Item-total Score Correlations Research Articles

Turkish Adaptation of the ADORE: A Study of Validity and Reliability.

It is obvious that current tools in literature that are used to measure female's sexual quality of life focus only on the objective dimension of sexual function, failing to examine quality of life on a multidimensional level. The aim of this research is to examine the validity and reliability of the ADORE for Turkish society. In the methodological research, 500 females were included. The research data was collected with "Descriptive Information Form" "ADORE" and "Sexual Quality of Life-Female (SQOL-F)." ADORE is a five-Likert-type type and 36-item scale that was developed to assess female's sexual quality of life. It has six sub-dimensions. It is stated that ADORE can better evaluate female's sexual quality of life holistically and contextually. The validity of ADORE was analyzed as linguistic, content, and construct validities. In determining the reliability of the scale, item-total score correlation, Cronbach alpha (Cr α) coefficient, Pearson correlation, split-half analysis, test-retest, and parallel form were used. Content validity index was found to be 0.90. The confirmatory factor analysis was performed for construct validity. ADORE's Cr α reliability coefficient was determined to be .95. According to ADORE test-retest analyses, it was found that there is a positively strong and statistically high significant correlation among scores of the scale. It was determined that there is an acceptable correlation between ADORE and SQOL-F. In determining female's sexual quality of life in Turkish society, ADORE is a valid and reliable scale. It is a useful scale for health professionals working in the clinic to evaluate female's sexual quality of life.

Psychometric properties of the Turkish version of the parental competence scale for parents of children with autism

BackgroundParental competence is an important concept in increasing the quality of care provided to individuals with special needs and the quality of life of parents. This study was aimed to evaluate the psychometric properties of the Turkish version of the Parental Competence Scale designed for parents of children with autism spectrum disorders. MethodThis methodological study was conducted with 433 parents of children with autism between November 2021 and February 2023. Information Form, the Parental Competence Scale for Parents of Children with Autism, and the Parental Self-Efficacy Scale were used to collect the data. The data were assessed using content and construct validity, item analysis, confirmatory factor analysis, and internal consistency. Guidelines for reporting reliability and agreement studies (GRRAS) were adhered to in the study. FindingsThe content validity index of the scale was 0.93. Item-total score correlation values ranged from 0.338 to 0.846. As a result of confirmatory factor analysis, the two-factor structure of the scale consisting of 19 items was confirmed. Factor loads were >0.30 and fit indices were >0.80. The Cronbach's alpha coefficient of the Turkish version of the scale was 0.85, and the Cronbach's alpha values of its sub-dimensions were 0.71 and 0.79. ConclusionThe parental competence scale for parents of children with autism is a valid and reliable measurement tool for Turkey. Practice implicationsPediatric nurses, all health professionals, special education professionals and teachers can use this scale in interventional studies aiming to evaluate or improve the competencies of parents with autistic children in the future.

Structural Validation and Measurement Invariance Testing of the Chinese Version of the eHealth Literacy Scale Among Undergraduates: Cross-Sectional Study.

The eHealth Literacy Scale (eHEALS) was introduced in China in 2013 as one of the most important electronic health literacy measurement instruments. After a decade of development in China, it has received widespread attention, although its theoretical underpinnings have been challenged, thus demanding more robust research evidence of factorial validity and multigroup measurement properties. This study aimed to evaluate the Chinese version of the eHEALS in terms of its measurement properties. A cross-sectional survey was conducted in a university setting in China. Item statistics were checked for response distributions and floor and ceiling effects. Internal consistency reliability was confirmed with Cronbach α, split-half reliability, Cronbach α if an item was deleted, and item-total correlation. A total of 5 representative eHEALS factor structures were examined and contrasted using confirmatory factor analysis. The study used the item-level content validity index (I-CVI) and the average of the I-CVI scores of all items on the scale to assess the content validity of the dominance model. Furthermore, the validated dominance model was subsequently used to evaluate the relevance and representation of elements in the instrument and to assess measurement invariance across genders. A total of 972 respondents were identified, with a Cronbach α of .92, split-half reliability of 0.88, and item-total score correlation coefficients ranging from 0.715 to 0.781. Cronbach α if an item was deleted showed that all items should be retained. Acceptable content validity was supported by I-CVIs ≥0.80. The confirmatory factor analysis confirmed that the 3-factor model was acceptable. The measurement model met all relevant fit indices: average variance extracted from 0.663 to 0.680, composite reliability from 0.810 to 0.857, chi-square divided by the df of 4.768, root mean square error of approximation of 0.062, standardized root mean squared residual of 0.020, comparative fit index (CFI) of 0.987, and Tucker-Lewis index of 0.979. In addition, the scale demonstrated error variance invariance (Δnormed fit index=-0.016, Δincremental fit index=-0.012, ΔTucker-Lewis index=0.005, Δcomparative fit index=-0.012, Δrelative fit index=0.005, and Δroot mean square error of approximation=0.005). A 3-factor model of the Chinese version of the eHEALS fits best, and our findings provide evidence for the strict measurement invariance of the instrument regarding gender.

Palliative care and spiritual care competency measurement among Turkish Nurses: A scale adaptation study.

This study aimed to conduct a Turkish validity and reliability study of the Palliative Care Spiritual Care Competency Scale. The sample of the study consisted of 354 nurses. In the first stage, the forward-backward translation method was used to develop the Turkish version of the Palliative Care Spiritual Care Competency Scale. The comprehensibility, purposefulness, cultural appropriateness, and discrimination of the scale items were evaluated with content validity. Confirmatory factor analysis (CFA) was applied to examine the construct validity of the scale. To evaluate the ability of the scale to give consistent results at different time intervals, the relationship between the scores obtained from the first and second applications was examined with the intraclass correlation coefficient (ICC). The reliability of the scale was evaluated with the Cronbach's alpha reliability coefficient and item-total score correlation coefficients. The content validity index of the Palliative Care Spiritual Care Competency Scale was found to be 0.98 after expert opinion was obtained. The goodness-of-fit values of the scale were χ2/sd: 3.125; GFI: 0.915; AGFI: 0.875; IFI: 0.926; TLI: 0.905; CFI: 0.925; RMSEA: 0.078; SRMR: 0.054. As a result of CFA, some items were removed from the scale, and a Turkish version of the scale consisting of 14 items and three sub-dimensions was developed. The reliability of the scale over time was evaluated with the test-retest method, and it was found that the inter-response agreement was very good (ICC: 0.981; p<0.001). The Cronbach's alpha reliability coefficient of the scale was 0.89 and the Cronbach's alpha reliability coefficient of the subscales ranged between 0.78 and 0.85. It was determined that the Turkish version of the Palliative Care Spiritual Care Competency Scale is a short, easy-to-understand, and psychometrically sound measurement tool that can be safely applied to Turkish nurses.

Validity and Reliability of the Turkish Version of Diabetic Foot Self-Care Questionnaire of the University of Malaga (DFSQUMA).

This study was conducted in a methodological design with the aim of adapting the "Diabetic Foot Self-Care Questionnaire of the University of Malaga, Spain (DFSQ)" to Turkish, and examining its validity and reliability. The study population of the methodological research consisted of a total of 161 patients diagnosed with diabetes who presented to the Diabetes Clinic Unit. The translation-back translation technique was employed for the linguistic equivalence of the questionnaire. To test the validity of the scale, linguistic and content validity were examined, and exploratory factor analysis was conducted. Cronbach's alpha reliability coefficient, item-total score correlations test, and test-retest technique were used to assess the reliability of the scale. The scope validity index values of the Turkish version of DFSQ ranged between 0.85 and 1.00, and there was no difference in scores given by the consulted experts (Kendall's W = 0.720; p = .707). Exploratory factor analysis conducted to examine the factor structure of the scale revealed that the scale consisted of 16 items and three subscales, explaining a total variance of 84.09%. The factor loadings of the scale ranged from 0.90 to 0.97. The calculated Cronbach's alpha coefficient for the Turkish version of the scale was 0.66.: It was found that the Turkish version of DFSQ is valid and reliable for the Turkish population. The research identified that DFSQ is a valid and reliable tool for determining diabetic patients' knowledge and attitudes toward foot self-care in cross-cultural studies.

Development of Hospital Perception Scale for Healthy Children (HPSHC) and Investigation of Its Psychometric Properties.

(1) Aim: The aim of the study was to develop and analyze the psychometric properties of a hospital perception scale for healthy children aged 8 to 10 years. (2) Methods: A methodological design was employed. The scale's validity was investigated using the approaches of content validity, face validity, item analysis, and construct validity. The scale's reliability was evaluated utilizing the approaches of internal consistency reliability, measurer reliability, and measurement invariance. (3) Results: In total, 330 children took part in this study. The scale is composed of six factors. Factor loads range from 0.42 to 0.79. The item-total score correlation coefficients were 0.42 and 0.79, respectively, while the Cronbach alpha reliability coefficient was 0.87. (4) Conclusions: The HPSHC is a valid and reliable tool. It can be used to determine how healthy or sick children in their middle childhood are perceived when going to the hospital and being hospitalized.

Validity and Reliability Study in Turkish COVID-19 Literacy Scale

Background: It is critical to conduct studies on the evaluation of COVID-19 health literacy in different cultures. Health literacy can make it easier to distinguish between reliable information about COVID-19 and misinformation, empowering individuals to make illuminated health decisions and to practice healthy and protective behaviours. Objective: The aim of this study is to verify the validity and reliability of COVID-19 Health Literacy Scale (COVID-19-HLS) for Turkish. Methods: This was a cross-sectional-descriptive study. The sample was randomly divided into two groups for factor analysis. A total of 712 individuals were included for exploratory (n=350) and confirmatory (n=362) factor analysis. The data were gathered by using the COVID-19-HLS and the Personal Variables Form. Language validity, content validity, item analyses, and exploratory and confirmatory factor analyses were performed to determine the validity and reliability of COVID-19-HLS. Results: Internal consistency reliability of the scale was found as 0.94. Item-total score correlation values of the scale were between 0.21 and 0.70, and the intra-class correlation coefficient was determined as 0.933. It was found that the item factor loads varied between 0.735 and 0.456 and the four-factor structure of the scale was found to be acceptable. Conclusion: In line with the analyses, it was shown that the scale is a valid and reliable instrument for Turkish society.

The Validity and Reliability Study of the Turkish Version of the Scale for Assessing the Severity of Uncomplicated Diaper Dermatitis in Infants

Objectives: The aims of this study was to validate adapt and evaluate a scale for assessing the severity of uncomplicated diaper dermatitis for infants in Turkey.&#x0D; &#x0D; Methods: The scale’s items assess severity of erythema and irritation, extent of diaper dermatitis, papules and pustules, and open skin. Analysis was based on a convenience sample of 150 participants in Turkey.&#x0D; &#x0D; Results: The rate of using wet wipes for babies’ bottom care was significantly high among the parents, accounting for 90.7 %. The content validity index of the scale was .98. The item-total score correlation values ranged from .725 to .898, and the Cronbach’s alpha for the entire scale was .81.&#x0D; &#x0D; Conclusion: As a result of the analyzes and evaluations, the scale is a valid and reliable measurement tool for Turkish society. It may advisable to use the scale in studies of the severity of diaper dermatitis in infants. Strengths and limitations as well as practical applications and implications of the scale for research were discussed.

Turkish Validity and Reliability Study of Breast Cancer Self-Efficacy Survivor Scale

The purpose of this research was to define the Turkish validity and reliability of the Breast Cancer Self-Efficacy Survivor Scale. The study was methodological design and was carried out in the breast clinic of a university hospital between January-May 2023 in Istanbul. The study included 217 women who were survivor after breast cancer. The scale contains one dimension, eleven items, and is scored on a five-point Likert scale. Translation-back-translation method was used for language equivalence, expert opinion received, and Exploratory and Confirmatory Factor Analysis were performed for construct validity. Cronbach's α was applied for internal consistency analysis, while Pearson correlation was used for item-total score correlation. The retest was conducted with 55 participants 3 weeks after the initial data collection. Intraclass Correlation Coefficient (ICC) was estimated for test-retest reliability. General Self-Efficacy Scale was used for the convergent validity of the scale. Content Validity Index and Cronbach α reliability coefficient of the scale adapted to Turkish as a result of expert opinions came out to be 0.969, and 0.852 respectively. The correlation coefficients of the scale items were calculated between 0.50 to 0.61. Factor analysis revealed that 11 items with eigenvalues greater than 1 were grouped under 2 factors. Confirmatory factor analysis validated this structure. The study concluded that the Breast Cancer Survivorship Self-Efficacy Scale is a valid and reliable measurement instrument in Turkish society.

Turkish Validity and Reliability Study of "Intensive Care Nurses" Attitude Scale Toward Brain Death and Organ Transplantation.

This study was carried out to analyze the validity and reliability of the Turkish adaptation of the "Intensive Care Nurses" Attitude Scale towards Brain Death and Organ Transplantation". The research was carried out as a methodological study and 256 nurses were included in the study. Language, content validity, explanatory and confirmatory factor analyzes were used to analyze data. Twenty-one point 5% of nurses stated that they had an organ donation card. It was determined that the Cronbach alpha coefficient of scale was .85, and item-total score correlations were between .143 and .700. It was established that the scale showed three-factor structure and the first factor was named as "Approving Organ Donation", the second factor as "Discomfort" and the third factor as "Improving The Quality of Life". The Turkish version of the scale was found to be an valid and reliable measurement tool.

Psychometric properties of the Health Literacy Knowledge and Experience Survey-2 for Turkish nursing students.

Nursing students should be able to assess the health literacy levels of patients and enable patients to understand important health information. No scale has been developed to measure the health literacy knowledge and experience of Turkish nursing students. The Health Literacy Knowledge and Experience Survey-2 (HLKES-2) is a measurement tool with excellent psychometric properties that can be used to assess the health literacy knowledge and experience of nursing students. In this study, we aimed to determine the validity and reliability of the Turkish version of the Health Literacy Knowledge and Experience Survey-2 (HLKES-2-T) among Turkish nursing students. The study sample consisted of 510 undergraduate nursing students. The psychometric properties of the HLKES-2-T were analysed in terms of internal consistency, item-total score correlations, content validity, discriminant validity and known-group comparison. The HLKES-2-T total mean ± SD score was 11.69 ± 3.32. The Kuder-Richardson 20 coefficient of the knowledge subscale of the HLKES-2-T was 0.67, and its item-total score correlations ranged between 0.20 and 0.50. The Cronbach's alpha coefficient of the experience subscale of the HLKES-2-T was 0.73, and its item-total score correlations ranged between 0.75 and 0.78. The content validity index for the overall HLKES-2-T was 0.98. The HLKES-2-T is thus a reliable and valid tool that can be used to assess the health literacy knowledge and experience levels of Turkish nursing students.

Developing a Media Literacy Perception Scale

The purpose of this research was to develop a scale to determine the perceptions of media literacy. For this purpose, trial forms have been created and submitted for expert opinion. The scale items were revised based on the feedback received after the trial forms were examined about the content validity according to expert opinion. A pilot study was conducted with a sample group with characteristics similar to the general population in order to assess the construct validity, sub-dimensions, and reliability level of the draft scale, which was finalized after expert opinions were obtained and appropriate revisions were made. The working group of the pilot study was composed of students selected apart from the research sample. In order to reach the students, the “Simple Random Sampling” method was used. The construct validity of the scale was tested by performing factor analysis (EFA + CFA). To determine the reliability of the scale, item-total score correlations and Cronbach’s alpha internal consistency coefficient values were used.&#x0D; Since several items had low item-total test correlations and some items had loadings for two distinct variables that were close to one another, these items were gradually excluded from the study until there were no extreme values present in the analysis and statistical errors were eliminated. Validity analyses (EFA + CFA) and Reliability (Cronbach’s alpha) of the obtained data were performed and the statements were finalized and the “Media Literacy Perception Scale” (MLPS) consisting of 16 items and three dimensions (factors) was created. The Cronbach’s alpha coefficient for the entire scale in this research was found to be .86.

Workplace breastfeeding support for working women: A scale development study

ObjectiveIn this study, authors aimed to develop a scale to evaluate workplace breastfeeding support. MethodsThe study was carried out with 490 working women who applied to the women's and children's outpatient clinics of a hospital in Turkey. The study data were collected by using a 'Personal Information Form' and the 'Workplace Breastfeeding Support for Working Women Draft Scale'. The data were analyzed on SPSS 25 and AMOS 21 software packages. In the development process of the scale; Content validity, exploratory factor analysis, item-total score correlation methods and Cronbach's Alpha coefficient were used. ResultsThe content validity index of the scale was 0.90, and the Cronbach's alpha value was 0.93. Kaiser-Meyer-Olkin value of the scale was 0.91, Bartlett test values were χ2 = 11,573.924 and p < 0.000. According to the results of the exploratory factor analysis for the construct validity of the scale, the scale consisted of 31 items and 6 factors. ConclusionsThe developed scale can be used to evaluate workplace breastfeeding support for working women as a valid and reliable measurement tool.

Developing the sexual and reproductive health knowledge scale in emergencies

ObjectiveThis study aims to develop the The Sexual and Reproductive Health Knowledge Scale in Emergencies (SRHKE) to evaluate the sexual and reproductive health knowledge of nurses in exceptional circumstances and cases. MethodThis methodological study was conducted with a total of 311 nurses from two hospitals in the Western Black Sea Region of Turkey between December 2021 and May 2022. The data were collected using a descriptive information form and SRHKE. The content validity, construct validity, and internal consistency of the scale were tested. ResultsThe scale had a four-factor structure, and these factors explained 65% of the total variance in the measured variable. It had high internal consistency (Cronbach's alpha coefficient values were 0.826 for the 1st factor, 0.814 for the 2nd factor, 0.788 for the 3rd factor, 0.723 for the 4th factor, and 0.896 for the total scale). The item-total score correlation values of the scale ranged from 0.479 to 0.659. Pearson’s correlation coefficients calculated for the evaluation of construct validity ranged from 0.519 to 0.749 (p < 0.005). ConclusionSRHKE has high validity and reliability. The scale can be used by nurses in Turkish society to determine their levels of sexual and reproductive health knowledge in emergencies.

Using the Fantastic Reality Ability Measurement to cope with epidemics: a Turkish validity and reliability study

PurposeThis study was conducted to adapt the Fantastic Reality Ability Measurement (FRAME) into Turkish.Design/methodology/approachIn the sample of this methodological study, 213 participants were included.FindingsThe factor loading of the tool was within the appropriate range (0.53–0.94). Its Cronbach's alpha was 0.975, and the item total score correlations ranged between 0.594 and 0.881.Originality/valueThe evaluation of the Turkish version of the FRAME revealed that it could be used as a valid and reliable measurement tool in Turkish population.

Modification of the Public Attitude Towards Vaccination Scale for use in adult vaccines.

Vaccination is a crucial protective intervention to prevent adult mortality and morbidity. Personal perceptions and resources have an important place in the vaccination decision. This study aimed to modify the Public Attitude Towards Vaccination-Health Belief Model scale for adult vaccines and evaluate its psychometric properties. Overall, 626 people participated in this methodological study. Content validity index, confirmatory factor analysis, internal consistency and item-total score correlation were used for validity and reliability. The independent samples t test, logistic regression analysis and ROC analysis were used for criterion and concurrent validity. In confirmatory factor analysis, values of fit indices were excellent or acceptable. The Cronbach alpha value was between 0.83 and 0.92. According to criterion validity, the susceptibility, severity, benefit, and health motivation scores of those with the vaccine were higher than those without, whereas their barrier score was lower. The barrier subscale was a risk factor, whereas the benefit score was a protective factor that increased the likelihood of vaccination. The concurrent validity of the scale was tested with the COVID-19 vaccine. While the barrier subscale's ability to distinguish between vaccinated (specificity) and unvaccinated (sensitivity) individuals is excellent, it is acceptable for the other subscales. Modified PAVS-HBM is valid and reliable for adult vaccines. This scale was associated with vaccination behaviour and distinguished between vaccinated and unvaccinated individuals.

Media Parenting Scale for School-Aged Children (MEPA-20): Psychometric Properties of the Turkish Version

Background and purposeMedia parenting refers to the strategies and behaviors parents use to interact with their children regarding the amount, content, and context of screen use. Children's media/screen use is a significant indicator of media parenting practices. Therefore, this study aimed to determine the psychometric properties of the Turkish version of the Media Parenting Scale for School-Aged Children (MEPA-20). MethodsThis methodological study involved 524 parents with children aged 6–10 and was conducted between October 15, 2022, and February 15, 2023. In the data analysis, the Content Validity Index, Explanatory and Confirmatory Factor Analyses, Cronbach's alpha, Test-retest reliability, Hotelling T2 test, and item-total score correlation were used. The test-retest reliability analysis of the Turkish version of MEPA-20 was performed with 30 parents after 4 weeks. ResultsMEPA-20 consists of 20 items and three sub-dimensions (active, restrictive, and over-protective mediation). The MEPA-20 Turkish version and its three factors were found to indicate acceptable levels of internal consistency and reliability. The three-factor construct validity of the MEPA-20 Turkish version determined with Explanatory Factor Analyses was successfully confirmed with Confirmatory Factor Analysis. ConclusionThe MEPA-20 is a valid and reliable tool for assessing the media parenting practices of parents of children aged 6–10 years in the Turkish population. Practice implicationsBased on the impact of media parenting practices on child and family health, nurses should raise awareness and support parents regarding children's healthy screen use.

Reliability and Validity of The Fullerton Advanced Balance Scale in People with Multiple Sclerosis

PurposeThis study was conducted to evaluate the reliability and validity of the Fullerton Advanced Balance Scale (FAB) in people with Multiple Sclerosis (PwMS). MethodsA total of 65 people with multiple sclerosis, Expanded Disability Status Scale (EDSS) ranging from 1 to 5.5, were included in the study. Test-retest reliability, intra-rater, inter-rater reliability, and internal consistency (item-total score correlation, Cronbach's alpha coefficient) were investigated to examine the reliability of FAB. In the intra-rater and inter-rater reliability analysis, the FAB application of 34 patients, whose initial evaluation was gathered, was video-recorded and re-watched by two physiotherapists at different times and scored. For the Validity of FAB, concurrent validity with criterion validity; construct validity with hypothesis testing were calculated. Convergent validity was assessed for correlations with EDDS, Dynamic Gait Index (DGI), and Timed Up and Go Test (TUG). ResultsTest-retest reliability of FAB Intraclass Correlation Coefficient (ICC) values was excellent (ICC= 0.994, p < 0.001). While the intra-rater reliability (ICC=0.986, p < 0.001) and inter-rater reliability (ICC=0.985, p < 0.001) of the FAB were calculated at an excellent level. Cronbach's alpha value was determined to perfect correlation. (Cronbach's alpha coefficient: 0.929). FAB had an excellent correlation with BBS (0.919 (p < 0.001). For convergent validity of FAB, EDSS (r=-0.885, p < 0.001), TUG (r=-0.833, p < 0.001), and DGI (r = 0.916, p < 0.001), it was determined that the scale had convergent validity. ConclusionThe FAB proved to be a reliable and valid in PwMS. The study showed that the FAB could be applied regardless of the physiotherapists' clinical experiences. It has been determined that the scale can be used in PwMS with a wide EDSS score. Considering the inter-rater and intra-rater reliability results, it is thought that the FAB is also suitable for use in the online environment.

Validity and reliability study of the Turkish Personal Report of Intercultural Communication Apprehension Scale: a revised scale.

Intercultural communication is one of the most important competencies of nurses that enhances the health-care process and increases the quality of care in multicultural environments. This study was conducted to revise the Turkish Personal Report of Intercultural Communication Apprehension Scale. This methodological study was conducted between November and December 2021 with 321 female and 96 male university students (mean age 20.78 ± 2.04 (min. = 17, max. = 37)). Revision of the Turkish Personal Report of Intercultural Communication Apprehension Scale included factor analysis, test-retest analysis for reliability, correlation-based item analysis, Cronbach's alpha internal consistency analysis and confirmatory factor analysis. Analysis results showed that the scale was composed of 12 items and explained 56.79% of the total variance. Cronbach's alpha value of the scale was found to be 0.88. Internal consistency analysis included item-total score correlations; the values were found to range between -0.59 and 0.79 and the 14th item with negative item-total score correlations was excluded from the scale. The results of this study show that the revised Turkish Personal Report of Intercultural Communication Apprehension Scale is a valid and reliable tool.

Psychometric Properties of the Turkish Version of the Nurse Spiritual Therapeutic Scale for Oncology Patients and Caregivers.

This study evaluated the Turkish version of the Nurse Spiritual Therapeutic Scale for assessing oncology patients' and caregivers' needs. It involved 200 participants from July 2022 to May 2023. The scale demonstrated high validity (content validity index = 0.97) and good internal consistency (Cronbach's alpha = 0.879). Factor analysis revealed a 20-item single-factor structure with satisfactory representation (factor loadings: 0.29-0.89). Item-total score correlations indicated moderate to strong relationships (0.236-0.761). The model showed a good fit (goodness-of-fit indices > 0.90). The Turkish version of the scale is valid and reliable for assessing oncology patients' and caregivers' spiritual care needs.