02014nas a2200229   4500000000100000008004100001653001200042653002200054653001100076100001300087700001800100700001200118700001600130700001700146700001100163245010200174856005100276300001000327490000700337520142600344022001401770       2017                            d10aleprosy10aSARI Stigma Scale10aStigma1 aPeters R1 avan Brakel WH1 aLusli M1 aDamayanti R1 aBunders JG F1 aDadun 00aCultural validation of a new instrument to measure leprosy-related stigma: the SARI Stigma Scale.  uhttps://leprosyreview.org/article/88/1/02-3042  a23-420 v883 a<p><strong>Background: </strong>There is a need for comprehensive, valid and reliable instruments to assess leprosy-related stigma. This paper presents the process of the cross-cultural validation of an instrument in Cirebon District, Indonesia initiated by the Stigma Assessment and Reduction of Impact (SARI) project.</p>

<p><strong>Methods: </strong>The Berger Scale was initially developed to assess HIV/AIDS-related stigma. This study explores the conceptual, item, semantic, operational and measurement equivalence of this scale for leprosy. The process included a qualitative study, translation and back-translation, training of interviewers, a pilot and the main data collection. We aimed for a sample of 154 people affected by leprosy with 60 repeat interviews. They were selected through convenience sampling.</p>

<p><strong>Results: </strong>The original scale showed acceptable conceptual equivalence, but insufficient item, semantic and operational equivalences. For instance, there were irrelevant HIV-related items and the respondents found it difficult to indicate their level of agreement with the given statements. Major adjustments were necessary, leading to a new version of the scale. The measurement properties of the new version showed good internal consistency (Cronbach’s alpha 0·88); no floor or ceiling effects; and a good reliability (intra-class correlation coefficient 0·75).</p>
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