Psychometric properties of the Taiwanese version of the Illness Concept Scale: relation of health beliefs to psychopathology and medication compliance

Purpose This paper describes the development of a Taiwanese version of the Illness Concept Scale (ICS) and assesses the psychometric properties of this instrument. The ICS is one of the few tools available to measure a global level of illness concepts or health beliefs and has been widely used in a...

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Veröffentlicht in:Social Psychiatry and Psychiatric Epidemiology 2012-04, Vol.47 (4), p.597-606
Hauptverfasser: Kao, Yu-Chen, Liu, Yia-Ping, Chou, Ming-Kuen, Cheng, Tsung-Hsing
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Chou, Ming-Kuen
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description Purpose This paper describes the development of a Taiwanese version of the Illness Concept Scale (ICS) and assesses the psychometric properties of this instrument. The ICS is one of the few tools available to measure a global level of illness concepts or health beliefs and has been widely used in a range of clinical and research settings. The ICS has already been translated into several languages, but there is no validated Taiwanese version. Methods The English version of the ICS was translated into Taiwanese (ICS-T) and applied in this study. A total of 192 participants with and without psychoses completed the ICS-T and additional evaluations to assess psychopathology and medication compliance. Psychometric properties (factor structures and various types of reliability and validity) were assessed for this translated questionnaire. Results Overall, the ICS-T showed good reliability and stability over time. Its scale is comprised of a seven-factor solution, as in the original ICS. Following the validation of the internal structure of this scale, we obtained the total ICS-T score, representing the measurement of an individual’s illness concepts by subtracting the scores of the guilt, idiosyncratic assumption, and negative expectation subscales from those of the trust in medication, trust in physician, susceptibility, and chance control subscales. In comparison analyses, the differences in mean total scores between individuals with and without psychoses were not significant. No significant association was found between the ICS and psychopathology. However, both the total and six out of seven subscales of the ICS-T showed a significant connection with compliance. Conclusions In light of these findings, we believe that the ICS-T is a valid and reliable instrument for the assessment of illness concepts in research and clinical settings.
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The ICS is one of the few tools available to measure a global level of illness concepts or health beliefs and has been widely used in a range of clinical and research settings. The ICS has already been translated into several languages, but there is no validated Taiwanese version. Methods The English version of the ICS was translated into Taiwanese (ICS-T) and applied in this study. A total of 192 participants with and without psychoses completed the ICS-T and additional evaluations to assess psychopathology and medication compliance. Psychometric properties (factor structures and various types of reliability and validity) were assessed for this translated questionnaire. Results Overall, the ICS-T showed good reliability and stability over time. Its scale is comprised of a seven-factor solution, as in the original ICS. Following the validation of the internal structure of this scale, we obtained the total ICS-T score, representing the measurement of an individual’s illness concepts by subtracting the scores of the guilt, idiosyncratic assumption, and negative expectation subscales from those of the trust in medication, trust in physician, susceptibility, and chance control subscales. In comparison analyses, the differences in mean total scores between individuals with and without psychoses were not significant. No significant association was found between the ICS and psychopathology. However, both the total and six out of seven subscales of the ICS-T showed a significant connection with compliance. Conclusions In light of these findings, we believe that the ICS-T is a valid and reliable instrument for the assessment of illness concepts in research and clinical settings.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-011-0363-y</identifier><identifier>PMID: 21373925</identifier><identifier>CODEN: SPPEEM</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Analysis ; Armed forces ; Biological and medical sciences ; Compliance ; Costs ; Epidemiology ; Factor Analysis, Statistical ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Language ; Male ; Medical research ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Mental disorders ; Mental health ; Middle Aged ; Original Paper ; Patient Compliance ; Patients ; Psychiatric Status Rating Scales ; Psychiatry ; Psychological aspects ; Psychology, Pathological ; Psychology. 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The ICS is one of the few tools available to measure a global level of illness concepts or health beliefs and has been widely used in a range of clinical and research settings. The ICS has already been translated into several languages, but there is no validated Taiwanese version. Methods The English version of the ICS was translated into Taiwanese (ICS-T) and applied in this study. A total of 192 participants with and without psychoses completed the ICS-T and additional evaluations to assess psychopathology and medication compliance. Psychometric properties (factor structures and various types of reliability and validity) were assessed for this translated questionnaire. Results Overall, the ICS-T showed good reliability and stability over time. Its scale is comprised of a seven-factor solution, as in the original ICS. Following the validation of the internal structure of this scale, we obtained the total ICS-T score, representing the measurement of an individual’s illness concepts by subtracting the scores of the guilt, idiosyncratic assumption, and negative expectation subscales from those of the trust in medication, trust in physician, susceptibility, and chance control subscales. In comparison analyses, the differences in mean total scores between individuals with and without psychoses were not significant. No significant association was found between the ICS and psychopathology. However, both the total and six out of seven subscales of the ICS-T showed a significant connection with compliance. Conclusions In light of these findings, we believe that the ICS-T is a valid and reliable instrument for the assessment of illness concepts in research and clinical settings.</description><subject>Adult</subject><subject>Analysis</subject><subject>Armed forces</subject><subject>Biological and medical sciences</subject><subject>Compliance</subject><subject>Costs</subject><subject>Epidemiology</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Language</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Medicine, Experimental</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Patient Compliance</subject><subject>Patients</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Psychology, Pathological</subject><subject>Psychology. 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Psychoanalysis. Psychiatry</topic><topic>Psychometrics - standards</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Quantitative psychology</topic><topic>Reproducibility of Results</topic><topic>Schizophrenia</topic><topic>Schizophrenia - diagnosis</topic><topic>Sickness Impact Profile</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kao, Yu-Chen</creatorcontrib><creatorcontrib>Liu, Yia-Ping</creatorcontrib><creatorcontrib>Chou, Ming-Kuen</creatorcontrib><creatorcontrib>Cheng, Tsung-Hsing</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kao, Yu-Chen</au><au>Liu, Yia-Ping</au><au>Chou, Ming-Kuen</au><au>Cheng, Tsung-Hsing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric properties of the Taiwanese version of the Illness Concept Scale: relation of health beliefs to psychopathology and medication compliance</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>47</volume><issue>4</issue><spage>597</spage><epage>606</epage><pages>597-606</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><coden>SPPEEM</coden><abstract>Purpose This paper describes the development of a Taiwanese version of the Illness Concept Scale (ICS) and assesses the psychometric properties of this instrument. The ICS is one of the few tools available to measure a global level of illness concepts or health beliefs and has been widely used in a range of clinical and research settings. The ICS has already been translated into several languages, but there is no validated Taiwanese version. Methods The English version of the ICS was translated into Taiwanese (ICS-T) and applied in this study. A total of 192 participants with and without psychoses completed the ICS-T and additional evaluations to assess psychopathology and medication compliance. Psychometric properties (factor structures and various types of reliability and validity) were assessed for this translated questionnaire. Results Overall, the ICS-T showed good reliability and stability over time. Its scale is comprised of a seven-factor solution, as in the original ICS. Following the validation of the internal structure of this scale, we obtained the total ICS-T score, representing the measurement of an individual’s illness concepts by subtracting the scores of the guilt, idiosyncratic assumption, and negative expectation subscales from those of the trust in medication, trust in physician, susceptibility, and chance control subscales. In comparison analyses, the differences in mean total scores between individuals with and without psychoses were not significant. No significant association was found between the ICS and psychopathology. However, both the total and six out of seven subscales of the ICS-T showed a significant connection with compliance. Conclusions In light of these findings, we believe that the ICS-T is a valid and reliable instrument for the assessment of illness concepts in research and clinical settings.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21373925</pmid><doi>10.1007/s00127-011-0363-y</doi><tpages>10</tpages></addata></record>
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subjects Adult
Analysis
Armed forces
Biological and medical sciences
Compliance
Costs
Epidemiology
Factor Analysis, Statistical
Female
Health Knowledge, Attitudes, Practice
Humans
Language
Male
Medical research
Medical sciences
Medicine
Medicine & Public Health
Medicine, Experimental
Mental disorders
Mental health
Middle Aged
Original Paper
Patient Compliance
Patients
Psychiatric Status Rating Scales
Psychiatry
Psychological aspects
Psychology, Pathological
Psychology. Psychoanalysis. Psychiatry
Psychometrics - standards
Psychometrics. Diagnostic aid systems
Psychopathology
Psychopathology. Psychiatry
Psychotic Disorders - diagnosis
Psychotic Disorders - psychology
Quantitative psychology
Reproducibility of Results
Schizophrenia
Schizophrenia - diagnosis
Sickness Impact Profile
Surveys and Questionnaires
Taiwan
Techniques and methods
title Psychometric properties of the Taiwanese version of the Illness Concept Scale: relation of health beliefs to psychopathology and medication compliance
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