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Translation and Validation of the Korean Version of the Revised Health Care System Distrust Scale (HCSD-K) in Korean American Women

 Hye Chong Hong  ;  Ari Min 
 International Journal of Environmental Research and Public Health, Vol.15(9) : 1964-1975, 2018 
Journal Title
 International Journal of Environmental Research and Public Health 
Issue Date
Health Care System Distrust scale ; Korean American ; reliability ; validity ; women
BACKGROUND: Trust in the healthcare system is a major contributor for racial disparities in health and health care. We aimed to formally translate and cross-culturally adapt the Korean version of the Revised Health Care System Distrust (HCSD-K) scale with a sample of Korean American women and examine the psychometric properties of the HCSD-K scale. METHODS: Ten Korean American women participated in the cognitive interview. A self-administered questionnaire was completed by 196 Korean American women aged 50⁻74 years. Instrument adaptation was performed using committee-based translation and cognitive interviewing. Construct validity, convergent validity, and internal consistency were examined to evaluate the psychometric properties of the HCSD-K scale. RESULTS: The translated instrument was found to be semantically sound. A confirmatory factor analysis revealed a two-factor structure with an excellent fit. Convergent validity was supported by correlations between the HCSD-K scale and both the Perceived Discrimination in Health Care and Trust in Physician scales. Cronbach's alpha for the total HCSD-K was 0.83. CONCLUSION: The nine-item HCSD-K scale demonstrated satisfactory reliability and validity. It is an appropriate instrument for measuring healthcare system distrust in Korean American women. Further study is needed to confirm the study results in a gender-mixed Korean population.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Min, Ari(민아리) ORCID logo https://orcid.org/0000-0002-5151-0559
Hong, Hye Chong(홍혜정)
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