title: Translation, cross-cultural adaptation and validation of an HIV/AIDS knowledge and attitudinal instrument.
abstract: An instrument developed in the United States by the Centers for Disease Control and Prevention to assess HIV/AIDS knowledge and four attitudinal dimensions (Peer Pressure, Abstinence, Drug Use, and Threat of HIV Infection) and an instrument developed by Basen-Engquist et al. (1999) to measure abstinence and condom use were translated, cross-culturally adapted, and validated for use with Spanish-speaking high school students in El Salvador. A back-translation of the English version was cross-culturally adapted using two different review panels and pilot-tested with Salvadorian students. An expert panel established content validity, and confirmatory factor analysis provided support for construct validity. Results indicated that the methodology was successful in cross-culturally adapting the instrument developed by the Centers for Disease Control and Prevention and the instrument developed by Basen-Engquist et al. The psychometric properties of the knowledge section were acceptable and there was partial support for the four-factor attitudinal model underlying the CDC instrument and the two-factor model underlying the Basen-Engquist et al. instrument. Additional studies with Spanish-speaking populations (either in the United States or Latin America) are needed to evaluate the generalizability of the present results.
authors.affiliation: University of Michigan School of Social Work, Ann Arbor, MI 48109-1106, USA. czometa@umich.edu
authors.forename: Carlos S
authors.initials: CS
authors.lastname: Zometa
authors.forename: Robert
authors.initials: R
authors.lastname: Dedrick
authors.forename: Michael D
authors.initials: MD
authors.lastname: Knox
authors.forename: Wayne
authors.initials: W
authors.lastname: Westhoff
authors.forename: Rodrigo Simán
authors.initials: RS
authors.lastname: Siri
authors.forename: Ann
authors.initials: A
authors.lastname: Debaldo
mesh_terms: D000293:Adolescent; D002487:Centers for Disease Control and Prevention, U.S.; D003431:Cross-Cultural Comparison; D004544:El Salvador; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011594:Psychometrics / Q000295:instrumentation; D015203:Reproducibility of Results; D014481:United States