Cultural adaptation and validation of the Malay Chronic Kidney Disease Self-management instrument (MCKD-SM)

BMC Nephrology

Research

Aneesa Abdul Rashid¹  Boon-How Chew²  Ayat Ali Al Sawad³  Soo Kun Lim⁴  Li Yoong Tang⁵ 

[1] Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Selangor, Malaysia;Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Selangor, Malaysia;Clinical Research Unit, Hospital Pengajar Universiti Putra Malaysia (HPUPM Teaching Hospital), Serdang, Malaysia;Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Selangor, Malaysia;Department of Nursing, King Fahd Hospital of the University (KFHU), Imam Abdulrahman Bin Faisal University (IAU), Dammam, Saudi Arabia;Department of Medicine (Nephrology), Faculty of Medicine, Universiti Malaya (UM), Kuala Lumpur, Malaysia;Department of Nursing Science, Faculty of Medicine, Universiti Malaya (UM), Kuala Lumpur, Malaysia;

关键词: Chronic kidney disease;    Chronic kidney disease self-management;    Malay translation;    Nursing care;    Pre-dialysis;    Self-management;   

DOI  :  10.1186/s12882-022-03016-x

 received in 2021-08-15, accepted in 2022-11-24,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThere is growing evidence that self‐management behaviour can improve outcomes for patients with chronic kidney disease (CKD). However, no measures are available in Malay to effectively assess the self-management of CKD. The aim of this study was to translate, culturally adapt and validate the Malay Chronic Kidney Disease Self-Management (MCKD-SM) instrument for Malay-speaking health professionals and patients.MethodsThis study was carried out in two phases: the translation and cultural adaptation phase and the validation phase. The instrument was translated from English to Malay and then adapted and validated in a sample of 337 patients with CKD stages 3–4 attending a nephrology clinic in a tertiary hospital in Malaysia. Structural validity was evaluated by exploratory factor analysis. The instrument’s reliability was assessed by internal consistency and test–retest reliability. The correlations between the MCKD-SM and kidney disease knowledge and the MCKD-SM and self-efficacy were hypothesised a priori and investigated.ResultsThe MCKD-SM instrument has 29 items grouped into three factors: ‘Understanding and Managing My CKD’, ‘Seeking Support’ and ‘Adherence to Recommended Regimen’. The three factors accounted for 56.3% of the total variance. Each factor showed acceptable internal reliability, with Cronbach’s α from 0.885 to 0.960. The two-week intra-rater test–retest reliability intraclass correlation coefficient values for all items ranged between 0.938 and 1.000. The MCKD-SM scores significantly correlated with kidney disease knowledge (r = 0.366, p < 0.01) and self-efficacy (r = 0.212, p < 0.01).ConclusionThe MCKD-SM was found to be a valid and reliable patient‐reported outcome measure of pre-dialysis CKD self-management behaviour in the Malay-speaking population.

【 授权许可】

CC BY   
© The Author(s) 2022

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