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Translation of the Medical Fear Survey to Serbian: psychometric properties
J Djokovic1, B Milovanovic1, J R Milovanovic1
1Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
Background:
Medical Fear Survey (MFS) is an instrument designed for measuring fear of medical and related treatments.
Objective:
Aim of the present study was MFS translation into Serbian, measurement of its psychometric properties and MFS validation using other Blood-injury-injections and related stimuli instruments that have been translated from English into Serbian.
Method:
After obtaining permission from the author of the original MFS, double forward translation from English to Serbian and backward translation to English were conducted in ten steps, according to International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines. Reliability, factorial analysis and concurrent validation of Serbian version of MFS were conducted on a sample of 485 medical or pharmacy students at University of Kragujevac, Serbia.
Results:
Serbian version of MFS showed high internal consistency with a Cronbach's alpha 0.968 and good temporal stability after testing-and-retesting (Spearman's correlation coefficient 0.838, and intraclass correlation coefficient 0.877). Factorial analysis confirmed the same five factors demonstrated in the original English version: fear of mutilated bodies (10 items), fear of blood (11 items), fear of injections and blood draws (9 items), fear of sharp objects (10 items), and fear of medical examinations and physical symptoms (10 items). The total score of MFS correlated significantly with the total scores of Injection Phobia Scale-Anxiety (Spearman's correlation coefficient 0.391, p <0.001), Blood/Injection Fear Scale (Spearman's correlation coefficient 0.502, p <0.001) and Medical Avoidance Survey (Spearman's correlation coefficient 0.396, p <0.001).
Conclusions:
Serbian version of the 50-item MFS showed similar psychometric properties as the original English version of this scale, with the same factorial structure. It could be used for measurement of fear of medical and related treatments in Serbian socio-cultural milieu, preferably self-administered. Hippokratia 2016, 20(1): 44-49.
Insights
The Serbian version of the Medical Fear Survey (MFS) demonstrates strong psychometric properties, mirroring the original English scale. This validated instrument is suitable for assessing medical fears in Serbian populations.
Area of Science:
- Psychology
- Medical Psychology
- Health Psychology
Background:
- The Medical Fear Survey (MFS) is a key instrument for quantifying fear related to medical treatments.
- Fear of medical procedures and related stimuli is a significant factor impacting healthcare engagement.
Purpose of the Study:
- To translate the Medical Fear Survey (MFS) into Serbian.
- To evaluate the psychometric properties and validate the Serbian version of the MFS.
- To assess its utility in the Serbian socio-cultural context.
Main Methods:
- The MFS underwent a rigorous translation process adhering to International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines.
- Psychometric evaluation involved reliability testing, factorial analysis, and concurrent validation.
- Data were collected from 485 medical and pharmacy students at the University of Kragujevac, Serbia.
Main Results:
- The Serbian MFS exhibited high internal consistency (Cronbach's alpha = 0.968) and excellent temporal stability (ICC = 0.877).
- Factorial analysis confirmed the original five-factor structure: fear of mutilated bodies, blood, injections/blood draws, sharp objects, and medical examinations/symptoms.
- Significant correlations were observed between the MFS total score and scores on related scales, including the Injection Phobia Scale-Anxiety and Blood/Injection Fear Scale.
Conclusions:
- The 50-item Serbian MFS possesses robust psychometric properties comparable to the original English version.
- The scale maintains the same factorial structure, confirming its validity.
- The Serbian MFS is a reliable tool for measuring fear of medical and related treatments in Serbia, suitable for self-administration.
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