Adaptation of the Family Health Scale in the Indonesian Context
Abstract
Family health is very important because the family is the smallest community in which each member learns about healthy living. Therefore, a valid and reliable family health measurement tool that is applicable across diverse cultures is essential for understanding family health conditions worldwide. This study aims to adapt and test the psychometric conditions of the Family Health Scale in the Indonesian Context. The sampling technique for this study was incidental sampling via social media, and it was completed by 1843 participants. The results of the validity test with Average Variance Extracted (AVE) were in the range of 0.289 to 0.628, while the Composite Reliability (CR) value was between 0.759 and 0.944. The results of the Confirmatory Factor Analysis showed that the Indonesian Family Health Scale model fit with the results of χ²(319) = 1119, p < .001; CFI = 0.972; TLI = 0.966; RMSEA = 0.0369 [90% CI 0.0345; 0.0392]; SRMR=0.0369; AIC=112.974. Based on the results above, we conclude that the Indonesian Family Health Scale can be used to measure family health.
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References
Ai, A. L., Appel, H. B., Lee, J., & Fincham, F. (2022). Family Factors Related to Three Major Mental Health Issues Among Asian-Americans Nationwide. Journal of Behavioral Health Services and Research, 49(1), 4–21. https://doi.org/10.1007/s11414-021-09760-6
Ako, E. N. A., Jastam, S., & Kurniati, Y. (2024). Capaian Indeks Keluarga Sehat pada Masyarakat yang Melakukan Tradisi Metatah di Desa Rawamangun, Kecamatan Sukamaju, Kabupaten Luwu Utara. Jurnal Andragogi Kesehatan, 4(1), 1–18.
Alawi, S., Dieperink, K. B., Agerskov, H., Marcussen, J., Möller, S., Voltelen, B., & Hyldig, N. (2023). Translation and Cross-Cultural Validation of the Danish Version of the Family Health Scale–Long Form: A Psychometric Study. Seminars in Oncology Nursing, 39(5). https://doi.org/10.1016/j.soncn.2023.151480
Alcaide, M., Garcia, O. F., Queiroz, P., & Garcia, F. (2023). Adjustment and maladjustment to later life: Evidence about early experiences in the family. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1059458
Apriani, F., Hasballah, K., & Susanti, S. S. (2020). Analysis of Factors Related To the Healthy Family Indicators Application in Community Health Center of West Aceh Working Area. EAS Journal of Nursing and Midwifery, 2(1). https://doi.org/10.36349/easjnm.2020.v02i01.12
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. In SPINE (Vol. 25, Issue 24).
Crandall, A. A., & Barlow, M. (2022). Validation of the family health scale among heterosexual couples: a dyadic analysis. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-12499-0
Crandall, A. A., Weiss-Laxer, N. S., Broadbent, E., Holmes, E. K., Magnusson, B. M., Okano, L., Berge, J. M., Barnes, M. D., Hanson, C. L., Jones, B. L., & Novilla, L. B. (2020). The Family Health Scale: Reliability and Validity of a Short- and Long-Form. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.587125
Cruchinho, P., Lopez-Franco, M. D., Capelas, M. L., Almeida, S., Bennett, P., da Silva, M. M., Teixeira, G., Nunes, E., Lucas, P., Gaspar, F., & On Behalf of the Handovers4SafeCare. (2024). Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers. Journal of Multidisciplinary Healthcare, 17, 2701–2728.
Daines, C. L., Hansen, D., Novilla, M. L. B., & Crandall, A. A. (2021). Effects of positive and negative childhood experiences on adult family health. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10732-w
Farisni, T. N., Yarmaliza, Y., Burdansyah, F., Reynaldi, F., Zakiyuddin, Z., Syahputri, V. N., & Arundhana, A. I. (2022). Healthy Family Index of Families with Children Experiencing Stunting. Open Access Macedonian Journal of Medical Sciences, 10(E), 560–564. https://doi.org/10.3889/oamjms.2022.8472
Kim, H.-Y. (2013). Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics.
Kuhlthau, K. A., Ames, S. G., Ware, A., Hoover, C. G., Wells, N., & Shelton, C. (2022). Research on Family Health and Children and Youth with Special Health Care Needs. Acad Pediatr. 22 (2S): S22-S27.
Lanzarote-Fernández, M. D., Lozano-Oyola, J. F., Gómez-De-Terreros-Guardiola, M., Avilés-Carvajal, I., Martínez-Cervantes, R. J., & Moreno, J. P. (2019). Spanish version of the family health behavior scale: Adaptation and validation. International Journal of Environmental Research and Public Health, 16(5). https://doi.org/10.3390/ijerph16050810
Larasati, D., Salendu, A., & Etikariena, A. (2023). Work-family culture dan organizational commitment karyawan wanita: Work-life balance sebagai mediator. Persona:Jurnal Psikologi Indonesia, 11(2), 213–230. https://doi.org/10.30996/persona.v11i2.7759
Martínez-Montilla, J. M., Amador-Marín, B., & Guerra-Martín, M. D. (2017). Family coping strategies and impacts on family health: A literature review. Enfermeria Global, 16(3), 576–591. https://doi.org/10.6018/eglobal.16.3.255721
Marvianto, R. D. (2023). Psychometric properties of Mental Health Scale: An Item Response Theory Approach. Gadjah Mada Journal of Psychology (GamaJoP), 9(2), 232. https://doi.org/10.22146/gamajop.73878
Moral, M., & Chimpén, C. (2021). Developing and Maintaining a Healthy Family Today. Revista de Psicoterapia, 32(119), 197–210. https://doi.org/10.33898/rdp.v32i119.477
Moreno, J. P., Kelley, M. Lou, Landry, D. N., Paasch, V., Terlecki, M. A., Johnston, C. A., & Foreyt, J. P. (2011). Development and validation of the Family Health Behavior Scale. International Journal of Pediatric Obesity, 6(2–2). https://doi.org/10.3109/17477166.2011.575148
Mugiraneza, J. P., Kwizera, L., Banderembaho, F., Pierre Mugiraneza, J., Nzabasanga, A., & Habinshuti, I. (2024). The Role of Family in Child’s Mental Health. North American Academic Research, 7(6), 28–41. https://doi.org/10.5281/zenodo.12769880
Murnita, R., & Prasetyowati, A. (2021). Analisis Indeks Keluarga Sehat untuk Mendukung Program Promosi Kesehatan. Jurnal Manajemen Kesehatan Indonesia, 9(1), 1–13.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 39 Tahun 2016 Tentang Pedoman Penyelenggaraan Program Indonesia Sehat Dengan Pendekatan Keluarga (2016).
Preto, L. T., Scarpatto, C. H., Ley, L. L. G., Silveira, C., Salerno, M. R., Moreno, J. P., Castro, S. M. de J., Booij, L., & Mattiello, R. (2022). Validation of the Family Health Behavior Scale for the Brazilian population. Jornal de Pediatria, 98(1), 84–91. https://doi.org/10.1016/j.jped.2021.04.002
Qatrunnada, R. Z., Bayu Suseno, & Muhammad Yazid. (2025). Psychometric analysis of the self-reporting questionnaire (SRQ-29) among university students. Jurnal Ilmiah Psikologi Terapan, 13(1), 61–67. https://doi.org/10.22219/jipt.v13i1.35511
Romdhonah, Suryoputro, A., & Jati, S. P. (2021). Pencapaian Indeks Keluarga Sehat Program Indonesia Sehat Pendekatan Keluarga (PIS-PK): Literature Review. Jurnal Ilmu Keperawatn Dan Kebidanan, 12(2), 229–235.
Saleha, S., Katiandagho, D., Kushartanti, R., Karlina, H., Irmawati, I., & Alam, S. (2023). Analysis of the Healthy Family Index: The Impact of Implementing the Healthy Indonesia Program with Family Approach. Al-Sihah: The Public Health Science Journal, 208–217. https://doi.org/10.24252/al-sihah.v15i2.42429
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. In Methods of Psychological Research Online (Vol. 8, Issue 2).
Simione, M., Ferreira, P., Luo, M., Hoover, C., Perkins, M., Fiechtner, L., & Taveras, E. M. (2024). Psychometrics of the modified family-centered care assessment short version for childhood obesity. Health and Quality of Life Outcomes, 22(1). https://doi.org/10.1186/s12955-024-02284-5
Swan, K., Speyer, R., Scharitzer, M., Farneti, D., Brown, T., Woisard, V., & Cordier, R. (2023). Measuring what matters in healthcare: a practical guide to psychometric principles and instrument development. In Frontiers in Psychology (Vol. 14). Frontiers Media SA. https://doi.org/10.3389/fpsyg.2023.1225850
Wang, F., Wu, Y., Sun, X., Wang, D., Ming, W. K., Sun, X., & Wu, Y. (2022). Reliability and validity of the Chinese version of a short form of the family health scale. BMC Primary Care, 23(1). https://doi.org/10.1186/s12875-022-01702-1
Weiss-Laxer, N. S., Crandall, A. A., Hughes, M. E., & Riley, A. W. (2020). Families as a Cornerstone in 21st Century Public Health: Recommendations for Research, Education, Policy, and Practice. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00503
Wulandari, D., Sutrisno, & Nirwana, M. B. (2021). Mardia’s Skewness and Kurtosis for Assessing Normality Assumption in Multivariate Regression. Enthusiastic, International Journal of Statistics and Data Science, 1(1), 1–6.
Wulandari, K. T. (2021). Health Profile Based on Healthy Family Index, Tambakmas Village from Results of the PIS-PK Survey. Eduvest-Journal of Universal Studies, 1(10), 1068–1074.
Yusuf, G. T. P., Simsek, A. S., Setiawati, F. A., Tiwari, G. K., & Kianimoghadam, A. S. (2024). Validation of the Interpersonal Forgiveness Indonesian Scale: An examination of its psychometric properties using confirmatory factor analysis. Psikohumaniora: Jurnal Penelitian Psikologi, 9(1), 83–106.
DOI: https://doi.org/10.24167/psidim.v25i1.15127
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