scholarly journals Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e047320
Author(s):  
Carrie Brooke-Sumner ◽  
Petal Petersen-Williams ◽  
Emma Wagener ◽  
Katherine Sorsdahl ◽  
Gregory A Aarons ◽  
...  

ObjectivesThe Texas Christian University Organisational Readiness for Change Scale (TCU-ORC) assesses factors influencing adoption of evidence-based practices. It has not been validated in low-income and middle-income countries (LMIC). This study assessed its psychometric properties in a South African setting with the aim of adapting it into a shorter measure.MethodsThis study was conducted in 24 South African primary healthcare clinics in the Western Cape Province. The TCU-ORC and two other measures, the Organisational Readiness to Change Assessment (ORCA) and the Checklist for Assessing Readiness for Implementation (CARI) were administered. The questionnaire was readministered after 2 weeks to obtain data on test–retest reliability. Three hundred and ninety-five surveys were completed: 281 participants completed the first survey, and 118 recompleted the assessments.ResultsWe used exploratory factor analysis (EFA) to identify latent dimensions represented in the data. Cronbach’s alpha for each subscale was assessed and we examined the extent to which the subscales and total scale scores for the first and retest surveys correlated. Convergent validity was assessed by the correlation coefficient between the TCU-ORC, ORCA and CARI total scale scores. EFA resulted in a three-factor solution. The three subscales proposed are Clinic Organisational Climate (8 items), Motivational Readiness for Change (13 items) and Individual Change Efficacy (5 items) (26 items total). Cronbach’s alpha for each subscale was >0.80. The overall shortened scale had a test–retest correlation of r=0.80, p<0.01, acceptable convergent validity with the ORCA scale (r=0.56, p<0.05), moderate convergence with the CARI (r=39, p<0.05) and strong correlation with the original scale (r=0.79, p<0.05).ConclusionsThis study presents the first psychometric data on the TCU-ORC from an LMIC. The proposed shortened tool may be more feasible for use in LMICs.Trial registration numberResults stage. Project MIND trial. Pan-African Clinical Trials Registry. PACTR201610001825405.

Author(s):  
Morteza Khazaei ◽  
Mark D. Holder ◽  
Fuschia M. Sirois ◽  
Lindsay G. Oades ◽  
Benedicte Gendron

(1) Background: The present study developed and evaluated a personal emotional capital questionnaire (PECQ) for adults that assessed 10 domains of personal emotional capital. (2) Method: Initially, 100 items were created and then administered to students attending Semnan University and Semnan University of Medical Sciences in Iran. Of the 700 questionnaires distributed, 527 were completed in full. Students were sampledusing the multi-stage random cluster method. Exploratory factor analyses, Cronbach’s alpha, and test–retest reliability were used to evaluate the scale. (3) Results: The ten components ofthe PECQ were confirmed. Test–retest correlations after 30 days were high, as was Cronbach’s alpha (0.94). Thecomponents highly correlatedwith overall emotional capital. The PECQ displayed convergent validity as it positively correlated with the Keyes’s Mental Health Continuum—Short Form and students’GPAs. The PECQ displayed divergent validity as it negatively correlated with measures of depression, anxiety and stress (Depression Anxiety and Stress Scale (DASS21)). Differences in overall PECQ scores and its components were examined for several variables including gender, age, marital and employment status, academic program, and field of study. PECQ scores were not sensitive to the order of administering questionnaires. (4) Conclusion: The results suggest that the PECQ is a valid and reliable measure of personal emotional capital and supports its use in adults.


2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Maryam Mehdizadeh ◽  
Seyed-Mohammad Fereshtehnejad ◽  
Sepide Goudarzi ◽  
Ainaz Moshtagh ◽  
Farzaneh Dehghanian Nasrabadi ◽  
...  

Purpose. Pain is one of the nonmotor symptoms of Parkinson’s disease (PD) that, in order to be better managed, requires to be evaluated. Evaluations are done using pain assessment scales such as the Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2). The goal of this study was to assess the psychometric properties of SF-MPQ-2 to measure pain in people with PD. Methods. Four hundred and twenty-eight PD patients with a mean (SD) age of 60.11 (11.44) years were included. Accessibility was measured through floor and ceiling effects. Dimensionality was estimated by exploratory factor analysis. The association between SF-MPQ-2 and other scales such as Neuropathic Pain Symptom Inventory, Douleur Neuropathic 4, Brief Pain Inventory, King’s Pain Parkinson’s Disease Scale, and Visual Analog Scale-Pain was considered to calculate convergent validity. Internal consistency and test-retest reliability were assessed by Cronbach’s alpha and intraclass correlation coefficient (ICC), respectively. Results. A noticeable floor effect was found. Dimensionality results indicated four factors for this scale. A strong relationship was found between the SF-MPQ-2 total score and other scales (r = 0.55 to 0.85). In reliability analysis, Cronbach’s alpha and ICC were 0.93 and 0.94 for SF-MPQ-2, respectively. Conclusion. The results of this study showed that SF-MPQ-2 has adequate validity and reliability to measure pain in people with Parkinson’s disease.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Zoe Morou ◽  
Georgios N. Lyrakos ◽  
Nikolaos G. Papadopoulos ◽  
Nikolaos Douladiris ◽  
Athina Tatsioni ◽  
...  

The aim of the study is to determine the reliability and validity of the Greek version of the Food Allergy Quality of life Questionnaire- Child Form (FAQLQ-CF). After linguistic validation, the Greek FAQLQCF, Food Allergy Independent Measure (FAIM) and Pediatric Quality of Life Inventory (PedsQL™) were used by a physician to interview children diagnosed with food allergy and aged 8-12 via telephone. Cronbach’s alpha was used to evaluate reliability, and factor analysis to assess construct validity. The correlation between FAQLQ-CF and FAIM was moderate (rho=0.509, P&lt;0.001) and internal consistency was strong (Cronbach’s alpha 0.905). FAQLQ-CF discriminated well each question’s contribution to children’s quality of life deterioration (32- 80%), each child’s quality of life (17-89%), children differing in doing things with others (total score 3.55 vs 2.57, difference =0.98 &gt; minimal clinical importance difference = 0.5; P&lt;0.001), but not children differing in reporting anaphylaxis. The total FAQLQ-CF score correlated with the total PedsQL™ score and with the score of one of PedsQL™ subscales, demonstrating convergent validity. Factor analysis uncovered an underlying structure of four factors, explaining 50% of the variance. We can conclude that Greek FAQLQ-CF is a reliable, valid, discriminant tool for interviewing food allergic children aged 8- 12, detecting those in need for immediate care.


2017 ◽  
Vol 41 (S1) ◽  
pp. S255-S255
Author(s):  
B. Alansari ◽  
T. AlAli

IntroductionThe Oxford Happiness Inventory (OHI) 29-Item, each involving the selection of four options that are different for each item. Although there is an Arabic version, it is not identical to the original version in terms of the number of items and response.Objectivesto evaluate the psychometric properties of the Arabic adaptation OHI and its factorial structure in undergraduate sample.MethodsThe participants were 720 first year undergraduate Kuwaitis: 360 males mean age = 20.38 ± 1.60 and 360 females; mean age = 19.71 ± 1.39 (t = 5.87, P < 0.001). The Arabic version of OHI (Argyle, Martin, & Crossland) was administered to participants. The internal consistency reliability, factor structure, and convergent validity of the OHI with Life Orientation Test (LOT-R, Adult Hope Scale (AHS), Satisfaction With Life Scale (SWLS) were assessed as well as divergent validity of the OHI with Beck Depression Inventory-II (BDI-II)ResultsInternal consistency was satisfactory for the OHI (Cronbach's alpha = 0.87) for males and (Cronbach's alpha = 0.86) for females. The results revealed no significant gender differences on happiness (F = 1.77, P > 05). Principal component analyses (PCA) showed that a seven-component solution explains %50.50 of the total variance for males and 51.47% for females. The OHI positively correlates with the following variables: SWLS (r = .52), LOT-R (r = 0.56) AHS (r = .48) while the OHI correlates negatively with BDI-II (r = -54).ConclusionsFindings confirm that the OHI provides satisfactory validation, and thus it can be recommended as a measure of happiness among Arab samples.Disclosure of interestThe authors have not supplied their declaration of competing interest.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033114 ◽  
Author(s):  
Svetlana V Doubova ◽  
Ingrid Patricia Martinez-Vega ◽  
Marcos Gutiérrez-De-la-Barrera ◽  
Claudia Infante-Castañeda ◽  
Carlos E Aranda-Flores ◽  
...  

ObjectivesTo develop and validate a Patient-Centred Quality of Cancer Care Questionnaire in Spanish (PCQCCQ-S) appropriate to the Mexican context.DesignPsychometric validation of a questionnaire.SettingTwo public oncology hospitals in Mexico City.Participants1809 patients with cancer aged ≥18 years.Source of informationCross-sectional survey.MethodsThe validation procedures comprised (1) content validity through a group of experts and patients; (2) item reduction and evaluation of the factor structure, through an exploratory factor analysis based on the polychoric correlation matrix; (3) internal consistency using Cronbach’s alpha; (4) convergent validity between the PCQCCQ-S and supportive care needs scale; (5) correlation analysis between the PCQCCQ-S and quality of life scale by calculating Spearman’s rank-correlation coefficient; and (6) differentiation by ‘known groups’ through the Wilcoxon rank-sum test.ResultsThe PCQCCQ-S has 30 items with the following five factors accounting for 96.5% of the total variance: (1) timely care; (2) clarity of the information; (3) information for treatment decision-making; (4) activities to address biopsychosocial needs; and (5) respectful and coordinated care. Cronbach’s alpha values ranged from 0.73 to 0.90 among the factors. PCQCCQ-S has moderate convergent validity with supportive care needs scale, revealing that higher quality is correlated with lower patient needs. PCQCCQ-S has acceptable ability to differentiate by ‘known groups’, showing that older patients and those with low levels of education perceived lower total quality of care as compared with their counterparts.ConclusionPCQCCQ-S has acceptable psychometric properties and can be used to measure quality of patient-centred cancer care in Mexico and serve as a reference to develop PCQCCQ-S in other Spanish-speaking countries.


2021 ◽  
Author(s):  
Seyed-Sirvan Hosseini ◽  
Seyedeh Zeinab Beheshti ◽  
Valsamma Eapen ◽  
Amir Almasi-Hashiani ◽  
Saman Maroufizadeh

Abstract Background: Parents of children with autism spectrum disorder (ASD) are known to poorer quality of life. The Quality of Life in Autism Questionnaire (QoLA) is a commonly used instrument for measuring the quality of life in parents of children with ASD. The aim of this study was to evaluate the reliability and validity of the QoLA in Iranian mothers of children with ASD.Methods: The sample of this methodological study consisted of 88 mothers of children with ASD in Arak, Iran. The data were collected using convenience sampling method between September 2019 and January 2020. A battery of questionnaires was administered to mothers which included the QoLA, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Perceived Stress Scale-4 (PSS-4). Factor structure and internal consistency of the QoLA were examined via confirmatory factor analysis (CFA) and Cronbach’s alpha, respectively. Convergent validity was examined by relationship with WHOQOL-BREF, PHQ-9, GAD-7 and PSS-4.Results: The mean total scores of QoLA Part A and Part B were 86.50 (SD=13.89) and 61.41 (SD=18.21), respectively. Both subscales exhibited good internal validity (with Cronbach’s alpha of 0.899 and 0.950 for Part A and Part B, respectively). The convergent validity of both subscales of QoLA was proved via moderate to strong correlations with measure of the WHOQOL-BREF. In addition, both QoLA Part A and Part B scores were negatively correlated with measures of PHQ-9, GAD-7, and PSS-4. The confirmatory factor analyses provided evidence for unidimensionality of both subscales of QoLA.Conclusion: The Persian version of QoLA displays satisfactory reliability and validity in Iranian mothers of children with ASD.


2020 ◽  
Author(s):  
Behrouz Attarbashi Moghadam ◽  
Hasan Tamartash ◽  
Sara Fereydunnia ◽  
Mahdieh Ravand

The Minnesota Living with Heart Failure Questionnaire (MLHFQ) has been developed to measure health-related quality of life (HRQoL) status of Heart Failure (HF) patients. The aim of this study was to translate MLHFQ into the Persian version and assess the validity and reliability of the translated version. We used a forward-backward procedure for translation. In a cross-sectional study, 105 HF patients and 50 healthy subjects were selected to assess the reliability and construct validity of the instrument. The face and content validity were used to assess the questionnaire validity. Validity was examined on the HF patients group, using the Persian version of the Short form-36 health survey (SF-36) Questionnaire. In order to assess the questionnaire’s reliability, the Intraclass correlation coefficient (ICC) and Cronbach’s alpha were calculated. Test-retest reliability was examined by re-administering the MLHFQ after 2 weeks. Test-retest results demonstrated that the Persian version has excellent reliability (ICC for all 2 domains were higher than 0.91, P≤0.000). Internal consistency for Physical domain (PD), emotional domain (ED) and total scores using Cronbach’s alpha were 0.90, 0.84 and 0.92, respectively. ICC for PD, ED and total scores were 0.95, 0.94, and 0.97, respectively. Good and very good Pearson's Correlation Coefficient was seen between MLHFQ and SF-36 (r= -0.47 to -0.775, P≤0.000 for PD; r= -0.47 to -0.65, P≤0.000 for ED). The Persian version of the MLHFQ had satisfactory reliability and validity for assessing HRQoL status of Iranian HF patients. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(7):435-441.


Author(s):  
ALIAA Khaja ◽  
Owayed AL-Mutairi ◽  
abdulaziz Alkhudair ◽  
Awdhah Abdulkarim

Abstract Background The Harris Hip Score (HHS) is a widely used Patient-Related Outcomes score. It measures pain and function levels in patients with hip pathologies. Objectives The main objective of this study is to translate and culturally adapt the HHS into Arabic, and to further assess the reliability and validity of translated version Material & Methods 110 patients participated in this survey. The internal consistency tests were performed using Cronbach’s alpha. Test-retest reliability (intra-correlation coefficient), convergent construct validity, convergent validity, floor & ceiling effects and responsiveness was also calculated. In order to measure the level of agreement, Bland-Altman Plot, forest Plots are performed. Results Test reliability for the first testing situation - calculated using Cronbach's alpha - was 0.98 for the pain subscale, 0.98 for the stiffness, and 0.99 for the physical function subscale. For the second testing, reliability was 0.99, 0.97, and 0.99 (pain, stiffness, and physical function, respectively). This only proves that WOMAC is an instrument with good reliability. Same calculation of Cronbach’s alpha was essential to testing the reliability of the Harris Hip Score. For each of the three testing occasions the reliability was very good or excellent – α 1 = 0.92, α 2 = 0.91, and α 3 = 0.90. Intra-class correlation coefficient was good with the score of 0.76 (95% CI 0.44-0.88). Conclusion Overall, Arabic version of HOOS could be used as diagnostic tool for patients with hip problems, when it comes to information about the overall condition of the patient, especially about the improvement or deterioration, however, it is important to be cautious using HHS when the change magnitude of patient’s condition is investigated, since there is a potential probability that the level of improvement of the patient’s condition will be overestimated by HHS.


2011 ◽  
Vol 17 (12) ◽  
pp. 1498-1503 ◽  
Author(s):  
LB Mokkink ◽  
DL Knol ◽  
BMJ Uitdehaag

Background: Guy’s Neurological Disability Scale (GNDS) is designed to assess disability (i.e. activity limitations) in patients with multiple sclerosis. It contains 12 functional domains, each indicating a level of disability. Four domain scores and a total score can be calculated. Objective: The aim of this study was to evaluate the structural validity of the GNDS in a Dutch population who were definitely diagnosed as having multiple sclerosis. Methods: Data of 974 patients were available. The structural validity of the GNDS was evaluated by confirmatory item factor analysis (CIFA). Two first-order models and two bifactor models were investigated. Results: The best fitted model was a bifactor model with a general factor underlying all items, and 10 items loading on 3 group factors. Cronbach’s alpha on the general factor (0.78) and on the group factor spinal-plus (0.74) were satisfying. Cronbach’s alpha on the group factors mental (0.56) and bulbar (0.48) were low. Reliability based on CIFA was 0.85. Conclusion: Results showed a clear factor structure of the GNDS. It justifies the use of the total score of the GNDS. In addition, three sub-scale scores could be used.


2008 ◽  
Vol 42 (11) ◽  
pp. 950-954 ◽  
Author(s):  
Taciano L. Milfont ◽  
Sally Merry ◽  
Elizabeth Robinson ◽  
Simon Denny ◽  
Sue Crengle ◽  
...  

Objective: The aim of the present study was to examine the reliability and validity of the short form of the Reynolds Adolescent Depression Scale (RADS-SF). Method: A sample of 9567 randomly selected New Zealand secondary school students participated in the Youth2000 Health and Wellbeing Survey that included the full-length version of the RADS. The reliability and validity of the subset of items that make up the RADS-SF and its comparability to the original version were assessed using Cronbach's alpha, kappa statistics, correlations between the two versions of the instrument, confirmatory factor analysis and correlation to other questions in the survey considered likely to be associated with depression. Results: The RADS-SF had Cronbach's alpha of 0.88, was strongly correlated (0.95) to the RADS, had acceptable fit for the data (χ2=2823.27, df=35, comparative fit index=0.96, root mean square error of approximation=0.092, 90% confidence interval=0.089–0.095, standardized root mean square residual=0.042), showed configural invariance across gender, age and ethnic groups, and was strongly correlated with other depression-related questions, such as suicidal ideation (r=0.48). While the overall agreement for classification of depression by the two scores was good (κ=0.75), a higher percentage of students were classified as having depressive symptoms using the recommended RADS-SF cut-off point of 26 compared with the RADS criteria. Conclusions: The RADS-SF was found to have acceptable reliability and validity and to have psychometric properties comparable to the RADS in a large population of New Zealand adolescents.


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