Reliability and validity of the Spanish (Spain) version of the consultation and relational empathy measure in primary care

2020 ◽  
Author(s):  
Loreto García del Barrio ◽  
Cristina Rodríguez-Díez ◽  
Raquel Martín-Lanas ◽  
Patricio Costa ◽  
Manual J Costa ◽  
...  

Abstract Background Empathy is an essential competence in the medical field. There are no validated patient-rated empathy measures in Spanish (Spain). The Consultation and Relational Empathy (CARE) measure is a widely used patient-rated measure of physician empathy. Objective To analyse the reliability and validity of the Spanish (Spain) version of the CARE measure in primary care. Methods After translation, back translation and pilot testing, a convenient sample of 369 patients recruited through 21 primary care physicians in five primary care centres in Pamplona (Navarre, Spain) completed the Spanish (Spain) CARE (Sp-CARE) measure. The number of ‘does not apply’ or blank responses was calculated to assess acceptability. We analysed internal reliability by means of Cronbach’s alpha and ordinal alpha and homogeneity with corrected item-total correlations. The construct validity was examined by confirmatory factor analysis (CFA) and concurrent validity by Spearman’s correlation. Results We observed high acceptability; only 37 (1%) responses were marked ‘does not apply’ and only 3 (0.08%) were left blank. Cronbach’s alpha and ordinal alpha for the Sp-CARE measure were 0.953 and 0.970, respectively, and all corrected item-total correlations exceeded the accepted cut of 0.30, demonstrating high internal reliability and homogeneity. CFA corroborated the one-factor structure proposed in the original version. The Sp-CARE measure total score was significantly correlated with overall patient satisfaction (Spearman’s rho 0.45, P < 0.001). Conclusion The results support the reliability and validity of the Sp-CARE measure as a patient-rated empathy measure in the primary care setting.

2020 ◽  
Vol 10 (8) ◽  
pp. 47
Author(s):  
Baljit Kaur Gill

Background and objective: Globally, the use of clinical simulation has been incorporated in different nursing programs. It is important to evaluate simulation using reliable and valid instruments. Using the same instrument helps to evaluate simulation under the same criteria both nationally and internationally. The National League of Nursing developed three simulation scales which is widely used in different countries and demonstrates a good reliability and validity. Nevertheless, it is only available in English. The aim of the study was to translate the original NLN simulation evaluation scales into Traditional Chinese and evaluate its psychometric properties.Methods: Beaton and colleague’s (2000) cross-cultural adaptation guidelines was adopted. Cronbach’s alpha coefficient (α) and Corrected item-total correlation was used to determine the internal reliability. Haccoun’s single group technique was used to assess the equivalent of the scale in the original and the translated version. Lastly, Exploratory Factor Analysis (EFA) was used to determine the factor structure and Intra-Class Correlation Coefficient (ICC) to test the stability of translated scale.Results: Nine simulation experts from Hong Kong, Mainland China, Singapore and Taiwan confirmed translation of the NLN scales (EPQ-C, SDS-C, SSCL-C). Cronbach’s alpha of all subscales and overall scales were acceptable (0.72-0.89). The intra-language, inter-language and temporal inter-language cross correlations between the original and translated scales were correlated (p < 0.01). ICC of the translated scales ranges from good to excellent (0.78-0.91). Lastly, EFA also demonstrated the items were theoretically coherent (≥ 0.40) and have the same factor structure as the original English version.Conclusions: Traditional Chinese NLN simulation evaluation scales demonstrated strong validity and reliability.


2021 ◽  
Author(s):  
Ampika Inyoo ◽  
Rapin Polsook

Background: Hope is essential for patients with acute myocardial infarction, which is often regarded as an active coping for those with life-threatening diseases. Higher hope consistently is related to better health outcomes. However, the instrument for assessing hope has not been previously tested among Thai patients. Objective: This study aimed to assess the validity and reliability of the Hope Scale among Thai patients with acute myocardial infarction patients. Methods: This was an instrument validation study conducted from March to December 2020. A total of 213 patients with acute myocardial infarction were included and selected using a simple random sampling. The back-translation method was used to translate an English version to a Thai version of the scale. Principal Component Analysis (PCA) and Cronbach’s alpha were used for construct validity and reliability. Results: The findings showed that the Cronbach’s alpha of the Thai version of the Hope Scale was acceptable (.75), and the scale consists of four factors, which explained 63.36 % of the total variance. Communalities in each factor ranged from .45 to .84. Overall, the appearance of the factor structures was reasonable and understandable. Conclusion: The reliability and validity of the Thai version of the Hope Scale were suitable for the measurement of hope in Thai patients. This scale can be used by nurses and others to assess hope in Thai patients with acute myocardial infarction. Funding: This study received funding from the 90th anniversary of Chulalongkorn University Fund (Ratchadaphiseksomphot Endowment Fund), Chulalongkorn University, Bangkok, Thailand (GCUGR1125633058M).


2015 ◽  
Vol 23 (3) ◽  
pp. 409-424 ◽  
Author(s):  
Janet F. Wang ◽  
Anthony A. Billings

Background and Purpose: Develop and assess psychometric properties of the Wang Pregnancy Stress Scale for measuring stress among pregnant women in Taiwan. Methods: Data were collected in 3 obstetric and gynecological clinics in Taiwan; 485 pregnant women participated in this study. We used exploratory factor analysis and internal consistency reliability was measured using Cronbach’s alpha. Results: A 4-factor structure emerged for the Wang Pregnancy Stress Scale. The internal reliability of the scale as measured by Cronbach’s alpha was .898, with standardized alpha .905. Conclusions: The Wang Pregnancy Stress Scale has high reliability and validity in measuring pregnancy stress that would allow nurses or health care workers to measure women’s stress levels during pregnancy. Nurses can use the assessed pregnancy stress to alter intervention of care for their pregnant clients.


2005 ◽  
Vol 39 (3) ◽  
pp. 136-140 ◽  
Author(s):  
Lyndon Walker ◽  
Sally Merry ◽  
Peter D. Watson ◽  
Elizabeth Robinson ◽  
Sue Crengle ◽  
...  

Objective: To examine aspects of the reliability and validity of the Reynolds Adolescent Depression Scale (RADS) in measuring depression in New Zealand adolescents of all major ethnic groups. Method: A sample of 9699 randomly selected New Zealand secondary school students participated in the Youth2000 Health and Wellbeing Survey which included the RADS. Data from this survey have been used to assess some aspects of the reliability and validity of the RADS in the New Zealand context across different ethnic groups. Cronbach's alpha, itemtotal score correlations, correlation to other questions and a factor analysis were done in order to examine the internal reliability, content validity, convergent validity and construct validity of the data and compare to the original Reynolds validation study. Results: Tests of the scale resulted in scores over 0.90 on Cronbach's alpha and high itemtotal score correlations, with a median correlation of 0.62 and 25 of the 30 correlations measuring more than 0.5. The scores were found to have similar factor structure to the original scale and the correlations to other depression related questions indicate acceptable concurrent validity. Conclusions: On all of the tests conducted, the RADS was found to have acceptable reliability and validity for New Zealand adolescents across the major different ethnic groups, indicating that it is a valid and appropriate instrument to use with New Zealand adolescents.


2020 ◽  
Vol 15 (3) ◽  
pp. 109-122
Author(s):  
Daryl Sweet ◽  
Karen Winter ◽  
Laura Neeson ◽  
Paul Connolly

Purpose This paper aims to assess the reliability, validity and use of the Family Star Plus, one of several Outcomes Stars increasingly used as part of outcomes-based accountability approaches in the delivery of family support services. The Family Star Plus measures progress towards effective parenting but a lack of evidence exists on its psychometric properties and suitability for use as an outcomes tool. Design/methodology/approach Based on data from 1,255 families receiving a pilot support service, Cronbach’s alpha was used to assess the internal reliability of the 10-item scale, while principal component analysis (PCA) examined the number of constructs in the tool. Using matched data from evaluation of 80 families, correlations between the Family Star Plus and psychometrically validated tools were used to assess concurrent validity. Findings from a process evaluation explore practical issues around use of the tool. Findings Cronbach’s alpha indicated sufficient internal reliability of the Family Star Plus; however, the PCA raised questions concerning the internal validity the Star. Correlations between the Star and validated tools were not strong enough to support concurrent validity of the Star. Process evaluation findings highlight inconsistencies in Family Star Plus data capture, which may explain these differences. Practical implications Further work is required before the Family Star Plus can be considered for use as an outcome measure. Originality/value To the best of authors’ knowledge, this is the first peer-reviewed analysis of the psychometric qualities of the Family Star Plus.


BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e031355
Author(s):  
Gemma Louch ◽  
Caroline Reynolds ◽  
Sally Moore ◽  
Claire Marsh ◽  
Jane Heyhoe ◽  
...  

ObjectivesThere is growing evidence that patients can provide feedback on the safety of their care. The 44-item Patient Measure of Safety (PMOS) was developed for this purpose. While valid and reliable, the length of this questionnaire makes it potentially challenging for routine use. Our study aimed to produce revised, shortened versions of PMOS (PMOS-30 and PMOS-10), which retained the psychometric properties of the longer version.ParticipantsTo produce a shortened diagnostic measure, we analysed data from 2002 patients who completed PMOS-44, and examined the reliability of the revised measure (PMOS-30) in a sample of 751 patients. To produce a brief standalone measure, we again analysed data from 2002 patients who completed PMOS-44, and tested the reliability and validity of the brief standalone measure (PMOS-10) in a sample of 165 patients.MethodsThe process of shortening the questionnaire involved a combination of secondary data analysis (eg, Standard Deviation and inter-item correlations) and a consensus group exercise to produce PMOS-30 and examine face validity. Analysis of PMOS-30 data examined reliability (eg, Cronbach’s alpha). Further secondary data analysis (ie, corrected item-total correlations) produced PMOS-10, and primary data collection assessed its reliability and validity (eg, Cronbach’s alpha, analysis of variance).ResultsFourteen items were removed to produce PMOS-30 and the percentage of negatively worded items was reduced from 57% to 33%. PMOS-30 demonstrated good internal reliability (α=0.89). The 10 items with the highest corrected item-total correlations across both PMOS-44 and PMOS-30 composed PMOS-10. PMOS-10 had good internal reliability (α=0.79), demonstrated convergent validity; however, discriminant validity was not established.ConclusionsTwo revised, shortened versions of the original PMOS-44 (PMOS-30 and PMOS-10) were produced to capture patient feedback about safety in hospital. The measures demonstrated good reliability and validity, and preserved the psychometric properties of the original measure.


2019 ◽  
Vol 118 (10) ◽  
pp. 216-223
Author(s):  
Nguyen Thi Ngan ◽  
Bui Huy Khoi

The purpose of the paper was to investigate the factors that influenced the intention to use coffee by using Adanco software. Survey data was collected from 284 consumers living in Ho Chi Minh City, Vietnam. The research model was proposed from the studies of the behavioral intention. The reliability and validity of the scale were tested by Cronbach's Alpha, Average Variance Extracted (Pvc) and Composite Reliability (Pc). PLS-SEM showed that intention to use coffee was affected by some components of the intention to use coffee.


Author(s):  
Gabriela Alejandra Grover-Baltazar ◽  
Gabriela Macedo-Ojeda ◽  
Ana Sandoval-Rodríguez ◽  
Marianne Martínez-Vizmanos ◽  
Lucrecia Carrera-Quintanar ◽  
...  

Positive attitudes towards breastfeeding in health professionals/students have been associated with increasing their confidence to provide support and accompaniment to mothers. In Mexico, there is no valid/reliable tool to assess attitudes towards breastfeeding in this population. The Australian Breastfeeding Attitudes (and Knowledge) Questionnaire (ABAQ) measures attitudes in the Australian population. We aimed to adapt and validate the ABAQ in Mexican health students. We included 264 health students (nursing, nutrition, and medicine) from the University of Guadalajara. Bilingual translators carried out the Spanish adaptation with a reverse translation into English. Experts evaluated the content validity. Reliability was evaluated through an internal consistency analysis (Cronbach’s alpha) and construct validity through convergent–divergent validation, item–total correlation, exploratory factor analysis (by principal components), and confirmatory factor analysis. According to the exploratory factor analysis, only one component was identified. Seven items were removed (low correlation between items ≤0.2 and low factor load ≤0.3). The Cronbach’s alpha was 0.78. According to the confirmatory factor analysis, the one-factor solution of the ABAQ-13Mx showed a good model fit (X2 = 98.41, G = 62, p = 0.02, CFI = 0.940, and RMSEA = 0.048). The ABAQ-13Mx is a reliable and valid instrument for evaluating attitudes towards breastfeeding in Mexican health degree students.


Author(s):  
Lourrany Borges Costa ◽  
Shamyr Sulyvan de Castro ◽  
Diovana Ximenes Cavalcante Dourado ◽  
Bruna Soares Praxedes ◽  
Thayná Custódio Mota ◽  
...  

Abstract: Introduction: Clinical teaching is based on a real work environment, in professional practice settings, such as health services and units, under the supervision of the preceptor. Providing medical teachers with an assessment of their teaching skills is a powerful tool for improving clinical learning for students in training. In this context, the EFFECT (Evaluation and Feedback for Effective Clinical Teaching) questionnaire was developed by Dutch researchers in 2012 for teacher evaluation, being validated based on the literature about medical teaching in the workplace and incorporates the skills of the Canadian competency-based medical curriculum. Objective: To translate and cross-culturally adapt into Brazilian Portuguese and to validate the EFFECT questionnaire for teacher evaluation by Medical students. Method: Cross-cultural adaptation with the following steps: initial translation of the English version, synthesis of translated versions, back-translation, creation of a consensual version in Brazilian Portuguese, with adaptation, review, and analysis of content validity by an expert committee, pre-test with retrospective clarification interview, and reliability analysis by factorial analysis and internal consistency test (Cronbach’s alpha coefficient). Result: In the translation and back-translation stages, the disagreements were related to the use of synonyms and none of the items were modified in terms of their understanding, but in terms of adaptation into the Brazilian context. The evaluation of the expert committee showed the versions maintained the semantic and idiomatic equivalences of the content. Eighty-nine students participated in the pre-test. The internal consistency of the EFFECT questionnaire in Brazilian Portuguese was excellent for all domains, with Cronbach’s alpha coefficient ranging from 0.82 to 0.94. Conclusion: The translated and adapted version of the EFFECT questionnaire into Brazilian Portuguese is equivalent to the original instrument and has evidence of high validity and reliability, being able to constitute a national tool to evaluate the efficiency of clinical medicine teaching.


Author(s):  
Gopi Rajendhiran ◽  
Vikhram Ramasubramanian ◽  
P Bijulakshmi ◽  
S Mathumathi ◽  
M Kannan

Introduction: The use of smartphone among children and adolescents has been increasing steadily over the past decade and is becoming a cause of concern for parents and healthcare professionals alike. Excessive use of smartphone could make a child vulnerable to develop addictive behaviour leading to decrease in academic performance and impairments in social and personal environment. Early identification is key to addressing this issue and although there are scales to measure smartphone addiction in adults, there are no scales to measure smartphone use in children objectively. Aim: To construct a smartphone addiction scale for children that can be administered to parents. Materials and Methods: A set of statements were created to assess smartphone addiction in children. Initially, 43 statements were selected after identifying its content validity and face validity and the scale was administered to parents of children in the age group of 3-17 years after obtaining informed consent from the parents. The construct validity was examined by the exploratory factor analysis. The screen plot of ordered eigen values of a correlation matrix was used to decide the appropriate number of factors extracted. A factor loading of >0.30 was used to determine the items for each factor. Intra-class correlations were calculated for the test-retest reliability, and Cronbach's alpha was calculated for the internal consistency. The final questionnaire contained 24 statements across six subdomains of smartphone addiction and it was administered to a small sample group of 65 parents of children aged 3-17 years and the data was used to test for reliability and validity of the scale. Results: Alpha correlation for the Smartphone Addiction Scale for Children-Parent (SASC-P) ranged from 0.670 to 0.823. The intrinsic validity for the domains was calculated using Cronbach’s alpha and it ranged from 0.819 to 0.907 for the domains and was 0.972 for the whole questionnaire. Thus the scale was found to be reliable and valid for use in children and adolescents. Conclusion: The SASC-P has good reliability and validity and can be used to measure smartphone use in children and adolescent.


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