scholarly journals Is Having Hearing Loss Fundamentally Different? Multigroup Structural Equation Modeling of the Effect of Cognitive Functioning on Speech Identification

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Erik Marsja ◽  
Victoria Stenbäck ◽  
Shahram Moradi ◽  
Henrik Danielsson ◽  
Jerker Rönnberg
2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Stephen J. Aragon ◽  
Liana J. Richardson ◽  
Wanda Lawrence ◽  
Sabina B. Gesell

Objective. This study examined to what degree patient-centeredness—measured as an underlying ability of obstetrical nurses—influenced Medicaid patients’ satisfaction with care in hospital obstetrical units.Design. Multigroup structural equation modeling design, using three cross-sectional random samples (n=300each) from the 2003 Press Ganey National Inpatient Database.Setting. Self-administered mail surveys.Participants. 900 Medicaid recipients recently discharged from inpatient hospital obstetrical units across the United States.Methods. Multigroup structural equation modeling was used to test the goodness of fit between a hypothesized model based on the Primary Provider Theory and patients’ ratings of nurses.Results. The model fitted the data well, was stable across three random samples, and was sustained when compared to a competing model. The patient-centeredness of nurses significantly influenced overall patient satisfaction and explained 66% of its variability. When nurses’ patient-centeredness increased by one standard deviation, patients’ satisfaction increased by 0.80 standard deviation.Conclusion. This study offers a novel approach to the measurement of the patient-centeredness of nurses and a paradigm for increasing it and its influence on Medicaid patients’ satisfaction in hospital obstetrical units.


2020 ◽  
Author(s):  
Chi Chang ◽  
Joseph Gardiner ◽  
Richard T Houang ◽  
Yan-Liang Yu

Abstract Background: The Multiple-indicator, multiple-cause model (MIMIC) incorporates covariates of interest in the factor analysis using structural equation modeling framework. The model provides rigorous results and becomes broadly available in multiple statistical software. The current study introduces the MIMIC model and how it can be implemented using statistical software SAS CALIS procedure, R lavaan package, and M plus version 8.0. Methods: In this paper, we first discussed the formulation of the MIMIC model with regard to model specification and identification. We then demonstrated the empirical application of the MIMIC model with the Midlife in the United States II (MIDUS II) Study (N=4,109) using SAS CALIS procedure, R lavaan package and M plus version 8.0 to examine gender disparities in cognitive functioning. The input, output, and diagram syntaxes of the three statistical software programs were also presented. Results In terms of data structure, all three statistical programs can be conducted using both raw data and empirical covariance matrix. While SAS and R are comprehensive statistical analytic packages and encompass numerous data manipulation capacities, M plus is designed primarily for structural equation modeling and therefore is limited in data manipulation. Differences in model results from the three statistical programs are trivial. Overall, the results show that while men show better performance in executive function than women, women demonstrate better episodic memory than men. Conclusions: Our study demonstrates the utility of the MIMIC model in its empirical application, fitted with three popular statistical software packages. Results from our models align with empirical findings from previous research. We provide coding procedures and examples with detailed explanations in the hopes of providing a concise tutorial for researchers and methodologists interested in incorporating latent constructs with multiple indicators and multiple covariates in their research projects. Future researchers are encouraged to adopt this flexible and rigorous modeling approach.


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