scholarly journals The COVID-19 Yorkshire Rehabilitation Scale (C19-YRS): application and psychometric analysis in a post-COVID-19 syndrome cohort

Author(s):  
Nick J Preston ◽  
Amy Parkin ◽  
Sophie Makower ◽  
Denise H Ross ◽  
Jeremy Gee ◽  
...  

Background: As our understanding of the nature and prevalence of Post-COVID-19 syndrome (PCS) is increasing, a measure of the impact of COVID-19 could provide valuable insights into patients' perceptions in clinical trials and epidemiological studies, as well as routine clinical practice. Objective: To evaluate the clinical usefulness and psychometric properties of the COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) in patients with PCS. Design: A prospective, observational study of 187 consecutive patients attending a post-COVID-19 rehabilitation clinic. The C19-YRS was used to record patients' symptoms, functioning and disability. A global health question was used to measure the overall impact of PCS on health. Classical psychometric methods (data quality, scaling assumptions, targeting, reliability and validity) were used to assess the C19-YRS. Results: For the overall scale, missing data were low, scaling and targeting assumptions were satisfied, and internal consistency was high (Cronbach's alpha = 0.891). Relationships between perception of health and patients' reports of symptoms, functioning and disability demonstrated good concordance. Conclusions: This is the first study to examine the psychometric properties of an outcome measure in patients with PCS. In this sample of patients, the C19-YRS was clinically useful and satisfied standard psychometric criteria, providing preliminary evidence of its suitability as a measure of PCS.

2019 ◽  
Vol 16 (8) ◽  
pp. 1087-1105
Author(s):  
Damai Nasution ◽  
Ralf Östermark

Purpose The purpose of this paper is to develop and test the scale of auditors’ awareness of the profession’s reputation for independence, defined as the degree to which auditors recognise the importance of the reputation for independence and acknowledge the impact of their judgements and decisions on that reputation, and to provide preliminary evidence of an association between auditors’ awareness of the profession’s reputation and auditors’ ethical judgement. Design/methodology/approach A seven-item scale was developed to measure auditors’ awareness of the profession’s reputation for independence, and an auditing case was used to measure auditors’ ethical judgement. A survey questionnaire of practising auditors working in auditing firms in Indonesia provides data for testing the validity and reliability of the new scale and proposed hypothesis. Findings The findings show that the scale is unidimensional and has satisfied reliability and validity. Moreover, the preliminary evidence of a positive association between the new scale and auditors’ ethical judgement is provided. Research limitations/implications Further studies should test the validity and reliability of the scale of awareness of the profession’s reputation for independence with larger data and in different settings. Investigation of the antecedent factors of auditors’ awareness of the profession’s reputation for independence is suggested. Originality/value This paper develops a new measure, namely, the awareness of the profession’s reputation for independence. Preliminary evidence to establish an association between that awareness and auditor ethical judgement is provided.


2018 ◽  
Vol 15 (1) ◽  
pp. 17 ◽  
Author(s):  
Diego Lomas Martínez ◽  
Juan José Fernández Muñoz ◽  
Esperanza Navarro-Pardo

AbstractThe psychometric properties of the Short Depression-Happiness Scale (SDHS) were analyzed in a sample of 216 Spanish elderly people with an average age of 73.89 (SD = 6.49). An exploratory factor analysis and confirm­atory factor analysis were developed in order to identify the factorial solution and the best model fit. Just on factor was identified. Regarding reliability and validity, internal consistency index was .757 and the correlation between the Short Depression-Happiness Scale (SDHS) and measures of others construct, General Health Question­naire (GHQ) and Center for Epidemiological Studies Depression Scale (CESD) (CESD), were significance. The practical implications of the scale and the index values obtained are discussed.  ResumenSe analizaron las propiedades psicométricas de la Short Depression-Happiness Scale (SDHS) en una muestra de 216 mayores con una edad promedio de 73.89 (DT = 6.49). Se realizó un análisis factorial exploratorio y confirmatorio para identificar la estructura factorial y el mejor ajuste del modelo. La solución estaba compuesta de un único factor.  Con respecto a la fiabilidad y vali­dez, el índice de consistencia interna fue de .757 y la correlación entre la Escala Breve de depresión-felicidad y las medidas de otros constructos, entre otros, el Cues­tionario de Salud General (GHQ) y el Centro de Escala de Depresión de Estudios Epidemiológicos (CESD) fue­ron significantes. Se discuten las implicaciones prácticas de la escala y los valores de los índices obtenidos.


Assessment ◽  
2021 ◽  
pp. 107319112110293
Author(s):  
Markus Müssig ◽  
Jeanette Kubiak ◽  
Boris Egloff

Questionnaires are one of the most important tools in psychological assessment, yet the impact of different numbers of response options on psychometric properties of questionnaires is limited. This study extends existing research by analyzing respondents’ acceptance of and the efficiency of different numbers of response options and replicate findings on reliability and validity. We studied these questions in 540 respondents who filled out the Big Five Inventory–2 and the Emotion Regulation Questionnaire. Two response options, 11 response options and the visual analog scale showed disadvantages in acceptance compared with the original number of response options. The completion time increased by 1.7s per item when moving from 2 to 11 response options. Cronbach’s alpha (but not ordinal alpha based on polychoric covariance) was lowest for two response options. Validity was unaffected. Overall, compared with the typical choice of five or seven response options, fewer or more response options resulted in disadvantages.


2021 ◽  
Vol 37 (1) ◽  
pp. 69-76
Author(s):  
Ferran Padrós-Blázquez ◽  
María Patricia Martinez-Medina ◽  
Joan Guardia-Olmos ◽  
Ariel Graff-Guerrero

La disminución de la capacidad de disfrute puede considerarse un factor de riesgo o indicador de presencia de trastornos mentales. Por ello, es de utilidad disponer de instrumentos válidos para evaluar la gaudibilidad en niños y adolescentes para desarrollar intervenciones que mejoren la gaudibilidad. El objetivo del presente trabajo fue construir y analizar las propiedades psicométricas de la Escala de Gaudibilidad para Niños y Adolescentes (EGNA). 1.264 estudiantes de primaria, secundaria y bachillerato respondieron a: EGNA, Escala de Autoestima de Rosenberg, Escalas Panas de afecto positivo y negativo para niños y adolescentes y la escala de Depresión del Centro de Estudios Epidemiológicos. Mediante un análisis factorial confirmatorio utilizando el método de estimación de máxima verosimilitud robusta se demostró un ajuste adecuado al modelo de 5 factores (Disfrute en compañía, Autoeficacia frente al aburrimiento, Sentido del humor, Imaginación e interés) relacionados. Además, se observó una consistencia interna adecuada (Cronbach α=0,794) en la escala total y en cada uno de los 5 factores. Finalmente se observó una adecuada validez concurrente y discriminante. La EGNA obtuvo adecuados indicadores respecto a su consistencia interna y validez. La EGNA es adecuada para cuantificar los niveles de gaudibilidad en niños y adolescentes. The decrease in the ability to enjoy can be considered a risk factor or marker of mental disorders. Therefore, it can be useful to have a scale to quantify gaudiebility in children and adolescents to develop strategies to improve gaudiebility. The objective of the present work was to build and analyze the psychometric properties of the Gaudiebility Scale for Children and Adolescents (GSCA). 1,264 primary, secondary and high school students responded to GSCA, Rosenberg’s self-esteem scale, Positive and Negative Affect schedule, Center of Epidemiological Studies of Depression scale. Through a confirmatory factor analysis using a robust maximum-likelihood estimation, an adequate adjustment was observed to 5 factors model (Enjoyment in Company, Self-efficacy versus boredom, Sense of humor, Imagination and Interest) related. In addition, an appropriate internal reliability (Cronbach α=0,794) was observed in the total scale and in the 5 subscales. Finally, an adequate concurrent and discriminant validities were observed. GSCA’s psychometric properties indicate appropriate internal reliability and validity. GSCA seems appropriate to quantify gaudiebility levels in children and adolescents.  


2021 ◽  
Author(s):  
Jemini Bhatt ◽  
Charlotte R Stoner ◽  
Katrina Scior ◽  
Georgina Charlesworth

Abstract Background: A diagnosis of dementia presents individuals with both social and psychological challenges but research on self-stigma in dementia has been largely confined to qualitative approaches due to a lack of robust outcome measures that assess change. The Stigma Impact Scale (SIS) is the most commonly used measure of self-stigma in dementia but its suitability as a tool to assess change in a diverse UK population is unclear. Thus, the aim of this study was to identify, adapt and evaluate the acceptability and preliminary psychometric properties of self-stigma measures for people with dementia for use as measures of change. Method: A 4-step sequential design of identifying, selecting, adapting and testing psychometric measures as follows: 1) identification of stigma outcome measures through reviewing anti-stigma intervention literature, 2) selection of candidate measures through quality assessment (Terwee criteria) and expert consultation, 3) adaptation for UK dementia population (Stewart and colleagues Modification Framework) 4) testing of adapted measures in people living with dementia (N=40) to establish acceptability and preliminary reproducibility (test retest), criterion (concurrent with SIS) and construct (negative convergence with Rosenberg self-esteem scale) validity. Results: Seven measures were identified from the review, but most were poor quality (Terwee range: 0-4). Three measures were selected for modification: Stigma Stress Scale; Secrecy subscale of the Stigma Coping Orientation Scale; Disclosure Related Distress Scale. Internal consistency and test-retest reliability were acceptable (.866≤α≤ .938; ICC .721-.774), except for the Stigma Stress Scale (α= .643) for which the component subscales (perceived harm, ability to cope) had stronger psychometric properties. Concurrent validity with the SIS was not established (r<.7) although there were significant correlations between total SIS and perceived harm (r=.587) and between internalized shame and secrecy (r=.488). Relationships with self-esteem were in the hypothesized direction for all scales and subscales indicating convergent validity.Conclusion: Stigma scales from mental health are not readily adapted for use with people with dementia. However there is preliminary evidence for the acceptability, reliability and validity of measures of perceived harm, secrecy and stigma impact. Further conceptual and psychometric development is required.


2005 ◽  
Vol 18 (1) ◽  
pp. 113-129 ◽  
Author(s):  
C. H. S. Ruxton ◽  
P. C. Calder ◽  
S. C. Reed ◽  
M. J. A. Simpson

AbstractA considerable literature has been published on the health benefits of fish, oil-rich fish and fish oils and their constituent long-chain (LC)n-3 PUFA. Evidence from epidemiological studies highlights the cardioprotective attributes of diets rich in fish, especially oil-rich fish. Data from intervention trials are consistent in suggesting that LCn-3 PUFA lower the risk of CVD, probably by the multiple mechanisms of lowering serum triacylglycerols, improving the LDL:HDL ratio, anti-arrhythmic effects on heart muscle, improved plaque stability, anti-thrombotic effects and reduced endothelial activation. Research indicates LCn-3 PUFA provision has an impact during development, and there is preliminary evidence that docosahexaenoic acid supplementation during pregnancy could optimise brain and retina development in the infant. LCn-3 PUFA are also postulated to ameliorate behavioural and mental health disturbances such as depression, schizophrenia, dementia and attention deficit hyperactivity disorder. However, despite some positive evidence in each of these areas, use of LCn-3 PUFA in these conditions remains at the experimental stage. In the case of immune function, there is little doubt that LCn-3 PUFA have a positive effect. Although intervention trials in rheumatoid arthritis show strong evidence of benefit, evidence for efficacy in other inflammatory conditions, including Crohn's disease, ulcerative colitis, psoriasis, lupus, multiple sclerosis, cystic fibrosis and asthma, is inconsistent or inadequate. More promising evidence in some conditions may come from studies which attempt to modify the fetal environment using LCn-3 PUFA supplementation during pregnancy.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Klaus Mann ◽  
Sonja Gröschel ◽  
Susanne Singer ◽  
Jörg Breitmaier ◽  
Sylvia Claus ◽  
...  

Abstract Background Epidemiological studies have demonstrated considerable differences in the use of coercive measures among psychiatric hospitals; however, the underlying reasons for these differences are largely unclear. We investigated to what extent these differences could be explained by institutional factors. Methods Four psychiatric hospitals with identical responsibilities within the mental health care system, but with different inpatient care organizations, participated in this prospective observational study. We included all patients admitted over a period of 24 months who were affected by mechanical restraint, seclusion, or compulsory medication. In addition to the patterns of coercive measures, we investigated the effect of each hospital on the frequency of compulsory medication and the cumulative duration of mechanical restraint and seclusion, using multivariate binary logistic regression. To compare the two outcomes between hospitals, odds ratios (OR) with corresponding 95% confidence intervals (CI) were calculated. Results Altogether, coercive measures were applied in 1542 cases, corresponding to an overall prevalence of 8%. The frequency and patterns of the modalities of coercive measures were different between hospitals, and the differences could be at least partially related to institutional characteristics. For the two hospitals that had no permanently locked wards, certain findings were particularly noticeable. In one of these hospitals, the probability of receiving compulsory medication was significantly higher compared with the other institutions (OR 1.9, CI 1.1–3.0 for patients < 65 years; OR 8.0, CI 3.1–20.7 for patients ≥65 years); in the other hospital, in patients younger than 65 years, the cumulative duration of restraint and seclusion was significantly longer compared with the other institutions (OR 2.6, CI 1.7–3.9). Conclusions The findings are compatible with the hypothesis that more open settings are associated with a more extensive use of coercion. However, due to numerous influencing factors, these results should be interpreted with caution. In view of the relevance of this issue, further research is needed for a deeper understanding of the reasons underlying the differences among hospitals.


2020 ◽  
Author(s):  
Jemini Bhatt BSc MSc ◽  
Charlotte R Stoner ◽  
Katrina Scior ◽  
Georgina Charlesworth

Abstract Background: A diagnosis of dementia presents individuals with both social and psychological challenges but research on self-stigma in dementia has been largely confined to qualitative approaches due to a lack of robust outcome measures that assess change. The Stigma Impact Scale (SIS) is the most commonly used measure of self-stigma in dementia but its suitability as a tool to assess change in a diverse UK population is unclear. Thus, the aim of this study was to identify, adapt and evaluate the acceptability and preliminary psychometric properties of self-stigma measures for people with dementia for use as measures of change. Method: A 4-step sequential design of identifying, selecting, adapting and testing psychometric measures as follows: 1) identification of stigma outcome measures through reviewing anti-stigma intervention literature, 2) selection of candidate measures through quality assessment (Terwee criteria) and expert consultation, 3) adaptation for UK dementia population (Stewart and colleagues Modification Framework) 4) testing of adapted measures in people living with dementia (N=40) to establish acceptability and preliminary reproducibility (test retest), criterion (concurrent with SIS) and construct (negative convergence with Rosenberg self-esteem scale) validity. Results: Seven measures were identified from the review, but most were poor quality (Terwee range: 0-4). Three measures were selected for modification: Stigma Stress Scale; Secrecy subscale of the Stigma Coping Orientation Scale; Disclosure Related Distress Scale. Internal consistency and test-retest reliability were acceptable (.866≤α≤ .938; ICC .721-.774), except for the Stigma Stress Scale (α= .643) for which the component subscales (perceived harm, ability to cope) had stronger psychometric properties. Concurrent validity with the SIS was not established (r<.7) although there were significant correlations between total SIS and perceived harm (r=.587) and between internalized shame and secrecy (r=.488). Relationships with self-esteem were in the hypothesized direction for all scales and subscales indicating convergent validity.Conclusion: Stigma scales from mental health are not readily adapted for use with people with dementia. However there is preliminary evidence for the acceptability, reliability and validity of measures of perceived harm, secrecy and stigma impact. Further conceptual and psychometric development is required.


2013 ◽  
Vol 15 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Rebecca D. Larson

Psychometric assessments are tests or questionnaires that have been designed to measure constructs of interest in an individual or a target population. A goal of many of these self-report instruments is to provide researchers with the ability to gather subjective information in a manner that might allow for quantitative analysis and interpretation of these results. This requires the instrument of choice to have adequate psychometric properties of reliability and validity. Much research has been conducted on creating self-report quality of life questionnaires for individuals with multiple sclerosis (MS). This article focuses on one in particular, the Modified Fatigue Impact Scale (MFIS). The article starts with a brief description of the rationale, construction, and scoring of the inventory. Next, the best available reliability and validity data on the MFIS are presented. The article concludes with a brief discussion on the interpretation of scores, followed by suggestions for future research. This summative analysis is intended to examine whether the instrument is adequately measuring the impact of fatigue and whether the scores allow for meaningful interpretations.


2012 ◽  
Vol 25 (3) ◽  
pp. 490-499 ◽  
Author(s):  
Ramona Lucas-Carrasco ◽  
Ken Laidlaw ◽  
Juana Gómez-Benito ◽  
Michael J. Power

ABSTRACTBackground: As ageing is a personal experience, an attitude to ageing questionnaire is essential for capturing the most realistic appraisal of this important stage of life. Our aim was to study the psychometric properties of the Attitudes to Ageing Questionnaire (AAQ) in a sample of Spanish older people.Methods: A total of 242 participants aged 60 years and older were recruited from community centers, primary care centers, and family associations for the mentally ill and dementia. In addition to the AAQ, participants provided information on demographics, self-perception of health, comorbidity, health status (SF-12), depressive symptoms (GDS-30), and quality of life (WHOQOL-BREF and WHOQOL-OLD). Analysis was performed using standard psychometric techniques with SPSS v15.0.Results: No floor and ceiling effects were found, and missing data were low. The internal consistency measured by Cronbach's alpha for AAQ subscales were 0.59, 0.70, and 0.73. Exploratory Factor Analysis produced a three-factors solution accounting for 34% of the variance. A priori expected associations were found between some AAQ subscales with WHOQOL-BREF domains, with WHOQOL-OLD, SF-12, and the GDS-30 indicating good construct validity. In general, AAQ subscales differentiated between participants with lower and higher levels of education, and between a priori defined groups of older people (non-depressed vs. depressed; those with higher vs. lower physical comorbidities, and non-carers vs. carers).Conclusions: The Spanish version of the AAQ questionnaire showed acceptable psychometric properties in a convenience sample of Spanish older people. It is a useful measure of attitude for use with older people in social and clinical services.


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