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Int. J. Environ. Res. Public Health 2017, 14(10), 1175; https://doi.org/10.3390/ijerph14101175

Development and Preliminary Validation of Refugee Trauma History Checklist (RTHC)—A Brief Checklist for Survey Studies

1
Department of Health Sciences, The Swedish Red Cross University College, 14121 Huddinge, Sweden
2
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden
3
Swedish Red Cross Center for Persons Affected by War and Torture, 20121 Malmö, Sweden
4
Department of Public Health and Caring Sciences, Uppsala University, 75236 Uppsala, Sweden
5
Department of Women’s and Children’s Health, Uppsala University, 75236 Uppsala, Sweden
*
Author to whom correspondence should be addressed.
Received: 28 July 2017 / Revised: 23 September 2017 / Accepted: 30 September 2017 / Published: 4 October 2017
(This article belongs to the Special Issue Refugee Health)
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Abstract

A high proportion of refugees have been subjected to potentially traumatic experiences (PTEs), including torture. PTEs, and torture in particular, are powerful predictors of mental ill health. This paper reports the development and preliminary validation of a brief refugee trauma checklist applicable for survey studies. Methods: A pool of 232 items was generated based on pre-existing instruments. Conceptualization, item selection and item refinement was conducted based on existing literature and in collaboration with experts. Ten cognitive interviews using a Think Aloud Protocol (TAP) were performed in a clinical setting, and field testing of the proposed checklist was performed in a total sample of n = 137 asylum seekers from Syria. Results: The proposed refugee trauma history checklist (RTHC) consists of 2 × 8 items, concerning PTEs that occurred before and during the respondents’ flight, respectively. Results show low item non-response and adequate psychometric properties Conclusion: RTHC is a usable tool for providing self-report data on refugee trauma history surveys of community samples. The core set of included events can be augmented and slight modifications can be applied to RTHC for use also in other refugee populations and settings. View Full-Text
Keywords: refugees; trauma; population study; trauma checklist; self-report instrument refugees; trauma; population study; trauma checklist; self-report instrument
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Sigvardsdotter, E.; Nilsson, H.; Malm, A.; Tinghög, P.; Gottvall, M.; Vaez, M.; Saboonchi, F. Development and Preliminary Validation of Refugee Trauma History Checklist (RTHC)—A Brief Checklist for Survey Studies. Int. J. Environ. Res. Public Health 2017, 14, 1175.

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