Development and Psychometric Evaluation of the Concerns of Grieving Caregivers Scale (COGCS) with Two Clinical Samples

2021 ◽  
pp. 003022282110530
Author(s):  
Samantha O’Leary ◽  
Christopher Quinn-Nilas ◽  
Victoria Pileggi ◽  
Ceilidh Eaton Russell

The Concerns of Grieving Caregivers Scale (COGCS) is the first of its kind to explore caregivers’ concerns about their own parenting, as well as their relationships with, and specific behaviours of their bereaved child(ren). Using exploratory factor analysis, we evaluate grieving parents’ and caregivers’ concerns using data collected across clinical populations from two community organizations supporting grieving families (i.e., a children’s grief centre and a community hospice). Two identified factors were established: Concerns about Caregiving and Concerns about the Child. The COGCS demonstrates good internal consistency and criterion validity in its application with two distinct clinical samples. The use of this scale could be of value to clinicians supporting bereaved caregivers and their families as they can integrate concern-specific resources into their practice to better support their clients’ presenting concerns.

2016 ◽  
Vol 34 (5) ◽  
pp. 435-441 ◽  
Author(s):  
Kristin R. Baughman ◽  
Ruth Ludwick ◽  
Rebecca Fischbein ◽  
Kenelm McCormick ◽  
James Meeker ◽  
...  

Background: Although patients prefer that physicians initiate advance care planning (ACP) conversations, few physicians regularly do so. Physicians may be reluctant to initiate ACP conversations because they lack self-efficacy in their skills. Yet, no validated scale on self-efficacy for ACP exists. Our objective was to develop a scale that measures physicians’ ACP self-efficacy (ACP-SE) and to investigate the validity of the tool. Methods: Electronic questionnaires were administered to a random sample of family medicine physicians (n = 188). Exploratory factor analysis was performed to determine whether the scale was multidimensional. An initial assessment of the scale’s validity was also conducted. Results: The exploratory factor analysis indicated that a single factor was appropriate using all 17 items. A single, unidimensional scale was created by averaging the 17 items, yielding good internal consistency (Cronbach α = 0.95). The average scale score was 3.94 (standard deviation = 0.71) on a scale from 1 to 5. The scale was moderately correlated with a global single-item measure of self-efficacy for ACP ( r = .79, P < .001), and the scale differentiated between physician groups based on how much ACP they were doing, how recently they had an ACP conversation, formal training on ACP, and knowledge of ACP. In a multivariate analysis, the ACP-SE scale was a strong predictor of the percentage of patients with chronic life-limiting diseases with whom the physician discussed ACP. Conclusion: The final ACP-SE scale included 17 items and demonstrated high internal consistency.


2013 ◽  
Vol 33 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Erika da Silva Maciel ◽  
Luciana Kimie Savay-da-Silva ◽  
Júlia Santos Vasconcelos ◽  
Juliana Antunes Galvão ◽  
Jaqueline Girnos Sonati ◽  
...  

The objective of this research was to use the technique of Exploratory Factor Analysis (EFA) for the adequacy of a tool for the assessment of fish consumption and the characteristics involved in this process. Data were collected during a campaign to encourage fish consumption in Brazil with the voluntarily participation of members of a university community. An assessment instrument consisting of multiple-choice questions and a five-point Likert scale was designed and used to measure the importance of certain attributes that influence the choice and consumption of fish. This study sample was composed of of 224 individuals, the majority were women (65.6%). With regard to the frequency of fish consumption, 37.67% of the volunteers interviewed said they consume the product two or three times a month, and 29.6% once a week. The Exploratory Factor Analysis (EFA) was used to group the variables; the extraction was made using the principal components and the rotation using the Quartimax method. The results show clusters in two main constructs, quality and consumption with Cronbach Alpha coefficients of 0.75 and 0.69, respectively, indicating good internal consistency.


Author(s):  
Kati Hiltrop ◽  
Nina Hiebel ◽  
Franziska Geiser ◽  
Milena Kriegsmann-Rabe ◽  
Nikoloz Gambashidze ◽  
...  

Background: Thus far, there is no instrument available measuring COVID-19 related health literacy of healthcare professionals. Therefore, the aim of this study was to develop an instrument assessing COVID-19 related health literacy in healthcare professionals (HL-COV-HP) and evaluate its psychometric properties. Methods: An exploratory factor analysis, a confirmatory factor analysis, and descriptive analyses were conducted using data from n = 965 healthcare professionals. Health literacy related to COVID-19 was measured with 12 items, which were adapted from the validated HLS-EU-Q16 instrument measuring general health literacy. Results: Exploratory factor analysis demonstrated that 12 items loaded on one component. After removing one item due to its high standardized residual covariance, the confirmatory factor analysis of a one-factor model with 11 items showed satisfactory model fit (χ2 = 199.340, df = 41, χ2/df = 4.862, p < 0.001, RMSEA = 0.063, CFI = 0.963 and TLI = 0.951). The HL-COV-HP instrument showed good internal consistency (Cronbach’s alpha 0.87) and acceptable construct reliability. Conclusions: The HL-COV-HP is a reliable, valid, and feasible instrument to assess the COVID-19 related health literacy in healthcare professionals. It can be used in hospitals or other healt hcare settings to assess the motivation and ability of healthcare professionals to find, understand, evaluate, and use COVID-19 information.


2020 ◽  
Vol 5 (3) ◽  
pp. 327-340
Author(s):  
Nesrullah Okan ◽  
Halil Eksi

The aim of this study is to adapt the Moral Integrity Scale developed by Sclenker (2008) to Turkish and conduct its psychometric analysis. The scale items were translated into Turkish by five specialists in the first place. After the language structure, culture suitability and understandability of the items were examined by the two experts, the items agreed upon were translated back to their original language by the two translation experts. After the positive evaluations of the experts, the final version of the scale items was decided. During the adaptation process of the study, data were collected from 470 people for exploratory factor analysis; from 248 people for confirmatory factor analysis and from 100 people for criterion validity. In this context, Exploratory Factor Analysis (AFA) was used to test the construct validity of the scale first. As a result of the exploratory factor analysis, it is seen that the moral integrity scale explains 52,127% of the variance as one dimension. Confirmatory factor analysis (CFA) was then performed to test the construct validity of the scale. The one-dimensional and 18-item structure of the Moral Integrity Scale was analyzed with DFA and accepted fit indices were obtained (X2 / sd = 2.745; p <.001; RMSEA = 0.061; S-RMR = 0.051; NFI = 0.929; CFI = 0.954; GFI = 0.915; RFI = 0.919). In order to calculate the scale reliability, the Cronbach Alpha (α) internal consistency coefficients and the difference between the lower and upper scores of 27% were examined. For the Moral Integrity Scale, the internal consistency coefficient Cronbach’s Alpha value was determined as 961. At the same time, the moral identity scale was used for criterion validity and a significant positive relationship was obtained with the two sub-dimensions of this scale. The total score obtained from the scale gives the person’s moral integrity score. According to all these results, it is understood that the Moral Integrity Scale has sufficient validity and reliability values.


2011 ◽  
Vol 109 (2) ◽  
pp. 445-452 ◽  
Author(s):  
Frank Leavitt ◽  
Robert S. Katz

Mental fog is a core symptom of fibromyalgia. Its definition and measurement are central to an understanding of fibromyalgia-related cognitive disability. The Mental Clutter Scale was designed to measure mental fogginess. In an exploratory factor analysis of two different samples ( n = 128 and n = 170), cognitive symptoms of fibromyalgia loaded on 2 dimensions: cognition and mental clarity. The mental clarity factor comprised 8 items with factor loadings greater than .60 and was named the Mental Clutter Scale. The factor stability of the new scale was good, internal consistency was .95, and test-retest reliability over a median of 5 days was .92. The 8-item scale is a quick measure of mental fog that provides clinicians with information about cognitive functioning in fibromyalgia.


2014 ◽  
Vol 14 (1) ◽  
pp. 9-20
Author(s):  
Heidi Celina Oviedo ◽  
Edwin Herazo

Objetivo: Determinar la validez y confiabilidad de la escala para homofobia (EHF) enestudiantes de medicina de una universidad de Bogotá, Colombia, 2010. Método: Serealizó un estudio de validación con la participación de 124 estudiantes de sexto a décimosemestre, en edades entre 19 y 34 años de edad, media de 23,7 años (DE=2,7);y 66,1%, mujeres y 33,9% hombres. Resultados: Se estimó alfa de Cronbach y omegade McDonald como medidas de confiabilidad y análisis factorial exploratorio paraconocer la estructura interna de la escala. El alfa de Cronbach fue 0,81 y la omega deMcDonald, 0,82. La estructura interna dio cuenta de un único factor responsable del49,2% de la varianza. Conclusión: La EHF muestra buena consistencia interna y unfactor en estudiantes de medicina de sexto a décimo semestre de una universidad deBogotá, Colombia. La escala mide con aceptable validez y confiabilidad el prejuiciohacia personas homosexuales en estudiantes de medicina. Este desempeño permiteel uso en nuevas investigaciones.Objective: To determine the validity and reliability of the Homophobia Scale (HS) inmedical students of a university in Bogotá, Colombia, 2010. Method: A validation studywas conducted with the participation of 124 students from sixth to tenth semester,aged between 19 and 34 years old, average 23.7 years (SD=2.7); and 66.1% womenand 33.9% men. Results: It was estimated Cronbach alpha and McDonald omegaas measures of reliability; and exploratory factor analysis to determine the internalstructure of the scale. Cronbach alpha was 0.81; and McDonald omega, 0.82. Theinternal structure showed a single factor responsible for 49.2% of the total variance.Conclusion: HS shows good internal consistency and a single factor in medical studentsfrom sixth to tenth semester at a university in Bogotá, Colombia. HS measureswith acceptable validity and reliability the prejudice toward homosexuals in medicalstudents. This performance allows use in further research.


Author(s):  
Félix Neto

AbstractSaudade involves psychosocial reactions to several circumstances involving deprivation from loved people and/or familiar locations. This work concerns the development and preliminary validation of an instrument to assess general disposition to saudade, the Porto Saudade Scale (PSS). Three studies were conducted which indicated that the PSS has favorable psychometric properties. Exploratory factor analysis of the PSS demonstrated a single latent saudade factor. The confirmatory factor analysis showed that the single latent model of the PSS is adequate and possesses good internal consistency. As expected, the data also supported the convergent, discriminant, and external validity of the PSS. Saudade was more frequently reported among females than among males. These results suggest the validity of the PSS and emphasize that it is a brief measure with strong psychometric evidence for assessing saudade.


2020 ◽  
Vol 34 (4) ◽  
pp. 869-897
Author(s):  
Atiqa Rafeh ◽  
Rubina Hanif

The present study was intended to develop a scale to measure perceived weight stigmatization among people with obesity. The study was conducted in five steps. In first step, three focus group discussions were conducted with female obese university students to get the first-hand information related to weight stigmatization. Step two involved four interviews which were conducted with male obese university students to collect detailed information about weight stigmatization experiences of men. Step three included content analysis of qualitative data for item generation. In step four, judge’s opinion was taken, and a committee approach was carried out to select the items for the initial form of the scale. Items for final form of the scale were selected through exploratory factor analysis and confirmatory factor analysis in step five. For exploratory factor analysis, 150 university students (men = 61, women = 89) were included in the sample, whereas, for confirmatory factor analysis, another group of students (men = 78, women = 72) participated in the study. Principal Component Factor Analysis revealed three meaningful structures including Self-Perception, Perceived Social Rejection, and Perceived Impact containing 43 items. Confirmatory factor analysis confirmed this factor structure and all 43 items possessed factor loadings greater than .40. Moreover, results indicated that perceived weight stigmatization had high internal consistency (Cronbach’s alpha = .96) with three subscales having internal consistency .95, .83, and .92 respectively. Therefore, Perceived Weight Stigmatization Scale turned out to be a reliable and valid instrument for measuring perception of weight stigma in adults with obesity.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A201-A202
Author(s):  
Kristina Puzino ◽  
Susan Calhoun ◽  
Allison Harvey ◽  
Julio Fernandez-Mendoza

Abstract Introduction The Sleep Inertia Questionnaire (SIQ) was developed and validated in patients with mood disorders to evaluate difficulties with becoming fully awake after nighttime sleep or daytime naps in a multidimensional manner. However, few data are available regarding its psychometric properties in clinical samples with sleep disorders. Methods 211 patients (43.0±16.4 years old, 68% female, 17% minority) evaluated at the Behavioral Sleep Medicine (BSM) program of Penn State Health Sleep Research & Treatment Center completed the SIQ. All patients were diagnosed using ICSD-3 criteria, with 111 receiving a diagnosis of chronic insomnia disorder (CID), 48 of a central disorder of hypersomnolence (CDH), and 52 of other sleep disorders (OSD). Structural equation modelling was used to conduct confirmatory factor analysis (CFA) of the SIQ. Results CFA supported four SIQ dimensions of “physiological”, “cognitive”, “emotional” and “response to” (RSI) sleep inertia with adequate goodness-of-fit (TLI=0.90, CFI=0.91, GFI=0.85, RMSEA=0.08). Internal consistency was high (α=0.94), including that of its dimensions (physiological α=0.89, cognitive α=0.94, emotional α=0.67, RSI α=0.78). Dimension inter-correlations were moderate to high (r=0.42–0.93, p&lt;0.01), indicating good construct validity. Convergent validity showed moderate correlations with Epworth sleepiness scale (ESS) scores (r=0.38) and large correlations with Flinders fatigue scale (FFS) scores (r=0.65). Criterion validity showed significantly (p&lt;0.01) higher scores in subjects with CDH (69.0±16.6) as compared to those with CID (54.4±18.3) or OSD (58.5±20.0). A SIQ cut-off score ≥57.5 provided a sensitivity/specificity of 0.77/0.65, while a cut-off score ≥61.5 provided a sensitivity/specificity of 0.71/0.70 to identify CDH vs. ESS&lt;10 (AUC=0.76). Conclusion The SIQ shows satisfactory indices of reliability and construct validity in a clinically-diverse sleep disorders sample. Its criterion validity is supported by its divergent association with hypersomnia vs. insomnia disorders, as well as its adequate sensitivity/specificity to identify patients with CDH. The SIQ can help clinicians easily assess the complex dimensionality of sleep inertia and target behavioral sleep treatments. Future studies should confirm the best SIQ cut-off score by including good sleeping controls, while clinical studies should determine its minimal clinically important difference after pharmacological or behavioral treatments. Support (if any):


2021 ◽  
pp. 135910532199077
Author(s):  
Eng Hooi Tan ◽  
Andrea Li Ann Wong ◽  
Chuan Chien Tan ◽  
Patrick Wong ◽  
Sing Huang Tan ◽  
...  

The Beliefs about Medicines Questionnaire (BMQ) and Adherence Starts with Knowledge (ASK-12) questionnaire were originally developed and validated in Western populations to assess beliefs and barriers to medication adherence. The study aim is to validate the BMQ and ASK-12 questionnaire for use in a Singapore population with early stage breast cancer. English-speaking women on adjuvant endocrine therapy ( n = 157) were recruited. The BMQ-Specific showed good internal consistency with structural validity. The internal consistency of BMQ-General and ASK-12 Behaviour scale improved with the new factor structure obtained from exploratory factor analysis. Further studies are needed to confirm these factor structures.


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