512 Confirmatory Factor Analysis of the Sleep Inertia Questionnaire in a Clinical Sample with Sleep Disorders

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A201-A202
Author(s):  
Kristina Puzino ◽  
Susan Calhoun ◽  
Allison Harvey ◽  
Julio Fernandez-Mendoza

Abstract Introduction The Sleep Inertia Questionnaire (SIQ) was developed and validated in patients with mood disorders to evaluate difficulties with becoming fully awake after nighttime sleep or daytime naps in a multidimensional manner. However, few data are available regarding its psychometric properties in clinical samples with sleep disorders. Methods 211 patients (43.0±16.4 years old, 68% female, 17% minority) evaluated at the Behavioral Sleep Medicine (BSM) program of Penn State Health Sleep Research & Treatment Center completed the SIQ. All patients were diagnosed using ICSD-3 criteria, with 111 receiving a diagnosis of chronic insomnia disorder (CID), 48 of a central disorder of hypersomnolence (CDH), and 52 of other sleep disorders (OSD). Structural equation modelling was used to conduct confirmatory factor analysis (CFA) of the SIQ. Results CFA supported four SIQ dimensions of “physiological”, “cognitive”, “emotional” and “response to” (RSI) sleep inertia with adequate goodness-of-fit (TLI=0.90, CFI=0.91, GFI=0.85, RMSEA=0.08). Internal consistency was high (α=0.94), including that of its dimensions (physiological α=0.89, cognitive α=0.94, emotional α=0.67, RSI α=0.78). Dimension inter-correlations were moderate to high (r=0.42–0.93, p<0.01), indicating good construct validity. Convergent validity showed moderate correlations with Epworth sleepiness scale (ESS) scores (r=0.38) and large correlations with Flinders fatigue scale (FFS) scores (r=0.65). Criterion validity showed significantly (p<0.01) higher scores in subjects with CDH (69.0±16.6) as compared to those with CID (54.4±18.3) or OSD (58.5±20.0). A SIQ cut-off score ≥57.5 provided a sensitivity/specificity of 0.77/0.65, while a cut-off score ≥61.5 provided a sensitivity/specificity of 0.71/0.70 to identify CDH vs. ESS<10 (AUC=0.76). Conclusion The SIQ shows satisfactory indices of reliability and construct validity in a clinically-diverse sleep disorders sample. Its criterion validity is supported by its divergent association with hypersomnia vs. insomnia disorders, as well as its adequate sensitivity/specificity to identify patients with CDH. The SIQ can help clinicians easily assess the complex dimensionality of sleep inertia and target behavioral sleep treatments. Future studies should confirm the best SIQ cut-off score by including good sleeping controls, while clinical studies should determine its minimal clinically important difference after pharmacological or behavioral treatments. Support (if any):

2017 ◽  
Vol 60 (6) ◽  
pp. 1516-1534 ◽  
Author(s):  
Wolfram Ziegler ◽  
Anja Staiger ◽  
Theresa Schölderle ◽  
Mathias Vogel

Purpose Standardized clinical assessment of dysarthria is essential for management and research. We present a new, fully standardized dysarthria assessment, the Bogenhausen Dysarthria Scales (BoDyS). The measurement model of the BoDyS is based on auditory evaluations of connected speech using 9 scales (traits) assessed by 4 elicitation methods. Analyses of the BoDyS' reliability and construct validity were performed to test this model, with the aim of gauging the auditory dimensions of speech impairment in dysarthria. Method Interrater agreement was examined in 70 persons with dysarthria. Construct validity was examined in 190 persons with dysarthria using a multitrait-multimethod design with confirmatory factor analysis. Results Interrater agreement of < 1 on a 5-point scale was found in 91% of cases across listener pairs and scales. Average reliability was .85. Inspection of the multitrait-multimethod matrix pointed at a high convergent and discriminant validity. Modeling of the BoDyS trait and method factors using confirmatory factor analysis yielded high goodness of fit. Model coefficients confirmed high discriminant and convergent validity and revealed meaningful relationships between scales and methods. Conclusions The 9 auditory scales of the BoDyS provide a reliable and valid profile of dysarthric impairment. They permit standardized measurement of clinically relevant dimensions of dysarthric speech.


2017 ◽  
Vol 48 (2) ◽  
pp. 268-278 ◽  
Author(s):  
Casper JJ van Zyl ◽  
Gideon P de Bruin

Personality-based integrity tests are used in selection procedures to reduce the chance of hiring employees who are likely to engage in counterproductive work behaviour. This study reports the internal psychometric properties of a personality-based measure developed for this purpose. Data collected from 1353 working adults were used to investigate the internal consistency reliability and to examine construct validity with confirmatory factor analysis and Rasch analysis. Results showed that the reliability estimates for all the scales of the assessment were satisfactory. For the confirmatory factor analysis, inspection of the incremental (comparative fit index and Tucker–Lewis index) and absolute (root mean square error of approximation) goodness-of-fit values found strong support for the construct validity of all the scales. Infit statistics from Rasch analysis provided further support for construct validity, with items from all the scales fitting the Rasch model. The confirmatory and Rasch analysis demonstrated that unidimensional, coherent, and meaningful latent constructs are being measured on the Work-related Risk and Integrity Scale. Overall, results found excellent support for the internal psychometric properties of the instrument in a culturally diverse context.


2020 ◽  
Vol 5 (3) ◽  
pp. 327-340
Author(s):  
Nesrullah Okan ◽  
Halil Eksi

The aim of this study is to adapt the Moral Integrity Scale developed by Sclenker (2008) to Turkish and conduct its psychometric analysis. The scale items were translated into Turkish by five specialists in the first place. After the language structure, culture suitability and understandability of the items were examined by the two experts, the items agreed upon were translated back to their original language by the two translation experts. After the positive evaluations of the experts, the final version of the scale items was decided. During the adaptation process of the study, data were collected from 470 people for exploratory factor analysis; from 248 people for confirmatory factor analysis and from 100 people for criterion validity. In this context, Exploratory Factor Analysis (AFA) was used to test the construct validity of the scale first. As a result of the exploratory factor analysis, it is seen that the moral integrity scale explains 52,127% of the variance as one dimension. Confirmatory factor analysis (CFA) was then performed to test the construct validity of the scale. The one-dimensional and 18-item structure of the Moral Integrity Scale was analyzed with DFA and accepted fit indices were obtained (X2 / sd = 2.745; p <.001; RMSEA = 0.061; S-RMR = 0.051; NFI = 0.929; CFI = 0.954; GFI = 0.915; RFI = 0.919). In order to calculate the scale reliability, the Cronbach Alpha (α) internal consistency coefficients and the difference between the lower and upper scores of 27% were examined. For the Moral Integrity Scale, the internal consistency coefficient Cronbach’s Alpha value was determined as 961. At the same time, the moral identity scale was used for criterion validity and a significant positive relationship was obtained with the two sub-dimensions of this scale. The total score obtained from the scale gives the person’s moral integrity score. According to all these results, it is understood that the Moral Integrity Scale has sufficient validity and reliability values.


2020 ◽  
Vol 10 (4) ◽  
pp. 229
Author(s):  
Heronemus Sujati ◽  
Sajidan ◽  
Muhammad Akhyar ◽  
Gunarhadi

Curiosity is one of the important characters that should be acquired by every elementary student in Indonesia. Currently, a standardized instrument to measure the student’s curiosity has not yet available. This study aims to test the construct validity and reliability of the developed curiosity scale. The research involved 300 random samples from 565 students of the fifth grade of elementary school in Ngaglik district of Sleman region, in Yogyakarta, Indonesia. The data was analyzed with the second order confirmatory factor analysis using LISREL 8.80 software. The results show that the developed curiosity scale had fulfilled the criteria of goodness of fit, convergent validity, discriminant validity, construct reliability and omega composite reliability. Therefore, the developed scale was feasible to use.


Author(s):  
Mi Kyoung Yim ◽  
Yoon Hee Kim

Confirmatory factor analysis based on a measurement model of a structural equation model was used to test the construct validity of 13 subjects in the Korean Dental Licensing Examination (KDLE). The results of 1,086 examinees who wrote the KDLE in 2004 were analyzed. The thirteen subjects were classified into 62 major categories and 122 intermediate categories. There were 364 items. A hierarchical model was constructed, including major and intermediate categories. The impact of the variables was determined by the standardized regression coefficient that related latent and measured variables in the measurement model. The KDLE showed a high goodness-of-fit with a root mean square error of approximation of 0.030 and a non-normed fit index of 0.998. When the latent variables for the major and intermediate categories were analyzed, the standardized regression coefficients of all of the subjects, with the exception of Health and Medical Legislation, were significant. From the result, we concluded that the 13 subjects showed constructive validity. In addition, the study model and data were very compatible. The subject Health and Medical Legislation had a low explanatory impact with respect to testing the ability of dentists to perform their jobs. This study suggests that similar psychometric studies are needed before integrating or deleting subjects on the KDLE, and to improve item development.


2020 ◽  
Vol 8 (2) ◽  
pp. 123-132
Author(s):  
Khoshdavi Ebrahimzadeh ◽  
◽  
Farhad Ghadiri Sourman Abadi ◽  
Soraya Anvari Anbi ◽  
Karim Abdolmohamadi ◽  
...  

Objective: This study aimed at evaluating the factor validity of the Kearny school refusal assessment scale-revised: parent version among parents of school students in Urmia City, Iran. Methods: The study population comprised students in the first, second, and third grades of elementary schools in Urmia (N=18750). Of them, 351 students from 5 schools were selected using a multistage cluster sampling method. Then, They responded to the Kearny school refusal assessment scale-revised: parent version. To assess the construct validity of this scale, confirmatory factor analysis and internal consistency were used.  Results: The goodness of fit index of the confirmatory factor analysis model indicated a relatively good fit of the data with factor structure of the school refusal assessment scale-revised and confirming the existence of four characters of school stimulus, evaluative situations, seeking caregivers’ attention, and tangible reinforcements, as school refusal characters. Also, the Cronbach alpha coefficient values indicate the stability of the measurement of the whole scale as well as its subscales. Conclusion: Based on these results, the school refusal scale has good statistic characters and the 4-factor mentioned model has good construct validity and help clinicians to determine the symptoms and causes of school refusal behavior.


2021 ◽  
Vol 11 (4) ◽  
pp. 320
Author(s):  
Siddharthan Selvaraj ◽  
Nyi Nyi Naing ◽  
Nadiah Wan-Arfah ◽  
Somasundaram Prasadh

Background: Oral health-related conditions are among the common conditions seen in adults in India. The usage of inappropriate measurement tools that are unvalidated may result in deceptive and imprecise findings that might lead to substandard plans for cessation programs and ineffectiveness. This study was conducted to validate a questionnaire that can assess the factor structure of knowledge, attitude, and behaviour towards oral health among adults in India by confirmatory factor analysis. Methods: Simple random sampling was conducted among adults in India. A total of 260 adults participated in this study. The knowledge, attitude, and behaviour (KAB) questionnaire on oral health was circulated among the adults who were willing to participate in the study after it was explained to them, and the questionnaires were retrieved once they completed. Software R version 3.6 was used to analyse the data of this study. Robust maximum likelihood was utilized for the assessment due to the violation of multivariate normality assumption. For attitude and behaviour domain, a three-factor model was used for measurement model validity and construct validity. Results: The confirmatory factor analysis of the three-factor model for the 26-item KAB questionnaire on oral health gave sufficient goodness-of-fit values and the measurement model exhibited ideal convergent and discriminant validity following model re-specification. The three-factor model was tested to obtain measurement model validity and construct validity for attitude and behaviour domains. The results of this study gave a statistically significant value (p < 0.001), with χ2 (df) values of 39 (7) and 28 (11) for attitude and behaviour domains, respectively. Conclusions: The KAB oral health questionnaire used in this study has a valid measurement model and reliable constructs. It was found to be an ideal tool to measure the KAB towards oral health among adults in India.


2009 ◽  
Vol 25 (4) ◽  
pp. 239-243
Author(s):  
Roberto Nuevo ◽  
Andrés Losada ◽  
María Márquez-González ◽  
Cecilia Peñacoba

The Worry Domains Questionnaire was proposed as a measure of both pathological and nonpathological worry, and assesses the frequency of worrying about five different domains: relationships, lack of confidence, aimless future, work, and financial. The present study analyzed the factor structure of the long and short forms of the WDQ (WDQ and WDQ-SF, respectively) through confirmatory factor analysis in a sample of 262 students (M age = 21.8; SD = 2.6; 86.3% females). While the goodness-of-fit indices did not provide support for the WDQ, good fit indices were found for the WDQ-SF. Furthermore, no source of misspecification was identified, thus, supporting the factorial validity of the WDQ-SF scale. Significant positive correlations between the WDQ-SF and its subscales with worry (PSWQ), anxiety (STAI-T), and depression (BDI) were found. The internal consistency was good for the total scale and for the subscales. This work provides support for the use of the WDQ-SF, and potential uses for research and clinical purposes are discussed.


1988 ◽  
Vol 4 (1) ◽  
pp. 49-59
Author(s):  
Joanne M. Gardner

The purpose of this study was to examine the construct validity (internal structure) of the Kaufman Assessment Battery for Children (K-ABC) for use with Cantonese, English, and Punjabi speaking Canadians. A confirmatory factor analysis revealed that the sequential/simultaneous theoretical model was supported by the English and Punjabi data: however, the Cantonese data did not exhibit a good fit with this model. Similarly, the results of the exploratory factor analysis suggested that sequential and simultaneous factors could apply when describing the factor structure of the English and Punjabi data, but not for the Cantonese data. Implications of these findings are discussed.


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