Evaluating the Psychometric Properties of the Indonesian Version of the Stroke Stigma Scale Among Indonesian Stroke Survivors

PURPOSE: To assess the validity and reliability of the Indonesian Stroke Stigma Scale (SSS-I), including its four dimensions and 16 items, among Indonesian stroke survivors. Validation of the Stroke Stigma Scale (SSS) is recommended across various mental health contexts and community settings. However, construct validity, convergent validity, and reliability in particular have not been examined and validated among Indonesian stroke survivors. MATERIALS AND METHODS: A total of 112 stroke survivors participated. The SSS was translated into Indonesian using Brislin's back-translation method. Confirmatory factor analysis (CFA) was conducted to assess construct validity. RESULTS: CFA indicated a good model fit, with factor loadings for all items exceeding 0.30. The convergent validity, represented by the average variance extracted, ranged from 0.507 to 0.666, suggesting that the latent constructs explained more than 50% of the variance. The scale demonstrated excellent reliability, with a total Cronbach's alpha of 0.917 and composite reliability ranging between 0.752 and 0.887. CONCLUSIONS: The Indonesian version of the SSS demonstrated preliminary evidence of internal consistency and construct validity, supporting its use for assessing stigma among stroke survivors, with further validation recommended. This instrument helps healthcare providers to understand Indonesian stroke survivors' needs, supports decision-making, and enhances outcomes.