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Translation and validation of a scale on the health care providers’ Attitudes Towards Persons Living With Leprosy (AT-PLWL)

Maicka Keirsten O. Agon, MD, Abelaine Venida-Tablizo, MD, FPDS



Leprosy is a chronic, progressive, and complex disease. One of the factors contributing to the quality of case detection and treatment compliance is the attitudes of health care providers towards leprosy patients. Assessment of the attitudes of HCP towards leprosy patients is crucial because this is where leprosy patients base their care-seeking behaviors; hence, the creation of this scale.



To create and validate a functionally equivalent Filipino translation of the HCP AT-PLWL scale.



A validity study was conducted into two phases. In Phase I, the AT-PLWL scale was translated (forward-back method) into Filipino, which underwent a cognitive debriefing (face validity) and pre-testing to 30 health care providers. In Phase 2, the reconciled forward translation underwent face and content validity and was pilot-tested to 100 health care providers. Reliability, both internal consistency and test-retest, were assessed via calculating Cronbach’s α and intra-class correlation coefficient, respectively.



Content and face validity showed that all items in the scale were relevant. Cronbach’s α showed an adequate internal consistency of greater than 0.7 while the intra-class correlation coefficient of responses was greater than 0.80, indicating good correlation.


Overall, the final translated Filipino version of AT-PLWL scale is valid and reliable; hence, could serve as a tool to evaluate HCP’s attitudes.


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Translation and validation of a scale on the health care providers’ Attitudes Towards Persons Living With Leprosy (AT-PLWL)