Knowledge, Comfort, Approach and Attitude towards Sexuality scale in spinal cord injured population: Adaptation and validation to Spanish language

Authors

  • Luz Miriam Leiva MD. Especialista en Medicina Física y Rehabilitación. Departamento de Medicina Física y Rehabilitación, Universidad del Valle, Cali (Valle del Cauca), Colombia https://orcid.org/0000-0001-7748-2819
  • Laura Andrea Ramírez MD. Especialista en Medicina Física y Rehabilitación. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Cali (Valle del Cauca), Colombia https://orcid.org/0000-0003-2014-8478
  • Lina María Rodríguez MD. Especialista en Medicina Física y Rehabilitación. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Cali (Valle del Cauca), Colombia https://orcid.org/0000-0002-3375-0276
  • Olga Marina Hernández Fisioterapeuta; M.Sc. Epidemiología. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Cali. (Valle del Cauca), Colombia https://orcid.org/0000-0002-5275-8804
  • Bruno Gutiérrez Odontólogo, M.Sc. Epidemiología. Departamento de Medicina Física y Rehabilitación, Universidad del Valle. Cali (Valle del Cauca), Colombia https://orcid.org/0000-0001-8949-7647

DOI:

https://doi.org/10.28957/rcmfr.370

Keywords:

Spinal cord injuries, sexuality, validation study

Abstract

Introduction. Altered sexual function is a common sequela following spinal cord injury. There are no validated scales in Spanish to assess knowledge, comfort, approach, and attitudes of health personnel towards sexuality in patients with spinal cord trauma.

Objective. This study aimed to validate the Knowledge, Comfort, Approach and Attitude towards Sexuality Scale (KCAASS) in Spanish language.

Materials and methods. The process included translation, back-translation, cultural adaptation, and face and content validity in professionals involved in the sexual rehabilitation of the patient with spinal cord injuries in Colombia. A total of 122 professionals participated in establishing construct validity and reliability.

Results. The expert committee determined that the Spanish version of the scale evaluates knowledge, comfort, approach, and attitude toward sexuality in the patient with spinal cord injury by health professionals. In relevance, clarity, and sufficiency, the content validity index was more significant than 0.8 in 75.6% of the items and for 100% of the domains. The overall Cronbach’s alpha value was 0.95. The factor analysis showed eigenvalues above 1.5 in 4 factors.

Conclusion. The Spanish version of the KCAASS scale has adequate reliability, face, content, and construct validity and can be used to evaluate the training needs in specific professional domains in the sexual rehabilitation of the spinal cord injured.

References

American Occupational Therapy Association. Occupational therapy practice framework: Domain and process (3rd edition). Am J Occup Ther. 2014;68(Supplement 1):S1-S48. Disponible en: https://doi.org/10.5014/ajot.2014.682006

Organización Mundial de la Salud [OMS]. La salud sexual y su relación con la salud reproductiva: un enfoque operativo. Ginebra: OMS; 2018. Disponible en: https://www.who.int/es/publications/i/item/978924151288

Nas K, Yazlamar L, Sah V, Aydin A, Önes K. Rehabilitation of spinal cord injuries. World J Orthop. 2015;6(1):8-16. Disponible en: http://doi.org/10.5312/wjo.v6.i1.8

Aikman K, Oliffe JL, Kelly MT, McCuaig F. Sexual Health in Men With Traumatic Spinal Cord Injuries: A Review and Recommendations for Primary Health-Care Providers. Am J Mens Health. 2018;12(6):2044–2054. Disponible en: http://doi.org/10.1177/1557988318790883 5. Sramkova T, Skrivanova K, Dolan I, Zamecnik L, Sramkova K, Kriz J, et al. Women’s Sex Life After Spinal Cord Injury. Sex Med. 2017;5(4):e255-e259. Disponible en: http://doi.org/10.1016/j.esxm.2017.07.003

National Spinal Cord Injury Statistical Center. Spinal Cord Injur y Facts and Figures at a Glan-ce [datasheet]. Birmingham, AL: University of Alabama at Birmingham; 2021. Disponible en: https://medicine.umich.edu/sites/default/files/content/downloads/NSCISC%20SCI%20Facts%20and%20Figures%202021.pdf

Castaño A, Soriano MI. Lesiones no fatales en accidentes de transporte. Colombia, 2006. En: Instituto Nacional de Medicina Legal y Ciencias Forenses – DRIP, editor. Accidentes de transporte. Bogotá: INMLCF-DRIP; 2006. p. 381-418. Disponible en: https://www.medicinalegal.gov.co/documents/20143/49496/Accidentes+de+Transito.pdf

Carvajal C, Pacheco C, Gomez-Rojo C, Calderon J, Cadavid C, Jaimes F. Características clínicas y demográficas de pacientes con trauma raquimedular: experiencia de seis años. Acta Med Col [Internet]. 2015;40(1):45-50. Disponible en: http://doi.org/10.36104/amc.2015.403

Kendall, M., Booth, S., Fronek, P. Miller D, Geraghty T. The Development of a Scale to Assess the Training Needs of Professionals in Providing Sexuality Rehabilitation Following Spinal Cord Injur y. Sex Disabil. 2003;21: 49-6 4. Disponible en: https://doi.org/10.1023/A:1023510925729

Elliott S, Hocaloski S, Carlson M. A Multidisciplinar y Approach to Sexual and Fertility Rehabilitation: The Sexual Rehabilitation Framework. Top Spinal Cord Inj Rehabil. 2017;23(1):49-56. Disponible en: http://doi.org/10.1310/sci2301-49

Silva JM, Chavarriaga Soto J, Orrego PA, Iregui Parra JD, Álvarez Villaraga D, Godoy MP. Fun- ción eréctil y salud sexual en hombres con trauma raquimedular: estudio transversal. Urol Colomb. 2017;26(3):186-191. Disponible en: http://doi.org/10.1016/j.uroco.2016.11.002

Kennedy P, Lude P, Taylor N. Quality of life, social participation, appraisals and coping post spinal cord injury: A review of four community samples. Spinal Cord. 2006;44(2):95-105. Dispo- nible en: http://doi.org/10.1038/sj.sc.3101787

Althof SE, Rosen RC, Perelman MA, Rubio-Aurioles E. Standard Operating Procedures for Taking a Sexual History. J Sex Med. 2013;10(1):26-35. Disponible en: http://doi.org/10.1111/j.1743-6109.2012.02823.x

Emerich L, Parsons K, Stein A. Competent Care for persons with spinal cord injur y and dysfunction in acute inpatient rehabilitation. Top Spinal Cord Inj Rehabil. 2012;18(2):149-166. Disponible en: http://doi.org/10.1310/sci1802-149

Fronek P, Booth S, Kendall M, Miller D, Geraghty T. The effectiveness of a sexuality training program for the interdisciplinar y spinal cord injur y rehabilit ation team. Sex Disabil. 2005;23(2):51–63. Disponible en: http://doi.org/10.1007/s11195-005-4669-0

Booth S, Kendall M, Fronek P, Miller D, Geraghty T. Training the interdisciplinary team in sexuality rehabilitation following spinal cord injury: A needs assessment. Sex Disabil. 2003;21:249–261. Disponible en: http://doi.org/10.1023/B:SEDI.0000010067.27044.7e

Jiménez Buñuales MT, González Diego P, Martín Moreno JM. La clasificación internacional del funcionamiento de la discapacidad y de la salud (CIF) 2001. Rev Esp Salud Publica. 2002; 76(4): 271-279. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272002000400002

Fronek P, Kendall M, Booth S, Eugarde E, Geraghty T. A longitudinal study of sexuality training for the interdisciplinary rehabilitation team. Sex Disabil. 2011;29:87-100. Disponible en: http://doi.org/10.1007/s11195-010-9177-1

Ramada-Rodilla JM, Serra-Pujadas C, Delclós-Clanchet GL. Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas. Salud Publica Mex. 2013; 55(1): 57-66. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342013000100009

Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268-274. Disponible en: http://doi.org/10.1111/j.1365-2753.2010.01434.x

Taherdoost H. Validity and Reliability of the Research Instrument; How to Test the Validation of a Questionnaire/Survey in a Research. SSRN Electron J. 2016 (august 10). Disponible en: http://doi.org/10.2139/ssrn.3205040

Roco-Videla Á, Hernández Orellana M, Silva GonzálezO. ¿Cuál es el tamaño muestral adecuado para validar un cuestionario?. Nutr Hosp. 2021;38(4):877-878. Disponible en: https://dx.doi.org/10.20960/nh.03633

Sánchez R, Echeverr y J. Validación de escalas de medición en salud. Rev Salud Pública. 2004;6(3):302-318. Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/95885

Escobar-Pérez J, Cuer vo-Mar tínez Á. Validez de contenido y juicio de exper tos: una aproximación a su utilización. Avances en Medición. 2008;6:27-36. Disponible en: https://www.researchgate.net/publication/302438451_Validez_de_contenido_y_juicio_de_expertos_Una_aproximacion_a_su_utilizacion

Terwee CB, Prinsen CA, Chiarotto A, Westerman MJ, Patrick DL, Alonso J, et al. COSMIN metho- dology for evaluating the content validity of patient-reported outcome measures: a Delphi study. Qual Life Res. 2018;27(5):1159-1170. Disponible en: http://doi.org/10.1007/s11136-018-1829-0

Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32(4):1008-1015. Disponible en: http://doi.org/10.1046/j.1365-2648.2000.t01-1-01567.x

Gallego E, Salanova M. Validación factorial del «General Health Questionnaire» (GHQ-12) mediante un análisis factorial confirmatorio. Revista de Psicología de la Salud. 2000;12(2):75-89. Disponible en: http://www.want.uji.es/wp-content/uploads/2017/03/2000_Cifre-Salanova.pdf

Achury DM, Sepúlveda G, Rodríguez SM. Validez de apariencia y de contenido de un instrumen- to para evaluar la capacidad de agencia de autocuidado en el paciente con hipertensión arterial. Investigación en Enfermería. 2008;10(1): 93-111. Disponible en: https://revistas.javeriana.edu.co/index.php/imagenydesarrollo/article/view/1598/0

Samain J, Courtois F, Moyson J, Stoquart G, Jacquemin G. Traduction française et validation du questionnaire «Knowledge, Comfort, Approach and Attitudes Towards Sexuality Scale». Sexologies. 2022;31(2):84-89. Disponible en: https://doi.org/10.1016/j.sexol.2021.09.001

Booth S, Kendall M, Fronek P, Miller D, Geraghty T. Training the interdisciplinary team in sexuality rehabilitation following spinal cord injury: A needs assessment. Sex Disabil. 2003;21:249-261. Disponible en: http://doi.org/10.1023/B:SEDI.0000010067.27044.7e

Pebdani RN, Saeki E. Validation of the Knowledge, Comfort, Approach, and Attitudes Towards Sexuality Scale for Use with Rehabilitation Counseling Students: An Exploratory Factor Analysis. Sex Disabil. 2020;38:313–327. Disponible en: https://doi.org/10.1007/s11195-019-09611-5

Oviedo HC, Campo-Arias A. Aproximación al uso del coeficiente alfa de Cronbach. Rev Colomb Psiq uiatr. 2005;3 4(4):572-580. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502005000400009&lng=en

How to Cite

1.
Leiva LM, Ramírez LA, Rodríguez LM, Hernández OM, Gutiérrez B. Knowledge, Comfort, Approach and Attitude towards Sexuality scale in spinal cord injured population: Adaptation and validation to Spanish language. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2022 Dec. 23 [cited 2024 May 19];32:225-37. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/370

Downloads

Download data is not yet available.

Published

2022-12-23

Issue

Section

Original articles
Crossref Cited-by logo
QR Code