CFA of Malay CHAOS-6 in Myocardial Infarction Survivors in Malaysia
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Confirmatory Factor Analysis of the Malay Version of the Confusion, Hubbub and Order Scale (CHAOS-6) among Myocardial Infarction Survivors in a Malaysian Cardiac Healthcare Facility
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Kurubaran Ganasegeran, Kamaraj Selvaraj, Abdul Rashid
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Confirmatory Factor Analysis of the Malay Version of the Confusion, Hubbub and Order Scale (CHAOS-6) among Myocardial Infarction Survivors in a Malaysian Cardiac Healthcare Facility
Year: 2017 | Doi: 10.21315/mjms2017.24.4.5
Copyright (license): CC BY 4.0
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Summary of article contents:
Introduction
This study focuses on the reliability and goodness of fit of a new Malay version of the Confusion, Hubbub and Order Scale (CHAOS-6), a tool originally developed to measure household chaos. The adaptation of the CHAOS-6 was particularly aimed at a specific population—myocardial infarction survivors in Malaysia—who often face various psychosocial stressors that can affect their overall health and adherence to treatment plans. The research involved forward-backward translation of the scale, followed by administration to 105 patients in a cardiac health facility, with a strong emphasis on validating the instrument’s psychometric properties.
The Importance of Household Chaos
Household chaos, as measured by the CHAOS-6 scale, reflects the disorder and unpredictability in an individual’s living environment, which can significantly impact health behaviors and access to medical care. The study validated a one-factor model for the CHAOS-6, revealing that higher scores correspond to a more chaotic lifestyle characterized by disorganization and instability. With a reported composite reliability score of 0.65, the Malay version of CHAOS-6 demonstrated acceptable internal consistency, confirming its utility in evaluating chaos among Malay-speaking populations. This validated tool opens the door for further exploration of how environmental chaos affects clinical outcomes and treatment adherence among vulnerable groups.
Conclusion
In summary, the Malay version of the CHAOS-6 scale has shown to be a valid and reliable instrument for assessing chaotic lifestyles among myocardial infarction survivors. Its successful adaptation not only adds to the understanding of environmental factors influencing health but also creates opportunities for healthcare professionals to develop interventions aimed at reducing chaos, potentially improving adherence to treatment plans. This study highlights the significance of acknowledging and addressing household disorder as a modifiable factor in health care, particularly within Malaysian populations facing the repercussions of chronic illnesses.
FAQ section (important questions/answers):
What is the purpose of the CHAOS-6 scale?
The CHAOS-6 scale measures levels of household disorder and chaos in individuals' lives, which can affect their health, particularly in populations such as myocardial infarction survivors.
How was the Malay version of CHAOS-6 developed?
The CHAOS-6 was translated into Malay through a forward-backward translation process, ensuring linguistic and cultural relevance before being pilot-tested and validated among myocardial infarction survivors.
What were the key findings of the study on CHAOS-6?
The study found that the Malay version of CHAOS-6 is a reliable tool for measuring chaos, providing excellent fit statistics and a composite reliability of 0.65 for the sample studied.
Why is CHAOS-6 important for the Malaysian population?
Understanding and measuring chaos in lives of Malaysian individuals can inform interventions for better health outcomes, especially in managing cardiovascular conditions by addressing associated chaos and disorder.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “CFA of Malay CHAOS-6 in Myocardial Infarction Survivors in Malaysia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
A table is a systematic arrangement of data in rows and columns, often used to present information clearly and concisely. In research papers, tables are essential for summarizing findings, allowing readers to quickly review data without parsing through complex text. They enhance understanding and make comparison easier across different variables or groups.
2) Study (Studying):
A study refers to an investigation or detailed examination of a particular subject, question, or phenomenon. In the context of research, it encompasses the methodology, findings, and implications of research efforts aimed at answering specific scientific questions or testing hypotheses, contributing to the body of knowledge in a field.
3) Life:
Life encompasses the existence of living organisms, characterized by growth, reproduction, functionality, and adaptation. In psychological and sociological studies, aspects of life such as chaos, routines, and social interactions are frequently explored to understand how these elements impact individual well-being and health outcomes, particularly in chronic illness contexts.
4) Reliability:
Reliability refers to the consistency and dependability of a measurement or assessment tool. In psychological testing, it indicates the degree to which an instrument produces stable and consistent results across multiple administrations. High reliability is crucial for ensuring that the findings from research are trustworthy and can be utilized effectively in practice.
5) Quality:
Quality denotes the standard or degree of excellence of something. In research contexts, it often relates to the integrity, validity, and usefulness of data collected or interventions used. Assessing quality is vital for ensuring that conclusions drawn from studies are sound, applicable, and beneficial for advancing knowledge and practice.
6) Saya (Shaya):
Saya is the Malay word for 'I' or 'me.' It denotes first-person singular pronouns in Malay-speaking regions, emphasizing personal identity and perspective. In survey instruments or assessments, using appropriate language, including pronouns like 'saya,' is paramount for cultural relevance and clarity, ensuring respondents fully understand questions and statements.
7) Composite:
Composite refers to something made from various parts or elements. In statistics and psychometrics, a composite score may aggregate multiple measures to form a single score that captures broader constructs. It enables researchers to derive a more nuanced understanding of complex phenomena, enhancing interpretability and providing richer insights into studied variables.
8) Measurement:
Measurement is the systematic process of quantifying attributes, properties, or phenomena. In research, accurate measurement is foundational for data collection, allowing researchers to assess and evaluate variables reliably. The choice of measurement tools influences data quality and the validity of conclusions, essential for maintaining integrity in scientific inquiry.
9) Education:
Education encompasses the process of facilitating learning and the acquisition of knowledge, skills, values, and attitudes. In research, educational interventions and outcomes are frequently examined to understand their impact on individual and societal development. Quality education is critical for fostering informed citizens capable of making productive contributions to society.
10) Rules:
Rules are explicit regulations or guidelines governing behavior and actions within a particular context. In research studies, rules are essential for ensuring ethical standards, participant protection, and methodological rigor. Establishing clear rules facilitates the consistency and replicability of research practices, crucial for advancing scientific understanding and application.
11) Noise:
Noise refers to any unwanted or disruptive sound that can interfere with communication or understanding. In psychology and health research, noise can also imply stressors in the environment that impact mental well-being. Evaluating noise levels helps researchers investigate their effects on health outcomes, especially in vulnerable populations.
12) Language:
Language is a system of communication used by a particular community or country, consisting of sounds, symbols, and rules. In research, the choice of language impacts participant engagement, comprehension, and response accuracy. Culturally appropriate language use in assessments ensures inclusivity and enhances the validity of findings.
13) Relative:
Relative indicates a relationship between entities or concepts where one is compared to another. In research settings, the term often pertains to measurements or effects that fluctuate depending on context or comparison groups. Understanding relative measures allows researchers to ascertain nuances in data, leading to more comprehensive analyses.
14) Disease:
Disease refers to a pathological condition of a bodily part, an infection, or any disorder of normal bodily function. In health studies, research often aims to understand disease etiology, progression, and interventions. Recognizing various diseases’ complexities is vital for developing comprehensive treatment strategies and improving patient outcomes.
15) Sage:
Sage commonly refers to a wise person or a figure respected for their profound insight and knowledge. In the context of research, 'sage' may allude to the importance of wisdom and scholarly understanding in interpreting findings. Knowledge from experienced scholars can guide research practices and ensure ethical considerations.
16) Science (Scientific):
Science is the systematic study of the structure and behavior of the physical and natural world through observation and experimentation. It emphasizes empirical evidence and critical analysis, allowing for advancements in technology, medicine, and understanding of complex phenomena, fundamentally shaping progress in society and enhancing human well-being.
17) Nature:
Nature encompasses the physical world and its phenomena, including flora, fauna, ecosystems, and natural processes. It can also refer to intrinsic qualities or characteristics. In health research, understanding the interaction between humans and nature is vital for assessing impacts on mental and physical well-being, particularly under urbanization pressures.
18) Dari:
Dari is a Malay word meaning 'from.' It indicates origin or source in discussions or descriptions. In research contexts, using such terminology clarifies the source of data, materials, or influences in a study, ensuring that readers understand the relevant context and background influencing findings and interpretations.
19) Sah:
Shah is a title of royalty or leadership associated with rulers in various cultures, particularly in Persian and Islamic traditions. Its relevance in research may pertain to studies focusing on historical leadership, cultural influences, or societal structures, providing perspectives on governance and its effects on populations within those realms.
20) Road:
In a literal sense, a road is a pathway for vehicles or pedestrians. In metaphorical or research contexts, roads symbolize the journey toward understanding or discovery. They can represent the pathways explored in research, highlighting various trajectories leading to conclusions or findings impacting health or socio-economic status.
21) Perception:
Perception is the process through which individuals interpret and make sense of sensory information. In psychological research, understanding perception is crucial for evaluating how experiences shape beliefs, attitudes, and behaviors. Perception influences how people understand chaos, organization, and coping strategies, directly impacting mental health and lifestyle outcomes.
22) Discussion:
Discussion in research refers to the section where authors interpret and contextualize their findings. It's vital for explaining implications, acknowledging limitations, and proposing future research directions. Engaging in discussions enhances the depth of analysis, facilitating scholarly dialogue that contributes to theoretical and practical advancements in the field.
23) Developing:
Developing signifies the process of growth, progress, or improvement. In research, it often refers to the formulation of theories, methodologies, or interventions. Emphasizing developing capacities in education, health, or technology ensures that systems adapt and evolve, effectively addressing contemporary challenges and improving overall human experience.
24) Activity:
Activity refers to actions or tasks performed by individuals or groups. In research, analyzing activity types and patterns can reveal insights into behavior, health, and social engagement. Understanding physical and social activities informs interventions aimed at promoting well-being, particularly in periods of illness or recovery.
25) Anda (Amda):
Anda is the Malay word for 'you.' It is a second-person pronoun used to address others respectfully. In questionnaires or surveys targeted at Malay speakers, using 'anda' ensures that respondents feel engaged and acknowledged, promoting accurate and comprehensive responses that enhance the study's validity.
26) Kami:
Kami is the Malay word for 'we' or 'us.' It indicates a collective identity or group perspective. In research, employing 'kami' in discussions or participant instructions fosters inclusiveness and engagement, emphasizing the collaborative nature of research endeavors and helping to build rapport and trust with participants.
27) Shuka (Suka):
Suka is a Malay word for 'like' or 'enjoy.' Understanding preferences and positive experiences is crucial in psychological and social research, as these factors can influence behavior, health choices, and motivation. Accurately gauging such sentiments enhances the depth of qualitative assessments, leading to more nuanced insights.
28) Pada:
Pada is the Malay preposition for 'at' or 'on.' It denotes time or place in various constructs. In research writing, using 'pada' effectively clarifies context and relationships, ensuring that findings, conditions, or actions are framed appropriately, which is essential for fostering clear communication and understanding.
29) Gaya (Gayà):
Gaya is the Malay word for 'style' or 'manner.' In social sciences, recognizing different styles of living, communication, or behavior influences the interpretation of human interactions and preferences. Understanding 'gaya' in different contexts helps researchers analyze cultural influences and social dynamics reflecting people's lifestyles.
30) Shila (Sila):
Sila means 'please' in Malay, functioning as a polite request or imperative. In research questionnaires or surveys, using polite language ensures that participants feel respected and acknowledged, which can enhance response rates and the quality of data collected, ultimately supporting the study's validity and reliability.
31) Sama (Shama):
Sama translates to 'same' or 'equal' in Malay. In comparative research, it is essential to highlight similarities or equalities between groups or conditions. Recognizing similarities in responses or behaviors can help identify patterns and inform understanding of psychological constructs, promoting a more inclusive perspective in analysis.
32) Line:
Line, in various contexts, can refer to a boundary, a division, or a straight mark. In research, lines may symbolize delineations in thought, demarcating categories or themes within qualitative analyses. Understanding these lines fosters clarity in interpreting participant responses, helping researchers make meaningful connections in their studies.
33) Post:
Post serves multiple meanings, often referring to a position, job, or publication of information through various media. In research, 'post' could indicate after-action reviews, awareness campaigns following findings, or publications disseminating study results. Recognizing how 'post' functions enhances the dissemination and application of research insights.
34) Pur:
Poor indicates a state of deficiency or substandard condition, often regarding health, wealth, or quality. In research contexts, identifying poor health outcomes or quality of life issues is essential for addressing social and health disparities. Understanding these conditions informs interventions aimed at improving overall well-being and enhancing resource allocation.
Other Health Sciences Concepts:
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