Assessment of the validity and reliability of an urban household health expenditure (HHE) questionnaire in Kuala Lumpur, Malaysia

2018 ◽  
Vol 32 (1) ◽  
pp. 24-35
Author(s):  
Murallitharan Munisamy ◽  
Tharini Thanapalan ◽  
Pattaraporn Piwong ◽  
Alessio Panza ◽  
Sathirakorn Pongpanich
Keyword(s):  
Correlation Coefficient ◽  
Content Validity ◽  
Health Expenditure ◽  
Kuala Lumpur ◽  
Validity And Reliability ◽  
Validity Index ◽  
Retest Reliability ◽  
Urban Household ◽  
Content Type ◽  
Test Retest Reliability

Purpose Out-of-pocket (OOP) payments continue to be a major method of financing healthcare in many low- and middle-income countries including Malaysia. Although macro-level data show that this is a substantial percentage of national health expenditure, at the grassroots level, the amount spent on health by households remains unknown in Malaysia. The purpose of this paper is to assess the validity and reliability of an adapted-for-purpose questionnaire designed to capture urban household health expenditures (HHEs) among Malaysian households. Design/methodology/approach This two-part study assessed content validity of the questionnaire using three experts and the reliability of the questionnaire through a test-retest study among 50 OOP-paying patients followed up at one private primary care clinic in Kuala Lumpur. This study was approved by the Malaysian Research Ethics Committee (NMRR-16-172-29311-IIR). Findings The validity of the 83-item questionnaire was high, with an item content validity index of 1.00 and a scale content validity index average score of 1.0 agreed to among the evaluating experts. In the test-retest reliability study, the majority of the categorical questionnaire items had perfect agreement values (k=0.81-1.00). Continuous questionnaire items were also found to be highly reliable with no significant differences between the test-retest segments and high correlation coefficient values (intra-class correlation coefficient>0.7). Originality/value The HHE questionnaire had excellent content validity and very high test-retest reliability. The results of this study suggest that this questionnaire could be used in Malaysian studies to determine actual urban HHE which is a first step toward developing universal health coverage for all.

scholarly journals Validity And Reliability of The Chinese Version of The Partners At Care Transitions Measure Partners At Care Transitions Measure

2021 ◽  
Author(s):  
La-mei Liu ◽  
Ment-ting Liu ◽  
Meng-jie Sun ◽  
Jia-nan Wang ◽  
Bei-lei Lin ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Content Validity ◽  
Care Transitions ◽  
Chinese Version ◽  
Quality And Safety ◽  
Validity And Reliability ◽  
Validity Index ◽  
Retest Reliability ◽  
Hospital To Home ◽  
Test Retest Reliability

Abstract Background: The Partners at Care Transitions Measure (PACT-M) is a reliable and valid instrument for assessing the quality and safety of care during the transition from hospital to home. The aim of this study was to examine the psychometric properties and test the reliability and validity of the Chinese version of the PACT-M.Methods: This was a cross-sectional study. A convenience sample of patients was recruited from three tertiary hospitals. A total of 402 participants were interviewed before discharge and 306 participants were interviewed one month after discharge from hospital to home using the Chinese version of the PACT-M. The critical ratio value and item total correlation were used to evaluate the item discriminatory power. A test-retest reliability approach and Cronbach’s alpha were used to evaluate reliability. Confirmatory factor analysis and exploratory factor analysis with varimax rotation were used to evaluate the validity of the Chinese version of the PACT-M.Results: The Chinese version of the PACT-M consists of two parts, the PACT-M1 and PACT-M2. Both have 2 dimensions, with the PACT-M1 having 9 items and the PACT-M2 having 8 items. The Cronbach’s alpha values of the PACT-M1 and PACT-M2 were 0.802 and 0.741, and the test-retest reliability values were 0.885 and 0.837. The item content validity index and scale content validity index values of the PACT-M1 and PACT-M2 were all 1.0.Conclusion: The Chinese version of the PACT-M shows acceptable validity and reliability and can be used to assess the quality and safety of care during the transition from hospital to home from the patient’s perspective in mainland China.

Psychometric analysis of the Comfort with Communication in Palliative and End-of-Life Care (C-COPE) instrument

2020 ◽  
Vol 26 (8) ◽  
pp. 404-412
Author(s):  
Mary E Minton ◽  
Mary J Isaacson ◽  
Patricia Da Rosa
Keyword(s):  
End Of Life ◽  
Content Validity ◽  
End Of Life Care ◽  
Life Care ◽  
Validity Index ◽  
Retest Reliability ◽  
Five Factors ◽  
Instrument Measuring ◽  
Test Retest Reliability ◽  
End Of Life Communication

Background: Nurses must be comfortable facilitating palliative and end-of-life communication with patients and their families. Aim: A validated instrument measuring the comfort of nurses with conducting end-of-life communication is essential for meeting the goals and wishes of patient care. This study aimed to develop and conduct a psychometric evaluation of the Comfort with Communication in Palliative and End-of-Life Care (C-COPE) instrument. Methods: Face, content, and construct validity, including test-retest reliability, were conducted. Results: Four experts subjectively confirmed face content validity and the quantitative item content validity index (I-CVI) ranged from 0.67 to 1 and scale content validity index (S-CVI/Ave) was 0.98. Principal axis factoring with Promax rotation yielded a five-factor solution accounting for 66.2% of the variance. The items loading on the five factors ranged from 0.46–0.96 (factor 1), 0.67–0.93 (factor 2), 0.49–0.86 (factor 3), 0.68–0.79 (factor 4), and 0.24–0.96 (factor 5). Internal consistency reliability (coefficient a) was 0.90 for the total C-COPE, and above 0.75 for each factor. The five factors are ‘cultural/spiritual considerations,’ ‘team considerations,’ ‘addressing decision-making,’ ‘addressing symptomatology,’ and ‘deliberate awareness.’ Test-retest reliability yielded an intraclass correlation coefficient (ICC) of 0.87 (CI 95%, 0.82–0.91). Conclusions: The C-COPE is a reliable and valid instrument measuring nurse comfort with palliative and end of-life care communication, yet requires testing in more diverse samples.

Development of the Persian patient satisfaction questionnaire

2018 ◽  
Vol 31 (8) ◽  
pp. 988-999 ◽  
Author(s):  
Mahdi Nouri ◽  
Saeideh Ghaffarifar ◽  
Homayoun Sadeghi-Bazargani
Keyword(s):  
Patient Satisfaction ◽  
Communication Skills ◽  
Content Validity ◽  
Impact Score ◽  
Validity And Reliability ◽  
Validity Index ◽  
Patient Satisfaction Questionnaire ◽  
Satisfaction Questionnaire ◽  
Content Type ◽  
Persian Version

Purpose The purpose of this paper is to explore the validity and reliability of the Persian version of the patient satisfaction questionnaire (PVPSQ). The study addressed the communication skills section of the PSQ specifically. Design/methodology/approach This cross-sectional study was conducted in 2015 to determine the validity and reliability of the Persian version of the patient satisfaction questionnaire (PSQ). In total, 538 patients (ten in pilot, 488 in tests, 40 in retest), 14 experts and 198 residents participated. The items’ impact score, content validity index, and content validity ratio were calculated. Construct validity and reliability of the scale were examined with exploratory factor analysis, Cronbach’s α, and the Intraclass correlation coefficient (ICC), respectively. Findings The questionnaire demonstrated a content validity index=0.94, content validity ratio=0.84, impact score=4.61, Cronbach’s α=0.93 and ICC=0.513 (p<0.00). A single factor was found in the eigenvalue distribution of the PSQ that predicted approximately 93 percent of the variance. Practical implications The results of this study will permit researchers in all Persian-speaking countries to use a valid and reliable Persian version of the PSQ to evaluate patients’ satisfaction with residents’ communication skills. Originality/value There were a few Persian questionnaires to assess patient satisfaction with physicians’ communication skills, but their psychometric properties had not been reported until the time of this study. By using the PVPSQ, both researchers at Iranian universities of medical sciences and researchers in other Persian-speaking countries can assess residents’ communication skills from the patient’s perspective more reliably.

scholarly journals Persian version of attitudes towards loss of hearing questionnaire

2019 ◽  
Author(s):  
Parisa Heidari ◽  
Jamileh Fatahi ◽  
Reza Hoseinabadi ◽  
Nematollah Rouhbakhsh ◽  
Sasan Dabiri Satri ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Content Validity ◽  
Intraclass Correlation ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Persian Version ◽  
The Mean ◽  
Test Retest Reliability ◽  
Loss Of Hearing

Background and Aim: Investigations have shown that the patient’s attitudes toward hearing loss and hearing aids impact hearing aid benefits and its use. In this regard, Saunders and Cien­kowski (1996) developed the “attitudes towards loss of hearing questionnaire” to examine some of the psychosocial factors underlying the use of hearing aids. This study has focused on pre­paring a Persian version of this questionnaire and analyzing its validity and reliability. Methods: The original English version of the questionnaire was translated into Persian, and its content and face validities were determined by related experts. The final questionnaire was administered to 100 hearing impaired people (52 males and 48 females) aged 30 to 65 years with the mean (SD) age of 54.54 (12.05) years. The test-retest reliability was assessed in 20 pat­ients. Results: The results of face validity assessment revealed that our questionnaire has a high quality in translation, intelligibility, and cultural compatibility. The mean scores of the content validity ratio and content validity index of this questionnaire was 0.71 and 0.98, respectively. The mean (SD) total score of this questionnaire was 60.46 (10.02) and the mean scores of denial of hearing loss, negative associations, negative coping strategies, manual dexterity and vision and hearing-related esteem were 15.58, 12.10, 20.40, 5.30, and 7.08, respectively. The overall Cronbach α value was 0.798. The test-retest reliability showed good results for the global score (Intraclass correlation = 0.989). Conclusion: Based on the obtained results, the Persian version of the questionnaire possesses satisfactory validity and reliability.

scholarly journals Psychometric Properties of the Persian Word Pairs Task for Declarative Memory Assessment

2021 ◽  
Author(s):  
Maryam Malekian ◽  
◽  
Yalda Kazemi ◽  
Talieh Zarifian ◽  
◽  
...  
Keyword(s):  
Internal Consistency ◽  
Content Validity ◽  
Declarative Memory ◽  
Brain Structures ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Memory Assessment ◽  
Study Results ◽  
Test Retest Reliability ◽  
Semantic Aspect

Objective: According to the declarative/procedural model, the semantic aspect of language depends on the brain structures responsible for declarative memory. The word pairs task is a common tool for evaluating declarative memory. The current study aimed to design a valid and reliable task for evaluating declarative memory in Persian children at learning and retention stages and to investigate its relationship with the semantic aspect of language. Method: A panel of experts agreed on the content validity of the proposed task. The reliability of the task was determined using internal consistency and test-retest reliability. A total of 31 typically developing children aged 7-9 years of age participated in this study. Results: The content validity of all the 42 word pairs calculated as one. The test-retest reliability showed a correlation coefficient of .825 (P < 0.001). The task showed acceptable internal consistency (Cronbach’s alpha 0.880). The results of correlation analysis showed no significant relationship between declarative memory and semantic aspect. The regression analysis, however, showed that the retention stage could explain 24.2% of the variation of semantic aspect. Conclusion: It seems that the word pairs task has good validity and reliability for evaluating declarative memory. The task applied to evaluate the semantic aspect can be one of the potential causes for the lack of a relationship between semantic aspect and declarative memory. The participant score in the retention stage can be predicted concerning his/her performance at the semantic aspect.

scholarly journals Assessing the Validity and Reliability of the Persian Version of the Interpersonal Problem Solving Skills Assessment Tool in Schizophrenia

2021 ◽  
Vol 22 (1) ◽  
pp. 118-131
Author(s):  
Milad Abolhasani ◽  
◽  
Ashraf Karbalaee Nouri ◽  
Enayatollah Bakhshi ◽  
Milad Abolhasani ◽  
...  
Keyword(s):  
Content Validity ◽  
Face Validity ◽  
Validity And Reliability ◽  
Alpha Coefficient ◽  
Rater Reliability ◽  
Problem Solving Skills ◽  
Retest Reliability ◽  
Persian Version ◽  
Interpersonal Problem Solving ◽  
Test Retest Reliability

Objective: This study aimed to translate the Assessment of Interpersonal Problem-Solving Skills (AIPSS) into Persian and to evaluate the validity and reliability of the Persian version of AIPSS to use for adults with schizophrenia. Materials & Methods: In this methodological study, the translation process was performed according to the International Quality of Life Assessment (IQOLA) protocol. The face validity of the translated AIPSS was determined based on the opinions of experts and The Content Validity Index (CVI) and Content Validity Ratio (CVR) were also calculated for each item. The Persian version of the test was performed on 52 patients with schizophrenia disorders at Tehran’s Razi Mental Hospital; they were selected using a convenience sampling method. Cronbach’s alpha coefficient was used to evaluate internal consistency. Inter-rater reliability was determined by the Intraclass Correlation Coefficient (ICC). A retest was complete on 15 patients with 2 weeks interval and ICC was used to determine the test-retest reliability. Results: Face validity was confirmed by the experts’ opinions. The Content Validity Ratio (CVR) and the Content Validity Index (CVI) were equal to one for all scenes. Cronbach's alpha coefficient for all scales was ranged between 0.511 and 0.821. The ICC in all scales were more than 0.98 for inter-rater reliability. In calculating test-retest reliability, the ICC for all scales ranged 0.733-0.893. Conclusion: Results show that the Persian version of AIPSS has acceptable face validity, content validity, internal consistency, inter-rater reliability test-retest reliability. Therefore, this instrument can be used in clinical fields and research studies to assess the social skills of Iranian patients with schizophrenia.

scholarly journals Validity and reliability of the English and translated Chinese versions of the Integrated Palliative care Outcome Scale (IPOS) in Singapore

2020 ◽  
Author(s):  
Victoria Long ◽  
Yin Bun Cheung ◽  
Debra Qu ◽  
Katherine Lim ◽  
Guozhang Lee ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Internal Consistency ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Rater Reliability ◽  
Intra Class Correlation ◽  
Retest Reliability ◽  
Cronbach's Alpha ◽  
Test Retest Reliability ◽  
Intra Class Correlation Coefficient

Abstract Context: Measurement of patient-centred outcomes enables clinicians to focus on patient and family priorities and enables quality of palliative care to be assessed.Objectives: This study aimed to evaluate the validity and reliability of the English and translated Chinese IPOS among advanced cancer patients in Singapore.Methods: IPOS was forward and backward translated from English into Chinese. Structural validity was assessed by confirmatory factor analysis; known-group validity by comparing inpatients and community patients; construct validity by correlating IPOS with Edmonton Symptom Assessment System-revised (ESAS-r) and Functional Assessment of Cancer Therapy–General (FACT-G); internal consistency by Cronbach’s alpha; inter-rater reliability between patient and staff responses; test-retest reliability of patient responses between two timepoints.Results: 111 English-responding and 109 Chinese-responding patients participated. The three-factor structure (Physical Symptoms, Emotional Symptoms and Communication and Practical Issues) was confirmed with Comparative Fit Index and Tucker-Lewis-Index > 0.9 and Root Mean Square Error of Approximation < 0.08. Inpatients scored higher than outpatients as hypothesised. Construct validity (Pearson’s correlation coefficient, r≥|0.608|) was shown between the related subscales of IPOS and FACT-G and ESAS-r. Internal consistency was confirmed for total and subscale scores (Cronbach's alpha ≥ 0.84), except for the Communication and Practical Issues subscale (Cronbach’s alpha = 0.29–0.65). Inter-rater reliability (Intra-class correlation coefficient [ICC] ≤ 0.43) between patient and staff responses was insufficient. Test-retest reliability was confirmed with Intra-class correlation coefficient ICC = 0.80 (English) and 0.88 (Chinese) for IPOS Total.Conclusion: IPOS in English and Chinese showed good validity, good internal consistency, and good test-retest reliability, except for the Communication and Practical Issues subscale. There was poor inter-rater reliability between patients and staff.

scholarly journals Development and reliability of the Korean version of the Feeding Abilities Assessment

2019 ◽  
Vol 32 (1) ◽  
pp. 69-74
Author(s):  
Seul Gi Koo ◽  
Hae Yean Park ◽  
Jongbae Kim ◽  
Areum Han
Keyword(s):  
Correlation Coefficient ◽  
Internal Consistency ◽  
Content Validity ◽  
Assessment Tool ◽  
High Reliability ◽  
Intraclass Correlation ◽  
Rater Reliability ◽  
Retest Reliability ◽  
Korean Version ◽  
Test Retest Reliability

Objective The purpose of this study is to introduce a standardised assessment tool by verifying the reliability of the translated Korean version of the Feeding Abilities Assessment (K-FAA), which was developed to suit Korean culture. Methods The research subjects were 65 patients with dementia living in nursing homes. The K-FAA was completed by verifying the suitability of translation and reverse translation. The validity of the K-FAA was established through content validity, while its reliability was analysed based on internal consistency reliability for the items, test–retest reliability and inter-rater reliability. Results The content validity index determined, based on the assessment of professors, occupational therapists, and nurses, was more than .70. Cronbach’s α was more than .929, showing good internal consistency. A test–retest reliability of .884 was derived using Pearson’s correlation coefficient (p < .01), and an inter-rater reliability of .800 was derived using the kappa coefficients; intraclass correlation coefficient was .897, which also indicated good reliability. Conclusion The K-FAA was modified to fit the Korean domestic situation, and this assessment had high reliability. Therefore, K-FAA can evaluate the feeding ability of patients with dementia. Future studies should focus on providing evidence-based data to maintain or supplement the feeding ability of patients with dementia in Korea.

scholarly journals The Trojan Lifetime Champions Health Survey: Development, Validity, and Reliability

2015 ◽  
Vol 50 (4) ◽  
pp. 407-418 ◽  
Author(s):  
Shawn C. Sorenson ◽  
Russell Romano ◽  
Robin M. Scholefield ◽  
E. Todd Schroeder ◽  
Stanley P. Azen ◽  
...  
Keyword(s):  
Health Survey ◽  
Content Validity ◽  
Correlation Coefficients ◽  
Collegiate Athletes ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Parallel Form ◽  
Competitive Athletes ◽  
Clinical Interest ◽  
Test Retest Reliability

Context Self-report questionnaires are an important method of evaluating lifespan health, exercise, and health-related quality of life (HRQL) outcomes among elite, competitive athletes. Few instruments, however, have undergone formal characterization of their psychometric properties within this population. Objective To evaluate the validity and reliability of a novel health and exercise questionnaire, the Trojan Lifetime Champions (TLC) Health Survey. Design Descriptive laboratory study. Setting A large National Collegiate Athletic Association Division I university. Patients or Other Participants A total of 63 university alumni (age range, 24 to 84 years), including former varsity collegiate athletes and a control group of nonathletes. Intervention(s) Participants completed the TLC Health Survey twice at a mean interval of 23 days with randomization to the paper or electronic version of the instrument. Main Outcome Measure(s) Content validity, feasibility of administration, test-retest reliability, parallel-form reliability between paper and electronic forms, and estimates of systematic and typical error versus differences of clinical interest were assessed across a broad range of health, exercise, and HRQL measures. Results Correlation coefficients, including intraclass correlation coefficients (ICCs) for continuous variables and κ agreement statistics for ordinal variables, for test-retest reliability averaged 0.86, 0.90, 0.80, and 0.74 for HRQL, lifetime health, recent health, and exercise variables, respectively. Correlation coefficients, again ICCs and κ, for parallel-form reliability (ie, equivalence) between paper and electronic versions averaged 0.90, 0.85, 0.85, and 0.81 for HRQL, lifetime health, recent health, and exercise variables, respectively. Typical measurement error was less than the a priori thresholds of clinical interest, and we found minimal evidence of systematic test-retest error. We found strong evidence of content validity, convergent construct validity with the Short-Form 12 Version 2 HRQL instrument, and feasibility of administration in an elite, competitive athletic population. Conclusions These data suggest that the TLC Health Survey is a valid and reliable instrument for assessing lifetime and recent health, exercise, and HRQL, among elite competitive athletes. Generalizability of the instrument may be enhanced by additional, larger-scale studies in diverse populations.

scholarly journals Cross-Cultural Adaptation, Validity, and Reliability of the Patient-Rated Michigan Hand Outcomes Questionnaire for Thai Patients

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Jananya P. Dhippayom ◽  
Piyawat Trevittaya ◽  
Andy S. K. Cheng
Keyword(s):  
Construct Validity ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Cross Cultural ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Cross Cultural Adaptation ◽  
Limb Injuries ◽  
Test Retest Reliability

Introduction. The Michigan Hand Outcomes Questionnaire (MHQ) is a patient-rated hand outcome instrument. It is widely used in orthopedic and neurological conditions of the hands and upper limbs. To gain more knowledge on hand outcomes from a Thai patient perspective, an MHQ-Thai version is required. Purpose of the Study. The study is aimed at translating and cross-culturally adapting the MHQ into Thai and at examining the validity and reliability of the translated version. Methods. The Beaton protocol for cross-cultural adaptation of self-reported measures was used in the translation process. Three occupational therapists were asked to assess content validity while 30 participants were asked to fill in the questionnaire in order to assess construct validity, internal consistency, and test-retest reliability. Results. All six domains of the MHQ were translated into Thai without any major problems. However, items related to the characteristics of the patients were adapted to suit the Thai context. The MHQ-Thai version had good content validity (IOC 0.972). The construct validity revealed a low-to-high correlation between every subscale of the MHQ-Thai version. The intraclass correlation coefficient (ICC) of the test-retest reliability for the six domains ranged from 0.788 to 0.956, with excellent correlation (ICC = 0.953) for the total score. Cronbach’s alpha was 0.835 for the total score of the MHQ-Thai version, indicating good internal consistency. Discussion and Conclusions. MHQ was successfully cross-culturally adapted into Thai. The MHQ-Thai version is a valid and reliable instrument for evaluating the self-perception of Thai people who have hand and upper limb injuries.

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