Validation of the Arabic translation of the vaccination attitudes examination (VAX) scale

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2024-10-04 DOI:10.1016/j.vaccine.2024.126411

Kamal Dhafer Hussein Alansari , Caroline Buhl , Abrar K. Thabit , Aisha F. Badr , Lama Jaad , Ramune Jacobsen

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引用次数: 0

Abstract

Background and aim

The availability of concise and valid instruments for measuring vaccination attitudes across different countries or populations is limited. The 12-item four-subscale Vaccination Attitudes Examination (VAX) scale designed to assess vaccination hesitancy has been validated in more than 15 languages.

This study aimed to validate the Arabic translation of VAX.

Methods

VAX was translated from Danish to Arabic following the Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcome Measures. The translated VAX was distributed to the citizens of Saudi Arabia in March 2023 through an online survey system and the authors' networks. Internal consistency reliability was assessed with Cronbach's α. Factorial structure was examined using confirmatory factor analysis (CFA). Known-group validity was assessed based on COVID-19 vaccination status.

Results

Responses from 164 participants who fully answered the questionnaire were analyzed. The mean age was 40 years, 77 % were females, and 90 % were fully vaccinated against COVID-19, with one-third receiving booster doses. CFA confirmed a well-fit four-factor structure. All items loaded well with their factors: standardized regression weight values ranged from 0.69 to 0.96. Correlations between the four factors ranged from 0.47 to 0.79. Cronbach α ranged from 0.874 to 0.930. As expected, the mean scores of all subscales were higher in those unvaccinated compared to those who were fully vaccinated as well as those fully vaccinated with a booster dose (p < 0.05).

Conclusion

The Arabic translation of the VAX exhibited a well-defined factorial structure with good internal consistency reliability and known-group validity. It is a valuable tool for measuring vaccination hesitancy in Arabic-speaking countries or populations, enabling the comparison of vaccine hesitancy across different countries and cultures.

查看原文本刊更多论文

验证疫苗接种态度检查 (VAX) 量表的阿拉伯语译文。

背景和目的：用于衡量不同国家或人群疫苗接种态度的简明有效的工具非常有限。旨在评估疫苗接种犹豫不决的 12 个项目、四个分量表的疫苗接种态度量表 (VAX) 已通过 15 种以上语言的验证。本研究旨在验证 VAX 的阿拉伯语翻译：方法：按照《患者报告结果测量的翻译和文化适应过程的良好实践原则》将 VAX 从丹麦语翻译成阿拉伯语。翻译后的 VAX 于 2023 年 3 月通过在线调查系统和作者的网络分发给沙特阿拉伯公民。用 Cronbach's α 评估了内部一致性可靠性。采用确证因子分析（CFA）对因子结构进行了检验。根据 COVID-19 疫苗接种情况对已知群体有效性进行了评估：对 164 名完整回答问卷的参与者的回答进行了分析。平均年龄为 40 岁，77% 为女性，90% 已接种 COVID-19 疫苗，其中三分之一接种了加强剂。CFA证实了一个拟合良好的四因子结构。所有项目都与各自的因子有很好的负载关系：标准化回归权重值介于 0.69 到 0.96 之间。四个因子之间的相关系数在 0.47 到 0.79 之间。Cronbach α 介于 0.874 到 0.930 之间。不出所料，未接种疫苗者的所有分量表的平均得分均高于已接种全部疫苗者和已接种全部加强剂者（p 结论：VAX 的阿拉伯语译文显示，未接种疫苗者的平均得分高于已接种全部加强剂者：VAX 的阿拉伯语译文显示出明确的因子结构，具有良好的内部一致性可靠性和已知组有效性。它是测量阿拉伯语国家或人群疫苗接种犹豫性的重要工具，可用于比较不同国家和文化的疫苗接种犹豫性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.