Behavioural couple therapy: measuring therapist competence

2020 ◽  
Vol 13 ◽  
Author(s):  
I. Rudolf von Rohr ◽  
S. Corrie ◽  
M.S. Fischer ◽  
D.H. Baucom ◽  
M. Worrell ◽  
...  

Abstract This paper outlines a pilot validation study of the newly developed Behavioural Couple Therapy Scale for Depression (BCTS-D). The BCTS-D aims to assess therapist competence in delivering behavioural couple therapy (BCT) and provide therapists with summative and formative feedback on their performance. Completed by both therapist and supervisor, this will aid therapists’ reflection on practice and improve performance. This paper will report on two stages in the development of the BCTS-D: (a) a study evaluating content validity, face validity and usability and (b) a focus group examining usability and utility. Both parts of the study were conducted in the context of a BCT training course and included 20 participants who were either BCT supervisors or BCT trainees. Results suggest that the BCTS-D has good face validity, content validity and usability, and provides a useful tool for promoting self-reflection and providing formative feedback. The studies also provided insight into the strengths of the scale and into areas of refinement, and a number of modifications were undertaken to improve the BCTS-D in response to feedback collected. Future research will need to focus on evaluating the psychometric properties of the BCTS-D and continue to adapt the scale to its users’ needs. Key learning aims (1) Readers will understand the importance of measuring therapists’ competence to improve practice. (2) Readers will understand the development of the BCTS-D scale and its initial psychometric properties. (3) Readers will know how to use the BCTS-D in everyday clinical practice. (4) Readers will know about the challenges of developing a therapist competence measure within a real-world clinical context.

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
János Valery Gyuricza ◽  
Karl Bang Christensen ◽  
Ana Flávia Pires Lucas d’Oliveira ◽  
John Brodersen

Abstract Background A previous qualitative assessment of the psychosocial consequences of labelling hypertension describes the diagnosis of hypertension as a labelling event with potential unintended negative long-term psychosocial consequences (labelling effects). Until now, the benefits of diagnosing hypertension have been far more reported than the harms. To obtain the net result of the preventive interventions for cardiovascular disease, such as diagnosing and treating mild hypertension, assessing benefits and harms in the most comprehensive way possible is necessary, including the psychosocial consequences of labelling. When measuring psychosocial consequences of labelling hypertension, a questionnaire with high content validity and adequate psychometric properties is needed. Objectives The aim of this study was to describe the psychometric parameters of face and content-validated pool of items. Other objectives were also to screen the item pool by using Rasch model analysis and confirmatory factor analysis (CFA) for identifying such items with sufficient fit to the hypothesised models. Methods We surveyed the pool of items as a draft questionnaire to Brazilians recruited via social networks, sending e-mails, WhatsApp® messages and posting on Facebook®. The inclusion criteria were to be older than 18 years old, to be healthy and to have only hypertension. We used Rasch model analysis to screen the item pool, discarding items that did not fit the hypothesised domain. We searched for local dependence and differential item functioning. We used CFA to confirm the derived measurement models and complementarily assessed reliability using Cronbach’s coefficient alpha. Results The validation sample consisted of 798 respondents. All 798 respondents completed Part I, whereas 285 (35.7%)—those with hypertension—completed Part II. A condition-specific questionnaire with high content validity and adequate psychometric properties was developed for people labelled with hypertension. This measure is called ‘Consequences of Labelling Hypertension Questionnaire’ and covers the psychosocial consequences of labelling hypertension in two parts, encompassing a total of 71 items in 15 subscales and 11 single items. Conclusion We developed a tool that can be used in future research involving hypertension, especially in scenarios of screening, prevention, population strategies and in intervention studies. Future use and testing of the questionnaire may still be required.


2021 ◽  
Vol 38 (3) ◽  
pp. 257-269
Author(s):  
Nayereh Baghcheghi ◽  
Hamid Koohestani

The present study tries to design and evaluate the psychometric properties of coping strategies scale for family caregivers of hemodialysis patients. This study consisted of two phases: phase one was a qualitative study to analyze the experiences of coping strategies of hemodialysis patients' family caregivers' (N = 14). Then, the items were extracted from the interviews and the literature. Phase two was a psychometric assessment including face validity, content validity, construct validity (N = 245) and reliability. In phase one, 89 items were extracted and after face and content validity, 56 items remained. Construct validity of the scale, based on exploratory factor analysis, removed another 22 items. The remaining 34 items contained nine subscales (active coping, positive thinking, appeal to spirituality, help-seeking, altruism, acting out, self-blaming, seeking isolation, and intentional forgetting). The reliability of the scale with Cronbach's Alpha was 0.91 and its stability was obtained through test-retest (ICC = 0.9). Coping strategies scale for family caregivers of hemodialysis patients has an acceptable validity and reliability. The tool can be used to assess effective and ineffective coping strategies in family caregivers of hemodialysis patients that may be useful for facilitating management and education of efficient coping strategies to family caregivers of hemodialysis patients.


2020 ◽  
Vol 38 (2) ◽  
Author(s):  
Español Español ◽  
Zayne Milena Roa-Díaz ◽  
Carme Ferré-Grau ◽  
María Inmaculada De Molina-Fernández

Objective. To determine the face, content, constructvalidity, and reliability of the functional social supportdomain of Perinatal Infant Care Social Support (PICSS)translated into Spanish and adapted for first-time mothersof term babies. Methods. Validation study of the functionalsocial support domain of PICSS, which has 22 itemswith response options from 1 to 4; higher scores indicategreater social support. A translation, back-translation, andcultural adaptation process took place along with an expertreview to evaluate face and content validity. In total, 210mothers participated to establish construct validity andthe reliability of the domain. The content validity index andfactor analysis were used to identify the structure of thedomain. Reliability was estimated using Cronbach’s alphacoefficient. Results. Linguistic and cultural adaptationswere performed, along with validation and reliability. Face validity for mothers was the following: high comprehension (94%); and forexperts: high comprehension (95.83%), high clarity (96.53%), and high precision(92.82%). In relevance and pertinence, the content validity index was high (0.97).Construct validation identified two factors that explained 76% of the variance of thedomain evaluated: factor 1 “Supporting presence -emotional and appraisal support”(13 items, 39%) and factor 2 “Practical support -informational and instrumentalsupport-” (9 items, 37%). Cronbach’s alpha value was 0.97. Conclusion. Given the robust psychometric properties of the Spanish version of the functional socialsupport domain of PICSS, this may be used to identify the functional social supportin the mothers. 


2020 ◽  
Author(s):  
Mahmoud Ghasemi ◽  
Fazlollah Ghofranipour ◽  
Hasan Shahbazi ◽  
Farkhondeh Aminshokravi

Abstract Aims. - This research aimed at designing and psychometric properties of a questionnaire for health-worker skills evaluation to obtain a self-care program for pre-diabetic patients. Materials. - The questionnaire items were first developed, utilizing reliable and specialized sources involving papers and scientific books and interviews with experts and specialists in diabetes and health education. The questionnaire's psychometric properties were evaluated utilizing face validity, content validity, construct validity, internal consistency, and stability. Results. - Due to the results of investigating the texts and interviews, the initial questionnaire, including 54 phrases, was presented. In the face validity section, eight expressions were removed quantitatively. Then, in identifying content validity, three other words were deleted, and the questionnaire was reduced to 43 phrases in general. This questionnaire's exploratory factor analysis revealed four factors involving self-efficacy, attitude, reinforcing factors, and enabling factors. These four factors explained 57.51% of the total variance of the test. The results of the confirmatory factor analysis also confirmed the factors of the PRECEDE-PROCEED model. Cronbach's alpha and intra-cluster correlation index for questionnaire structures ranged from 0.87-0.88 and 0.87-0.88, respectively. Conclusion. - The designed questionnaire has good validity and reliability. It can be said that this questionnaire is a suitable and usable tool for prediabetes in similar research to evaluate health worker skills in obtaining a self-care program for prediabetes. Keywords: Psychometrics, Health-workers, Empowerment, Self-care, Pre-diabetes


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alireza Jafari ◽  
Nooshin Peyman ◽  
Mahdi Gholian-Aval ◽  
Mehrsadat Mahdizadeh ◽  
Hadi Tehrani

Abstract Background The tendency of women to smoke has increased in recent years and the prevalence of smoking among women is increasing. The purpose of this study was to design and evaluation the psychometric properties of the smoking tendency questionnaire for Iranian female adolescents. Methods This cross-sectional study was performed on 604 female adolescents in Iran in 2021. The bank of questions was designed based on the qualitative study concepts and review of the literature. To perform the psychometric evaluation, steps such as face validity (qualitative), content validity (qualitative and quantitative) and construct validity (confirmatory factor analysis) were performed. The reliability of the instrument was assessed using McDonald’s omega coefficient and Cronbach’s alpha coefficient. Results Based on the results of psychometrics (face, content, and construct validity), the number of questions was reduced from 102 to 52, and 50 questions were removed. Finally, a questionnaire with 52 questions and 5 subscales of the tendency to experience smoking (14 items), re-experience smoking (8 items), cigarette dependence (9 items), intention to quit smoking (9 items), and smoking cessation (12 items) was approved. The content validity ratio (CVR) and content validity index (CVI) for all questions were 0.770 and 0.938, respectively. The Cronbach’s alpha and McDonald’s omega coefficients for all questions were 0.903 and 0.904, respectively. Conclusion Based on the results of this questionnaire, 52 questions, and 5 subscales can be used to assess the tendency of female adolescents to cigarette smoking.


2021 ◽  
pp. JNM-D-20-00117
Author(s):  
Lin Zhan ◽  
Xichen Mou ◽  
Marie Gill

Background and PurposeAdverse childhood experiences (ACEs) negatively impacting children’s health and later in their lives warrant necessity to educate nursing students about ACEs. The purposes of this study were to evaluate (a) nursing students' understanding of key concepts of ACEs using the ACEs Knowledge Scale (AKS) and (b) psychometric properties of the AKS.MethodsA survey using AKS was conducted with randomly selected student participants (n = 344) to evaluate students' understanding of ACEs knowledge. Empirical validation of the AKS included content validity using Content Validity Index (CVI), reliability, and construct validity analyses.ResultsThe results showed students in the Bachelor of Science in Nursing (BSN) program had increased knowledge of ACEs over pre-nursing students, and the BSN graduating students had increased knowledge related to trauma-informed care and building resilience. There were no significant differences in ACEs knowledge between Family Nurse Practitioner (FNP) and BSN students. Evaluation of psychometric properties of AKS revealed S-CVI/Ave=0.912, indicated excellent content validity based on the expert panel’s ratings. Cronbach’s alpha coefficient = .84 for the overall instrument indicated good reliability. Factor analyses were employed, showing that the 5-factor model gives good fit indexes, supporting the hypothesized factor structure of five key concepts.ConclusionsThe AKS has showed promising implications to future research, nursing education, and nursing practice.


2021 ◽  
pp. 014272372110567
Author(s):  
Tessa Weadman ◽  
Tanya Serry ◽  
Pamela C. Snow

Shared book reading in preschool settings plays an influential role in supporting children’s oral language and emergent literacy skills. Early childhood teachers can provide high-quality shared book reading experiences using extratextual utterances (reading beyond the story text) to maximise these learning outcomes. We report on the development and psychometric properties of the ‘Emergent Literacy and Language Early Childhood Checklist for Teachers’ (ELLECCT) tool, a comprehensive observational checklist designed to document early childhood teachers’ extratextual oral language and emergent literacy strategies during shared book reading. The ELLECCT measures teachers’ dialogic reading prompts, vocabulary promotion strategies, responsive statements, print knowledge and phonological awareness. The ELLECCT also contains a rating scale examining paralinguistic and nonverbal strategies used by early childhood teachers to support engagement during shared book reading interactions. The psychometric properties of the ELLECCT were measured in a four-phase process. Content validity was tested using the Content Validity Index and a three-round Delphi process was used to measure face validity. Both intra-rater and inter-rater reliability were evaluated from a sample of 32 shared book reading observations. The study findings provide preliminary evidence for the psychometric properties of the ELLECCT, such that it is judged as suitable for evaluation of early childhood teachers’ use of extratextual and paralinguistic strategies while engaged in shared book reading. We describe the ELLECCT’s potential application in both classroom coaching and training, and as a research tool, to support early childhood teachers’ skill-development during shared book reading.


2020 ◽  
Vol 13 ◽  
Author(s):  
Nathan O’Neill ◽  
Mairi Albiston ◽  
Sandra Ferguson ◽  
Leeanne Nicklas

Abstract NHS Education for Scotland (NES) plays a lead role in training the NHS Psychological Therapies workforce across Scotland. Ferguson et al. (2016) outlined the challenges, opportunities and proposed evaluation of the NES Specialist Supervision Training in Cognitive Behavioural Therapy (NESSST-CBT). The aims of the training were to provide an evidence-based, flexible and learner-focused training in CBT specific supervision competencies. This paper will provide an update on the evaluation of the training using Kirkpatrick’s Impact Evaluation Model (1967, 1987). Results indicate that: (1) delegates rated the training experience positively in various ways; (2) delegates described increases in their confidence and competence in using structured measures of CBT and supervision; (3) a majority of delegates completing a 3-month follow-up questionnaire described continued use of a structured CBT measure in supervision and for self-reflection; and (4) 392 psychological therapists in Scotland have now been formally trained in CBT specific supervision skills. NESSST-CBT continues to adapt and improve as a resource for staff as NES moves forward in its Digital Strategy for Scotland’s NHS and partnership staff. Further implications of this are discussed, as well as limitations of the study. Key learning aims (1) Readers will be able to further understand the multi-faceted role of NHS Education for Scotland in implementing CBT supervision training in Scotland. (2) Readers will be able to list three key outcomes from the feedback data on 4 years of a specialist supervision blended-learning training for CBT supervision. (3) Readers will be able to identify three key limitations of the study and recommendations for future research.


2020 ◽  

Background: The availability of a valid scale to measure family-centered care (FCC) in intensive care units (ICUs) is of utmost importance. Purpose: the present study aimed to develop and test the psychometric properties of a new tool for measuring FCC in ICUs from the perspectives of patients’ family members. Method: This methodological study was conducted from May 2018 to November 2019 at two Iranian universities of medical sciences. The scale items were thus designed based on the integration of the findings of a qualitative study and the results of a literature review. Then, face validity and content validity of the given scale were assessed. A total number of 204 and 203 family members of patients admitted to ICUs were recruited through convenience sampling method to examine construct validity via exploratory factor analysis and confirmatory factor analysis. The data were also analyzed using the IBM SPSS Statistics (Version 25) and AMOS software. The reliability of this scale was ultimately tested using Cronbach’s alpha and test-retest correlation. Results: In the initial design, a 35-item scale was obtained. As face validity and content validity were determined, the number of items reduced to 26 cases. Following exploratory factor analysis, a 20 item scale containing 5 components (factors) including dignity, receiving information, support, family empowerment, and access to the physician, accounting for 63.4% of the total variance of the scale was developed. The reliability of this research tool was found acceptable based on Cronbach’s alpha and intraclass correlation coefficient by 0.89 and 0.93; respectively. Conclusions/Implications for Practice: This study concluded with the development of a new scale for measuring FCC in ICUs entitled “FCCS-ICU”. Accordingly, administrators and nurses are suggested to practice it to measure the extent and the manner of FCC implementation in ICUs from the perspectives of patients’ family members.


Author(s):  
R Soltani Shal ◽  
F Saadatbin Javaheri ◽  
A Zebardast

Introduction: Mental health problems is common among nurses, because they have to deal with to workplace stresses such as work-rest cycle problems, overload responsibility, financial problems, lack of vacation time, pressures of work, patient communication frameworks  and painful experiences of patients. These factors can decrease their wellbeing, but there is not brief and practical scale to assess psychological resiliency among nurses. Therefore, the aim of the present study was to evaluate the psychometric properties of the hospital nurses’ well-being at work scale. Materials and Methods: This cross-sectional study was conducted on 194 nurses. The hospital nurses’ well-being at work was administered. The hospital nurses’ well-being at work is composed of 67 items and psychometric properties were examined through the Face validity, Content Validity, Concurrent validity, Construct validity. The data were analyzes by SPSS software. Results: Face and content validity were approved by five psychologists. The KMO index and Bartlett's Cruity Index indicated that correlation matrix was suitable for performing exploratory factor analysis. Factor analysis with Principal Component Analysis extracted one factor with 67.06% total variance. Internal consistency was confirmed by a Cronbach’s alpha of 0.957. According to the findings of the present study, 2.1% of nurses experienced very low well-being, 6.7% experienced low, 66.6% experienced moderate and 22.7% experienced high one. Conclusion: This study showed that the hospital nurses’ well-being at workplace had appropriate psychometric properties and is a valid and reliable screening index to measure well-being of nurses. This index could facilitate the assessing Well-Being in brief and practical way among nurses.


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