Validation of the Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M) among patients with cancer in Malaysia
Open accessAbstract
BACKGROUND: The well-being and adaptive functioning of patients with cancer depend on their perception of social support. To accurately assess and understand the impact of social support in a diverse population, validated measurement tools are essential. This study aimed to adapt and validate the Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M) among patients with cancer in Malaysia. METHODS: A total of 346 cancer patients with mixed disease types were recruited and completed the socio-demographic and clinical characteristics questionnaire and the MSPSS-M. The MSPSS-M was assessed for internal consistency, construct validity, face, content, convergent, discriminant validity, and confirmatory factor analyses. RESULTS: The MSPSS-M and its three domains demonstrated good internal consistency with Cronbach's α ranging from 0.900 to 0.932. Confirmatory factor analysis (CFA) of the MSPSS-M supported the three-factor model of the original English version of the MSPSS. The MSPSS-M also exhibited good convergent validity and discriminant validity. CONCLUSION: The MSPSS-M demonstrates favorable psychometric properties among patients with cancer in Malaysia. The validation of the MSPSS-M provides a culturally adapted and linguistically valid instrument to assess perceived social support among Malay-speaking patients with cancer in Malaysia.
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The MSPSS-M demonstrated good content and face validity.
“The tool also demonstrated good content and face validity, indicating that the items are appropriate, comprehensive, and understandable for the target population.”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
The Results sections on content validity and face validity report content-validity indices above the paper’s thresholds for good validity, and all 20 pilot participants rated the questionnaire’s comprehensibility and related aspects as appropriate or very appropriate. The expert assessment measured item relevance, not whether the items comprehensively covered the subject, so the sentence’s claim of comprehensiveness is not established. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe MSPSS-M showed good convergent and discriminant validity.
“Additionally, the MSPSS-M showed good convergent and discriminant validity, ensuring it accurately measures perceived social support and distinguishes it from unrelated constructs.”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
The Discussion section, “Convergent and discriminant validity of the MSPSS-M,” explicitly reports good convergent and discriminant validity for the scale’s family, friends, and significant-other domains. However, the discriminant-validity analysis compares those domains with one another; it does not establish that the scale distinguishes perceived social support from unrelated constructs. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe MSPSS-M covers three dimensions of social support: Family, Friends, and Significant Others.
“The Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M) for cancer patients covers three dimensions of social support (Family, Friends, and Significant Others).”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
Confirmatory factor analysis supported the three-factor model of the original English version, confirming the construct validity of the MSPSS-M.
“Confirmatory factor analysis supported the three-factor model of the original English version, confirming the construct validity of the MSPSS-M.”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
The MSPSS-M consists of 12 items, with higher scores indicating greater perceived social support.
“The MSPSS-M consists of 12 items, with higher scores indicating greater perceived social support by the patient.”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
The MSPSS-M exhibited high internal consistency, with Cronbach's alpha values ranging from 0.900 to 0.932.
“The MSPSS-M exhibited high internal consistency, with Cronbach’s alpha values ranging from 0.900 to 0.932, indicating excellent reliability.”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
The MSPSS-M has demonstrated strong psychometric properties, making it a reliable and valid tool for assessing perceived social support among cancer patients in Malaysia.
“The MSPSS-M has demonstrated strong psychometric properties, making it a reliable and valid tool for assessing perceived social support among cancer patients in Malaysia.”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
The MSPSS-M is a reliable and acceptable instrument for clinical and research settings to assess perceived social support among Malay-speaking cancer patients in Malaysia.
“The MSPSS-M is a reliable and acceptable instrument for clinical and research settings to assess perceived social support among Malay-speaking cancer patients in Malaysia [40].”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [40]
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Song, W., Shari, N. I., Song, J., Zhang, R., Mansor, N. S., Leong Bin Abdullah, M. F. I., & Zhang, Z. (2024) · PLoS ONE · doi:10.1371/journal.pone.0312669 · Cited by 9 · see citing works
Self-citation
- Authors
- Song, W., Mansor, N. S., Shari, N. I., Azman, N., Zhang, R., & Leong Bin Abdullah, M. F. I.
- Affiliations
- Universiti Sains Malaysia (MY)
- University of Technology Malaysia (MY)
- Henan Psychiatric Hospital (CN)
- Corresponding author
- Zhang, Ruiling
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2023-11-21
- Volume
- 18
- Issue
- 11
- Pages
- e0293698
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC10662767
- OpenAlex
- W4388857682
- Cited by
- 8
- References
- 42
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Greater South Information System
- Funders
- Xinxiang Science and Technology Bureau (GG2019036)
- Department of Science and Technology of Henan Province (212102310585)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Multidimensional Scale of Perceived Social Support, Malay version, cancer patients, perceived social support, psychometric validation, cross-cultural adaptation, Malaysia, construct validity, convergent validity, discriminant validity
- MeSH terms
- Humans, Malaysia, Neoplasms, Psychometrics, Surveys and Questionnaires, Social Support, Reproducibility of Results
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