https://m2.mtmt.hu/ hun 2026-10-25 10:37 JournalArticle 36926447 VALIDATED true Export Date: 03 June 2026; Cited By: 1; Correspondence Address: A. Pakai; Dr. Annamaria Pakai, Associate Professor, Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, Faculty of Health Sciences, University of Pécs, Hungary; email: annamaria.pakai@etk.pte.hu 0 false 2026-10-02T08:16:48.976+0000 2026-10-02T08:13:19.113+0000 2026-02-06T08:46:11.613+0000 true 10039043 Milánkovics Róbert /api/admin/10039043 Admin true 10039043 2026-09-09T10:16:42.233+0000 2026-08-28T09:27:56.107+0000 true 10024397 Szabó Katalin /api/admin/10024397 Admin true 10024397 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Ali, Amira Mohammed The Arabic Control Attitudes Scale-Revised : Method Effect (Negatively Worded Items) and Measurement Invariance as Threats to Its Construct Validity Are Remedied in a 5-Item Version With Improved Performance true true /api/journal/10009445 REVIEWED true false 10009445 false 10009445 true 0889-4655 1550-5049 Journal FOREIGN 41 5 E370 E378 E370 2026 The Control Attitudes Scale-Revised (CAS-R) is widely used to explore cardiac patients' beliefs about their ability to manage illness. The CAS-R's construct validity may be questionable in different cultural contexts. Conclusions/applications based on inaccurate construct validity can be misleading and incorrect.In this study, we aimed to evaluate the psychometric properties of the Arabic version of the CAS-R.Within a cross-sectional design involving 180 Omani patients with heart failure (mean age = 70.3 ± 9.8 years, 51.7% females), exploratory/confirmatory factor analysis (CFA) and multigroup CFA were used to evaluate the construct validity and measurement invariance of the CAS-R across gender and marital groups.In exploratory factor analysis, 2 factors with eigenvalues >1 explained 37.9% of the variance. Despite the poor fit of the unidimensional CAS-R, CFA revealed an excellent fit of a 2-factor structure. Negative (5 and 8) and cross-loading items (1) contributed to scale variance at the configural level. Eliminating negative items and item 6 improved model fit, reliability (Cronbach's α = 0.66 vs. 0.56), and invariance at all levels. In support of its convergent and criterion validity, the CAS-R 5 correlated with the CAS-R and depression (r = 0.953, -0.268; P values <.01).Negative items comprised a minor weak factor (helplessness) that was not stable across groups. Eliminating items 5, 6, and 8 resulted in a clean invariant short form (CAS-R 5) with superior properties that may implicate nursing decisions and interventions concerning perceived control. true 2026 true true true false true false NONE 2026-10-02 false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 D1 false false false false 2026-05-07T16:49:00.362+0000 Védőnői és Prevenciós Tanszék (PTE / ETK / EASZVI) 1 14 1 12 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 133579935 /api/authorship/133579935 1 0.083333336 true false false Ali Amira Mohammed true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579936 /api/authorship/133579936 2 0.083333336 false false false Al-Dossary Saeed A true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579937 /api/authorship/133579937 3 0.083333336 false false false Alharrasi Maryam true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579938 /api/authorship/133579938 4 0.083333336 false false false Laranjeira Carlos true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579939 /api/authorship/133579939 5 0.083333336 false false false Ayed Ahmad true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579940 /api/authorship/133579940 6 0.083333336 false false false El-Gazar Heba Emad true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579941 /api/authorship/133579941 7 0.083333336 false false false Zoromba Mohamed Ali true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579942 /api/authorship/133579942 8 0.083333336 false false false Atalla Amal Diab Ghanem true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579943 /api/authorship/133579943 9 0.083333336 false false false Alamer Rasmieh true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579944 /api/authorship/133579944 10 0.083333336 false false false Al-Abri Khalood true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579945 /api/authorship/133579945 11 0.083333336 false false false Subih Maha true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 133579946 /api/authorship/133579946 12 0.083 false true true Author 10016222 /api/author/10016222 Karamánné Pakai Annamária true 10016222 true Pakai Annamaria true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 31367488 /api/publicationidentifier/31367488 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true 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/api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 41603608 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=41603608&dopt=Abstract false true Keyword 14018 /api/keyword/14018 true 14018 true Keyword 1035872 /api/keyword/1035872 true 1035872 true Keyword 2903143 /api/keyword/2903143 true true Keyword 4183281 /api/keyword/4183281 true true Keyword 4183282 /api/keyword/4183282 true true SjrRating 11654042 /api/sjrrating/11654042 7 0.1 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 2902 /api/classificationexternal/2902 true 2902 true D1 FROM_LAST_YEAR true true /api/publication/36926447 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Ali Amira Mohammed </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Al-Dossary Saeed A </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Alharrasi Maryam </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Laranjeira Carlos </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Ayed Ahmad </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >El-Gazar Heba Emad </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Zoromba Mohamed Ali </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Atalla Amal Diab Ghanem </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Alamer Rasmieh </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Al-Abri Khalood </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Subih Maha </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10016222"><a href="/gui2/?type=authors&mode=browse&sel=10016222" target="_blank">Pakai Annamaria ✉ (<span class="authorship-author-name">Karamánné Pakai Annamária</span> <span class="authorAux-mtmt"> egészségtudomány</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Egészségtudományi Kar">ETK</span>/<span title="Egészségtudományi Alapozó, Szülésznői és Védőnői Intézet">EASZVI</span>/Védőnői és Prevenciós Tanszék</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36926447" target="_blank">The Arabic Control Attitudes Scale-Revised : Method Effect (Negatively Worded Items) and Measurement Invariance as Threats to Its Construct Validity Are Remedied in a 5-Item Version With Improved Performance</a></div> <div> <span class="journal-title">JOURNAL OF CARDIOVASCULAR NURSING</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0889-4655">0889-4655</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1550-5049">1550-5049</a>)</span>: <span class="journal-volume">41</span> <span class="journal-issue">5</span> <span class="page"> pp E370-E378 </span> <span class="year">(2026)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1097/JCN.0000000000001294" target="_blank" href="https://doi.org/10.1097/JCN.0000000000001294"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001877762000010" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001877762000010"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105030515319" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105030515319"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="41603608" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=41603608&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Advanced and Specialized Nursing&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Cardiology and Cardiovascular Medicine&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q2</div> </div></OnlyViewableByAuthor> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;36926447&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 4 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 36926447</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">PubMed XML</span> </div> <div class="lastModified">Utolsó módosítás: 2026.10.02. 10:13 Szabó Katalin (PTE ETK admin 5) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Export Date: 03 June 2026; Cited By: 1; Correspondence Address: A. Pakai; Dr. Annamaria Pakai, Associate Professor, Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, Faculty of Health Sciences, University of Pécs, Hungary; email: annamaria.pakai@etk.pte.hu</pre> </div></div>