E-ISSN 1309-4866
Research Article
Validity and Reliability of the Turkish Version of the Monitoring My Multiple Sclerosis Scale
1 İstanbul Üniversitesi Florence Nightingale Hemşirelik Fakültesi, İstanbul, Türkiye  
2 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye  
Arch Neuropsychiatry ; : -
DOI: 10.5152/npa.2016.12694
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Key Words: Multiple sclerosis, monitoring my multiple sclerosis scale, validity, reliability, health assessment scale

Introduction: This research has been carried out to adapt "Monitoring My Multiple Sclerosis Scale, MMMS", a scale used for self-evaluation by multiple sclerosis patients of their own health and quality of life into Turkish and to determine psychometric properties of the scale.


Methods: The methodological research has been carried out in an outpatient MS clinic of a university hospital between January-September 2013. The sample of this study consisted of 140 patients aged above 18 and had a diagnosis of definite MS. Patients who have had attacks in the last one month and had any serious medical problems other than MS were not included in the group. Linguistic validity of the MMMS was conducted by backward-forward translation method and expert panel. Reliability analysis was done by test-retest correlations, item-total correlations and internal consistency analysis. Confirmatory factor analysis and concurrent validity were used for construct validity. Multiple Sclerosis Quality of Life-54 was used for concurrent validity and Expanded Disability Status Scale, Hospital Anxiety and Despression Scale and Mini Mental State Examination were used for further construct validity


Results: We determined that the scale consisted of four factors with loadings ranging from 0.49 to 0.79. Correlation coefficients of the scale have been determined to be 0.47 and 0.76 for item-total score and 0.60 and 0.81 for items and subscale scores. Cronbach’s alpha coefficient were determined to be 0.94 for the whole scale and between 0.64 and 0.89 for the sub-scales. Test-retest correlations were significant. Correlations between MMMS and other scales were also found to be significant.


Conclusion: The Turkish MMMS shows adequate validity and reliability for assessing the impact of MS on quality of life and health status in patients.

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Latest Update: 29.12.2017