Adaptation and Validation of the Malay Version of the SAVE-9 Viral Epidemic Anxiety Scale for Healthcare Workers

Int J Environ Res Public Health. 2022 Aug 27;19(17):10673. doi: 10.3390/ijerph191710673.

Abstract

Viral epidemics have surfaced frequently over the past quarter-century, with multiple manifestations of psychological distress. This study sought to establish the psychometric properties of the Malay version of SAVE-9 among healthcare workers. A total of 203 healthcare workers across Malaysia participated in the research. The Malay version of SAVE-9 was translated and back-translated using the WHO instrument validation protocols. Classical Test Theory (CTT) and Rasch analysis were used to assess the validity and reliability of the Malay version of the SAVE-9 scale. The analysis was run using IBM SPSS 26.0 and JAPS. Cronbach's alpha was used to measure the internal consistency of SAVE-9, which was found to be satisfactory (Cronbach's α = 0.795). The correlations between the SAVE-9 and other measured scales (GAD-7 and PHQ-9) were statistically significant. A score of 22 was defined as a cut-off point with good sensitivity (0.578) and specificity (0.165). The Malay version of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) scale is valid and reliable after testing among healthcare workers. It is psychometrically suitable to be used in assessing healthcare workers' stress and anxiety specific to viral epidemics.

Keywords: COVID-19; SAVE-9 scale; healthcare; healthcare workers; psychological impact; viral epidemic.

MeSH terms

  • Anxiety / diagnosis
  • Anxiety / epidemiology
  • Epidemics*
  • Health Personnel*
  • Humans
  • Malaysia / epidemiology
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires

Grants and funding

This research received no external funding.