Development and validation of a Religious and Spiritual Support Scale in Sri Lanka: A psychometric study

E. Weeratunga, C. Senadheera, M. Hettiarachchi, B. Perera
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Abstract

Introduction: Religious and spiritual support reduces distress in patients with cancer. Accurate and reliable data on religious and spiritual support received and perceived by patients with cancer would assist health authorities in planning health promotion strategies targeted at patients with cancer. In this study, a new measurement tool of religious and spiritual support for patients with cancer in Sri Lanka was developed and validated. Methods: A new tool, the Religious and Spiritual Support Scale (RSSS) was developed based on the previous questionnaire and evaluated using 40 patients with cancer. Cross-cultural adaptation was made using WHO guidelines. Reliability was checked using Cronbach’s alpha. Intra-class correlation coefficient (ICC) was used to examine the test-retest reliability of the tool. Convergent and divergent validity of the tool was examined using the World Health Organization-Quality of Life-Brief scale (WHOQOL-BREF) and the Centre for Epidemiological Studies–Depression scale (CES-D). Exploratory factor analysis (EFA) was performed to test the construct validity of the RSSS. Results: The RSSS showed a high internal consistency (Cronbach’s alpha-0.874). The test-retest reliability of the scale was good (ICC = 0.981). As expected, the overall RSSS score correlated negatively with CES-D (r= - 0.338, p<0.05) and positively with overall QoL scores of the WHOQOL-BREF; (r=0.421, p<0.001), confirming satisfactory divergent and convergent validity of the RSSS. EFA revealed a structure comprised of two factors: Religious practice and religious support. Conclusions: The RSSS is a reliable and valid scale to assess religious and spiritual support received and perceived by patients with cancer in Sri Lanka.
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斯里兰卡宗教与精神支持量表的开发与验证:一项心理测量学研究
简介:宗教和精神上的支持减少了癌症患者的痛苦。关于癌症患者获得和感受到的宗教和精神支持的准确和可靠的数据将有助于卫生当局规划针对癌症患者的健康促进战略。在这项研究中,一个新的测量工具的宗教和精神支持的癌症患者在斯里兰卡被开发和验证。方法:在以往问卷调查的基础上编制宗教与精神支持量表(RSSS),并对40例癌症患者进行评估。根据世卫组织指南进行了跨文化适应。采用Cronbach’s alpha检验信度。用类内相关系数(ICC)检验工具的重测信度。使用世界卫生组织-生命质量量表(WHOQOL-BREF)和流行病学研究中心-抑郁量表(CES-D)检验了该工具的收敛效度和发散效度。采用探索性因子分析(EFA)检验RSSS的结构效度。结果:RSSS具有较高的内部一致性(Cronbach’s α -0.874)。量表的重测信度较好(ICC = 0.981)。结果显示,RSSS总分与CES-D总分呈负相关(r= - 0.338, p<0.05),与WHOQOL-BREF总分呈正相关;(r=0.421, p<0.001),证实RSSS具有令人满意的发散效度和收敛效度。全民教育揭示了一个由两个因素组成的结构:宗教实践和宗教支持。结论:RSSS量表是一种可靠有效的评估斯里兰卡癌症患者获得和感知的宗教和精神支持的量表。
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