scholarly journals Psychometric Properties of the MDADI—A Preliminary Study of Whether Less is Truly More?

Dysphagia ◽  
2021 ◽  
Author(s):  
Daniel J. Lin ◽  
Jenan Altamimi ◽  
Kim Pearce ◽  
Janet A. Wilson ◽  
Joanne M. Patterson

AbstractThe MD Anderson Dysphagia Inventory (MDADI) is a 20-item dysphagia-specific QOL questionnaire with four subscales: global, emotional, functional, and physical. It is widely used in clinical practice and in research; however, its psychometric properties have been under-researched. We aim to evaluate the organisation of the MDADI subscales and identify any redundant items. The MDADI is a routinely collected outcome measure at two centres in northeast England. Questionnaires completed at three months following treatment were extracted from these existing databases. Factor analysis was carried out with the aim of reducing redundancy among the set of questionnaire items. Cases with missing values were excluded. A total of 196 complete patient questionnaires were used in factor analysis. A one-factor model accounted for around 50% of the total variance in item responses. The top five endorsed items (abbreviated by the questionnaire item keywords: Excluded, Irritate, Esteem, Social, and Why) in this one factor appeared in three (emotional, functional, and physical) of the four supposed MDADI subscales, i.e. global, emotional, functional, and physical. Our results suggest an overlap of three MDADI subscales across the top five endorsed items. The content of the top five questions all appear related to the psychosocial aspects of swallowing. This implies some redundancy of the items in the original subscales of the questionnaire. Using the most endorsed items, it appears feasible to abbreviate the 20-item MDADI questionnaire to a 5-item “MiniDADI” questionnaire, which is likely to have greater utility in routine clinical practice outside of research settings.

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mun Kit Lim ◽  
Pauline Siew Mei Lai ◽  
Pei Se Wong ◽  
Sajaratulnisah Othman ◽  
Fadzilah Hanum Mohd Mydin

Abstract Background There is a growing interest among the developing countries on advance care planning (ACP) due to the reported benefits of planning ahead in the developed countries. Validated instruments in various languages have been developed to facilitate study on the views of public prior to its implementation. However, instrument to explore the views on ACP in Malay has not been developed and validated yet, even though Malay is spoken extensively by approximately 220 million people in the Malay Archipelago. There is also a need for instrument in Malay language to facilitate the assessment of knowledge, attitude and practice (KAP) of Malaysians regarding ACP. Therefore, the aim of this study was to validate the psychometric properties of the Malay Advance Care Planning Questionnaire (ACPQ-M). Methods The ACPQ was translated according to international guidelines. This validation study was conducted from January to June 2018. Participants who were ≥ 21 years old, and able to understand Malay were recruited from an urban primary care clinic and a tertiary education institution in Malaysia. A researcher administered the ACPQ-M to participants via a face-to-face interview at baseline and 2 weeks later. Each interview took approximately 10–20 min. Results A total of 222/232 participants agreed to participate (response rate = 96.0%). Exploratory factor analysis and confirmatory factor analysis found that the ACPQ-M was a 4-factor model. The Cronbach’s α values for the four domains ranged from 0.674–0.947. Only 157/222 participants completed the test-retest (response rate = 71%). At test-retest, quadratic weighted kappa values for all domains ranged from 0.340–0.674, except for two domains which ranged from − 0.200-0.467. Conclusions The ACPQ-M was found to be a 4-factor model, and a valid and reliable instrument to assess the KAP regarding ACP. This instrument can contribute to profound understanding of the KAP of Malaysians regarding ACP, and assist policy makers in determining the readiness for legislation of ACP in Malaysia.


2018 ◽  
pp. 003022281881934 ◽  
Author(s):  
Marta Sofia Ventosa Brás ◽  
Cláudia Isabel Guerreiro Carmo ◽  
Saul Neves de Jesus

Reasons for living are protective factors against suicidal behavior in adolescents. One of the most useful measures to assess them is the Reasons for Living Inventory for Adolescents (RFL-A) developed by Osman et al. The goal of this study was to examine the psychometric properties of its Portuguese version of the RFL-A. To this end, we recruited 512 high school adolescents (mean age = 16.7 years), who completed the RFL-A, a Suicidal Ideation Questionnaire, and a hopelessness scale. Exploratory factor analysis replicated the original five-factor model and confirmatory factor analysis obtained satisfactory adjustment values. The RFL-A shows good reliability (internal consistency and temporal stability) as well as good convergent, discriminant, and concurrent validities. These results indicate that the RFL-A is a valid and reliable measure to study protective factors against suicidal behaviors in Portuguese adolescents.


2020 ◽  
Author(s):  
Panwen Zhang ◽  
Zirong Ouyang ◽  
Shulin Fang ◽  
Jiayue He ◽  
Lejia Fan ◽  
...  

Abstract Background: The Personality Inventory for DSM-5 Brief Form (PID-5-BF) is a 25-item measuring tool evaluating maladaptive personality traits for the diagnosis of personality disorders(PDs). As a promising scale, its impressive psychometric properties have been verified in some countries, however, there have no studies about the utility of PID-5-BF in Chinese settings. The current study aimed to explore the maladaptive personality factor model which was culturally adapted in China and examine psychometric properties of the Personality Inventory for DSM-5 Brief Form among Chinese undergraduate students and clinical patients.Methods: 7155 undergraduate students and 451 clinical patients completed the Chinese version of PID-5-BF. 228 students were chosen randomly for test-retest reliability at a 4-week interval. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to discover the most suitable construct in Chinese, measurement invariance(MI), internal consistency, and external validity were also calculated.Results: An exploratory six-factor model was supported more suitable in both samples(Undergraduate sample: CFI = 0.905, TLI = 0.888, RMSEA = 0.044, SRMR = 0.039; Clinical sample: CFI = 0.904, TLI = 0.886, RMSEA = 0.047, SRMR = 0.060), adding a new factor“Interpersonal Relationships”. Measurement invariance across non-clinical and clinical sample was established (configural, weak, strong MI, and partial strict MI). Aside from acceptable internal consistency (Undergraduate sample: alpha=0.84, MIC=0.21; Clinical sample: alpha=0.86, MIC=0.19) and test-retest reliability(0.73), the association with 220-item PID-5 was significant(r = 0.93, p < 0.01), and six PDs measured by Personality diagnostic questionnaire-4+ (PDQ-4+) were correlated with expected domains of PID-5-BF.Conclusions: The PID-5-BF is a convenient and useful screening tool for personality disorders with a novel six-factor model in Chinese settings, with the main difference for the Negative Affect domain.


Nova Scientia ◽  
2019 ◽  
Vol 11 (22) ◽  
pp. 274-292
Author(s):  
Jaime Sebastián F. Galán Jiménez ◽  
Omar Sánchez-Armáss Cappello ◽  
Luis Felipe García y Barragán

Introduction: Desensitization to violence is the result of exposure to violence. It reduces the negative emotions in cognitive and physiological responses to violence and can even generate a positive response to it.Method: A mixed sequential method yielding a transactional analytic design for Exploratory Factor Analysis and Confirmatory Factor Analysis with a sample of 1720 participants of 25 different high schools and a juvenile detention center. Followed by convergent validity (as a criterion validity) with a different sample.Results: The EFA’s cumulative explained variance was 52% with a GFI of .98 with a three-factor model: sensitivity to violence, amusement with physical violence, and enjoyment of psychological violence. The CFA showed scores above .50 in Average Explained Variance in every factor, and an ideal model fit in every measure (CFI, AGFI, RMSEA, SRMR, and ECVI). The remaining factors are only those related with enjoying or amusement with violent behavior, indicating that the desensitization to violence is related not only with the normalization and legitimation of violence, but the increasing of the performance and amusement of it.Discussion or Conclusion: The scale of desensitization to violence for adolescents has adequate psychometric properties and can be a valuable instrument to generate intervention or prevention programs, especially for its intimate relationship with high scores in people interned because of their criminal behavior.


2021 ◽  
Vol 12 ◽  
Author(s):  
Denisse Lizette Valdivieso Portilla ◽  
Angélica Gonzalez Rosero ◽  
Geovanny Alvarado-Villa ◽  
Jorge Moncayo-Rizzo

In recent years, a new factor for work stress has been studied along with stress as an offense to self-theory. Illegitimate tasks refer to assignments that are unnecessary or are not related to the employee’s role. Because of this, the Bern Illegitimate Tasks Scale was developed, which measures illegitimate tasks in terms of unreasonable tasks and unnecessary tasks. There are no studies in Latin America on illegitimate tasks, so the purpose of this research is to translate and validate the Bern Illegitimate Tasks Scale. The study was performed with a sample of nursing staff from a hospital in Guayaquil, Ecuador. Written informed consent was obtained from each of the participants. The reliability of the questionnaire was evaluated and its structural validity was verified by exploratory factor analysis and confirmatory factor analysis. The internal consistency of the whole scale, measured by Cronbach’s alpha, was 0.857. Moreover, the unnecessary and unreasonable subscales measure were 0.846 and 0.841, respectively. The exploratory factor analysis supported a two-factor model that explained 73.96% of the variance. Additionally, the confirmatory factor analysis showed good indexes of fit (GFI = 0.915, CFI = 0.955, TLI = 0.933, SRMR = 0.084, and RMSEA = 0.087). The Spanish version of the Bern Illegitimate Tasks Scale presents good psychometric properties and can be applied to nurses in the Ecuadorian population.


TH Open ◽  
2018 ◽  
Vol 02 (03) ◽  
pp. e280-e290 ◽  
Author(s):  
Willemijn Comuth ◽  
Henrik Lauridsen ◽  
Steen Kristensen ◽  
Anna-Marie Münster

Background The Anti-Clot Treatment Scale (ACTS) is a 17-item, 2-factor (Burdens and Benefits), patient-reported outcome instrument to evaluate patient satisfaction with oral anticoagulant treatment. Objectives This study aimed to translate and culturally adapt the English version of the ACTS into Danish and to subsequently validate the Danish version in a population of patients treated with dabigatran etexilate for atrial fibrillation. Methods The ACTS was translated into Danish and culturally adapted. This prospective phase 4 study included 232 respondents who completed the Danish ACTS after 1 month of treatment with dabigatran etexilate for atrial fibrillation. Psychometric properties were evaluated. For test–retest reliability, the ACTS was measured twice, 2 weeks apart, in a subgroup of 50 stable patients. Results Generally, a high level of treatment satisfaction was found. Confirmatory factor analysis showed a suboptimal fit for the two-factor model of the original version. Using modification indices of confirmatory factor analysis, a four-factor model had the best fit. Cronbach's α for internal consistency was acceptable at 0.78. There was good test–retest reliability with intraclass correlation at 0.80. Smallest detectable changes (SDCs) for individual patients were 5.89 points for the total ACTS, 5.57 for the reverse Burdens, and 3.34 for Benefits scores. Group SDCs were 0.39, 0.37, and 0.22 respectively. Substantial ceiling effects limit the ability to detect improvement at the high end of the scale. Conclusion The Danish version of the ACTS has inadequate structural validity. Reliability was acceptable. Ceiling effects challenge detection of improvement of treatment satisfaction in clinical practice in this patient population.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Yangama Jokwiro ◽  
Elizabeth Pascoe ◽  
Kristina Edvardsson ◽  
Muhammad Aziz Rahman ◽  
Ewan McDonald ◽  
...  

Abstract Background This study explored the psychometric properties and dimensionality of the Stress of Conscience Questionnaire (SCQ) in a sample of health professionals from a tertiary-level Australian hospital. The SCQ, a measure of stress of conscience, is a recently developed nine-item instrument for assessing frequently encountered stressful situations in health care, and the degree to which they trouble the conscience of health professionals. This is relevant because stress of conscience has been associated with negative experiences such as job strain and/or burnout. The validity of SCQ has not been explored beyond Scandinavian contexts. Methods A cross-sectional study of 253 health professionals was undertaken in 2015. The analysis involved estimates of reliability, variability and dimensionality. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to explore dimensionality and theoretical model fit respectively. Results Cronbach’s alpha of 0.84 showed internal consistency reliability. All individual items of the SCQ (N = 9) met the cut-off criteria for item-total correlations (> 0.3) indicating acceptable homogeneity. Adequate variability was confirmed for most of the items, with some items indicating floor or ceiling effects. EFA retained a single latent factor with adequate factor loadings for a unidimensional structure. When the two‐factor model was compared to the one‐factor model, the latter achieved better goodness of fit supporting a one-factor model for the SCQ. Conclusion The SCQ, as a unidimensional measure of stress of conscience, achieved adequate reliability and variability in this study. Due to unidimensionality of the tool, summation of a total score can be a meaningful way forward to summarise and communicate results from future studies, enabling international comparisons. However, further exploration of the questionnaire in other cultures and clinical settings is recommended to explore the stability of the latent one-factor structure.


2021 ◽  
Vol 23 (1) ◽  
pp. 1-8
Author(s):  
Elena Lisá ◽  
◽  
Michael Dzúrik ◽  

The study aimed to verify the psychometric properties of the 100-item HEXACO-PI-R questionnaire. The sample consisted of 1624 adults aged from 16 to 79 years (M=34.5, SD=13.35) who filled the paper-pen self-report form of the HEXACO-PI-R. The average internal consistency of the six factors was α=.78 (from .72 for Openness to .81 for Honesty-Humility) and α=.60 for facets. The Altruism scale in the Slovak translation did not reach a satisfactory internal consistency (α=.29). Mean values in the Slovak-speaking sample were 3.29, and standard deviations .53 for factor level and .74 at the facet level. Sex differences showed the higher Emotionality (d=.99) and Honesty-Humility (d= .38) in women. Age differences in Honesty-Humility showed a medium effect size. Factors did not inter-correlate, or they correlated weakly, except for r=.34 in the relationship between Agreeableness and Honesty-Humility. The factors were well distinguished from one another. The exploratory factor analysis with Promax rotation confirmed the six-factor model, which explained in total 44% of data variance, with an average loading of .60. Individual one-factor models met most of the goodness of fit criteria in confirmatory factor analysis, but the six-factor model did not meet them. The controversy associated with assessing the internal structure of multidimensional personality inventories by confirmatory factor analysis is discussed. According to the currently published research studies, the research findings supported the reliability and internal validity of HEXACO-PI-R in Slovak translation.


2019 ◽  
Vol 8 (1) ◽  
pp. 13 ◽  
Author(s):  
Sofía Buelga ◽  
Belén Martínez-Ferrer ◽  
María-Jesús Cava ◽  
Jessica Ortega-Barón

The main goal of the present study was to analyze the psychometric properties of the revised version of the Adolescent Cyber-Victimization Scale (CYBVICS). This scale is composed of 18 items that assess direct and indirect cyber-victimization. Two subsamples participated in the present study. Sample 1 included 1318 adolescents (47.4% boys) from 12 to 16 years old (M = 13.89, SD = 1.32). Sample 2 was composed of 1188 adolescents (51.5% girls) from 12 to 16 years old (M = 14.19, SD = 1.80). First, an exploratory factor analysis was conducted on sample 1. Results yielded a bifactor structure: direct cyber-victimization and indirect cyber-victimization. To confirm the structure of the CYBVICS, we selected sample 2 to perform confirmatory factor analysis and test its convergent validity with theoretically related measures. The results supported the reliability and validity of the two-factor model. In addition, measurement invariance was established. Related to convergent validity, positive correlations between cyber-victimization and peer victimization, depressive symptoms, and offensive communication with the mother and the father were found. Moreover, negative correlations were found between cyber-victimization and open communication with the mother and the father and family self-esteem.


2011 ◽  
Vol 27 (3) ◽  
pp. 179-185 ◽  
Author(s):  
Ana Maria Fernández ◽  
Michele Dufey ◽  
Uwe Kramp

The psychometric properties of Davis’ (1980) Interpersonal Reactivity Index (IRI) in Chile were assessed. The IRI was applied to a sample of 435 college students. Appropriate internal consistencies and test-retest stability resulted. The instrument’s validity was evidenced by the interrelations among the scales, in addition to its correlations in the predicted direction to other related psychological constructs, and sex differences emerged in three of its dimensions. A confirmatory factor analysis corroborated the theoretical structure of the IRI in Chile, and the suitability of both the four-factor model and a second order factor that integrates three of the dimensions . The implications and comparison of the results with other adaptations of the IRI are discussed.


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