Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases
Objective Patients with cardiovascular diseases (CVDs) often face numerous psychosocial challenges and emotional fluctuations due to their chronic conditions. Their ability to adapt to the disease and manage the emotional, psychological, and social challenges is crucial for these individuals. This s...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
University of Social Welfare and Rehabilitation Sciences
2025-05-01
|
| Series: | Journal of Rehabilitation |
| Subjects: | |
| Online Access: | http://rehabilitationj.uswr.ac.ir/article-1-3487-en.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850174813256024064 |
|---|---|
| author | Mohammad Saeed Khanjani Farzaneh Ebrahimgol Manoochehr Azkhosh Samaneh Hoseinzadeh Maryam Latifian Sahar Esmaeili |
| author_facet | Mohammad Saeed Khanjani Farzaneh Ebrahimgol Manoochehr Azkhosh Samaneh Hoseinzadeh Maryam Latifian Sahar Esmaeili |
| author_sort | Mohammad Saeed Khanjani |
| collection | DOAJ |
| description | Objective Patients with cardiovascular diseases (CVDs) often face numerous psychosocial challenges and emotional fluctuations due to their chronic conditions. Their ability to adapt to the disease and manage the emotional, psychological, and social challenges is crucial for these individuals. This study aimed to assess the psychometric characteristics of the Persian version of the adaptation to chronic illness scale (ACIS) for patients with CVDs in Iran.
Materials & Methods This is a cross-sectional and psychometrics study. The forward-backward translation method was first used to translate the ACIS. To assess its face validity, it was administered to 10 CVD patients and reviewed by five experts in counseling and psychology. The content validity index (CVI) and the content validity ratio (CVR) were calculated to assess content validity. Concurrent validity was evaluated by measuring the correlation between the scores of the Persian ACIS and the psychosocial adjustment to illness scale (PAIS). Internal consistency was assessed using Cronbach’s α coefficient, and test re-test reliability was measured using the intraclass correlation coefficient (ICC). Confirmatory factor analysis (CFA) was performed in LISREL software to validate the structure of the questionnaire.
Results The CVR was obtained as 0.99, the item-CVI ranged from 0.8 to 1, and the calculated kappa coefficient ranged from 0.76 to 1. There was a strong correlation between the total scores of the ACIS and PAIS (r=-0.757, P<0.05). The Cronbach’s α coefficient for the overall scale was 0.84. Furthermore, the ICC was 0.96. The values of fit indices for the initial model were RMSEA=0.104, df=3.04, GFI=0.75, AGFI=0.70, and NFI=0.72. After removing item 10 (in the physical subscale) due to its lack of significance, and calculating the covariation of errors for paired items (22 & 23, 13 & 15, 17 & 19, 12 & 20, and 6 & 25), the values of fit indices improved as RMSEA=0.077, df=2.23, GFI=0.90, AGFI=0.91, and NFI=0.90, reaching acceptable construct validity.
Conclusion The Persian ACIS has acceptable face and content validity, concurrent validity, internal consistency, and test re-test reliability. The results also confirmed its three-factor structure with 24 items for CVDs. Thus, it can be utilized in research and clinical settings in Iran for patients with CVDs. |
| format | Article |
| id | doaj-art-6ffd993802e3464e87edcb90bae9dec4 |
| institution | OA Journals |
| issn | 1607-2960 |
| language | fas |
| publishDate | 2025-05-01 |
| publisher | University of Social Welfare and Rehabilitation Sciences |
| record_format | Article |
| series | Journal of Rehabilitation |
| spelling | doaj-art-6ffd993802e3464e87edcb90bae9dec42025-08-20T02:19:34ZfasUniversity of Social Welfare and Rehabilitation SciencesJournal of Rehabilitation1607-29602025-05-012616687Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular DiseasesMohammad Saeed Khanjani0Farzaneh Ebrahimgol1Manoochehr Azkhosh2Samaneh Hoseinzadeh3Maryam Latifian4Sahar Esmaeili5 Department of Counseling, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Counseling, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Counseling, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Faculty of Social Work, University of Calgary, Calgary, Canada. Objective Patients with cardiovascular diseases (CVDs) often face numerous psychosocial challenges and emotional fluctuations due to their chronic conditions. Their ability to adapt to the disease and manage the emotional, psychological, and social challenges is crucial for these individuals. This study aimed to assess the psychometric characteristics of the Persian version of the adaptation to chronic illness scale (ACIS) for patients with CVDs in Iran. Materials & Methods This is a cross-sectional and psychometrics study. The forward-backward translation method was first used to translate the ACIS. To assess its face validity, it was administered to 10 CVD patients and reviewed by five experts in counseling and psychology. The content validity index (CVI) and the content validity ratio (CVR) were calculated to assess content validity. Concurrent validity was evaluated by measuring the correlation between the scores of the Persian ACIS and the psychosocial adjustment to illness scale (PAIS). Internal consistency was assessed using Cronbach’s α coefficient, and test re-test reliability was measured using the intraclass correlation coefficient (ICC). Confirmatory factor analysis (CFA) was performed in LISREL software to validate the structure of the questionnaire. Results The CVR was obtained as 0.99, the item-CVI ranged from 0.8 to 1, and the calculated kappa coefficient ranged from 0.76 to 1. There was a strong correlation between the total scores of the ACIS and PAIS (r=-0.757, P<0.05). The Cronbach’s α coefficient for the overall scale was 0.84. Furthermore, the ICC was 0.96. The values of fit indices for the initial model were RMSEA=0.104, df=3.04, GFI=0.75, AGFI=0.70, and NFI=0.72. After removing item 10 (in the physical subscale) due to its lack of significance, and calculating the covariation of errors for paired items (22 & 23, 13 & 15, 17 & 19, 12 & 20, and 6 & 25), the values of fit indices improved as RMSEA=0.077, df=2.23, GFI=0.90, AGFI=0.91, and NFI=0.90, reaching acceptable construct validity. Conclusion The Persian ACIS has acceptable face and content validity, concurrent validity, internal consistency, and test re-test reliability. The results also confirmed its three-factor structure with 24 items for CVDs. Thus, it can be utilized in research and clinical settings in Iran for patients with CVDs.http://rehabilitationj.uswr.ac.ir/article-1-3487-en.pdfvalidityreliabilitypsychometricsadaptationcardiovascular diseases (cvds) |
| spellingShingle | Mohammad Saeed Khanjani Farzaneh Ebrahimgol Manoochehr Azkhosh Samaneh Hoseinzadeh Maryam Latifian Sahar Esmaeili Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases Journal of Rehabilitation validity reliability psychometrics adaptation cardiovascular diseases (cvds) |
| title | Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases |
| title_full | Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases |
| title_fullStr | Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases |
| title_full_unstemmed | Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases |
| title_short | Assessing the Psychometric Properties of the Persian Version of the Adaptation to Chronic Illness Scale for Patients With Cardiovascular Diseases |
| title_sort | assessing the psychometric properties of the persian version of the adaptation to chronic illness scale for patients with cardiovascular diseases |
| topic | validity reliability psychometrics adaptation cardiovascular diseases (cvds) |
| url | http://rehabilitationj.uswr.ac.ir/article-1-3487-en.pdf |
| work_keys_str_mv | AT mohammadsaeedkhanjani assessingthepsychometricpropertiesofthepersianversionoftheadaptationtochronicillnessscaleforpatientswithcardiovasculardiseases AT farzanehebrahimgol assessingthepsychometricpropertiesofthepersianversionoftheadaptationtochronicillnessscaleforpatientswithcardiovasculardiseases AT manoochehrazkhosh assessingthepsychometricpropertiesofthepersianversionoftheadaptationtochronicillnessscaleforpatientswithcardiovasculardiseases AT samanehhoseinzadeh assessingthepsychometricpropertiesofthepersianversionoftheadaptationtochronicillnessscaleforpatientswithcardiovasculardiseases AT maryamlatifian assessingthepsychometricpropertiesofthepersianversionoftheadaptationtochronicillnessscaleforpatientswithcardiovasculardiseases AT saharesmaeili assessingthepsychometricpropertiesofthepersianversionoftheadaptationtochronicillnessscaleforpatientswithcardiovasculardiseases |