The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study

Abstract Backgrounds and Aims Patients with multiple sclerosis (pwMS) need self‐management (SM) skills to manage their symptoms and problems. An essential step to SM improvement is accurate SM assessment using valid and reliable instruments. The aim of this study was to evaluate the psychometric pro...

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Main Authors: Mahnaz Atapour, Farzaneh Maghaminejad, Shahrzad Ghiyasvandian, Mitra Rahimzadeh, Samaneh Hosseini
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.1515
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author Mahnaz Atapour
Farzaneh Maghaminejad
Shahrzad Ghiyasvandian
Mitra Rahimzadeh
Samaneh Hosseini
author_facet Mahnaz Atapour
Farzaneh Maghaminejad
Shahrzad Ghiyasvandian
Mitra Rahimzadeh
Samaneh Hosseini
author_sort Mahnaz Atapour
collection DOAJ
description Abstract Backgrounds and Aims Patients with multiple sclerosis (pwMS) need self‐management (SM) skills to manage their symptoms and problems. An essential step to SM improvement is accurate SM assessment using valid and reliable instruments. The aim of this study was to evaluate the psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised (MSSMS‐R). Methods This cross‐sectional methodological study was conducted from December 2021 to June 2022. The face, content, and construct‎ validity of MSSMS‐R were evaluated. Construct validity was evaluated through confirmatory factor analysis (CFA) and evaluating convergent and discriminant‎ validity using the data obtained from 210 randomly selected MS patients. The reliability of the scale was also evaluated through the test–retest stability and the internal consistency evaluation methods. Results The face validity was confirmed and the content validity ratio and index values of all items were more than 0.62 and 0.79, respectively. CFA revealed the acceptable construct validity of the scale after omitting items 21 and 22. In convergent and discriminant validity evaluation, the total score of MSSMS‐R had significant positive correlation with the total mean scores of the Multiple Sclerosis Self‐Efficacy Scale (r = 0.36; p < 0.001) and the physical health composite‎ (r = 0.31; p < 0.001) and the mental health composite‎ (r = 0.39; p < 0.001) dimensions of the 54‐item Multiple Sclerosis Quality of Life scale ‎and significant inverse correlation with the total mean score of the Beck Depression Inventory (r = –0.28; p < 0.001). The Cronbach's alpha values of the scale and its subscales were 0.86 and 0.65–0.90 and their test–retest intraclass correlation coefficients were 0.97 and 0.95–0.99, respectively. Conclusion The Persian MSSMS‐R is a valid and reliable scale and can be used in future studies for SM assessment among pwMS.
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spelling doaj.art-ba529530a1244604b533ab35e6f042642023-09-27T09:16:35ZengWileyHealth Science Reports2398-88352023-09-0169n/an/a10.1002/hsr2.1515The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological studyMahnaz Atapour0Farzaneh Maghaminejad1Shahrzad Ghiyasvandian2Mitra Rahimzadeh3Samaneh Hosseini4Department of Medical‐Surgical Nursing, School of Nursing & Midwifery Tehran University of Medical Sciences Tehran IranIslamic Azad University, Kashan Branch Kashan IranDepartment of Medical‐Surgical Nursing, School of Nursing & Midwifery Tehran University of Medical Sciences Tehran IranSocial Determinants of Health Research Center Alborz University of Medical Sciences Karaj IranNeuroscience Research Center Tabriz University of Medical Sciences Tabriz IranAbstract Backgrounds and Aims Patients with multiple sclerosis (pwMS) need self‐management (SM) skills to manage their symptoms and problems. An essential step to SM improvement is accurate SM assessment using valid and reliable instruments. The aim of this study was to evaluate the psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised (MSSMS‐R). Methods This cross‐sectional methodological study was conducted from December 2021 to June 2022. The face, content, and construct‎ validity of MSSMS‐R were evaluated. Construct validity was evaluated through confirmatory factor analysis (CFA) and evaluating convergent and discriminant‎ validity using the data obtained from 210 randomly selected MS patients. The reliability of the scale was also evaluated through the test–retest stability and the internal consistency evaluation methods. Results The face validity was confirmed and the content validity ratio and index values of all items were more than 0.62 and 0.79, respectively. CFA revealed the acceptable construct validity of the scale after omitting items 21 and 22. In convergent and discriminant validity evaluation, the total score of MSSMS‐R had significant positive correlation with the total mean scores of the Multiple Sclerosis Self‐Efficacy Scale (r = 0.36; p < 0.001) and the physical health composite‎ (r = 0.31; p < 0.001) and the mental health composite‎ (r = 0.39; p < 0.001) dimensions of the 54‐item Multiple Sclerosis Quality of Life scale ‎and significant inverse correlation with the total mean score of the Beck Depression Inventory (r = –0.28; p < 0.001). The Cronbach's alpha values of the scale and its subscales were 0.86 and 0.65–0.90 and their test–retest intraclass correlation coefficients were 0.97 and 0.95–0.99, respectively. Conclusion The Persian MSSMS‐R is a valid and reliable scale and can be used in future studies for SM assessment among pwMS.https://doi.org/10.1002/hsr2.1515multiple sclerosisMultiple Sclerosis Self‐Management Scale‐Revisedpsychometric evaluationreliabilityself‐managementvalidity
spellingShingle Mahnaz Atapour
Farzaneh Maghaminejad
Shahrzad Ghiyasvandian
Mitra Rahimzadeh
Samaneh Hosseini
The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study
Health Science Reports
multiple sclerosis
Multiple Sclerosis Self‐Management Scale‐Revised
psychometric evaluation
reliability
self‐management
validity
title The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study
title_full The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study
title_fullStr The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study
title_full_unstemmed The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study
title_short The psychometric properties of the Persian version of the Multiple Sclerosis Self‐Management Scale‐Revised: A cross‐sectional methodological study
title_sort psychometric properties of the persian version of the multiple sclerosis self management scale revised a cross sectional methodological study
topic multiple sclerosis
Multiple Sclerosis Self‐Management Scale‐Revised
psychometric evaluation
reliability
self‐management
validity
url https://doi.org/10.1002/hsr2.1515
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