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Farsi Version of the Body Image Concern Inventory in Iranian Hemodialysis Patients: Validity and Reliability Publisher



Sharifnia H1, 2 ; Froelicher ES3, 4 ; Bagherinesami M5, 6 ; Mosazadeh H7 ; Jafarikoulaee A8 ; Goudarzian AH9, 10
Authors
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Authors Affiliations
  1. 1. Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
  2. 2. Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  3. 3. Department of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, CA, United States
  4. 4. Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, San Francisco, CA, United States
  5. 5. Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
  6. 6. World Federation Of Acupuncture-Moxibustion Societies (WFAS), Beijing, China
  7. 7. Department of Psychology, Kazimierz Wielki University, Bydgoszcz, Poland
  8. 8. Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  9. 9. Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
  10. 10. School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran

Source: Journal of Nursing Measurement Published:2024


Abstract

Background and Purpose: Patients on hemodialysis often struggle with their body image. This study was conducted with the aim of investigating the validity and reliability of the Persian version of the body image concern questionnaire for the first time in hemodialysis patients in Iran. Methods: In this cross-sectional study, 400 hemodialysis patients from Iran were assessed using the Body Image Concern Inventory (BICI). By using exploratory factor analysis (EFA; with Maximum Likelihood factor analysis and Promax rotation) and confirmatory factor analysis, the construct validity of BICI was assessed. To check for internal consistency, the average interitem correlation, Cronbach’s coefficient α (alpha), and McDonald’s omega coefficients were used. Stability was assessed with intraclass correlation coefficient (ICC). Results: The participants’ average age was 53.2 (SD = 13.2) years, and more than half of them were women (54.60%). Four factors extracted from EFA show that the total cumulative variance explained by these factors was 44.46% of the total variance. Item factor loadings varied between.415 and 0.970. Internal consistency coefficients were considered acceptable (>0.7). Also, stability was evaluated as good (ICC = 0.839). Conclusions: The Farsi version of the BICI scale as a self‐report measure of concerns about dysmorphic appearance has 19 items and shows acceptable reliability and validity. Consequently, the scale can be used by nurses to evaluate body image among Farsi-speaking hemodialysis patients, which can help them take necessary actions to decrease the level of concerns in these patients. © Copyright 2024 Springer Publishing Company, LLC.
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