Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9
Objective Cultural adaptation of the Patient Health Questionnaire-PHQ-9 to Bolivian Quechua and analysis of the internal structure validity, reliability, and measurement invariance by sociodemographic variables. Methods The PHQ-9 was translated and back-translated (English-Quechua-English) to optimi...
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BioMed Central Ltd
2024
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| author | Bazo-Alvarez, Juan Carlos Aparicio, Adriana Rocío Ortiz Robles-Mariños, Rodrigo Julca Guerrero, Félix Claudio Gómez, Heber Bazo-Alvarez, Oscar Alfredo Cjuno Suni, Julio Cesar |
| author_browse | Aparicio, Adriana Rocío Ortiz Bazo-Alvarez, Juan Carlos Bazo-Alvarez, Oscar Alfredo Cjuno Suni, Julio Cesar Gómez, Heber Julca Guerrero, Félix Claudio Robles-Mariños, Rodrigo |
| author_facet | Bazo-Alvarez, Juan Carlos Aparicio, Adriana Rocío Ortiz Robles-Mariños, Rodrigo Julca Guerrero, Félix Claudio Gómez, Heber Bazo-Alvarez, Oscar Alfredo Cjuno Suni, Julio Cesar |
| author_sort | Bazo-Alvarez, Juan Carlos |
| collection | Producción científica |
| description | Objective Cultural adaptation of the Patient Health Questionnaire-PHQ-9 to Bolivian Quechua and analysis of the internal structure validity, reliability, and measurement invariance by sociodemographic variables. Methods The PHQ-9 was translated and back-translated (English-Quechua-English) to optimise translation. For the cultural adaptation, experts, and people from the target population (e.g., in focus groups) verified the suitability of the translated PHQ-9. For the psychometric analysis, we performed a Confirmatory Factor Analysis (CFA) to evaluate internal validity, calculated α and ω indices to assess reliability, and performed a Multiple Indicator, Multiple Cause (MIMIC) model for evaluating measurement invariance by sex, age, marital status, educational level and residence. We used standard goodness-of-fit indices to interpret both CFA results. Results The experts and focus groups improved the translated PHQ-9, making it clear and culturally equivalent. For the psychometric analysis, we included data from 397 participants, from which 73.3% were female, 33.0% were 18–30 years old, 56.7% reported primary school studies, 63.2% were single, and 62.0% resided in urban areas. In the CFA, the single-factor model showed adequate fit (Comparative Fit Index = 0.983; Tucker-Lewis Index = 0.977; Standardized Root Mean Squared Residual = 0.046; Root Mean Squared Error of Approximation = 0.069), while the reliability was optimal (α = 0.869—0.877; ω = 0.874—0.885). The invariance was confirmed across all sociodemographic variables (Change in Comparative Fit Index (delta) or Root Mean Square Error of Approximation (delta) < 0.01). Conclusions The PHQ-9 adapted to Bolivian Quechua offers a valid, reliable and invariant unidimensional measurement across groups by sex, age, marital status, educational level and residence. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/2912 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | BioMed Central Ltd |
| publisherStr | BioMed Central Ltd |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/29122026-10-30T17:10:02ZCultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9Bazo-Alvarez, Juan CarlosAparicio, Adriana Rocío OrtizRobles-Mariños, RodrigoJulca Guerrero, Félix ClaudioGómez, HeberBazo-Alvarez, Oscar AlfredoCjuno Suni, Julio CesarDepressionDepressive SymptomsPhq-9Patient Health QuestionnaireIndigenous Peoples (Font: Mesh)Objective Cultural adaptation of the Patient Health Questionnaire-PHQ-9 to Bolivian Quechua and analysis of the internal structure validity, reliability, and measurement invariance by sociodemographic variables. Methods The PHQ-9 was translated and back-translated (English-Quechua-English) to optimise translation. For the cultural adaptation, experts, and people from the target population (e.g., in focus groups) verified the suitability of the translated PHQ-9. For the psychometric analysis, we performed a Confirmatory Factor Analysis (CFA) to evaluate internal validity, calculated α and ω indices to assess reliability, and performed a Multiple Indicator, Multiple Cause (MIMIC) model for evaluating measurement invariance by sex, age, marital status, educational level and residence. We used standard goodness-of-fit indices to interpret both CFA results. Results The experts and focus groups improved the translated PHQ-9, making it clear and culturally equivalent. For the psychometric analysis, we included data from 397 participants, from which 73.3% were female, 33.0% were 18–30 years old, 56.7% reported primary school studies, 63.2% were single, and 62.0% resided in urban areas. In the CFA, the single-factor model showed adequate fit (Comparative Fit Index = 0.983; Tucker-Lewis Index = 0.977; Standardized Root Mean Squared Residual = 0.046; Root Mean Squared Error of Approximation = 0.069), while the reliability was optimal (α = 0.869—0.877; ω = 0.874—0.885). The invariance was confirmed across all sociodemographic variables (Change in Comparative Fit Index (delta) or Root Mean Square Error of Approximation (delta) < 0.01). Conclusions The PHQ-9 adapted to Bolivian Quechua offers a valid, reliable and invariant unidimensional measurement across groups by sex, age, marital status, educational level and residence.Article10.1186/s12889-023-17566-82-s2.0-85181758897https://hdl.handle.net/20.500.15037/2912enBMC Public HealthBMC Public Health1471-2458BioMed Central Ltd2024-01-092026-06-27T02:34:42Z2026-06-27T02:34:42Z |
| spellingShingle | Depression Depressive Symptoms Phq-9 Patient Health Questionnaire Indigenous Peoples (Font: Mesh) Bazo-Alvarez, Juan Carlos Aparicio, Adriana Rocío Ortiz Robles-Mariños, Rodrigo Julca Guerrero, Félix Claudio Gómez, Heber Bazo-Alvarez, Oscar Alfredo Cjuno Suni, Julio Cesar Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9 |
| title | Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9 |
| title_full | Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9 |
| title_fullStr | Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9 |
| title_full_unstemmed | Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9 |
| title_short | Cultural adaptation to Bolivian Quechua and psychometric analysis of the Patient Health Questionnaire PHQ-9 |
| title_sort | cultural adaptation to bolivian quechua and psychometric analysis of the patient health questionnaire phq 9 |
| topic | Depression Depressive Symptoms Phq-9 Patient Health Questionnaire Indigenous Peoples (Font: Mesh) |
| topic_facet | Depression Depressive Symptoms Phq-9 Patient Health Questionnaire Indigenous Peoples (Font: Mesh) |
| url | https://hdl.handle.net/20.500.15037/2912 |
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