Translation and validation of the Indonesian version of the Family Support Scale (FSS) for elderly
https://doi.org/10.52235/lp.v6i4.611
Keywords:
elderly, family support, questionnaire, reliability, validityAbstract
Abstract
Background: Family support is a crucial determinant of elderly wellbeing, influencing emotional stability, independence, and overall quality of life. The Family Support Scale (FSS) is widely used internationally to measure perceived family support; however, no standardized Indonesian version has been available for elderly populations.
Objective: This study aimed to translate, culturally adapt, and evaluate the validity and reliability of the Family Support Scale (FSS) for Older People into the Indonesian language for use among the elderly.
Methods: A methodological design was applied using a standardized back-translation procedure encompassing forward translation, synthesis, blind back-translation, and expert harmonization. Fifty elderly respondents aged ≥60 years in Pekanbaru were recruited to assess the instrument’s psychometric properties. Construct validity was evaluated through corrected item–total correlation, while reliability was measured using Cronbach’s Alpha.
Results: All 20 items demonstrated acceptable corrected item–total correlation values (>0.30), indicating good construct validity. Reliability testing yielded a Cronbach’s Alpha of 0.949, reflecting excellent internal consistency. The translation and cultural adaptation process successfully preserved semantic, cultural, and conceptual equivalence with the original instrument.
Conclusion: The Indonesian version of the FSS is valid and reliable for assessing perceived family support among the elderly in Indonesia. The instrument is suitable for use in clinical practice, community health assessments, and elderly-focused research. Future studies should include larger and more diverse samples and incorporate exploratory and confirmatory factor analyses to further strengthen the construct structure.
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References
Az-Zahrah, N., Hamid, A. Y. S., & Panjaitan, R. U. (2025). Uji Validitas dan Reliabilitas Kuesioner Multidimensional Scale of Perceived Social Support (MSPSS) pada Pasien Rawat Jalan dengan Skizofrenia. Jurnal Kesehatan Dan Teknologi Medis, 9(5), 14–17.
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. SPINE, 25(24), 3186–3191. https://doi.org/10.1080/000163599428823
Boibalan, F. Y. (2024). Implementation of E-Health Based Technology to Improve the Health Status of the Elderly: A Literature Review. Lentera Perawat, 5(2), 260-266.doi: 10.52235/lp.v5i2.313
BPS. (2023). Statistik penduduk lanjut usia tahun 2022 (Direktorat Statistik Kesejahteraan Rakyat (ed.)). Badan Pusat Statistik.
Epstein, J., Santo, R. M., & Guillemin, F. (2015). A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus. Journal of Clinical Epidemiology, 68(4), 435–441. https://doi.org/10.1016/j.jclinepi.2014.11.021
Friedman, M. M., Bowden, vicky R., & Jones, E. G. (2010). Buku ajar keperawatan keluarga: riset, teori, & praktik (5th ed.). EGC.
Hong, S., Lee, S., Song, K., Kim, M., Kim, Y., Kim, H., & Kim, H. (2023). A nurse-led mHealth intervention to alleviate depressive symptoms in older adults living alone in the community: A quasi-experimental study. International Journal of Nursing Studies, 138, 104431. https://doi.org/10.1016/j.ijnurstu.2022.104431
Lewis SR, McGarrigle, MW, P., A, B., Y, Y., A, G., J, S., ER, B., M, G., A, S., K, R., DE, M., RJ, M., & C, T. (2024). Population-based interventions for preventing falls and fall-related injuries in older people (Review). Cochrane Database of Systematic Reviews, 1(1), 1–78. https://doi.org/10.1002/14651858.CD013789.pub2.www.cochranelibrary.com
Lin, Y., Xiao, H., Lan, X., Wen, S., & Bao, S. (2020). Living arrangements and life satisfaction: Mediation by social support and meaning in life. BMC Geriatrics, 20(1), 1–8. https://doi.org/10.1186/s12877-020-01541-8
Panjaitan, B. S., & Perangin-angin, M. A. br. (2020). Hubungan dukungan keluarga dengan kualitas hidup lansia. Klabat Journal of Nursing, 2(2), 35–43.
Ramadhani, N. R., Kurniawan, D., & Hasneli, Y. (2022). Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian Pasien Pasca Stroke. Jurnal Ilmiah Wahana Pendidikan, 8(22), 161–172. https://doi.org/10.5281/zenodo.7323260.
Rekawati, E., Wati, D. N. K., Fatin, N., Widyatuti, W., Wang, J. J., & Akbar, M. A. (2025). Gender-Based Risk Factors for Urinary Incontinence among Older Adults Living in Nursing Homes in Indonesia: A Cross-Sectional Study. Jurnal Keperawatan Soedirman, 20(2), 97-104. https://doi.org/10.20884/1.jks.2025.20.2.11356
Saputra, A. U., Fauziah, N. A., & Saputra, J. E. (2024). Effectiveness of Cognitive Function and Activity of Daily Living (ADL) on Elderly Independence. Lentera Perawat, 5(2), 282-288.doi: 10.52235/lp.v5i2.347
Solihin, A. H. S., Dwi Maryani, & Biben Fikriana. (2023). Hubungan Pengetahuan Dan Dukungan Keluarga Dengan Risiko Jatuh Pada Lansia. Jurnal Keperawatan ’Aisyiyah, 10(2), 131–140. https://doi.org/10.33867/jka.v10i2.455
Speyer, R., Kim, J.-H., Doma, K., Chen, Y.-W., Denman, D., Phyland, D., Parsons, L., & Cordier, R. (2019). Measurement properties of self-report questionnaires on health-related quality of life and functional health status in dysphonia: a systematic review using the COSMIN taxonomy. Quality of Life Research, 28(2), 283–296. https://doi.org/10.1007/s11136-018-2001-6
Susini, M., & Ana, I. W. (2024). Back-Translation as a Tool for Identifying Language Change. Journal of Language Teaching and Research, 15(4), 1178–1188. https://doi.org/10.17507/JLTR.1504.15
Uddin, M. A. (2019). Development of the family support scale (FSS) for elderly people. MOJ Gerontology & Geriatrics, 4(1), 17–20. https://doi.org/10.15406/mojgg.2019.04.00170
WHO. (2022). Process of translation and adaptation of instruments. WHO guidelines on translation and adaptation of instruments. WHO. https://www.who.int/substance_abuse/research_tools/translation/en/
Wilda, R. D. (2024). Memory Game Intervention in Improving Cognitive Ability and Memory in Elderly with Dementia: A Literature Review. Lentera Perawat, 5(2), 341-348. Doi: 10.52235/lp.v5i2.322
Xin, B., Zhao, Q., Chen, D., Ma, D., Su, H., & Jiang, W. (2025). Development and validation of an information-motivation-behavioral skills questionnaire for colorectal cancer prevention in a high-risk population. BMC Psychology, 13(1). https://doi.org/10.1186/s40359-025-02700-5
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