Translation and Psychometric Validation of the German Version of the Family Nursing Practice Scale (FNPS)

This article describes the cross-cultural adaption and psychometric testing of the Family Nursing Practice Scale (FNPS) German version. The FNPS aims to examine self-reported family nursing practice skills and reciprocity in the nurse–family relationship. Using a cross-sectional design, 583 acute and critical care nurses were invited to complete the FNPS German version. Exploratory factor analysis was used to assess the structural validity. Internal consistency was determined using Cronbach’s alpha. A total of 317 nurses returned a completed online questionnaire. Principal axis factor analysis suggests a one-factor solution in which all 10 items are retained, accounting for 36% of the variance. Cronbach’s alpha was .84. In contrast to the original version, our findings indicate the unidimensionality of the construct. The FNPS German version appears to be a valid and reliable scale to assess nurses’ perception of their family nursing practice proficiency. Further testing is needed to confirm the unidimensionality and to establish test–retest reliability.

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Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation

Dementia and Geriatric Cognitive Disorders ◽

10.1159/000517537 ◽

2021 ◽

pp. 1-8

Author(s):

Merve Aliye Akyol ◽

Seher Gönen Şentürk ◽

Burcu Akpınar Söylemez ◽

Özlem Küçükgüçlü

Keyword(s):

Factor Analysis ◽

Content Validity ◽

Educational Interventions ◽

Psychometric Validation ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Income Status ◽

Confirmatory Factor ◽

Fit Indexes ◽

Knowledge Scale

Background: The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it’s prevention, early diagnosis, treatment, and care. The psychometric properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study. Methods: The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale’s reliability was obtained using Cronbach’s alpha coefficient, a paired sample t-test, item-total score correlation, and Hotelling’s T-squared test. Results: The mean age of the sample was 29.38 (±11.50) years; 66.8% (n = 1064) were female, and 54.1% (n = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall W = 0.155, p = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be >0.30 in factor analysis. In CFA, all of the fit indexes were >0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach’s alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (t = −1.362, p = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling’s T-squared = 2573.681, p < 0.001). Conclusion: The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.

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PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16234867 ◽

2019 ◽

Vol 16 (23) ◽

pp. 4867 ◽

Cited By ~ 2

Author(s):

Achim Siegel ◽

Anna T. Ehmann ◽

Ingo Meyer ◽

Oliver Gröne ◽

Wilhelm Niebling ◽

...

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Construct Validity ◽

Survey Instrument ◽

German Version ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Confirmatory Factor ◽

Two Factors ◽

Patient Enablement

Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subjects was followed by a random sample survey of N = 1168 subjects. An exploratory factor analysis was conducted in a random split-half sample of the data to explore PEN-13’s factor structure; a confirmatory factor analysis was conducted in the validation sample. The internal consistency of the factors was evaluated using Cronbach’s alpha, PEN-13’s construct validity was checked by means of additional hypothesis testing. Results: The two factors self-management and patient-practitioner interaction, detected in the exploratory analysis, were confirmed with a few modifications in the confirmatory factor analysis, with the comparative fit index (CFI) amounting to 0.903. The Cronbach’s alpha values of those two factors amounted to α = 0.90 and α = 0.82, respectively. The correlations of the PEN-13 score with the ’general self-efficacy’ and ’health literacy’ (HLS-EU-Q16) scores further confirmed its construct validity; the respective correlation coefficients amounted to 0.57 and 0.60. Conclusion: The German version of the survey instrument Patient Enablement Scale—13 items (PEN-13) shows acceptable psychometric properties. Practical implications: PEN-13 seems particularly suitable for health services research purposes. We recommend checking the results in another sample as well as evaluating its responsiveness to enablement-enhancing interventions.

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Cross-Cultural Adaptation and Psychometric Properties of Oppositional Defiant Behavior Inventory

Iranian Journal of Psychiatry and Behavioral Sciences ◽

10.5812/ijpbs.108493 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Arezoo Paliziyan ◽

Mehrnaz Mehrabizadeh Honarmand ◽

Seyed Esmael Hashemi ◽

Iran Davoudi

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Cross Cultural ◽

Self Report ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Oppositional Defiant ◽

Cultural Adaption ◽

Confirmatory Factor ◽

Defiant Behavior

Background: Diagnostic questionnaires play a great role in accelerating the diagnosis of mental disorders. Objectives: This study aimed to provide a cross-cultural adaption form of Self-report oppositional defiant behavior inventory (SR-ODBI) in Persian and assess the validity and reliability of this Persian form. Methods: The present study was done on two research samples, including a sample of 294 students who were selected in the school year of 2019 - 2020 (girls and boys) from high schools of Dezful city by multi-stage random sampling method and a sample of 320 parents. The validity of the oppositional defiant behavior inventory was assessed by two methods of confirmatory factor analysis and convergent validity, and the reliability of the inventory was assessed using Cronbach's alpha and split-half methods. Results: Cronbach's alpha was obtained at 0.73 (0.87) for the whole self-report scale (parent version), 0.72 (0.74) for the subscale of irritability, and 0.81 (0.80) for the subscale of stubborn and resentful behavior. The correlation between SR-ODBI and Achenbach Youth Mental Health Test was 0.56 (P < 0.01). The results of confirmatory factor analysis (RMSEA = 0.06 and 0.08) also indicated a relatively good fit of structures of the oppositional defiant behavior inventory. Conclusions: The results of the research indicated that the Persian version of the Oppositional Defiant Behavior Inventory in Iran has good reliability and validity.

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Psychometric Testing of The Chinese Version of The Family Crisis Oriented Personal Evaluation Scales In Families of Patients With Dementia

10.21203/rs.3.rs-840922/v1 ◽

2021 ◽

Author(s):

Qingyan Wang ◽

Sanmei Chen ◽

Weiwei Liu ◽

Yu Sheng

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Chinese Version ◽

Homogeneity Analysis ◽

Cronbach’S Alpha ◽

Validity Index ◽

Cronbach's Alpha ◽

Family Crisis ◽

Confirmatory Factor ◽

The Family

Abstract Background: The Family Crisis Oriented Personal Evaluation Scales (F-COPES) is a widely used instrument to evaluate family coping behaviours. However, no Chinese version of this scale have been developed and validated in China. This study aimed to develop a Chinese version of the F-COPES and evaluate its psychometric properties in the families of patients with dementia who have heavy stress and care burdens.Methods: A cross-sectional study in the specialist memory and geriatric psychiatric clinics of four hospitals in Beijing, China. The English version of the F-COPES was translated into Chinese according to the standard translation guideline. An expert panel was invited to evaluate the content validity index of the Chinese version of this scale. This study included 215 families of patients with dementia. The item homogeneity analysis was conducted by using corrected item-total correlation, corrected item-subscale correlation, and changes of Cronbach’s alpha coefficient of subscales after deleting each item. The factor structure was analysed by using a confirmatory factor analysis. The convergent validity was tested by correlating the F-COPES to the Multidimensional Scale of Perceived Social Support (MSPSS). The internal consistency was assessed by using Cronbach's alpha coefficients of the whole scale and subscales.Results: The content validity index of the Chinese version of the F-COPES was 0.98, with that of each item ranging from 0.83 to 1.00. The result of item homogeneity analysis was satisfactory except for the items in the subscale of passive appraisal. The confirmatory factor analysis identified six subscales; namely, acquiring relatives’ support, acquiring friends’ support, acquiring neighbours’ or others’ support, reframing, seeking spiritual support, and passive appraisal, with acceptable model fit indices (χ2/df = 1.65, CFI = 0.91, GFI = 0.85, TLI = 0.90, PGFI = 0.69, RMSEA = 0.06). The convergent correlation between the F-COPES and the MSPSS was strong (r = 0.50, P < 0.01). The Cronbach's alpha coefficients of the whole scale was 0.86.Conclusion: The Chinese version of the F-COPES showed satisfactory psychometric properties. It may serve as a useful scale for assessing the coping behaviours in families of patients with dementia in China.

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Instrument Development and Psychometric Validation using Confirmatory Factor Analysis of the Breastfeeding Relationship Scale

Journal of Nursing Measurement ◽

10.1891/jnm-d-20-00139 ◽

2021 ◽

pp. JNM-D-20-00139

Author(s):

Natsuko K. Wood ◽

Celesina Barbosa-Leiker ◽

Tamara Odom-Maryon ◽

Ira Kantrowitz-Gordon ◽

Elizabeth Reifsnider ◽

...

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Factor Model ◽

Psychometric Validation ◽

Milk Supply ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Confirmatory Factor ◽

Fit Index ◽

Three Factor

Background and PurposeThe Breastfeeding Relationship Scale (BFRS) was developed to measure mother–infant mutual responsiveness during breastfeeding. The purpose of this study was to develop and test the psychometric properties of the BFRS.MethodsConstruct validity of a 16-item three-factor model (Mother–Infant Breastfeeding Interaction, Perceived Adequate Milk Supply, and Breastfeeding Synchronicity) was assessed using confirmatory factor analysis (CFA) and reliability (Cronbach’s alpha) across two independent samples.ResultsCFA of the hypothesized three-factor model demonstrated good fit in both samples (comparative fit index > .90, root mean square error of approximation < .06, square root mean residual < .06l). Cronbach’s alpha for the constructs ranged between .73 and .83.ConclusionThe BFRS is a valid measure of breastfeeding relations between mother and infant. Reliability was acceptable for all constructs in both samples.

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Validation of the Patient-Centred Care Competency Scale Instrument for Finnish Nurses

Journal of Personalized Medicine ◽

10.3390/jpm11060583 ◽

2021 ◽

Vol 11 (6) ◽

pp. 583

Author(s):

Riitta Suhonen ◽

Katja Lahtinen ◽

Minna Stolt ◽

Miko Pasanen ◽

Terhi Lemetti

Keyword(s):

Factor Analysis ◽

Root Mean Square ◽

Goodness Of Fit ◽

Item Analysis ◽

Healthcare Delivery ◽

Mean Square ◽

Cronbach’S Alpha ◽

Patient Centred Care ◽

Cronbach's Alpha ◽

Confirmatory Factor

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.

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Validation of the German version of the Family Reported Outcome Measure (FROM-16) to assess the impact of disease on the partner or family member

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01738-4 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Susanne A. Elsner ◽

Sam S. Salek ◽

Andrew Y. Finlay ◽

Anna Hagemeier ◽

Catherine J. Bottomley ◽

...

Keyword(s):

Factor Analysis ◽

Family Member ◽

Internal Consistency ◽

Outcome Measure ◽

Test Validity ◽

Family Members ◽

German Version ◽

The Family ◽

The Difference ◽

The Impact

Abstract Background The Family Reported Outcome Measure (FROM-16) assesses the impact of a patient’s chronic illness on the quality of life (QoL) of the patient’s partner or family members. The aim of the study was to translate, explore the structure of and validate the FROM-16. Methods The questionnaire was translated from English into German (forward, backward, four independent translators). Six interviews with family members were conducted to confirm the questionnaire for linguistic, conceptual, semantic and experiential equivalence and its practicability. The final German translation was tested for internal consistency, reproducibility and test validity. Criterion validity was tested by correlating the scores of the FROM-16 and the Global Health Scale (GHS). Principal component analysis, factor analysis, and confirmatory factor analysis was used to assess the questionnaire’s structure and its domains. Reliability and reproducibility were tested computing the intraclass correlation coefficient (ICC) using one sample t-test for testing the hypothesis that the difference between the scores was not different from zero. Results Overall, 83 family members (61% female, median age: 61 years) completed the questionnaire at two different times (mean interval: 22 days). Internal consistency was good for the FROM-16 scores (Cronbach’s α for total score = 0.86). In those with stable GHS, the ICC for the total score was 0.87 and the difference was not different from zero (p = 0.262) indicating reproducible results. A bi-factor model with a general factor including all items, and two sub-factors comprising the items from the original 2-factor construct had the best fit. Conclusions The German FROM-16 has good reliability, test validity and practicability. It can be considered as an appropriate and generic tool to measure QoL of a patient’s partner or family member. Due to the presence of several cross-loadings we do not recommend the reporting of the scores of the two domains proposed for the original version of FROM-16 when using the German version. Thus, in reporting the results emphasis should be put on the total score. Trial registration: Retrospectively registered: DRKS00021070.

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The development of a contextually appropriate measure of psychological distress in Sierra Leone

BMC Psychology ◽

10.1186/s40359-021-00610-w ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Rebecca Horn ◽

Kanykey Jailobaeva ◽

Stella Arakelyan ◽

Alastair Ager

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Psychological Distress ◽

Sierra Leone ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Phase 1 ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Distress Scale

Abstract Background Studies of psychological distress in Sierra Leone have typically used measures which were developed for use in other contexts, and which often have not been adapted or validated for use in Sierra Leone. This has resulted in a lack of reliable information about the patterns of psychological distress within the population, which is a barrier to the development of effective and appropriate mental health services. The aim of the study was to develop a locally-appropriate measure of psychological distress for Sierra Leone. Methods The new measure consists of two instruments: the Sierra Leone Psychological Distress Scale (SLPDS) and a gendered measure of ability to carry out daily tasks—a Function scale—as an indication of the severity of distress. A three-phase mixed methods exploratory sequential study was conducted. Phase 1 was item generation and testing, leading to the development of a set of potential items for both instruments. Phase 2 was a small pilot study (N = 202) leading to the selection of the final set of items for both measures. Phase 3 was a validation phase where the SLPDS and the Function scale were administered with a larger sample of 904 respondents. Item analysis was used to assess the internal consistency of the scales, and Exploratory Factor Analysis to explore the properties of the SLPDS. Results Exploratory factor analysis using the principal axis factoring with an oblique rotation identified a three-factor structure for the 18-item SLPDS. Internal consistency for the SLPDS (Cronbach’s alpha = 0.89) and three subscales was good (Cronbach’s alpha > 0.73). The internal reliability of the male and female versions of the Function scale was also found to be acceptable (Cronbach’s alpha = 0.90 for the female scale and 0.79 for the male scale). Conclusions Together the SLPD and Function scales provide a locally-validated tool which will enable government bodies and local and international non-governmental organisations in Sierra Leone to assess mental health and psychosocial needs. This will support both effective service provision and the evaluation of initiatives designed to improve mental health and psychosocial wellbeing.

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Validation of AQoL-8D: a health-related quality of life questionnaire for adult patients referred for otolaryngology

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-06689-6 ◽

2021 ◽

Author(s):

Anita Obrycka ◽

Jose-Luis Padilla ◽

Artur Lorens ◽

Piotr Henryk Skarzynski ◽

Henryk Skarzynski

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Pearson Correlation ◽

Adult Population ◽

Life Questionnaire ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Content Relevance ◽

Confirmatory Factor ◽

Item Content

Abstract Purpose The purpose of the study was to validate the AQoL-8D questionnaire in the adult population of patients referred to an otolaryngology clinic. Methods AQoL-8D was translated into Polish. 463 patients (age18–80 years) with otolaryngological conditions were assessed with the AQoL-8D, SF-6D, and SWLS questionnaires. We investigated the item content-relevance, factor structure by means of Confirmatory Factor Analysis, corrected item-total correlations, Cronbach’s alpha, Pearson correlation of the AQoL-8D scores with results from SF-6D and from the SWLS questionnaires. Finally, ANOVA was used to test the AQoL-8D ability to group the HRQoL of patients in terms of their otolaryngological management type. Results The median score of item content-relevance was 5.0 for all AQoL-8D items. Confirmatory Factor Analysis revealed the following fit indices: Comparative Fit Index = 0.81; Tucker–Lewis Index = 0.80; and Root Mean Square Error of Approximation = 0.07. Cronbach's alpha for AQoL-8D dimensions ranged from 0.48 to 0.79. Mean item-total correlations over all dimensions, super dimensions, and the instrument overall were higher than 0.3. There was a significant Pearson correlation between the results obtained with AQoL-8D and SF-6D (r = 0.68), and with AQoL-8D and SWLS (r = 0.43). A one-way ANOVA showed a significant effect of management type on HRQoL as measured by AQoL-8D [F(4,458) = 6.12, p < 0.001] Conclusion AQoL-8D provides valid and reliable measures of HRQoL in patients undergoing otolaryngological treatment. Because it is a generic questionnaire, it is possible to make general comparisons of otolaryngology outcomes with those from other subspecialties.

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Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis: A Psychometric Study in Brazil

Clinical Nursing Research ◽

10.1177/1054773821989800 ◽

2021 ◽

pp. 105477382198980

Author(s):

Marta Nunes Lira ◽

Clemente Neves Sousa ◽

Maria Carolina Medeiros Wanderley ◽

Natália Ramos Costa Pessoa ◽

Kelly Cristiane Rocha Lemos ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Arteriovenous Fistula ◽

Content Validity ◽

Self Care ◽

The Self ◽

Expert Committee ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Confirmatory Factor

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.

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