Validation and cross-cultural adaptation of treatment satisfaction questionnaire for medication version 2 among older adult patients in Malaysia: a psychometric testing study

Objectives: To assess the full psychometric testing of the translated Malay version of Treatment Satisfaction Questionnaire for Medication version 2 (TSQM v.2) Methods: This is a cross-sectional study involving a convenience sample of 429 older adult patients at outpatient settings of a teaching...

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Bibliographic Details
Main Authors: Mohammad Yunus, Mohammad Adam Al Haqimy, Akkawi, Muhammad Eid
Format: Article
Language:en
Published: Elsevier 2025
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Online Access:http://irep.iium.edu.my/122199/1/122199_Validation%20and%20cross-cultural%20adaptation%20of%20treatment.pdf
http://irep.iium.edu.my/122199/
https://www.sciencedirect.com/science/article/pii/S2212109925000536?via%3Dihub
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Summary:Objectives: To assess the full psychometric testing of the translated Malay version of Treatment Satisfaction Questionnaire for Medication version 2 (TSQM v.2) Methods: This is a cross-sectional study involving a convenience sample of 429 older adult patients at outpatient settings of a teaching hospital in Malaysia. All patients answered the Malay version (M-TSQM v.2). The instrument reliability was tested using Cronbach’s alpha and composite reliability. Content validity was assessed by a panel of experts, whereas convergent validity was tested using the average variance extracted values. Confirmatory factor analysis was used to determine factorial validity and subsequently construct validity. Results: Cronbach’s a for all the domains in the M-TSQM v.2 yielded a value above 0.7, and all domains exhibit a composite reliability value above 0.6, which indicate a good internal consistency. The confirmatory factor analysis of the 11 items in the 4 domains demonstrated acceptable factor loading (>0.6), confirming the 4-factor dimensionality. The applied hierarchical confirmatory factor analysis proved that the model was good fit based on the absolute, incremental, and parsimonious fitness indices. Conclusions: The M-TSQM v.2 is a valid, reliable, and psychometrically sound instrument for assessing treatment satisfaction among Malay-speaking populations. Therefore, it could be utilized crucially to capture the trueness level of treatment satisfaction in Malaysian patients regardless of their morbidity status, given that it is a generic measurement tool.