Assessing illness-related uncertainty in relapsing-remitting multiple sclerosis: A psychometric analysis of the Mishel Uncertainty of Illness Scale

Author:

Sabin Julia1,Salas Elisa2,Martín-Martínez Jesús3,Candeliere-Merlicco Antonio4ORCID,Barrero Francisco Javier5,Alonso Ana6ORCID,Sánchez-Menoyo José Luis7,Borrega Laura8,Rodríguez-Rodríguez María9,Gómez-Gutiérrez Montserrat10,Eichau Sara11,Hernández-Pérez Miguel Ángel12,Calles Carmen13,Fernández-Díaz Eva14,Carmona Olga15,Orvíz Aida16,López-Real Ana17,López-Muñoz Pablo18,Mendoza Amelia19,Agüera Eduardo20,Maurino Jorge2ORCID,Ballesteros Javier21

Affiliation:

1. Department of Neurology, Hospital Universitario Puerta de Hierro, Madrid, Spain

2. Medical Department, Roche Farma, Madrid, Spain

3. Department of Neurology, Hospital Universitario Miguel Servet, Zaragoza, Spain

4. Department of Neurology, Hospital Rafael Méndez, Lorca, Spain

5. Department of Neurology, Hospital Clínico Universitario San Cecilio, Granada, Spain

6. Department of Neurology, Hospital Regional Universitario de Málaga, Málaga, Spain

7. Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Spain

8. Department of Neurology, Hospital Universitario Fundación Alcorcón, Alcorcón, Spain

9. Department of Neurology, Hospital Universitario Lucus Augusti, Lugo, Spain

10. Department of Neurology, Hospital San Pedro de Alcántara, Cáceres, Spain

11. Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain

12. Department of Neurology, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain

13. Department of Neurology, Hospital Universitario Son Espases, Palma de Mallorca, Spain

14. Department of Neurology, Hospital Universitario de Albacete, Albacete, Spain

15. Department of Neurology, Fundació Salut Empordà, Figueres, Spain

16. Department of Neurology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

17. Department of Neurology, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain

18. Department of Neurology, Hospital Arnau de Vilanova, Llíria, Spain

19. Department of Neurology, Complejo Asistencial de Segovia, Segovia, Spain

20. Department of Neurology, Hospital Universitario Reina Sofía, Córdoba, Spain

21. Department of Neurosciences, University of Basque Country (UPV/EHU), CIBERSAM, Leioa, Spain

Abstract

A multicenter study involving 204 adults with relapsing-remitting multiple sclerosis (RRMS) assessed the dimensionality and item characteristics of the Mishel-Uncertainty of Illness Scale (MUIS), a generic self-assessment tool. Mokken analysis identified two dimensions in the MUIS with an appropriate item and overall scale scalability after excluding nonclassifiable items. A refined 12-item MUIS, employing a grade response model, effectively discriminated uncertainty levels among RRMS patients (likelihood ratio test p-value = .03). These findings suggest the potential value of the 12-item MUIS as a reliable measure for assessing uncertainty associated with the course of illness in RRMS.

Funder

Roche Farma Spain

Publisher

SAGE Publications

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