scholarly journals Development and Validation of the Negative Attitudes towards CBT Scale

2017 ◽  
Vol 45 (6) ◽  
pp. 629-646 ◽  
Author(s):  
Zachary J. Parker ◽  
Glenn Waller

Background:Clinicians commonly fail to use cognitive behavioural therapy (CBT) adequately, but the reasons for such omissions are not well understood.Aims:The objective of this study was to create and validate a measure to assess clinicians’ attitudes towards CBT – the Negative Attitudes towards CBT Scale (NACS).Method:The participants were 204 clinicians from various mental healthcare fields. Each completed the NACS, measures of anxiety and self-esteem, and a measure of therapists’ use of CBT and non-CBT techniques and their confidence in using those techniques. Exploratory factor analysis was used to determine the factor structure of the NACS, and scale internal consistency was tested.Results:A single, 16-item scale emerged from the factor analysis of the NACS, and that scale had good internal consistency. Clinicians’ negative attitudes and their anxiety had different patterns of association with the use of CBT and other therapeutic techniques.Conclusions:The findings suggest that clinicians’ attitudes and emotions each need to be considered when understanding why many clinicians fail to deliver the optimum version of evidence-based CBT. They also suggest that training effective CBT clinicians might depend on understanding and targeting such internal states.

2011 ◽  
Vol 109 (2) ◽  
pp. 445-452 ◽  
Author(s):  
Frank Leavitt ◽  
Robert S. Katz

Mental fog is a core symptom of fibromyalgia. Its definition and measurement are central to an understanding of fibromyalgia-related cognitive disability. The Mental Clutter Scale was designed to measure mental fogginess. In an exploratory factor analysis of two different samples ( n = 128 and n = 170), cognitive symptoms of fibromyalgia loaded on 2 dimensions: cognition and mental clarity. The mental clarity factor comprised 8 items with factor loadings greater than .60 and was named the Mental Clutter Scale. The factor stability of the new scale was good, internal consistency was .95, and test-retest reliability over a median of 5 days was .92. The 8-item scale is a quick measure of mental fog that provides clinicians with information about cognitive functioning in fibromyalgia.


2021 ◽  
pp. ebmental-2020-300217
Author(s):  
Masatsugu Sakata ◽  
Rie Toyomoto ◽  
Kazufumi Yoshida ◽  
Yan Luo ◽  
Yukako Nakagami ◽  
...  

BackgroundThere are many different skill components used in cognitive behavioural therapy (CBT). However, there is currently no comprehensive way of measuring these skills in patients.ObjectiveTo develop a comprehensive and brief measure of five main CBT skills: self-monitoring, behavioural activation, cognitive restructuring, assertiveness training and problem-solving.MethodsUniversity students (N=847) who participated in a fully factorial randomised controlled trial of smartphone CBT were assessed with the CBT Skills Scale, the Patient Health Questionnaire-9 (PHQ-9), the Generalised Anxiety Disorder-7 (GAD-7) and the short form of the Japanese Big Five Scale. Structural validity was estimated with exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and internal consistency evaluated with Cronbach’s α coefficients. Construct validity was evaluated with the correlations between each factor of the CBT Skills Scale, the PHQ-9, the GAD-7 and the Big Five Scale.FindingsThe EFA supported a five-factor solution based on the original instruments assessing each CBT skill component. The CFA showed sufficient goodness-of-fit indices for the five-factor structure. The Cronbach’s α of each factor was 0.75–0.81. Each CBT skills factor was specifically correlated to the PHQ-9, GAD-7, and the Big Five Scale.ConclusionsThe CBT Skills Scale has a stable structural validity and internal consistency with a five-factor solution and appropriate content validity concerning the relationship with depression, anxiety and personality.Clinical implicationsThe CBT Skills Scale will be potential predictor and effect modifier in studying the optimisation of CBT interventions.Trial registrationCTR-000031307.


2021 ◽  
pp. 135910532199077
Author(s):  
Eng Hooi Tan ◽  
Andrea Li Ann Wong ◽  
Chuan Chien Tan ◽  
Patrick Wong ◽  
Sing Huang Tan ◽  
...  

The Beliefs about Medicines Questionnaire (BMQ) and Adherence Starts with Knowledge (ASK-12) questionnaire were originally developed and validated in Western populations to assess beliefs and barriers to medication adherence. The study aim is to validate the BMQ and ASK-12 questionnaire for use in a Singapore population with early stage breast cancer. English-speaking women on adjuvant endocrine therapy ( n = 157) were recruited. The BMQ-Specific showed good internal consistency with structural validity. The internal consistency of BMQ-General and ASK-12 Behaviour scale improved with the new factor structure obtained from exploratory factor analysis. Further studies are needed to confirm these factor structures.


2021 ◽  
pp. 003435522110142
Author(s):  
Deniz Aydemir-Döke ◽  
James T. Herbert

Microaggressions are daily insults to minority individuals such as people with disabilities (PWD) that communicate messages of exclusion, inferiority, and abnormality. In this study, we developed a new scale, the Ableist Microaggressions Impact Questionnaire (AMIQ), which assesses ableist microaggression experiences of PWD. Data from 245 PWD were collected using Amazon’s Mechanical Turk (MTurk) platform. An exploratory factor analysis of the 25-item AMIQ revealed a three-factor structure with internal consistency reliability ranging between .87 and .92. As a more economical and psychometrically sound instrument assessing microaggression impact as it pertains to disability, the AMIQ offers promise for rehabilitation counselor research and practice.


2016 ◽  
Vol 46 (12) ◽  
pp. 2210-2215 ◽  
Author(s):  
Luísa Carneiro Vasconcelos Basto Gonçalves ◽  
Ana Daniela Gomes Araújo Simões ◽  
Darryl Lynn Millis ◽  
Augusto José Ferreira de Matos

ABSTRACT: The purpose of this study was to develop and to assess the psychometric characteristics of a mobility scale for dogs. The original ten questions were reduced using validation process. One hundred and twenty three dog owners were invited to answer the questionnaire. Internal consistency, factor analysis, floor and ceiling effect and construct validity were studied. Good internal consistency (Cronbach's Alpha=0.854) was determined with two items eliminated. The instrument comprises 8 final questions, each of which has five possible answers (never, rarely, sometimes, often and always) scored between 0 and 4 or between 4 and 0 (for the items with inverse score). Three hypotheses proposed for the construct validity were verified: 1) gender does not influence dog mobility (P=0.584); 2) mobility decreases with age (P<0.001); 3) dogs with orthopaedic or neurological diagnosed pathologies have less mobility (median score (P25; P75) 46.9% (31.3; 68.8)) than healthy dogs (median score (P25; P75) 81.3% (71.9; 93.8)) (P<0.001). Total score range was 0 to 32 points, with higher values indicating greater mobility of dogs. The Dog Mobility Scale was capable of assessing mobility in dogs, with good psychometric characteristics, and is simple and inexpensive to apply in clinical practice.


Author(s):  
Ana María Porcel-Gálvez ◽  
Sergio Barrientos-Trigo ◽  
Sara Bermúdez-García ◽  
Elena Fernández-García ◽  
Mercedes Bueno-Ferrán ◽  
...  

Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool.


2019 ◽  
Vol 47 (5) ◽  
pp. 611-615
Author(s):  
Kathleen M. Grubbs ◽  
James D. Broussard ◽  
Emily L. Hiatt ◽  
Melissa A. Beason-Smith ◽  
Ellen J. Teng

AbstractBackground:Cognitive behavioural therapy (CBT) for panic disorder encourages patients to learn about and make changes to thoughts and behaviour patterns that maintain symptoms of the disorder. Instruments to assess whether or not patients understand therapy content do not currently exist.Aims:The aim of this study was to examine if increases within specific knowledge domains of panic disorder were related to improvement in panic symptoms following an intensive 2-day panic treatment.Method:Thirty-nine Veterans enrolled in an intensive weekend panic disorder treatment completed knowledge measures immediately before the first session of therapy and at the end of the last day of therapy. Four panic disorder experts evaluated items and reached consensus on subscales. Subscales were reduced further to create psychometrically sound subscales of catastrophic misinterpretation (CM), behaviours (BE), and self-efficacy (SE). A simple regression analysis was conducted to determine whether increased knowledge predicted symptom change at a 3-month follow-up assessment.Results:The overall knowledge scale was reduced to three subscales BE (n = 7), CM (n = 13) and SE (n = 8) with good internal consistency. Veterans’ knowledge of panic disorder improved from pre- to post-treatment. Greater increase in scores on the knowledge assessment predicted lower panic severity scores at a 3-month follow-up. A follow-up analysis using the three subscales as predictors showed that only changes in CM significantly contributed to the prediction.Conclusions:In an intensive therapy format, reduction in panic severity was related to improved knowledge overall, but particularly as a result of fewer catastrophic misinterpretations.


Author(s):  
Yogesk K. Dwivedi

The previous chapter (Chapter 4) described the development and validation of a survey instrument for the purpose of data collection in order to examine broadband adoption, usage and impact. Chapter 3 provided a discussion and justification of the data collection and analysis methods. This chapter presents the findings obtained from a nationwide survey that was conducted to examine the adoption, usage and impact of broadband in UK households. The chapter is structured as follows. The next section presents a response rate of the survey and descriptions of how the non-response bias test was conducted. This is followed by a description of the reliability test conducted to assess the internal consistency of the survey instrument. The findings relating to the factor analysis are then presented. Following this, an overall discussion of the instrument is presented. Finally, a summary of the chapter is provided.


2019 ◽  
Vol 32 (4) ◽  
pp. 266
Author(s):  
Leandro Oliveira ◽  
Rui Poínhos ◽  
Francisco Sousa

Introduction: Functional foods are those that promote health and well-being and/or decrease the risk of certain chronic diseases. It is known that young people’ knowledge about functional foods is low. The aim of this study is to assess the psychometric proprieties of the “Attitudes towards Functional Foods Scale” in a sample of adolescents and, based on that analysis, adapting the scale for its use among this population group.Material and Methods: After a pre-test, the scale was applied to 340 students attending the 3rd cycle of basic education in Terceira island (Azores, Portugal), whose ages ranged between 11 and 19 years (mean = 14.0, standard deviation = 1.2). We analyzed the scale’s internal consistency and construct validity.Results: The study of the psychometric proprieties led to the exclusion of one item. Cronbach’s alpha (α = 0.876) showed a good internal consistency of the scale, and factor analysis revealed that, as the original (adults) version, it presents an unifactorial structure.Discussion: The scale showed to be an instrument easy and quick to apply among adolescents. We emphasize that its application should be preceded by the clarification on the concept of functional foods in order to ensure the adequacy of the answers.Conclusion: This study has demonstrated the adequacy of the Attitudes Towards Functional Foods Scale to assess Portuguese adolescents’ perception regarding functional foods, highlighting the need of using its adapted version.


2012 ◽  
Vol 50 (3) ◽  
pp. 251-260 ◽  
Author(s):  
Andrew B. Symons ◽  
Reva Fish ◽  
Denise McGuigan ◽  
Jeffery Fox ◽  
Elie A. Akl

Abstract As curricula to improve medical students' attitudes toward people with disabilities are developed, instruments are needed to guide the process and evaluate effectiveness. The authors developed an instrument to measure medical students' attitudes toward people with disabilities. A pilot instrument with 30 items in four sections was administered to 342 medical students. Internal consistency reliability and factor analysis were conducted. The Cronbach's alpha coefficient was 0.857, indicating very good internal consistency. Five components were identified: comfort interacting with people with disabilities, working with people with disabilities in a clinical setting, negative impressions of self-concepts of people with disabilities, positive impressions of self-concepts of people with disabilities, and conditional comfort with people with disabilities. The instrument appears to have good psychometric properties and requires further validation.


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