{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:14:51Z","timestamp":1782980091576,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,6]],"date-time":"2020-12-06T00:00:00Z","timestamp":1607212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Homelessness is an increasing problem worldwide, and the origins of homelessness in high\u2010income countries are multifaceted. Due to stigma and discrimination, persons in homelessness delay seeking health care, resulting in avoidable illness and death. The Attitudes Towards Homelessness Inventory (ATHI) was developed to cover multiple dimensions of attitudes toward persons in homelessness and to detect changes in multiple segments of populations. It has, however, not previously been translated to Swedish.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of the present study was to translate, cross\u2010culturally adapt, and psychometrically test the ATHI for use in a Swedish healthcare context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The project used a traditional forward\u2010 and back\u2010translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back\u2010translation; (4) expert review committee deliberations; (5) pre\u2010testing with cognitive interviews including registered nurses (<jats:italic>n<\/jats:italic>\u00a0=\u00a05), nursing students (<jats:italic>n<\/jats:italic>\u00a0=\u00a05), and women in homelessness (<jats:italic>n<\/jats:italic>\u00a0=\u00a05); and (6) psychometric evaluations. The final ATHI questionnaire was answered by 228 registered nurses and nursing students in the year 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential, and conceptual equivalence. Confirmatory factor analysis was used to examine if the collected data fitted the hypothesized four\u2010factor structure of the ATHI. Overall, it was found that the model had an acceptable fit and that the Swedish version of ATHI may be used in a Swedish healthcare context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>The ATHI has been shown to be a psychometrically acceptable research instrument for use in a Swedish healthcare context. The systematic and rigorous process applied in this study, including experts with diverse competencies in translation proceedings and testing, improved the reliability and validity of the final Swedish version of the ATHI. The instrument may be used to investigate attitudes toward women in homelessness among nursing students and RNs in Sweden.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12477","type":"journal-article","created":{"date-parts":[[2020,12,6]],"date-time":"2020-12-06T17:18:27Z","timestamp":1607275107000},"page":"42-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Translation, Cross\u2010Cultural Adaptation, and Psychometric Analysis of the Attitudes Towards Homelessness Inventory for Use in Sweden"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7935-3260","authenticated-orcid":false,"given":"Anna","family":"Klarare","sequence":"first","affiliation":[{"name":"Department of Health Care Sciences Ersta Sk\u00f6ndal Br\u00e4cke University College  Stockholm Sweden"},{"name":"Department of Women\u2019s and Children\u2019s Health, Clinical Psychology in Healthcare Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Wikman","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Reproductive Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"S\u00f6derlund","sequence":"additional","affiliation":[{"name":"Department of Health Care Sciences Ersta Sk\u00f6ndal Br\u00e4cke University College  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"McGreevy","sequence":"additional","affiliation":[{"name":"Department of Dietetics Region S\u00f6rmland  Nyk\u00f6ping Sweden"},{"name":"Centre for Clinical Research S\u00f6rmland  Eskilstuna Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"Mattsson","sequence":"additional","affiliation":[{"name":"Department of Health Care Sciences Ersta Sk\u00f6ndal Br\u00e4cke University College  Stockholm Sweden"},{"name":"Department of Women\u2019s and Children\u2019s Health, Clinical Psychology in Healthcare Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3691-8326","authenticated-orcid":false,"given":"Andreas","family":"Rosenblad","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Clinical Diabetology and Metabolism Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31869-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2017.0087"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1108\/JPMH-11-2012-0021"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2007.02705.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732313493352"},{"key":"e_1_2_9_9_1","volume-title":"Homelessness and homeless policies in Europe","author":"Busch\u2010Geertsema V.","year":"2010"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2015.0018"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S140067"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04234.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038636"},{"key":"e_1_2_9_14_1","volume-title":"Confronting homelessness in the European Union. 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