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This study aimed to validate the Worker Well-Being Questionnaire, originally developed by the US National Institute for Occupational Safety and Health, in the Malay language. The translation process involved an initial independent translation by a professional translator, followed by a comparison of translations to synthesize a unified version, which was subsequently back-translated. The back-translations were then reviewed by an expert committee to create a finalized questionnaire version. The results of this validation study indicate a high level of satisfaction, demonstrating an excellent fit with confirmatory factor analysis (CFI and TLI values ranging from 0.96 to 0.99) and a low root mean square error of approximation (RMSEA values ranging from 0.03 to 0.07). Moreover, the questionnaire exhibits sound internal consistency, with Cronbach’s alpha values exceeding 0.7, and the factor structures align with theoretical expectations. In conclusion, the Malay version of the questionnaire faithfully reproduces the original instrument, enabling a robust and efficient assessment of workers’ well.

The 44-item Big Five Personality Inventory (BFI-44) helps in simplify a wide range of complex personality features, including how personality affects breastfeeding. The aim of this study was to examine the reliability of the Malay version of the BFI-44. A cross-sectional study was conducted using the convenience sampling of female respondents. A total of 96 female public university students participated in this study. Cronbach's alpha, intraclass correlation coefficient, limit of agreement, and standard error of measurement (SEM) were used in determining the reliability of the questionnaire. Cronbach's alpha value for Extraversion subscale obtained the highest internal consistency (0.723) and the lowest internal consistency was obtained in the subscale of Openness to Experience (0.543). The intraclass correlation coefficient (ICC) value for all dimensions exceeded 0.70 (ICC= 0.792- 0.883). The Bland-Altman plots showed high reliability in all dimensions except Neuroticism. For SEM, Extraversion scored the lowest (0.773) while Neuroticism scored the highest (1.199). Overall, the BFI-44 in Malay version had moderate to good internal consistency and high test-retest reliability. These findings may give positive implications for the implementation of the questionnaire in future evaluation of Malaysians' personality traits. [ABSTRACT FROM AUTHOR]

Introduction The Decisional Balance Inventory is a tool used to measure propensity to maintain or change a habit which takes into consideration the perceived advantages and disadvantages. This study aimed to establish the validity and reliability of a Malay language version of the DBI for assessing inclination for change in smoking behavior among secondary school-going adolescents in Malaysia. Methods We administered the MDBI to 669 secondary school students selected through multistage sampling. The sample consisted of 60.1% male (n=398) and 39.9% (n=264) female students, more than two-thirds (69.9%, n=463) of which were from rural areas. The majority of the respondents were aged 13–14 years [13 years, 36.4% (n=241), 14 years, 40.0% (n=265), 16 years, 23.6% (n=156)]. The construct validity of the MDBI was assessed using explanatory (EFA) and confirmatory factor analysis (CFA), and the reliability of the MDBI via Cronbach’s alpha. Results EFA and parallel analysis extracted three factors in the MDBI that accounted for 65.4% of the observed variance, and this was supported by CFA. Internal consistency of the three factors ranged from 0.734 to 0.867, indicating acceptable reliability. Conclusions The MDBI has good psychometric properties and is suitable for measuring smoking intention among Malaysian secondary school-going adolescents. However, it should continue to be tested to expand its usefulness and applicability among adolescents in other sociodemographic settings.

Abstract Background Olfaction plays an enormous role in every aspect of life including health, emotions, social life, and safety. This is why olfactory dysfunction will leave a great impact on a person’s life. During the recent pandemic hit of coronavirus 2019 (COVID-19), much importance was given to olfaction and its sequelae post-COVID-19. There is various questionnaire being used for determining olfactory disorders worldwide. In Malaysia, Malay language is widely conversed among the local population hence an assessment tool for an olfactory specific quality of life is necessary. Method This is a cross-sectional study performed in the Otorhinolaryngology clinic in a tertiary hospital. The short Questionnaire of Olfactory Disorders-Negative Statements (sQOD-NS) is a validated questionnaire that is a simple and easy tool to assess the impact of olfactory dysfunction in daily life. The original version of the short Questionnaire of Olfactory Disorders-Negative Statements (sQOD-NS) questionnaire was translated into the Malay language. A forward-backwards translation, validity, and reliability study was done on this questionnaire. A Malay version of sQOD-NS was responded to by a total of 70 participants including 35 patients of normosia and 35 patients with smell dysfunction and repeated after 2 weeks via phone call response. The discriminant validity, internal consistency, and test re-test reliability were assessed. Results The pilot study revealed that participants who were normosmic had a higher mean score than smell dysfunction. A Student t test shows mean 20.5 ± 1.22 in normosmic group and 6.06 ± 2.41 in hyposmic group which are significant with p value of < 0.01. The coefficient of correlation (r) between test and retest scores was 0.77 (P < 0.001). Conclusion The Malay translation of sQOD-NS is a validated questionnaire that can be used both in clinical practice and in academics.

Abstract Background The Quality of Life Impact Refractive Correction (QIRC) questionnaire is a Rasch-validated instrument to assess the quality of life of ametropes with refractive correction. The original QIRC was validated in the United Kingdom. This study aimed to validate the Malay version of the QIRC among refractive correction wearers in Malaysia using Rasch analysis. Methods The original 20-item QIRC was forward-backward translated into Malay in preparation for the Pilot Malay QIRC. The pilot version was pre-tested on 105 spectacle/contact lens-corrected myopes, and the results were reviewed and cross-culturally adapted to produce the Final Malay QIRC. The final version was self-administered to a new sample of 304 participants. A Rasch analysis was conducted to evaluate the items and response categories of the Pilot and the Final Malay QIRC. Test-retest reliability was also analysed on the Final Malay QIRC. Results Based on the pre-test findings, Rasch analysis revealed a multidimensional scale (functional scale [Items 1 to 13] and emotional scale [Items 14 to 20], which were separated in subsequent analysis), unordered response categories for the functional scale (Category 3 was collapsed into Category 2), one misfit item (Item 3 was removed) and six items required modification (Items 4, 6 to 9, and 12 were reworded and cross-culturally adapted). In the Final Malay QIRC, both the functional and emotional scales had ordered response categories, good person reliability (functional, 0.80; emotional, 0.81) and separation index (functional, 2.01; emotional, 2.06), well-targeted items (targeting precision: functional, 0.28 logits; emotional, 0.08 logits), and satisfactory fit statistics (infit and outfit mean square were less than 1.50 for all items). A noticeable differential item functioning (DIF) between genders was found in Item 18 (DIF contrast, 0.40 logits; p = 0.04). Test-retest reliability analysis demonstrated a high intraclass correlation coefficient (0.94) and Cronbach’s alpha (0.97) with a coefficient of repeatability of ±8.14 units. Conclusions The Malay-translated version of the QIRC has good psychometric characteristics for assessing the quality of life of refractive correction wearers in Malaysia. This translated and cross-culturally adapted Malay QIRC is a valid and reliable instrument that can be used in routine clinical practice.

Introduction: Workplace bullying is a serious public health issue that may be associated stress-related health problems. These problems contribute to negative consequences such as mental stress, absenteeism, and quitting. It is thus key to evaluate or monitor workplace bullying through questionnaires, especially in a native language. Objective: The aim of this study was to determine the validity and reliability of the Malay version of the Negative Acts Questionnaire-Revised and the Workplace Violence in the Health Sector Country questionnaire among nurses in a Malaysian public hospital. Methods: Ten experts reviewed two sets of questionnaires; the Malay version of the Negative Acts Questionnaire-Revised and the Malay version of Workplace Violence in the Health Sector Country questionnaire, in this study. The cross-sectional pilot study of 40 nurses was carried out in the medical and surgical wards of a public hospital in Selangor from 1st to 7th April 2020. In addition, the content validation index and internal consistency were assessed. Results: Content validation index of the Malay version of the Negative Acts Questionnaire-Revised and the Workplace Violence in the Health Sector Country questionnaire were 0.977 and 0.979, respectively. The Cronbach alpha for the Malay version of the Negative Acts Questionnaire-Revised was 0.951. Conclusion: High values of content validation index were established in both questionnaires and internal consistency was excellent for the Malay version of the Negative Acts Questionnaire-Revised. [ABSTRACT FROM AUTHOR]

Introduction: Type 2 diabetes mellitus is a chronic disease which is highly prevalent in Malaysia. In managing diabetes, the American Diabetes Association (ADA) and the International Diabetes Federation (IDF) have advocated self-management to be the basic component of diabetes care. However, an ongoing discussion, education and assessment of the patient's diabetic knowledge should be implemented in the patient's empowerment process. There are various assessment tools available worldwide but very few are available in the Malay language. This study is aimed to perform the Malay translation of the Simplified Diabetes Knowledge Test (DKT) questionnaire and validate it. Methods: Forward-backward translation procedure was used to translate the simplified version of the DKT questionnaire. A total of 120 respondents with type 2 diabetes mellitus from a selected government health clinic were recruited to answer the questionnaire which consists of socio-demographic, diabetes characteristics and the 20-item Malay version of simplified DKT questionnaire. Reliability and construct validity were tested with Cronbach's alpha coefficient and Exploratory Factor Analysis. Results: Factor analysis with Varimax rotation identified five meaningful domains for the final 18 items. The Cronbach's alpha for the overall scale of the translated questionnaire was 0.573 with values of each five significant domain's Cronbach's alpha ranged from 0.370 to 0.564. Conclusion: The Malay version of simplified DKT is valid and reliable to be used as a brief assessment of knowledge among Malaysian diabetic patients. [ABSTRACT FROM AUTHOR]

Introduction: Restricted and repetitive behaviours (RRB) are actions or interests demonstrated in the form of repetitive motor movement that interferes with one's daily performance. Repetitive Behavior Scale-Revised (RBS-R) is a self-report questionnaire designed to assess the variety and severity of RRB in people with Autism Spectrum Disorder (ASD) comprehensively. The purpose of the current study was to investigate the validity and reliability of the Malay version of RBS-R questionnaire. Methods: The cross-cultural adaptation of the RBS-R was performed following established guidelines. The questionnaire was assessed its content and face validity before it was administered to 34 parents or caregivers of children with ASD to determine the internal consistency reliability. Content validity index, face validity index and Cronbach's alpha were calculated. Results: The Malay version of RBS-R showed the scale-level content validity with an average index (S-CVI/Ave) of 0.97 and a universal agreement index (S-CVI/UA) of 0.84. Meanwhile, scale-level face validity with an average index (S-FVI/Ave) of 0.97 and a universal agreement index (S-FVI/UA) of 0.90 were derived, indicating that the Malay version of RBS-R questionnaire was relevant, clear and comprehensible. All subdomains showed the Cronbach's alpha coefficient of over 0.7, ranging from 0.758 to 0.914 indicating it was a reliable tool. Conclusion: This study showed good level of content validity index, face validity index and internal consistency reliability of the questionnaire. These study findings indicated the practicality of the Malay version of RBS-R to assess RRB in children with ASD. Further research on construct validity is recommended. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study is to translate the Lower Extremity Functional Scale (LEFS) into the Malay language and to validate the resulting version. Methods: A two-stage observational study was conducted. The LEFS was initially cross-culturally adapted to Malay language through double forward and backward translation. The finalized version of Malay LEFS (M-LEFS) was subsequently validated for both construct validity and criterion validity. Participants (n = 208) with normal lower limb condition and various lower limb conditions completed the M-LEFS. Results: Reliability of M-LEFS revealed excellent Cronbach's alpha value of 0.98. Construct validity, evaluated using exploratory factor analysis, exhibited good factor loadings (>0.6) of all 20 items. Interestingly, we extracted 2 components which was not reported elsewhere. With a cut-off point of 60, the sensitivity of the scale was 99% and the specificity was 81%. Conclusions: The M-LEFS had very good psychometric properties among the studied population. Further studies are needed to enhance these preliminary outcomes in Malaysia.

Introduction The availability of obesity specific quality of life measurement tool is limited. The Malay version of Impact of Weight on Quality of Life-Lite is an obesity specific quality of life questionnaire which has been translated for use in Malaysia. The aim of this study is to evaluate the validity and reliability of this questionnaire to measure quality of life among different body mass index (BMI) groups. Methods One hundred and twenty subjects with different BMI categories who attended an outpatient government clinic were recruited for this study. The translated Malay version of IWQOL-Lite was used to assess the impact of weight on quality of life of respondents. Content validity, criterion validity and construct validity were used to assess the questionnaire validity while internal consistencies and test-retest reliability were used to assess the questionnaire reliability. Results The Malay version of IWQOL-Lite showed good psychometric properties. The content validity was agreed upon by expert panels. The mean score of all IWQOL-Lite domains were able to discriminate between different BMI groups. Good internal consistency was demonstrated by Cronbach alpha of 0.936. Test-retest reliability ranged from 0.828 to 0.932. The physical function score (IWQOL-Lite) correlated positively with Physical Component Summary of Short Form-36 questionnaire. Exploratory factor analysis found that the questions loaded on their respective five domains. Conclusions The results suggested that the Malay version of IWQOL-Lite is a valid and reliable tool to measure quality of life among obese and overweight subjects in Malaysia. [ABSTRACT FROM AUTHOR]

Objective: A quick assessment tool for screening individuals with depression or anxiety is pertinent in mental-health set up. This study aims to validate the K10 and the K6 to screen patients with non-specific psychological distress in a Malaysian population. Methods: Translation of the questionnaire was done from English to Malay. Face validity was conducted on patients, and a pilot study was performed to assess the reliability of the K10 questionnaire. Fieldwork was conducted to determine the reliability and validity of the K10 questionnaire based on convenience sampling of healthy individuals and patients diagnosed with psychiatric illness. Malay version for K10 was administered to healthy participants (group without psychological distress) and patients on psychiatric clinic follow up (psychological distress). Data collection was done between August 2016 and September 2016. Result: A total of 94 subjects were recruited in the study, of which 32 formed the case group. The Cronbach's alpha coefficients for K10 were 0.837(control) and 0.885 (case), as for K6 were 0.716 (control) and 0.859 (case). The total score of the K10 and the K6 clearly differentiated between the control and case groups (p<0.001). The area under the curve for K10 and K6 were 0.84 with 95% CI (0.81, 0.96) and 0.86 with 95% CI (0.77, 0.94) respectively. For K10, at the optimal cut-off score of 17, the sensitivity and specificity were 84.4% and 75.3% respectively while for K6, at the optimal cut-off score of 11, the sensitivity and specificity were 78.1% and 75.8%, respectively. Conclusion: The Malay version of the K10 and the K6 are reliable and valid to be used for screening patients with non-specific psychological distress in a Malaysian population. Kessler psychological distress scale has minimal items and yet this Kessler psychological distress scales have minimal items and yet are an effective screening tool. [ABSTRACT FROM AUTHOR]

The authors of this cross-sectional study aims to translate and validate the brief HIV Knowledge Questionnaire (HIV-KQ-18) into Malay language, to assess HIV-related knowledge and its sociodemographic predictors among a sample of people living with HIV/AIDS in Kelantan, Malaysia. A total of 160 HIV patients participated in this study. The Malay version of HIV-KQ-18 showed good internal consistency with Cronbach’s α value of .78. Intraclass correlation coefficient was 0.76 (95% confidence interval, 0.61 to 0.85). The HIV-KQ-18 score was normally distributed with a mean of 9.7 (SD = 3.78). The mean percentage of correct responses was 53.7 (SD = 21.0). Higher education level and longer period of living with HIV were significantly associated with better HIV knowledge. In conclusion, the Malay version of HIV-KQ-18 is a valid and reliable instrument to assess HIV-related knowledge, which was found to be lacking in certain aspects among our sample. [ABSTRACT FROM PUBLISHER]

Introduction: Pediatric anxiety disorders are the most common mental health disorders in the middle-childhood age group. The purpose of this study is to assess anxiety disorder symptoms, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), in a large community sample of low socioeconomic level rural children and to investigate some of the psychometric properties (internal consistency, construct and convergent validity and items rated as often or always experienced) of the Malay version of the Spence Children's Anxiety Scale - Child version (SCAS-C). Method: Six hundred children aged 9-11 and 424 of their parents completely answered the child or parent versions of the SCAS. Results: Results indicated that the internal reliability of subscales were moderate to adequate. Significant correlations between child and parent reports supported the measure's concurrent validity. Additionally, anxiety levels in this Malaysian sample were lower than among South-African children and higher than among their Western peers. There were both similarities and differences between symptom items reported as often or always experienced by Malaysian students and by children from other cultures. Confirmatory factor analysis provided evidence of the existence of five inter-correlated factors for anxiety disorders based on SCAS-C. Conclusion: Although some of the instrument's psychometric properties deviated from those observed in some other countries, it nevertheless appears to be useful for assessing childhood anxiety symptoms in this country. [ABSTRACT FROM AUTHOR]

This study was aimed at validating the simplified Chinese version of the Multidimensional Scale of Perceived Support (MSPSS-SCV) among a group of medical and dental students in University Malaya. Two hundred and two students who took part in this study were given the MSPSS-SCV, the Medical Outcome Study social support survey, the Malay version of the Beck Depression Inventory, the Malay version of the General Health Questionnaire, and the English version of the MSPSS. After 1 week, these students were again required to complete the MSPSS-SCV but with the item sequences shuffled. This scale displayed excellent internal consistency (Cronbach’s α = .924), high test–retest reliability (.71), parallel form reliability (.92; Spearman’s ρ, P < .01), and validity. In conclusion, the MSPSS-SCV demonstrated sound psychometric properties in measuring social support among a group of medical and dental students. It could therefore be used as a simple screening tool among young educated Malaysian adolescents. [ABSTRACT FROM PUBLISHER]

Introduction: The Decisional Balance Inventory is a tool used to measure propensity to maintain or change a habit which takes into consideration the perceived advantages and disadvantages. This study aimed to establish the validity and reliability of a Malay language version of the DBI for assessing inclination for change in smoking behavior among secondary school-going adolescents in Malaysia., Methods: We administered the MDBI to 669 secondary school students selected through multistage sampling. The sample consisted of 60.1% male (n=398) and 39.9% (n=264) female students, more than two-thirds (69.9%, n=463) of which were from rural areas. The majority of the respondents were aged 13-14 years [13 years, 36.4% (n=241), 14 years, 40.0% (n=265), 16 years, 23.6% (n=156)]. The construct validity of the MDBI was assessed using explanatory (EFA) and confirmatory factor analysis (CFA), and the reliability of the MDBI via Cronbach's alpha., Results: EFA and parallel analysis extracted three factors in the MDBI that accounted for 65.4% of the observed variance, and this was supported by CFA. Internal consistency of the three factors ranged from 0.734 to 0.867, indicating acceptable reliability., Conclusions: The MDBI has good psychometric properties and is suitable for measuring smoking intention among Malaysian secondary school-going adolescents. However, it should continue to be tested to expand its usefulness and applicability among adolescents in other sociodemographic settings., Competing Interests: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported., (© 2022 Lim K.H. et al.)

Abstract: Objective: The aim of this study was to validate the Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M) among a group of medical students in Faculty of Medicine, University Malaya. Methods: 237 students participated in the study. They were given the Malay version of MSPSS, medical outcome study (MOS) social support survey, Malay version of General Health Questionnaire (GHQ), Malay version of Beck Depression Inventory (BDI) and English version of MSPSS. A week later, these students were again given the Malay version of MSPSS. Results: The instrument displayed good internal consistency (Cronbach''s alpha=0.89), parallel form reliability (0.94) and test–retest reliability (0.77) (Spearman''s rho, p <0.01). The negative correlation of the total and subscales of the instrument with the Malay version of GHQ and BDI confirmed its validity. Extraction method of the 12 items MSPSS using principle axis factoring with direct oblimin rotation converged into three factors of perceived social support (Family, Friends and Significant Others) with reliability coefficients of 0.88, 0.82 and 0.94, respectively. Conclusion: The Malay version of the MSPSS demonstrated good psychometric properties in measuring social support among a group of medical students from Faculty of Medicine, University Malaya and it could be used as a simple instrument on young educated Malaysian adolescents. [Copyright &y& Elsevier]

Introduction: The Bal Ex PHYSIO module is a home based that available in DVD and manual book guide. The main focus of this module is the proper physical rehabilitation for post stroke patients. It enables stroke patients and their families to take control over stroke management at home. Objectives: To develop the Malay language version of Bal Ex Physio: Home-based physiotherapy module for stroke rehabilitation Design: Proper method for module development methods apply for this module. Material and Methods: The original Malay version was developed into by a physiotherapist and medical lecturer that is an expert in stroke rehabilitation. The methodology involved four stages. Results: The Malay version of Bal Ex Physio: Home-based physiotherapy module for stroke rehabilitation was developed. This home-based module enables stroke patients and survivors to self-manage their physical rehabilitation at home with minimal follow-ups. Conclusion: As a conclusion, we hope that this module wills Malay community stroke patients and their family members. Further clinical validation study should be done out in order to create a better home-based module that is adapted accordingly to the Malay culture. [ABSTRACT FROM AUTHOR]

Introduction. Female sexual dysfunction (FSD) is a prevalent sexual health problem that has been inadequately investigated in Malaysia, a nation with a conservative multiethnic society. Aim. To validate the Malay version of the Female Sexual Function Index (MVFSFI) for the study of FSD. Main Outcome Measure. To measure the validity and reliability of the MVFSFI and its domains. Methods. Validation was carried out on aspects of face, content, discriminant, and criterion (concurrent) validity. Reliability studies on test–retest and on internal consistency were conducted with Cronbach's alpha and Pearson correlation, respectively. The values with the highest sensitivity and specificity generated from the receiver operating characteristic curves were taken as the cutoff scores to differentiate cases and noncases. Results. A total of 230 married women aged 18–70 years participated in this study. There was a high test–retest correlation by respondents ( r at least >0.7). The MVFSFI was found to have good discriminant validity as a whole and for each domain. A total score of 55 was taken as the cutoff point for the MVFSFI to distinguish between women with sexual dysfunction and those without (sensitivity = 99%, specificity = 97%). Scores lower than 55 indicate sexual dysfunction. The cutoff score for each domain was also established for the MVFSFI: ≤5 for sexual desire disorder (sensitivity = 95%, specificity = 89%); ≤9 for sexual arousal disorder (sensitivity = 77%, specificity = 95%); ≤10 for disorder of lubrication (sensitivity = 79%, specificity = 87%); ≤4 for orgasmic disorder (sensitivity = 83%, specificity = 85%); ≤11 for sexual dissatisfaction (sensitivity = 83%, specificity = 85%); and ≤7 for sexual pain disorder (sensitivity = 86%, specificity = 95%). Conclusion. The MVFSFI is a validated and locally accepted questionnaire for use in the assessment of FSD in the Malaysian population. Sidi H, Abdullah N, Puteh SEW, and Midin M. The Female Sexual Function Index (FSFI): Validation of the Malay version. J Sex Med 2007;4:1642–1654. [ABSTRACT FROM AUTHOR]

Abstract: The original version of the Brief Pain Inventory (BPI) was translated into a Malay version by the standard procedure and was then evaluated for its psychometric properties. Of 119 eligible patients, a total of 113 (95%) agreed to participate in this study. Ages ranged from 18 to 76 years and interviews were conducted between August, 2004 and November, 2004. The pain intensity items demonstrated high loading with one factor, whereas the pain interference items were loaded on another factor. Two factors explained 62% of the variance. Compared to the Karnofsky Performance Scale, the pain intensity scales had a moderate negative (Pearson''s) correlation (−0.520, P < 0.001) and the pain interference scales had a high negative correlation (−0.732, P < 0.001), showing good concurrent validity. The coefficient alpha of both subscales demonstrated good internal consistency of the items. The intraclass correlation coefficient for the test-retest stability was 0.61 for the pain intensity scale and 0.88 for the pain interference scale. The Malay version of the BPI is a reliable and valid instrument for cancer pain assessment and is comparable with the original version of the BPI in terms of structure and psychometric properties. [Copyright &y& Elsevier]

Communication is one of the fundamental skills in the medical profession. The Communication Skills Attitude Scale (CSAS) is a widely used questionnaire to measure the attitudes of medical students toward learning communication skills. It has been adapted and translated into many languages. The objective of this study was to adapt and translate the CSAS into the Malay language and determine its psychometric properties in medical students. This is a cross-sectional study involving 218 first-year Universiti Teknologi MARA students. Content validation, cross-cultural adaptation, translation, and face validation of the 26-item CSAS were performed according to established guidelines. Principal component analysis with direct oblimin rotation was used to determine the underlying structure of the CSAS-Malay. The reliability was assessed using Cronbach's α coefficient for internal consistency and using the intraclass correlation coefficient for the test-retest reliability. Although the contents of the CSAS-Malay and the original version were conceptually equivalent, item 11 was removed during the content validation stage due to a low item content validity index (I-CVI < 1.00). Two subscales were derived from the remaining 25 items, which were the Positive Attitude Scale and the Negative Attitude Scale. Items 1 and 15 were removed due to poor factor loadings. The total variance explained by the final two-factor solution with three items removed was 30.8%. Cronbach's α coefficients for both the Positive and Negative Attitude Scales in the final questionnaire were 0.815 and 0.614, respectively. It also showed a good reproducibility with intraclass correlation coefficient (ICC) values of 0.725-0.950 for all the items. This study provided preliminary information about the psychometric properties of the CSAS-Malay. The final 23-item questionnaire had a good construct validity, an acceptable internal consistency, and at least a moderate test-retest reproducibility. It can be used to assess the attitudes of medical students toward learning communication skills. Future research to improve the generalizability of the questionnaire should include medical students from other universities with diverse backgrounds.

Introduction: The survival rate of female breast cancer survivors has been reported to be higher than other types of cancer in Malaysia. Nonetheless, breast cancer survivors face new challenges from unwanted side effects of treatment or management such as fatigue, psychological disturbance, or arm swelling, which can lead to the decline of quality of life (QOL). This study aims to adapt the Malay version of the Functional Assessment of Cancer Therapy-Breast (FACT-B) to evaluate the QOL and to test its reliability and validity in Malaysian breast cancer survivors., Methods: The Malay version of the FACT-B, with Disabilities of Arms, Shoulders and Hands (DASH), and Patient Health Questionnaire Anxiety-Depression Scale (PHQ-ADS) were distributed to female breast cancer survivors which were recruited on a voluntary basis, from cancer support groups based in selected states in Malaysia. Reliability was assessed based on internal consistency (Cronbach's α), whereas concurrent validity was examined by comparing domains in FACT-B with DASH and PHQ-ADS. Finally, total scores of each domain were analysed between lymphedema and without lymphedema groups for known-group validity., Results: A total of 113 breast cancer survivors agreed to participate (response rate = 100%) in the study. Our results showed that the Cronbach's α value for Malay FACT-B is 0.88, and each domain ranged from 0.62 to 0.88. A strong correlation was found between the physical well-being domain of FACT-B with DASH. Meanwhile, the breast cancer scale (BCS) displayed significant correlation with the instrument, Patient Health Questionnaire- Anxiety Depression Scale (PHQ-ADS), indicating that multiple factors including psychological distress were measured in the BCS domain. Furthermore, the instrument was able to detect differences in physical, functional and QOL between participants from lymphedema and without lymphedema groups., Conclusion: The Malay version of the FACT-B demonstrated reliable properties and is effective in assessing QOL and can be applied in Malaysian breast cancer survivors.

Background: The need for client feedback in assessing healthcare services is widely recognized. However, little is known about the satisfaction of adolescent clients utilizing healthcare services in Malaysia. To the best of our knowledge, there is no validated instrument to measure the satisfaction of adolescent clients attending health clinics in Malaysia. This cross-sectional study aimed to determine the reliability of the Malay version of the Malaysian Ministry of Health's Adolescent Client Satisfaction Questionnaire among adolescents attending health clinics in northeastern Malaysia., Methods: A cross-sectional study was conducted in January 2019 among adolescents aged 10-19 years attending four designated health clinics in the northeastern state of Peninsular Malaysia. The test for Cronbach's α was performed to determine the internal consistency reliability., Results: There were a total of 85 adolescent clients involved in this study. The mean age of respondents was 15.6 years. The majority of respondents were female, Malay, students, and had attained a secondary level of education. The mean total satisfaction score was 78.35. The internal consistency reliability according to the Cronbach's α of the domain was 0.854, which is considered highly reliable. The corrected item-total correlation for the domain was acceptable as it was ≥0.4., Conclusion: The Malay version of the Malaysian Ministry of Health's Adolescent Client Satisfaction Questionnaire has excellent internal consistency reliability. Therefore, it may be recommended as a tool to measure the satisfaction level among adolescents attending health clinics in Malaysia.

Background: At present, the validity and reliability evidence of the Malay version of the Smartphone Addiction Scale (SAS-M) is only available by exploratory factor analysis (EFA). The aim of this study is to validate and determine the psychometric properties of the SAS-M by confirmatory factor analysis (CFA)., Methods: A cross-sectional study was conducted among 323 medical students in Universiti Sains Malaysia. The students were given questionnaire forms consisting of socio-demographic information, the SAS-M and the Malay version of the Internet Addiction Test (MVIAT). The CFA was conducted using robust maximum likelihood estimator. The internal consistency reliability was determined by Raykov's rho coefficient. The concurrent validity was assessed by the Pearson's correlations between the factor scores of the SAS-M and the MVIAT., Results: The analysis showed the five-factor model of the SAS-M has an acceptable model fit after the inclusion of 12 correlated errors (SRMR = 0.067, RMSEA 0.059 (90% CI: 0.054, 0.065), CFI = 0.895, TLI = 0.882). The factor loadings ranged from 0.320 to 0.875. The internal consistency reliability was good (Raykov's rho = 0.713 to 0.858) and it showed good concurrent validity with the MVIAT., Conclusions: The CFA showed that the SAS-M is a valid and reliable self-administered questionnaire to measure the level of smartphone addiction among medical students.

Introduction: The need for client feedback in assessing healthcare services is widely recognized. However, little is known about the satisfaction of adolescent clients utilising healthcare services in Malaysia. To the best of our knowledge, there is no validated instrument to measure the satisfaction of adolescent clients attending health clinics in Malaysia. The objective of this study was to determine the reliability of the Malay Version of the Ministry of Health's Adolescent Client Satisfaction Questionnaire among adolescents attending health clinics in North-eastern Malaysia. Methods: A cross-sectional study was conducted in January 2019 among adolescents aged ten to nineteen years old that attended four designated health clinics in the Kelantan state of Malaysia. The test for Cronbach's alpha was performed to determine the internal consistency reliability. Results: There were a total of 85 adolescent clients involved in this study. The mean age of the respondents was 15.6 years old. Majority of respondents were female, Malay, students and attained secondary level of education. The internal consistency reliability was good as the Cronbach's alpha of the domain was 0.854. The corrected item-total correlation for the domain was acceptable as it was 0.4 and above. Conclusion: The Malay Version of the Ministry of Health's Adolescent Client Satisfaction Questionnaire showed excellent internal consistency reliability. Therefore, it may be recommended to be used as a tool to measure the satisfaction level among adolescents attending health clinics in Malaysia. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study is to translate the Lower Extremity Functional Scale (LEFS) into the Malay language and to validate the resulting version., Methods: A two-stage observational study was conducted. The LEFS was initially cross-culturally adapted to Malay language through double forward and backward translation. The finalized version of Malay LEFS (M-LEFS) was subsequently validated for both construct validity and criterion validity. Participants (n = 208) with normal lower limb condition and various lower limb conditions completed the M-LEFS., Results: Reliability of M-LEFS revealed excellent Cronbach's alpha value of 0.98. Construct validity, evaluated using exploratory factor analysis, exhibited good factor loadings (>0.6) of all 20 items. Interestingly, we extracted 2 components which was not reported elsewhere. With a cut-off point of 60, the sensitivity of the scale was 99% and the specificity was 81%., Conclusions: The M-LEFS had very good psychometric properties among the studied population. Further studies are needed to enhance these preliminary outcomes in Malaysia.