Measurement of perceived social support among people with dementia: a validation of the Indonesian version of the personal resource questionnaire-2000 (PRQ2000-INA)

Study Overview

The study aimed to assess the validity of the Indonesian version of the Personal Resource Questionnaire-2000 (PRQ2000-INA) in measuring perceived social support among individuals diagnosed with dementia. Social support plays a critical role in the well-being of people facing cognitive decline, influencing both their psychological health and day-to-day functioning. By focusing on this demographic, the research sought to establish a reliable tool that could capture the nuances of social support in a culturally appropriate context.

The necessity for such a study arose from the recognition that existing instruments may not fully resonate with the unique experiences of Indonesian patients, potentially leading to inadequate support systems. The PRQ2000 is designed to evaluate different dimensions of social support, including emotional, informational, and instrumental aspects. This validation process involved adapting the instrument to fit the cultural framework of Indonesia while ensuring it retained its psychometric integrity.

Participants in the study were individuals living with dementia, along with their caregivers, who provided valuable insights into the support structures that these patients encounter. Through rigorous quantitative analysis and qualitative feedback, the research provided a comprehensive understanding of how social support is perceived and experienced within this particular group. By confirming the validity of the PRQ2000-INA, the study aims to enhance the assessment and, ultimately, the support available to those affected by dementia in Indonesia.

Methodology

The methodology employed in this study was carefully structured to ensure the validity and reliability of the Indonesian version of the Personal Resource Questionnaire-2000 (PRQ2000-INA) in assessing perceived social support among individuals with dementia. A multi-phase approach was utilized, encompassing translation, adaptation, and psychometric evaluation.

The initial phase involved the translation of the original PRQ2000 into Indonesian, followed by a rigorous adaptation process. This process included expert review and cognitive debriefing sessions with dementia patients and caregivers to ensure that language and cultural nuances were appropriately addressed. The goal was to maintain the original intent of the questionnaire while ensuring that each item resonated with the experiences of the target population. Through iterative feedback, adjustments were made to ensure clarity and cultural relevance.

Once the PRQ2000-INA was finalized, a sample of participants was recruited from various healthcare settings across Indonesia. Inclusion criteria entailed a confirmed diagnosis of dementia, along with the ability to provide informed consent and participate in the study. The final sample comprised a diverse range of participants in terms of age, gender, and dementia severity, thus providing a comprehensive representation of the population.

Data collection was facilitated through a combination of self-reported questionnaires and caregiver feedback. Participants filled out the PRQ2000-INA, which encompasses dimensions such as emotional support (the level of love and care received), informational support (advice and guidance), and instrumental support (practical assistance). Caregivers were additionally asked to provide insights into the patients’ perceived social support, thereby enriching the data set.

To evaluate the psychometric properties of the PRQ2000-INA, several statistical analyses were employed. Factor analysis was conducted to assess the dimensional structure of the questionnaire, ensuring that the items grouped logically according to the scale’s theoretical framework. Furthermore, reliability was examined using Cronbach’s alpha to ensure that the instrument produced consistent results across different administrations.

Concurrent validity was tested through comparisons with other established measures of social support and well-being. This comprehensive methodological approach ensured that the results would not only reflect the validity of the PRQ2000-INA but also its practical utility in clinical settings. The emphasis was on establishing a culturally sensitive and scientifically robust tool that healthcare providers could use to gauge social support levels in people living with dementia, ultimately aiming to enhance their care and support systems.

Key Findings

The findings from the validation study of the Indonesian version of the Personal Resource Questionnaire-2000 (PRQ2000-INA) revealed several important insights regarding perceived social support among individuals with dementia. The extensive analysis provided evidence that the PRQ2000-INA is not only a valid instrument but also a reliable one, capable of capturing the complexities of social support within this demographic context.

Statistical evaluations indicated that the factor structure of the PRQ2000-INA closely mirrored the original scale, affirming its construct validity. The factor analysis revealed three core dimensions—emotional support, informational support, and instrumental support—reflecting the multifaceted nature of social support as experienced by dementia patients. Each dimension was represented by several items that individuals resonated with, confirming that these aspects are indeed pertinent to their lived experiences.

Internal consistency was assessed using Cronbach’s alpha, yielding high reliability scores for the various dimensions, with values exceeding the conventional threshold of 0.7. This demonstrated that the questionnaire items consistently measured the same underlying constructs across different administrations, thus affirming its usefulness in clinical and research settings.

Moreover, concurrent validity assessments revealed significant correlations between the scores obtained from the PRQ2000-INA and other established measures of social support and well-being. This supports the notion that individuals reporting higher levels of perceived social support also demonstrated better psychological health outcomes. Notably, caregivers’ insights enriched the understanding of the patients’ experiences, highlighting that caregivers perceived a significant disparity in support when compared to the patients’ self-reported levels, suggesting a potential area for further exploration.

Additionally, qualitative feedback from participants during the cognitive debriefing phase illuminated specific cultural nuances in how social support is conceptualized in the Indonesian context. Many participants emphasized the importance of familial ties and community involvement, which played a crucial role in their perceived support systems. This cultural perspective is essential, as it underscores the need for healthcare providers to recognize and integrate local cultural values into their practice.

The overall findings of this study underscore the necessity of culturally relevant tools in health assessments, especially for vulnerable populations like individuals with dementia. By validating the PRQ2000-INA, the research establishes a significant advancement in tailoring social support assessments that resonate with Indonesian culture, ultimately contributing to improved care strategies and enhanced quality of life for dementia patients.

Strengths and Limitations

This study possesses several strengths that enhance its credibility and relevance in the field of dementia care in Indonesia. First and foremost, the methodology employed to adapt and validate the PRQ2000-INA reflects a rigorous, culturally-sensitive approach. The careful translation and adaptation phases ensured that the instrument was not only linguistically appropriate but also culturally resonant. Engagement with dementia patients and their caregivers during cognitive debriefing sessions provided deep insights into the specific social support dynamics relevant to this population, which is often overlooked in psychological research. This participatory method not only enriched the validity of the results but also fostered a greater understanding of the lived experiences of individuals affected by dementia.

Additionally, the research sample was diverse, incorporating participants from various backgrounds and stages of dementia, which enhances the generalizability of the findings across the Indonesian population. The use of multiple data sources, including self-reports and caregiver observations, contributes an extra layer of reliability to the results. Such triangulation helps to mitigate bias, ensuring a more complete understanding of perceived social support.

However, the study is not without its limitations. One notable concern is the potential for social desirability bias in self-reported measures, particularly in a cultural context where individuals may feel pressure to present their social situations more favorably. Furthermore, while the study sample was diverse, it may not fully capture the experiences of all subgroups within the Indonesian population. For instance, the study may lack representation from rural areas or less accessible regions, where social support mechanisms might differ significantly from urban settings.

Another limitation arises from the cross-sectional nature of the study, which provides a snapshot of perceived social support at one point in time. Longitudinal studies would be beneficial to track changes in social support perceptions as dementia progresses and to assess the long-term effectiveness of support interventions.

Moreover, although the study established concurrent validity with other social support measures, differences in cultural interpretation of social support among various populations warrant caution when comparing results across different contexts.

In summary, while this research provides a robust tool for assessing perceived social support among individuals with dementia in Indonesia, it is essential to recognize these strengths and limitations as part of the ongoing conversation about enhancing mental health care and support systems for this vulnerable group. Further research, incorporating a broader range of experiences and utilizing longitudinal designs, would strengthen the understanding of social support in the context of dementia.

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