scholarly journals A Mixed-Methods Study to Develop a Resilience Scale for Thai Elderly with Chronic Diseases and Depression

2022 ◽  
Vol 2022 ◽  
pp. 1-6
Author(s):  
Kanokporn Thongkhum ◽  
Narisara Peungposop ◽  
Nanchatsan Sakunpong
Keyword(s):  
Mixed Methods ◽  
Chronic Diseases ◽  
Goodness Of Fit ◽  
Group Discussion ◽  
Reliability And Validity ◽  
Well Being ◽  
The Elderly ◽  
Resilience Scale ◽  
Sequential Mixed Methods ◽  
Fit Index

This study was an exploratory sequential mixed-methods design to develop a resilience scale for Thai elderly with chronic diseases and depression. The qualitative findings from the focus group discussion with 6 participants were used to develop a resilience scale, and the scale was then tested on 310 samples to check the reliability and validity of the scale. The qualitative results showed that resilience was defined in 3 themes: My Characteristics, My Abilities, and My Dependencies, which were composed of 9 different categories. The results of the quantitative examination showed that all 21 items of the resilience scale had a good corrected item-total correlation and the Cronbach’s alpha coefficient of 0.85 indicated that the scale was internally consistent and highly reliable. The construct validity of the resilience scale was tested by confirmatory factor analysis and revealed that the resilience model was consistent with the empirical data based on the goodness-of-fit index ( chi − square = 161.51 , df = 186 , p   value = 0.90 , RMSEA = 0.000 ). All the results show that the resilience scale has excellent and appropriate psychological properties. Health-care workers can use the resilience scale to assess the elderly and develop a resilience-promoting program specifically for the elderly with chronic diseases and depression to improve the well-being of the elderly.

scholarly journals Development of a resilience scale for oldest-old age (RSO)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eiki Akatsuka ◽  
Etsuko Tadaka
Keyword(s):  
Old Age ◽  
Goodness Of Fit ◽  
Oldest Old ◽  
Reliability And Validity ◽  
Well Being ◽  
Old People ◽  
Resilience Scale ◽  
Confirmatory Factor ◽  
Fit Index ◽  
Health And Well Being

Abstract Background Globally, the population of oldest-old (those aged ≥80 years) is rapidly growing. This change is likely to have a deep impact on societies. Resilience is a key concept related to facilitating adaptation, and can be applied, to aging-related change and losses, as well as promoting health and well-being in this population. However, no existing scales have been developed to measure resilience among oldest-old people. To address this, we developed a resilience scale for oldest-old age (RSO), and examined its reliability and validity. Methods The RSO is a self-administered questionnaire developed via a literature review, interviews with oldest-old individuals, and interviews with experts. The survey included 3000 community-dwelling oldest-old people who were recruited via random sampling in Yokohama city, Japan. Construct validity was determined using confirmatory factor analysis. Internal consistency was calculated using Cronbach’s alpha. The revised Philadelphia Geriatric Center Morale Scale (PGC) and the self-anchoring scale to measure the feeling that life is worth living (SAS-WL) were used to assess the criterion-related validity of the RSO. Results We received 1283 valid participant responses. Confirmatory factor analysis identified nine items from one factor of the RSO with a goodness of fit index of 0.979, adjusted goodness of fit index of 0.963, comparative fit index of 0.973, and root mean square error of approximation of 0.049. Cronbach’s alpha was 0.800. The total RSO score was positively correlated with the PGC (r = .492, p < 0.001) and the SAS-WL (r = .559, p < 0.001). Conclusions The RSO demonstrated adequate reliability and validity for assessing individual resilience among oldest-old people. Thus, the scale is potentially useful for promoting health and well-being in oldest-old age.

scholarly journals Early Education Care from Its Practitioners to Achieve Sustainability

2021 ◽  
Vol 13 (6) ◽  
pp. 3396
Author(s):  
Óscar Gavín-Chocano ◽  
David Molero ◽  
Inmaculada García-Martínez
Keyword(s):  
Early Intervention ◽  
Structural Equation ◽  
Goodness Of Fit ◽  
Satisfaction With Life ◽  
Well Being ◽  
Satisfaction With Life Scale ◽  
Life Scale ◽  
Fit Index ◽  
The Relationship ◽  
Early Intervention Professionals

(1) Background: Early intervention professionals are involved in the reconceptualisation of their service due to the exceptional situation caused by the COVID-19 epidemic, within the family context and aware of the children’s needs, with an impact on their emotional well-being to ensure sustainability. An analysis of their socio–emotional profile and training is increasingly needed to face their professional development effectively; (2) Methods: In this study, 209 early intervention professionals participated (n = 209), with an average age of 37.62 (±9.02). The following instruments were used: Satisfaction with Life Scale (SWLS), Wong Law Emotional Intelligence Scale (WLEIS-S) and the Utrecht Work Engagement Scale (UWES-9). The purpose of the study was to examine the relationship between early intervention (EI) and engagement as predictors of greater life satisfaction using Structural Equation Modelling (SEM). (3) Results: There exists a relationship between some dimensions of the instruments used (p < 0.01). The model obtained good structural validity (χ² = 3.264; Root Mean Square Error of Approximation (RMSEA) =.021; Goodness-of-Fit Index (GFI) = 0.991; Comparative Goodness of Fit Index (CFI) = 0.999; Incremental Fit Index (IFI) = 0.999). Subsequently, the results described above were verified through Bayesian statistics, thereby reinforcing the evidence provided; (4) Conclusions: Findings highlight the importance of providing professionals with emotional tools and strategies, from the educational context, in order to carry out their activity effectively and ensure the sustainability within the current situation, while remaining fully engaged.

How Czecho-Slovakia Bounces Back: Population-Based Validation of the Brief Resilience Scale in Two Central European Countries

2021 ◽  
pp. 003329412110296
Author(s):  
Jana Furstova ◽  
Natalia Kascakova ◽  
Iva Polackova Solcova ◽  
Jozef Hasto ◽  
Peter Tavel
Keyword(s):  
Convergent Validity ◽  
Factor Model ◽  
Age Groups ◽  
Reliability And Validity ◽  
Well Being ◽  
Population Based ◽  
Resilience Scale ◽  
Significant Difference ◽  
Mental Well Being ◽  
Best Fit

Objective In recent years, resilience has become a focus of research in the medical and behavioral sciences. The Brief Resilience Scale (BRS) was developed to assess the individual ability to recover from stress (“to bounce back”) after experiencing adversities. The aim of the study was to validate the Czech and Slovak versions of the BRS. Methods A representative sample of the Czech and Slovak populations (NCZ = 1800, mean age MCZ = 46.6, SDCZ = 17.4, 48.7% of men; NSK = 1018, mean age MSK = 46.2, SDSK = 16.6, 48.7% men) completed a survey assessing their health and well-being. Several confirmatory factor analysis (CFA) models of the BRS were compared to find the best fit. Cronbach’s alpha and McDonald’s omega coefficients of reliability were evaluated. Convergent validity was assessed by correlating resilience (BRS), physical and mental well-being (SF-8) and psychopathology symptoms (BSI-53). Differences in gender and age groups were appraised. Results A single-factor model with method effects on the reverse items was evaluated to best fit the data in both the Czech and Slovak samples (χ2CZ(6) = 39.0, p < 0.001, CFICZ = 0.998, TLICZ = 0.995, RMSEACZ = 0.055, SRMRCZ = 0.024; χ2SK(6) = 23.9, p < 0.001, CFISK = 0.998, TLISK = 0.995, RMSEASK = 0.054, SRMRSK = 0.009). The reliability was high in both samples (αCZ = 0.80, ωCZ = 0.85; αSK = 0.86, ωSK = 0.91). The BRS was positively associated with physical and mental well-being and negatively associated with somatization, depression and anxiety. In both countries, a lower BRS score was associated with higher age. Czech men reported significantly higher BRS scores than women. No significant difference was found in the mean BRS scores between the two countries. Conclusion This study provides evidence of good psychometric properties, reliability and validity of the Czech and Slovak adaptations of the BRS.

scholarly journals Relationship between Psychological Distress and Prolonged Sedentary Bouts in the Elderly: Four Period Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 676
Author(s):  
Yutaka Owari
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Structural Equation ◽  
Goodness Of Fit ◽  
Secondary Analysis ◽  
The Elderly ◽  
Sample Population ◽  
Elderly Individuals ◽  
Sedentary Bouts ◽  
Fit Index

Background: Too much sitting is associated with low mental health in elderly individuals. We clarified the relationship between psychological distress and the rate of prolonged sedentary bouts (PSBs) among the elderly over four periods. Methods: In a secondary analysis, a sample population of 68 adults aged 65 years or older in Japan was used. The following proxy variables were used: PSB (mental health) and the Kessler 6 scale; K6 scores (psychological distress). Results: Using the cross-lagged effects models, from “2016 K6” to “2017 PSB” (p = 0.004), from “2017 K6” to “2018 PSB” (p < 0.001), and from “2018 K6” to “2019 PSB” (p = 0.021) were all significant; however, the reverse were not all significant in one period. In four periods, from “2016 PSB” to “2019 K6” (p = 0.025) was significant; however, the reverse was not significant. Fit indices were obtained: χ2 = 7.641 (p = 0.182), goodness of fit index (GFI) = 0.891, comparative fit index (CFI) = 0.901, and root mean square error of approximation (RMSEA) = 0.121 in structural equation modelling. Conclusions: Psychological distress may affect the rate of PSB after one year, and the rate of PSB may affect the rate of psychological distress after three years in elderly individuals.

A Generative Sequential Mixed Methods Approach Using Quantitative Measures to Enhance Social Constructionist Inquiry

2021 ◽  
pp. 155868982098627
Author(s):  
Diego Romaioli
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Social Constructionist ◽  
Social Scientists ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative Methods ◽  
Sequential Mixed Methods

In order to enhance core mixed methods research designs, social scientists need an approach that incorporates developments in the social constructionist perspective. This work describes a study that aimed to promote occupational well-being in hospital departments where employees are at risk of burnout, based on a constructionist inquiry developed starting from the Maslach Burnout Inventory. Taking this study as an example, we define a “generative sequential mixed methods approach” as a process that involves consulting quantitative studies to identify criticalities on which to conduct focused, transformative investigations. The article contributes by envisaging ways to mix qualitative and quantitative methods that consider a “generative” and “future-forming” orientation to research, in line with recent shifts in social psychology.

The Self-Transcendence Scale

2011 ◽  
Vol 30 (3) ◽  
pp. 147-159 ◽  
Author(s):  
Gørill Haugan ◽  
Toril Rannestad ◽  
Helge Garåsen ◽  
Randi Hammervold ◽  
Geir Arild Espnes
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Goodness Of Fit ◽  
Factor Model ◽  
Well Being ◽  
The Self ◽  
Mean Square ◽  
Confirmatory Factor ◽  
Self Transcendence ◽  
Fit Index

Purpose: Self-transcendence, the ability to expand personal boundaries in multiple ways, has been found to provide well-being. The purpose of this study was to examine the dimensionality of the Norwegian version of the Self-Transcendence Scale, which comprises 15 items. Background: Reed’s empirical nursing theory of self-transcendence provided the theoretical framework; self-transcendence includes an interpersonal, intrapersonal, transpersonal, and temporal dimension. Design: Cross-sectional data were obtained from a sample of 202 cognitively intact elderly patients in 44 Norwegian nursing homes. Results: Exploratory factor analysis revealed two and four internally consistent dimensions of self-transcendence, explaining 35.3% (two factors) and 50.7% (four factors) of the variance, respectively. Confirmatory factor analysis indicated that the hypothesized two- and four-factor models fitted better than the one-factor model (c x2, root mean square error of approximation, standardized root mean square residual, normed fit index, nonnormed fit index, comparative fit index, goodness-of-fit index, and adjusted goodness-of-fit index). Conclusions: The findings indicate self-transcendence as a multifactorial construct; at present, we conclude that the two-factor model might be the most accurate and reasonable measure of self-transcendence. Implications: This research generates insights in the application of the widely used Self-Transcendence Scale by investigating its psychometric properties by applying a confirmatory factor analysis. It also generates new research-questions on the associations between self-transcendence and well-being.

PHYSICAL ACTIVITY AND FUNCTIONAL FITNESS AS WELL AS LEVEL OF DEPRESSION IN SENIORS

2020 ◽  
Vol 30 (89) ◽  
pp. 47-54
Author(s):  
Edyta Mikołajczyk ◽  
Alicja Gałązka
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
Emotional State ◽  
Well Being ◽  
The Elderly ◽  
Health State ◽  
Functional Fitness ◽  
State Of Health ◽  
Self Assessment ◽  
Motivating Factor

Aim. The aim of the study was to determine the level of motor activity, functional and motion fitness of seniors above the age of 60 as well as to examine the relationship between physical activity and the level of depression in this group of people. Material and methods. The study covered a group of 50 participants above the age of 60. The Seven-day Physical Activity Recall, ADL, IADL and GDS scales, as well as the Tinetti test and the authors’ specially designed questionnaire were used. Results. Analysis of the results showed a relationship between age, education as well as chronic diseases and the level of undertaken physical activity. A significant relationship was found between the level of activity and functional and motion performance as well as the emotional state of the elderly. There was no relationship between gender, place of residence and self-assessment of health state and the level of physical activity. The most important motivating factor for performing physical activity in seems to be the improvement of well-being, and the most frequently indicated barrier, is state of health. Conclusions. The level of physical activity is related to functional and locomotor fitness and the emotional state of the elderly. There is a correlation between age, education and the occurrence of chronic diseases and the level of physical activity. The most important motivating factor for undertaking activity seems to be the improvement of well-being, the most frequently indicated barrier is state of health.

The Activity and Its Barriers and the Well-Being of Older Poles

2014 ◽  
Vol 22 (1) ◽  
pp. 8-14
Author(s):  
Andrzej Knapik ◽  
Jerzy Rottermund ◽  
Aneta Warmuz-Wancisiewicz ◽  
Jolanta Witanowska
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
Well Being ◽  
The Elderly ◽  
Health Determinants ◽  
Optimum Level ◽  
Weak Correlation ◽  
Self Assessment ◽  
Level Of Activity ◽  
Sf 36

Abstract Background: Research of health determinants confirmed its beneficial relationships with the optimum level of physical activity at any age. The problem is the physical passivity of societies. In the elderly, this problem is of particular importance, which is conditioned by both biological factors and social. This justifies the diagnosis of relationships: the barrier activity - activity - well-being. Material/Methods: 393peoplewere tested:216women and 177men aged65 -85 years. A questionnaire with closed questions was used as a tool in the research. Physical activity was examined using selected questions of Baecke questionnaire, barriers to physical activity using a scale KCS, and self-assessment of health - by using the SF-36. Results: Correlation analysis of age and the activity showed a low relationship for the women and no relationship for the men. There were no differences in activity due to sex, either due to the occurrence of chronic diseases. There is a weak correlation between age and kinesiophobia among women, no relationship was found in the group of men. Prevalence of chronic diseases differentiated the level of kinesiophobia only in women. Analysis of health self-assessment showed a relatively well-being in the test - the average PC and MC were above 50 points. Conclusions: Women represent a lower level of physical activity than men, but at an older age, these differences are no longer statistically significant. However, the level of activity barriers is still higher. Aging is a process which varies greatly individually, and this applies to activity, its barriers, and self-assessment of health. Age is not a category that fully explains the complex issues depending on the variables examined.

Psychometric Properties of the Spanish Version of the Resilience Scale

2003 ◽  
Vol 11 (1) ◽  
pp. 61-72 ◽  
Author(s):  
MarySue V. Heilemann ◽  
Kathryn Lee ◽  
Felix Salvador Kury
Keyword(s):  
Low Income ◽  
Goodness Of Fit ◽  
Reliability And Validity ◽  
Significant Negative Correlation ◽  
Mexican Descent ◽  
Spanish Version ◽  
Spanish Translation ◽  
Factor Solution ◽  
Convenience Sample ◽  
Resilience Scale

The purpose of this study is to test the reliability and validity of a Spanish translation of the Resilience Scale (RS), which was originally created in English by Wagnild and Young (1993). A team of bilingual, bicultural translators participated in the translation process to enhance the linguistic accuracy and cultural appropriateness of the Spanish translation. As part of the convenience sample of 315 women of Mexican descent who participated in the larger study, data from 147 women who preferred to read and write in Spanish were used in this analysis. The English version of the RS consists of a 17-item “Personal Competence” subscale and an 8-item “Acceptance of Self and Life” subscale for a total of 25 items. However, two items had low item-total loadings and were removed to form a modified 23-item RS. The exploratory principal components factor analysis, varimax rotation, and subsequent goodness of fit indices were ambivalent on whether a one or two-factor solution was appropriate, but the chi-square difference test clearly demonstrated that the two-factor solution of the Spanish version was more useful in explaining variance than a one-factor solution. Internal consistency reliability was estimated with Cronbach’s alpha (α = 0.93) which was acceptable for the 23-item RS as well as its subscales. Construct validity was demonstrated by a significant positive correlation between resilience and life satisfaction (r = 0.36; p < 0.001), and a significant negative correlation between resilience and depressive symptoms (r = -0.29; p < 0.01). This analysis ultimately supports the appropriateness of the modified 23-item Spanish translation of the RS and its subscales in a sample of urban, low-income women of Mexican descent in the U.S.

scholarly journals Development of a questionnaire assessing nursing staff’s knowledge, attitude, and practice on the prevention of the nosocomial infection in elderly patients: testing reliability and validity†

2021 ◽  
Vol 8 (2) ◽  
pp. 141-151
Author(s):  
Fu-Lin Cai ◽  
Xiu-Feng Chen ◽  
Yong-Xin Wang
Keyword(s):  
Factor Analysis ◽  
Nosocomial Infection ◽  
Elderly Patients ◽  
Goodness Of Fit ◽  
Reliability And Validity ◽  
Mean Square ◽  
Attitude And Practice ◽  
Confirmatory Factor ◽  
Fit Index ◽  
Knowledge Attitude And Practice

Abstract Objective To develop a questionnaire assessing nursing staff’s knowledge, attitude, and practice on the prevention of the nosocomial infection in elderly patients and test its reliability and validity. Methods After the drafted questionnaire was developed, two rounds of Delphi survey were conducted by consulting experts to improve the questionnaire. Subsequently, 700 copies of the questionnaire were distributed to nursing staff to assess its reliability and validity. Results Exploratory factor analysis (EFA) identifies 3 aspects, namely knowledge, attitude, and practice, with a total of 38 items. The Cronbach’s α coefficients of the questionnaire and each of the aspects are 0.85, 0.80, 0.886, and 0.77 (>0.7), respectively. Confirmatory factor analysis (CFA) of each of the aspects are c2/df = 3.99, 2.26, and 3.32; Goodness-of-fit index (GFI) = 0.91, 0.97, and 0.92; Root mean square error of approximation (RMSEA) = 0.06, 0.04, and 0.05; Comparative fit index (CFI) = 0.91, 0.96, and 0.90. Conclusions Through this study, it can be ascertained whether the developed questionnaire enjoys sound reliability and validity in assessing nursing staff’s knowledge, attitude, and practice on preventing the nosocomial infection in elderly patients and thus has certain application value.

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