Psychometric Properties of the Revised Illness Perception Questionnaire for Oral Health

2017 ◽  
Vol 51 (3) ◽  
pp. 244-254 ◽  
Author(s):  
Fredy H. Villalobos-Galvis ◽  
Ana C. Mafla ◽  
William F. Burbano-Trujillo ◽  
Alexandra A. Sanchez-Figueroa

Aims: The aim of this study was to test the hypothesis that, for patients with dental caries, the Spanish version of the Revised Illness Perception Questionnaire for Oral Health (IPQ-R-OH) has 7 dimensions, including personal and treatment control, timeline-acute/chronic and timeline-cyclical, illness coherence, consequences, and emotional representations. Methods: A Spanish adaptation of the IPQ-R, with a self-reported 38-item scale, was developed. Exploratory and confirmatory factor analyses were conducted using data from 520 patients with dental caries attending the Dental Clinic at Universidad Cooperativa de Colombia, Pasto, Colombia. Results: Exploratory factor analysis revealed 7 dimensions with 36 items (2 items were removed because of poor factor loadings or discriminant ability). The internal consistency coefficients of each factor ranged from 0.72 to 0.91, and all item loadings were >0.52. Confirmatory factor analysis indicated that a 7-factor model with 36 items had superior fit compared to the 38-item original model: χ2 = 1,784.291 (df = 573, p < 0.001); nonnormal fit index = 0.941; comparative fit index = 0.946; root mean square error of approximation = 0.062 (90% CI = 0.057-0.066); standardized root mean square residual = 0.072; and Akaike information criterion = 638.291. Control (integrated by items from personal control, treatment control, and timeline-acute factors) and hopelessness (PC15 and PC17) were the 2 reconfigured factors that were identified. Conclusions: These findings suggest that the modified 36-item model has satisfactory reliability and construct factorial validity; therefore, it could be a valuable instrument in the screening of illness perceptions in oral health.

2020 ◽  
Vol 42 (5) ◽  
pp. 368-385
Author(s):  
Scott Rathwell ◽  
Bradley W. Young ◽  
Bettina Callary ◽  
Derrik Motz ◽  
Matt D. Hoffmann ◽  
...  

Adult sportspersons (Masters athletes, aged 35 years and older) have unique coaching preferences. No existing resources provide coaches with feedback on their craft with Masters athletes. Three studies evaluated an Adult-Oriented Coaching Survey. Study 1 vetted the face validity of 50 survey items with 12 Masters coaches. Results supported the validity of 48 items. In Study 2, 383 Masters coaches completed the survey of 50 items. Confirmatory factor analysis and exploratory structural equation modeling indicated issues with model fit. Post hoc modifications improved fit, resulting in a 22-item, five-factor model. In Study 3, 467 Masters athletes responded to these 22 items reflecting perceptions of their coaches. Confirmatory factor analysis (comparative fit index = .951, standardized root mean square residual = .036, and root mean square error of approximation = .049) and exploratory structural equation modeling (comparative fit index = .977, standardized root mean square residual = .019, and root mean square error of approximation = .041) confirmed the model. The resultant Adult-Oriented Sport Coaching Survey provides a reliable and factorially valid instrument for measuring adult-oriented coaching practices.


2010 ◽  
Vol 27 (3) ◽  
pp. 191-207 ◽  
Author(s):  
Hyun-Kyoung Oh ◽  
Francis M. Kozub

The study was designed to estimate the psychometric properties of Hastings and Brown’s (2002a) Difficult Behavior Self-efficacy Scale. Participants were two samples of physical educators teaching in Korea (n = 229) and the United States (U.S.; n = 139). An initial translation of the questionnaire to Korean and pilot study were conducted along with the larger study using a confirmatory factor analysis procedure. Internal consistency estimates (weighed Omega) for the five-item scale were 0.88 both the Korean and U.S. samples. The average variances extracted for the one factor were 0.59 for the total data set and 0.57 each for the Korean and U.S. samples. Confirmatory factor analysis supported a five-item, unidimensional model for self-efficacy for the total sample: Goodness of Fit Index (GFI) = 0.97, Nonnormed Fit Index (NNFI) = 0.95, Comparative Fit Index (CFI) = 0.98, and Standardized Root Mean Square Residual (SRMR) = 0.03. Only the Root Mean Square Error of Approximation (RMSEA = 0.12) fell below criterion levels of acceptable fit, with similar fit indices occurring in separate analyses of the Korean and U.S. samples. Invariance testing across the two samples supported metric invariance (similarity of factor loadings) but not scalar invariance (U.S. means higher on all five items). The factor structure for the self-efficacy scale provides an initial estimate of validity and internal consistency for use with different teacher groups.


2014 ◽  
Vol 22 (1) ◽  
pp. 120-134 ◽  
Author(s):  
Arinze Nkemdirim Okere ◽  
Colleen M. Renier ◽  
Jacqueline Morse

Background and Purpose: The primary objective of this study is to establish the validity and reliability of a perceived medication knowledge and confidence survey instrument (Okere–Renier Survey). Methods: Two-stage psychometric analyses were conducted to assess reliability (Cronbach’s α >.70) of the associated knowledge scale. To evaluate the construct validity, exploratory and confirmatory factor analyses were performed. Results: Exploratory factor analysis (EFA) revealed three subscale measures and confirmatory factor analysis (CFA) indicated an acceptable fit to the data (goodness-of-fit index [GFI = 0.962], adjusted goodness-of-fit index [AGFI = 0.919], root mean square residual [RMR = 0.065], root mean square error of approximation [RMSEA] = 0.073). A high internal consistency with Cronbach’s α of .833 and .744 were observed in study Stages 1 and 2, respectively. Conclusions: The Okere–Renier Survey is a reliable instrument for predicting patient-perceived level of medication knowledge and confidence.


2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Samsul Hadi

Penelitian ini bertujuan untuk mengetahui model konstruk dan struktural kinerja kepala sekolah. Hasil penelitian ini diharapkan dapat memberi sumbangan terhadap pengukuran kinerja kepala sekolah di masa yang akan datang. Penelitian ini merupakan penelitian expost facto dengan populasi guru dan kepala sekolah dasar di Daerah Istimewa Yogyakarta. Sampel sebanyak 1239 guru dan 208 kepala sekolah dasar dipilih secara acak. Data guru dan kepala sekolah dianalisis dengan Second-Order Confirmatory Factor Analysis (Second-Order CFA) secara terpisah dan divalidasi silang dengan multi-sample CFA. Pengujian kecocokan model dilakukan menggunakan χ2 Satorra-Bentler dengan taraf signifikansi 5%, Comparative Goodness of Fit Index (CFI), dan Root Mean Square Error Approximation (RMSAE). Hasil penelitian menunjukkan hal-hal sebagai berikut. 1) Kinerja kepala sekolah mempunyai dimensi kepemimpinan, manajemen, dan kepribadian. 2) Berdasarkan data kepala sekolah, koefisien jalur dari dimensi dan muatan faktor dari indikator yang ada dalam model cukup tinggi, bernilai positif, dan signifikan. 3) Hasil validasi silang model konstruk kinerja kepala sekolah menggunakan data guru dan data kepala sekolah menunjukkan tidak ada perbedaan model. Kata kunci: model konstruk, persamaan pengukuran, persamaan struktural, kinerja kepala sekolah


2018 ◽  
Vol 25 (4) ◽  
pp. 1017-1035
Author(s):  
Cassandra Iannucci ◽  
Ann MacPhail ◽  
K. Andrew R. Richards

There is a need to better understand the reality of enacting dual teaching positions, or roles, within a school. Therefore, role conflict experienced by teachers who are tasked with concurrently teaching multiple subjects warrants further understanding. For example, teachers responsible for teaching physical education (PE) and another school subject(s). There is, however, currently no published instrument for measuring role conflict of this nature. The purpose of this study was to develop and validate the Teaching Multiple School Subjects Role Conflict Scale, an instrument to measure interrole conflict between the roles of teaching PE and another school subject(s). Research aims included: (a) developing the instrument; (b) identifying a factor structure for the instrument using exploratory factor analysis; (c) confirming the factor structure through confirmatory factor analysis; and (d) examining the correlation between the newly validated measure and conceptually similar (i.e. role stress) and dissimilar (i.e. resilience) constructs. Exploratory factor analysis identified a stable three-factor, nine-item solution, including schedule conflict, energy expenditure conflict, and status conflict. Confirmatory factor analysis supported this solution, χ2(24) = 47.16, p < 0.001, non-normed fit index = 0.950, comparative fit index = 0.967, standardized root mean square residual = 0.069, and root mean square error of approximation = 0.069. The newly validated scale correlated appropriately with conceptually similar and dissimilar constructs.


2021 ◽  
Vol 11 (6) ◽  
pp. 583
Author(s):  
Riitta Suhonen ◽  
Katja Lahtinen ◽  
Minna Stolt ◽  
Miko Pasanen ◽  
Terhi Lemetti

Patient-centredness in care is a core healthcare value and an effective healthcare delivery design requiring specific nurse competences. The aim of this study was to assess (1) the reliability, validity, and sensitivity of the Finnish version of the Patient-centred Care Competency (PCC) scale and (2) Finnish nurses’ self-assessed level of patient-centred care competency. The PCC was translated to Finnish (PCC-Fin) before data collection and analyses: descriptive statistics; Cronbach’s alpha coefficients; item analysis; exploratory and confirmatory factor analyses; inter-scale correlational analysis; and sensitivity. Cronbach’s alpha coefficients were acceptable, high for the total scale, and satisfactory for the four sub-scales. Item analysis supported the internal homogeneity of the items-to-total and inter-items within the sub-scales. Explorative factor analysis suggested a three-factor solution, but the confirmatory factor analysis confirmed the four-factor structure (Tucker–Lewis index (TLI) 0.92, goodness-of-fit index (GFI) 0.99, root mean square error of approximation (RMSEA) 0.065, standardized root mean square residual (SRMR) 0.045) with 61.2% explained variance. Analysis of the secondary data detected no differences in nurses’ self-evaluations of contextual competence, so the inter-scale correlations were high. The PCC-Fin was found to be a reliable and valid instrument for the measurement of nurses’ patient-centred care competence. Rasch model analysis would provide some further information about the item level functioning within the instrument.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn J. Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie F. Roodbol

Abstract Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes. Methods After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency. Results The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item. Conclusions Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.


2011 ◽  
Vol 30 (3) ◽  
pp. 147-159 ◽  
Author(s):  
Gørill Haugan ◽  
Toril Rannestad ◽  
Helge Garåsen ◽  
Randi Hammervold ◽  
Geir Arild Espnes

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.


2021 ◽  
Vol 8 (2) ◽  
pp. 141-151
Author(s):  
Fu-Lin Cai ◽  
Xiu-Feng Chen ◽  
Yong-Xin Wang

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.


2020 ◽  
Vol 6 (5) ◽  
pp. 177-181
Author(s):  
Gil P Soriano

Background: Breast cancer patients need to be treated not only physically and emotionally but also spiritually. Hence, the assessment of the spirituality of patients is essential to provide holistic nursing care. However, there was no culturally valid and reliable instrument that measures spirituality among Filipino women with breast cancer.Objective: The study was conducted to determine the psychometric properties of the spiritual index of well-being among Filipino women with breast cancer.Methods: A descriptive cross-sectional design was utilized in the study, and a sample of 170 Filipino women with breast cancer were included. The World Health Organization guidelines were used to translate the original instrument to Filipino, and content validity was computed using the Davis technique. Also, confirmatory factor analysis with maximum likelihood estimation was performed to assess the construct validity of the instrument. Cronbach’s α and item-total correlations were done to assess the internal consistency of the Filipino version of the spiritual index of well-being.Results: The Filipino version of the spiritual index of well-being had an item content validity index (I-CVI) ranging from 0.86 to 0.92 and a scale content validity index (S-CVI) of 0.95. The confirmatory factor analysis (CFA) showed factor loadings of 0.42 to 0.72. Also, the CFA model revealed a 𝜒2/df = 2.51, root mean square error of approximation= 0.074, comparative fit index= 0.091, goodness of fit index=0.98, Tucker-Lewis index= 0.93, incremental fit index= 0.91, and standard root mean square residual== 0.072.Conclusion: The Filipino version of the spiritual index of well-being was cross-culturally valid and reliable in measuring the spiritual index of well-being among Filipino women with breast cancer.


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