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Adapting a Brief Measure of the Relationship
Dimension in Yup’ik Alaska Native Families



James Allen
University of Alaska Fairbanks
David Henry
University of Illinois at Chicago
Carlotta Ching Ting Fok
University of Alaska Fairbanks
People Awakening Team
University of Alaska Fairbanks
How can we create measures that are:

• culturally
  resonant
• responsive to
  change
  associated with
  intervention
Family Environment Scale
              (FES; Moos & Moos, 1981)

• Our goal: Adapt for Yup’ik adolescents to measure
  change in Family Protective Factors in response to
  intervention
Tools We Used
                  to Develop a Measure
                  of Family Relationship


• Collaborative measurement
  development
• IRT modeling at the item level
• SEQ modeling at the subscale level
Collaborative
                                                      measurement
                 University                           development
               Co-researchers

                                 Yup’ik           Yup’ik                 Individual
                                 Cultural         Focus                Administration
                                 Experts          Groups                  Cognitive
                                                                        Interviewing
                Community
               Co-researchers




  Outcome                               Measurement
  Measure                               Development          Pilot 2           Pilot 1
     In                                    Study             N = 50            N = 50
Intervention                              N = 450
 Feasibility                              Experts
   Study                        IRT / CFA                  IRT              IRT
  Experts
Item Revision
• English usage is a dialect – embedded in Yup’ik linguistic
  syntax, with different colloquialisms and usages
   – Family members rarely become openly angry.
   – In our family we are really mad at each other a lot.
   – Family members hardly ever loose their temper.
   – In our family we lose our tempers a lot.
   – Family member try to one up or outdo each other.
   – In our family there is a feeling of togetherness.
Response Format: “Use 3’s”
            !                                                                         !
                                                                                          1.0!
                1.0!
                                                                                                         1!                         3!
                               1!                             5!
                                                                                                                       2!
                0.8!                                                                      0.8!




                                                                          P(theta)!
P(theta)!




   !            0.6!                                                                      0.
                                                                                          6!
                                                 3!
                0.4!                                                                      0.
                                                                                          4!
                                          2!
                0.2!                                                                      0.
                                                                                          2!

                0.0!                                    4!                                0.0!


                       -4!          -2!          0!      2!        4!                            -4!          -2!     0!       2!        4!

                                                                                                                    theta!
                                               theta!


                             Five-category calibration                                                 Three-category calibration

                             Figure 3. Comparison of trace lines for the five- and three-category calibrations for Item 9.
SID (person) - MAP - OCQ (Item)
               <more>|<rare>
    6             . +
                     |
                     |


    5
                  # |
                     |

                     +
                     |
                                                        Item Difficulty
                     |
                     |
                     |
    4                +
             .##### T|
                     |
                  . |
                     |
    3           .## +
             ###### |
                     |
             .##### |
         .######### S|
    2      ######## +T
                     | ITEM19=In our family we raise our voice when we are mad. (R)
           .####### |
           ######## | ITEM3=In our family we spend a lot of time doing things together at home.
                     |
    1      ######## +S ITEM18=In our family we begin discussions easily. ITEM8=In our family we sometimes tell each other about our personal problems.
         .######### M|
        ########### | ITEM2=In our family we argue a lot. (R)     ITEM4=In our family we can talk openly in our home.
                     |
        ########### | ITEM7=In our family there is a feeling of togetherness. ITEM9In our family we lose our tempers a lot. (R)
    0     .######## +M ITEM6=In our family we work hard at what we do in our home.
                     | ITEM16=In our family we really get along well with each other.
         .######### |
            ####### |
              .#### S| ITEM11=In our family we often put down each other. ITEM12=My family members really support each other. ITEM13=My family members
                       sometimes are violent. (R)
   -1                +S ITEM1=In our family we really help and support each other. ITEM5=In our family we are really mad at each other a lot. (R)
              .#### |
               .### |
              ##### |
                     |
   -2             # +T ITEM14=I am proud to be a part of our family.
                  . |
                 .# T|
                     |
                  . |
   -3             # +
                     |
                  . |
                     |
                     |
   -4                +
                  . |
                     |
                     |
                     |
   -5                +
               <less>|<frequ>
EACH "#" IS 2. EACH "." IS 1.
Internal Structure
              E1   !       E3    !         E6   !         E7 !         E12    !         E14   !       E16!         E4   !              E8       !               !
                                                                                                                                                              E18             E2   !      E5      !          E9 !             E11 !           E13       !        E19   !

              Item1    !   Item3     !     Item6    !     Item7   !   Item12       !   Item14    !   Item16   !   Item4     !         Item8       !       Item18    !     Item2     !   Item5         !     Item9   !         Item11      !   Item13        !   Item19   !
                           .64   ! ! .57     .55    ! !
                                                    .73
                                                            .66   !         ! !                                             .61   !         .64   ! !                                   .55   !           ! !
                                                                                                                                                                                                      .65 .76       .66   !           !
    ps1   !                                                           .60    .70
                                                                                                                                                    .61                                                                         .56
                                                                                                                                                                                                                                              .62   !
                                                                                                      ps2   !
                                                                                                                                                                              ps3   !
                                 Cohesion!                                                                        Expressiveness!                                                                         Conflict!


                                                                                          1.07   !                                          !
                                                                                                                                      .77
                                                                                                                                                                        .62   !

                                                                                                                  Family Relationship                     !



Chi-square=164.9, df=101
CFI=.95
GFI=.93
RMSEA=.05
**
   p < .01


Figure 4. Final 16-item second-order three-factor confirmatory factor analysis model with three-

category calibration.

!
Quyana
• Elder’s Councils
• Tribal and Planning Councils
• Rural Alaska Public High Schools
• Yupik Regional Coordinating Council
• People Awakening Coordinating Council
• Yukon-Kuskokwim Health Corporation
• National Institutes of Health
    – National Institute of Alcohol Abuse and Alcoholism (NIAAA) and the
      National Center for Minority Health Disparities (NCMHD) 1RO1 AA 11446-
      03, National Center for Research Resources (P20 RR016430, Gerald V.
      Mohatt, PI), NIAAA Grants 1R21 AA015541 (Gerald V. Mohatt, PI and
      James Allen, Co-I) and 1 R21 AA016098-01 (James Allen, PI, Gerald
      Mohatt and John Gonzalez, Co-I), and NCMHD 1R24 MD001626 (Gerald V.
      Mohatt, PI, James Allen and John Gonzalez, Co-I), and NCMHD 5R24
      MD001626 (James Allen, PI, Gerald V. Mohatt, Co-I)
     –   A special thank you to the youth and families who participated in Elluam Tungiinun
Adapting a Brief Measure of the Relationship Dimension in Yup’ik Alaska Native Families

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Adapting a Brief Measure of the Relationship Dimension in Yup’ik Alaska Native Families

  • 1. Adapting a Brief Measure of the Relationship Dimension in Yup’ik Alaska Native Families James Allen University of Alaska Fairbanks David Henry University of Illinois at Chicago Carlotta Ching Ting Fok University of Alaska Fairbanks People Awakening Team University of Alaska Fairbanks
  • 2. How can we create measures that are: • culturally resonant • responsive to change associated with intervention
  • 3. Family Environment Scale (FES; Moos & Moos, 1981) • Our goal: Adapt for Yup’ik adolescents to measure change in Family Protective Factors in response to intervention
  • 4. Tools We Used to Develop a Measure of Family Relationship • Collaborative measurement development • IRT modeling at the item level • SEQ modeling at the subscale level
  • 5. Collaborative measurement University development Co-researchers Yup’ik Yup’ik Individual Cultural Focus Administration Experts Groups Cognitive Interviewing Community Co-researchers Outcome Measurement Measure Development Pilot 2 Pilot 1 In Study N = 50 N = 50 Intervention N = 450 Feasibility Experts Study IRT / CFA IRT IRT Experts
  • 6. Item Revision • English usage is a dialect – embedded in Yup’ik linguistic syntax, with different colloquialisms and usages – Family members rarely become openly angry. – In our family we are really mad at each other a lot. – Family members hardly ever loose their temper. – In our family we lose our tempers a lot. – Family member try to one up or outdo each other. – In our family there is a feeling of togetherness.
  • 7. Response Format: “Use 3’s” ! ! 1.0! 1.0! 1! 3! 1! 5! 2! 0.8! 0.8! P(theta)! P(theta)! ! 0.6! 0. 6! 3! 0.4! 0. 4! 2! 0.2! 0. 2! 0.0! 4! 0.0! -4! -2! 0! 2! 4! -4! -2! 0! 2! 4! theta! theta! Five-category calibration Three-category calibration Figure 3. Comparison of trace lines for the five- and three-category calibrations for Item 9.
  • 8. SID (person) - MAP - OCQ (Item) <more>|<rare> 6 . + | | 5 # | | + | Item Difficulty | | | 4 + .##### T| | . | | 3 .## + ###### | | .##### | .######### S| 2 ######## +T | ITEM19=In our family we raise our voice when we are mad. (R) .####### | ######## | ITEM3=In our family we spend a lot of time doing things together at home. | 1 ######## +S ITEM18=In our family we begin discussions easily. ITEM8=In our family we sometimes tell each other about our personal problems. .######### M| ########### | ITEM2=In our family we argue a lot. (R) ITEM4=In our family we can talk openly in our home. | ########### | ITEM7=In our family there is a feeling of togetherness. ITEM9In our family we lose our tempers a lot. (R) 0 .######## +M ITEM6=In our family we work hard at what we do in our home. | ITEM16=In our family we really get along well with each other. .######### | ####### | .#### S| ITEM11=In our family we often put down each other. ITEM12=My family members really support each other. ITEM13=My family members sometimes are violent. (R) -1 +S ITEM1=In our family we really help and support each other. ITEM5=In our family we are really mad at each other a lot. (R) .#### | .### | ##### | | -2 # +T ITEM14=I am proud to be a part of our family. . | .# T| | . | -3 # + | . | | | -4 + . | | | | -5 + <less>|<frequ> EACH "#" IS 2. EACH "." IS 1.
  • 9. Internal Structure E1 ! E3 ! E6 ! E7 ! E12 ! E14 ! E16! E4 ! E8 ! ! E18 E2 ! E5 ! E9 ! E11 ! E13 ! E19 ! Item1 ! Item3 ! Item6 ! Item7 ! Item12 ! Item14 ! Item16 ! Item4 ! Item8 ! Item18 ! Item2 ! Item5 ! Item9 ! Item11 ! Item13 ! Item19 ! .64 ! ! .57 .55 ! ! .73 .66 ! ! ! .61 ! .64 ! ! .55 ! ! ! .65 .76 .66 ! ! ps1 ! .60 .70 .61 .56 .62 ! ps2 ! ps3 ! Cohesion! Expressiveness! Conflict! 1.07 ! ! .77 .62 ! Family Relationship ! Chi-square=164.9, df=101 CFI=.95 GFI=.93 RMSEA=.05 ** p < .01 Figure 4. Final 16-item second-order three-factor confirmatory factor analysis model with three- category calibration. !
  • 10. Quyana • Elder’s Councils • Tribal and Planning Councils • Rural Alaska Public High Schools • Yupik Regional Coordinating Council • People Awakening Coordinating Council • Yukon-Kuskokwim Health Corporation • National Institutes of Health – National Institute of Alcohol Abuse and Alcoholism (NIAAA) and the National Center for Minority Health Disparities (NCMHD) 1RO1 AA 11446- 03, National Center for Research Resources (P20 RR016430, Gerald V. Mohatt, PI), NIAAA Grants 1R21 AA015541 (Gerald V. Mohatt, PI and James Allen, Co-I) and 1 R21 AA016098-01 (James Allen, PI, Gerald Mohatt and John Gonzalez, Co-I), and NCMHD 1R24 MD001626 (Gerald V. Mohatt, PI, James Allen and John Gonzalez, Co-I), and NCMHD 5R24 MD001626 (James Allen, PI, Gerald V. Mohatt, Co-I) – A special thank you to the youth and families who participated in Elluam Tungiinun