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South African Journal of Occupational Therapy

On-line version ISSN 2310-3833
Print version ISSN 0038-2337

S. Afr. j. occup. ther. vol.42 n.3 Pretoria  2012




Measuring percieved social support in stroke survivors: Linguistic validation of the Multidimensional Scale of Percieved Social Support (MSPSS) in Hausa (Nigerian) language



Ashiru HamzaI; Nabilla Al-sadat Abdul MohseinII; Loh siew YimIII

IBSc Physio (Bayero University Nigeria), MMedPH (University of Malaya, Malysia), (University of Malaya, Malaysia). PhD student, Center for Population Health. Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
IIMBBS (University of Malaya, Malaysia), MPH (UM) (University of Malaya), MSc HelaTH Planning and Financing (London School of Economics, UK), PhD (Curtin University of Technology, Australia). Associate Professor, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia
IIIBSc (Hon) Applied rehab, University of Teeside, UK), MSc Medical Education, (University of Wales, UK), Master Counselling (University of Malaya, Malaysia), PhD (Curtain University of Technology Australia). Senior Lecturer, Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Malaysia





BACKGROUND AND AIMS: In stroke survivors, social support is believed to affect the quality of patient care and the disease outcome, as well as patients' physical and psychosocial well-being. Assessment is therefore essential for the development and evaluation of interventions designed to improve social support for those deprived of this resource. The aim of the linguistic validation of the Multidimensional Scale of Perceived Social Support (MSPSS) was to produce a translated version in Hausa language with "conceptual, semantic and operational equivalence" to the original U.S. English version for use in clinical practice and research in Nigeria.
METHODS: A multiprofessional committee that consisted of five experts carried out the translation process in accordance with the Mapi Research Institute format and guidelines for cultural adaptation of questionnaires. This included the steps of forward translations, synthesis, back translation, expert committee review, pre-testing (with 10 hemiplegic subjects) and finalisation.
RESULTS: During the translation processes of the MSPSS into Hausa, concerns were raised pertaining to some linguistic and semantic issues including the appropriateness of certain terms used. The literal translation of some of the items and expressions used was not viable in Hausa language; hence, researchers had to find culturally agreeable linguistic equivalents. Pilot testing revealed the MSPSS to be easily understandable, simple, clear and appropriate for the evaluation of social support among these stroke survivors.
CONCLUSION AND RECOMMENDATION: The processes involved in the translation served to ensure that the Hausa-MSPSS was measuring the same circumstances as the original scale, thereby enabling comparisons between different cultures. Nevertheless, further in-depth psychometric testing on a larger sample is proposed to be carried out among Hausa speakers.

Key words: Stroke, assessment, social support, linguistic validation



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1. Owolabi M. O. Determinants of health-related quality of life in Nigerian stroke survivors. Royal Society of Tropical Medicine and Hygiene, 2008; 102(12): 1219-25.         [ Links ]

2. Olubunmi A. O, velyn U. Serum Lipids in Patients with Stroke- A Cross-Sectional Case-Control Study. Journal of the National Medical Association, 2008; 100(9):986-90.         [ Links ]

3. Wahab K. W, et al. Awareness of warning signs among suburban Nigerians at high risk for stroke is poor: A cross-sectional study. BMC Neurology, 2008;8(18):1-5.         [ Links ]

4. Njoku C. H, Aduloju A. B. Stroke in Sokoto, Nigeria: a Five Year Retrospective Study. Annals of African Medicine. 2004; 3(2): 73 - 6.         [ Links ]

5. Sue-Min Lai, et al. Physical and Social Functioning After Stroke: Comparison of the Stroke Impact Scale and Short Form-36. Stroke, 2003;34:488-93.         [ Links ]

6. Maree L. Hackett, et al. Health-Related Quality of Life Among Long-Term Survivors of Stroke : Results From the Auckland Stroke Study, 1991-I992. Stroke, 2000;31:440-7.         [ Links ]

7. Katherine S, Norine F Robert T. Social support interventions and mood status post stroke: A review. International Journal of Nursing Studies, 2010;47:616-25.         [ Links ]

8. Lyncha T. R, Mendelsonb T, Robinsa C. J, Krishnana K R. R, George L. K, Johnson C. S, et al. Perceived social support among depressed elderly, middle-aged, and young-adult samples: cross-sectional and longitudinal analyses. Journal of Affective Disorders, 1999;55:159-70.         [ Links ]

9. Salter K, Foley N, Teasell R. Social support interventions and mood status post stroke: A review. International Journal of Nursing Studies, 2010;47:616-25.         [ Links ]

10. Tsouna-Hadjis E, Vemmos K. N, Zakopoulos N, Stamatelopoulos S. First-Stroke Recovery Process: The Role of Family Social Support. Arch Phys Med Rehabil, 2000;81:881-7.         [ Links ]

11. Brenda E, Hogana B. E, Lindena W, Najarianb B. Social support interventions Do they work? Clinical Psychology Review, 2002;22:381-440.         [ Links ]

12. Bruwer B, et al. Psychometric properties of the Multidimensional Scale of Perceived Social Support in youth. Comprehensive Psychiatry, 2008; 49:195-201.         [ Links ]

13. Kolella T. J. F King K. M. Peer support. An under-recognized resource in cardiac recovery. European Journal of Cardiovascular Nursing, 2004;3:211-7.         [ Links ]

14. Clarke P, et al. Well-Being After Stroke in Canadian Seniors Findings From the Canadian Study of Health and Aging. Stroke, 2002;33:1016-21.         [ Links ]

15. Cheng S-T, Chan A. C. M. The multidimensional scale of perceived social support: dimensionality and age and gender differences in adolescents. Personality and Individual Differences. 2004.         [ Links ]

16. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 1988;52:30-41.         [ Links ]

17. Canty-Mitchell J, Zimet G. D. Psychometric properties of the Multidimensional Scale of Perceived Social Support in Urban Adolescents. Am J Community Psychol, 2000;28:391-400.         [ Links ]

18. Acquadro C, Conway K, Girourdet C, Mear I. Linguistic validation manual for patient-reported outcomes (PRO) instruments. Lyon: MAPI Research Trust. 2004.         [ Links ]

19. Beaton D. E, Bombardier C, Guillemin F Ferraz M. B. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 2000;25(24):3186-91.         [ Links ]

20. Doyle P J. Measuring Health Outcomes in Stroke Survivors. Arch Phys Med Rehabil, 2002;83(2):S39-S43.         [ Links ]

21. Jennifer H. W, et al. Community-Dwelling Stroke Survivors: Function Is Not the Whole Story With Quality of Life. Arch Phys Med Rehabil, 2007; 88: 1140-6.         [ Links ]

22. Geyh S, et al. ICF Core Sets for Stroke. J Rehabil Med, 2004;Suppl. 44:135-41.         [ Links ]



Ashiru Hamza Mohammad

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