Ebeveynlerin çocukluk aşılarına yönelik tutumları (pacv) ölçeğının Türkçe sürümünün psikometrik özellikleri
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Date
2020-05-08
Authors
Çevik, Celalettin
Güneş, Soner
Eser, Sultan
Eser, Erhan
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Aşı tereddüdü son yıllarda artan önemli bir halk sağlığı sorunudur. Bu çalışmanın amacı Ebeveynlerin Çocukluk Aşılarına Yönelik Tutumları Ölçeği’nin (PACV) Türkçe sürümünün psikometrik özelliklerini saptamaktır. Metodolojik tipteki bu çalışma Ocak-Mayıs 2019 tarihleri arasında Balıkesir Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi Çocuk Polikliniğine başvuran 0-59 aylık çocuğu olan ebeveynlerle (n=211) görüşülerek yürütülmüştür. PACV ölçeği 15 sorudan, davranış, tutum, güvenlilik etkililik alt boyutlarından oluşmaktadır. Güvenilirlik analizlerinde iç tutarlılık (Cronbach’ın alfa değeri kullanılarak), geçerlilik analizlerinde yapısal geçerlilik (bilinen gruplar ve doğrulayıcı faktör analizi) ve ayırt edici geçerlilik kullanılmıştır. Doğrulayıcı faktör analizinde (DFA) Karşılaştırılmalı Uyum İndeksi (KUİ-CFI) ve RMSEA’dan yararlanılmıştır. Analizlerde “SPSS version 21.0 for Windows” ve Lisrel 8.54 istatistik paket programları kullanılmıştır. BULGULAR: Ebeveynlerin %68,2’si kadın, %85,3’ünün gelir algısı yeterli, %68,7’si tek çocuğa sahiptir. Yaş ortalaması ebeveynlerde 30,84±5,15, çocuklarda 3,24±1,63’tir. Ölçeğin taban ve tavan etkileri istenilen sınırlar içindedir. Ölçeğin Cronbach alfa değeri 0,676’dır. Test tekrar test sonuçlarının iyi olduğu görülmektedir (ICC: 0,93, p: 0,001). Açıklayıcı faktör analizinde KMO: 0,77, toplam açıklanan varyans %57,41’dir. Doğrulayıcı Faktör Analizinde uyum göstergeleri iyidir (X2/sd: 1,87, RMSEA: 0,0652, CFI: 0,949, NFI: 0,90). Bilinen gruplar geçerliliğine göre ölçeğin ayırt edici olduğu bulunmuştur. PACV ölçeği Türk toplumuna uyarlanmış, geçerli ve güvenilir bir ölçektir. Ebeveynlerin Çocukluk Aşılarına İlişkin Tutumları Ölçeğinin dağılım, ölçme becerisi, iç tutarlılık ve model uyumu açsından yeterli ve tatmin edicidir. Örtüşmeye göre düzeltilmiş madde-toplam korelasyonu 7. ve 14. soruda 30’un altında bulunmuş olup dikkatle yorumlanmalıdır.
Vaccination hesitation is an important public health problem that has increased in recent years. The aim of this study was to determine the psychometric properties of the Turkish version of the Parenting Attitudes towards Childhood Vaccines Scale (PACV). This methodological study was conducted between January-May 2019 with parents of 0-59 months old children (n = 211) who applied to Balıkesir University Health Application and Research Hospital Children's Polyclinic. PACV scale consists of 15 items in four dimensions: behavior, attitude, safety and effectiveness dimensions. Internal consistency (using Cronbach's alpha value) was used in reliability analyzes, structural validity (known groups and confirmatory factor analysis) and discriminant validity were used in validity analyzes. In the confirmatory factor analysis (CFA), the Comparative Compliance Index (BSI-CFI) and RMSEA were used. In the analysis, SS SPSS version 21.0 for Windows program and Lisrel 8.54 statistical package programs were used 68.2% of the parents were women, 85.3% had sufficient income perception and 68.7% had only one child. The mean age was 30.84±5.15 for parents and 3.24±1.63 for children. Floor and ceiling effects of the scale are within the desired limits. Cronbach's alpha value of the scale was 0.676. Test-retest results are good (ICC: 0.93, p: 0.001). In the explanatory factor analysis, KMO was 0.77 and the total explained variance was 57.41%. In the Confirmatory Factor Analysis, compliance indicators are good (X2 / sd: 1.87, RMSEA: 0.0652, CFI: 0.949, NFI: 0.90). The scale was found to be discriminant according to the validity of known groups. The PACV scale is a valid and reliable scale adapted to the Turkish population. Parents' Attitudes towards Childhood Vaccines Scale is sufficient and satisfactory in terms of distribution, measurement ability, internal consistency and model fit. Total correlation after overlap correction was found below 30 in questions 7 and 14 and the results must be interpreted with caution.
Vaccination hesitation is an important public health problem that has increased in recent years. The aim of this study was to determine the psychometric properties of the Turkish version of the Parenting Attitudes towards Childhood Vaccines Scale (PACV). This methodological study was conducted between January-May 2019 with parents of 0-59 months old children (n = 211) who applied to Balıkesir University Health Application and Research Hospital Children's Polyclinic. PACV scale consists of 15 items in four dimensions: behavior, attitude, safety and effectiveness dimensions. Internal consistency (using Cronbach's alpha value) was used in reliability analyzes, structural validity (known groups and confirmatory factor analysis) and discriminant validity were used in validity analyzes. In the confirmatory factor analysis (CFA), the Comparative Compliance Index (BSI-CFI) and RMSEA were used. In the analysis, SS SPSS version 21.0 for Windows program and Lisrel 8.54 statistical package programs were used 68.2% of the parents were women, 85.3% had sufficient income perception and 68.7% had only one child. The mean age was 30.84±5.15 for parents and 3.24±1.63 for children. Floor and ceiling effects of the scale are within the desired limits. Cronbach's alpha value of the scale was 0.676. Test-retest results are good (ICC: 0.93, p: 0.001). In the explanatory factor analysis, KMO was 0.77 and the total explained variance was 57.41%. In the Confirmatory Factor Analysis, compliance indicators are good (X2 / sd: 1.87, RMSEA: 0.0652, CFI: 0.949, NFI: 0.90). The scale was found to be discriminant according to the validity of known groups. The PACV scale is a valid and reliable scale adapted to the Turkish population. Parents' Attitudes towards Childhood Vaccines Scale is sufficient and satisfactory in terms of distribution, measurement ability, internal consistency and model fit. Total correlation after overlap correction was found below 30 in questions 7 and 14 and the results must be interpreted with caution.
Description
Keywords
Aşı, Aile tutumu, Aşı karşıtlığı, Parent, Vaccination hesitation, Childhood vaccines, Psychometric characteristics
Citation
Çevik, C., vd. (2020). "Ebeveynlerin çocukluk aşılarına yönelik tutumları (pacv) ölçeğinin Türkçe sürümünün psikometrik özellikleri". Güncel Pediatri Dergisi, 18(2),153-167