Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
HPV Testi Hakkındaki Tutum ve İnançlar Ölçeği Türkçe Geçerlik ve Güvenirlik Çalışması: Metodolojik Çalışma
The Turkish Validity and Reliability Study of the HPV Testing Attitudes and Beliefs Scale: Methodological Study
Seda CANGÖL SÖĞÜTa , Burcu KÜÇÜKKAYAb , Eda CANGÖLa
aÇanakkale Onsekiz Mart Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Çanakkale, Türkiye
bBartın Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Doğum ve Kadın Hastalıkları Hemşireliği AD, Bartın, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):691-701
doi: 10.5336/nurses.2023-100831
Article Language: TR
Full Text
ÖZET
 Amaç: Serviks kanseri, kadınlarda yaşam kalitesini olumsuz etkileyen ve büyük ölçüde önlenebilir bir hastalıktır. Serviks kanseri için birincil tarama, uzun süredir devam eden pap-smear/insan papilloma virüsü [human papilloma virüs (HPV)] testi uygulaması olup, erken tanıda kadınların bu teste yönelik tutum ve inançları önemli rol oynamaktadır. Bu çalışmanın amacı, HPV Testi Hakkındaki Tutum ve İnançlar Ölçeği'nin (HTHTİÖ) Türkçeye uyarlanan formunun, Türk toplumu bağlamında geçerli ve güvenilir bir ölçek olma durumuna yönelik analizlerin gerçekleştirilmesidir. Gereç ve Yöntemler: Metodolojik tipte bu araştırmanın verileri, 20.08.2023-10.09.2023 tarihleri arasında web yolu ile sosyal medya (Facebook, Instagram, Twitter, Telegram gibi) forum sayfalarında paylaşılarak araştırmaya katılmaya gönüllü 230 kadın üzerinde uygulanarak toplanmıştır. Geçerlilik ve güvenirlik değerlendirmesinde, gerekli olan tüm geçerlilik ve güvenirlilik aşamalarına yönelik analizler uygulanmıştır. Bulgular: HTHTİÖ'nün maddelerinin uygulanabilirliği ve anlaşılırlığı konusunda görüş alınan 10 uzmanın değerlendirmelerinin birbiriyle paralel olduğu bulunmuştur (sınıf içi korelasyon katsayısı=0,79; p<0,001). İç tutarlılığı yüksektir (Cronbach alfa katsayısı değerleri 1. faktör için 0,961, 2. faktör için 0,856, 3. faktör için 0,981 ve 4. faktör için 0,949). Ölçeğin madde-toplam puan korelasyon değerleri 0,422-0,960 arasında değişmektedir. Yapı geçerliliğinin değerlendirilmesi için hesaplanan Pearson korelasyon katsayıları 0,220-0,560 arasında değişmektedir (p<0,05). HTHTİÖ'nün 4 faktörlü (kişisel engeller, toplumsal normal, güven, endişe) ve 20 maddeden oluşan yapısının Türk toplumunda uygulanabilir olduğu kabul edilmiştir. Sonuç: HTHTİÖ, yüksek geçerlilik ve güvenilirliğe sahip olduğu belirlenmiştir. Ölçek, Türk toplumundaki HPV testi tutum ve inanç düzeylerini belirlemek amacıyla kullanılabilir.

Anahtar Kelimeler: İnsan papilloma virüsü DNA testleri; tutum; kültür; sonuçların tekrarlanabilirliği
ABSTRACT
 Objective: Cervical cancer is a disease that negatively affects the quality of life in women and is largely preventable. Primary screening for cervical cancer is the long-standing practice of papsmear/human papilloma virüs (HPV) testing, and women's attitudes and beliefs towards this test play an important role in early diagnosis. The aim of this study is to analyze whether the Turkish version of the HPV Testing Attitudes and Beliefs Scale (HTABS) is a valid and reliable scale in the context of Turkish society. Material and Methods: The data of this methodological type research was collected between 20.08.2023 and 10.09.2023 by sharing it on social media (such as Facebook, Instagram, Twitter, Telegram) forum pages via the web and by applying it to 230 women who volunteered to participate in the research. In the validity and reliability evaluation, analyzes for all necessary validity and reliability stages were applied. Results: The evaluations of 10 experts who were consulted regarding the applicability and understandability of the items of the HTABS were found to be parallel to each other (intraclass correllation coefficient=0.79; p<0.001). Its internal consistency is high (Cronbach's alpha coefficient values are 0.961 for the 1st factor, 0.856 for the 2nd factor, 0.981 for the 3rd factor and 0.949 for the 4th factor). The item-total score correlation values of the scale vary between 0.422 and 0.960. Pearson correlation coefficients calculated to evaluate construct validity ranged between 0.220 and 0.560 (p<0.05). It has been accepted that the structure of HTABS, consisting of four factors (personal barriers, social norms, confidence, worriers) and 20 items, is applicable in Turkish community. Conclusion: HTABS has been determined to have high validity and reliability. The scale can be used to determine HPV test attitudes and belief levels in Turkish community.

Keywords: Human papillomavirus DNA tests; attitude; culture; reproducibility of results
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