Spanish adaptation and validation of the Pain Assessment Scale in Advanced Dementia (PAINAD) in patients with dementia and impaired verbal communication: cross-sectional study

ObjectivesThe aim of this study was to adapt and validate the Pain Assessment in Advanced Dementia (PAINAD) scale in Spanish.DesignCross-sectional observational study.SettingTwo health districts of Andalusian provinces, located in the south of Spain, through the Andalusian network of Primary Healthcare centres and four institutions dedicated to the care of patients with dementia.ParticipantsA total of 100 older people, with a medical diagnosis of dementia and a score on the Global Deterioration Scale between 5 and 7 were assessed using the PAINAD scale.Primary and secondary outcome measuresPsychometric properties including content validity, construct validity and reliability of the scale have been tested.ResultsThe overall Item Content Validity Index was excellent (0.95). Regarding construct validity, it was confirmed that a lower use of analgesics implied a lower score on the PAINAD scale (p<0.05). The internal consistency of the scale was 0.76 and it increases to 0.81 if we remove the breathing item. Furthermore, the intraclass correlation coefficient (ICC) used to assess interobserver reliability was 0.94, whereas the ICC used to assess temporary stability was 0.55.ConclusionsThe Spanish version of the PAINAD scale is a valid tool to assess pain in patients with dementia and inability to communicate verbally.

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The Iranian version of theory-based intention for cesarean section (IR-TBICS) scale: development and first evaluation

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03498-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Seyed Abolhassan Naghibi ◽

Maryam Khazaee-Pool ◽

Mahmood Moosazadeh

Keyword(s):

Cesarean Section ◽

Content Validity ◽

Intraclass Correlation ◽

Quality Criteria ◽

Factor Analyses ◽

Validity And Reliability ◽

Delivery Method ◽

Northern Iran ◽

Cross Sectional ◽

Confirmatory Factor Analyses

Abstract Background The rate at which mothers experience a cesarean section in the absence of medical signs is growing worldwide. Women’s beliefs and intentions play an essential role in the request or choice of a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women’s beliefs about cesarean section in the Iranian population. This study was performed to develop and assess the validity and reliability of the intention-based cesarean section scale using the theory of reasoned action (TRA) constructs as a theoretical framework for measuring intention toward the selection of a delivery method. Methods In this cross-sectional validation study, 480 pregnant women were recruited from Sari, in northern Iran, through a multistage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and the intraclass correlation coefficient (ICC). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group. Results The results obtained from the factor analysis showed that the data were fit to the model (χ2 = 2298.389, P < 0.001). The TRA comprised 24 items assessing five domains, which described 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from 0.609 to 0.843, and the ICC value ranged from 0.71 to 0.84, which is within the satisfactory range. The IR-TBICS scale had no floor or ceiling effect on the total score or any of the dimensions. Conclusions The belief-based cesarean section scale appears to be a reliable instrument. It is considered suitable and can be applied in other research in Iran.

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Measuring advance care planning behavior in Dutch adults: translation, cultural adaptation and validation of the Advance Care Planning Engagement Survey

BMC Medical Research Methodology ◽

10.1186/s12874-021-01389-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Doris van der Smissen ◽

Agnes van der Heide ◽

Rebecca L. Sudore ◽

Judith A. C. Rietjens ◽

Ida J. Korfage

Keyword(s):

Chronic Disease ◽

Construct Validity ◽

Internal Consistency ◽

Advance Care Planning ◽

Content Validity ◽

Intraclass Correlation ◽

Criterion Validity ◽

Care Planning ◽

Validity And Reliability ◽

Advance Care

Abstract Background Advance care planning (ACP) enables people to define, discuss, and record preferences for treatment and care. Measures of ACP behavior are lacking in the Netherlands. We aimed to translate, culturally adapt and validate the 34-item ACP Engagement Survey into Dutch. Methods Following validation guidelines, we tested content validity, internal consistency, reproducibility, construct validity, interpretability and criterion validity among persons with and without chronic disease. Results Forward-backward translation indicated the need of only minor adaptations. Two hundred thirty-two persons completed baseline and retest surveys; 121 were aged ≥60 years. Persons with chronic disease (n = 151) considered the survey more valuable than those without (66 vs. 59, p < 0.001, scale of 20–100), indicating good content validity. Internal consistency (Cronbach’s alpha: 0.97) and reproducibility (intraclass correlation: 0.88) were good. Total ACP Engagement was higher among persons with chronic disease than those without (2.9 vs. 2.4, p < 0.01, scale of 1 to 5), indicating good psychometric support for construct validity and interpretability. Positive correlations of the ACP Engagement Survey and the General Self-Efficacy survey indicated good criterion validity (p < 0.05). Conclusions This study provided good psychometric support for the validity and reliability of the Dutch 34-item ACP Engagement Survey. This instrument can be used to assess involvement in ACP in adults with and without chronic disease.

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The Iranian Version of Theory-Based Intention for Cesarean Section (IR-TBICS) Scale: Development and First Evaluation

10.21203/rs.2.14833/v1 ◽

2019 ◽

Author(s):

Seyed Abolhassan Naghibi ◽

Maryam Khazaee-Pool ◽

Mahmood Moosazadeh

Keyword(s):

Scale Development ◽

Cesarean Section ◽

Pregnant Women ◽

Content Validity ◽

Intraclass Correlation ◽

Factor Analyses ◽

Validity And Reliability ◽

Delivery Method ◽

Cross Sectional ◽

Confirmatory Factor Analyses

Abstract Background: The rate of mothers experiencing a cesarean section in the absence of medical signs is growing in the world. Women beliefs and intentions have an essential role in the request or choosing a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women' beliefs about cesarean section in the Iranian population. This study performed to develop and assess the validity and reliability of the belief-based cesarean section scale using the theory of reason action (TRA) constructs as a theoretical framework for measuring intention toward delivery method selection. Methods: In this cross-sectional validation study, 480 pregnant women were recruited of Sari, north of Iran, through a multi-stage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and intraclass correlation coefficient (ICC). Results: Results obtained from factor analysis showed that the data were fit to the model (χ2= 2298.389, P<0.001) and TRA consisted of 24 items assessing five domains which describing 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from .609 to .843, and the ICC value ranged from .71 to .84, which is within satisfactory ranges. Conclusion: The belief-based cesarean section scale is a reliable instrument and now is suitable and appropriate and can be applied in other researches. Keywords: Cesarean section, Intention, Scale development, Psychometrics, Pregnant women

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Development and psychometric properties of a questionnaire to assess the Iranian women’s sexual self-efficacy

Nursing Practice Today ◽

10.18502/npt.v6i4.1940 ◽

2019 ◽

Author(s):

Farzaneh Dastaran ◽

Raziyeh Maasoumi

Keyword(s):

Construct Validity ◽

Psychometric Properties ◽

Content Validity ◽

Self Efficacy ◽

Intraclass Correlation ◽

Criterion Validity ◽

Sexual Relationship ◽

Inductive Method ◽

Second Phase ◽

Validity And Reliability

Background & Aim: It is necessary to have a valid, reliable, and socio-cultural appropriate questionnaire for evaluation of women's sexual self-efficacy. Therefore, the objective of the study was the development and psychometric evaluation of the context-based questionnaire for women's sexual self-efficacy. Methods & Materials: The study was conducted during two phases on clients visiting the healthcare centers of Tehran University of medical sciences in 2018. In the first phase, Iranian women' sexual self-efficacy, and its dimensions were explored through thematic analysis, and it was compiled in 24 items by the deductive-inductive method. In the second phase, the psychometric properties of the questionnaire were tested using face, content, construct, and criterion validity and reliability of the questionnaire was assessed by the intraclass correlation coefficient. Results: Iranian women's sexual self-efficacy was defined as "women' ability to make sexual relationship which leads to mutual orgasm or sexual satisfaction." Sexual relationship, the proper level of sexual self-expression, women's ability in the management of her and husband's sexual response cycle and having the necessary skills to make a delightful sexual relationship were explored as the dimensions of definition of women’s sexual self-efficacy. Questionnaires were prepared with 24 items. The content validity index and content validity ratio (CVI and CVR) were found as 0.92 and 0.84, respectively. The results of qualitative and quantitative face validity and criterion validity were acceptable. Construct validity through exploratory factor analysis led to identifying four factors explained 66.68% of the variance. The items of the questionnaire were reduced from 24 to 21 after construct validity. The results of Cronbach’s alpha coefficient (0.94) and ICC (0.50) supported the acceptable stability of the questionnaire. Conclusion: The psychometric properties of developed sexual self-efficacy questionnairewomen (SSEQ-W) has good validity and reliability. Therefore, it can be used as a useful tool in future studies.

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PP67 Validity Of A Questionnaire Assessing Patient Medication Experiences

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462318002258 ◽

2018 ◽

Vol 34 (S1) ◽

pp. 93-93

Author(s):

Merel Kimman ◽

Marlies Wijsenbeek ◽

Remy Mostard ◽

Nelleke Tak ◽

Adrienne Rotteveel ◽

...

Keyword(s):

Decision Making ◽

Side Effects ◽

Construct Validity ◽

Content Validity ◽

Atypical Hemolytic Uremic Syndrome ◽

Intraclass Correlation ◽

Patient Experiences ◽

Validity And Reliability ◽

Generic Module ◽

The Impact

Introduction:The Patient Experiences and Satisfaction with Medications (PESaM) questionnaire was recently developed. It consists of two disease-specific modules for evaluating drug treatment of idiopathic pulmonary fibrosis (IPF) and atypical hemolytic uremic syndrome (aHUS): (i) a generic module applicable to any medication, and (ii) a patient expectations module. This study assessed the validity and reliability of the generic module in a large sample of patients in the Netherlands.Methods:In 2017, the PESaM-questionnaire was sent out to IPF patients on pirfenidone or nintedanib, aHUS patients receiving eculizumab, and patients using advagraf after kidney transplantation. The generic module consists of 16 items related to the domains effectiveness, side-effects and ease of use, and assesses patient experiences regarding the impact of the medication on daily life and health, and satisfaction. Mean scores for each domain were calculated using a scoring algorithm. Content validity, construct validity, and reliability were assessed using recommended methods.Results:Patients (n=188) completed the generic module of whom 48 percent used pirfenidone, 36 percent nintedanib, 11 percent advagraf, and 5 percent eculizumab. Content validity was established. Expected associations between patient experiences, satisfaction, and quality of life (QoL) were generally confirmed, demonstrating construct validity. For example, a moderate to strong positive association was found between patient experiences and satisfaction with side-effects (correlation coefficient 0.625, p < 0.05), and low (positive) associations were found between patient experiences and QoL. Importantly, the PESaM-questionnaire was able to discriminate between patients using different medications. Intraclass correlation coefficients, for test-retest reliability, ranged between good and excellent for most domains.Conclusions:The PESaM questionnaire is a promising tool to provide scientific evidence regarding the patient's perspective in health technology assessments and reimbursement decision-making regarding (expensive) medications, but can also support shared decision-making and appropriate use of medication at the individual patient level. Further research will assess the questionnaire's responsiveness and generalizability of results to other patient populations.

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Psychometric properties of a Chinese version of the Fraboni Scale of Ageism: evidence from medical students sample

10.21203/rs.2.20483/v1 ◽

2020 ◽

Author(s):

Jun-Yao Fan ◽

Hui-Min Zhao ◽

Yue-Ting Liu ◽

Ling-Lin Kong ◽

Jing Mao ◽

...

Keyword(s):

Older Adults ◽

Factor Analysis ◽

Medical Students ◽

Construct Validity ◽

Content Validity ◽

Intraclass Correlation ◽

Chinese Version ◽

Validity And Reliability ◽

Confirmatory Factor ◽

Chinese Medical Students

Abstract Background The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students.Methods By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability.Results The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis.Conclusions FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against the older adults in Chinese medical students.

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The Iranian Version of Theory-Based Intention for Cesarean Section (IR-TBICS) Scale: Development and First Evaluation

10.21203/rs.2.14833/v3 ◽

2020 ◽

Author(s):

Seyed Abolhassan Naghibi ◽

Maryam Khazaee-Pool ◽

Mahmood Moosazadeh

Keyword(s):

Cesarean Section ◽

Content Validity ◽

Intraclass Correlation ◽

Quality Criteria ◽

Factor Analyses ◽

Validity And Reliability ◽

Delivery Method ◽

Northern Iran ◽

Cross Sectional ◽

Confirmatory Factor Analyses

Abstract Background: The rate at which mothers experience a cesarean section in the absence of medical signs is growing worldwide. Women’s beliefs and intentions play an essential role in the request or choice of a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women’s beliefs about cesarean section in the Iranian population. This study was performed to develop and assess the validity and reliability of the intention-based cesarean section scale using the theory of reasoned action (TRA) constructs as a theoretical framework for measuring intention toward the selection of a delivery method.Methods: In this cross-sectional validation study, 480 pregnant women were recruited from Sari, in northern Iran, through a multistage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and the intraclass correlation coefficient (ICC). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group.Results: The results obtained from the factor analysis showed that the data were fit to the model (χ2 = 2298.389, P < 0.001). The TRA comprised 24 items assessing five domains, which described 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from .609 to .843, and the ICC value ranged from .71 to .84, which is within the satisfactory range. The IR-TBICS scale had no floor or ceiling effect on the total score or any of the dimensions.Conclusion: The belief-based cesarean section scale appears to be a reliable instrument. It is considered suitable and can be applied in other research in Iran.

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The Iranian Version of Theory-Based Intention for Cesarean Section (IR-TBICS) Scale: Development and First Evaluation

10.21203/rs.2.14833/v2 ◽

2020 ◽

Author(s):

Seyed Abolhassan Naghibi ◽

Maryam Khazaee-Pool ◽

Mahmood Moosazadeh

Keyword(s):

Scale Development ◽

Cesarean Section ◽

Pregnant Women ◽

Content Validity ◽

Intraclass Correlation ◽

Quality Criteria ◽

Factor Analyses ◽

Validity And Reliability ◽

Delivery Method ◽

Cross Sectional

Abstract Background: The rate of mothers experiencing a cesarean section in the absence of medical signs is growing in the world. Women's beliefs and intentions have an essential role in the request or choosing a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women's beliefs about the cesarean section in the Iranian population. This study performed to develop and assess the validity and reliability of the belief-based cesarean section scale using the theory of reason action (TRA) constructs as a theoretical framework for measuring intention toward delivery method selection. Methods: In this cross-sectional validation study, 480 pregnant women were recruited from Sari, north of Iran, through a multi-stage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and intraclass correlation coefficient (ICC). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group. Results: Results obtained from factor analysis showed that the data were fit to the model (χ2= 2298.389, P<0.001), and TRA consisted of 24 items assessing five domains, which describing 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from .609 to .843, and the ICC value ranged from .71 to .84, which is within satisfactory ranges. The IR-TBICS scale had no floor and ceiling effect in the total score or any of the dimensions. Conclusion: The belief-based cesarean section scale appears to be a reliable instrument and now is suitable and can be applied in other researches in Iran. Keywords: Cesarean section, Intention, Scale development, Psychometrics, Pregnant women

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PSYCHOMETRIC EVALUATION OF FILIPINO VERSION OF PATIENT SATISFACTION INSTRUMENT

Belitung Nursing Journal ◽

10.33546/bnj.867 ◽

2019 ◽

Vol 5 (6) ◽

pp. 251-256

Author(s):

Gil P Soriano ◽

Kathyrine A Calong Calong

Keyword(s):

Patient Satisfaction ◽

Construct Validity ◽

Internal Consistency ◽

Content Validity ◽

Psychometric Evaluation ◽

Internal Consistency Reliability ◽

Validity And Reliability ◽

Validity Index ◽

Cross Sectional ◽

Content Validity Index

Background: Patient satisfaction has been revealed to affect patient outcomes and has been used as an indicator for measuring quality in health care. However, there are no culturally appropriate instruments that measure Filipino patient satisfaction receiving nursing care.Objective: The objective of the study is to examine the validity and reliability of the Filipino version of Patient Satisfaction Instrument (F-PSI).Methods: The study utilized a cross-sectional study and included 131 Filipino patients in selected hospitals in Manila and were selected through convenience sampling. The tool undergone cross cultural adaptation following the WHO guidelines. Also, content validity following Davis technique and construct validity through confirmatory factor analysis was done to assessed its validity. To measure its internal consistency reliability, Cronbach’s α, inter-item and total-item correlation was conducted.Results: The construct validity of the Filipino version of PSI showed a good model fit while the item content validity index (I-CVI) ranges from 0.83-1.0 and a scale content validity index (S-CVI) of 0.96. Also, the translated tool showed an acceptable internal consistency reliability.Conclusion: The Filipino PSI is a valid and reliable instrument for measuring satisfaction among Filipino patients. Supplementary studies are needed to ascertain its validity and reliability for clinical use.

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