Development of a Japanese Version of the Mental Health-Related Self-Care Agency Scale
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1 J. Jpn. Acad. Nurs. Sci., Vol. 31, No. 4, pp , 2011 Development of a Japanese Version of the Mental Health-Related Self-Care Agency Scale Kumiko Kasuya, Akiko Funakoshi, Miyoko Nagae Key words self-care, self-care agency, depressive symptoms, reliability, validity Abstract Aim The purpose of this study is to develop the Japanese version of the Mental Health- Related Self-Care Agency Scale MH-SCA and to establish its validity and reliability. Method Using the committee approach, the MH-SCA was translated from English into Japanese. To ensure the semantic, conceptual, and normative equivalence with the original instrument, the committee included five translators one adjudicator, two translation reviewers, one self-care specialist, and one experienced researcher in questionnaire design and pretesting. The steps were prepare, translate, pretest, revise, and document. The finalized MH-SCA-Japanese version MH-SCA-J was conducted on 73 Japanese outpatients with depression to address reliability and construct validity for the MH-SCA-J. Result The Cronbach s alpha for the MH-SCA-J was 0.93, supporting reliability by determining internal consistency. The total score of the MH-SCA-J was significantly correlated to the scores of CES-D, p 0.01, and to the scores of daily activities, p Therefore, concurrent validity was confirmed. Additionally, as a result of having compared a group of depressed people with a group of nondepressed people, the depressed people were clearly differentiated from the nondepressed people by this instrument. These mean scores of MH-SCA-J, for the depressed and for the nondepressed, were significantly different, t7.51 p 0.01, therefore, clinical validity was confirmed. Conclusion In conclusion, the MH-SCA-Japanese version was developed and its validity and reliability were confirmed. These results show that the MH-SCA-Japanese version can be used to measure the self-care agency of people with mental disability School of Nursing & Health, Aichi Prefectural University 2 Mie Prefectural College of Nursing 3 Japanese Red Cross Toyota College of Nursing kasuyak@nrs.aichi-pu.ac.jp
2 Mental Health-Related Self-Care Agency Scale MH-SCA Mental Health-Related Self-Care Agency Scale MH-SCA-JapaneseMH- SCA-J MH-SCA MH-SCA-J 73 MH-SCA-J Cronbach 0.93 MH-SCA-J p 0.01MH-SCA-J CES-D p 0.01 t 7.51 p 0.01 MH-SCA-J MH-SCA-J self-care agency Carter 1998 Mcbride J. Jpn. Acad. Nurs. Sci., Vol. 31, No. 4,
3 Cutler 2003 Perception of Self-Care Agency Questionnaire PSCAPSCA West & Isenberg 1997 Mental Health-Related Self-Care Agency Scale MH-SCA MH-SCA Mental Health-Related Self-Care Agency Scale MH-SCA-Japanese MH-SCA-J self-care agency West & Isenberg 1997 West & Isenberg 1997 MH- SCA affective functioning cognitive functioning patterns of activity perceptual functioning valuative processes content validity index 0.94 MH-SCA35 5 Likert Scale 5 1 Cronbach 0.90 West & Isenberg West & Isenberg Patricia West 2 http // Language Translation Guidelines
4 Mental Health-Related Self-Care Agency Scale MH-SCA MH-SCA-J MH-SCA-J MH-SCA-J MH-SCA-J MH-SCA-J MH-SCA-J 32 5 Likert Scale 5 1 the Center for Epidemiologic Studies Depression Scale CES-DRadloff 1977CES-D Likert Scale 16 MH-SCA-J CES-D CES-D Mini Mental State Examination MMSEFolstein et al MMSE 24 Cronbach Item Total J. Jpn. Acad. Nurs. Sci., Vol. 31, No. 4,
5 MH-SCA-J CES-D Pearson r CES-D 16 MH-SCA-J t 5 1 SPSS 16.0J for Windows % MH-SCA-J 3 CES-D 5 MMSE SD % % % % 34.1% 90.8SD % MH-SCA-J Cronbach 0.75 MH-SCA-J Chronbach 0.93 Item Total MH-SCA-J SD
6 Mental Health-Related Self-Care Agency Scale MH-SCA 5.21 SD p 0.01 MH-SCA-J CES-D SD p 0.01 MH-SCA-J CES-D 16 MH-SCA-J t t MH-SCA-J SD SD 17.24t 7.51 p % Cronbach p 0.01 J. Jpn. Acad. Nurs. Sci., Vol. 31, No. 4,
7 CES-D p 0.01 MH-SCA-J 32 Cronbach 0.93 Item Total valuative processes MH-SCA West & Isenberg 1997 valuative processes MH-SCA-J CES-D MH- SCA-J CES-D MH-SCA MH-SCA-J t MH-SCA West & Isenberg 1997 MH-SCA
8 Mental Health-Related Self-Care Agency Scale MH-SCA MH-SCA-J MH-SCA-J Carter 1998 Mcbride 1991 West & Isenberg West & Isenberg Cronbach 0.93 CES-D 22 MH-SCA-J Self-Care Agency Questionnaire SCAQ SCAQ MH-SCA-J MH-SCA-J MH-SCA-J MH-SCA-J Item Total J. Jpn. Acad. Nurs. Sci., Vol. 31, No. 4,
9 MH-SCA-J 2002 Mental Health-Related Self-Care Agency Scale MH-SCA-J MH-SCA-J MH-SCA-J 32 Carter, P. A. 1998Self-care agency the concept and how it is measured J. Nurs. Meas., 6 2, Cutlur, C. 2003Assessing patients perception of selfcare agency in psychiatric care Ment. Health Nurs Folstein, M. F., Folstein, S. E., McHugh, P. R Mini-Mental State. A practical method for grading the cognitive state of patients for the clinician J. Psychiat. Res., 12, http // shingi/2003/11/s1111-2c.html http //www. mhlw.go.jp/toukei/saikin/hw/kanja/08/index.html. Mcbride, S. H. 1991Comparative analysis of three instruments designed to measure self-care agency Nurs. Res., 40 1, Dr. P. R. Underwood 1985 Mini-Mental State E Radloff, L. S The CES-D scale a self-report depression scale for research in the general population, Appl. Psychol. Meas., 1,
10 Mental Health-Related Self-Care Agency Scale MH-SCA West, P., Isenberg, M. 1997Instrument development the Mental Health-Related Self-Care Agency Scale, Arch. Psychiatr. Nurs., 11 3, J. Jpn. Acad. Nurs. Sci., Vol. 31, No. 4,
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