Psychometric properties of the Acceptance of Chronic Health Conditions Scale in Swedish for persons...
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Psychometric properties of the Acceptance of Chronic Health Conditions Scale in Swedish for persons with MS Mia Forslin, Anders Kottorp, Marie Kierkegaard, Sverker Johansson. Karolinska Institutet Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden Conclusions •The Swedish version of the Acceptance of Chronic Health Conditions (ACHC) Scale is recommended to include seven items out of the original ten items to demonstrate acceptable psychometric properties. •The seven item Swedish version of the ACHC Scale may be a valuable addition to what is currantly used in health care services, with the aim to improve quality of life in people with multiple sclerosis. Figure. The translation process and analysis of the Acceptance of Chronic Health Conditions Scale. Further evaluation focusing on the reliability of the ACHC Scale is in progress, as well as evaluation of extensive data collected in the cohort the Rasch analysis was based on. Introduction Acceptance is a coping strategy reported to be associated with higher quality of life in people with multiple sclerosis (MS). The Acceptance of Chronic Health Conditions (ACHC) Scale is a self rating scale of ten items and five categories, developed to measure acceptance of chronic health conditions such as MS. Methods The translation process, including cross-cultural adaptation and assessment of usefulness, followed recommended guidelines, see figure. Rasch analysis was used to analyze psychometric properties using data collected in a cohort of people with MS. Aims •to translate and cross-culturally adapt the ACHC Scale into Swedish. •to assess its usefulness in a Swedish context. •to analyze psychometric properties of the Swedish version of the ACHC Scale. Results •The Swedish version of the ACHC Scale was considered to be a satisfying equivalent to the original version. •The ACHC Scale was found to represent aspects important to well-being in people with MS and to be useful in a Swedish context. •Acceptable psychometric properties were demonstrated in a solution including seven of the ten original items of the ACHC Scale, see table. Table. Results of the Rasch analysis of the Acceptance of Chronic Health Conditions Scale. Mia Forslin, MSc, PhD student, Reg. Physiotherapist Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden and Rehab Station Stockholm, Solna, Sweden E-mail: [email protected] ACHC Scale solutions Ten items Nine items Eight items Seven items Items excluded, item number None 9 9 and 4 9, 4 and 6 Items with disordered categories, n (item number) 1 (9) None None None Item misfit, n (item number) 1 (9) None 1 (6) None Person misfit, % 8.1 8.1 6.8 6.8 Variance explained by measures 48.7 57.3 58.7 63.6 Person separation ratio 1.6 1.9 1.9 2.0 Definition of acceptance Acceptance can be viewed in many ways. Here it is defined as a mental stance that enables the individual to focus on what gives value in life, instead of fighting what can not be changed. What can, and can not be changed is up to each and every one to come to terms with. TRANSLATION PROCESS Translation English to Swedish ↓ Back-translation Swedish to English ↓ Expert committee Evaluation and revision ↓ Cognitive interviews 10 persons with MS ↓ Final Swedish version RASCH ANALYSIS Cohort of 148 persons with MS
Transcript of Psychometric properties of the Acceptance of Chronic Health Conditions Scale in Swedish for persons...
Psychometric properties of the Acceptance of Chronic Health Conditions Scale in Swedish for persons with MS
Mia Forslin, Anders Kottorp, Marie Kierkegaard, Sverker Johansson. Karolinska Institutet Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden
Conclusions•The Swedish version of the Acceptance of Chronic Health Conditions (ACHC) Scale is recommended to include seven items out of the original ten items to demonstrate acceptable psychometric properties.
•The seven item Swedish version of the ACHC Scale may be a valuable addition to what is currantly used in health care services, with the aim to improve quality of life in people with multiple sclerosis.
Figure. The translation process and analysis of the Acceptance of Chronic Health Conditions Scale.
Further evaluation focusing on the reliability of the ACHC Scale is in progress, as well as evaluation of extensive data collected in the cohort the Rasch analysis was based on.
Introduction Acceptance is a coping strategy reported to be associated with higher quality of life in people with multiple sclerosis (MS). The Acceptance of Chronic Health Conditions (ACHC) Scale is a self rating scale of ten items and five categories, developed to measure acceptance of chronic health conditions such as MS.
MethodsThe translation process, including cross-cultural adaptation and assessment of usefulness, followed recommended guidelines, see figure. Rasch analysis was used to analyze psychometric properties using data collected in a cohort of people with MS.
Aims•to translate and cross-culturally adapt the ACHC Scale into Swedish.•to assess its usefulness in a Swedish context.•to analyze psychometric properties of the Swedish version of the ACHC Scale.
Results•The Swedish version of the ACHC Scale was considered to be a satisfying equivalent to the original version.•The ACHC Scale was found to represent aspects important to well-being in people with MS and to be useful in a Swedish context. •Acceptable psychometric properties were demonstrated in a solution including seven of the ten original items of the ACHC Scale, see table.
Table. Results of the Rasch analysis of the Acceptance of Chronic Health Conditions Scale.
Mia Forslin, MSc, PhD student, Reg. Physiotherapist
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden
and Rehab Station Stockholm, Solna, Sweden
E-mail: [email protected]
ACHC Scale solutions Ten items
Nine items
Eight items
Seven items
Items excluded, item number None 9 9 and 4 9, 4 and 6Items with disordered categories, n (item number)
1 (9) None None None
Item misfit, n (item number) 1 (9) None 1 (6) NonePerson misfit, % 8.1 8.1 6.8 6.8Variance explained by measures 48.7 57.3 58.7 63.6Person separation ratio 1.6 1.9 1.9 2.0
Definition of acceptanceAcceptance can be viewed in many ways. Here it
is defined as a mental stance that enables the individual to focus on what gives value in life, instead of fighting what can not be changed.
What can, and can not be changed is up to each and every one to come to terms with.
TRANSLATION PROCESS
TranslationEnglish to Swedish
↓Back-translationSwedish to English
↓Expert committee
Evaluation and revision↓
Cognitive interviews10 persons with MS
↓Final Swedish version
RASCH ANALYSIS
Cohort of 148 persons with MS
