Kaina Zhou1, Hengxin Li2, Xiaoli Wei3, Juan Yin4, Peifeng Liang5, Hongmei Zhang6, Lingling Kou7, Mengmeng Hao8, Lijuan You9, Xiaomei Li10, Guihua Zhuang11. 1. School of Nursing, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China; Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: dfyq100@163.com. 2. Xi'an Center for Disease Control and Prevention, No. 599 Xiying Road, Xi'an, Shaanxi 710054, China. Electronic address: hengxin127@163.com. 3. Xi'an Center for Disease Control and Prevention, No. 599 Xiying Road, Xi'an, Shaanxi 710054, China. Electronic address: wenxiaoli@163.com. 4. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: lansing@stu.xjtu.edu.cn. 5. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: doctor_pf@126.com. 6. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: zhanghongmei0110@126.com. 7. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: linglingkou@126.com. 8. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: mengmenghao@126.com. 9. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: youlijuanzy@126.com. 10. School of Nursing, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: roselee@mail.xjtu.edu.cn. 11. Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, No. 76 Yanta Western Road, Xi'an, Shaanxi 710061, China. Electronic address: zhuanggh@mail.xjtu.edu.cn.
Abstract
INTRODUCTION: The multidimensional scale of perceived social support (MSPSS) is a valid tool for assessing perceived support from family, friends and significant others. However, evidence about reliability and validity of the MSPSS in Chinese mainland patients with methadone maintenance treatment (MMT) is lacking. METHODS: The patients (n=1212) being admitted to the first two largest MMT clinics in Xi'an were recruited in the study. Reliability was estimated with Cronbach's α and intra-class correlation (ICC). Convergent and discriminant validity was assessed using item-subscale correlation. Factorial validity was examined using exploratory and confirmatory factor analysis. The patients answered the questions of MSPSS at baseline and re-test after 6months, respectively. RESULTS: Cronbach's α of the overall MSPSS was 0.92 (subscales range: 0.84-0.89). ICC of the overall MSPSS was 0.65 (subscales range: 0.57-0.64). Better convergent validity (r≥0.40) was demonstrated by the satisfactory hypothesized item-subscale correlation. All of the hypothesized item-subscale correlations were higher than the correlations between the hypothesized items and other subscales, indicating better discriminant validity. Two factors were extracted from the 12 items, with factor 1 mainly covering friends and significant others subscales (explained 55.56% variance) and factor 2 mainly covering family subscale (explained 11.77% variance). In comparison with the proposed three-subscale model, the two-factor observed model did not fit well in this sample according to model fit indices. CONCLUSIONS: The MSPSS has acceptable reliability and convergent/discriminant validity in Chinese mainland MMT patients. The proposed three-factor model of MSPSS is much better fit than the two-factor observed model in this study. Findings of the study will provide evidence of psychometric properties of the MSPSS in MMT patient population and expand the use of the MSPSS in clinical MMT context.
INTRODUCTION: The multidimensional scale of perceived social support (MSPSS) is a valid tool for assessing perceived support from family, friends and significant others. However, evidence about reliability and validity of the MSPSS in Chinese mainland patients with methadone maintenance treatment (MMT) is lacking. METHODS: The patients (n=1212) being admitted to the first two largest MMT clinics in Xi'an were recruited in the study. Reliability was estimated with Cronbach's α and intra-class correlation (ICC). Convergent and discriminant validity was assessed using item-subscale correlation. Factorial validity was examined using exploratory and confirmatory factor analysis. The patients answered the questions of MSPSS at baseline and re-test after 6months, respectively. RESULTS: Cronbach's α of the overall MSPSS was 0.92 (subscales range: 0.84-0.89). ICC of the overall MSPSS was 0.65 (subscales range: 0.57-0.64). Better convergent validity (r≥0.40) was demonstrated by the satisfactory hypothesized item-subscale correlation. All of the hypothesized item-subscale correlations were higher than the correlations between the hypothesized items and other subscales, indicating better discriminant validity. Two factors were extracted from the 12 items, with factor 1 mainly covering friends and significant others subscales (explained 55.56% variance) and factor 2 mainly covering family subscale (explained 11.77% variance). In comparison with the proposed three-subscale model, the two-factor observed model did not fit well in this sample according to model fit indices. CONCLUSIONS: The MSPSS has acceptable reliability and convergent/discriminant validity in Chinese mainland MMTpatients. The proposed three-factor model of MSPSS is much better fit than the two-factor observed model in this study. Findings of the study will provide evidence of psychometric properties of the MSPSS in MMTpatient population and expand the use of the MSPSS in clinical MMT context.