Validation of Spanish version of the human papilloma virus impact profile (HIP)

Alexandra Restrepo Henao; Nilton Edu Montoya Gómez; Difariney Gonzalez-Gómez; Isabel C Garcés-Palacio

doi:10.1080/03007995.2020.1729709

Validation of Spanish version of the human papilloma virus impact profile (HIP)

Curr Med Res Opin. 2020 Apr;36(4):705-712. doi: 10.1080/03007995.2020.1729709. Epub 2020 Mar 6.

Authors

Alexandra Restrepo Henao^{1

2}, Nilton Edu Montoya Gómez^{3

4}, Difariney Gonzalez-Gómez⁵, Isabel C Garcés-Palacio²

Affiliations

¹ Epidemiology Department, Columbia University, New York, NY, USA.
² Epidemiology Group, National School of Public Health, Universidad of Antioquia, Medellın, Colombia.
³ Statistical Applications and Public Health group, National School of Public Health, Universidad of Antioquia, Medellın, Colombia.
⁴ Nacional University of Cordoba, Cordoba, Argentina.
⁵ Demography and Health Group, National School of Public Health, Universidad of Antioquia, Medellın, Colombia.

PMID: 32049551
DOI: 10.1080/03007995.2020.1729709

Abstract

Objective: To examine the construct validity and reliability of the Spanish version of the HPV Impact Profile scale (HIP) among women in Medellin, Colombia.Methods: We conducted a nested analysis of data from the pragmatic randomized controlled trial "Evaluation of Strategies for Optimal Clinical Management of Women with Atypical Squamous Cells of Undetermined Significance" (ASCUS-COL; NCT02067468). Women with Atypical Squamous Cells of Undetermined Significance (ASCUS) were randomly assigned to one of three triage strategies (Pap smear, colposcopy, HPV). Participants completed a questionnaire with sociodemographic information and the HIP scale translated into Spanish at baseline, two weeks after receiving triage test results, and one year after the second questionnaire. We conducted exploratory and confirmatory factorial analysis, and then assessed test reliability using Cronbach's alpha. Subsequently, we conducted multigroup confirmatory factor analysis to assess differences according to women´s age, and configurational invariance of the factor structure over the three time measures.Results: The sample consisted of 675 women, with a mean age of 40 years. The exploratory and confirmatory factor analysis for the HIP showed a seven-factor structure with appropriate adjustment indicators ([Formula: see text]= 1466.783, p < .0001). Only two items (1 and 10) had low factor loads and were removed from the confirmatory analysis. Multigroup analysis according to women's age showed acceptable goodness of fit (RMSEA = 0.037, CFI/TLI:0.998/0.998). The factor structure was similar among the tree measures and the model preserved acceptable goodness of fit (RMSEA = 0.079, CFI:0.86). The Cronbach's alpha for the total score was 0.91, with the lowest score for sexual impact (0.49) and the highest score for worries and concerns (0.90).Conclusions: The Spanish version of the HIP had adequate reliability and construct validity, and its use could be considered in clinic and research settings.

Keywords: HIP; Human papillomavirus; psychosocial impact; validation.

Publication types

Pragmatic Clinical Trial
Research Support, Non-U.S. Gov't
Validation Study

MeSH terms

Adult
Atypical Squamous Cells of the Cervix*
Colposcopy
Condylomata Acuminata / psychology
Female
Humans
Middle Aged
Papanicolaou Test
Papillomavirus Infections / psychology*
Psychometrics
Reproducibility of Results
Triage / methods*
Uterine Cervical Dysplasia / psychology

Associated data

ClinicalTrials.gov/NCT02067468