title: Adaptation and testing of instruments to measure cervical cancer screening factors among Vietnamese immigrant women.
abstract: OBJECTIVE
  Vietnamese American women diagnosed with cervical cancer are more likely to have advanced cancer than non-Hispanic White women. We sought to (a) develop a culturally sensitive Vietnamese translation of the Revised Susceptibility, Benefits, and Barriers Scale; Cultural Barriers to Screening Inventory; Confidentiality Issues Scale; and Quality of Care from the Health Care System Scale and (b) examine the psychometric properties.
  
  
  METHODS
  Cross-sectional study with 201 Vietnamese immigrant women from the Portland, Oregon, metropolitan area.
  
  
  METHODS
  We used a community-based participatory research approach and the U.S. Census Bureau's team approach to translation.
  
  
  RESULTS
  Cronbach's alpha ranged from .57 to .91. The incremental fit index ranged from .83 to .88.
  
  
  CONCLUSIONS
  The instruments demonstrated moderate to strong subscale internal consistency. Further research to assess structural validity is needed.
  
  
  CONCLUSIONS
  Our approaches to translation and psychometric examination support use of the instruments in Vietnamese immigrant women.
authors.affiliation: Oregon Health & Science University, Portland, OR, USA connie.nurse@gmail.com.
authors.forename: Connie K Y
authors.initials: CK
authors.lastname: Nguyen-Truong
authors.affiliation: Kaiser Permanente-Center for Health Research, Portland, OR, USA.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Leo
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Frances
authors.initials: F
authors.lastname: Lee-Lin
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Vivian
authors.initials: V
authors.lastname: Gedaly-Duff
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Lillian M
authors.initials: LM
authors.lastname: Nail
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Gregg
authors.affiliation: Vietnamese Community Member, Portland, OR, USA.
authors.forename: Tuong Vy
authors.initials: TV
authors.lastname: Le
authors.affiliation: Providence Cancer Center of Providence Health & Services, Portland, OR, USA.
authors.forename: Tuyen
authors.initials: T
authors.lastname: Tran
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000379:methods / Q000523:psychology; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears / Q000523:psychology / Q000706:statistics & numerical data; D014744:Vietnam / Q000208:ethnology
keywords: Pap testing; Vietnamese immigrant women; cervical cancer; community-based participatory research approach; instruments; translation