Adaptation and validation of a self‐report measure of youth‐friendly primary healthcare services

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dc.contributor.author Boersema, G.C. (Christelle)
dc.contributor.author Van Wyk, Neltjie C.
dc.contributor.author Louw, Elizabeth M.
dc.date.accessioned 2019-07-12T07:47:22Z
dc.date.issued 2019-06
dc.description.abstract AIM : To adapt the Youth‐Friendly Health Services‐World Health Organization+ questionnaire to suit the health needs of youth in the South African context, and estimate its psychometric properties. BACKGROUND : Youth‐friendly health services promote health‐seeking behaviour amongst young people. The perceptions of youth and adolescents are thus important whilst assessing the youth‐friendliness of health services. METHODS : We conducted six focus group interviews to evaluate the clarity and relevance of the questionnaire items and adapted the questionnaire which was was administered to 101 youth who visited primary healthcare clinics. We reduced the number of items through quantitative analysis of responses and item analysis. Cronbach's alpha was used to optimize internal consistency reliability. Experts established a baseline of youth‐friendliness. We ranked the responses from the youth against the baseline of youth‐friendliness and used independent two sample t‐test to test for construct validity of the final adapted version, titled Youth‐Friendly Health Services‐ South Africa. RESULTS OR FINDINGS : After the focus group interviews, we rephrased 27 items, removed four items and added eight items. We reduced the questionnaire to 57 items whilst optimizing internal consistency reliability. The statistical analysis supported construct validity. CONCLUSION : The Youth‐Friendly Health Services‐South Africa is the first English validated version and demonstrates good psychometric properties. IMPLICATION FOR NURSING PRACTICE AND HEALTH POLICY : The Youth‐Friendly Health Services‐South Africa can be useful to evaluate the youths' satisfaction with the health care and nursing service they receive. This study's findings indicate that the original questionnaire can be adapted for use in different contexts to shape local and global nursing practice and policies. en_ZA
dc.description.department Nursing Science en_ZA
dc.description.department Statistics en_ZA
dc.description.embargo 2020-06-01
dc.description.librarian hj2019 en_ZA
dc.description.sponsorship A UNEDSA grant for Masters and PhD students in the Community‐Orientated Nursing Education Project for Women and Child Health (no. 0948), overseen by the University of Pretoria. en_ZA
dc.description.uri https://onlinelibrary.wiley.com/journal/14667657 en_ZA
dc.identifier.citation Boersema, G.C., Van Wyk, N.C. & Louw, E.M. 2019, 'Adaptation and validation of a self‐report measure of youth‐friendly primary healthcare services', International Nursing Review, vol. 66, no. 2, pp. 269-279. en_ZA
dc.identifier.issn 0020-8132 (print)
dc.identifier.issn 1466-7657 (online)
dc.identifier.other 10.1111/inr.12492
dc.identifier.uri http://hdl.handle.net/2263/70690
dc.language.iso en en_ZA
dc.publisher Wiley en_ZA
dc.rights © 2019 International Council of Nurses. This is the pre-peer reviewed version of the following article : 'Adaptation and validation of a self‐report measure of youth‐friendly primary healthcare services', International Nursing Review, vol. 66, no. 2, pp. 269-279, 2019. doi : 10.1111/inr.12492. The definite version is available at : https://onlinelibrary.wiley.com/journal/14667657. en_ZA
dc.subject Construct validity en_ZA
dc.subject Youth friendliness en_ZA
dc.subject Primary health care (PHC) en_ZA
dc.subject Questionnaire adaptation en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Validity en_ZA
dc.subject Youth friendly health services‐World Health Organization (YFHS-WHO) questionnaire en_ZA
dc.subject Youth friendly health services‐South Africa (YFHS-SA) en_ZA
dc.title Adaptation and validation of a self‐report measure of youth‐friendly primary healthcare services en_ZA
dc.type Postprint Article en_ZA


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