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Volume 11, Issue 3 (Summer 2025)
JCCNC 2025, 11(3): 229-236 |
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Izadi-Avanji F S, Mohseni-Asl R, Gilasi H. Psychometric Properties of the Persian Version of the Social Health Scale for the Elderly. JCCNC 2025; 11 (3) :229-236
URL: http://jccnc.iums.ac.ir/article-1-705-en.html
URL: http://jccnc.iums.ac.ir/article-1-705-en.html
1- Department of Medical Surgical Nursing, Faculty of Nursing & Midwifery, Kashan University of Medical Sciences, Kashan, Iran. , fs.izadi@gmail.com
2- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
3- Department of Biostatistics & Epidemiology, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
2- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
3- Department of Biostatistics & Epidemiology, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
Abstract: (314 Views)
Background: Changes in physical, economic, and social conditions during old age are inevitable. These changes can reduce the social health of older adults. The Social Health Scale for the Elderly (SHSE) is a specific tool for evaluating social health in older adults. This study aimed to evaluate the psychometric properties of the Persian version of the scale in an Iranian population.
Methods: This methodological study investigated the psychometric properties of the Persian version of SHSE in Iranian older adults residing in Ardabil city. A total of 200 older adults (60 years and older) were selected using a multi-stage random sampling. Construct validity was assessed through confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) by conducting test-retest reliability over a two-week interval. Data were analyzed using SPSS version 16 and EQS 6.1 software.
Results: The SHSE has previously been translated into Persian based on the Wild et al model, and in this study, psychometric testing was conducted on the translated version. The impact score of all of the items in the face validity assessment was higher than 1.5. The content validity ratio (CVR) assessment confirmed the relevance of the scale's items without necessitating any changes in content or item count. The scale-content validity index (S-CVI) was 0.94. Following CFA, three items were removed, confirming a three-factor structure for the scale. Cronbach's alpha coefficient for the subscales of social support, social adjustment and perceived environment resources was α=0.92, α=0.77, and α=0.72, respectively. Additionally, the intra-class correlation coefficient was estimated at 0.79.
Conclusion: The Persian version of the SHSE with 22 items and 3 subscales is a valid and reliable tool for measuring the social health of older adults in Iranian society. The SHSE's three-factor structure aligns well with the multidimensional nature of social health. This validated tool can support healthcare providers, policymakers, and researchers in implementing strategies to enhance social health and overall well-being in older adults.
Methods: This methodological study investigated the psychometric properties of the Persian version of SHSE in Iranian older adults residing in Ardabil city. A total of 200 older adults (60 years and older) were selected using a multi-stage random sampling. Construct validity was assessed through confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) by conducting test-retest reliability over a two-week interval. Data were analyzed using SPSS version 16 and EQS 6.1 software.
Results: The SHSE has previously been translated into Persian based on the Wild et al model, and in this study, psychometric testing was conducted on the translated version. The impact score of all of the items in the face validity assessment was higher than 1.5. The content validity ratio (CVR) assessment confirmed the relevance of the scale's items without necessitating any changes in content or item count. The scale-content validity index (S-CVI) was 0.94. Following CFA, three items were removed, confirming a three-factor structure for the scale. Cronbach's alpha coefficient for the subscales of social support, social adjustment and perceived environment resources was α=0.92, α=0.77, and α=0.72, respectively. Additionally, the intra-class correlation coefficient was estimated at 0.79.
Conclusion: The Persian version of the SHSE with 22 items and 3 subscales is a valid and reliable tool for measuring the social health of older adults in Iranian society. The SHSE's three-factor structure aligns well with the multidimensional nature of social health. This validated tool can support healthcare providers, policymakers, and researchers in implementing strategies to enhance social health and overall well-being in older adults.
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● The SHSE supports healthcare interventions, allowing providers to assess social health and encourage active aging.
● Three items were removed from the scale through rigorous psychometric analysis to align with the Iranian context.
● High reliability (the Cronbach α of 0.92) and stability (intra-class correlation coefficient of 0.79) were achieved.
● The three dimensions of scale (social support, social adjustment, and perceived environmental resources) enable a comprehensive social health assessment for older adults.
● Three items were removed from the scale through rigorous psychometric analysis to align with the Iranian context.
● High reliability (the Cronbach α of 0.92) and stability (intra-class correlation coefficient of 0.79) were achieved.
● The three dimensions of scale (social support, social adjustment, and perceived environmental resources) enable a comprehensive social health assessment for older adults.
Plain Language Summary
This study validated a Persian version of the social health scale for the elderly (SHSE) to assess social health among Iranian older adults. The study confirmed the scale’s reliability and validity after removing three items to improve accuracy. The finalized 22-item SHSE effectively measures social support, social adjustment, and perceived environmental resources. The Persian version of SHSE is a reliable tool for evaluating social health in Iranian older adults.
Type of Study: Research |
Subject:
General
Received: 2024/11/4 | Accepted: 2025/02/2 | Published: 2025/08/1
Received: 2024/11/4 | Accepted: 2025/02/2 | Published: 2025/08/1
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