Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region

Objective: To adapt the Family APGAR (Adaptability, Partnership, Growth, Affection, Resolve) score to the Quechua language spoken in San Martín and evaluate its structural validity, reliability, convergent validity, and differential item functioning (DIF) among adults in the Peruvian Amazon. Methods...

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Autores principales: Silvia Milagros Tenazoa-Mendoza, Sara Esther Richard Pérez, Julio Cjuno
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Lenguaje:inglés
Publicado: 2026
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author Silvia Milagros Tenazoa-Mendoza
Sara Esther Richard Pérez
Julio Cjuno
author_browse Julio Cjuno
Sara Esther Richard Pérez
Silvia Milagros Tenazoa-Mendoza
author_facet Silvia Milagros Tenazoa-Mendoza
Sara Esther Richard Pérez
Julio Cjuno
author_sort Silvia Milagros Tenazoa-Mendoza
collection Producción científica
description Objective: To adapt the Family APGAR (Adaptability, Partnership, Growth, Affection, Resolve) score to the Quechua language spoken in San Martín and evaluate its structural validity, reliability, convergent validity, and differential item functioning (DIF) among adults in the Peruvian Amazon. Methods: After forward and backward translation (Spanish-Quechua of San Martín-Spanish), the Family APGAR underwent cultural adaptation through expert review and a focus group from the target population. In a non-probabilistic sample of 402 Quechua-speaking adults from San Martín, Peru, confirmatory factor analysis was conducted to assess factorial structure. Reliability was estimated using Cronbach's alpha and McDonald's omega coefficients. Differential item functioning was examined using purified MIMIC (Multiple Indicators Multiple Causes) models. Results: The unidimensional model showed adequate fit (comparative fit index = 0.993; Tucker-Lewis index = 0.987; standardized root mean square residual = 0.044; root mean square error of approximation = 0.074), acceptable reliability (α = 0.78; ω = 0.79), and satisfactory convergent validity (average variance extracted = 0.52). Limited differential item functioning was identified: P4 showed differential item functioning by residence (β = 0.193; pBH < .001) and P3 by marital status (β = -0.117; pBH = .039), while no robust age-related differential item functioning was observed. Conclusions: The Quechua version of the Family APGAR showed a unidimensional structure with adequate validity and reliability. Overall psychometric performance was satisfactory, although the identified item-level differential item functioning should be considered when interpreting scores across sociodemographic groups.
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spelling openalex:W7223314948Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín RegionSilvia Milagros Tenazoa-MendozaSara Esther Richard PérezJulio CjunoFamily APGARcultural adaptationQuechuapsychometric propertiesstructural validityreliability statisticsconvergent validitydifferential item functioningfamily functioningPeruvian AmazonSan Martín regionIndigenous adultsPsychometric Methodologies and TestingHealth Education and ValidationResilience and Mental HealthObjective: To adapt the Family APGAR (Adaptability, Partnership, Growth, Affection, Resolve) score to the Quechua language spoken in San Martín and evaluate its structural validity, reliability, convergent validity, and differential item functioning (DIF) among adults in the Peruvian Amazon. Methods: After forward and backward translation (Spanish-Quechua of San Martín-Spanish), the Family APGAR underwent cultural adaptation through expert review and a focus group from the target population. In a non-probabilistic sample of 402 Quechua-speaking adults from San Martín, Peru, confirmatory factor analysis was conducted to assess factorial structure. Reliability was estimated using Cronbach's alpha and McDonald's omega coefficients. Differential item functioning was examined using purified MIMIC (Multiple Indicators Multiple Causes) models. Results: The unidimensional model showed adequate fit (comparative fit index = 0.993; Tucker-Lewis index = 0.987; standardized root mean square residual = 0.044; root mean square error of approximation = 0.074), acceptable reliability (α = 0.78; ω = 0.79), and satisfactory convergent validity (average variance extracted = 0.52). Limited differential item functioning was identified: P4 showed differential item functioning by residence (β = 0.193; pBH < .001) and P3 by marital status (β = -0.117; pBH = .039), while no robust age-related differential item functioning was observed. Conclusions: The Quechua version of the Family APGAR showed a unidimensional structure with adequate validity and reliability. Overall psychometric performance was satisfactory, although the identified item-level differential item functioning should be considered when interpreting scores across sociodemographic groups.Articlehttps://doi.org/10.5867/medwave.2026.09.3208https://www.medwave.cl/medios//investigacion/estudios/3208/medwave_2026_3208.pdfW7223314948enMedwave0717-63842026-10-23
spellingShingle Family APGAR
cultural adaptation
Quechua
psychometric properties
structural validity
reliability statistics
convergent validity
differential item functioning
family functioning
Peruvian Amazon
San Martín region
Indigenous adults
Psychometric Methodologies and Testing
Health Education and Validation
Resilience and Mental Health
Silvia Milagros Tenazoa-Mendoza
Sara Esther Richard Pérez
Julio Cjuno
Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region
title Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region
title_full Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region
title_fullStr Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region
title_full_unstemmed Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region
title_short Cultural adaptation to Quechua and psychometric properties of the Family APGAR Scale in Peruvian adults in the San Martín Region
title_sort cultural adaptation to quechua and psychometric properties of the family apgar scale in peruvian adults in the san martin region
topic Family APGAR
cultural adaptation
Quechua
psychometric properties
structural validity
reliability statistics
convergent validity
differential item functioning
family functioning
Peruvian Amazon
San Martín region
Indigenous adults
Psychometric Methodologies and Testing
Health Education and Validation
Resilience and Mental Health
topic_facet Family APGAR
cultural adaptation
Quechua
psychometric properties
structural validity
reliability statistics
convergent validity
differential item functioning
family functioning
Peruvian Amazon
San Martín region
Indigenous adults
Psychometric Methodologies and Testing
Health Education and Validation
Resilience and Mental Health
url https://doi.org/10.5867/medwave.2026.09.3208
https://www.medwave.cl/medios//investigacion/estudios/3208/medwave_2026_3208.pdf
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