scholarly journals Validation of a 5-Item Tool to Measure Patient Assessment of Clinician Compassion in Hospitals

Author(s):  
Brian W. Roberts ◽  
Michael B. Roberts ◽  
Anthony Mazzarelli ◽  
Stephen Trzeciak

Abstract Background We previously validated a 5-item compassion measure to assess patient experience of clinician compassion in the outpatient setting. However, currently, there is no validated and feasible method for health care systems to measure patient experience of clinician compassion in the inpatient setting across multiple hospitals. Objective To test if the 5-item compassion measure can validly and distinctly measure patient assessment of physician and nurse compassion in the inpatient setting. Design Cross-sectional study between July 1 and July 31, 2020, in a US health care network of 91 community hospitals across 16 states consisting of approximately 15,000 beds. Patients Adult patients who had an inpatient hospital stay and completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Measurements We adapted the original 5-item compassion measure to be specific for physicians, as well as for nurses. We disseminated both measures with the HCAHPS survey and used confirmatory factor analysis for validity testing. We tested reliability using Cronbach’s alpha, as well as convergent validity with patient assessment of physician and nursing communication and overall hospital rating questions from HCAHPS. Results We analyzed 4756 patient responses. Confirmatory factor analysis found good fit for two distinct constructs (i.e., physician and nurse compassion). Both measures demonstrated good internal consistency (alpha > 0.90) and good convergent validity but reflected a construct (compassionate care) distinct from what is currently captured in HCAHPS. Conclusion We validated two 5-item tools that can distinctly measure patient experience of physician and nurse compassion for use in the inpatient hospital setting in conjunction with HCAHPS.

2015 ◽  
Vol 36 (4) ◽  
pp. 247-257 ◽  
Author(s):  
Gayatri Kotbagi ◽  
Laurence Kern ◽  
Lucia Romo ◽  
Ramesh Pathare

Abstract. Physical exercise when done excessively may have negative consequences on physical and psychological wellbeing. There exist many scales to measure this phenomenon. The purpose of this article is to create a scale measuring the problematic practice of physical exercise (PPPE Scale) by combining two assessment tools already existing in the field of exercise dependency but anchored in different approaches (EDS-R and EDQ). This research consists of three studies carried out on three independent sample populations. The first study (N = 341) tested the construct validity (exploratory factor analysis); the second study (N = 195) tested the structural validity (confirmatory factor analysis) and the third study (N = 104) tested the convergent validity (correlations) of the preliminary version of the PPPE scale. Exploratory factor analysis identified six distinct dimensions associated with exercise dependency. Furthermore, confirmatory factor analysis validated a second order model consisting of 25 items with six dimensions and four sub-dimensions. The convergent validity of this scale with other constructs (GLTEQ, EAT26, and The Big Five Inventory [BFI]) is satisfactory. The preliminary version of the PPPE must be administered to a large population to refine its psychometric properties and develop scoring norms.


2018 ◽  
Vol 26 (4) ◽  
pp. 530-536 ◽  
Author(s):  
Ka-Man Leung ◽  
Pak-Kwong Chung ◽  
Tin-Lok Yuen ◽  
Jing Dong Liu ◽  
Donggen Wang

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.


2016 ◽  
Vol 19 ◽  
Author(s):  
Vicente Morell-Mengual ◽  
María Dolores Gil-Llario ◽  
Jesús Castro-Calvo

AbstractSome studies have concluded there is a relationship between perceived self-efficacy and behaviors that prevent HIV transmission. This paper presents the construction and validation of the latex barrier use self-efficacy scale (LBSS), which 480 participants filled out. Exploratory factor analysis yielded two components: positive expectations of self-efficacy (ES-POS) and negative expectations of self-efficacy (ES-NEG), which together accounted for 65.59% of total variance. That structure was later verified through confirmatory factor analysis. Internal consistency was .80 for the total scale, and .78 for each of the two factors. Moreover, the instrument had adequate convergent validity and was positively related with condom use self-efficacy, attitudes toward condom and latex barrier use, and ability to refuse sex if the partner refuses to use preventive methods. In conclusion, this instrument is a useful measure of self-efficacy in latex barrier use.


2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.


2016 ◽  
Vol 24 (2) ◽  
pp. 245-257
Author(s):  
Rebecca Tucker ◽  
Jill R. Quinn ◽  
Ding-Geng (Din) Chen ◽  
Leway Chen

Background and Purpose: The psychometric properties of the Kansas City Cardiomyopathy Questionnaire (KCCQ) have been examined primarily in community-dwelling patients with heart failure (HF). The objective of this research was to examine the properties of the KCCQ administered to patients hospitalized with HF (N = 233). Methods: Confirmatory factor analysis, Cronbach’s alphas, and correlations were performed to examine the scale’s dimensions, reliability, and validity. Results: Confirmatory factor analysis indicated a 5-factor solution (63.6% of the variance). The Cronbach’s alpha levels were greater than .70, except for the self-efficacy dimension (.60). Convergent validity was not verified between the KCCQ and several illness severity measures. Conclusions: The psychometric properties of the KCCQ may be different based on the population in which the KCCQ is administered, which may have clinical implications.


Author(s):  
Giulia Bassi ◽  
Adriana Lis ◽  
Tatiana Marci ◽  
Silvia Salcuni

AbstractThe increased smartphone use in adolescence has led clinicians and researchers to carry out in-depth studies on the matter. Adolescents seem to be at risk of smartphone addiction because they are yet to develop self-control in smartphone use. This psychometric study aimed at examining the levels of validity evidence for the Smartphone Addiction Inventory-Italian (SPAI-I) version for adults, among adolescents. Confirmatory Factor Analysis confirmed the factor structure of the SPAI-I version for adults among adolescents but not the exploratory factor structure for adults of the original Smartphone Addiction Inventory (SPAI). Convergent validity was assessed by examining the relationship between SPAI-I, self-control, and internalized and externalized problems. A total of 446 Italian adolescents (mean age = 16.04, SD = 1.72, 36.3% males) completed the Self-Restraint Subscale of the Adolescent Self-Consciousness and the Strengths and Difficulties Questionnaires—with a specific focus on the subscales of internalized and externalized problems. Present findings suggested that the SPAI-I version could be used to assess smartphone overuse among adolescents according to a multidimensional perspective.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahnaz Estaki ◽  
Ameneh Dehghan ◽  
Ebrahim Mahmoudi ◽  
Navid Mirzakhany

Background: Sensory integration is a necessary skill for acquiring reading skills because it strongly depends on the rapid and strong relation between written and verbal symbols. There is no standardized test for Iranian children with dyslexia to investigate their sensory processing problems. Therefore, understanding the validity and reliability of the child sensory profile 2 (CSP2) would be essential for a detailed assessment of sensory impairments in dyslexic children. Objectives: The current research aimed to establish the internal consistency, factor analysis, and convergent validity of the Persian version of CSP2 in children with dyslexia. Methods: The sample of this study included 200 dyslexic children aged 6 to 12 years who were referred to learning disabilities centers in Qom from September 2019 to February 2020 by using the multistage sampling method. To collect data, the CSP2 questionnaire and the dyslexia test (NEMA) were used. The factor structure was assessed by confirmatory factor analysis. The internal consistency of the CSP2 was examined by using Cronbach’s alpha. Convergent validity was assessed by examining the relationship between CSP2 and NEMA. Results: Internal consistency was obtained as 0.89, 0.92, 0.77, and 0.94 for the four subscales of sensory processing, namely registration, seeking, sensitivity, and avoiding, respectively. The result of confirmatory factor analysis gained support for Dunn's four-factor model. Total scores of NEMA were correlated with the scores of CSP2 subscales (seeking, avoiding, sensitivity, and registration). Conclusions: The Persian version of the Child Sensory Profile 2 is a valid (via confirmatory factor analysis and convergent validity) and reliable (via internal consistency) tool for assessing sensory processing in children with dyslexia.


Author(s):  
Sajad Khanjani ◽  
Banafsheh Gharraee ◽  
Abbas Ramezani Farani ◽  
Aliakbar Foroughi

Background: Body image shame considerably contributes to the development and persistence of eating and body image disorders. Objectives: The current study was done to determine the psychometric properties of the body image shame scale and introduce a suitable measure for researchers and therapists in the field of psychological health. Methods: In this study, 409 (136 men and 273 females) individuals who referred to cosmetic surgery clinics in Tehran were chosen. The construct validity of the body image shame was assessed using confirmatory factor analysis and divergent and convergent validity. To assess the divergent and convergent validity of the body compassion scale, appearance anxiety inventory, dysmorphic concern questionnaire and Forms of Self-Criticizing/Attacking and Self-Reassuring Scale were used. Internal Consistency and test-retest reliability (4 weeks’ interval) were used to evaluate reliability. LISREL V8.80 and SSPS V20 were used for data analysis. Results: The results of confirmatory factor analysis showed that the two-factor model (internal and external body image shame) fitted the data (RMSEA = 0.07, NFI = 0.94, CFI = 0.92). Body image shame scale had a positive, significant correlation with dysmorphic concern, appearance anxiety, and self-criticism, and a negative, significant correlation with body compassion (P < 0.05). Also, Cronbach’s alpha coefficient, for the whole of scale, internal body image shame, and external body image shame were 0.85, 0.79, and 0.82, respectively. Conclusions: Psychometric properties of the persian version of the body image shame scale were confirmed in this study. Therefore, it can be used as a valid instrument in research and clinical works in populations with concerns about body image.


2020 ◽  
Vol 60 (1) ◽  
pp. 197-207
Author(s):  
Tien-Ming Cheng ◽  
Mei-Tsun Chen ◽  
Cheng-Ho Wu

The purpose of this study is to conceptualize a construct of Tour Conductor Playfulness (TCP) and establish a set of reliable and valid measures for TCP. The construct of TCP introduces a new concept in tourism research, while also extending the application of playfulness theory. TCP also can help businesses train employees and serve as a tool for human resource management. Study 1 produced initial items through in-depth interviews and content analysis, and study 2 conducted two sample collections. First, an exploratory factor analysis was performed by investigating 253 tour conductors, and four factors were identified: playful guiding, enthusiastic guiding, creative guiding, and engaged guiding. Second, this scale was validated with a new sample of 396 tour conductors. We verified the reliability of the TCP scale through confirmatory factor analysis, convergent validity, and discriminant validity to finally obtain 23 items. Implications and suggestions for future research are provided.


2017 ◽  
Vol 60 (6) ◽  
pp. 1516-1534 ◽  
Author(s):  
Wolfram Ziegler ◽  
Anja Staiger ◽  
Theresa Schölderle ◽  
Mathias Vogel

Purpose Standardized clinical assessment of dysarthria is essential for management and research. We present a new, fully standardized dysarthria assessment, the Bogenhausen Dysarthria Scales (BoDyS). The measurement model of the BoDyS is based on auditory evaluations of connected speech using 9 scales (traits) assessed by 4 elicitation methods. Analyses of the BoDyS' reliability and construct validity were performed to test this model, with the aim of gauging the auditory dimensions of speech impairment in dysarthria. Method Interrater agreement was examined in 70 persons with dysarthria. Construct validity was examined in 190 persons with dysarthria using a multitrait-multimethod design with confirmatory factor analysis. Results Interrater agreement of < 1 on a 5-point scale was found in 91% of cases across listener pairs and scales. Average reliability was .85. Inspection of the multitrait-multimethod matrix pointed at a high convergent and discriminant validity. Modeling of the BoDyS trait and method factors using confirmatory factor analysis yielded high goodness of fit. Model coefficients confirmed high discriminant and convergent validity and revealed meaningful relationships between scales and methods. Conclusions The 9 auditory scales of the BoDyS provide a reliable and valid profile of dysarthric impairment. They permit standardized measurement of clinically relevant dimensions of dysarthric speech.


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