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  1. Spirituality Moderates Hopelessness, and Suicidal Ideation among Iranian Depressed Adolescents
    Abdollahi A, Abu Talib M
    Death Stud, 2015;39(10):579-83.
    PMID: 25924082 DOI: 10.1080/07481187.2015.1013163
    To examine the moderating role of spirituality between hopelessness, spirituality, and suicidal ideation, 202 Iranian depressed adolescent inpatients completed measures of patient health, suicidal ideation, hopelessness, and core spiritual experience. Structural equation modelling indicated that depressed inpatients high in hopelessness, but also high in spirituality, had less suicidal ideation than others. These findings reinforce the importance of spirituality as a protective factor against hopelessness and suicidal ideation.
    Matched MeSH terms: Spirituality*
  2. Malaysian Moslem mothers' experience of depression and service use
    Abdul Kadir NB, Bifulco A
    Cult Med Psychiatry, 2010 Sep;34(3):443-67.
    PMID: 20549550 DOI: 10.1007/s11013-010-9183-x
    Standard psychiatric criteria for depression developed in the United States and United Kingdom are increasingly used worldwide to establish the prevalence of clinical disorders and to help develop services. However, these approaches are rarely sensitive to local and cultural expressions of symptoms or beliefs about treatment. Mismatch between diagnostic criteria and local understanding may result in underreporting of depression and underutilization of services. Little such research has been conducted in Malaysia, despite the acknowledged high rate of depression and low access to services. This study examines depression in Moslem Malay women living in Johor Bahru, Southern Peninsular Malaysia, to explore depression symptoms using the Structured Clinical Interview for DSM-IV. The 61 women interviewed were selected on the basis of high General Health Questionnaire scores from a large questionnaire survey of 1,002 mothers. The illustrative analysis looks at descriptions of depressed mood, self-depreciation and suicidal ideation, as well as attitudes toward service use. The women gave full and open descriptions of their emotional symptoms, easily recognizable by standard symptom categories, although somatic symptoms were commonly included, and the spiritual context to understanding depression was also prevalent. However, few women had knowledge about treatment or sought medical services, although some sought help from local spiritual healers. Attending to such views of depression can help develop services in Malaysia.
    Matched MeSH terms: Spirituality
  3. Caring behaviour of nurses in Malaysia is influenced by spiritual and emotional intelligence, psychological ownership and burnout
    Adamson E
    Evid Based Nurs, 2014 Oct;17(4):121.
    PMID: 24591548 DOI: 10.1136/eb-2013-101704
    Matched MeSH terms: Spirituality*
  4. Religion and spirituality in coping with advanced breast cancer: perspectives from Malaysian Muslim women
    Ahmad F, Muhammad Mb, Abdullah AA
    J Relig Health, 2011 Mar;50(1):36-45.
    PMID: 20924683 DOI: 10.1007/s10943-010-9401-4
    This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes--illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors' experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.
    Matched MeSH terms: Spirituality*
  5. Fulltext 'I can’t pray' - The spiritual needs of Malaysian Muslim patients suffering from depression
    Ahmad Nabil, M.R., Saini, S.M., Sharip, S., Nasrin, N., Bahari, R.
    International Medical Journal Malaysia, 2016;15(1):103-109.
    MyJurnal
    Introduction: The mainstay of treatment of depression relies on pharmacological and psychological treatments. On top of that, evidence also recognizes the vital role of spirituality for human wellness which leads to growing interest in its utilization to treat depression. However, research on spirituality among Muslims in relation to depression is relatively scarce. The aim of this study is to explore the understanding of spirituality among Muslim patients with depression, and to explore their spiritual needs.
    Methods: This is a qualitative study conducted on 10 depressed Muslim patients at the UKM Medical Centre. Purposive sampling was done to ensure diversity of subjects. Individual in-depth interviews were conducted using semi-structured questionnaire guidelines. The data were transcribed verbatim and analysed using a thematic approach.
    Result: Out of 10 patients, almost all of them expressed spiritual needs. Two major themes emerged in relation to the spiritual needs which are (i) religious needs; need for worship, religious knowledge and guidance, religious reminders, and (ii) existential needs; need for calmness, sensitivity and empathy, self-discipline, certainty, hope , physical help, ventilate and meaning of illness. These needs are essential for patients during the time of crisis.
    Conclusion: The majority of patients expressed spiritual needs which are required during the process of recovery and this provides an opportunity to incorporate spiritual approaches in the treatment of depression. However, more studies are needed to demonstrate its scientific basis and to design an effective psycho-spiritual treatment modality so that the ‘holistic’ or ‘biopsychosocial-spiritual’ treatment can be integrated by health care professionals to those in need.
    Study site: hospital database at the department of psychiatry (in-patient and outpatient), Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM), Kuala Lumpur, Malaysia
    Matched MeSH terms: Spirituality
  6. Fulltext Religion, Culture and Meaning-Making Coping: A Study Among Cancer Patients in Malaysia
    Ahmadi F, Mohamed Hussin NA, Mohammad MT
    J Relig Health, 2019 Dec;58(6):1909-1924.
    PMID: 29948793 DOI: 10.1007/s10943-018-0636-9
    The present study aimed to explore the use of meaning-making coping mechanisms (existential, spiritual and religious coping) among ethnic Malay cancer patients in Malaysia and to investigate the impact of culture on their choice of coping methods. Twenty-nine participants with various kinds of cancer were interviewed. Four kinds of coping resources emerged from analyses of the interview transcripts: (1) relying on transcendent power, (2) supernatural or mystical beliefs, (3) finding oneself in relationships with others and (4) nature. In this article, the two first resources are in focus. The present findings suggest that Malay culture, which is imbued with Islamic belief, strongly influences cancer patients' coping methods and ways of looking at their experience of being cancer patients.
    Matched MeSH terms: Spirituality
  7. Fulltext Relationship between Different Dimensions of Workplace Spirituality and Psychological Well-Being: Measuring Mediation Analysis through Conditional Process Modeling
    Ahmed RR, Soomro FA, Channar ZA, Hashem E AR, Soomro HA, Pahi MH, et al.
    Int J Environ Res Public Health, 2022 Sep 07;19(18).
    PMID: 36141514 DOI: 10.3390/ijerph191811244
    The present study aims to identify the relationship between workplace spirituality, compassion, relationship with others at work, spiritual orientation, organizational value and alignment of personal values, and psychological well-being among universities' teachers. Further, the mediating effect of job stress was also identified between workplace spirituality and psychological well-being. Similarly, the mediation of environmental mastery between organizational values and alignment of personal values and psychological well-being was examined. Finally, we examined the mediation of personal growth between spiritual orientation and psychological well-being. The data were collected through a structured and adapted five-point Likert scale using a purposive sampling technique, with a total sample of 873 male and female university teachers working in the private and government universities. We employed structural equation modeling to check the relationship among the considered variables for analysis purposes. The results show a strong positive relationship between the independent and dependent variables. The findings further demonstrated that the mediation analysis confirms that job stress mediates the relationship between workplace spirituality and psychological well-being, and environmental mastery mediates between organizational values and alignment of personal values and psychological well-being. Finally, personal growth mediates between spiritual orientation and psychological well-being. To maintain the excellent quality of education, educational institutes need to identify and imply the practice of workplace spirituality that will help to reduce job stress and improve the psychological well-being of universities' teachers, thus resulting in better educational output.
    Matched MeSH terms: Spirituality
  8. Maternity services and the role of the traditional birth attendant, bidan kampung, in rural Malaysia
    Ali A, Howden-Chapman P
    J Public Health Manag Pract, 2007 May-Jun;13(3):278-86.
    PMID: 17435495 DOI: 10.1097/01.PHH.0000267686.08282.3c
    This study was undertaken to explore the roles played by bidan kampungs and understand their contribution to rural Malay women during pregnancy and childbirth hundred sixteen pregnant women, 13 Western midwives, and 12 bidan kampungs were recruited using convenience and snowball sampling. Data were collected from focus groups, in-depth interviews, field notes, and observations. The findings indicated that although the women were happy to have Western maternity care, they valued the social and spiritual support received from bidan kampungs during pregnancy and postnatal care. Western care was considered useful for "modern" illnesses. The traditional maternity care that women received included pantang or ritual prohibitions that helped them through pregnancy and helped them achieve better postnatal recovery. The study indicates that there is a need to combine Western and traditional care for the benefit of the pregnant women and their infants' health.
    Matched MeSH terms: Spirituality
  9. Fulltext The spiritual care competence scale: a confirmatory study of the Malay language version
    Ali H Abusafia, Zakira Mamat Mohamed, Nur Syahmina Rasudin, Mujahid Bakar, Rohani Ismail
    Malaysian Journal of Medicine and Health Sciences, 2020;16(105):9-0.
    MyJurnal
    Introduction: Measuring the competence of nurses in spiritual care and their ability to provide spiritual care is im- portant and check the validity and reliability of the instrument is recommended in the literature. Thus, the aim of this study was to validate the translation of the spiritual care competence (SCC) scale to the Malay language version. Methods: Data were collected from staff nurses at the hospital Universiti Sains Malaysia. A total of 270 nurses par- ticipated in the study (female: 92.6%, male: 7.4%), with the mean age of 35 years (SD = 8.4). Spiritual care compe- tence was assessed with the 27-item SCC-M. Standard forward–backward translation was performed to translate the English version of the SCC into the Malay version (SCC-M). All the participants completed the SCC-M. Results: The initial measurement models tested (6-factor models) did not result in a good fit to the data. Subsequent investigation of the confirmatory factor analysis (CFA) results recommended some modifications, including adding correlations between the item residuals within the same latent variable. These modifications resulted in acceptable fit indices for the 6-factor model (RMSEA = .050, CFI = .900, TLI = .885, SRMR = .065). The final measurement models comprised all 27 SCC-M items, which had significant factor loadings of more than .40. The composite reliability was .696-.853 for 6-factors model. These results suggest that the subscales in 6-factor SCC-M model are unique, the factors do not overlap much, and each factor explains different variance than the other factors. Conclusions: The translated version of the SCC-M was valid and reliable for assessing the level of spiritual care competence among hospital nurses in Malaysia.
    Matched MeSH terms: Spirituality
  10. An Exploratory Study of Spirituality and Spiritual Care Among Malaysian Nurses
    Atarhim MA, Lee S, Copnell B
    J Relig Health, 2019 Feb;58(1):180-194.
    PMID: 29679189 DOI: 10.1007/s10943-018-0624-0
    The increasing evidence that spirituality is a critical component for promoting health and well-being has made spirituality more significant to nursing practice. However, although nurses' perceptions of spirituality have been studied in western countries, there has been little research on this topic in Southeast Asian countries where religions other than Christianity predominate. This study explores Malaysian nurses' perceptions of spirituality and spiritual care and examines associations between socio-demographics and their perceptions. The Malaysian Nurse Forum Facebook closed group was used for data collection with 208 completed the online survey. The participants considered that spirituality is a fundamental aspect of nursing. Nonetheless, half of the respondents were uncertain regarding the use of the spiritual dimension for individuals with no religious affiliation. Significant differences were found between educational levels in mean scores for spirituality and spiritual care. There was also a positive relationship between perception of spirituality and spiritual care among the respondents. Despite the positive perceptions of nurses of spirituality in nursing care, the vast majority of nurses felt that they required more education and training relating to spiritual aspects of care, delivered within the appropriate cultural context.
    Matched MeSH terms: Spirituality
  11. Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study
    Atefi N, Abdullah KL, Wong LP, Mazlom R
    Int Nurs Rev, 2014 Sep;61(3):352-60.
    PMID: 24902878 DOI: 10.1111/inr.12112
    AIM: The purpose of this qualitative descriptive study was to explore factors related to critical care and medical-surgical nurses' job satisfaction as well as dissatisfaction in Iran.
    BACKGROUND: Job satisfaction is an important factor in healthcare settings. Strong empirical evidence supports a causal relationship between job satisfaction, patient safety and quality of care.
    METHOD: A convenient sample of 85 nurses from surgical, medical and critical care wards of a large hospital was recruited. Ten focus group discussions using a semi-structured interview guide were conducted. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic approach.
    FINDINGS: The study identified three main themes that influenced nurses' job satisfaction and dissatisfaction: (1) spiritual feeling, (2) work environment factors, and (3) motivation. Helping and involvement in patient care contributed to the spiritual feeling reported to influence nurses' job satisfaction. For work environment factors, team cohesion, benefit and rewards, working conditions, lack of medical resources, unclear nurses' responsibilities, patient and doctor perceptions, poor leadership skills and discrimination at work played an important role in nurses' job dissatisfaction. For motivation factors, task requirement, professional development and lack of clinical autonomy contributed to nurses' job satisfaction.
    CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY: Nurse managers should ensure a flexible practice environment with adequate staffing and resources with opportunities for nurses to participate in hospital's policies and governance. Policy makers should consider nurses' professional development needs, and implement initiatives to improve nurses' rewards and other benefits as they influence job satisfaction.
    KEYWORDS: Environment; Iran; Motivation Factors; Qualitative
    Matched MeSH terms: Spirituality*
  12. Fulltext Indigenous maternity care-giving practice: implications for maternal, foetal and neonatal health in Northern Ghana
    Bassoumah, B., Adam, M.A.
    JUMMEC, 2018;21(1):32-38.
    MyJurnal
    The study aimed at government efforts in making maternal and child healthcare services more available to
    rural women, many of whom who still seek care from traditional practitioners during the postpartum period
    after childbirth. In this research, we explored the role of traditional practitioners, such as Traditional Birth
    Attendants (TBAs), herbalists and spiritualists, in traditional maternity care and the implications for the health
    of the expectant mother, foetus or baby. This qualitative inquiry used purposive sampling and snowballing to
    select the respondents in their various localities. It was observed that the traditional practitioners performed
    both spiritual and medical roles during pregnancy and childbirth.
    In the study, we discovered that both mothers and babies were exposed to health risks, as administration
    of the herbal medicines and assistance at deliveries were carried out under unhygienic conditions. The
    techniques used in labour management were not in compliance with the recommendations of the World
    Health Organisation. The stages of maternity were characterised with the application of herbal concoctions
    with spirituality attached.
    The study recommends re-examination of mediating socio-cultural factors to professional health care. There
    is a need for the Ghana Health Service to ensure the efficacy and safety of herbal drugs as well as to monitor
    the production and application of such medicines.
    Matched MeSH terms: Spirituality
  13. The experiences of suffering of palliative care patients in Malaysia: a thematic analysis
    Beng TS, Guan NC, Seang LK, Pathmawathi S, Ming MF, Jane LE, et al.
    Am J Hosp Palliat Care, 2014 Feb;31(1):45-56.
    PMID: 22956340 DOI: 10.1177/1049909112458721
    A qualitative study was conducted with semi-structured interviews to explore the experiences of suffering in 20 adult palliative care inpatients of University Malaya Medical Centre. The results were thematically analyzed. Ten basic themes were generated (1) loss and change → differential suffering, (2) care dependence → dependent suffering, (3) family stress → empathic suffering, (4) disease and dying → terminal suffering, (5) health care staff encounters → interactional suffering, (6) hospital environment → environmental suffering, (7) physical symptoms → sensory suffering, (8) emotional reactions → emotional suffering, (9) cognitive reactions → cognitive suffering, and (10) spiritual reactions → spiritual suffering. An existential-experiential model of suffering was conceptualized from the analysis. This model may inform the development of interventions in the prevention and management of suffering.
    Matched MeSH terms: Spirituality
  14. Fulltext The experiences of suffering of end-stage renal failure patients in Malaysia: a thematic analysis
    Beng TS, Yun LA, Yi LX, Yan LH, Peng NK, Kun LS, et al.
    Ann Palliat Med, 2019 Sep;8(4):401-410.
    PMID: 30943744 DOI: 10.21037/apm.2019.03.04
    BACKGROUND: The population of end-stage renal failure (ESRF) receiving dialysis treatment is increasing worldwide. For most patients with ESRF, dialysis can extend their life. However, treatment can be demanding and time-consuming. Despite dialysis treatment, many patients continue to experience various sufferings.

    METHODS: A qualitative study was conducted with semi-structured interviews to explore the experiences of suffering of ESRF patients on maintenance dialysis in Malaysia. The results were thematically analyzed.

    RESULTS: Nineteen ESRF patients were interviewed. The themes and subthemes were: (I) physical suffering-physical symptoms and functional limitations, (II) psychological suffering-the emotions and thoughts of suffering, (III) social suffering-healthcare-related suffering and burdening of others and (IV) spiritual suffering-the queries of suffering.

    CONCLUSIONS: These findings may help healthcare professionals to fill in the gaps in the delivery of best renal palliative care.

    Matched MeSH terms: Spirituality
  15. Fulltext A Bibliometric Analysis of the Journal of Religion and Health: Sixty Years of Publication (1961-2021)
    Carey LB, Kumar S, Goyal K, Ali F
    J Relig Health, 2023 Feb;62(1):8-38.
    PMID: 36622579 DOI: 10.1007/s10943-022-01704-4
    In 1961, the Journal of Religion and Health (JORH) commenced publishing articles that examined modern religious and spiritual philosophy in relation to psychology and health. The year 2021 marked the 60th anniversary of the founding of JORH. This research paper retrospectively analyses the journal's content. It provides insight into JORH's publication trends, citation records, prominent themes, authors' collaboration and its aggregate contribution to the field of religion and health. Over time, the number of publications, citations and downloads of JORH articles have substantially increased, as has the journals prominence and diverse contributions to the study of religion, spirituality and health.
    Matched MeSH terms: Spirituality*
  16. The impact of COVID-19 on palliative care for people with Parkinson's and response to future pandemics
    Chaudhuri KR, Rukavina K, McConvey V, Antonini A, Lorenzl S, Bhidayasiri R, et al.
    Expert Rev Neurother, 2021 06;21(6):615-623.
    PMID: 33905283 DOI: 10.1080/14737175.2021.1923480
    Introduction: Although in some countries, palliative care (PC) still remains poorly implemented, its importance throughout the course of Parkinson's disease (PD) is increasingly being acknowledged. With an emergence of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic, growing emphasis has been placed on the palliative needs of people with Parkinson's (PwP), particularly elderly, frail, and with comorbidities.Areas covered: The ongoing COVID-19 pandemic poses an enormous challenge on aspects of daily living in PwP and might interact negatively with a range of motor and non-motor symptoms (NMS), both directly and indirectly - as a consequence of pandemic-related social and health care restrictions. Here, the authors outline some of the motor and NMS relevant to PC, and propose a pragmatic and rapidly deployable, consensus-based PC approach for PwP during the ongoing COVID-19 pandemic, potentially relevant also for future pandemics.Expert opinion: The ongoing COVID-19 pandemic poses a considerable impact on PwP and their caregivers, ranging from mental health issues to worsening of physical symptoms - both in the short- and long-term, (Long-COVID) and calls for specific, personalized PC strategies relevant in a lockdown setting globally. Validated assessment tools should be applied remotely to flag up particular motor or NMS that require special attention, both in short- and long-term.
    Matched MeSH terms: Spirituality
  17. Fulltext Five pillars of Islam in relation to physical health, spiritual health and nursing implications
    Cho, Cho Zaw @ Raheema, Myat Min @ Mohd Omar
    International Medical Journal Malaysia, 2018;17(101):105-108.
    MyJurnal
    This study aimed to examine five pillars of Islam and their relationship with physical and spiritual health. The five pillars of Islam are the foundation of Muslim life, considered mandatory by believers, and Muslims are required to observe them with utmost dedication. They are summarized as Shahadah, Salah, Zakat Saum, and Hajj. he first pillar of Islam, declaration of faith (Shahadah) includes the most important concept, which is the complete submission to the will of Allah (SWT) by obeying and believing in Him. Spirituality in general is defined as “religious belief or the spiritual quality of something”, “a search for the sacred”, “personal growth, or an encounter with one's own inner dimension”. The World Health Organization (WHO) mentions spiritual health as one of four dimensions to well-being; physical, mental, social, and spiritual”. Moreover, holistic nursing practice includes treating people as a whole and attending to a client’s physiological, psychological, and spiritual needs. Thus, this study intends to further explore the unitary aspect of Islam that infuse each of the pillars, and their effects on physical, spiritual well-being and nursing implications associated with it. Five pillars of Islam are discussed from the Quran, Alhadith, and Sunnah (the sayings and traditions of the Prophet) as baselines, and further additions from the knowledge of the Islamic scholars. And it is noted that our practices based on the five pillars of Islam have not only positive effects on physical but also spiritual health. This paper pointed out that while performing obligatory duties as stipulated by Islam, one could achieve spiritual enhancement as well as physical strength and well being.
    Matched MeSH terms: Spirituality
  18. Spiritual Coping Among Families of Children With Cancer: A Qualitative Study
    Chong ASS, Ahmad MB, Alias H, Iqbal Hussain RB, Lateh AB, Chan CMH
    Asia Pac J Public Health, 2023 Sep;35(6-7):408-412.
    PMID: 37515530 DOI: 10.1177/10105395231190830
    The impact of a childhood cancer diagnosis precipitates caregiver's engagement in spiritual coping. This study aimed to explore spirituality among Malaysian Muslim caregivers of children with acute lymphoblastic leukemia. A total of 13 eligible caregivers participated in this qualitative semi-structured interview via purposive sampling. Each interview was audio recorded, transcribed verbatim, and analyzed using NVivo 12 via thematic analysis. Three main themes revolved around hope through the act of praying and recitation (du'ā' and dhikr), acceptance of God's will (redha), and faith toward God as the Provider of sustenance (rezeki). The findings of this study contribute to a holistic supportive care system in pediatric oncology as it informs health care providers the role of spirituality in mitigating the emotional impact of a cancer diagnosis and promoting psychological adaptation. As a multicultural country, future studies may explore spirituality in other cultures and religion in the country.
    Matched MeSH terms: Spirituality
  19. Fulltext "We are the soul, pearl and beauty of Hindu Kush Mountains": exploring resilience and psychological wellbeing of Kalasha, an ethnic and religious minority group in Pakistan
    Choudhry FR, Park MS, Golden K, Bokharey IZ
    Int J Qual Stud Health Well-being, 2017 Dec;12(1):1267344.
    PMID: 28452608 DOI: 10.1080/17482631.2016.1267344
    The Kalasha are a marginalized ethnic and religious minority group in northern Pakistan. The Kalasha minority is known for their divergent polytheistic beliefs, and represents the outliers of the collectively monotheistic Muslim population of Pakistan. This study aimed to explore the psychological resilience beliefs and lived experiences of the Kalasha and to identify cultural protective factors and indigenous beliefs that help them maintain psychological wellbeing and resilience. Seven semi-structured interviews and two focus-group discussions were conducted. The total sample consisted of 6 women and 8 men, aged 20-58 years (Mage = 36.29, SD = 12.58). The Interpretative Phenomenological Analysis qualitative method was chosen. Study findings identified that factors contributing to the wellbeing, happiness and resilience enhancement beliefs of Kalasha included five main themes, all influenced by their unique spirituality: contentment, pride in social identity, tolerance, gender collaboration and gratitude. The study also revealed the Kalasha's perception of their marginalization related to challenges and threats. The Kalasha emphasized bringing these resilience enhancement beliefs into practice, as a mean to buffer against challenges. In conclusion, this study revealed Kalasha's wellbeing and resilience enhancement factors, which they believed in and practiced as an element of their indigenous culture and religion.
    Matched MeSH terms: Spirituality
  20. Fulltext Impact of rating scale categories on reliability and fit statistics of the Malay Spiritual Well-Being Scale using rasch analysis
    Daher AM, Ahmad SH, Winn T, Selamat MI
    Malays J Med Sci, 2015 May-Jun;22(3):48-55.
    PMID: 26715896 MyJurnal
    BACKGROUND: Few studies have employed the item response theory in examining reliability. We conducted this study to examine the effect of Rating Scale Categories (RSCs) on the reliability and fit statistics of the Malay Spiritual Well-Being Scale, employing the Rasch model.
    METHODS: The Malay Spiritual Well-Being Scale (SWBS) with the original six; three and four newly structured RSCs was distributed randomly among three different samples of 50 participants each.
    RESULTS: The mean age of respondents in the three samples ranged between 36 and 39 years old. The majority was female in all samples, and Islam was the most prevalent religion among the respondents. The predominating race was Malay, followed by Chinese and Indian. The original six RSCs indicated better targeting of 0.99 and smallest model error of 0.24. The Infit Mnsq (mean square) and Zstd (Z standard) of the six RSCs were "1.1"and "-0.1"respectively. The six RSCs achieved the highest person and item reliabilities of 0.86 and 0.85 respectively. These reliabilities yielded the highest person (2.46) and item (2.38) separation indices compared to other the RSCs.
    CONCLUSION: The person and item reliability and, to a lesser extent, the fit statistics, were better with the six RSCs compared to the four and three RSCs.
    KEYWORDS: analysis; rating scale; reliability; spirituality
    Matched MeSH terms: Spirituality
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