Cultural Spanish adaptation, factor structure, and reliability of implementation science instruments for suicide...

Area of Science:

• Psychology
• Public Health
• Cross-cultural Psychology

Background:

• Limited research exists on implementing community gatekeeper training for suicide prevention in Spanish-speaking countries.
• Standardized measures are needed in Spanish to assess factors influencing evidence-based practice implementation.
• Gatekeepers are crucial for identifying at-risk individuals and connecting them to mental health services.

Purpose of the Study:

• To culturally adapt and evaluate the psychometric properties of two implementation measures in the Mexican context.
• To assess the acceptability, appropriateness, and feasibility of interventions.
• To evaluate organizational readiness for implementing change.

Main Methods:

• Two phases: cross-cultural adaptation and online survey administration.
• Confirmatory factor analysis (CFA) was used to evaluate factor structure and reliability.
• A sample of 453 middle school personnel across Mexico participated.

Main Results:

• Both the Mexican Spanish version of the Acceptability, Appropriateness, and Feasibility of the Intervention and the Organizational Readiness for Implementing Change (ORIC) measures demonstrated good psychometric properties.
• The acceptability, appropriateness, and feasibility measure showed strong internal consistency (Ω = 0.95) and fit indices (CFI = 0.96, TLI = 0.94, RMSEA = 0.05, SRMR = 0.03).
• The ORIC measure also exhibited good internal consistency (Ω = 0.94) and fit indices (CFI = 0.95, TLI = 0.93, RMSEA = 0.08, SRMR = 0.03).

Conclusions:

• The validated Spanish versions of the two instruments possess preliminary psychometric properties supporting their use in the Mexican Spanish-speaking context.
• These findings are expected to advance research on implementing gatekeeper interventions and other evidence-based practices in Spanish-speaking school settings.
• The study provides essential tools for future research and implementation efforts in suicide prevention within these populations.