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Volume 7, Issue 3 (2026)
J Clinic Care Skill 2026, 7(3): 1001-1008 |
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Received: 2026/09/23 | Accepted: 2026/09/23 | Published: 2026/08/19
Received: 2026/09/23 | Accepted: 2026/09/23 | Published: 2026/08/19
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Moosa pour F, Pournesaei G, Sabzeh Arai Langaroudi M. Psychometric Properties of the Hospital Fear Rating Scale. J Clinic Care Skill 2026; 7 (3) :1001-1008
URL: http://jccs.yums.ac.ir/article-1-521-en.html
URL: http://jccs.yums.ac.ir/article-1-521-en.html
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1- , ghazal.pournesaei@ymail.com
Abstract (2 Views)
Aims: The present study aimed to evaluate the psychometric properties of the Hospital Fear Rating Scale (HFRS).
Materials & Methods: This methodological psychometric study was conducted among lower secondary school students in Rudsar County during the 2024–2025 academic year. A sample of 500 students was selected using cluster sampling. Data were collected using the Hospital Fear Rating Scale developed by Melamed and Lumley (1988) and the Fear of Hospitalization Scale developed by Janković et al. (2018). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to examine the factor structure of the scale. Convergent validity was assessed by examining the association between the HFRS and the Fear of Hospitalization Scale. Internal consistency and test–retest reliability were also evaluated. Data were analyzed using SPSS version 25 and SmartPLS version 3.
Finding: The results supported a four-factor structure of the HFRS, which accounted for 63.6% of the total variance (p < .05). A significant correlation was observed between the HFRS and the Fear of Hospitalization Scale, providing evidence of satisfactory convergent validity (p < .05). The scale also demonstrated satisfactory reliability based on Cronbach’s alpha coefficients and test–retest reliability assessed in a subsample of 100 students over a three-week interval (p < .05).
Conclusion: The findings indicate that the Persian version of the Hospital Fear Rating Scale demonstrates acceptable validity and reliability for assessing hospital-related fears among lower secondary school students. The scale may be useful for research and psychological assessment in relevant clinical and educational settings.
Materials & Methods: This methodological psychometric study was conducted among lower secondary school students in Rudsar County during the 2024–2025 academic year. A sample of 500 students was selected using cluster sampling. Data were collected using the Hospital Fear Rating Scale developed by Melamed and Lumley (1988) and the Fear of Hospitalization Scale developed by Janković et al. (2018). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to examine the factor structure of the scale. Convergent validity was assessed by examining the association between the HFRS and the Fear of Hospitalization Scale. Internal consistency and test–retest reliability were also evaluated. Data were analyzed using SPSS version 25 and SmartPLS version 3.
Finding: The results supported a four-factor structure of the HFRS, which accounted for 63.6% of the total variance (p < .05). A significant correlation was observed between the HFRS and the Fear of Hospitalization Scale, providing evidence of satisfactory convergent validity (p < .05). The scale also demonstrated satisfactory reliability based on Cronbach’s alpha coefficients and test–retest reliability assessed in a subsample of 100 students over a three-week interval (p < .05).
Conclusion: The findings indicate that the Persian version of the Hospital Fear Rating Scale demonstrates acceptable validity and reliability for assessing hospital-related fears among lower secondary school students. The scale may be useful for research and psychological assessment in relevant clinical and educational settings.
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