Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland
Abstract Background Even though traumatization is linked to substantially reduced health-related quality of life, help-seeking and service utilization among trauma survivors are very low. To date, there has not been available in Iceland a culturally attuned, self-reported measure on help-seeking bar...
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ftdoajarticles:oai:doaj.org/article:f5331b0a146445c5bd1c52e26aff3a15 2023-05-15T16:49:10+02:00 Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland Karen Birna Thorvaldsdottir Sigridur Halldorsdottir Rhonda M. Johnson Sigrun Sigurdardottir Denise Saint Arnault 2021-02-01T00:00:00Z https://doi.org/10.1186/s41687-021-00295-0 https://doaj.org/article/f5331b0a146445c5bd1c52e26aff3a15 EN eng SpringerOpen https://doi.org/10.1186/s41687-021-00295-0 https://doaj.org/toc/2509-8020 doi:10.1186/s41687-021-00295-0 2509-8020 https://doaj.org/article/f5331b0a146445c5bd1c52e26aff3a15 Journal of Patient-Reported Outcomes, Vol 5, Iss 1, Pp 1-13 (2021) Translation Cross-cultural adaptation Cognitive interviews Self-reported measures Trauma Help-seeking Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1186/s41687-021-00295-0 2022-12-31T10:19:38Z Abstract Background Even though traumatization is linked to substantially reduced health-related quality of life, help-seeking and service utilization among trauma survivors are very low. To date, there has not been available in Iceland a culturally attuned, self-reported measure on help-seeking barriers after trauma. This study aimed to translate and cross-culturally adapt the English version of Barriers to Help-Seeking for Trauma (BHS-TR) scale into the Icelandic language and context. Methods The BHS-TR was culturally adapted following well-established and rigorous guidelines, including forward-backward translation, expert committee review, and pretesting through cognitive interviews. Two rounds of interviews with 17 female survivors of intimate partner violence were conducted using a think-aloud technique and verbal probing. Data were analyzed using qualitative content analysis, a combination of deductive and inductive approaches. Results Issues with the BHS-TR that were uncovered in the study were classified into four categories related to general design, translation, cultural aspects, and post-trauma context. The trauma-specific issues emerged as a new category identified in this study and included concepts specific to trauma experiences. Therefore, modifications were of great importance—resulting in the scale becoming more trauma-informed. Revisions made to address identified issues improved the scale, and the process led to an Icelandic version, which appears to be semantically and conceptually equivalent to the original version; additionally, the results provided evidence of content validity. Conclusions As a cognitive interview study, it adds to the growing cognitive interviewing methodology literature. Furthermore, the results provide essential insights into the self-report response process of trauma survivors, highlighting the significance of making health-related research instruments trauma-informed. Article in Journal/Newspaper Iceland Directory of Open Access Journals: DOAJ Articles Journal of Patient-Reported Outcomes 5 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Translation Cross-cultural adaptation Cognitive interviews Self-reported measures Trauma Help-seeking Public aspects of medicine RA1-1270 |
spellingShingle |
Translation Cross-cultural adaptation Cognitive interviews Self-reported measures Trauma Help-seeking Public aspects of medicine RA1-1270 Karen Birna Thorvaldsdottir Sigridur Halldorsdottir Rhonda M. Johnson Sigrun Sigurdardottir Denise Saint Arnault Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland |
topic_facet |
Translation Cross-cultural adaptation Cognitive interviews Self-reported measures Trauma Help-seeking Public aspects of medicine RA1-1270 |
description |
Abstract Background Even though traumatization is linked to substantially reduced health-related quality of life, help-seeking and service utilization among trauma survivors are very low. To date, there has not been available in Iceland a culturally attuned, self-reported measure on help-seeking barriers after trauma. This study aimed to translate and cross-culturally adapt the English version of Barriers to Help-Seeking for Trauma (BHS-TR) scale into the Icelandic language and context. Methods The BHS-TR was culturally adapted following well-established and rigorous guidelines, including forward-backward translation, expert committee review, and pretesting through cognitive interviews. Two rounds of interviews with 17 female survivors of intimate partner violence were conducted using a think-aloud technique and verbal probing. Data were analyzed using qualitative content analysis, a combination of deductive and inductive approaches. Results Issues with the BHS-TR that were uncovered in the study were classified into four categories related to general design, translation, cultural aspects, and post-trauma context. The trauma-specific issues emerged as a new category identified in this study and included concepts specific to trauma experiences. Therefore, modifications were of great importance—resulting in the scale becoming more trauma-informed. Revisions made to address identified issues improved the scale, and the process led to an Icelandic version, which appears to be semantically and conceptually equivalent to the original version; additionally, the results provided evidence of content validity. Conclusions As a cognitive interview study, it adds to the growing cognitive interviewing methodology literature. Furthermore, the results provide essential insights into the self-report response process of trauma survivors, highlighting the significance of making health-related research instruments trauma-informed. |
format |
Article in Journal/Newspaper |
author |
Karen Birna Thorvaldsdottir Sigridur Halldorsdottir Rhonda M. Johnson Sigrun Sigurdardottir Denise Saint Arnault |
author_facet |
Karen Birna Thorvaldsdottir Sigridur Halldorsdottir Rhonda M. Johnson Sigrun Sigurdardottir Denise Saint Arnault |
author_sort |
Karen Birna Thorvaldsdottir |
title |
Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland |
title_short |
Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland |
title_full |
Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland |
title_fullStr |
Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland |
title_full_unstemmed |
Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland |
title_sort |
adaptation of the barriers to help-seeking for trauma (bhs-tr) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in iceland |
publisher |
SpringerOpen |
publishDate |
2021 |
url |
https://doi.org/10.1186/s41687-021-00295-0 https://doaj.org/article/f5331b0a146445c5bd1c52e26aff3a15 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Journal of Patient-Reported Outcomes, Vol 5, Iss 1, Pp 1-13 (2021) |
op_relation |
https://doi.org/10.1186/s41687-021-00295-0 https://doaj.org/toc/2509-8020 doi:10.1186/s41687-021-00295-0 2509-8020 https://doaj.org/article/f5331b0a146445c5bd1c52e26aff3a15 |
op_doi |
https://doi.org/10.1186/s41687-021-00295-0 |
container_title |
Journal of Patient-Reported Outcomes |
container_volume |
5 |
container_issue |
1 |
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1766039276424790016 |