Health Measurement Scales

Author(s):  
David L. Streiner ◽  
Geoffrey R. Norman ◽  
John Cairney

Health Measurement Scales is the ultimate online guide to developing and validating measurement scales that are to be used in the health sciences. It covers how the individual items are developed; various biases that can affect responses (e.g. social desirability, yea-saying, framing); various response options; how to select the best items in the set; how to combine them into a scale; and finally how to determine the reliability and validity of the scale. It concludes with a discussion of ethical issues that may be encountered, and guidelines for reporting the results of the scale development process. Appendices include a comprehensive guide to finding existing scales, and a brief introduction to exploratory and confirmatory factor analysis.

Author(s):  
David L. Streiner ◽  
Geoffrey R. Norman ◽  
John Cairney

This chapter provides a brief overview of the need for measurement in the health sciences. As interventions are increasingly aimed at improving subjective states, such as quality of life or pain, it becomes ever more important to be able to measure these accurately. This means that the items must be clear, unambiguous, and as free from biases as possible. Test constructors must also be aware of the different options for responding to the items. Finally, issues of reliability and validity need to be addressed. The chapter also has a ‘road map’ and flow chart, outlining the steps in scale construction, and indicating the chapters addressing the relevant topics.


Author(s):  
Sherouk J. Kadhm

This study aimed to examine the psychometric properties (reliability and validity) of the Arabic version of Sherouk's Critical Thinking Test. This test has four parts, each of which provides a story that is divided into an introduction and a scene; each story is then followed by a list of sensitive questions featuring two response options (Agree/Disagree). A sample of 158 university students participated in this study. The results showed that the reliability of the entire scale was 0.885, and the reliability of each of its four parts was 0.885, 0.829, 0.772, and 0.721, respectively. Confirmatory factor analysis of the collected data revealed a good fit with the latent constructs (CMIN/DF: 1.446; CMIN/DF: 1.357; CMIN/DF: 1.417; and CMIN/DF: 1.151) for parts one to four, respectively. The test's adaptability was considered when designing this instrument, and examinees were invited to review it. This paper recommended using this instrument in the fields of performance, leadership, selection, training, and improvement, and it was also created as a tool to measure individuals' critical thinking skills and abilities in organizations, companies, and academic environments. The English and German versions of this test were also examined; these versions are now currently available for use.


Author(s):  
Sherouk J. Kadhm

This study aimed to examine the psychometric properties (reliability and validity) of the Arabic version of Sherouk's Critical Thinking Test. This test has four parts, each of which provides a story that is divided into an introduction and a scene; each story is then followed by a list of sensitive questions featuring two response options (Agree/Disagree). A sample of 158 university students participated in this study. The results showed that the reliability of the entire scale was 0.885, and the reliability of each of its four parts was 0.885, 0.829, 0.772, and 0.721, respectively. Confirmatory factor analysis of the collected data revealed a good fit with the latent constructs (CMIN/DF: 1.446; CMIN/DF: 1.357; CMIN/DF: 1.417; and CMIN/DF: 1.151) for parts one to four, respectively. The test's adaptability was considered when designing this instrument, and examinees were invited to review it. This paper recommended using this instrument in the fields of performance, leadership, selection, training, and improvement, and it was also created as a tool to measure individuals' critical thinking skills and abilities in organizations, companies, and academic environments. The English and German versions of this test were also examined; these versions are now currently available for use.


2016 ◽  
Vol 60 (3) ◽  
pp. 155-162 ◽  
Author(s):  
Michele C. McDonnall

Negative employer attitudes have traditionally been considered one of the major barriers to employment faced by people who are blind or visually impaired. Recent research suggests this continues to be a problem, yet little research has directly measured employer attitudes toward this population. Data were collected from a large sample of hiring managers ( N = 382) to provide evidence for the validity of a recently developed instrument, the Employer Attitudes Toward Blind Employees Scale. Confirmatory factor analysis was used to evaluate the instrument, providing evidence for its reliability and validity. Social desirability bias was not found to be a significant problem with the instrument. Self-reported likelihood to hire a person who is blind or visually impaired in the future had a strong association with attitude scores, providing evidence for the scale’s predictive validity.


2018 ◽  
Vol 25 (5) ◽  
pp. 320-330 ◽  
Author(s):  
Dae Seok Chai ◽  
Khalil Dirani

Purpose This study aims to address the reliability and validity of the shortened versions of the Arabic dimensions of the learning organization questionnaire (DLOQ) to provide evidence on the learning organization (LO) concept in Lebanon and to draw attention to the applicability of the LO concept to facilitate the development and operationalization of the LO in the Lebanese context. Design/methodology/approach A total of 298 cases from five Lebanese firms were analyzed. Rigorous translation procedures have been applied to ensure the relevance of this instrument in the Arabic context. Confirmatory factor analysis, item-internal consistency estimates and item intercorrelation analysis showed that the 21- and the seven-item versions of the Arabic DLOQ have produced reliable measurement scores with a construct validity adequate to measure the LO culture in the Lebanese context. Findings The results of the current study confirmed that the shortened 21- and seven-item versions of the Arabic DLOQ are reliable, validated and applicable in the Lebanese context. This study also added to the stability of this foundation and pointed out weak areas that can be addressed by refining and developing the research, theory and practice of the LO. Research limitations/implications The results of this study based on the shortened versions contributed to operationalizing a conceptually developed LO theory, which is an appropriate example of theory building in an applied discipline. The results also suggest that the LO comprised interdependent building blocks that need to be integrated at the individual, team and organizational levels to promote change and development in a system. Practical implications This study provides managers and HR practitioners, especially in the Lebanese context, with a sound model of the LO theory to be applied in their organizations. Originality/value This study provides scholars with an understanding of the potential value of the LO in the Lebanese context. The results present evidence of the cultural impact on the perceptions of the LO in the Lebanese context, confirm the applicability of the shortened Arabic DLOQ and provide HR practitioners in Lebanon with a tool to diagnose LO characteristics accurately and consistently and to determine if there is a link between the LO and organizational performance.


2001 ◽  
Vol 94 (6) ◽  
pp. 958-962 ◽  
Author(s):  
Stephen H. Halpern ◽  
Judith A. Littleford ◽  
Nicole J. Brockhurst ◽  
Paul J. Youngs ◽  
Nariman Malik ◽  
...  

Background The Neurologic and Adaptive Capacity Score (NACS) is a multi-item scale that was published in 1982 to measure the effects of intrapartum drugs on the neonate. Although this scoring system has been widely used in obstetric anesthesia research, studies confirming its reliability have not been published. The purpose of this study was to assess the reliability of the NACS. Methods Two teams of observers were trained to perform the NACS on healthy, term neonates born in the vertex presentation. Two examinations were performed on each neonate within the first 2.5 h of life. Simultaneous (or "split-half") reliability was assessed using the alpha coefficient. Test-retest reliability was assessed using the intraclass correlation coefficient. The test was considered to be reliable if a was greater than 0.7 and the intraclass correlation coefficient was greater than 0.6. Results Two hundred babies were studied. The a was 0.47 and the intraclass correlation coefficient was 0.38 (95% confidence interval, 0.24-0.52). Conclusions The NACS had poor reliability both on simultaneous testing and in the test-retest situation when used to evaluate term, healthy neonates. The authors suggest that other measures need to be developed to evaluate the effect of intrapartum drug administration in the neonate. Health measurement scales should undergo rigorous assessment for reliability and validity before they are used in clinical practice or for research purposes.


2019 ◽  
Vol 35 (3) ◽  
pp. 403-413 ◽  
Author(s):  
Kathrin Eickmeier ◽  
Lisa Hoffmann ◽  
Rainer Banse

Abstract. For years, disgust was conceptualized as a disease-avoidance mechanism. However, research shows that socio-moral or sexual transgressions elicit disgust, too. Until now, no German-language disgust scale has covered all disgust factors discussed in the literature. Here we present an economic Five-Factor Disgust Scale (5-FES; Fünf-Faktoren Ekelskala) along with empirical evidence from three studies corroborating its reliability and validity. Two well-established disgust questionnaires were combined and extended with other disgust-relevant items. Using item reduction and exploratory factor analysis, death-related, moral, food-related, sexual, and pathogen disgust emerged as distinct factors (Study 1: N = 456). Confirmatory factor analysis with two large samples (Study 2: N = 997 and N = 405) demonstrated a good fit of the correlated five-factor solution. The 5-FES correlated weakly with neuroticism, anxiety, and social desirability. A high negative correlation between sexual disgust and sexual openness emerged. Criterion validity was shown using self-reported behaviors (Study 3: N = 203). With food-related disgust comprising items about non-spoiled but exotic foods, a new disgust domain emerged. Results indicate that the 5-FES is a comprehensive and psychometrically sound German-language instrument for the differentiated assessment of disgust propensity.


2019 ◽  
Vol 8 (5) ◽  
pp. 903-931
Author(s):  
Roger Tourangeau ◽  
Ting Yan ◽  
Hanyu Sun

Abstract Using reinterview data from the PATH Reliability and Validity (PATH-RV) study, we examine the characteristics of questions and respondents that predict the reliability of the answers. In the PATH-RV study, 524 respondents completed an interview twice, five to twenty-four days apart. We coded a number of question characteristics and used them to predict the gross discrepancy rates (GDRs) and kappas for each question. We also investigated respondent characteristics associated with reliability. Finally, we fitted cross-classified models that simultaneously examined a range of respondent and question characteristics. Although the different models yielded somewhat different conclusions, in general factual questions (especially demographic questions), shorter questions, questions that did not use scales, those with fewer response options, and those that asked about a noncentral topic produced more reliable answers than attitudinal questions, longer questions, questions using ordinal scales, those with more response options, and those asking about a central topic. One surprising finding was that items raising potential social desirability concerns yielded more reliable answers than items that did not raise such concerns. The respondent-level models and cross-classified models indicated that five adult respondent characteristics were associated with giving the same answer in both interviews—education, the Big Five trait of conscientiousness, tobacco use, sex, and income. Hispanic youths and non-Hispanic black youths were less likely to give the same answer in both interviews. The cross-classified model also found that more words were associated with less reliable answers. The results are mostly consistent with earlier findings but are nonetheless important because they are much less model-dependent than the earlier work. In addition, this study is the first to incorporate such personality traits as needed for cognition and the Big Five personality factors and to examine the relationships among reliability, item nonresponse, and response latency.


2021 ◽  
Vol 2 ◽  
Author(s):  
Barbara Resnick ◽  
Kimberly Van Haitsma ◽  
Ann Kolanowski ◽  
Elizabeth Galik ◽  
Marie Boltz ◽  
...  

The purpose of this study was to test the reliability and validity of the Pain Assessment in Advanced Dementia (PAINAD) and particularly consider whether or not this measure was invariant when used among the Black and White residents. Baseline data from an implementation study testing that included a sample of 553 residents, 30% of who were Black, from 55 nursing were included in this study. The Winsteps statistical program was used to perform the Rasch analysis and evaluate the reliability and validity of the measure based on internal consistency, infit and outfit statistics, mapping, and a differential item functioning (DIF) analysis. The AMOS statistical program was used for confirmatory factor analysis. The findings supported the reliability and validity of the PAINAD when used with these individuals and demonstrated that there was no evidence of invariance between the Black and White residents. All the items fit the model, but there was not a good spread of the items across the pain level of the participants. The majority of the participants (75%) were so low in pain signs or symptoms that they could not be differentiated. Based on the clinical practice and observations, it is recommended that additional items can be added to the measure such as observing the individual for evidence of resisting care, retropulsion when trying to stand, hitting or kicking when turning in bed, hitting or kicking when transferring from bed to chair, hitting or kicking when ambulating, or hitting or kicking when raising arms, less engagement with others, and decreased participation in the activities previously enjoyed.


2001 ◽  
Vol 23 (2) ◽  
pp. 227 ◽  
Author(s):  
Sae Matsuda ◽  
Peter Gobel

Although many studies of foreign language anxiety focus on the difficulties caused by anxiety with 民spect to classroom activities such as speaking and listening, this study investigates the possible relationship between general foreign language classroom anxietyσLCA) and foreign language reading anxiety (FLRA) in the ]apanese classroom. Using previously published measurement scales (the FLCAS and the FLRAS), this study seeks first to determine the reliability and validity of the individual scales across three difたrentgroups 泊nine intact ftrSt-semester Eng1ish classes (2ラ2studenお)ata ]apanese university. Based on this data, the possible relationships between the two theoretical construc臼of foreign language classroom an:xiety and foreign language reading anxiety, and the variable of cl錨s group are explored. The m凶白of the study sugg白t that although subcomponents of the two scales are related, overall FLCAS and FLRAS are meas町ing two clearly independent constructs. In addition, anxiety types measured also differed significantly depending on group membership. これまで外国語学習における不安(出立iety) はスピーキングやリスニング などのクラス活動の分野に重点を置いて研究されてきたが、この研究では、外 国語のクラスにおける一般的な不安(F工CA)と外国語のリーディングに対する不 安(FL恥生)に相関関係があるかを探った。既存の測定尺度(FLCAS とFLRAS) を 用い、日本の大学生( 1 年生から3 年生までの252 人)を対象に、まず各尺 度の信用性と有効性を調べた。そのデータを基に、外国語のクラスに対する不 安(FLCA)と外国語のリーディングに対する不安(FLRA)というこつの理論上の 構成体には相関関係があるか、そして不安の型には学年による違いが見られる かを分析した。その結果、FLCAS とFLRAS は細部では関連が見られるものの、 全体としては明確に独立した構成体であること、不安の型には学年によって顕 著な違いが見られることがわかった。


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