Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly
Background: Changes in physical, economic, and social conditions during old age are inevitable. These changes can reduce the social health of older adults. The Social Health Scale for the Elderly (SHSE) is a specific tool for evaluating social health in older adults. This study aimed to evaluate the...
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| Format: | Article |
| Language: | English |
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Iran University of Medical Sciences
2025-08-01
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| Series: | Journal of Client-centered Nursing Care |
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| Online Access: | http://jccnc.iums.ac.ir/article-1-705-en.pdf |
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| author | Fatemeh Sadat Izadi-Avanji Rasoul Mohseni-Asl Hamidreza Gilasi |
| author_facet | Fatemeh Sadat Izadi-Avanji Rasoul Mohseni-Asl Hamidreza Gilasi |
| author_sort | Fatemeh Sadat Izadi-Avanji |
| collection | DOAJ |
| description | Background: Changes in physical, economic, and social conditions during old age are inevitable. These changes can reduce the social health of older adults. The Social Health Scale for the Elderly (SHSE) is a specific tool for evaluating social health in older adults. This study aimed to evaluate the psychometric properties of the Persian version of the scale in an Iranian population.
Methods: This methodological study investigated the psychometric properties of the Persian version of SHSE in Iranian older adults residing in Ardabil city. A total of 200 older adults (60 years and older) were selected using a multi-stage random sampling. Construct validity was assessed through confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) by conducting test-retest reliability over a two-week interval. Data were analyzed using SPSS version 16 and EQS 6.1 software.
Results: The SHSE has previously been translated into Persian based on the Wild et al model, and in this study, psychometric testing was conducted on the translated version. The impact score of all of the items in the face validity assessment was higher than 1.5. The content validity ratio (CVR) assessment confirmed the relevance of the scale's items without necessitating any changes in content or item count. The scale-content validity index (S-CVI) was 0.94. Following CFA, three items were removed, confirming a three-factor structure for the scale. Cronbach's alpha coefficient for the subscales of social support, social adjustment and perceived environment resources was α=0.92, α=0.77, and α=0.72, respectively. Additionally, the intra-class correlation coefficient was estimated at 0.79.
Conclusion: The Persian version of the SHSE with 22 items and 3 subscales is a valid and reliable tool for measuring the social health of older adults in Iranian society. The SHSE's three-factor structure aligns well with the multidimensional nature of social health. This validated tool can support healthcare providers, policymakers, and researchers in implementing strategies to enhance social health and overall well-being in older adults. |
| format | Article |
| id | doaj-art-6298374ae3bf4c77b6f2fa7dd5d4fe08 |
| institution | Kabale University |
| issn | 2476-4124 2476-4132 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Iran University of Medical Sciences |
| record_format | Article |
| series | Journal of Client-centered Nursing Care |
| spelling | doaj-art-6298374ae3bf4c77b6f2fa7dd5d4fe082025-08-20T03:43:33ZengIran University of Medical SciencesJournal of Client-centered Nursing Care2476-41242476-41322025-08-01113229236Psychometric Properties of the Persian Version of the Social Health Scale for the ElderlyFatemeh Sadat Izadi-Avanji0Rasoul Mohseni-Asl1Hamidreza Gilasi2 Department of Medical Surgical Nursing, school of nursing and midwifery, Kashan University of Medical Sciences, Kashan, Iran. Geriatric Nursing Student (MSc), Trauma Nursing Research Center, school of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. Department of Epidemiology, Kashan University of Medical Sciences, Kashan, Iran. Background: Changes in physical, economic, and social conditions during old age are inevitable. These changes can reduce the social health of older adults. The Social Health Scale for the Elderly (SHSE) is a specific tool for evaluating social health in older adults. This study aimed to evaluate the psychometric properties of the Persian version of the scale in an Iranian population. Methods: This methodological study investigated the psychometric properties of the Persian version of SHSE in Iranian older adults residing in Ardabil city. A total of 200 older adults (60 years and older) were selected using a multi-stage random sampling. Construct validity was assessed through confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) by conducting test-retest reliability over a two-week interval. Data were analyzed using SPSS version 16 and EQS 6.1 software. Results: The SHSE has previously been translated into Persian based on the Wild et al model, and in this study, psychometric testing was conducted on the translated version. The impact score of all of the items in the face validity assessment was higher than 1.5. The content validity ratio (CVR) assessment confirmed the relevance of the scale's items without necessitating any changes in content or item count. The scale-content validity index (S-CVI) was 0.94. Following CFA, three items were removed, confirming a three-factor structure for the scale. Cronbach's alpha coefficient for the subscales of social support, social adjustment and perceived environment resources was α=0.92, α=0.77, and α=0.72, respectively. Additionally, the intra-class correlation coefficient was estimated at 0.79. Conclusion: The Persian version of the SHSE with 22 items and 3 subscales is a valid and reliable tool for measuring the social health of older adults in Iranian society. The SHSE's three-factor structure aligns well with the multidimensional nature of social health. This validated tool can support healthcare providers, policymakers, and researchers in implementing strategies to enhance social health and overall well-being in older adults.http://jccnc.iums.ac.ir/article-1-705-en.pdfalidation studypsychometric evaluationreliabilitysocial healthelderly |
| spellingShingle | Fatemeh Sadat Izadi-Avanji Rasoul Mohseni-Asl Hamidreza Gilasi Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly Journal of Client-centered Nursing Care alidation study psychometric evaluation reliability social health elderly |
| title | Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly |
| title_full | Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly |
| title_fullStr | Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly |
| title_full_unstemmed | Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly |
| title_short | Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly |
| title_sort | psychometric properties of the persian version of the social health scale for the elderly |
| topic | alidation study psychometric evaluation reliability social health elderly |
| url | http://jccnc.iums.ac.ir/article-1-705-en.pdf |
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