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Vol. 38. Issue 1.
Pages 11-19 (January - February 2023)
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Vol. 38. Issue 1.
Pages 11-19 (January - February 2023)
Original article
Validity and reliability of the Turkish version of the Parent Attitudes About Childhood Vaccines (PACV) scale
Validez y fiabilidad de la versión turca de la escala de actitudes parentales frente a la vacunación pediátrica (PACV)
M. Mutlua, Y. Cayira,c,
Corresponding author

Corresponding author.
, K. Kasalib
a Ataturk University Faculty of Medicine, Department of Family Medicine, Erzurum, Turkey
b Ataturk University Faculty of Medicine, Department of Biostatistic, Erzurum, Turkey
c Ataturk University, Clinical Research Development and Design Application and Research Center, Erzurum, Turkey
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This study aimed to determine the validity and reliability of the Turkish version of the “Parental Attitudes toward Childhood Vaccines” (PACV) scale.

Materials and methods

: A two-stage observational validation study was conducted. A back-translation technique was used and then the scale was validated with a sample of 343 parents with children aged 0–72 months. The test–retest method, Cronbach's alpha coefficient, Split-half analysis, and item analysis methods were used to determine the reliability of the scale, factor analyses were run to determine construct validity. Explanatory Factor Analysis and Confirmatory Factor Analysis were applied to assess construct validity.


Cronbach's alpha coefficient was measured as .84. The Spearman–Brown coefficient was .82 and the Guttman Split-half coefficient was .81. According to the item-total correlation and Cronbach's alpha values when the item was deleted, no item was deleted from the scale. The intraclass correlation coefficient between the test–retest measurements was .79. The three-factor structure consisting of 15 items explained 51.6% of the total variance. As a result of the confirmatory factor analysis, a sufficient fit of the model to the model proposed in the original version of the scale was evident (χ2/sd=2.214, RMSEA=.06).


The Turkish version of the PACV is a valid and reliable scale and can be used to identify parental attitudes toward childhood vaccines.

Vaccine hesitancy
Parental Attitudes About Childhood Vaccines

Este estudio tuvo como objetivo determinar la validez y la confiabilidad turca de la escala «Actitudes de los padres sobre las vacunas infantiles» (PACV).

Materiales y métodos

Se llevó a cabo un estudio de validación observacional en dos etapas. Se realizó un procedimiento de traducción-retrotraducción y luego se validó la escala con una muestra de 343 padres con hijos de 0 a 72meses. El método test-retest, el coeficiente alfa de Cronbach, el análisis de mitades divididas y los métodos de análisis de ítems se utilizaron para determinar la confiabilidad de la escala, y se realizaron análisis factoriales para determinar la validez de constructo. Se aplicaron análisis factorial explicativo y análisis factorial confirmatorio para evaluar la validez de constructo.


El coeficiente alfa de Cronbach se midió como 0,84. El coeficiente de Spearman-Brown fue de 0,82 y el coeficiente de mitad dividida de Guttman fue de 0,81. De acuerdo con la correlación ítem-total y los valores alfa de Cronbach cuando se eliminó el ítem, no se eliminó ningún ítem de la escala. El coeficiente de correlación intraclase entre las mediciones test-retest fue de 0,79. La estructura de tres factores que consta de 15ítems explicó el 51,6% de la varianza total. Como resultado del análisis factorial confirmatorio, se evidenció un ajuste suficiente del modelo al modelo propuesto en la versión original de la escala (χ2/sd=2,214, RMSEA=0,06).


La versión turca de la PACV es una escala válida y confiable, y puede usarse para identificar las actitudes de los padres sobre las vacunas infantiles.

Palabras clave:
Vacilación ante las vacunas
Actitudes de los padres sobre las vacunas infantiles


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