Volume 19, Issue 1 (Spring 2024)                   Salmand: Iranian Journal of Ageing 2024, 19(1): 100-115 | Back to browse issues page


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Mardan H, Delbari A. Psychometric Properties of the Persian Version of the Elder Self-neglect Scale for Iranian Older Adults. Salmand: Iranian Journal of Ageing 2024; 19 (1) :100-115
URL: http://salmandj.uswr.ac.ir/article-1-2491-en.html
1- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , ahmad_1128@yahoo.com
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Introduction
Self-neglect in old age, as a hidden but pervasive phenomenon, refers to the individual’s ignorance or neglect to perform daily living activities, which can have negative consequences on daily life, health and safety of the person and even on his/her relationship with others. Identifying self-neglect requires the use of a standardized and dynamic tool with a holistic perspective. Considering the existing gap in the study of self-neglect in Iranian older adults and the need to identify this phenomenon during the provision of elderly care and the lack of a local appropriate tool for its measurement, the present study aims to investigate the psychometric properties of the Persian version of Mardan’s 18-item elder self-neglect (ESN) scale for Iranian older adults.

Methods
This is a descriptive cross-sectional and psychometrics study. Participants were selected from among the elderly people ≥60 years old who were members of retirement centers in Tehran, Iran. There were 30 volunteers in the preliminary phase of the study and 207 in the main phase. After translating and using the opinions of a panel of experts and removing one item (not compatible with Iranian culture), the psychometric properties of the 17-item ESN scale were evaluated in terms of face and content validity. Internal consistency was measured with Cronbach’s α, and the test re-test reliability was assessed using the intra-class correlation coefficient (ICC) with a 2-3 week interval. Before factor analysis, Keyser-Meyer-Elkin (KMO), Bartlett’s test, principal components analysis, and varimax rotation were performed. Data were statistically analyzed using SPSS software, version 21. 

Results
The age range of the participants was 60-95 years (mean age: 69 years). In terms of education, most of them (33%) had a bachelor’s degree. The mean score of SSS was 26.93±9.46. Eighty percent of the elderly had low self-neglect, and only 20% had a score higher than the average of severe self-neglect. The content validity index of the Persian ESN scale was 0.92. The KMO index was 0.837, which is above the acceptable level of 0.7. Bartlett’s test statistic was 971.408 (P<0.001). These results confirmed the implementation of factor analysis based on the correlation matrix. The results of the factor analysis identified four factors with a value above 1, which explained 53% of the total variance, and all were accepted. The factor of psychological self-neglect with the highest variance of 29.5 indicated its importance in the occurrence of self-neglect in the elderly. The Cronbach’s α values for the subscales are presented in Table 1. The ICC was 0.998 (P<0.001), indicating the acceptable test re-test reliability. The cut-off point was determined at 5.



Conclusion
The results confirmed the validity and reliability of the Persian version of the ESN scale for the Iranian elderly. The construct validity showed a 17-item factor-factor structure with acceptable internal consistency and test re-test reliability. This tool has been designed based on the biopsychosocial model, which makes it different from existing tools. The participants in this study were retired older people in Tehran. It is recommended to implement it in other cities with a large sample size. The tool can be used by geriatricians, nurses or medical staff for screening the elderly’s self-neglect.

Ethical Considerations

Compliance with ethical guidelines

This study was approved by the University of Social Welfare and Rehabilitation Sciences (Code: IR.USWR.REC.1399.196).

Funding
This study was financially supported by the University of Social Welfare and Rehabilitation Sciences.

Authors' contributions
All authors equally contributed to preparing this paper.

Conflicts of interest
The authors declared no conflicts of interest. 

Acknowledgements
The authors are extremely grateful to the University of Social Welfare and Rehabilitation Sciences for the financial assistance, and to the dear retirees of Tehran Retirement Centers and the respected manager and all the dear ones who somehow cooperated in carrying out the project.


 
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Type of Study: Research | Subject: gerontology
Received: 2022/08/11 | Accepted: 2023/04/19 | Published: 2024/04/01

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