Construct validity and internal consistency of the neuropsychiatric inventory – nursing home (NPI-NH) in German nursing homes

2016 ◽  
Vol 28 (6) ◽  
pp. 1017-1027 ◽  
Author(s):  
Sven Reuther ◽  
Martin N. Dichter ◽  
Sabine Bartholomeyczik ◽  
Johanna Nordheim ◽  
Margareta Halek

ABSTRACTBackground:The Neuropsychiatric Inventory (NPI) is one of the most popular and frequently used instruments for assessing so-called challenging behavior in individuals with dementia in research practice. However, no information is available regarding the factor structure of the German version of the Neuropsychiatric Inventory – Nursing Home (NPI-NH). The aim of this study was to evaluate the factor structure (an aspect of construct validity) and internal consistency of the NPI-NH for two different stages of dementia severity in a large German nursing home population.Methods:A total of 784 residents with dementia from 40 nursing homes in three studies was included in a secondary data analysis. Principal component analysis (PCA) using an orthogonal rotational procedure (with varimax rotation) was used to evaluate the factor structure of the NPI. Cronbach's α was used to assess the stability of the scale.Results:The factors agitation & restless behavior, psychosis, and mood were identified (with factor loading > 0.4 explaining 50% of the variance). The factors showed a moderate internal consistency of 0.55 and 0.68 (Cronbach's α).Conclusions:The results show the acceptable factor structure of the NPI for a German population in nursing homes and confirm the results of studies from other countries. The three identified factors appear to be robust over the various stages of dementia severity. The results also support the hypothesis that the NPI-NH can be subdivided into multiple domains.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecka Maria Norman ◽  
Ingeborg Strømseng Sjetne

Abstract Background To our knowledge, no instrument has been developed and tested for measuring unfinished care in Norwegian nursing home settings. The Basel Extent of Rationing of Nursing Care for Nursing Homes instrument (BERNCA-NH) was developed and validated in Switzerland to measure the extent of implicit rationing of nursing care in nursing homes. The BERNCA-NH comprises a list of nursing care activities in which a care worker reports the frequency to which activities were left unfinished over the last 7 working days as a result of lack of time. The aim of this study was to adapt and modify a Norwegian version of the BERNCA-NH intended for all care workers, and assess the instruments’ psychometric properties in a Norwegian nursing home setting. Methods The BERNCA-NH was translated into Norwegian and modified to fit the Norwegian setting with inputs from individual cognitive interviews with informants from the target population. The instrument was then tested in a web-based survey with a final sample of 931 care workers in 162 nursing home units in different parts of Norway. The psychometric evaluation included score distribution, response completeness and confirmatory factor analysis (CFA) of a hypothesised factor structure and evaluation of internal consistency. Hypothesised relation to other variables was assessed through correlations between the subscale scores and three global ratings. Results The Norwegian version of BERNCA-NH comprised four subscales labelled: routine care, ‘when required’ care, documentation and psychosocial care. All subscales demonstrated good internal consistency. The CFA supported the four-factor structure with fit statistics indicating a robust model. There were moderate to strong bivariate associations between the BERNCA-NH subscales and the three global ratings. Three items which were not relevant for all care workers were not included in the subscales and treated as single items. Conclusions This study found good psychometric properties of the Norwegian version BERNCA-NH, assessed in a sample of care workers in Norwegian nursing homes. The results indicate that the instrument can be used to measure unfinished care in similar settings.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 377-377
Author(s):  
Anju Paudel ◽  
Barbara Resnick ◽  
Elizabeth Galik

Abstract Background: The Cohen-Mansfield Agitation Inventory (CMAI), available in both long and short versions, is a widely used measure to assess and evaluate agitation among older adults. There has been less psychometric testing of the short-form CMAI particularly with regard to the factor structure of this shorter measure. Purpose: The purpose of this study was to test the internal consistency, reliability and validity of short-form CMAI in a sample of nursing home residents and examine if it is invariant across gender. Specifically, it was hypothesized that consistent with the long form CMAI, the short-form CMAI would have three factors with acceptable internal consistency and item reliability. In addition, it was hypothesized that there would be no difference in factor structure and factor means across gender. Methods: This study utilized baseline data from a randomized trial including 553 residents from 55 nursing homes. Data was analyzed using structural equation modeling. Results: Confirmatory factory analysis supported the three-factor structure of short-form CMAI including aggressive (α= 0.794), physically non-aggressive (α= 0.617), and verbally agitated (α= 0.718) behaviors; three items loading on physically non-aggressive behaviors had R2 close to 0.3 suggesting low reliability. Invariance testing confirmed that the shortened measure is invariant across gender. Conclusions: Short-form CMAI is a valid and reliable scale to assess agitation and gender differences in agitation in nursing home population. However, it could benefit from rewording the items with low reliability or, merging them with other similar items. Future work could also consider a four-factor structure for this shortened measure.


Crisis ◽  
2013 ◽  
Vol 34 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Helen Christensen

Background: There are presently no validated scales to adequately measure the stigma of suicide in the community. The Stigma of Suicide Scale (SOSS) is a new scale containing 58 descriptors of a “typical” person who completes suicide. Aims: To validate the SOSS as a tool for assessing stigma toward suicide, to examine the scale’s factor structure, and to assess correlates of stigmatizing attitudes. Method: In March 2010, 676 staff and students at the Australian National University completed the scale in an online survey. The construct validity of the SOSS was assessed by comparing its factors with factors extracted from the Suicide Opinion Questionnaire (SOQ). Results: Three factors were identified: stigma, isolation/depression, and glorification/normalization. Each factor had high internal consistency and strong concurrent validity with the Suicide Opinion Questionnaire. More than 25% of respondents agreed that people who suicided were “weak,” “reckless,” or “selfish.” Respondents who were female, who had a psychology degree, or who spoke only English at home were less stigmatizing. A 16-item version of the scale also demonstrated robust psychometric properties. Conclusions: The SOSS is the first attitudes scale designed to directly measure the stigma of suicide in the community. Results suggest that psychoeducation may successfully reduce stigma.


2021 ◽  
pp. 105477382110598
Author(s):  
Ganime Can Gür ◽  
Yasemin Altinbaş

The current study was planned to test the validity and reliability of the Turkish version of the COVID-19 Literacy Scale. The sample of the study was taken from 473 individuals. In this study, language validity, content validity and construct validity were examined to determine the validity of the scale. Its reliability was evaluated by internal consistency, split-half reliability, and test-retest reliability method. It was defined that the scale has a two-factor structure as a result of EFA and its factor loadings are in the appropriate range (0.852–0.324). According to the CFA result, it was determined that the model-data fit was at a good level. The Cronbach values for the whole scale and subscales were .92, .90, and .87, respectively. It was observed that the test-retest value was .95. It was concluded that the Turkish form of the COVID-19 Literacy Scale is a reliable and valid tool.


2016 ◽  
Vol 44 (6) ◽  
pp. 1005-1014
Author(s):  
Zhiqi You ◽  
Yuan Tian ◽  
Fanchang Kong ◽  
Zongkui Zhou ◽  
Youjie Zheng

Our purpose in this study was to develop a scale to measure preference for online social interaction (POSI). The psychometric properties of the POSI Scale were tested with 2 separate samples of Chinese teenagers (age 13–18 years). The responses of the first group (n = 352) were used to explore the factor structure of the scale. The responses of the second group (n = 593) were used to test construct validity and consistency reliability of the POSI Scale. The results indicated that (a) the POSI Scale consists of three dimensions: online social interaction frequency, online social interaction propensity, and perception of superiority of online social interaction compared to face-to-face social interaction; and (b) the POSI Scale has good structural validity and internal consistency and reliability, and is a reliable and valid instrument for measurement of adolescents' preference for online social interaction, especially in the context of Chinese teenagers.


2005 ◽  
Vol 14 (3) ◽  
pp. 49-59 ◽  
Author(s):  
Wendy Patton ◽  
Peter Creed ◽  
Rebecca Spooner-Lane

This article reports on a further exploration into the reliability and validity of the shortened form of the Career Development Inventory—Australia (Creed & Patton, 2004), a career maturity measure being developed to meet the need for a shorter and more up-to-date measure to provide data on this career development construct. Data gathered from 170 final-year education students (34 males, 132 females) provided partial support for the measure's internal consistency, factor structure and construct validity.


1991 ◽  
Vol 17 (2) ◽  
Author(s):  
A. S. Engelbrecht ◽  
L. C. De Jager

The reliability and factor structure of the adapted multiple choice version of the Miner Sentence Completion Scale (MSCS). In this study the multiple choice MSCS was adapted as a result of several criticisms thereof. The internal consistency and factor structure of the adapted MSCS were determined to ascertain the reliability and construct validity of the questionnaire. Results show that the internal consistency is unsatisfactory and that the factor structure is so complex that interpretation becomes virtually impossible. In light of the results of this study and other research findings of the psychometric properties of the MSCS, it is recommended that a new measuring instrument for managerial motivation be developed that will enable a valid testing of the managerial rolemotivation theory. Opsomming Na aanleiding van verskeie punte van kritiek teen die MSCS is die meervoudige keuse-MSCS in hierdie studie aangepas. Ten einde 'n aanduiding van die betroubaarheid en konstrukgeldigheid van die aangepaste MSCS te verkry, is die interne konsekwentheid en faktorstruktuur daarvan bepaal. Die resultate dui daarop dat die interne konsekwentheid onbevredigend en die faktorstruktuur te kompleks vir interpretasie is. In die lig van die bevindinge van hierdie studie, en ander navorsingsbevindinge oor die psigometriese eienskappe van die MSCS, word aanbeveel dat 'n nuwe meetinstrument van bestuursmotivering ontwikkel word wat 'n geldige toetsing van die bestuursrol-motiveringsteorie moontlik sal maak.


2020 ◽  
Vol 19 (7) ◽  
pp. 600-608
Author(s):  
Selina Kikkenborg Berg ◽  
Jane Færch ◽  
Pernille Fevejle Cromhout ◽  
Marianne Tewes ◽  
Preben Ulrich Pedersen ◽  
...  

Background: Patient participation in treatment and care is often encouraged and is desirable because of its proven positive impact on treatment, quality of care and patient safety. Aims: To develop an instrument to measure patient participation in health care and to investigate the measurement properties of the Patient Participation Questionnaire (PPQ). Methods: A literature review was conducted to develop a model of patient participation. The PPQ was constructed consisting of 17 items organized into four subscales. Psychometric evaluation of factor structure, convergent construct validity by hypothesis testing and analyses of internal consistency using Cronbach’s alpha were performed on data from a hospitalised mixed group of patients with cardiac disease, pulmonary disease and cancer ( N=378 patients). Results: Confirmatory factor analysis did not show a clear model fit, which is why an exploratory factor analysis was performed, suggesting a different four subscale structure consisting of a total of 16 items. The four subscales were labelled Shared decision power, Adapted and individualized knowledge, Collaboration and Human approach. There were strong ceiling effects on all items. Analysis of convergent construct validity showed a moderate correlation (0.59) between the PPQ and another instrument measuring patient participation. Internal consistency for the total PPQ score was high: 0.89. Conclusion: In a mixed group of patients with cardiac disease, pulmonary disease and cancer, the PPQ showed promising psychometric properties in terms of factor structure, convergent construct validity and internal consistency. The PPQ may be used to shed light on the experience of patient participation and guide quality improvements.


Author(s):  
Paolo Iliceto ◽  
Emanuele Fino ◽  
Mauro Schiavella ◽  
Tian Po Oei

AbstractGambling urges and gambling refusal self-efficacy beliefs play a major role in the development and maintenance of problem gambling. This study aimed to translate the Gambling Urge Scale (GUS) and the Gambling Refusal Self-Efficacy Questionnaire (GRSEQ) from English to Italian (GUS-I, GRSEQ-I) and to test their factor structure, internal consistency, construct validity, concurrent validity, and gender differences in 513 individuals from the Italian community. Factor structure and construct validity were tested through Confirmatory Factor Analysis, internal consistency through Cronbach’s alpha, concurrent validity through correlations with gambling-related cognitions (GRCS-I), probable pathological gambling (SOGS-I), and gambling functioning (GFA-R-I). Results confirmed that the 6 items of the GUS-I load highly on one dimension of Gambling Urge, and each of the 26 items of the GRSEQ-I load highly on their relevant sub-dimension, among the following: situations/thoughts, drugs, positive emotions, negative emotions. Both scales are internally consistent and show concurrent validity with gambling-related cognitions, probable pathological gambling, and gambling functioning. Males score higher than females at the GUS-I; females score higher than males at the GRSEQ-I. The findings from the present study suggest that the GUS-I and the GRSEQ-I are internally consistent and valid scales for the assessment of gambling urges and gambling refusal self-efficacy in Italian individuals from the community, with significant repercussions in terms of assessment, prevention, and intervention.


2014 ◽  
Vol 1 (4) ◽  
Author(s):  
Manoochehr Azkhosh ◽  
Ali Asgari

This study aimed to investigate the construct validity and factor structure of NEO-Five Factor Inventory (Costa & McCrae, 1992) in Iranian population. Participants were 1639 (780 male, 859 female) Tehran people aged 15-71. The results of explanatory factor analysis showed no notable differences between the factor structures extracted by oblique and orthogonal rotations and didn’t replicate the scoring key. The Openness and Agreeableness had more psychometric problems (low internal consistency and high deleted items). The female’s NEO-FFI factor structure (with 41 items of 60 loaded on intended factors)was clearer than males’ (with 37 items). Confirmatory factor analysis supported the male’s latent modeling of the 31-item but failed to fit the female’s model. The women scored significantly higher in the Neuroticism, Openness, Agreeableness, and Conscientiousness than men who scored significantly higher in the Extraversion. As previous findings, the current results showed the NEO-FFI’s cultural limitations assessing the universality of the Five Factor Model.


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