Cross-cultural Adaptation and Validation of the Family Hardiness Index for the Brazilian Population
DOI:
https://doi.org/10.1590/Keywords:
adaptation, validity of test, resistance, familyAbstract
Despite the importance of family hardiness for the adaptation of families to adverse situations, there are gaps in the Brazilian literature regarding this construct. The objective of this study was to carry out the cross-cultural adaptation and validation of the Family Hardiness Index (FHI) for the Brazilian population. The process was developed in two phases: (1) cross-cultural adaptation, conducted in five stages - translation, synthesis, back translation, expert analysis and pre-testing; and (2) validation with 210 caregivers (mothers, fathers, and grandmothers) of children with disabilities. An Item Comprehension Assessment Questionnaire was also administered. The FHI demonstrated good semantic and cultural agreement, with a Kappa coefficient of 80%. Confirmatory Factor Analysis indicated that the model with two factors (Commitment/Challenge and Confidence/Control) and 11 items was the most appropriate. This study presents indicators of the validity of the FHI for the Brazilian context.
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Aguiar, M. P. P. A., & Morais, N. A. (2021). Processos de resiliência familiar vivenciados por famílias com uma pessoa com deficiência [Family Resilience Processes Experienced by Families with a Disabled Person]. Revista Subjetividades, 21(3), 1-16. https://doi.org/10.5020/23590777.rs.v21i3.e9191
» https://doi.org/10.5020/23590777.rs.v21i3.e9191
Al Umairi, K. S. S., Salleh, U. K. M., & Zulnaidi, H. (2023). Adaptation of the sources of the mathematics self-efficacy scale for Oman: A validation study. Eurasia Journal of Mathematics, Science and Technology Education, 19(9), em2321. https://doi.org/10.29333/ejmste/13481
» https://doi.org/10.29333/ejmste/13481
Cunha, A. I., Major, S., & Relvas, A. P. (2016). Family Hardiness Index (FHI). In A. P. Relvas, & S. Major (Eds.), Avaliação familiar: Vulnerabilidade, stress e adaptação [Family assessment: Vulnerability, stress and adaptation] (pp. 63-80). Pombalina.
Dunst, C. J. (2021). Family hardiness and parent and family functioning in households with children experiencing adverse life conditions: A meta-analysis. International Journal of Psychological Research, 14(2), 93–118. https://doi.org/10.21500/20112084.5236
» https://doi.org/10.21500/20112084.5236
Erica, L., & Pudjiati, S. R. R. (2024). Adaptation of the Family Hardiness Index (FHI) instrument for Indonesian adolescents. Jurnal Ilmu Keluarga Dan Konsumen, 17(2), 120–131. https://doi.org/10.24156/jikk.2024.17.2.120
» https://doi.org/10.24156/jikk.2024.17.2.120
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50. https://doi.org/10.1177/002224378101800104
» https://doi.org/10.1177/002224378101800104
Fortes, C. P. D. D., & Araújo, A. P. Q. C. (2019). Check list para tradução e adaptação transcultural de questionários em saúde [Check list for healthcare questionnaires cross-cultural translation and adaptation]. Cadernos Saúde Coletiva, 27(2), 202–209. https://doi.org/10.1590/1414-462x201900020002
» https://doi.org/10.1590/1414-462x201900020002
Gugliandolo, M. C., Liga, F., Larcan, R., & Cuzzocrea, F. (2023). Parents of children with developmental disorders: Family hardiness and resilience. Journal of Intellectual & Developmental Disability, 48(3), 334-339. https://doi.org/10.3109/13668250.2022.2079056
» https://doi.org/10.3109/13668250.2022.2079056
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2018). Multivariate data analysis (8th ed.). Cengage Learning Emea.
Hu, L.-T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. http://dx.doi.org/10.1080/10705519909540118
» https://doi.org/10.1080/10705519909540118
Hu, X., Wang, W., Wang, Y., & Liu, K. (2021). Fear of cancer recurrence in patients with multiple myeloma: Prevalence and predictors based on a family model analysis. Psycho‐Oncology, 30(2), 176-184. https://doi.org/10.1002/pon.5546
» https://doi.org/10.1002/pon.5546
Hudecek, M. F. C., Blabst, N., Morgan, B., & Lermer, E. (2020). Measuring gratitude in Germany: Validation study of the German version of the Gratitude Questionnaire-Six item form (GQ-6-G) and the Multi-Component Gratitude Measure (MCGM-G). Frontiers in Psychology, 11, 590108. https://doi.org/10.3389/fpsyg.2020.590108
» https://doi.org/10.3389/fpsyg.2020.590108
Hutz, C. S., Bandeira, D. R., & Trentini, C. M. (2015). Psicometria [Psychometrics]. Artmed.
Kobasa, S. C. (1979). Stressful life events, personality, and health: An inquiry into hardiness. Journal of Personality and Social Psychology, 37(1), 1-11. https://doi.org/10.1037/0022-3514.37.1.1
» https://doi.org/10.1037/0022-3514.37.1.1
Liu, Y., Yang, J.-Q., Ye, B.-L., Shen, Q., Zhu, J.-M., & Chen, M.-Q. (2014). Reliability and validity of the Chinese version of the Family Hardiness Index. Journal of Nursing Administration, 14(11), 770-772. https://core.ac.uk/download/pdf/41459567.pdf
» https://core.ac.uk/download/pdf/41459567.pdf
Mardia, K. V. (1970). Measures of multivariate skewnees and kurtosis with applications. Biometrika, 57(3), 519-530. https://doi.org/10.2307/2334770
» https://doi.org/10.2307/2334770
Marôco, J. (2021). Análise de equações estruturais: Fundamentos teóricos, software & aplicações [Analysis of structural equations: Theoretical foundations, software & applications] (3a ed.). ReportNumber.
Marques, M. S., Jesus, E. C., Carneiro, J. A., Maia, L. C., & Caldeira, A. P. (2023). Fragilidade em pessoas idosas na comunidade: Estudo comparativo de instrumentos de triagem [Frailty in community-dwelling older adults: a comparative study of screening instruments]. Revista Brasileira de Geriatria e Gerontologia, 26, e230057. https://doi.org/10.1590/1981-22562023026.230057.pt
» https://doi.org/10.1590/1981-22562023026.230057.pt
McCubbin, H. I., McCubbin, M. A., & Thompson, A. I. (1987). FHI: Family Hardiness Index. In H. I. McCubbin, & A. I. Thompson (Eds.), Family assessment inventories for research and practice (pp. 125-132). University of Wisconsin-Madison.
Muthen, B., & Kaplan, D. (1992). A comparison of some methodologies for the factor analysis of non-normal Likert variables: A note on the size of the model. British Journal of Mathematical and Statistical Psychology, 45(1), 19–30. https://doi.org/10.1111/j.2044-8317.1992.tb00975.x
» https://doi.org/10.1111/j.2044-8317.1992.tb00975.x
Persson, C., Benzein, E., & Årestedt, K. (2016). Assessing family resources: Validation of the Swedish version of the Family Hardiness Index. Scandinavian Journal of Caring Sciences, 30(4), 845-855. https://doi.org/10.1111/scs.12313
» https://doi.org/10.1111/scs.12313
Prodrossimo, A. F., Dias, J. P. P., Iankilevich, L., & Souza, J. M. (2021). Validação, tradução e adaptação transcultural de instrumentos de pesquisa clínico-educacionais: Uma revisão integrativa [Validation, translation and cross-cultural adaptation of clinical-educational research instruments: an integrative review]. Revista Espaço Para a Saúde, 22, e71436. https://doi.org/10.22421/1517-7130/es.2021v22.e736
» https://doi.org/10.22421/1517-7130/es.2021v22.e736
Silva, D. F., & Alves, C. F. (2021). Aceitação familiar da criança com deficiência: Revisão sistemática da literatura [Family Acceptance of Children with Intellectual Disabilities: A Systematic Literature Review]. Psicologia: Ciência e Profissão, 41(3), e209337. https://doi.org/10.1590/1982-3703003209337
» https://doi.org/10.1590/1982-3703003209337
Sjöström, A. E., Hajdarevic, S., Hörnsten, Å., Kristjánsdóttir, Ó., Castor, C., & Isaksson, U. (2023). The Swedish version of the eHealth literacy questionnaire: Translation, cultural adaptation, and validation study. Journal of Medical Internet Research, 25, e43267. https://www.jmir.org/2023/1/e43267
» https://www.jmir.org/2023/1/e43267
Staunton, E., Kehoe, C., & Sharkey, L. (2023). Families under pressure: Stress and quality of life in parents of children with an intellectual disability. Irish Journal of Psychological Medicine, 40(2), 192-199. https://doi.org/10.1017/ipm.2020.4
» https://doi.org/10.1017/ipm.2020.4
Voormolen, D. C., van Exel, J., Brouwer, W., Sköldunger, A., Gonçalves-Pereira, M., Irving, K., Bieber, A., Selbaek, G., Woods, B., Zanetti, O., Verhey, F., Wimo, A., Handels, R. L. H., & Actifcare Consortium. (2021). A validation study of the CarerQol instrument in informal caregivers of people with dementia from eight European countries. Quality of Life Research, 30, 577-588. https://doi.org/[10.1007/s11136-020-02657-5 ]( https://doi.org/10.1007/s11136-020-02657-5 )
» https://doi.org/10.1007/s11136-020-02657-5
Wondemu, M. Y., Joranger, P., Hermansen, Å., & Brekke, I. (2022). Impact of child disability on parental employment and labour income: A quasi-experimental study of parents of children with disabilities in Norway. BMC Public Health, 22(1), 1813. https://doi.org/10.1186/s12889-022-14195-5
» https://doi.org/10.1186/s12889-022-14195-5
Zhao, M., Fu, W., & Ai, J. (2021). The mediating role of social support in the relationship between parenting stress and resilience among Chinese parents of children with disability. Journal of Autism and Developmental Disorders, 51(10), 3412-3422. https://doi.org/10.1007/s10803-020-04806-8
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