ORIGINAL RESEARCH article
Front. Public Health
Sec. Infectious Diseases: Epidemiology and Prevention
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1592191
Adaptation and Validation of the Van Rie Tuberculosis Stigma Scale in Health Care Workers in Indonesia
Provisionally accepted
- Jenderal Soedirman University, Purwokerto, Indonesia
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Objectives: Stigma related to tuberculosis (TB) is not limited to society and the workplace, but also extends to healthcare settings. Stigma can result in delayed diagnoses, poor medication adherence, and a reduced quality of life. Currently, there is no instrument available to assess TB stigma among healthcare workers. This study aimed to adapt and validate a tuberculosis stigma scale specifically for health workers in Indonesia.Methods: This study used Exploratory Sequential Mixed Methods. Instrument development was carried out in three stages, translation, cross-cultural adaptation, and psychometric evaluation. The instrument adapted and validated in this study was the standardized Van Rie questionnaire. 305 respondents from three areas: Banyumas Regency, Yogyakarta City, and Malang City participated in this study. To assess the tool's internal consistency and reliability, a psychometric evaluation was conducted using exploratory and confirmatory factor analyses (EFA and CFA).Results: Isolation and exclusion from medical facilities are the two categories of questions that have been identified. The results of the CFA, it demonstrated that the calculated chi-square value for our model was Chisquare/DF = 186.713/43 = 4.3 (>3). The RMSEA = 0.105 (> 0.08), NFI = 0.837 (< 0.90), TLI = 0.832 (< 0.95), and SRMR = 0.080 (<0.10), indicating that the model was reasonably fit. The instrument was reliable with a Cronbach's alpha of 0.829.This validated, consistent, and reliable adapted tool is ready to use in larger scale evaluation of TB-related stigma amongst health workers in health care settings to develop strategies to eliminate TB-related stigma.
Keywords: Health workers, instrument, stigma, stigmatization, Tuberculosis Health workers, Tuberculosis
Received: 12 Mar 2025; Accepted: 21 Aug 2025.
Copyright: © 2025 Wijayanti, suratman, Rejeki, Aji and Jayanti. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Siwi Pramatama Mars Wijayanti, Jenderal Soedirman University, Purwokerto, Indonesia
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