{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:46:53Z","timestamp":1782276413488,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The present study aimed to adapt into Turkish the Morning Stiffness Assessment Scale for Patients with Rheumatoid Arthritis, developed in 2021, and to examine the validity and reliability of the Turkish version.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study was conducted with a methodological design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The present methodological study was carried out with 150 patients diagnosed with rheumatoid arthritis between August and November 2024, using the \u2018Patient Information Form\u2019 and \u2018Morning Stiffness Assessment Scale (MSAS)\u2019 in the data collection process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The findings indicated that the KMO value was 0.737, and the Bartlett's Test of Sphericity yielded a significant result (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009462.745;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was a range of 0.48 to 0.83 for the factor loadings of the items. The confirmatory factor analysis demonstrated acceptable model fit (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200952.73, df\u2009=\u200933,\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/df\u2009=\u20091.59, RMSEA\u2009=\u20090.063, CFI\u2009=\u20090.96, SRMR\u2009=\u20090.053, TLI\u2009=\u20090.94, and RMR\u2009=\u20090.037). The Cronbach's alpha coefficient for the overall scale was 0.792, while the subscales yielded coefficients of 0.734 and 0.716. The validity and reliability of the Turkish version were demonstrated without requiring any modifications to the original scale.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Turkish version of the MSAS was found to be a valid and reliable tool consistent with Turkish culture. It consists of ten items and two dimensions. The scale provides a practical and standardized assessment tool for nurses to evaluate and monitor morning stiffness in patients with rheumatoid arthritis and to support symptom management in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70631","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:44:13Z","timestamp":1781178253000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Morning Stiffness Assessment Scale for Patients With Rheumatoid Arthritis: Turkish Adaptation and Validity and Reliability"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0061-9490","authenticated-orcid":false,"given":"G\u00fclcan","family":"Bah\u00e7ecio\u011flu Turan","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences F\u0131rat University  Elaz\u0131\u011f Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1752-5298","authenticated-orcid":false,"given":"Ercan","family":"Bak\u0131r","sequence":"additional","affiliation":[{"name":"Nursing Department Ad\u0131yaman University, Faculty of Health Sciences  Ad\u0131yaman Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2431-2346","authenticated-orcid":false,"given":"Z\u00fclfinaz","family":"\u00d6zer","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Istanbul Sabahattin Zaim University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2018.03.066"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010017\u20100813\u20107"},{"key":"e_1_2_12_4_1","first-page":"76","volume-title":"Structural Equation Modeling With Amos 24","author":"Bae B.\u2010R.","year":"2017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009742.2019.1696404"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","unstructured":"B\u00fcy\u00fck\u00f6zt\u00fcrk \u015e.2018.\u201cSosyal Bilimler \u0130\u00e7in Veri Analizi El Kitab\u0131.\u201dPegem At\u0131f \u0130ndeksi 001\u2010214.","DOI":"10.14527\/9789756802748"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203807644"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.26650\/FNJN397481"},{"key":"e_1_2_12_9_1","volume-title":"Scale Development: Theory and Applications","author":"DeVellis R. 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