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Children's perioperative multidimensional anxiety scale: Turkish cross-cultural adaptation
Sevim Çelik1, Aylin Kurt1, Sibel Altıntaş1
1Department of Nursing, Bartın University Faculty of Health Sciences, Bartın, Turkey.
Insights
The Turkish version of the Children's Perioperative Multidimensional Anxiety Scale (CPMAS) demonstrates high validity and reliability for assessing surgery-related anxiety in pediatric patients. This validated scale is recommended for use by healthcare professionals in Turkey.
Area of Science:
- Pediatric Psychology
- Surgical Nursing
- Health Measurement Validation
Background:
- Increasing rates of pediatric surgeries necessitate effective tools for evaluating patient anxiety.
- Perioperative anxiety in children can lead to complications, underscoring the importance of accurate assessment.
- Existing anxiety scales may require cultural adaptation for diverse populations.
Purpose of the Study:
- To cross-culturally adapt the Children's Perioperative Multidimensional Anxiety Scale (CPMAS) into Turkish.
- To test the validity and reliability of the Turkish version of the CPMAS.
- To provide a culturally relevant tool for assessing pediatric surgical anxiety in Turkey.
Main Methods:
- A methodological study involving 50 children aged 7-10 years undergoing surgery.
- Administration of the self-reported CPMAS and Children's Anxiety Meter-State (CAM-S) pre-surgery, on surgery day, and 1 month post-surgery.
- Evaluation of internal consistency, test-retest reliability, parallel forms reliability, content validity, and construct validity of the CPMAS.
Main Results:
- The Turkish CPMAS exhibited high internal consistency (Cronbach's alpha: 0.858-0.916).
- Item-total correlations ranged from 0.58 to 0.83, indicating strong item relevance.
- The scale demonstrated good construct validity, explaining 65% of the variance, and significant correlations with CAM-S (0.474-0.599).
Conclusions:
- The Turkish version of the CPMAS possesses high validity and reliability.
- The scale is suitable for assessing surgery-related anxiety in Turkish pediatric populations.
- Healthcare professionals in Turkey can confidently utilize the CPMAS for perioperative anxiety assessment in children.
Rationale:
The number of pediatric surgeries is constantly increasing. Evaluating anxiety levels in pediatric surgical patients is highly important in terms of preventing complications.
Aims And Objectives:
The purpose of this study is to cross-culturally adapt to the Turkish version, and to test the validity and reliability of Children's Perioperative Multidimensional Anxiety Scale (CPMAS).
Method:
This methodological study was carried out with 50 children aged 7-10 years who underwent surgery at Bartın Obstetrics and Pediatrics Hospital between September 2021 and May 2022. The self-reported CPMAS and Children's Anxiety Meter-State (CAM-S) were administered before the surgery, on the day of the surgery, and 1 month after the surgery to collect data. The internal consistency, test-retest reliability, parallel forms reliability, content validity, and construct validity of CPMAS were tested.
Results:
Children's Perioperative Multidimensional Anxiety Scale showed a high level of internal consistency (Cronbach's alpha = 0.858, 0.916, 0.864). The item-total correlation values of CPMAS were found to be 0.58-0.71 before the surgery, 0.77-0.83 on the day of the surgery, and 0.60-0.80 1 month after the surgery. CPMAS was found to be a single-factor scale explaining 65% of the variance in the examined variable. The correlations between CPMAS and CAM-S (parallel forms) were found to be 0.474 before the surgery, 0.528 on the day of the surgery, and 0.599 1 month after the surgery.
Conclusion:
The CPMAS, which was developed by Chow et al. in English, had high validity and reliability levels for Turkey. It is recommended that the scale be used by healthcare professionals in Turkey in the assessment of surgery-related anxiety in children.
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