Adaptation and testing of psychosocial assessment instruments for cross-cultural use: an example from the Thailand Burma border
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BACKGROUND: The purpose of this study was to develop valid and reliable instruments to assess priority psychosocial problems and functioning among adult survivors of systematic violence from Burma living in Thailand. METHODS: The process involved four steps: 1) instrument drafting and piloting; 2) reliability and validity testing; 3) instrument revision; and 4) retesting revised instrument. RESULTS: A total of N = 158 interviews were completed. Overall subscales showed good internal consistency (0.73-0.92) and satisfactory combined test-retest/inter rater reliability (0.63-0.84). Criterion validity, was not demonstrated for any scale. The alcohol and functioning scales underperformed and were revised (step 3) and retested (step 4). Upon retesting, the function scale showed good internal consistency reliability (0.91-0.92), and the alcohol scale showed acceptable internal consistency (0.79) and strong test-retest/inter-rater reliability (0.86-0.89). CONCLUSIONS: This paper describes the importance and process of adaptation and testing, illustrated by the experiences and results for selected instruments in this population.
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The screener items were developed and incorporated after extensive community-based participatory research with former political prisoners and refugees to ensure more valid measurement of psychological distress within this context.
“Items were developed and incorporated after extensive community-based participatory research with former political prisoners and refugees to ensure more valid measurement of psychological distress within this context [44].”
From Masculinity and mental health treatment initiation for former political prisoners in Yangon, Myanmar – a qualitative investigation (2021) · cites this paper as [44]
Methods (Step 1: Instrument adaptation; page not provided) says items were added and wording adapted using a prior qualitative study of displaced Burmese people. Methods (Step 2: Reliability and validity testing; page not provided) identifies community key informants, including one former political prisoner. The paper does not establish that the prior research was participatory research with former political prisoners as a group, and its Conclusions say criterion validity was not established. (LLM, conf=0.82)
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References 21 · Cited by 71
Research works printed but not linked: 1
- Hesbacher PT Psychiatric illness in family practice J Clin Psychiatry 1980 41 1 6 10 7351399
- Authors
- Haroz, E. E., Bass, J. K., Lee, C., Murray, L. K., Robinson, C., & Bolton, P.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Haroz, Emily E
- Venue
- BMC Psychology
- Published
- 2014-08-31
- Volume
- 2
- Issue
- 1
- Pages
- 31-31
- ISSN
- 2050-7283 (ISSN-L)
- PMC
- PMC4317135
- OpenAlex
- W2121172333
- Cited by
- 71
- References
- 21
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 25 · 2022: 2 · 2021: 8 · 2020: 5 · 2019: 8 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 1
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- United States Agency for International Development
- National Institute of Mental Health (T32MH014592)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Education › Health Education and Validation
- Keywords
- psychosocial assessment instruments, cross-cultural adaptation, instrument validation, Burma refugees, Thai-Myanmar border, adult survivors, psychosocial functioning, alcohol consumption, internal consistency, test-retest reliability, inter-rater reliability, criterion validity
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