıya sahip olduğu ve geçerli ve güvenilir bir ölçüm aracı olarak kullanılabileceği sonucuna ulaşılmıştır.

Anahtar Kelimeler: Papilloma virüs enfeksiyonları; papilloma virüs aşıları; geçerlilik; güvenirlik
ABSTRACT
 Objective: This study adapts ''VaccinaTion & Hpv Knowledge (THinK) questionnaire,'' by Matranga et al. to Turkish, testing its validity and reliability in this context. Material and Methods: The research involved 300 female participants who applied to the Department of Obstetrics and Gynecology at Lokman Hekim University Ankara Hospital between December 2022-March 2023. Data were collected using face-to-face interviews. Statistical analyses employed SPSS (25.0) and AMOS (25.0) software. Results: Linguistic validity was established through translation-back translation with input from 4 experts and a Turkish language specialist. Exploratory factor analysis yielded a 16-item Turkish version with 3 subscales: ''Knowledge about vaccines'', ''Knowledge of HPV infection'' and ''Attitude to be vaccinated against HPV''. The total explained variance was calculated as 57.26%. Confirmatory factor analysis confirmed 3-factor structure of the scale. Model fit indices were calculated as follows: χ2 /df=2.212, root mean square error of approximation=0.064, Comparative Fit Index=0.944, Goodness of Fit Index=0.935, Adjustment Goodness of Fit Index=0.903, Normed Fit Index=0.903, and Tucker-Lewis Index=0.928. Internal consistency and discriminant validity analyses supported the scale's reliability and validity. The internal consistency reliability coefficient (Cronbach's alpha) for the scale was calculated as 0.801. The Spearman-Brown coefficient was found to be 0.874. Conclusion: As a result of the Turkish adaptation, validity, and reliability analyses of ''THinK Questionnaire'', it was concluded that the three-factor structure of the scale is robust and that the scale can be used as a valid and reliable measurement tool.

Keywords: Papillomavirus infections; papillomavirus vaccines; validity; reliability
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