Validation of the Intuitive Eating Scale in pregnancy

2016 ◽  
Vol 23 (5) ◽  
pp. 701-709 ◽  
Author(s):  
Helen Paterson ◽  
Jean Hay-Smith ◽  
Gareth Treharne ◽  
Peter Herbison ◽  
Caroline Howarth

The objective of this study was to examine the content validity and test–retest reliability of the Intuitive Eating Scale among pregnant women. A qualitative think-aloud study of the Intuitive Eating Scale analysed the content validity. Overall, the Intuitive Eating Scale made sense to pregnant women, but food safety affected the interpretation of some items. A version with instructions modified accounting for food safety, the Intuitive Eating Scale–Pregnancy, was subsequently shown to have stable scores over 5 weeks during the second trimester, mean change = −0.08 (95% limits of agreement: −0.61 to 0.45), r = 0.79, n = 240. The Intuitive Eating Scale–Pregnancy was acceptable for use in this New Zealand pregnant population.

2020 ◽  
Vol 26 (8) ◽  
pp. 404-412
Author(s):  
Mary E Minton ◽  
Mary J Isaacson ◽  
Patricia Da Rosa

Background: Nurses must be comfortable facilitating palliative and end-of-life communication with patients and their families. Aim: A validated instrument measuring the comfort of nurses with conducting end-of-life communication is essential for meeting the goals and wishes of patient care. This study aimed to develop and conduct a psychometric evaluation of the Comfort with Communication in Palliative and End-of-Life Care (C-COPE) instrument. Methods: Face, content, and construct validity, including test-retest reliability, were conducted. Results: Four experts subjectively confirmed face content validity and the quantitative item content validity index (I-CVI) ranged from 0.67 to 1 and scale content validity index (S-CVI/Ave) was 0.98. Principal axis factoring with Promax rotation yielded a five-factor solution accounting for 66.2% of the variance. The items loading on the five factors ranged from 0.46–0.96 (factor 1), 0.67–0.93 (factor 2), 0.49–0.86 (factor 3), 0.68–0.79 (factor 4), and 0.24–0.96 (factor 5). Internal consistency reliability (coefficient a) was 0.90 for the total C-COPE, and above 0.75 for each factor. The five factors are ‘cultural/spiritual considerations,’ ‘team considerations,’ ‘addressing decision-making,’ ‘addressing symptomatology,’ and ‘deliberate awareness.’ Test-retest reliability yielded an intraclass correlation coefficient (ICC) of 0.87 (CI 95%, 0.82–0.91). Conclusions: The C-COPE is a reliable and valid instrument measuring nurse comfort with palliative and end of-life care communication, yet requires testing in more diverse samples.


2021 ◽  
Author(s):  
A Wallin ◽  
M Kierkegaard ◽  
E Franzén ◽  
S Johansson

Abstract Objective The mini-BESTest is a balance measure for assessment of the underlying physiological systems for balance control in adults. Evaluations of test–retest reliability of the mini-BESTest in larger samples of people with multiple sclerosis (MS) are lacking. The purpose of this study was to investigate test–retest reliability of the mini-BESTest total and section sum scores and individual items in people with mild to moderate overall MS disability. Methods This study used a test–retest design in a movement laboratory setting. Fifty-four people with mild to moderate overall MS disability according to the Expanded Disability Status scale (EDSS) were included, with 28 in the mild subgroup (EDSS 2.0–3.5) and 26 in the moderate subgroup (EDSS 4.0–5.5). Test–retest reliability of the mini-BESTest was evaluated by repeated measurements taken 1 week apart. Reliability and measurement error were analyzed. Results Test–retest reliability for the total scores were considered good to excellent, with intraclass correlation coefficients of .88 for the whole sample, .83 for the mild MS subgroup, and .80 for the moderate MS subgroup. Measurement errors were small, with standard error of measurement and minimal detectable change of 1.3 and 3.5, respectively, in mild MS, and 1.7 and 4.7, respectively, in moderate MS. The limits of agreement were − 3.4 and 4.6. Test–retest reliability for the section scores were fair to good or excellent; weighted kappa values ranged from .62 to .83. All items but 1 showed fair to good or excellent test–retest reliability, and percentage agreement ranged from 61% to 100%. Conclusions The mini-BESTest demonstrated good to excellent test–retest reliability and small measurement errors and is recommended for use in people with mild to moderate MS. Impact Knowledge of limits of agreement and minimal detectable change contribute to interpretability of the mini-BESTest total score. The findings of this study enhance the clinical usefulness of the test for evaluation of balance control and for designing individually customized balance training with high precision and accuracy in people with MS.


F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  

Background: Vision tests are increasingly being suggested for use in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Therefore, our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines, etc.). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.55 when an outlier was excluded in a sensitivity analysis. There was good to moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccade (ICC=0.56). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.21 after removing one outlier. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Four tests had moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.


2019 ◽  
Vol 126 (5) ◽  
pp. 1006-1023 ◽  
Author(s):  
Alexis Padrón-Cabo ◽  
Ezequiel Rey ◽  
Alexandra Pérez-Ferreirós ◽  
Anton Kalén

This study aimed to evaluate the test–retest reliability of soccer skill tests belonging to the F-MARC test battery. To avoid bias during talent identification and development, coaches and scouts should be using reliable tests for assessing soccer-specific skills in young male players. Fifty-two U-14 outfield male soccer players performed F-MARC soccer skill tests on two occasions, separated by 7 days. After familiarization, we administered two trial sessions of five skill tests: speed dribbling, juggling, shooting, passing, and heading. We assessed absolute reliability by expressing the standard error of measurement as a coefficient of variation with 95% limits of agreement, and we assessed relative reliability with the intraclass correlation coefficient and with Pearson’s correlation ( r). The results demonstrated satisfactory relative and absolute reliability for speed dribbling, right foot juggling, short passing, shooting a dead ball right, shooting from a pass, heading in front, and heading right. However, reliability values for left foot juggling, chest-head-foot juggling, head-left-foot-right foot-chest-head juggling, long pass, and shooting a dead ball left tests were not strong enough to suggest their usage by coaches in training or sport scientists in research.


2018 ◽  
Vol 32 (1) ◽  
pp. 24-35
Author(s):  
Murallitharan Munisamy ◽  
Tharini Thanapalan ◽  
Pattaraporn Piwong ◽  
Alessio Panza ◽  
Sathirakorn Pongpanich

Purpose Out-of-pocket (OOP) payments continue to be a major method of financing healthcare in many low- and middle-income countries including Malaysia. Although macro-level data show that this is a substantial percentage of national health expenditure, at the grassroots level, the amount spent on health by households remains unknown in Malaysia. The purpose of this paper is to assess the validity and reliability of an adapted-for-purpose questionnaire designed to capture urban household health expenditures (HHEs) among Malaysian households. Design/methodology/approach This two-part study assessed content validity of the questionnaire using three experts and the reliability of the questionnaire through a test-retest study among 50 OOP-paying patients followed up at one private primary care clinic in Kuala Lumpur. This study was approved by the Malaysian Research Ethics Committee (NMRR-16-172-29311-IIR). Findings The validity of the 83-item questionnaire was high, with an item content validity index of 1.00 and a scale content validity index average score of 1.0 agreed to among the evaluating experts. In the test-retest reliability study, the majority of the categorical questionnaire items had perfect agreement values (k=0.81-1.00). Continuous questionnaire items were also found to be highly reliable with no significant differences between the test-retest segments and high correlation coefficient values (intra-class correlation coefficient>0.7). Originality/value The HHE questionnaire had excellent content validity and very high test-retest reliability. The results of this study suggest that this questionnaire could be used in Malaysian studies to determine actual urban HHE which is a first step toward developing universal health coverage for all.


2018 ◽  
Vol 40 (9) ◽  
pp. 1139-1147 ◽  
Author(s):  
Jocelynn L. Cook ◽  
Lisa Graves ◽  
Colleen Kirkham

2020 ◽  
Author(s):  
Ping Feng ◽  
Huili Yang ◽  
Lan Xu ◽  
Ojo Omorogieva ◽  
Xiao-yan Lu ◽  
...  

Abstract Background: Enteral nutrition (EN) therapy is widely used in clinical practice to provide artificial nutrition to patients, while the incidence of adverse events are relatively highly. In the clinical setting, the occurrence of adverse events is associated with the nurse’s risk perception. Thus, using tool to evaluate nurse’s risk perception of enteral nutrition is necessary. Methods: The draft questionnaire with 37-items was formed by comprehensive literature reviews and semi-structured in-depth interviews with eleven nurses. Two iterations of expert consultations were used to evaluate the content validity, and 4 items were deleted in this phrase. A 33-items questionnaire was used to survey 352 nurses from five tertiary hospitals in China from May to July 2019 with convenience sampling. Content validity, construct validity and known-groups validity were evaluated by content validity index (CVI), exploratory factor analysis, and the comparisons of the different EN risk perception levels of nurses at different working departments and different educational backgrounds, respectively. Reliability was tested by internal consistency, test-retest reliability, and split-half reliability.Results: After the exploratory factor analysis, four items were excluded. Finally, the newly developed questionnaire included 29 items explaining 71.356% of the total variance. It consisted of three factors: Risks of operation (15 items); Risks of EN-related adverse events (11 items), and Risks of EN solution selection (3 items). The CVI of the questionnaire was 0.95 and the CVI of items ranged from 0.875-1.0. The results of known-groups validity showed that the nurses with different educational backgrounds had a statistically significant difference of EN risk perception (z = -3.024, p = 0.002), whereas there was not significantly different between EN risk perception of nurses working in different departments (z = -1.644, p = 0.100). The Cronbach’s α, test-retest reliability, and split-half reliability of the questionnaire were 0.967, 0.818, and 0.815, respectively. Conclusions: The newly developed questionnaire for assessing nurse’s EN risk perception showed good reliability and validity. It can be used as a tool for nursing managers to assess Chinese nurses’ EN risk perception ability, so as to help to reduce the occurrence of adverse events during EN implementation.


2020 ◽  
Author(s):  
Kleanthi Gourounti ◽  
Antigoni Sarantaki ◽  
Athina Diamanti ◽  
Paraskevi Giaxi ◽  
Katerina Lykeridou

Abstract Background. The aim of this study was to develop and assess the psychometric properties of the Electronic Fetal Monitoring Knowledge Scale (EFMKS), a self-report and short instrument measuring knowledge concerning Electronic Fetal Monitoring (EFM). Additionally, it was aimed to use the EFMKS for briefly assessing EFM knowledge in midwives and doctors working in labour ward. Methods. The EFMKS was developed in a three-phase process by using an integrated mixed-methods approach that included literature reviews, professional focus groups, expert consultations and a psychometric survey evaluation. The psychometric evaluation was conducted by recruiting a sample of 128 professionals (midwives and doctors). Data were collected between April and July of 2016 in two public hospitals of Athens, Greece. Content validity, exploratory factor analysis, discriminant and construct validity, test-retest reliability and internal consistency were explored. Results. The expert panel determined that the content validity was satisfactory. The final 10-item scale consisted of three factors explaining 73% of the total variance in the data. Discriminant validity was satisfactory. Internal consistency reliability (α = 0.89) and test-retest reliability (0.85) were satisfactory. The majority of the midwives and the obstetricians had a good level of knowledge while approximately one third of them had a low level of knowledge in EFM. Midwives and doctors having a lower level of knowledge related to EFM, were more frequently professionals with less than five years of clinical experience in the labor ward and reported low confidence for cardiotocography (CTG) interpretation and inadequate preparation for CTG usage.Conclusion. The EFMK demonstrated good content validity, an easily interpretable three-factor structure, high internal consistency, high test-retest reliability, and satisfactory discriminant and construct validity with sample characteristics. The EFMKS may be used for evaluating the EFM knowledge of health professionals and for identifying the areas of their knowledge gap. Based on study findings, an annual multi-professional CTG training is necessary for all intrapartum staff and in particular for the midwives and doctors with shorter clinical experience in the labor ward.


2021 ◽  
Vol 4 (1) ◽  
pp. 26
Author(s):  
Cempaka Yudithia Junandar ◽  
Ivon Diah Wittiarika ◽  
Budi Utomo ◽  
Ernawati Ernawati

Abstract Background : At the beginning of a pregnancy the mother experiences various processes of transition or adaptation regarding changes in herself, so that she really needs support from her environment. Lack of social support can worsen the physiological complaints of pregnant women including Nausea and Vomiting in Pregnancy (NVP). Complaints of nausea and vomiting can affect the mother in carrying out daily activities, affect the mother's social situation with the environment and cause stress. Therefore, it is important to research the relationship between social support and the degree of nausea and vomiting in first and second-trimester pregnant women. Method : This research method is observational analytic with cross sectional research design. Sampling used the total sampling method with the criteria of pregnant women who had complaints of nausea and vomiting. Collecting data using primary data using a 24-hour PUQE questionnaire that measures the duration and frequency of nausea and vomiting and the MSPSS questionnaire measuring social support. The data collected were analyzed using the Spearman test (p<0.15). Results : Out of 47 respondents, 34 pregnant women (72.3%) received high social support. Besides that, 24 out of 47 respondents (51.1%) experienced moderate degree of NVP. In this study, there were no respondents who experienced severe degree of NVP. Spearman test analysis results obtained p= 0.833 or p>0.15. Conclusion : There is no relationship between social support with NVP in first and second trimester of pregnancy. 


Author(s):  
Parisa Heidari ◽  
Jamileh Fatahi ◽  
Reza Hoseinabadi ◽  
Nematollah Rouhbakhsh ◽  
Sasan Dabiri Satri ◽  
...  

Background and Aim: Investigations have shown that the patient’s attitudes toward hearing loss and hearing aids impact hearing aid benefits and its use. In this regard, Saunders and Cien­kowski (1996) developed the “attitudes towards loss of hearing questionnaire” to examine some of the psychosocial factors underlying the use of hearing aids. This study has focused on pre­paring a Persian version of this questionnaire and analyzing its validity and reliability. Methods: The original English version of the questionnaire was translated into Persian, and its content and face validities were determined by related experts. The final questionnaire was administered to 100 hearing impaired people (52 males and 48 females) aged 30 to 65 years with the mean (SD) age of 54.54 (12.05) years. The test-retest reliability was assessed in 20 pat­ients. Results: The results of face validity assessment revealed that our questionnaire has a high quality in translation, intelligibility, and cultural compatibility. The mean scores of the content validity ratio and content validity index of this questionnaire was 0.71 and 0.98, respectively. The mean (SD) total score of this questionnaire was 60.46 (10.02) and the mean scores of denial of hearing loss, negative associations, negative coping strategies, manual dexterity and vision and hearing-related esteem were 15.58, 12.10, 20.40, 5.30, and 7.08, respectively. The overall Cronbach α value was 0.798. The test-retest reliability showed good results for the global score (Intraclass correlation = 0.989). Conclusion: Based on the obtained results, the Persian version of the questionnaire possesses satisfactory validity and reliability.


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