Yu Yu1, Joyce P Yang2, Cheng-Shi Shiu3, Jane M Simoni4, Shuiyuan Xiao5, Wei-Ti Chen6, Deepa Rao7, Mingjiong Wang8. 1. Department of Social Medicine and Health Management, Public Health School, Central South University, Changsha, Hunan 410008, China; Department of Global Health, University of Washington, Seattle, WA 98195-7765, USA. Electronic address: youxiang8864@163.com. 2. Department of Psychology, University of Washington, Seattle, WA 98195-1525, USA. Electronic address: jpyang@u.washington.edu. 3. School of Social Work, University of Washington, Seattle, WA 98105, USA. Electronic address: sigontw@gmail.com. 4. Department of Psychology, University of Washington, Seattle, WA 98195-1525, USA. Electronic address: jsimoni@uw.edu. 5. Department of Social Medicine and Health Management, Public Health School, Central South University, Changsha, Hunan 410008, China. Electronic address: xiaosy@csu.edu.cn. 6. Yale school of nursing, Yale University, Orange, CT 06477, USA. Electronic address: wei-ti.chen@yale.edu. 7. Department of Global Health, University of Washington, Seattle, WA 98104, USA. Electronic address: deeparao@uw.edu. 8. Department of Traditional Chinese Medicine, Changsha Medical School, Lei feng road nine kilometers, Traditional Chinese Medicine department of Changsha Medical School, Wangcheng, Changshang city, Hunan province 410219, China. Electronic address: 403616846@qq.com.
Abstract
PURPOSE: The aim of this study was to assess the psychometric properties of the Chinese (Mandarin) version of the Medical Outcomes Study Social Support Survey (MOS-SSS-CM) among people living with HIV/AIDS (PLWHA) in Mainland China. METHODS: A cross-sectional study was conducted with a convenience sample of 200 Chinese PLWHA. They completed the MOS-SSS-CM along with the Chinese version of the Beck Depression Inventory Revised (BDI-II) scale, the Zung Self-Rating Anxiety Scale (SAS), the Perceived Stress Scale (PSS-10), and the World Health Organization Quality of Life Brief (WHOQOL-BREF) scale. RESULTS: Internal consistency (Cronbach's α) was 0.97 for the overall MOS-SSS-CM and 0.82-0.91 for the five subscales originally proposed. However, 11 of the 19 items demonstrated unsatisfactory item discriminant validity. An exploratory factor analysis yielded a two-factor solution with tangible and social-emotional dimensions, which demonstrated satisfactory reliability and better discrimination between different subscales than did the original five-factor model. The concurrent validity of the two-factor scale was further confirmed by its significant negative correlations with the BDI-II (r=-0.41, p<0.01); the SAS (r=-0.27, p<0.01); and the PSS-10 (r=-0.30, p<0.01), and significant positive correlation with the WHOQOL-BREF scale (r=0.61, p<0.01). CONCLUSION: We found a two-factor solution for the MOS-SSS-CM, which demonstrated good reliability and validity when applied to Chinese PLWHA. This was consistent with results from a study of Taiwanese caregivers. Further validation in other populations and disease states is warranted.
PURPOSE: The aim of this study was to assess the psychometric properties of the Chinese (Mandarin) version of the Medical Outcomes Study Social Support Survey (MOS-SSS-CM) among people living with HIV/AIDS (PLWHA) in Mainland China. METHODS: A cross-sectional study was conducted with a convenience sample of 200 Chinese PLWHA. They completed the MOS-SSS-CM along with the Chinese version of the Beck Depression Inventory Revised (BDI-II) scale, the Zung Self-Rating Anxiety Scale (SAS), the Perceived Stress Scale (PSS-10), and the World Health Organization Quality of Life Brief (WHOQOL-BREF) scale. RESULTS: Internal consistency (Cronbach's α) was 0.97 for the overall MOS-SSS-CM and 0.82-0.91 for the five subscales originally proposed. However, 11 of the 19 items demonstrated unsatisfactory item discriminant validity. An exploratory factor analysis yielded a two-factor solution with tangible and social-emotional dimensions, which demonstrated satisfactory reliability and better discrimination between different subscales than did the original five-factor model. The concurrent validity of the two-factor scale was further confirmed by its significant negative correlations with the BDI-II (r=-0.41, p<0.01); the SAS (r=-0.27, p<0.01); and the PSS-10 (r=-0.30, p<0.01), and significant positive correlation with the WHOQOL-BREF scale (r=0.61, p<0.01). CONCLUSION: We found a two-factor solution for the MOS-SSS-CM, which demonstrated good reliability and validity when applied to Chinese PLWHA. This was consistent with results from a study of Taiwanese caregivers. Further validation in other populations and disease states is warranted.
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