scholarly journals Questionnaire measuring patient participation in health care: Scale development and psychometric evaluation

2020 ◽  
Vol 19 (7) ◽  
pp. 600-608
Author(s):  
Selina Kikkenborg Berg ◽  
Jane Færch ◽  
Pernille Fevejle Cromhout ◽  
Marianne Tewes ◽  
Preben Ulrich Pedersen ◽  
...  
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Construct Validity ◽  
Factor Structure ◽  
Internal Consistency ◽  
Patient Participation ◽  
Cardiac Disease ◽  
Psychometric Evaluation ◽  
Mixed Group ◽  
Convergent Construct Validity

Background: Patient participation in treatment and care is often encouraged and is desirable because of its proven positive impact on treatment, quality of care and patient safety. Aims: To develop an instrument to measure patient participation in health care and to investigate the measurement properties of the Patient Participation Questionnaire (PPQ). Methods: A literature review was conducted to develop a model of patient participation. The PPQ was constructed consisting of 17 items organized into four subscales. Psychometric evaluation of factor structure, convergent construct validity by hypothesis testing and analyses of internal consistency using Cronbach’s alpha were performed on data from a hospitalised mixed group of patients with cardiac disease, pulmonary disease and cancer ( N=378 patients). Results: Confirmatory factor analysis did not show a clear model fit, which is why an exploratory factor analysis was performed, suggesting a different four subscale structure consisting of a total of 16 items. The four subscales were labelled Shared decision power, Adapted and individualized knowledge, Collaboration and Human approach. There were strong ceiling effects on all items. Analysis of convergent construct validity showed a moderate correlation (0.59) between the PPQ and another instrument measuring patient participation. Internal consistency for the total PPQ score was high: 0.89. Conclusion: In a mixed group of patients with cardiac disease, pulmonary disease and cancer, the PPQ showed promising psychometric properties in terms of factor structure, convergent construct validity and internal consistency. The PPQ may be used to shed light on the experience of patient participation and guide quality improvements.

scholarly journals Psychometric evaluation of the nine-item heart failure self-care behavior scale (9-EHFScBS)

2021 ◽  
Author(s):  
Reza Negarandeh ◽  
Elham Ghasemi ◽  
Leila Janani
Keyword(s):  
Heart Failure ◽  
Factor Analysis ◽  
Construct Validity ◽  
Internal Consistency ◽  
Self Care ◽  
Psychometric Evaluation ◽  
The Self ◽  
Failure Index ◽  
Behavior Scale ◽  
Care Behavior

Background & Aim: Self-care in patients with heart failure can improve multiple outcomes and reduce mortality. Measuring self-care requires valid and reliable tools. This study aimed to determine the psychometric properties of the 9-items European Heart Failure Self-Care Behavior Scale. Methods & Materials: The present study is a psychometric evaluation. The original version of the tool was translated from English to Persian using the standard Backward-Forward method. The questionnaire's validity was assessed using face, content, criterion (the Self-Care of Heart Failure Index v.6 as a criterion), and construct validity.  An exploratory factor analysis approach was used to construct validity with a sample of 216 patients with chronic heart failure referred to Dr. Shariati and Imam Khomeini Hospital's heart clinics in Tehran; and Ayatollah Mousavi Hospital in Zanjan. The reliability of the questionnaire was evaluated by internal consistency and stability methods. Results: After the validation process (validity and reliability), all 9 items of the questionnaire were approved and remained. The content validity index of the total content of the questionnaire was calculated to be 0.96. Based on factor analysis, only one factor was confirmed for the questionnaire. The correlation between the present questionnaire and the Self-Care of Heart Failure Index v.6 was positive and significant (p<0.001, r=0.753). Internal consistency (α=0.728) and stability (0.897) of the questionnaire were also confirmed. Conclusion: The European Heart Failure Self-Care Behavior Scale is valid and reliable for measuring Iranian patients' self-care behaviors with heart failure.

scholarly journals Modification and Psychometric Evaluation of the Peterson War Scale

2007 ◽  
Vol 101 (2) ◽  
pp. 519-524 ◽  
Author(s):  
D. Gabrielle Jones-Wiley ◽  
Alberto F. Restori ◽  
Howard B. Lee
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Longitudinal Research ◽  
Item Analysis ◽  
Psychometric Evaluation ◽  
Internal Consistency Reliability ◽  
Point Scale ◽  
Attitudes Toward War

A measure on attitudes toward war was administered to 125 student participants at a California university to assess psychometric properties for this scale for possible use in current research. A 5-point scale was substituted for the 2-point one originally. Item analysis indicated 23 of 32 items were viable. Using Cronbach reliability coefficient α and factor analysis, the shortened measure had an internal consistency reliability of .85. Factor analysis yielded a 4-factor structure: (1) War is Bad, (2) War is Necessary, (3) Positive Aspects of War, and (4) No Justification. These results indicate this seemingly outdated measure of war attitudes remains useful for current research purposes involving measuring attitudes toward war. However, longitudinal research is necessary.

scholarly journals Design and Psychometric Evaluation of the Fathers' Fear of Childbirth Scale: A Mixed Method Study

2020 ◽  
Author(s):  
Seyedeh Fatemeh Ghaffari ◽  
Hamid Sharif Nia ◽  
Forouzan Elyasi ◽  
Zohre Mohammadpoorsaravimozafar ◽  
Zohreh Shahhosseini
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Internal Consistency ◽  
Mixed Method ◽  
Goodness Of Fit ◽  
Psychometric Evaluation ◽  
Mixed Method Study ◽  
Fear Of Childbirth ◽  
Confirmatory Factor ◽  
Composite Reliability

Abstract Background: Fear of childbirth is reported in 13% of fathers, and it may have adverse consequences for the health of fathers as well as their families. Due to the lack of a valid and reliable questionnaire to measure fathers' fear of childbirth, this study was conducted to develop the Fathers' Fear of Childbirth Scale and evaluate its psychometric properties. Methods: This mixed method study was conducted in two phases. In the qualitative phase (or item generation), semi-structured interviews were conducted with 20 expectant fathers, and a literature review was performed to generate the Fathers' Fear of Childbirth Scale items pool. In the quantitative phase (or psychometric evaluation), reliability as well as face, content, and construct validity of this scale were evaluated. To establish construct validity, exploratory and confirmatory factor analyses were performed. Reliability was evaluated through internal consistency and composite reliability measures. Results: The primary version of Fathers' Fear of Childbirth Scale contained 32 items, which were reduced to 17 items while establishing construct validity. Exploratory factor analysis extracted two factors, namely fear of childbirth process (12 items) and fear of hospital (5 items). These factors explained 50.82% of the total variance. Goodness of fit indices within the confirmatory factor analysis was acceptable. Internal consistency and composite reliability indices of all the factors were greater than 0.70. Conclusion: The Fathers' Fear of Childbirth Scale has a suitable validity and reliability for assessing fear of childbirth in fathers. It is a simple report instrument that can be easily implemented by health care professionals.

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.

scholarly journals Arabic Version of the Electronic Health Literacy Scale in Arabic-Speaking Individuals in Sweden: Prospective Psychometric Evaluation Study (Preprint)

2020 ◽  
Author(s):  
Josefin Wångdahl ◽  
Karuna Dahlberg ◽  
Maria Jaensson ◽  
Ulrica Nilsson
Keyword(s):  
Health Literacy ◽  
Construct Validity ◽  
Factor Structure ◽  
Internal Consistency ◽  
Psychometric Evaluation ◽  
Principal Component ◽  
Arabic Version ◽  
Ehealth Literacy ◽  
Test Retest Reliability ◽  
Arabic Speaking

BACKGROUND Health information is often communicated through the internet. It is vital for the end user to have a range of digital skills as well as understand the information to promote their health. There is a valid and reliable 8-item instrument, the Electronic Health Literacy Scale (eHEALS), that evaluates these skills. The number of Arabic-speaking people migrating to Sweden and to other parts of the world is increasing due to unstable military and political situations in their countries of origin. Poor health and limited health literacy have been described in this population in Sweden. Still, to our knowledge, an Arabic version of eHEALS has not been tested for validity or reliability. Thus, Arabic-speaking populations in Sweden cannot be included in studies measuring eHealth literacy, which does not support equal treatment in health care. OBJECTIVE The aim of this study was to translate and adapt the original English eHEALS version into Arabic and to evaluate its psychometric properties. METHODS The eHEALS was rigorously translated, adapted, and evaluated for content validity. We conducted prospective psychometric evaluation with natively Arabic-speaking participants living in Sweden. Construct validity, factor structure, internal consistency, and test-retest reliability were evaluated using Spearman correlation, principal component analysis, Cronbach α, and weighted quadratic Cohen κ, respectively. RESULTS The study population consisted of Arabic-speaking participants (n=298; age: mean 41.8 years, SD 10.5). Construct validity was supported with weak and moderate correlations. Principal component factor analysis revealed a one-factor structure. Internal consistency was high (Cronbach α=0.92); test-retest reliability was acceptable (weighted quadratic Cohen κ=0.76). Evaluation indicated that eHealth literacy threshold values should be dichotomized (limited and sufficient) rather than trichotomized (inadequate, problematic, and sufficient). CONCLUSIONS The Arabic version of eHEALS, a unidimensional scale that is valid and reliable for measuring eHealth literacy among natively Arabic-speaking people in Sweden, was found to be acceptable and feasible in a general population.

scholarly journals Development and initial validation of a scale to measure attitudes and beliefs of pharmacists toward their work with patients

2014 ◽  
Vol 71 (4) ◽  
pp. 373-382 ◽  
Author(s):  
Dragana Jocic ◽  
Dusanka Krajnovic
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Construct Validity ◽  
Pharmaceutical Care ◽  
Factor Structure ◽  
Health Care Professionals ◽  
Psychometric Validation ◽  
Attitudes And Beliefs ◽  
Alpha Coefficient ◽  
Initial Validation

Background/Aim. Studies on physicians and other health care professionals indicate that attitudes towards and beliefs in their work with patients, can affect the quality of health care, and patients' behaviour and compliance, thus an instrument is needed to survey pharmacists as healthcare providers. The aim of this study was to describe the development and psychometric validation of a survey instrument to assess attitudes and beliefs of pharmacists toward their work with patients (Pharmacists' Attitudes and Beliefs Scale, PABS). The aim of this research was to determine the reliability, validity and factor structure of a newly constructed instrument - PABS. Methods. The statements from the cognitive, affective, and behavioral areas were identified by literature review and selected to cover the behavior of pharmacists in providing pharmaceutical care at community settings. The initial 5- point Likert type scale of 30 items was constructed and after initial validation its revised form developed. The reliability, construct validity and factor structure of the scale were established. Results. The reliability of the scale was determined by the method of internal consistency, on a convenient sample of 123 community pharmacists. The Cronbach?s alpha coefficient was 0.67. Factor analysis of principal components was performed and 7 factors with latent roots greater than 1 were extracted, explaining 64.92% of total variance, a single 30.84%, 8.20%, 6.55%, 5.63%, 5.01%, 4.68% and 4.01%. Based on the results of factor analysis in the development of the scale, some items in the scale were excluded (totally 7), so that the revised form of the PABS contained a total of 23 items. Conclusion. The initial PABS scale did not meet theoretical statistical criteria for reliability (Cronbach?s alpha coefficient was < 0.7), but the findings indicated its potentially acceptable construct validity. The results support its use as a research tool to assess the behavior of pharmacists in daily practice, and provide its use as an indicator of quality in delivering pharmaceutical care.

scholarly journals Translation and psychometric evaluation of the Korean version of the fertility awareness and attitudes towards parenthood questionnaire

2021 ◽  
Vol 27 (3) ◽  
pp. 256-265
Author(s):  
Hyewon Shin ◽  
Minjoo Hong ◽  
Minjeong Jo ◽  
Jungmin Lee
Keyword(s):  
Factor Analysis ◽  
University Students ◽  
Factor Structure ◽  
Internal Consistency ◽  
Psychometric Evaluation ◽  
Child Rearing ◽  
Life Changes ◽  
Fertility Awareness ◽  
Korean Version ◽  
Forward Translation

Purpose: This study presents a translation, cultural adaptation, and psychometric evaluation of two instruments of the Fertility Awareness and Attitudes Towards Parenthood (FAAP) questionnaire (Conditions and Life changes) for use in South Korea.Methods: This methodological study included 166 university students for psychometric evaluation in the sixth step. The first five steps included forward translation, backward translation, committee review, assessment of content validity, and a pre-test. In the sixth step, psychometric properties, including internal consistency, construct validity, and criterion validity, were evaluated. Exploratory factor analysis and confirmatory factor analysis were conducted to identify the structure of the tool and to assess its validity.Results: The Korean version showed acceptable internal consistency. Cronbach's ⍺ was .73 for FAAPC-conditions and .83 for FAAP-Life changes. FAAP-Conditions showed a four-factor structure (social conditions, relationship with partner, external environment, and child-rearing support) and FAAP-Life changes had a two-factor structure (reward and burden). In the confirmatory analysis, CMIN/DF, TLI, IFI, SRMR, CFI, and RMSEA were satisfactory.Conclusion: This study provided preliminary evidence of the acceptability, reliability, and validity of the Korean version of the FAAP questionnaire in university students in South Korea. Nonetheless, further evaluation among Korean young adults is warranted to validate this instrument.

scholarly journals Design and psychometric evaluation of the fathers’ fear of childbirth scale: a mixed method study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Seyedeh Fatemeh Ghaffari ◽  
Seyed-Hamid Sharifnia ◽  
Forouzan Elyasi ◽  
Zohreh Shahhosseini ◽  
Zohre Mohammadpoorsaravimozafar
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Internal Consistency ◽  
Mixed Method ◽  
Psychometric Evaluation ◽  
Mixed Method Study ◽  
Fear Of Childbirth ◽  
Confirmatory Factor ◽  
Expectant Fathers ◽  
Composite Reliability

Abstract Background Fear of childbirth is reported in 13% of fathers, and it may have adverse consequences for the fathers’ health as well as their families. To reduce the fear of childbirth in the expectant fathers, an appropriate screening tool is needed. Due to the lack of a valid and reliable questionnaire to measure fathers’ fear of childbirth, this study was conducted to develop the Fathers’ Fear of Childbirth Scale and evaluate its psychometric properties. Methods This mixed method study was conducted in two phases. In the qualitative phase (or item generation), semi-structured interviews were conducted with 20 expectant fathers, and a literature review was performed to generate the Fathers’ Fear of Childbirth Scale items pool. In the quantitative phase (or psychometric evaluation), reliability as well as face, content, and construct validity of this scale were evaluated. To establish construct validity, exploratory and confirmatory factor analyses were performed. Reliability was evaluated through internal consistency and composite reliability measures. Results The primary version of Fathers’ Fear of Childbirth Scale contained 32 items, which were reduced to 17 items while establishing construct validity. Exploratory factor analysis extracted two factors, namely fear of childbirth process (12 items) and fear of hospital (5 items). These factors explained 50.82% of the total variance. Goodness of fit indices within the confirmatory factor analysis was acceptable. Internal consistency and composite reliability indices of all the factors were greater than 0.70. Conclusion The Fathers’ Fear of Childbirth Scale has a suitable validity and reliability for assessing fear of childbirth in fathers. It is a simple report instrument that can be easily implemented by health care professionals.

Factor Analysis of the Revised Piper Fatigue Scale in a Caregiver Sample

2006 ◽  
Vol 14 (2) ◽  
pp. 71-78 ◽  
Author(s):  
Patricia C. Clark ◽  
Susan Ashford ◽  
Rachel Burt ◽  
Dawn M. Aycock ◽  
Laura P. Kimble
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Psychometric Evaluation ◽  
Internal Consistency Reliability ◽  
Oblique Rotation ◽  
Convenience Sample ◽  
Two Factors ◽  
Principal Axis Factor Analysis

The Revised Piper Fatigue Scale (R-PFS) is an instrument designed to measure subjective fatigue that was developed in samples with physical illness. Its psychometric properties in nonclinical samples are unknown. The purpose of this study was to examine the psychometric properties of the R-PFS in a sample of caregivers of stroke survivors. The convenience sample of 132 caregivers was primarily women (74%), White (71%), college-educated (73%), and employed (52%), with a mean age of 56.7 years (SD = 13.71). Internal consistency reliabilities for the four R-PFS subscales and the total scale were excellent, ranging from .90 to .97. Principal axis factor analysis with oblique rotation was conducted to examine construct validity of the R-PFS. A three-factor solution explained 75.9% of the common variance. Two factors totally replicated the behavioral/severity and affective meaning subscales of the R-PFS. The third factor incorporated a combination of Piper’s sensory and cognitive/mood subscales and appeared to summarize how fatigue makes the caregiver feel. The R-PFS demonstrated strong internal consistency reliability and construct validity in this sample. However, data suggest that caregivers may perceive certain feelings associated with fatigue as conceptually similar when these feelings are conceptually distinct in Piper’s breast cancer sample. The study supports the need for psychometric evaluation of instruments developed in clinical populations prior to their use in nonclinical populations.

scholarly journals Arabic Version of the Electronic Health Literacy Scale in Arabic-Speaking Individuals in Sweden: Prospective Psychometric Evaluation Study

10.2196/24466 ◽  
2021 ◽  
Vol 23 (3) ◽  
pp. e24466
Author(s):  
Josefin Wångdahl ◽  
Karuna Dahlberg ◽  
Maria Jaensson ◽  
Ulrica Nilsson
Keyword(s):  
Health Literacy ◽  
Construct Validity ◽  
Factor Structure ◽  
Internal Consistency ◽  
Psychometric Evaluation ◽  
Principal Component ◽  
Arabic Version ◽  
Ehealth Literacy ◽  
Test Retest Reliability ◽  
Arabic Speaking

Background Health information is often communicated through the internet. It is vital for the end user to have a range of digital skills as well as understand the information to promote their health. There is a valid and reliable 8-item instrument, the Electronic Health Literacy Scale (eHEALS), that evaluates these skills. The number of Arabic-speaking people migrating to Sweden and to other parts of the world is increasing due to unstable military and political situations in their countries of origin. Poor health and limited health literacy have been described in this population in Sweden. Still, to our knowledge, an Arabic version of eHEALS has not been tested for validity or reliability. Thus, Arabic-speaking populations in Sweden cannot be included in studies measuring eHealth literacy, which does not support equal treatment in health care. Objective The aim of this study was to translate and adapt the original English eHEALS version into Arabic and to evaluate its psychometric properties. Methods The eHEALS was rigorously translated, adapted, and evaluated for content validity. We conducted prospective psychometric evaluation with natively Arabic-speaking participants living in Sweden. Construct validity, factor structure, internal consistency, and test-retest reliability were evaluated using Spearman correlation, principal component analysis, Cronbach α, and weighted quadratic Cohen κ, respectively. Results The study population consisted of Arabic-speaking participants (n=298; age: mean 41.8 years, SD 10.5). Construct validity was supported with weak and moderate correlations. Principal component factor analysis revealed a one-factor structure. Internal consistency was high (Cronbach α=0.92); test-retest reliability was acceptable (weighted quadratic Cohen κ=0.76). Evaluation indicated that eHealth literacy threshold values should be dichotomized (limited and sufficient) rather than trichotomized (inadequate, problematic, and sufficient). Conclusions The Arabic version of eHEALS, a unidimensional scale that is valid and reliable for measuring eHealth literacy among natively Arabic-speaking people in Sweden, was found to be acceptable and feasible in a general population.

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