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Related Experiment Video

Updated: Jun 12, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Morning Stiffness Assessment Scale for Patients With Rheumatoid Arthritis: Turkish Adaptation and Validity and

Gülcan Bahçecioğlu Turan1, Ercan Bakır2, Zülfinaz Özer3

  • 1Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.

Nursing Open
|June 11, 2026
PubMed
Summary

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The Turkish Morning Stiffness Assessment Scale (MSAS) for rheumatoid arthritis patients is valid and reliable. This ten-item, two-dimensional scale offers a practical tool for nurses to assess and manage morning stiffness in clinical practice.

Area of Science:

  • Rheumatology
  • Health Sciences
  • Clinical Assessment Tools

Background:

  • Morning stiffness is a significant symptom in rheumatoid arthritis (RA).
  • Accurate assessment of morning stiffness is crucial for effective RA management.
  • Existing assessment tools may require cultural adaptation for diverse patient populations.

Purpose of the Study:

  • To translate and culturally adapt the Morning Stiffness Assessment Scale (MSAS) for RA patients into Turkish.
  • To evaluate the validity and reliability of the Turkish version of the MSAS.
  • To provide a standardized tool for assessing morning stiffness in Turkish RA patients.

Main Methods:

  • Methodological study design involving 150 RA patients.
  • Data collection using a 'Patient Information Form' and the MSAS.
Keywords:
morning stiffnessnursingpatientrheumatoid arthritis

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  • Statistical analyses including KMO, Bartlett's Test, factor analysis, and Cronbach's alpha for validity and reliability.

    • Main Results:

    • Confirmatory factor analysis indicated acceptable model fit (e.g., CFI=0.96, RMSEA=0.063).
    • High internal consistency was demonstrated with an overall Cronbach's alpha of 0.792.
    • The Turkish MSAS proved valid and reliable without necessitating modifications to the original scale.

    Conclusions:

    • The Turkish version of the MSAS is a valid and reliable instrument for assessing morning stiffness in RA patients.
    • The scale is culturally consistent and suitable for use in Turkey.
    • The MSAS serves as a practical, standardized tool for nurses in clinical practice to monitor RA symptoms and support patient management.