Refining the Frommelt Attitude Toward the Care of the Dying Scale (FATCOD–B) for medical students: A confirmatory factor analysis and Rasch validation study

2017 ◽  
Vol 16 (1) ◽  
pp. 50-59 ◽  
Author(s):  
Barbara Loera ◽  
Giorgia Molinengo ◽  
Marco Miniotti ◽  
Paolo Leombruni
Keyword(s):  
Medical Education ◽  
Factor Analysis ◽  
Medical Students ◽  
Confirmatory Factor Analysis ◽  
Dimensional Structure ◽  
Measurement Tool ◽  
Two Dimensional ◽  
Number Of Patients ◽  
Confirmatory Factor ◽  
Care Of The Dying

ABSTRACTObjective:Given the increasing number of patients requiring palliative care and the need for more professionals who are able to provide care for the dying comfortably, assessment of medical attitudes toward end-of-life care is becoming a key aspect of medical education. The present study aimed to establish whether the Frommelt Attitude Toward the Care Of the Dying, Form B (FATCOD–B) meets current psychometric standards of validity for an assessment tool in medical education.Method:The participants were 200 undergraduate medical students. Since in a previous study the FATCOD–B was found to have a weak structure due to poor item validity, a refined version was proposed and tested in the present study. Confirmatory factor analysis and the Rasch model were employed to assess its dimensionality and psychometric properties.Results:The construct measured by the FATCOD–B continues to be misspecified. The tool has a two-dimensional structure. The first is well-structured and demonstrates appreciable measurement and discriminant capabilities. The second has low validity because its measurement capabilities are based on weakly correlated items.Significance of results:Our results suggest that the FATCOD–B measures a two-dimensional construct and that only its first dimension is a robust measurement tool for use in medical education to evaluate undergraduates' attitudes about caring for the dying.

scholarly journals Confirmatory factor analysis of the Frommelt Attitude Toward Care of the Dying Scale (FATCOD–B) among Italian medical students

2015 ◽  
Vol 13 (5) ◽  
pp. 1391-1398 ◽  
Author(s):  
Paolo Leombruni ◽  
Barbara Loera ◽  
Marco Miniotti ◽  
Francesca Zizzi ◽  
Lorys Castelli ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Confirmatory Factor Analysis ◽  
End Of Life ◽  
End Of Life Care ◽  
Two Dimensional ◽  
Life Care ◽  
Convenience Sample ◽  
Confirmatory Factor ◽  
Care Of The Dying

AbstractObjective:A steady increase in the number of patients requiring end-of-life care has been observed during the last decades. The assessment of healthcare students' attitudes toward end-of-life care is an important step in their curriculum, as it provides information about their disposition to practice palliative medicine. The Frommelt Attitude Toward Care of the Dying Scale (FATCOD–B) was developed to detect such a disposition, but its psychometric properties are yet to be clearly defined.Method:A convenience sample of 608 second-year medical students participated in our study in the 2012/2013 and 2013/2014 academic years. All participants completed the FATCOD–B. The sample was randomly divided in two subsamples. In the item analysis, reliability (Cronbach's α), internal consistency (item–total correlations), and an exploratory factor analysis (EFA) were conducted using the first subsample (n= 300). Using the second subsample (n= 308), confirmatory factor analysis (CFA) was performed using the robust ML method in the Lisrel program.Results:Reliability for all items was 0.699. Item–total correlations, ranging from 0.03 to 0.39, were weak. EFA identified a two-dimensional orthogonal solution, explaining 20% of total variance. CFA upheld the two-dimensional model, but the loadings on the dimensions and their respective indicators were weak and equal to zero for certain items.Significance of Results:The findings of the present study suggest that the FATCOD–B measures a two-dimensional construct and that several items seem in need of revision. Future research oriented toward building a revised version of the scale should pay attention to item ambiguity and take particular care to distinguish among items that concern emotions and beliefs related to end-of-life care, as well as their subjects (e.g., the healthcare provider, the patient, his family).

Perseverative Thinking Questionnaire: Confirmatory factor analysis with two different samples

2017 ◽  
Vol 41 (S1) ◽  
pp. S377-S378 ◽  
Author(s):  
J. Azevedo ◽  
A.T. Pereira ◽  
A.P. Amaral ◽  
V. Nogueira ◽  
M.J. Soares ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Cognitive Process ◽  
Two Dimensions ◽  
Dimensional Structure ◽  
Cognitive Interference ◽  
Negative Thinking ◽  
Confirmatory Factor ◽  
Competing Interest ◽  
Perseverative Thinking

IntroductionPerseverative Negative Thinking (PNT) is a transdiagnostic cognitive process [1] characterized by repetitiveness, intrusiveness and difficulties to disengage (Ehring, 2011). The Perseverative Thinking Questionnaire (PTQ-15; [2]) is a self-reported instrument, developed to evaluate these characteristics. The Portuguese version assess two meaningful dimensions – Repetitive thoughts (RT); and Cognitive interference and unproductiveness (CIU) [3].AimTo confirm the bi-dimensional structure of the PTQ-15 using Confirmatory Factor Analysis, in two distinct samples.MethodA sample composed of 256 students (Mean age = 20.58 ± 1.870; 78.1% girls) and a sample composed of 480 adults from the community (parents of the students; mean age = 50.84 ± 5.310; 53.1% women) filled the PTQ-15. We used software AMOS.ResultsThe second-order model of PTQ-15 with two dimensions presented good fit, in both students (CMIN = 2.449; RMSEA = 0.075; CFI = 0.958, TLI = 0.949, PGFI = 0.776; P < 0.001) and their parents (CMIN = 3.46; RMSEA = 0.072, CFI = 0.955, TLI = 0.942, PGFI = 0.632; P < 0.001). Internal consistency of the total scale, measured though Cronbach's alpha was α = 0.95/0.94; both factors presented good/excellent reliability: repetitive thoughts (a = 0.93/0.92); cognitive interference and unproductiveness (a = 0.88/0.92).ConclusionTaken together, both CFAs provided additional evidence that PTQ-15 is an adequate measure for perseverative thinking.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Understanding Rural Women’s Domestic Work Experiences (DWE) in Ibadan, Nigeria: Development of a Measurement Tool Using Confirmatory Factor Analysis

2021 ◽  
Vol 18 (21) ◽  
pp. 11043
Author(s):  
Abisola Osinuga ◽  
Brandi Janssen ◽  
Nathan B Fethke ◽  
William T Story ◽  
John A Imaledo ◽  
...  
Keyword(s):  
Developing Countries ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Domestic Work ◽  
Domestic Labor ◽  
Measurement Tool ◽  
Factor Scores ◽  
Latent Factors ◽  
Stress Appraisal ◽  
Confirmatory Factor

Gender norms prescribe domestic labor as primarily a female’s responsibility in developing countries. Many domestic tasks depend on access to water, so the physical, emotional, and time demands of domestic labor may be exacerbated for women living in water-insecure environments. We developed a set of domestic work experience (DWE) measures tailored to work in rural areas in developing countries, assessed rural Nigerian women’s DWE, and examined relationships among the measures. Interviewer-administered survey data were collected between August and September from 256 women in four rural Nigerian communities. Latent factors of DWE were identified by analyzing survey items using confirmatory factor analysis. Pearson’s correlation was used to examine relationships among latent factor scores, and multivariate linear regression models were used to determine if factor scores significantly differed across socio-demographic characteristics. The DWE measures consisted of latent factors of the physical domain (frequency of common domestic tasks, water sourcing and carriage, experience of water scarcity), the psychosocial domain (stress appraisal and demand–control), and the social domain (social support). Significant correlations were observed among the latent factors within and across domains. Results revealed the importance of measuring rural Nigerian women’s DWE using multiple and contextual approaches rather than relying solely on one exposure measure. Multiple inter-related factors contributed to women’s DWE. Water insecurity exacerbated the physical and emotional demands of domestic labor DWE varied across age categories and pregnancy status among rural Nigerian women.

scholarly journals A SCALE DEVELOPMENT STUDY FOR IDENTIFYING THE LEVELS OF KNOWLEDGE, PERCEPTION AND AWARENESS OF CHEMICAL HAZARD SYMBOLS

2014 ◽  
Vol 13 (2) ◽  
pp. 165-181
Author(s):  
Cemal Tosun
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Age Groups ◽  
Two Dimensional ◽  
Validity And Reliability ◽  
Multiple Choice Questions ◽  
One Dimensional ◽  
The Third ◽  
Chemical Hazard ◽  
Confirmatory Factor

The purpose of this study was to develop a scale to identify the levels of knowledge, perception and awareness of chemical hazard symbols of participants from a variety of backgrounds and ranging in age from 12 years to 40 and over. Experts were consulted for the contextual and the language validity of each item on the scale. In line with the opinions of the experts, the scale, consisting of a total of 25 items distributed under four sections, was applied to 462 participants of all age groups, so as to calculate the discrimination and difficulty indexes. In order to decide whether the third section of the scale is one-dimensional or two-dimensional, data obtained from the 13 multiple-choice questions constituting this section were examined using confirmatory factor analysis. Afterwards the items constituting the second and the third sections of the scale were tested in terms of their reliability. Finally, a useful scale of 24 items in four sections was prepared with tested validity and reliability. Key words: awareness, confirmatory factor analysis, hazard symbols, perception, reliability, validity.

scholarly journals Democracy Scale For Teacher Candidates: A Validity And Reliability Study

2021 ◽  
Author(s):  
Fatih Kaya
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Teacher Candidates ◽  
Study Groups ◽  
Independent Study ◽  
Measurement Tool ◽  
Study Group ◽  
Validity And Reliability ◽  
Confirmatory Factor ◽  
Faculty Of Education

The aim of this study was to develop a valid and reliable measurement tool in order to determine the democracy levels of teacher candidates. During the scale development process in the research, the validity and reliability studies were conducted through three independent study groups. The first study group consisted of 627 students studying at the Faculty of Education in Inonu University in the 2020-2021 academic year, the second study group consisted of 324 students, and the third study group consisted of 87 students. “The Democracy Scale for Teacher Candidates” was used in the research. In the process of data analysis, SPSS 25 software was used for exploratory factor analysis and AMOS 21 software for confirmatory factor analysis. An item pool consisting of 50 items was created for the scale. The number of items was reduced to 40 by obtaining expert opinion in order to ensure the content validity of the scale. As a result of the factor analysis, it was determined that the total variance ratio explained by the single-factor scale with 17 items was 49.640%, and the internal consistency coefficient was .88. In addition to these, the values obtained as a result of the confirmatory factor analysis conducted to test the construct validity of the scale showed that the scale developed to determine the democracy levels of teacher candidates was valid and reliable.

Adaptation of the Competencies for Disaster Nursing Management Questionnaire: Turkish Version

2021 ◽  
pp. 1-7
Author(s):  
Utku Durgut ◽  
Tulin Yildiz
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Content Validity ◽  
Goodness Of Fit ◽  
Measurement Tool ◽  
Nursing Management ◽  
Validity And Reliability ◽  
Validity Index ◽  
Content Validity Index ◽  
Confirmatory Factor

Abstract Objective: This study aimed to carry out the validity and reliability study for the adaptation of the Competencies for Disaster Nursing Management Questionnaire (CDNMQ), which was developed by Al Thobaity and others in 2016, (https://pubmed.ncbi.nlm.nih.gov/26778698/) to Turkish, and to be able to use in the nursing literature. Method: This study was conducted in a methodological approach. The scale used in this study was a 10-point Likert scale with 43 items and 3 subfactors. The questionnaire was applied to 450 nurses. The validity and reliability of the scale were evaluated using the exploratory and confirmatory factor analysis. The content validity index was measured within the scope of the internal consistency measurements, and the Pearson’s product-moment correlation coefficient was examined for the test-retest. Results: The content validity index score was found to be 0.98. As a result of the confirmatory factor analysis of the CDNMQ, it was found that the 3-factor structure of the scale was valid and the goodness of fit tests was appropriate. Conclusion: The findings have shown that the CDNMQ study is similar to the original scale and an adequate measurement tool in determining competencies in disaster nursing management.

Measuring the components of visitor experience on a mountain attraction: the case of the Nordkette, Tyrol, Austria

2017 ◽  
Vol 72 (4) ◽  
pp. 429-447 ◽  
Author(s):  
Ady Milman ◽  
Anita Zehrer ◽  
Asli D.A. Tasci
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Sample Size ◽  
Service Providers ◽  
Customer Experience ◽  
Dimensional Structure ◽  
Visitor Experience ◽  
Content Type ◽  
Confirmatory Factor ◽  
The Impact

Purpose Previous mountain tourism research addressed economic, environmental, social and political impacts. Because limited studies evaluated visitors’ perception of their experience, this study aims to examine the tangible and intangible visitor experience in a Tyrolean alpine tourist attraction. Design/methodology/approach The study adopted Klaus and Maklan’s (2012) customer experience model, suggesting that customers base their experience perception on the quality of product experience, outcome focus, moments of truth and peace-of-mind. Their model was used to validate the impact on overall customer experience quality at the mountain attraction through conducting a structured survey with 207 face-to-face interviews on-site. Findings The results of the confirmatory factor analysis did not confirm the four-dimensional structure, probably due to the differences between mountain tourism experience and the mortgage lending experience in the original study. Instead, principal component analysis suggested a different dimensional structure of components that were arbitrarily named as functional, social, comparative and normative aspects of the visitors’ experience. Research limitations/implications The results are based on a sample in a given period of time, using convenience sampling. While the sample size satisfied the data analysis requirements, confirmatory factor analysis would benefit from a larger sample size. Practical implications Consumer experience dimensions while visiting a mountain attraction may not be concrete or objective, and consequently may yield different types of attributes that influence behavior. Social implications The social exchange theory could explain relationships between visitors and service providers and their consequences. Attraction managers should increase benefits for visitors and service providers to enhance their relationships, and thus experience. Originality/value The study explored the applicability of an existing experiential consumption model in a mountain attraction context. The findings introduce a revised model that may be applicable in other tourist attractions.

scholarly journals The Valencia Eustress-Distress Appraisal Scale (VEDAS): Validation of the Italian Version

2018 ◽  
Vol 10 (11) ◽  
pp. 3903 ◽  
Author(s):  
Annamaria Di Fabio ◽  
José María Peiró ◽  
Isabel Rodríguez ◽  
Malgorzata Wanda Kozusznik
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Dimensional Structure ◽  
Italian Version ◽  
Confirmatory Factor ◽  
Valid Instrument ◽  
Good Internal Consistency ◽  
Italian Context

The aim of this study is to validate the Italian version of the Valencia Eustress-Distress Appraisal Scale (VEDAS). Two hundred and thirty-two Italian workers were involved in the study. Dimensionality, reliability, and concurrent validity were analyzed. Confirmatory factor analysis supported a four-dimensional structure. In addition, the Italian version of the scale showed good internal consistency and validity. The results indicate that the Italian version of the VEDAS is a valid instrument for measuring eustress and distress appraisal in the Italian context.

Sign in / Sign up

Export Citation Format

Share Document