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Chronic illness adjustment scale (CIAS): Development and validation.

Meera Padhy, Meena Hariharan, Prachi Pandey

  • 1Centre for Health Psychology, School of Medical Science, University of Hyderabad, Hyderabad, India.

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|October 6, 2023
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Summary

This study developed and validated a new scale to measure adjustment to chronic illness. The validated Chronic Illness Adjustment Scale demonstrates good reliability and validity for assessing patient adjustment.

Keywords:
Chronic illnessconfirmatory factor analysisexploratory factor analysisillness adjustmentscale developmentvalidation

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Area of Science:

  • Psychology
  • Health Psychology
  • Psychometrics

Background:

  • Chronic illness presents significant challenges to individuals' well-being.
  • Effective measurement tools are crucial for understanding and supporting adjustment to chronic illness.

Purpose of the Study:

  • To develop a self-report instrument for measuring adjustment to chronic illness.
  • To evaluate the structural integrity and psychometric properties of this new scale.

Main Methods:

  • Instrument development involved item writing and content validation.
  • Exploratory and confirmatory factor analyses (EFA & CFA) were used to determine the scale's structure.
  • Reliability (Cronbach's alpha) and convergent validity were assessed with 1095 participants.

Main Results:

  • The developed scale demonstrated good internal consistency with a Cronbach's alpha of .70.
  • The scale showed satisfactory convergent validity, correlating positively with illness perception and well-being.

Conclusions:

  • The Chronic Illness Adjustment Scale is a reliable and valid instrument for measuring adjustment to chronic illness.
  • This scale can serve as a global indicator, guiding healthcare interventions for chronic illness patients.