Development of a health literacy hypertension test in Thailand

2020 ◽  
Vol 34 (6) ◽  
pp. 475-483
Author(s):  
Potchara Chinnasee ◽  
Suchitra Sukonthasab ◽  
Nattaporn Lawthong

PurposeThe purpose of this study is to develop a reliable test metric that can ascertain health literacy as it relates to hypertension in the population of Thailand.Design/methodology/approachOne thousand five hundred patients from hypertension clinics in hospitals under the Ministry of Public Health, Thailand were recruited to this study. The test was developed and divided into three latent variables and four observed variables for health literacy concepts. Indexes of Item-Objective Congruence (IOC) from seven experts and Cronbach’s alpha coefficient of the entire questionnaire were evaluated for content validity and reliability. The Confirmatory Factor Analysis with LISREL also analyzed for construct validity.FindingsThe result illustrates that the Item-Objective Congruence was 0.68, and Cronbach’s alpha coefficient was 0.87. The result also shows that Barlett’s Test of Sphericity was 3129.31 (p < 0.01), and the Kaiser-Meyer-Olkin measure of sampling adequacy was 0.83. The model was fit to empirical data (Chi-square = 0.02).Originality/valueThis study concludes that the Thai Hypertension Health Literacy Assessment Tool (THHLA) created as a result of the study is valid and reliable. The test can be used to evaluate health literacy for hypertension patients in Thailand.

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e034943
Author(s):  
Mohammed B A Sarhan ◽  
Harry S Shannon ◽  
Rika Fujiya ◽  
Masamine Jimba ◽  
Rita Giacaman

ObjectivesHealth literacy research in Palestine is limited, and a locally validated tool for use among adolescents has been unavailable until now. Therefore, this study aimed to adapt health literacy assessment scale for adolescents (HAS-A) into Arabic language (HAS-A-AR) and Palestinian context and to investigate its psychometric properties.DesignWe conducted a cross-sectional household survey using a stratified random sample and household face-to-face interviews.Setting and participantsWe conducted 1200 interviews with sixth to ninth graders in the Ramallah and al-Bireh district of the West Bank, Palestine in 2017.MethodsWe translated and adapted HAS-A to be sensitive to the Palestinian context and tested its psychometric properties. We evaluated face and content validity during the back-translation process and checked for construct validity through exploratory factor analysis (EFA). We tested for internal consistency using Cronbach’s alpha, MacDonald’s omega test and the greatest lower bound (GLB). Furthermore, we calculated the scale’s average inter-item correlation.ResultsEFA revealed that HAS-A-AR has a similar structure to the original HAS-A. It extracted three factors (communication, confusion and functional health literacy) whose eigenvalues were >1. Together they explained 57% of the total variance. The proportions of adolescents with high levels of communication, confusion and functional health literacy were 45%, 68% and 80%, respectively. Cronbach’s alpha, MacDonald’s omega and the GLB values for communication subscale were 0.87, 0.88 and 0.90, and they were 0.78, 0.77 and 0.79 for confusion subscale, while they were 0.77, 0.77 and 0.80, respectively, for functional healthy literacy subscale. The average inter-item correlation for the subscales ranged between 0.36 and 0.59.ConclusionHAS-A-AR is a valid and reliable health literacy measuring instrument with appropriate psychometric properties. HAS-A-AR is currently available for use among adolescents in Palestine and the surrounding Arab countries with similar characteristics as Palestine, including language, culture and political instability.


2018 ◽  
Vol 6 (8) ◽  
pp. 1512-1516 ◽  
Author(s):  
Nahid Ardian ◽  
Seyed Alireza Afshani ◽  
Mohammad Ali Morowatisharifabad ◽  
Seyed Saeid Mazloomi Mahmoodabad ◽  
Ali Akbar Vaezi ◽  
...  

BACKGROUND: Given the increased rate of divorce, it is important to analyse the characteristics of divorce applicants. The theory of planned behaviour (TPB) can provide a suitable framework to predict, explain, and/or change the behaviours. In Iran, no instrument can be found, based on health education models, to investigate divorce petition filing as a behaviour.AIM: This study was conducted to design a questionnaire on withdrawal of divorce petition based on the TPB and estimate its validity and reliability.MATERIAL AND METHODS: A qualitative study was conducted in 27 participants involved in the divorce process using directed content analysis. The face and content validity of 58 items, drawn from the qualitative study, were evaluated by 10 experts. The reliability was estimated using Cronbach’s alpha coefficient. The SPSS version 16 was used to analyse data.RESULTS: Estimates of the face and content validity (quantitative and qualitative), revealed that of the 58 items, 48 were valid based on four of the constructs of the TPB. Cronbach’s alpha coefficient was also derived greater than 0.6.CONCLUSION: The designed questionnaire, whose validity and reliability was confirmed in this study, can be used in similar studies. However, the social and cultural differences and their related effects should be considered.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Asma Mostafa ◽  
Rozina Hoque ◽  
Mohammad Mostafa ◽  
Md. Mashud Rana ◽  
Faisal Mostafa

Empathy is considered to be associated with better patient compliance, satisfaction, and clinical outcomes. The aim of the study is to measure and examine empathy among a sample of undergraduate medical students of Bangladesh. It was a cross-sectional study and all the medical students of first through fifth year enrolled at Chattagram Maa-O-Shishu Hospital Medical College during the study period of 2014 were surveyed. Participants anonymously completed the Jefferson Scale of Empathy Medical Student version translated into Bengali language, a valid and reliable 20-item self-administered questionnaire. Principal component factor analysis with varimax rotation and Cronbach’s alpha coefficient were calculated to check validity and reliability of the scale. ANOVA was used to examine the differences in empathy between gender, academic years, and specialty preferences. The mean empathy score was 110.41 ± 13.59. Cronbach’s alpha coefficient was 0.88. There were significant associations between gender and empathy scores. The level of empathy in medical students gradually increases after clinical training in medical college. A nonsignificant difference was found between empathy scores and specialty preferences. It is suggested that the medical curriculum in Bangladesh should include more extensive program to promote empathy and other humanistic values among the medical students.


2014 ◽  
Vol 22 (3) ◽  
pp. 368-380 ◽  
Author(s):  
Muder Alkrisat ◽  
Vivien Dee

Background and Purpose: To establish the psychometric soundness for Coping and Adaptation Processing Scale (CAPS) using the Roy adaptation model as theoretical framework. Method: A descriptive, cross-sectional survey of a convenience sample of 199 nurses working in different acute health care facilities in California. The internal consistency of the multifactor CAPS questionnaire was explored using Cronbach’s alpha coefficient. Factors correlation was examined using Pearson product moment correlation. The factor structure was studied using confirmatory factor analyses. Results: In the confirmatory factor analysis, the indices of fitness highly supported these results. The Cronbach’s alpha coefficient for the total score was .81 and varied between .31 and .78 in the 5 domains. A positive and significant correlation emerged between CAPS factors and total scores (r = .91, p < .01) ranging from .17 to .81. CAPS showed acceptable validity and reliability for measuring the coping of nurses in acute setting. Future studies using the scale might lead to the improvement of the subscales measurement. Conclusion: The psychometric data suggests that CAPS is a highly suitable instrument to measure coping processes.


CoDAS ◽  
2019 ◽  
Vol 31 (2) ◽  
Author(s):  
Beatriz Servilha Brocchi ◽  
Ellen Osborn ◽  
Jacy Perissinoto

ABSTRACT Purpose To translate and adapt the assessment tool Language Use Inventory from English to Brazilian Portuguese. Methods The study was carried out in two stages. Once the publisher’s authorization was given, the process of translation and back-translation of the protocol was initiated, adapting it to sociocultural aspects, such as expressions, names, and adequate examples in Brazilian Portuguese. In order to investigate the internal reliability of the translation process, the Cronbach’s alpha coefficient was used. The second stage was a pilot study, in which the questionnaire was applied to 43 parents of children from 24 to 47 months old from a city in the State of São Paulo, Brazil. The results were analyzed according to the total score and to the subscales of the questionnaire. The variables age range and parental level of education were also analyzed. Results The analysis using the Cronbach’s alpha coefficient showed high internal consistency (α>0,98) in almost all the subscales which means that the instrument adapted to Brazilian Portuguese can be used. In the pilot study, an age effect was found in the total score and in the LUI subscale scores, i.e., the older the children, the fewer gestures they used, with more words and syntactic constructions. Conclusion The Brazilian-Portuguese version of the LUI questionnaire seems to be a reliable translation of the original and a reliable instrument to evaluate preschoolers’ language pragmatics. After future detailed analyses, it will allow early diagnosis and intervention in children with language disorders.


Author(s):  
Cicero Luciano Alves Costa ◽  
Paulo Felipe Ribeiro Bandeira ◽  
Cintia De Oliveira Matos ◽  
Madson Pereira Cruz ◽  
Herbert Ugrinowitsch

This study aims to investigate the construct validity and reliability of the checklist for qualitative analysis of the overhand serve in Volleyball. Fifty-five male subjects aged 13-17 years participated in the study. The overhand serve was analyzed using the checklist proposed by Meira Junior (2003), which analyzes the pattern of serve movement in four phases: (I) initial position, (II) ball lifting, (III) ball attacking, and (IV) finalization. Construct validity was analyzed using confirmatory factorial analysis and reliability through the Cronbach’s alpha coefficient. The construct validity was supported by confirmatory factor analysis with the RMSEA results (0.037 [confidence interval 90% = 0.020-0.040]), CFI (0.970) and TLI (0.950) indicating good fit of the model. In relation to reliability, Cronbach’s alpha coefficient was 0.661, being this value considered acceptable. Among the items on the checklist, ball lifting and attacking showed higher factor loadings, 0.69 and 0.99, respectively. In summary, the checklist for the qualitative analysis of the overhand serve of Meira Junior (2003) can be considered a valid and reliable instrument for use in research in the field of Sports Sciences.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 815.1-815
Author(s):  
S. Bulut ◽  
E. Ünal ◽  
J. Karakaya ◽  
U. Kalyoncu

Background:In the literature, there is a lack of questionnaires, which is evaluate patients with psoriatic arthritis (PsA) from a biopsychosocial perspective.Objectives:This study was planned to examine the reliability and validity of the BETY- Biopsychosocial Questionnaire (BQ) in individuals diagnosed with PsA.Methods:Test-retest method was used to examine the reliability of the BETY-BQ. In comparing the reliability of test-retest results, intraclass coefficient (ICC) was checked. For the internal consistency analysis of the BETY-BQ, the total score of the responses given to the first filled scale was calculated and the Cronbach’s Alpha coefficient was found. Psoriatic Arthritis Quality of Life Questionnaire (PsAQoL), Health Assessment Questionnaire (HAQ), Hospital Anxiety and Depression Scale (HADS) and Short Form-36 (SF-36) were used in the validity study of 150 individuals with PsA included in the study.Results:Test-retest method and intraclass coefficient were examined for reliability analysis (for 30 patients). The correlation (r = 0.844, p <0.001) of the answers given to the BETY-BQ by individuals with 30 PsA after one week interval was very high. While the ICC coefficient (0.915, p <0.001) showed excellent reliability. The Cronbach’s Alpha coefficient (0.940) was examined for internal consistency and the internal consistency of the scale was also found to be excellent. As a result of statistical analysis, the correlation between the scales used and the BETY-BQ was found between r = -0.432 and 0.807 (p <0.001).Conclusion:With this study, it was concluded that the BETY-BQ is a reliable and valid assessment tool in individuals diagnosed with PsA, and is also a biopsychosocial tool that can be used to evaluate individuals with PsA.References:[1]Unal E, Arin G, Karaca Nb, Kiraz S, Akdoğan A, Kalyoncu U, et al. Romatizmali hastalar için bir yaşam kalitesi ölceginin gelistirilmesi: madde havuzunun olussturulmasi. Journal of Exercise Theraphy and Rehabilitation. 2017;4(2):67-75.[2]Husni ME, Merola JF, Davin S. The psychosocial burden of psoriatic arthritis. Semin Arthritis Rheum. 2017;47(3):351-60Disclosure of Interests:None declared.


Author(s):  
Jyoshma Preema Dsouza ◽  
Stephan Van den Broucke ◽  
Sanjay Pattanshetty

Health literacy is a key topic in public health. Several measurement tools exist that operationalize health literacy, but only a few standard tools measure health literacy at a population level, and none of those are currently available for the Indian context. This study aimed to develop and validate an Indian version of the short form of the European Health literacy Questionnaire (HLS-EU Q16). Following the translation of the English version of the questionnaire in Hindi and Kannada by language experts and confirmation of the item content by health literacy experts, the questionnaire was administered to 158 Hindi speaking and 182 Kannada speaking individuals, selected via purposive sampling. Pearson’s correlation was used to confirm test–retest reliability, and confirmatory factor analysis was used to assess the construct validity of the scales in both languages. Cronbach’s alpha was calculated for the scales and their sub-domains, and item-total correlations were used to calculate item discriminant indices. Discriminant validity was examined by comparing scores of participant groups based on educational status and training in health care. Cronbach’s alpha for the Hindi version of the tool (HLS-IND-HIN-Q16) was 0.98, and for Kannada version (HLS-IND-KAN-Q16) 0.97. Confirmatory factor analysis produced fit indices within acceptable limits. The results allowed us to conclude that the two Indian language questionnaires allow valid and reliable measurements of health literacy among the Hindi and Kannada speaking population of India.


2020 ◽  
Vol 19 (3) ◽  
pp. 241-250
Author(s):  
Fatemeh Sadat Mirzadeh ◽  
Mahtab Alizadeh-Khoei ◽  
Farshad Sharifi ◽  
Reyhaneh Aminaloroaya ◽  
Sakar Hormozi ◽  
...  

Purpose Normal aging changes, acute and chronic illness, and the long stay in the hospital made the decline in elderly physical and mental abilities in non-instrumental and Instrumental Activities Daily Livings (IADL). This paper aims to determine the validity and reliability of Lawton IADL in the Iranian elderly community relevancy to physical, mental and cognitive measurements. Design/methodology/approach A cross-sectional study with 422 participants, age 60 years old and over selected by face-to-face interviewing from the geriatric clinic, Tehran medical university from January to June 2019. Findings Of 422 participants referring to outpatient clinics the majority were male (62.8%); with an average of 66.9 ± 5.95 years old. Reliability was significantly high (Cronbach’s alpha = 0.96, p < 0.001). There was a significant relationship between IADL with Short-Form Health Survey36-Mental Component Score (SF36-MCS), with p < 0.01. Reliability was significantly high (Cronbach’s alpha = 0.96, p < 0.001). In the factor analysis with eigenvalues more than one, two components were found; that the first factor named as observational daily activities, whereas the second factor named “advanced daily activities”. Research limitations/implications The limitation of this study was the low number of similar studies to compare the results and the stronger discussion. Originality/value Determining IADL's dependency in the community elderly is important to maintain their self-care manages. More studies are needed to manifest the relationship between mental health and IADL's independence. Therefore, validation in different settings is important in planning for the geriatrics team.


Author(s):  
Ladan Ahmad-Amraji ◽  
Fatemeh Jafarzadeh-Kenarsari ◽  
Kobra Abouzari-Gazafroodi ◽  
Ehsan Kazemnezhad Leyli ◽  
Robabeh Soleimani

Aims: This study was conducted for translation, cultural adaptation, and validation of the Persian version of the Copenhagen multi-centre psychological infertility-fertility problem stress scales (COMPI-FPSS). Study Design: This study was a methodological study. Place and Duration of Study: This research was done in an infertility clinic of an educational hospital in Rasht (north of Iran), from November 2019 to January 2020. Methodology: This study was performed in two phases including tool translation and psychometric testing. Totally, 200 infertile people selected through convenience sampling among subjects met inclusion criteria were included in the study. After obtaining permission from the original tool designer, the COMPI-FPSS (14 items) was translated into Persian using the forward-backward method. Face, content, and construct validity, as well as internal consistency (Cronbach's alpha coefficient and McDonald's coefficient omega) were evaluated, and test-retest was conducted. The data were analyzed using exploratory factor analysis (EFA) by SPSS software Ver. 16. Results: EFA led to retaining of 11 items with 3 factors of “personal domain”, “marital domain”, and “social domain”, which explained 54.42% of the total variance. Cronbach's alpha coefficient for the whole questionnaire was calculated as 0.89; also the overall McDonald's coefficient omega of the questionnaire was equal to 0.82. The correlation between the two test administrations with a 14-day interval was estimated as 0.93. Conclusion: The Persian version of the COMPI-FPSS with 11 items and 3 factors had the desired cultural adaptation, validity, and reliability and it is recommended to use it in the future studies and infertility treatment centers.


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