000145742 001__ 145742
000145742 005__ 20250923084441.0
000145742 0247_ $$2doi$$a10.3390/healthcare12222258
000145742 0248_ $$2sideral$$a140651
000145742 037__ $$aART-2024-140651
000145742 041__ $$aeng
000145742 100__ $$aKarniej, Piotr
000145742 245__ $$aCultural Adaptation and Psychometric Properties of the Spanish Version of the Gay Affirmative Practice Scale (GAP-ES)
000145742 260__ $$c2024
000145742 5060_ $$aAccess copy available to the general public$$fUnrestricted
000145742 5203_ $$aBackground/Objectives: Lesbian, gay, bisexual, and transgender (LGBT) individuals often face discrimination in healthcare settings, resulting in health disparities. Evaluating healthcare professionals’ affirmative practices is essential for promoting inclusive care and addressing these disparities. The aim of this study was to assess the psychometric properties of the Spanish version of the Gay Affirmative Practice Scale (GAP-ES), which measures healthcare professionals’ affirmative practices towards gay individuals. Methods: Before assessing its psychometric properties, the original Gay Affirmative Practice Scale (GAP) was translated and culturally adapted from English to Spanish. Following the translation, the psychometric properties were tested on a sample of 236 healthcare professionals. The internal consistency of the questionnaire was measured using Cronbach’s alpha and the discriminatory power index. Factor structure was evaluated with Confirmatory Factor Analysis (CFA) using the Diagonally Weighted Least Squares method. Results: The sample consisted of 152 female (64.41%) and 84 male (35.59%) participants, with 58.05% identifying as heterosexual, 28.81% as homosexual, and 13.14% as bisexual. The internal consistency of the GAP-ES was strong, with Cronbach’s alpha values of 0.915 for the Beliefs subscale and 0.902 for the Behaviors subscale. The McDonald’s Omega coefficient was 0.942, indicating high reliability. CFA confirmed a two-factor structure with satisfactory fit indices (CFI = 0.999, RMSEA = 0.071). Conclusions: The GAP-ES demonstrates strong internal consistency and a stable factor structure. It is a reliable tool for evaluating affirmative practices toward LGBT patients in Spanish-speaking healthcare contexts, supporting improved care for this population. The integration of the GAP-ES into clinical practice and training programs may support the enhancement of cultural competence among healthcare professionals, contributing to the reduction of health disparities for LGBT patients in Spanish-speaking settings.
000145742 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000145742 590__ $$a2.7$$b2024
000145742 592__ $$a0.754$$b2024
000145742 591__ $$aHEALTH POLICY & SERVICES$$b35 / 124 = 0.282$$c2024$$dQ2$$eT1
000145742 593__ $$aHealth Informatics$$c2024$$dQ2
000145742 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b64 / 185 = 0.346$$c2024$$dQ2$$eT2
000145742 593__ $$aLeadership and Management$$c2024$$dQ2
000145742 593__ $$aHealth Policy$$c2024$$dQ2
000145742 593__ $$aHealth Information Management$$c2024$$dQ2
000145742 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000145742 700__ $$aDissen, Anthony
000145742 700__ $$aJuárez-Vela, Raúl
000145742 700__ $$aMartinez Sabater, Antonio
000145742 700__ $$aPozo-Herce, Pablo del
000145742 700__ $$aGea-Caballero, Vicente
000145742 700__ $$0(orcid)0000-0002-4753-630X$$aEchaniz-Serrano, Emmanuel$$uUniversidad de Zaragoza
000145742 700__ $$aCzapla, Michal
000145742 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000145742 773__ $$g12, 22 (2024), 2258 [13 pp.]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032
000145742 8564_ $$s665999$$uhttps://zaguan.unizar.es/record/145742/files/texto_completo.pdf$$yVersión publicada
000145742 8564_ $$s2779269$$uhttps://zaguan.unizar.es/record/145742/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000145742 909CO $$ooai:zaguan.unizar.es:145742$$particulos$$pdriver
000145742 951__ $$a2025-09-22-14:50:38
000145742 980__ $$aARTICLE