ArticleBMC health services research2025
Empowering safe medication practices: translation and validation of the Malay inpatient medication-safety involvement scale (M-IMSIS).
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPatient engagement in medication safety is a recognized public health priority that reduces preventable harm and improves clinical outcomes. Despite its importance, Malaysia lacks a validated Malay-language instrument to assess inpatient involvement in medication safety, limiting efforts to tailor interventions and monitor engagement.
objectiveThis study aimed to translate, culturally adapt, and psychometrically validate the Inpatient Medication Safety Involvement Scale (IMSIS) for use among Malay-speaking adult inpatients.
methodsA cross-sectional study was conducted among 100 adult inpatients across four wards of a tertiary hospital in Kelantan, Malaysia. The eight-item IMSIS was translated using ISPOR cross-cultural adaptation guidelines, including forward-back translation, expert review, and cognitive debriefing. Content and face validity indices were calculated. Confirmatory factor analysis (CFA) assessed construct validity, and internal consistency was evaluated using Raykov's rho.
resultsThe Malay IMSIS demonstrated excellent content (S-CVI = 0.94) and face (S-FVI = 0.87) validity. CFA supported a single-factor structure with acceptable fit after allowing a residual correlation between two self-administration items (χ
conclusionThe Malay version of the IMSIS (M-IMSIS) is a brief, culturally appropriate, and psychometrically sound tool for assessing inpatient involvement in medication safety. It supports national and global efforts to enhance patient-centered care and can inform quality improvement initiatives in Malaysia and similar middle-income settings.
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