Measuring the occupational balance of people with insomnia in a Chinese population: Preliminary psychometric evidence on the Chinese version of the Occupational Balance Questionnaire

Background Occupational balance, a fundamental concept in occupational therapy, is the arrangement of right amount and variety of occupations contributes to a person’s health and well-being. This study was aimed to investigate the reliability and validity of the Chinese version of the Occupational Balance Questionnaire (OB-Quest) for people with insomnia. Methods The OB-Quest was translated into traditional Chinese and reviewed by an expert panel for content validity, cultural relevance and translation accuracy. Internal consistency, factor analysis and convergent validity, as well as test–retest reliability, were explored. Results The participants (n = 205), 115 adults with insomnia and 90 adults without insomnia, completed a survey of demographic background, the Chinese version of OB-Quest and the Chinese Insomnia Severity Index (C-ISI). The Chinese version of OB-Quest demonstrated excellent test–retest reliability (ICC= 0.98) and good internal consistency (Cronbach’s α = 0.80). Factor analysis indicated that a single-factor solution explained 42% of the variance, and 9 out of 10 items had a factor loading of 0.4 or above. The Chinese version of OB-Quest had significant correlations with C-ISI (r = –0.88; p < 0.001). A significant difference was found in occupational balance between groups with different levels of insomnia severity and without insomnia (F = 169.72; p < 0.001). As in a previous study, age, living environment and life role had no significant relationship with occupational balance. Conclusion The Chinese version of OB-Quest is a short, easy to understand and culturally relevant assessment for Chinese. It demonstrates satisfactory psychometric properties and had significant correlations with insomnia.

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Using Virtual Reality to Validate the Chinese Version of the Independent Television Commission-Sense of Presence Inventory

SAGE Open ◽

10.1177/2158244020922878 ◽

2020 ◽

Vol 10 (2) ◽

pp. 215824402092287

Author(s):

Bangyi Yan ◽

Shiguang Ni ◽

Xi Wang ◽

Jin Liu ◽

Qianjing Zhang ◽

...

Keyword(s):

Psychometric Properties ◽

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Chinese Version ◽

Reactivity Index ◽

Spatial Presence ◽

Retest Reliability ◽

Sense Of Presence ◽

Test Retest Reliability

The English version of the Independent Television Commission-Sense of Presence Inventory (ITC-SOPI), which was developed in 2001 to measure how involved or present participants are when experiencing different media, has substantial psychometric evidence. This study was used to translate and validate the ITC-SOPI in interactive virtual environments among the Chinese population. We used the forward-backward translation procedure. An expert panel reviewed the translated ITC-SOPI until the Chinese version of the ITC-SOPI was finalized. A total of 210 participants (133 males and 77 females), with a mean age of 23.05 years ( SD = 3.56, range = 17–47), completed the Chinese ITC-SOPI. The following psychometric properties were examined: factor structure, internal consistency, test–retest reliability, and convergent validity. Confirmatory factor analysis (CFA) showed a good fit (χ2 /df = 1.70, Tucker–Lewis Index [TLI] = 0.91, comparative fit index [CFI] = 0.92, root mean square error of approximation [RMSEA] = 0.058) of the four-factor model (spatial presence, engagement, ecological validity, and negative effects). For each factor, the Chinese ITC-SOPI had high internal consistency (Cronbach’s α ranging from 0.75 to 0.87) and test–retest reliability (intraclass correlation coefficient ranging from 0.82 to 0.91). Significant correlations were identified between all factors and the Interpersonal Reactivity Index-C (IRI-C) and the Generalized Anxiety Disorder-7 (GAD-7). The Chinese ITC-SOPI had good psychometric properties, suggesting that it is a reliable and valid tool for evaluating media users’ sense of presence in a Chinese-speaking context.

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Psychometric properties of the moral injury symptom scale among Chinese health professionals during the COVID-19 pandemic

BMC Psychiatry ◽

10.1186/s12888-020-02954-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Wang Zhizhong ◽

Harold G. Koenig ◽

Tong Yan ◽

Wen Jing ◽

Sui Mu ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Health Professionals ◽

Workplace Violence ◽

Convergent Validity ◽

Mainland China ◽

Well Being ◽

Moral Injury ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Background Moral injury among physicians and other health professionals has attracted attention in the mainstream literature, this study aim to assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. Methods A total of 583 nurses and 2423 physicians were recruited from across mainland China. An online survey was conducted from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic) using the Chinese version of the MISS-HP. Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to determine scale structure. Results Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability (ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r = 0.45 for physicians, r = 0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r = 0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r = 0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B = 4.16, 95%CI: 3.21–5.10, p < 0.001). Conclusions The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic.

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Psychometric properties of Integrated Palliative Outcome Scale: Czech standardization and validation

10.21203/rs.2.20850/v1 ◽

2020 ◽

Author(s):

Karolina Vlckova ◽

Eva Hoschlova ◽

Eva Chroustova ◽

Martin Loucka

Keyword(s):

Palliative Care ◽

Factor Analysis ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Small Sample ◽

Assessment System ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Background Outcome measurement is an essential part of the evaluation of palliative care and the measurements need to be reliable, valid and adapted to the culture in which they are used. The Integrated Palliative Outcome Scale (IPOS) is a widely used tool for assessing outcomes in palliative care. The aim of this study was to provide Czech version of IPOS and asses its psychometric properties.Methods Patients receiving palliative care in hospice or hospitals completed IPOS and part of the sample also completed Edmonton Symptom Assessment System (ESAS) and Palliative Performance Scale (PPS). The reliability of Czech IPOS was tested with Cronbach alpha (internal consistency) and Intraclass correlation coefficient and Weighted Kappa (test-retest reliability). Construct validity was assessed with factor analysis (Exploratory Factor Analysis) and convergent validity was tested with correlation analysis (Spearman correlation).Results Sample consisted of 140 patients (mean age 72; 90 women; 81% oncologic disease). IPOS internal consistency was 0.789; ICC= 0.88. To study convergent validity, we assessed the correlations of IPOS with ESAS (R= 0.4) and PPS (R= -0.2), however, these results have to be considered preliminary due to the small sample size. Exploratory factor analysis revealed a 2-factor solution on our data. The first factor covers emotional and information needs and the second factor covers physical symptoms.Conclusion Czech IPOS has very good reliability regarding both internal consistency and test-retest reliability. Together with an item analysis results, we can conclude that the Czech adaptation of the tool was successful. The convergent validity needs to be assessed on the larger sample and the proposed 2-factor internal structure of the questionnaire has to be confirmed by using CFA.

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Psychometric Properties of the Moral Injury Symptoms Scale among Chinese Health Professionals during the COVID-19 Pandemic

10.21203/rs.3.rs-32815/v1 ◽

2020 ◽

Cited By ~ 1

Author(s):

Zhizhong Wang ◽

Harold G Koenig ◽

Yan Tong ◽

Jing Wen ◽

Mu Sui ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Health Professionals ◽

Workplace Violence ◽

Convergent Validity ◽

Mainland China ◽

Well Being ◽

Moral Injury ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Aims To assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. Methods: A total of 583 nurses and 2,423 physicians were recruited from across mainland China. An online survey was conducted using the Chinese version of the MISS-HP from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic). Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was performed to determine scale structure. Results: Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability ( ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r=0.45 for physicians, r=0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r=0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r=0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B=4.16, 95%CI: 3.21-5.10, p<0.001). Conclusion: The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic.

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Psychometric Properties of the Chinese Version of the Positive Empathy Scale Among Undergraduates

Social Behavior and Personality An International Journal ◽

10.2224/sbp.2016.44.1.131 ◽

2016 ◽

Vol 44 (1) ◽

pp. 131-138 ◽

Cited By ~ 1

Author(s):

Tong Yue ◽

Jia Wei ◽

Xiting Huang ◽

Yuhan Jiang

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Psychometric Properties ◽

Well Being ◽

Chinese Version ◽

Retest Reliability ◽

Psychological Constructs ◽

Confirmatory Factor ◽

Empathy Scale ◽

Test Retest Reliability

We translated and examined the psychometric properties of a Chinese version of the Positive Empathy Scale (PES). Exploratory factor analysis (N = 428) and confirmatory factor analysis (N = 503) were performed on data from 2 undergraduate samples to examine the scale's construct validity, and the convergent, divergent, and concurrent validity, and test–retest reliability were also assessed (n = 87). The analyses showed that the PES had a single factor, a Cronbach's alpha of .837, and a test–retest reliability coefficient (4-week interval) of .78. Confirmatory factor analysis showed that the scale's structure was satisfactory. It was strongly correlated with measures of similar constructs (e.g., empathic concern, positive affect), but not with measures of dissimilar psychological constructs (e.g., personal distress). The scale also had a positive correlation with prosocial behavior and well-being. Thus, the Chinese version of the PES is a suitable measure of positive empathy for Chinese undergraduates.

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Psychometric properties of the Czech Integrated Palliative Outcome Scale: Reliability and content validity analysis

10.21203/rs.2.20850/v2 ◽

2020 ◽

Author(s):

Karolina Vlckova ◽

Eva Hoschlova ◽

Eva Chroustova ◽

Martin Loucka

Keyword(s):

Palliative Care ◽

Factor Analysis ◽

Psychometric Properties ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Retest Reliability ◽

Cronbach Alpha ◽

Test Retest Reliability

Abstract Background: Outcome measurement is an essential part of the evaluation of palliative care and the measurements need to be reliable, valid and adapted to the culture in which they are used. The Integrated Palliative Outcome Scale (IPOS) is a widely used tool for assessing personal-level outcomes in palliative care. The aim of this study was to provide Czech version of IPOS and asses its psychometric properties. Methods: Patients receiving palliative care in hospice or hospitals completed the IPOS. The reliability of Czech IPOS was tested with Cronbach alpha (for internal consistency), the intraclass correlation coefficient for total IPOS score and weighted Kappa (for test-retest reliability of individual items). Factor analysis was used for elucidating the construct (Exploratory Factor Analysis). Convergent validity was tested with correlation analysis (Spearman correlation) in a part of the sample, who completed also the Edmonton Symptom Assessment System (ESAS) and the Palliative Performance Scale (PPS). Results: The sample consisted of 140 patients (mean age 72; 90 women; 81 % oncological disease). The Cronbach alpha was 0.789; intraclass correlation was 0.88. The correlations of IPOS with ESAS was R= 0.4 and PPS R= -0.2. Exploratory factor analysis revealed a 2-factor solution on our data. The first factor covers emotional and information needs and the second factor covers physical symptoms. Conclusion: Czech IPOS has very good reliability regarding both internal consistency and test-retest reliability. Together with an item analysis results, we can conclude that the Czech adaptation of the tool was successful. The convergent validity needs to be assessed on the larger sample and the proposed 2-factor internal structure of the questionnaire has to be confirmed by using CFA.

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Psychometric Properties of the Moral Injury Symptom Scale among Chinese Health Professionals during the COVID-19 Pandemic

10.21203/rs.3.rs-32815/v2 ◽

2020 ◽

Author(s):

Zhizhong Wang ◽

Harold G Koenig ◽

Yan Tong ◽

Jing Wen ◽

Mu Sui ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Health Professionals ◽

Workplace Violence ◽

Convergent Validity ◽

Mainland China ◽

Well Being ◽

Moral Injury ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Background Moral injury among physicians and other health professionals has attracted attention in the mainstream literature, this study aim to assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. Methods: A total of 583 nurses and 2,423 physicians were recruited from across mainland China. An online survey was conducted from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic) using the Chinese version of the MISS-HP. Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to determine scale structure. Results: Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability ( ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r=0.45 for physicians, r=0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r=0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r=0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B=4.16, 95%CI: 3.21-5.10, p<0.001). Conclusions: The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic.

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Psychometric properties of the Czech Integrated Palliative Outcome Scale: Reliability and content validity analysis

10.21203/rs.2.20850/v3 ◽

2020 ◽

Author(s):

Karolina Vlckova ◽

Eva Hoschlova ◽

Eva Chroustova ◽

Martin Loucka

Keyword(s):

Palliative Care ◽

Factor Analysis ◽

Psychometric Properties ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Retest Reliability ◽

Cronbach Alpha ◽

Test Retest Reliability

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Psychometric properties of the critical thinking disposition assessment test amongst medical students in China: a cross-sectional study

BMC Medical Education ◽

10.1186/s12909-020-02437-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Liyuan Cui ◽

Yaxin Zhu ◽

Jinglou Qu ◽

Liming Tie ◽

Ziqi Wang ◽

...

Keyword(s):

Factor Analysis ◽

Critical Thinking ◽

Medical Students ◽

Psychometric Properties ◽

Internal Consistency ◽

Discriminant Validity ◽

Retest Reliability ◽

Critical Thinking Disposition ◽

Thinking Disposition ◽

Test Retest Reliability

Abstract Background Critical thinking disposition helps medical students and professionals overcome the effects of personal values and beliefs when exercising clinical judgment. The lack of effective instruments to measure critical thinking disposition in medical students has become an obstacle for training and evaluating students in undergraduate programs in China. The aim of this study was to evaluate the psychometric properties of the CTDA test. Methods A total of 278 students participated in this study and responded to the CTDA test. Cronbach’s α coefficient, internal consistency, test-retest reliability, floor effects and ceiling effects were measured to assess the reliability of the questionnaire. Construct validity of the pre-specified three-domain structure of the CTDA was evaluated by explanatory factor analysis (EFA) and confirmatory factor analysis (CFA). The convergent validity and discriminant validity were also analyzed. Results Cronbach’s alpha coefficient for the entire questionnaire was calculated to be 0.92, all of the domains showed acceptable internal consistency (0.81–0.86), and the test-retest reliability indicated acceptable intra-class correlation coefficients (ICCs) (0.93, p < 0.01). The EFA and the CFA demonstrated that the three-domain model fitted the data adequately. The test showed satisfactory convergent and discriminant validity. Conclusions The CTDA is a reliable and valid questionnaire to evaluate the disposition of medical students towards critical thinking in China and can reasonably be applied in critical thinking programs and medical education research.

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Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China

Family Practice ◽

10.1093/fampra/cmab004 ◽

2021 ◽

Author(s):

Qi Zhang ◽

Ke Zhang ◽

Miao Li ◽

Jiaxin Gu ◽

Xintong Li ◽

...

Keyword(s):

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Reliability And Validity ◽

Therapeutic Interventions ◽

Treatment Burden ◽

Validity And Reliability ◽

Stroke Patients ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Objectives To examine the validity and reliability of the Mandarin version of the Treatment Burden Questionnaire (TBQ) among stroke patients. Background Stroke patients need long-term management of symptoms and life situation, and treatment burden has recently emerged as a new concept that can influence the health outcomes during the rehabilitation process. Methods The convenience sampling method was used to recruit 187 cases of stroke patients in a tertiary grade hospital in Tianjin for a formal investigation. Item analysis, reliability and validity tests were carried out. The reliability test included internal consistency and test–retest reliability. And as well as content, structure and convergent validity were performed for the validity test. Results Of the 187 completed questionnaires, only 180 (96.3%) were suitable for analysis. According to the experts’ evaluation, the I-CVI of each item was from 0.833 to 1.000, and the S-CVI was 0.967. The exploratory factor analysis yielded three-factor components with a cumulative variation of 53.054%. Convergent validity was demonstrated using measures of Morisky’s Medication Adherence Scale 8 (r = –0.450, P < 0.01). All correlations between items and global scores ranged from 0.403 to 0.638. Internal consistency reliability and test–retest reliability were found to be acceptable, as indicated by a Cronbach’s α of 0.824 and an intraclass correlation coefficient of 0.846, respectively. Conclusions The Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.

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