Validation of an instrument to measure community capacity building for prevention

被引:2
|
作者
Roeding, Dominik [1 ]
Birgel, Vera [1 ]
Walter, Ulla [1 ]
机构
[1] Hannover Med Sch, Inst Epidemiol Social Med & Hlth Syst Res, Carl Neuberg Str 1, D-30625 Hannover, Germany
来源
JOURNAL OF PUBLIC HEALTH-HEIDELBERG | 2024年 / 32卷 / 08期
关键词
Community capacity; Community readiness; Validity; Reliability; Inter-rater agreement; THAT-CARE; MULTILEVEL; SYSTEM; MODEL; RELIABILITY; STATISTICS; READINESS; CLUSTER;
D O I
10.1007/s10389-023-01905-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
AimIn Germany, the CTC-EFF (Effectiveness of the Community Prevention System Communities That Care) study, a replication study of the US Community Youth Development Study (CYDS), was rolled out in 2021. This article aims to examine the validity of a translated and adapted version of an instrument that measures five constructs of community capacity for prevention.Subject and methodsTwenty-two a priori-matched intervention and comparison communities participated in the study. Two to ten community key informants (n = 182) were interviewed for each community. Exploratory (EFA) and confirmatory factor analyses (CFA) were conducted to assess structural validity. Reliability was assessed at the individual level using McDonald's omega and at the community level using a generalizability coefficient (GC). Inter-rater agreement was measured using an intraclass correlation coefficient (ICC). Concurrent construct validity was assessed using bivariate correlations and mean comparisons.ResultsCFA showed good model fit (CFI = 0.964) for the hypothesized five constructs model. Reliability analyses showed good internal consistency at the individual level (omega = 0.86-0.87) and insufficient to moderate reliability at the community level (CG = 0.00-0.62). Inter-rater agreement ranged from insufficient to substantial (ICC = 0.02-0.32). Consistent with theory, three constructs correlated positively at the individual and community level (r = 0.24-0.42). There are no associations between these constructs and interviewer ratings about the respondents' cooperativeness, trustworthiness, and understanding.ConclusionThree of the five constructs were measured with good validity. Two constructs show insufficient reliability. These will be revised until the next CTC-EFF data collection wave. Further validation is indicated.
引用
收藏
页码:1319 / 1335
页数:17
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