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The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults

BACKGROUND: Family and kinship networks are a key aspect of culture for Aboriginal and Torres Strait Islander peoples from Australia. They are intrinsically connected to good health and wellbeing, and cultural knowledge exchange. However, despite the known importance of family and kinship networks i...

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Autores principales: Brinckley, Makayla-May, Jones, Roxanne, Batterham, Philip J., Calear, Alison L., Lovett, Raymond
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615397/
https://www.ncbi.nlm.nih.gov/pubmed/36307796
http://dx.doi.org/10.1186/s12889-022-14363-7
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author Brinckley, Makayla-May
Jones, Roxanne
Batterham, Philip J.
Calear, Alison L.
Lovett, Raymond
author_facet Brinckley, Makayla-May
Jones, Roxanne
Batterham, Philip J.
Calear, Alison L.
Lovett, Raymond
author_sort Brinckley, Makayla-May
collection PubMed
description BACKGROUND: Family and kinship networks are a key aspect of culture for Aboriginal and Torres Strait Islander peoples from Australia. They are intrinsically connected to good health and wellbeing, and cultural knowledge exchange. However, despite the known importance of family and kinship networks in Aboriginal and Torres Strait Islander cultures, and the move towards family-centred approaches in healthcare service provision, there is no validated, national measure of family functioning for Aboriginal and Torres Strait Islander peoples. A valid tool to measure family functioning is necessary in order to better understand what fosters good family functioning, and to inform and develop programs and healthcare interventions. METHODS: Mayi Kuwayu: the National Study of Aboriginal and Torres Strait Islander Wellbeing is a longitudinal cohort study of Aboriginal and Torres Strait Islander adults aged 16 years and over. An existing family functioning scale was modified for use in the Mayi Kuwayu Study to measure family functioning at the national Aboriginal and Torres Strait Islander population level. This study used a national sample of Aboriginal and Torres Strait Islander adults (N = 8705, ≥16 years) for the psychometric assessment of the modified Mayi Kuwayu Study Family Functioning Measure. This involved face validity, acceptability, internal consistency/reliability, construct validity, and convergent and divergent validity testing. RESULTS: Participants in this study were 8705 Aboriginal and Torres Strait Islander peoples, with a mean age of 48 years, who primarily live in regional Australia (47.3%). The Mayi Kuwayu Family Functioning Measure demonstrated face validity for family functioning and had good internal consistency/reliability (Cronbach’s alpha > 0.90). Construct validity results were mixed, with an indication of uni-dimensionality (with one component explaining 59.5% of variance), but some item redundancy and inconsistency in responding patterns among groups of respondents. Balancing psychometric properties with Aboriginal and Torres Strait Islander expert and end-user feedback of the measure indicate that the full scale should be retained. Finally, the measure demonstrated strong convergent and divergent validity, with prevalence ratios exhibiting dose-response relationships between family functioning and conceptually related outcomes (convergent validity) and conceptually unrelated outcomes (divergent validity). CONCLUSION: The Mayi Kuwayu Family Functioning Measure is a valid measure of family functioning in the Aboriginal and Torres Strait Islander adult population. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14363-7.
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spelling pubmed-96153972022-10-29 The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults Brinckley, Makayla-May Jones, Roxanne Batterham, Philip J. Calear, Alison L. Lovett, Raymond BMC Public Health Research BACKGROUND: Family and kinship networks are a key aspect of culture for Aboriginal and Torres Strait Islander peoples from Australia. They are intrinsically connected to good health and wellbeing, and cultural knowledge exchange. However, despite the known importance of family and kinship networks in Aboriginal and Torres Strait Islander cultures, and the move towards family-centred approaches in healthcare service provision, there is no validated, national measure of family functioning for Aboriginal and Torres Strait Islander peoples. A valid tool to measure family functioning is necessary in order to better understand what fosters good family functioning, and to inform and develop programs and healthcare interventions. METHODS: Mayi Kuwayu: the National Study of Aboriginal and Torres Strait Islander Wellbeing is a longitudinal cohort study of Aboriginal and Torres Strait Islander adults aged 16 years and over. An existing family functioning scale was modified for use in the Mayi Kuwayu Study to measure family functioning at the national Aboriginal and Torres Strait Islander population level. This study used a national sample of Aboriginal and Torres Strait Islander adults (N = 8705, ≥16 years) for the psychometric assessment of the modified Mayi Kuwayu Study Family Functioning Measure. This involved face validity, acceptability, internal consistency/reliability, construct validity, and convergent and divergent validity testing. RESULTS: Participants in this study were 8705 Aboriginal and Torres Strait Islander peoples, with a mean age of 48 years, who primarily live in regional Australia (47.3%). The Mayi Kuwayu Family Functioning Measure demonstrated face validity for family functioning and had good internal consistency/reliability (Cronbach’s alpha > 0.90). Construct validity results were mixed, with an indication of uni-dimensionality (with one component explaining 59.5% of variance), but some item redundancy and inconsistency in responding patterns among groups of respondents. Balancing psychometric properties with Aboriginal and Torres Strait Islander expert and end-user feedback of the measure indicate that the full scale should be retained. Finally, the measure demonstrated strong convergent and divergent validity, with prevalence ratios exhibiting dose-response relationships between family functioning and conceptually related outcomes (convergent validity) and conceptually unrelated outcomes (divergent validity). CONCLUSION: The Mayi Kuwayu Family Functioning Measure is a valid measure of family functioning in the Aboriginal and Torres Strait Islander adult population. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14363-7. BioMed Central 2022-10-28 /pmc/articles/PMC9615397/ /pubmed/36307796 http://dx.doi.org/10.1186/s12889-022-14363-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Brinckley, Makayla-May
Jones, Roxanne
Batterham, Philip J.
Calear, Alison L.
Lovett, Raymond
The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults
title The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults
title_full The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults
title_fullStr The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults
title_full_unstemmed The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults
title_short The development and validation of a family functioning measure for Aboriginal and Torres Strait Islander adults
title_sort development and validation of a family functioning measure for aboriginal and torres strait islander adults
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615397/
https://www.ncbi.nlm.nih.gov/pubmed/36307796
http://dx.doi.org/10.1186/s12889-022-14363-7
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