世界卫生组织在巴基斯坦针对HPV疫苗接种的BeSD框架的文化适应和内容验证:两阶段的Delphi和认知面试研究
Khola Noreen1,2, Samina Naeem Khalid2, Mehreen Noor1
1Department of Community Medicine & Public Health, Rawalpindi Medical University, Rawalpindi, Pakistan.
PloS one
|February 17, 2026
概括
疫苗接种的行为和社会驱动因素 (BeSD) 框架在巴基斯坦文化上适应了人类乳头瘤病毒 (HPV) 疫苗接种. 由此产生的BeSD-HPV工具在此背景下对评估疫苗接种驱动因素具有很强的有效性.
科学领域:
- 疫苗学 疫苗学 疫苗学
- 健康行为研究 研究健康行为研究
- 跨文化的适应.
背景情况:
- 世界卫生组织的BeSD框架有助于理解疫苗接种驱动因素.
- 它在不同文化背景中的适用性,特别是HPV疫苗接种,需要验证.
- 这项研究解决了巴基斯坦对文化适应工具的需求.
研究的目的:
- 在文化上适应BeSD框架,以评估HPV疫苗接种的行为和社会驱动因素.
- 建立适应的框架在巴基斯坦的内容和响应过程的有效性.
主要方法:
- 一种两阶段的多方法方法,涉及跨文化适应,专家内容验证 (德尔菲方法) 和认知面试.
- 将BeSD-HPV工具向前向后翻译成乌尔都语.
- 内容有效性由10名多学科专家评估;响应过程有效性与30名护理人员评估.
主要成果:
- 最初的75个项目被改进为70个项目的BeSD-HPV工具,达到0.96.96的规模级内容有效性指数.
- 专家的共识和认知面试导致了修订,改善了理解和文化适应性.
- 与30名护理人员进行的认知访谈确定并解决了17个需要修订的项目.
结论:
- 经过调整的BeSD-HPV工具在巴基斯坦背景下展示了强大的内容和响应过程的有效性.
- 这种文化敏感的仪器适用于未来对HPV疫苗接受驱动因素的研究.
- 经过验证的工具将为提高巴基斯坦HPV疫苗接种率的特定背景策略提供信息.
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