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The Arabic Control Attitudes Scale-Revised: Method Effect (Negatively Worded Items) and Measurement Invariance as Threats to Its Construct Validity Are Remedied in a 5-Item Version With Improved Performance

2026-01-28Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorAli, Amira Mohammed
dc.contributor.authorAl-Dossary, Saeed A.
dc.contributor.authorAlharrasi, Maryam
dc.contributor.authorLaranjeira, Carlos
dc.contributor.authorAyed, Ahmad
dc.contributor.authorEl-Gazar, Heba Emad
dc.contributor.authorZoromba, Mohamed Ali
dc.contributor.authorAtalla, Amal Diab Ghanem
dc.contributor.authorAlamer, Rasmieh
dc.contributor.authorAl-Abri, Khalood
dc.contributor.authorSubih, Maha
dc.contributor.authorPakai, Annamaria
dc.date.accessioned2026-04-20T15:59:16Z
dc.date.available2026-04-20T15:59:16Z
dc.date.issued2026-01-28
dc.description
dc.description.abstractBackground: The Control Attitudes Scale-Revised (CAS-R) is widely used to explore cardiac patients’ beliefs about their ability to manage illness. The CAS-R’s construct validity may be questionable in different cultural contexts. Conclusions/applications based on inaccurate construct validity can be misleading and incorrect. Objective: In this study, we aimed to evaluate the psychometric properties of the Arabic version of the CAS-R. Methods: Within a cross-sectional design involving 180 Omani patients with heart failure (mean age = 70.3 ± 9.8 years, 51.7% females), exploratory/confirmatory factor analysis (CFA) and multigroup CFA were used to evaluate the construct validity and measurement invariance of the CAS-R across gender and marital groups. Results: In exploratory factor analysis, 2 factors with eigenvalues >1 explained 37.9% of the variance. Despite the poor fit of the unidimensional CAS-R, CFA revealed an excellent fit of a 2-factor structure. Negative (5 and 8) and cross-loading items (1) contributed to scale variance at the configural level. Eliminating negative items and item 6 improved model fit, reliability (Cronbach’s α = 0.66 vs. 0.56), and invariance at all levels. In support of its convergent and criterion validity, the CAS-R 5 correlated with the CAS-R and depression (r = 0.953, −0.268; P values <.01). Conclusions: Negative items comprised a minor weak factor (helplessness) that was not stable across groups. Eliminating items 5, 6, and 8 resulted in a clean invariant short form (CAS-R 5) with superior properties that may implicate nursing decisions and interventions concerning perceived control.eng
dc.description.sponsorship
dc.identifier.citationAli, Amira Mohammed PhD, MSN, RN; Al-Dossary, Saeed A. PhD, MSN; Alharrasi, Maryam PhD, MSN, RN; Laranjeira, Carlos PhD, MSN; Ayed, Ahmad PhD, MSN, RN; El-Gazar, Heba Emad PhD, MSN, RN; Zoromba, Mohamed Ali PhD, MSN, RN; Atalla, Amal Diab Ghanem PhD, MSN, RN; Alamer, Rasmieh PhD, MSN, RN; Al-Abri, Khalood PhD, MSN, RN; Subih, Maha PhD, MSN, RN; Pakai, Annamaria PhD, MSN, RN. The Arabic Control Attitudes Scale-Revised: Method Effect (Negatively Worded Items) and Measurement Invariance as Threats to Its Construct Validity Are Remedied in a 5-Item Version With Improved Performance. Journal of Cardiovascular Nursing ():10.1097/JCN.0000000000001294, January 28, 2026. | DOI: 10.1097/JCN.0000000000001294
dc.identifier.doi10.1097/jcn.0000000000001294
dc.identifier.eissn1550-5049
dc.identifier.issn0889-4655
dc.identifier.urihttp://hdl.handle.net/10400.8/16160
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWolters Kluwer
dc.relation.hasversionhttps://journals.lww.com/jcnjournal/fulltext/9900/the_arabic_control_attitudes_scale_revised__method.365.aspx
dc.relation.ispartofJournal of Cardiovascular Nursing
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectArabic Control Attitudes Scale-Revised
dc.subjectArabic Patient Health Questionnaire-2
dc.subjectHeart failure
dc.subjectKnown-group validity
dc.subjectMeasurement invariance
dc.titleThe Arabic Control Attitudes Scale-Revised: Method Effect (Negatively Worded Items) and Measurement Invariance as Threats to Its Construct Validity Are Remedied in a 5-Item Version With Improved Performanceeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Cardiovascular Nursing
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLaranjeira
person.givenNameCarlos
person.identifier.orcid0000-0003-1080-9535
person.identifier.scopus-author-id22957802900
relation.isAuthorOfPublication7c2157d8-cac9-4004-9438-e92fec260842
relation.isAuthorOfPublication.latestForDiscovery7c2157d8-cac9-4004-9438-e92fec260842

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