Validation of the Persian version of family health climate scale (FHC-Scale) in Iranian families
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RESEARCH ARTICLE
Open Access
Validation of the Persian version of family health climate scale (FHC-Scale) in Iranian families Akram Kharazmi1, Jeannine M. Brant2, Moosa Sajjadi3* , Mahdi Moshki4 and Leila Sadegh Moghadam5
Abstract Background: Family health is an important issue which has attracted researchers from different fields. The present study aimed to validate the Persian version of the Family Health Climate Scale (FHC-Scale). Methods: In this methodological research, a total of 620 individuals presenting to Comprehensive Healthcare centers affiliated with Mashhad University of Medical Sciences and Gonabad University of Medical Sciences were selected through random multistage sampling. Validation of the FHC-Scale was performed. First, the original scale was translated and back-translated. Then its content validity and construct validity were assessed using exploratory and confirmatory factor analysis. Reliability was assessed using internal consistency and stability. Data were analyzed using SPSS version 20 (IBM Corp., Armonk, NY, USA) and LISREL version 8.5 (SSI Inc., Skokie, IL, USA). Results: Results of exploratory factor analysis showed that “physical activity” of family health climate scale (FHC-PA) has three dimensions: value, cohesion and information explaining 61.99% of the variance. “Nutrition” of family health climate scale (FHC-NU) had four dimensions of value, communication, cohesion and consensus explaining 66.19% of the variance. Internal consistency of the dimensions of (FHC-PA) ranged 0.82–0.85 and that for FHC-NU ranged 0.82–0.84. Confirmatory factor analysis revealed goodness of fit and confirmed family health climate scale (Nutrition and physical activity). Conclusion: Results of the study revealed that the FHC-Scale has appropriate reliability and validity for Iranian families. Therefore, the Persian version of the scale can be used for assessing health-related aspects of family. Keywords: Validation, Psychometric, Family health climate scale, FHC-scale, Iran
Background The family is a complicated emotional system that is considered the major pillar and the initial organization of any society, where human emotions and intimate relations emerge. It can be said that family functioning affects society functioning in a direct and major way. In other words, a healthy society is composed of healthy families. Members of a family are connected through * Correspondence: [email protected] 3 Department of Medical-Surgical Nursing, Faculty of Nursing, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran Full list of author information is available at the end of the article
biological, legal, emotional, geographical and historical bonds. As compared with other social groups, entering a family in the traditional sense is possible through giving birth to a child, adopting a child, caring for a child or getting married [1]. In Iran, the family is an indicator of the cultural value system. Recent decades have been exposed to structural chang
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