Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home
Abstract Background Patients with a stroke often cannot care for themselves after hospital discharge. Assessment of their self-care ability is the first step in planning post-discharge home care. This study aimed to design and validate a measure of perceived self-care ability (PSCA) in stroke patien...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-04-01
|
| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12883-024-03612-4 |
| _version_ | 1797199326411227136 |
|---|---|
| author | Nasrin Jafari-golestan Asghar Dalvandi Mohammadali Hosseini Masoud Fallahi-Khoshknab Abbas Ebadi Mahdi Rahgozar Sidani Souraya |
| author_facet | Nasrin Jafari-golestan Asghar Dalvandi Mohammadali Hosseini Masoud Fallahi-Khoshknab Abbas Ebadi Mahdi Rahgozar Sidani Souraya |
| author_sort | Nasrin Jafari-golestan |
| collection | DOAJ |
| description | Abstract Background Patients with a stroke often cannot care for themselves after hospital discharge. Assessment of their self-care ability is the first step in planning post-discharge home care. This study aimed to design and validate a measure of perceived self-care ability (PSCA) in stroke patients. Methods A sequential-exploratory mixed method was conducted in Tehran, Iran, in 2020–2021. The qualitative phase involved in-depth semi-structured interviews with 12 participants. Transcripts were content analyzed. The results guided the development of 81 items. psychometric properties such as face validity (Impact Score > 1.5), content validity ratio (CVR > 0.63), content validity index (Item Content Validity Index: ICVI > 0.78, Scale Content Validity Index/Average: SCVI/Ave > 0.8) and Kappa value (Kappa > 0.7), internal consistency (Cronbach’s alpha > 0.7), relative reliability (ICC: inter class correlation coefficient), absolute reliability (Standard Error of Measurement: SEM and Minimal Detectable Changes: MDC), convergent validity (Correlation Coefficient between 0.4–0.7), interpretability, responsiveness, feasibility, and ceiling and floor effects were assessed. Results Content analysis of the qualitative interviews yielded 5 major categories and 9 subcategories that reflected "Perceptual stability", "Cognitive fluctuations", "Sensory, Motor and Physical health",” The subjective nature" and "The dynamic nature” of PSCA. Results of face and content validity reduced the number of items to 32, capturing three dimensions of PSCA in chronic stroke patients; these dimensions included perceptual ability, threatened health status, and sensory, motor, and cognitive ability. The findings supported the reliability and validity of the measure. Conclusions The PSCA questionnaire was developed and validated within the Iranian culture. It is useful in assessing the self-care of patients with stroke and in informing practice. |
| first_indexed | 2024-04-24T07:13:59Z |
| format | Article |
| id | doaj.art-48a365c5228d4d14aa78744571bdafe3 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-24T07:13:59Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-48a365c5228d4d14aa78744571bdafe32024-04-21T11:22:30ZengBMCBMC Neurology1471-23772024-04-0124111410.1186/s12883-024-03612-4Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at homeNasrin Jafari-golestan0Asghar Dalvandi1Mohammadali Hosseini2Masoud Fallahi-Khoshknab3Abbas Ebadi4Mahdi Rahgozar5Sidani Souraya6Faculty of Nursing, Department of Nursing Management, Aja University of Medical SciencesDepartment of Midwifery, Faculty of Nursing and Midwifery, Islamic Azad UniversityDepartment of Nursing Education, University of Social Welfare and Rehabilitation SciencesDepartment of Nursing Education, University of Social Welfare and Rehabilitation SciencesBehavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical SciencesDepartment of Biomedical Statistics, University of Social Welfare and Rehabilitation SciencesSchool of Nursing, Toronto Metropolitan UniversityAbstract Background Patients with a stroke often cannot care for themselves after hospital discharge. Assessment of their self-care ability is the first step in planning post-discharge home care. This study aimed to design and validate a measure of perceived self-care ability (PSCA) in stroke patients. Methods A sequential-exploratory mixed method was conducted in Tehran, Iran, in 2020–2021. The qualitative phase involved in-depth semi-structured interviews with 12 participants. Transcripts were content analyzed. The results guided the development of 81 items. psychometric properties such as face validity (Impact Score > 1.5), content validity ratio (CVR > 0.63), content validity index (Item Content Validity Index: ICVI > 0.78, Scale Content Validity Index/Average: SCVI/Ave > 0.8) and Kappa value (Kappa > 0.7), internal consistency (Cronbach’s alpha > 0.7), relative reliability (ICC: inter class correlation coefficient), absolute reliability (Standard Error of Measurement: SEM and Minimal Detectable Changes: MDC), convergent validity (Correlation Coefficient between 0.4–0.7), interpretability, responsiveness, feasibility, and ceiling and floor effects were assessed. Results Content analysis of the qualitative interviews yielded 5 major categories and 9 subcategories that reflected "Perceptual stability", "Cognitive fluctuations", "Sensory, Motor and Physical health",” The subjective nature" and "The dynamic nature” of PSCA. Results of face and content validity reduced the number of items to 32, capturing three dimensions of PSCA in chronic stroke patients; these dimensions included perceptual ability, threatened health status, and sensory, motor, and cognitive ability. The findings supported the reliability and validity of the measure. Conclusions The PSCA questionnaire was developed and validated within the Iranian culture. It is useful in assessing the self-care of patients with stroke and in informing practice.https://doi.org/10.1186/s12883-024-03612-4Perceived Self-Care Ability QuestionnaireChronicMixed methodPsychometricStroke |
| spellingShingle | Nasrin Jafari-golestan Asghar Dalvandi Mohammadali Hosseini Masoud Fallahi-Khoshknab Abbas Ebadi Mahdi Rahgozar Sidani Souraya Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home BMC Neurology Perceived Self-Care Ability Questionnaire Chronic Mixed method Psychometric Stroke |
| title | Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home |
| title_full | Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home |
| title_fullStr | Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home |
| title_full_unstemmed | Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home |
| title_short | Designing and validating of a questionnaire measuring perceived self-care ability (PSCA) in chronic stroke patients at home |
| title_sort | designing and validating of a questionnaire measuring perceived self care ability psca in chronic stroke patients at home |
| topic | Perceived Self-Care Ability Questionnaire Chronic Mixed method Psychometric Stroke |
| url | https://doi.org/10.1186/s12883-024-03612-4 |
| work_keys_str_mv | AT nasrinjafarigolestan designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome AT asghardalvandi designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome AT mohammadalihosseini designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome AT masoudfallahikhoshknab designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome AT abbasebadi designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome AT mahdirahgozar designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome AT sidanisouraya designingandvalidatingofaquestionnairemeasuringperceivedselfcareabilitypscainchronicstrokepatientsathome |