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Assessment of health‐related family role functioning in systemic lupus erythematosus: Preliminary validation of a new measure
Author(s) -
Hassett Afton L.,
Li Tracy,
Radvanski Diane C.,
Savage Shantal V.,
Buyske Steven,
Schiff Samuel A.,
Katz Patricia P.
Publication year - 2012
Publication title -
arthritis care and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.032
H-Index - 163
eISSN - 2151-4658
pISSN - 2151-464X
DOI - 10.1002/acr.21676
Subject(s) - cronbach's alpha , reliability (semiconductor) , test (biology) , medicine , clinical psychology , raw score , affect (linguistics) , quality of life (healthcare) , psychology , internal consistency , psychometrics , raw data , paleontology , power (physics) , statistics , physics , mathematics , communication , nursing , quantum mechanics , biology
Objective Individuals with systemic lupus erythematosus (SLE) often experience symptoms that affect family relationships, which are important components of quality of life. To assess the impact of SLE on family role functioning, we developed a 6‐domain (Fatigue, Activity participation, Mental health, Isolation, Love and intimacy, and You/fulfilling family roles [FAMILY]) measure. The objectives of this study were to pilot test and achieve preliminary validation for the SLE‐FAMILY questionnaire. Methods This was a 3‐phase study. In phase 1 (development), domains were identified and items were generated for evaluation. During phase 2 (pilot test), a pilot test was conducted to assess the performance of candidate items. In phase 3 (initial validation), 52 individuals with SLE completed questionnaires, including the 6‐item SLE‐FAMILY. Data were analyzed for internal consistency reliability, and validity was assessed using correlations between the SLE‐FAMILY questionnaire and well‐validated measures. Results The SLE‐FAMILY had good test–retest reliability (0.82) and internal consistency (0.67). Reliability analysis of individual items revealed weakness in the performance of item 5. We reviewed raw data and determined that 9 individuals likely overlooked the reverse scoring of item 5, thus explaining its poor reliability. When these 9 individuals were excluded from analysis, Cronbach's alpha increased to 0.71, while test–retest reliability remained acceptable (0.75). Spearman's rho correlations supported the validity of the SLE‐FAMILY measure. A pilot test of the SLE‐FAMILY questionnaire without the reverse‐scored item was conducted; results suggested that the modified version is superior to the initial form. Conclusion The SLE‐FAMILY questionnaire is a promising new instrument for robust measurement of family role functioning.