LB-25. CULTURAL ADAPTATION OF A SURVEY TO ASSESS MEDICAL PROVIDERíS KNOWLEDGE OF AND ATTITUDES TOWARDS HIV/AIDS IN ALBANIA
Session: Poster Abstract Session: Late Breaker Posters
Saturday, October 22, 2011
Room: Poster Hall B1
Handouts
  • IDSA2011.pdf (171.9 kB)
  • Background: Sustaining low HIV/AIDS prevalence in South Eastern Europe depends on assessment of local epidemics and implementation of prevention and treatment strategies. Previous studies in Albania have shown that patient-reported medical provider’s lack of knowledge of HIV/AIDS is major barrier to attaining HIV medical services. This study set out to culturally adapt an instrument to assess medical provider’s knowledge of and attitudes towards HIV/AIDS in Albania. 

    Method: Cultural adaptation was completed through development of a survey from previously validated instruments, translation of the survey into Albanian, blinded back translation, expert committee review of the draft instrument, focus group pre-testing with physicians and nurses from the greater Tirana-community and University Hospital Center of Tirana, and test-retest reliability testing.

    Result: Blinded back translation of the instrument supported the initial translation with slight changes to the idiomatic and conceptual equivalences. Focus group pre-testing generally endorsed the instrument, yet some experiential and idiomatic changes were made. Based on unweighted kappa and/or prevalence adjusted bias adjusted kappa (PABAK), 20 of the 43 questions tested were deemed statistically significant at kappa and/or PABAK ³0.5, while 12 others did not cross zero on the 95% confidence interval for kappa, indicating their probable significance. These 32 questions were retained for the final instrument.

    Conclusion: A final instrument to assess medical provider’s knowledge of and attitudes toward HIV/AIDS was developed for an Albanian population. This will be useful in order to gain a more comprehensive understanding of the HIV/AIDS educational background of Albanian medical professionals and the level of discrimination against patients with HIV/AIDS within the medical field. The current paucity of data attributed to these areas limits future healthcare reform and innovative policy recommendations in regards to HIV/AIDS in Albania; a niche that can potentially be filled by this instrument. The survey can also likely be expanded nationally within Albania or to outside regions within the Balkans like Kosovo or Former Yugoslavian Republic of Macedonia.


    Subject Category: H. HIV/AIDS and other retroviruses

    Shane Morrison, MS1, Vania Rashidi, BS2, Vilson Banushi, BS3, Valbona Gashi, MD3, Clea C. Sarnquist, DrPH, MPH4, Yvonne Maldonado, MD5 and Arjan Harxhi, MD, MSc3, (1)Pediatrics, Stanford University School of Medicine, Stanford, CA, (2)Surgery, Stanford University School of Medicine, Davis, CA, (3)Infectious Diseases, University of Tirana School of Medicine, Tirana, Albania, (4)Pediatrics, Stanford University School of Medicine, Menlo Park, CA, (5)Pediatric Infectious Diseases, Stanford University School of Medicine, Stanford, CA

    Disclosures:

    S. Morrison, None

    V. Rashidi, None

    V. Banushi, None

    V. Gashi, None

    C. C. Sarnquist, None

    Y. Maldonado, None

    A. Harxhi, None

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