Multipl Skleroz Öz Yönetim Ölçeğinin Türk Toplumuna Uyarlanması: Geçerlik ve Güvenirlik Çalışması

Yıl 2025, Cilt: 18 Sayı: 4, 503 - 511

Nermin Eroğlu , Anil Tosun

https://doi.org/10.46483/jnef.1806844

Öz

Anahtar Kelimeler

multipl skleroz , öz-yönetim , geçerlik , güvenirlik

Adaptation of the Multiple Sclerosis Self-Management Scale to Turkish Society: Validity and Reliability Study

Öz

Background: Multiple Sclerosis (MS) is a chronic, autoimmune disease that causes physical and psychological damage and has a highly variable prognosis. It is very important to develop self-care skills apart from symptom treatment that causes individuals to become physically dependent.
Objectives: The study was planned and carried out methodologically to adapt the Multiple Sclerosis Self-Management Scale-Revised (MSSM-R) to Turkish society.
Methods: The study was conducted with individuals with multiple sclerosis who presented to the neurology clinic of a university hospital between July 2019 and May 2020. The validity and reliability of the MSSM-R were tested with 169 participants. Construct validity was examined using confirmatory factor analysis (AMOS), test–retest reliability through paired-sample t-tests and Pearson correlation analysis, and internal consistency using Cronbach’s alpha. Item-level analyses were also performed.
Results: The validity of the MSSM-R was evaluated with language validity, construct validity Confimatory factor analysis (CFA), and content validity. The reliability coefficient of the internal consistency analysis (Cronbach’s Alpha) was found to be very high (.88). Item total correlation was examined, and no items were removed from the scale accordingly. The scale was administered to 30 patients at a two-week interval to evaluate test-retest reliability and time-dependent invariance.
Conclusion: The MSSM-R, which was adapted to Turkish society to evaluate the self-management of individuals with multiple sclerosis, is a valid and reliable tool. The Turkish-adapted MSSM-R is a valid and reliable tool and can be used in both clinical practice and research to support self-management interventions for individuals with multiple sclerosis.

Anahtar Kelimeler

multiple sclerosis , self-management , validity , reliability

Kaynakça

• Bayat, F., Negarandeh, R., Pashaeypoor, S. (2025). The effect of patient-centered empowerment program through telenursing on self-management in people with multiple sclerosis: A double-blinded randomized clinical trial. BMC Neurology, 25, 138.
• Berhanu, D., Rato M.L., Canhoto, A.I., Vieira da Cunha, J., Geraldes, J. (2023). Online information search by people with Multiple Sclerosis: A systematic review. Multiple Sclerosis and Related Disorders, 79, 105032.
• Birnbaum, G., Stulc, J. (2017). High dose biotin as treatment for progressive multiple sclerosis. Multiple Sclerosis and Related Disorders, 18, 141–143.
• Bishop, M., Frain, M. P. (2011). The multiple sclerosis self-management scale: Revision and psychometric analysis. Rehabilitation Psychology, 56(2), 150–159.
• Büyüköztürk, Ş. (2024). Sosyal bilimler için veri analizi el kitabı (31. baskı). Pegem Akademi Yayıncılık.
• Demirtepe Saygılı, D. (2019). Multipl skleroz hastaları için geliştirilen bir grup psikoeğitim programının değerlendirilmesi. AYNA Klinik Psikoloji Dergisi, 6(3), 289–311.
• Francis, T., Peiris R.G., Stanimirovic, A., Stogios, N., Syed F., Rac, V.E., Nolan R.P. (2024). The EvalUation of goal-diRected activities to prOmote well-beIng and heAlth (EUROIA) scale: Psychometric evaluation with Confirmatory Factor Analysis. Plos One, 19(3), e0299854.
• Heidari-Soureshjani, R., Nikbakht Nasrabadi, A., Zakerimoghadam, M., Mohammadi, T., Rasti, A. (2023). Self-management interventions for people with multiple sclerosis: A systematic review and meta-analysis protocol. Health Science Reports, 6(9), e1536.
• Kalaycı, Ş. (2017). SPSS uygulamalı çok değişkenli istatistik teknikleri (9. baskı). Dinamik Akademi Yayıncılık.
• Keerthana, D., Arun, M., Kumar, G. S., Desai, G., Thomas, P. T., Netravathi, M. (2024). Self-management interventions in multiple sclerosis: Case series from a tertiary neuroscience hospital. Indian Journal of Psychological Medicine, 02537176241264772.
• Khodaveisi, M., Ashtarani, F., Beikmoradi, A., Mohammadi, A., Mahjub, H., Mazdeh, M., Ashtarani, E. (2017). The effect of continuous care on the lifestyle of patients with multiple sclerosis: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 22, 225–231.
• Özdamar, K. (2017). Modern bilimsel araştırma yöntemleri (3. baskı). Nisan Kitabevi.
• Russell, R. D., He, J., Black L.C., Begley, A. (2024). Evaluating experiences in a digital nutrition education program for people with multiple sclerosis: A qualitative study. Health Expectations, 27(5), e70012.
• Tang, D., Boker, S. M., Tong, X. (2024). Are the signs of factor loadings arbitrary in confirmatory factor analysis? Problems and solutions. Structural Equation Modeling, 32(1), 142–154.
• Tekeş, B., Hasta, D. (2015). Özgecilik ölçeği: Geçerlik ve güvenilirlik çalışması. Nesne Psikoloji Dergisi, 3(6), 55–75.
• Uğurlu, F., Aylar, F. (2017). Destekleme ve yetiştirme kurslarına yönelik öğretmen öz algı ölçeğinin geliştirilmesi: Geçerlik ve güvenirlik çalışması. Gazi Eğitim Bilimleri Dergisi, 3(1), 28–43.
• Yeşilyurt, S., Çapraz, C. (2018). Ölçek geliştirme çalışmalarında kullanılan kapsam geçerliği için bir yol haritası. Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 20, 251–264.