Translation and psychometric evaluation of chronic illness anticipated stigma scale (CIASS) among patients in Ethiopia.

Journal: PloS one

Volume: 17

Issue: 1

Year of Publication: 2022

Affiliated Institutions:  School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Public Health and Caring Sciences, Uppsala University and Department of Women's and Children's Health, Karolinska Institute, Solna, Sweden. Department of Women's and Children's Health, Karolinska Institute, Solna, Sweden. School of Education, Health and Social Studies, Dalarna University and Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institute, Solna, Sweden. School of Nursing and Midwifery, College of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia. College of Medicine and Health Sciences, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Stigma is common among patients with chronic illnesses. It affects the delivery of healthcare for not addressing the psychological components and may interfere with the patient's attendance to necessary health care services. Therefore, a valid and reliable instrument to measure anticipated stigma related to chronic illness is vital to inform possible interventions. This study aimed to translate the Chronic Illness Anticipated Stigma Scale (CIASS) into the Amharic language and evaluate its psychometric properties in Ethiopia.The CIASS was translated into Amharic language using standard procedures. The Amharic version was completed by 173 patients (response rate 96%) with chronic illness from three referral hospitals in the Amhara region. Internal consistency was examined through Cronbach's alpha. Construct validity was evaluated by confirmatory factor analysis and convergent validity by using a Pearson correlation of P-value less than or equal to 0.05.The internal consistency was estimated at Cronbach alpha of 0.92. By using a structural equation model, and modification indices a model fitness testing was run and shows a root mean squared error of approximation 0.049 (90% CI, 0.012-0.075). The structural validity results in 78.8% of confirmatory factor analysis showed from the extraction of the three-dimension (components). Validity tests for convergent by using Pearson correlation positively correlated with common mental distress and negatively correlated with quality of life-BREF, and the construct validity shows a good valid tool to CIASS.The Amharic language version of the chronic illness anticipated stigma scale shows a satisfactory level of reliability and validity on different psychometric measures of assessment. The tool may be useful for future researchers and patients with chronic illness in the Amharic-speaking population. Moreover, it will be used to see the psychological burden related to chronic illness and for comparison among international population groups.

Authors & Co-authors:  Salih Mohammed Hassen MH Wettergren Lena L Lindgren Helena H Erlandsson Kerstin K Mekonen Hussen H Derseh Lemma L

Study Outcome 

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Statistics
Citations :  Goffman E. Stigma Notes on the Management of Spoiled Identity Simon and Schuster. N Y. 1963;3.
Authors :  6
Identifiers
Doi : e0262744
SSN : 1932-6203
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
United States