TURKISH VALIDITY AND RELIABILITY OF THE POUND SATISFACTION SCALE IN STROKE PATIENTS UNDERGOING REHABILITATION

Abstract

Purpose: This study aimed to evaluate the Turkish validity and reliability of the Pound Satisfaction Scale (PSS). Methods: For the adaptation of the PSS to Turkish (PSS-Tr), the translation and back-translation process was carried out by following the international guidelines. Confirmatory factor analysis (CFA) was performed to measure structural validity. The relationship between PSS-Tr and the Patient Satisfaction Scale in Physiotherapy (PSSP) and the SF-36 was assessed for construct validity. Convergent validity was evaluated computing by the Average Variance Extracted (AVE). Cronbach's alpha coefficient and Composite reliability (CR) for internal consistency of the PSS-Tr and Bland-Altman plot and test-retest reliability analysis for temporal consistency were used. Results: The study included 130 stroke patients. The fit index values of the CFA showed that the structural validity of the PSS-Tr was appropriate (chi 2/ sd=1.779, RMSEA=0.075, GFI=0.911, AGFI=0.853, CFI=0.955, NFI=0.905). A high correlation was found between the PSS-Tr total score and the PSSP (p=0.001, r=0.672). A moderate correlation was found between the hospital satisfaction sub-dimension of PSS-Tr, and the sub-dimensions of SF-36 (p=0.001, r=0.484-0.609), while a low correlation was found between the home satisfaction sub-dimension of the PSS-Tr and the physical functioning (p=0.002, r=0.266) and physical role (p=0.035, r=0.180) sub-dimensions of SF-36. And also the PSS-Tr was found to have good internal (Cronbach alpha= 0.895, CR=0.94) and temporal consistency (ICC = 0.976). Conclusion: The Turkish version of the Pound Satisfaction Scale (PSS-Tr) is reliable and valid. The PSS-Tr may be useful for clinicians and researchers in assessing satisfaction with rehabilitation in stroke patients.