A Second-Order Confirmatory Factor Analysis of the Moral Distress Scale-Revised for Nurses

2017 ◽  
Vol 26 (4) ◽  
pp. 1199-1210 ◽  
Author(s):  
Hamid Sharif Nia ◽  
Vida Shafipour ◽  
Kelly-Ann Allen ◽  
Mohammad Reza Heidari ◽  
Jamshid Yazdani-Charati ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Moral Distress ◽  
Second Order ◽  
Divergent Validity ◽  
Confirmatory Factor ◽  
Convergent And Divergent Validity ◽  
Distress Scale

Background: Moral distress is a growing problem for healthcare professionals that may lead to dissatisfaction, resignation, or occupational burnout if left unattended, and nurses experience different levels of this phenomenon. Objectives: This study aims to investigate the factor structure of the Persian version of the Moral Distress Scale–Revised in intensive care and general nurses. Research design: This methodological research was conducted with 771 nurses from eight hospitals in the Mazandaran Province of Iran in 2017. Participants completed the Moral Distress Scale–Revised, data collected, and factor structure assessed using the construct, convergent, and divergent validity methods. The reliability of the scale was assessed using internal consistency (Cronbach’s alpha, Theta, and McDonald’s omega coefficients) and construct reliability. Ethical considerations: This study was approved by the Ethics Committee of Mazandaran University of Medical Sciences. Findings: The exploratory factor analysis ( N = 380) showed that the Moral Distress Scale–Revised has five factors: lack of professional competence at work, ignoring ethical issues and patient conditions, futile care, carrying out the physician’s orders without question and unsafe care, and providing care under personal and organizational pressures, which explained 56.62% of the overall variance. The confirmatory factor analysis ( N = 391) supported the five-factor solution and the second-order latent factor model. The first-order model did not show a favorable convergent and divergent validity. Ultimately, the Moral Distress Scale–Revised was found to have a favorable internal consistency and construct reliability. Discussion and conclusion: The Moral Distress Scale–Revised was found to be a multidimensional construct. The data obtained confirmed the hypothesis of the factor structure model with a latent second-order variable. Since the convergent and divergent validity of the scale were not confirmed in this study, further assessment is necessary in future studies.

scholarly journals Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Anne Vinggaard Christensen ◽  
Jane K. Dixon ◽  
Knud Juel ◽  
Ola Ekholm ◽  
Trine Bernholdt Rasmussen ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Divergent Validity ◽  
Hospital Anxiety ◽  
Item Functioning ◽  
Confirmatory Factor

Abstract Background Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease. Methods The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach’s alpha, and differential item functioning by gender was examined using ordinal logistic regression. Results A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach’s alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items. Conclusions The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research. Trial registration ClinicalTrials.gov: NCT01926145.

Psychometrics of the Gratitude Questionnaire-6 in African-Americans at Risk for Cardiovascular Disease

2020 ◽  
Vol 42 (12) ◽  
pp. 1148-1154
Author(s):  
Lakeshia Cousin ◽  
Laura Redwine ◽  
Christina Bricker ◽  
Kevin Kip ◽  
Harleah Buck
Keyword(s):  
At Risk ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Factor Structure ◽  
Well Being ◽  
Divergent Validity ◽  
Analysis Model ◽  
Factor Analysis Model ◽  
Confirmatory Factor

Psychometrics of the Gratitude Questionnaire-6, which measures dispositional gratitude, was originally estimated in healthy college students. The purpose of this study was to examine the scales’ factor structure, convergent/divergent validity, and reliability among 298 AA adults at risk for CVD in the community. Analyses were performed using bivariate correlations, exploratory factor analysis, and confirmatory factor analysis. The scale demonstrated acceptable estimates for internal consistency (Cronbach’s α = 0.729). Our exploratory factor analysis results yielded a one-factor structure consistent with the original instrument, and the confirmatory factor analysis model was a good fit. Convergent/divergent validity was supported by the association with positive affect (coefficient = 0.482, 95% CI = [0.379, 0.573], spiritual well-being (coefficient = 0.608, 95% CI = [0.519, 0.685], and depressive symptoms (coefficient = −0.378, 95% CI = [−0.475, −0.277]. Findings supported the scale’s reliability and convergent/divergent validity among AAs at risk for CVD.

scholarly journals Five Factor Model in Iranian Culture: A Psychometrics Analysis of NEO-Five Factor Inventory (NEO-FFI)

2014 ◽  
Vol 1 (4) ◽  
Author(s):  
Manoochehr Azkhosh ◽  
Ali Asgari
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Factor Structure ◽  
Internal Consistency ◽  
Factor Model ◽  
Five Factor Model ◽  
Explanatory Factor Analysis ◽  
Confirmatory Factor ◽  
Neo Five Factor Inventory

This study aimed to investigate the construct validity and factor structure of NEO-Five Factor Inventory (Costa & McCrae, 1992) in Iranian population. Participants were 1639 (780 male, 859 female) Tehran people aged 15-71. The results of explanatory factor analysis showed no notable differences between the factor structures extracted by oblique and orthogonal rotations and didn’t replicate the scoring key. The Openness and Agreeableness had more psychometric problems (low internal consistency and high deleted items). The female’s NEO-FFI factor structure (with 41 items of 60 loaded on intended factors)was clearer than males’ (with 37 items). Confirmatory factor analysis supported the male’s latent modeling of the 31-item but failed to fit the female’s model. The women scored significantly higher in the Neuroticism, Openness, Agreeableness, and Conscientiousness than men who scored significantly higher in the Extraversion. As previous findings, the current results showed the NEO-FFI’s cultural limitations assessing the universality of the Five Factor Model.

Psychometric Properties of a Portuguese Version of the Revised Sociosexual Orientation Inventory

2016 ◽  
Vol 7 ◽  
Author(s):  
Félix Neto
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Sociosexual Orientation ◽  
Portuguese Version ◽  
Confirmatory Factor ◽  
Adequate Internal Consistency ◽  
Three Factor

Sociosexuality refers to the propensity to engage in sexual relations without closeness or commitment, varying from a restricted to an unrestricted orientation. The aim of this research was to scrutinise the psychometric properties of a Portuguese version of the revised Sociosexual Orientation Inventory (SOI-R; Penke & Asendorpf, 2008). The study included 549 persons (50% women) aged 18–75 years (M = 38.73; SD = 17.77). The psychometric properties of the SOI-R were analysed by means of confirmatory factor analysis, internal consistency, and validity. Confirmatory factor analysis showed the expected three-factor structure of the measure. The SOI-R presented adequate internal consistency. Women were less unrestricted than men in all facets of sociosexuality. This Portuguese version of the SOI-R seems to be reliable and valid for evaluating sociosexuality in a Portuguese-speaking population, and can be utilised for experimental and applied works. The significance and limitations of the results are discussed.

Scale Development of Organizational Health Construct

2017 ◽  
Vol 19 (2) ◽  
pp. 357-375 ◽  
Author(s):  
Anupama Singh ◽  
Sumi Jha
Keyword(s):  
Factor Analysis ◽  
Comparative Analysis ◽  
Confirmatory Factor Analysis ◽  
Organizational Health ◽  
Organizational Values ◽  
Divergent Validity ◽  
Developed Country ◽  
Confirmatory Factor ◽  
Convergent And Divergent Validity ◽  
Team Orientation

The purpose of this research is to understand the concept of organizational health (OH). Further, this research developed a construct of OH derived from factors identified in extant literature. Data from 121 scientists working in engineering and scientific divisions of Council of Scientific and Industrial Research (CSIR), India, were collected to test the internal consistency, to confirm factor structure and to assess convergent and divergent validity of the construct. The results of Confirmatory Factor Analysis (CFA) produced seven factors of organizational health, namely, managerial efficacy, amiable power relations, HRD orientation and practices, team orientation, organizational values, innovativeness and morale. The study has been conducted in emerging economy setting. A comparative analysis of organization like CSIR in developed country can be carried out for further research using the same construct. This will help in validating the construct developed in this research. To the best of the author’s knowledge, this is the only study that has developed a comprehensive construct of organizational health for an Indian R&D sector.

scholarly journals Confirmatory Factor Analysis of Center for Epidemiological Studies Depression 10-item Scale on Chinese International Students in Korea

2021 ◽  
Vol 14 (1) ◽  
pp. 185-192
Author(s):  
Yang Eun Kim ◽  
Boram Lee
Keyword(s):  
Factor Analysis ◽  
International Students ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Epidemiological Studies ◽  
Chinese International Students ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Introduction: Depression has become increasingly prevalent in Chinese international students in South Korea. For this population, therefore, accurate assessment of mood disorders, particularly depression, is critically important. The 10-item Center for Epidemiological Studies Depression Scale (CES-D 10) is commonly used to measure depression in both clinical and non-clinical populations. Thus, this study examined the CES-D 10’s factor structure and psychometric properties in Chinese international students. Methods: Study participants were 250 Chinese international students aged 18–23, attending a four-year university in Korea; they completed the Chinese version of the CES-D 10. Based on relevant theories and empirical research, confirmatory factor analysis was employed to examine the adequacy of three competing models’ factor structure. Internal consistency reliability was assessed using Cronbach’s alpha, and test-retest reliability using the Pearson correlation coefficient. Results: Confirmatory factor analysis suggested that the two-factor model comprised of depressive affect/somatic retardation and positive affect had the best fit. The CES-D 10 showed satisfactory internal consistency and test-retest reliability in Chinese international students. Conclusion: The CES-D 10 demonstrated strong psychometric properties in this Chinese international student sample, and results suggest that the CES-D scale is a useful screening tool for depressive symptoms. Therefore, the CES-D 10 could be used as a depression screen for international students at the population level and in health clinics.

scholarly journals Factor structure and short version of the modified Fresno test to assess the use of the evidence-based practice in physiotherapists

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anderson Martins da Silva ◽  
Rosimeire Simprini Padula
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Short Version ◽  
Evidence Based ◽  
Convenience Sample ◽  
Fresno Test ◽  
Confirmatory Factor

Abstract Background The Modified Fresno Test has been used to evaluate the use of the Evidence-Based Physiotherapy (EBP). So far, none of the versions of the Fresno Test were subjected to analysis of the factorial structure. The objective of the study was to describe the exploratory and confirmatory factor structure of the Modified Fresno Test adapted to the Portuguese-Brazilian and analyze the statistical feasibility for the elaboration of a short version. Methods The questionnaire was applied with a convenience sample of 57 physiotherapists, being 36 professionals (13 of these also professors) and 21 students from the last semester of the physiotherapy course. Exploratory Factor Analysis (EFA) was performed by the method of principal components. Confirmatory Factor Analysis (CFA) was performed by the method of maximum likelihood. The total score of the answers in the test and retest was evaluated, totalling 228 observations. Reliability was assessed by means of internal consistency, using Cronbach’s alpha coefficient. Results Reliability was satisfactory (α 0.81) for all questions of the instrument. The coefficient α calculated for the corrected item-total showed values higher than 0.20 except for item 9. Preliminary tests for Exploratory Factor Analysis showed acceptable values with Kaiser-Meyer-Olkin (KMO = 0.80) and Bartlett’s test of sphericity [chi-square (78) = 1149.615, p < 0.001], indicating that the correlations were sufficient for analysis. The analysis revealed the presence of 3 factors (eigenvalues> 1), which explains 60.9% of the instrument’s total variance. In Confirmatory Factor Analysis, none of the indices came close to an acceptable level (≥ 0.90), however, the second model which tested a three-factor structure provided a better fit to the data. From the results of this study the Modified Fresno Test short version was drawn. Conclusion The analysis showed good factor validity and adequate internal consistency for the use of the instrument consisting of 13 questions and 3 factors. This model proved to be better than the original model. The short version consisting of 9 questions may be an appropriate alternative for use in the population of interest.

scholarly journals The Psychometric Properties of Extraversion and Neuroticism Scale by Using Likert- Type Item Format

2012 ◽  
Vol 6 (2) ◽  
pp. 76
Author(s):  
Imtanious Mkhael
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Reliability And Validity ◽  
Arabic Version ◽  
Divergent Validity ◽  
Item Format ◽  
Convergent And Divergent Validity ◽  
Neuroticism Scale

The main objective of the present study was to develop an Arabic version of Junior Eysenck Extraversion and Neuroticism Questionnaire-Revised (12 items for Extraversion and 12 items for Neuroticism) and to assess its psychometric properties by using the Likert-type item format with five categories against the dichotomous(yes or no) one. In order to achieve the objective of the study several methods of reliability and validity were used, and the instrument under investigation was administered to several samples (N=727 subjects). Investigation of the internal consistency of the Extraversion, and the Neuroticism scales using alpha and item-total correlations showed that Likert-type item format of these scales to be superior to dichotomous one. Study also displayed improvements in test-retest reliabilities, convergent and divergent validity of the Likert-type item format of the Extraversion and Neuroticism scales. Validity of these subscales was also supported by their intercorrelations, as well as their factor analysis which confirmed that the instrument under consideration had the same factor structure as was observed in the original dichotomous version. 

scholarly journals Evaluation of Factor Structure of the Persian Scale of Coping With Carver Shortened Stress

2020 ◽  
Vol 23 (4) ◽  
pp. 472-487
Author(s):  
Azam Hashemian Moghadam ◽  
◽  
Hamid Reza Agha Mohammadian Sharbaf ◽  
Mohammad Saeid AbdeKhodaei ◽  
Hossein Kareshki ◽  
...  
Keyword(s):  
Health Psychology ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Student Sample ◽  
Statistical Population ◽  
Brief Cope ◽  
Confirmatory Factor

Background and Aim: Coping with stress is one of the most important research areas in health psychology. Researching in this regard requires a tool with strong psychometric properties and validation in Iranian culture. The purpose of this study was to investigate the most commonly used short-scale factor structure, the Carver’s Brief Cope. Methods & Materials: This study was a cross-sectional and methodological study of test type. The statistical population consisted of all students studying at Birjand University in 1977-98. Sampling was available by the method. The condition for entry into the study was the experience of a stressor for at least 6 months. After receiving a medium or high score on the perceived stress level, 629 students completed the 28-question form. Data was analyzed using SPSS V. 15 and laser software V. 8.8. Exploratory factor analysis was performed to determine the factor structure of the questionnaire. A confirmatory factor analysis was used to confirming the factors. Reliability was established through retesting and internal consistency. Ethical Considerations: This study is part of a PhD. thesis, registered (Code: IR.UM.REC. 3/50099) at Ferdowsi University of Mashhad. Before entering the study, an informed consent was obtained from the subjects. Results: After confirming the face and content validity quantitatively and qualitatively, the exploratory factor analysis results after varimax rotation showed 55.139% of the total variance explained by the first eight factors with a higher than one specific value. However, in confirmatory factor analysis, the first two factors, 4 and 7, were omitted due to insufficient power to explain the present variables. Finally, the goodness-of-fit indices of the RMFIA, PFI, GFI, IFI, IFI, CFI, AGFI confirmed the fit of the six-factor structure with the data. Reliability of the instrument was also confirmed by internal consistency (α=0.73) and test-retest reliability (r=0.59). Conclusion: The highly abbreviated 6-item form of Carver’s Brief Cope showed good validity and reliability in the student sample and can be used in health psychology studies.

scholarly journals The Noetic Experience and Belief Scale: A validation and reliability study

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1741
Author(s):  
Helané Wahbeh ◽  
Garret Yount ◽  
Cassandra Vieten ◽  
Dean Radin ◽  
Arnaud Delorme
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Latent Variables ◽  
Convergent Validity ◽  
The United States ◽  
Divergent Validity ◽  
Analysis Model ◽  
Factor Analysis Model ◽  
Confirmatory Factor

Background: Belief in the paranormal is widespread worldwide. Recent surveys suggest that subjective experiences of the paranormal are common. A concise instrument that adequately evaluates beliefs as distinct from experiences does not currently exist. To address this gap, we created the Noetic Experiences and Beliefs Scale (NEBS) which evaluates belief and experience as separate constructs. Methods: The NEBS is a 20-item survey with 10 belief and 10 experience items rated on a visual analog scale from 0-100. In an observational study, the survey was administered to 361 general population adults in the United States and a subsample of 96 one month later. Validity, reliability and internal consistency were evaluated. A confirmatory factor analysis was conducted to confirm the latent variables of belief and experience. The survey was then administered to a sample of 646 IONS Discovery Lab participants to evaluate divergent validity and confirm belief and experience as latent variables of the model in a different population. Results: The NEBS demonstrated convergent validity, reliability and internal consistency (Cronbach’s alpha Belief 0.90; Experience 0.93) and test-retest reliability (Belief: r = 0.83; Experience: r = 0.77). A confirmatory factor analysis model with belief and experience as latent variables demonstrated a good fit. The factor model was confirmed as having a good fit and divergent validity was established in the sample of 646 IONS Discovery Lab participants. Conclusions: The NEBS is a short, valid, and reliable instrument for evaluating paranormal belief and experience.

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