Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients
IntroductionThe Stigma Assessment and Reduction of Impact (SARI) Stigma Scale is an instrument developed to evaluate stigma in Leprosy patients. Despite existing versions in Indonesian, the absence of an endemic area language version of a reliable assessment tool presents a barrier to effective inte...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1474745/full |
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| author | Tri Rahayu Dewi Friska Yoslien Sopamena Sri Linuwih Menaldi Kahlil Gibran Dadun Ida Ruwaida Yunia Irawati |
| author_facet | Tri Rahayu Dewi Friska Yoslien Sopamena Sri Linuwih Menaldi Kahlil Gibran Dadun Ida Ruwaida Yunia Irawati |
| author_sort | Tri Rahayu |
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| description | IntroductionThe Stigma Assessment and Reduction of Impact (SARI) Stigma Scale is an instrument developed to evaluate stigma in Leprosy patients. Despite existing versions in Indonesian, the absence of an endemic area language version of a reliable assessment tool presents a barrier to effective interventions in regions like Ambon. This study aims to evaluate the validity and reliability of the Ambonese-Malay Language of SARI Stigma Scale questionnaire.MethodsA cross-sectional study involved 50 participants with leprosy or a history of leprosy from Ambon City, Indonesia. They were tested with the SARI Stigma Scale questionnaire, consisting of 4 domains of questions, totalling 21 questions. Reliability and variability analysis was conducted from each domain’s questions. Cronbach’s α (CA) and intraclass correlation coefficient (ICC) determined internal consistency of reliability tests. For validity assessment, coefficients of corrected item-total correlation ensured scale accuracy for measuring stigma.ResultsReliability analysis revealed significant high internal consistency (α and ICC value >0.7) across all four domains, with CA values ranging from 0.71 to 0.94 and strong consistency among responses, with ICC ranging from 0.71 to 0.94 across domains. The total domain exhibited a CA of 0.855 and an average ICC of 0.855 (p < 0.001). Validity testing demonstrated significant moderate to strong correlations, ranging from 0.69 to 0.90 (p < 0.001), affirming scale validity in measuring stigma accurately.DiscussionThe Ambonese-Malay version of the SARI Stigma Scale exhibits validity and reliability as an assessment tool for scoring stigma in leprosy patients in Ambon. Stigma can emerge and be associated with leprosy. To understand the stigma in society due to this disease, a validated questionnaire in the local language and adjusted with the local cultures needed. |
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| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-68b421bac94a41c280dea71a348f07182025-08-20T01:48:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14747451474745Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patientsTri Rahayu0Dewi Friska1Yoslien Sopamena2Sri Linuwih Menaldi3Kahlil Gibran4 Dadun5Ida Ruwaida6Yunia Irawati7Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Community Medicine, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo, Jakarta, IndonesiaDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Indonesia, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo, Jakarta, IndonesiaCenter for Health Research, Faculty of Public Health, Universitas Indonesia, Jakarta, IndonesiaFaculty of Social and Political Sciences, Universitas Indonesia, Jakarta, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaIntroductionThe Stigma Assessment and Reduction of Impact (SARI) Stigma Scale is an instrument developed to evaluate stigma in Leprosy patients. Despite existing versions in Indonesian, the absence of an endemic area language version of a reliable assessment tool presents a barrier to effective interventions in regions like Ambon. This study aims to evaluate the validity and reliability of the Ambonese-Malay Language of SARI Stigma Scale questionnaire.MethodsA cross-sectional study involved 50 participants with leprosy or a history of leprosy from Ambon City, Indonesia. They were tested with the SARI Stigma Scale questionnaire, consisting of 4 domains of questions, totalling 21 questions. Reliability and variability analysis was conducted from each domain’s questions. Cronbach’s α (CA) and intraclass correlation coefficient (ICC) determined internal consistency of reliability tests. For validity assessment, coefficients of corrected item-total correlation ensured scale accuracy for measuring stigma.ResultsReliability analysis revealed significant high internal consistency (α and ICC value >0.7) across all four domains, with CA values ranging from 0.71 to 0.94 and strong consistency among responses, with ICC ranging from 0.71 to 0.94 across domains. The total domain exhibited a CA of 0.855 and an average ICC of 0.855 (p < 0.001). Validity testing demonstrated significant moderate to strong correlations, ranging from 0.69 to 0.90 (p < 0.001), affirming scale validity in measuring stigma accurately.DiscussionThe Ambonese-Malay version of the SARI Stigma Scale exhibits validity and reliability as an assessment tool for scoring stigma in leprosy patients in Ambon. Stigma can emerge and be associated with leprosy. To understand the stigma in society due to this disease, a validated questionnaire in the local language and adjusted with the local cultures needed.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1474745/fullleprosyreliabilitySARI Stigma Scalestigmavalidity |
| spellingShingle | Tri Rahayu Dewi Friska Yoslien Sopamena Sri Linuwih Menaldi Kahlil Gibran Dadun Ida Ruwaida Yunia Irawati Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients Frontiers in Public Health leprosy reliability SARI Stigma Scale stigma validity |
| title | Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients |
| title_full | Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients |
| title_fullStr | Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients |
| title_full_unstemmed | Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients |
| title_short | Validity and reliability of local endemic language version of the SARI Sigma Scale questionnaire for assessing stigma in leprosy patients |
| title_sort | validity and reliability of local endemic language version of the sari sigma scale questionnaire for assessing stigma in leprosy patients |
| topic | leprosy reliability SARI Stigma Scale stigma validity |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1474745/full |
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