scholarly journals Characterisation of health literacy strengths and weaknesses among people at metabolic and cardiovascular risk: Validity testing of the Health Literacy Questionnaire

2018 ◽  
Vol 6 ◽  
pp. 205031211880125 ◽  
Author(s):  
Xavier Debussche ◽  
Victorine Lenclume ◽  
Maryvette Balcou-Debussche ◽  
Danielle Alakian ◽  
Claude Sokolowsky ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Health Information ◽  
Root Mean Square ◽  
Mean Square ◽  
Factor Analysis Model ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Literacy Profiles

Objectives: Health literacy refers to the ability of individuals to gain access to, use, and understand health information and services in order to maintain a good health. The assessment of health literacy profiles in a population is potentially crucial to respond to health needs. The Health Literacy Questionnaire explores nine dimensions of health literacy and has been shown to display robust psychometric properties. The aim was to test the validity of the multidimensional Health Literacy Questionnaire and to describe the health literacy profiles in a French population at risk of cardiovascular disease. Methods: Data were collected using self-administered questionnaires from 175 participants attending health education and support programmes in local associations of patients in Paris. Analysis included scale reliability, confirmatory factor analysis, and health literacy profiles via descriptive statistics. Results: In confirmatory factor analysis, the nine-factor structure was close to the original Health Literacy Questionnaire. A nine-factor confirmatory factor analysis model was fitted to the 44 items with no cross-loadings or correlated residuals allowed. Given the restricted nature of the model, the fit was satisfactory: χ2WLSMV(866 df) = 1383.81, p = 0.0000, comparative fit index = 0.925, Tucker–Lewis index = 0.918, root mean square error of approximation = 0.058, weighted root mean square residual = 1.175. Composite reliability ranged from 0.77 to 0.91. Among the 9 scales of the Health Literacy Questionnaire, the highest scores were found for scale 1 ‘Feeling understood and supported by healthcare professionals’ and scale 9 ‘Understand health information enough to know what to do’ and the lowest for scale 2 ‘Having sufficient information to manage my health’ and scale 7 ‘Navigating the healthcare system’. Conclusion: The French version of the Health Literacy Questionnaire was shown to be psychometrically robust with good reliability. In the context of France, the 9 scales of Health Literacy Questionnaire allow a thorough assessment of health literacy strengths and weaknesses to respond to health literacy needs and improve the accessibility of health information and services.

scholarly journals Validation and psychometric evaluation of the Dutch person-centred care of older people with cognitive impairment in acute care (POPAC) scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn J. Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie F. Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Root Mean Square ◽  
Acute Care ◽  
Mean Square ◽  
Confirmatory Factor

Abstract Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes. Methods After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency. Results The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item. Conclusions Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

The Psychometric Properties of the Difficult Behavior Self-Efficacy Scale

2010 ◽  
Vol 27 (3) ◽  
pp. 191-207 ◽  
Author(s):  
Hyun-Kyoung Oh ◽  
Francis M. Kozub
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Root Mean Square ◽  
Internal Consistency ◽  
Self Efficacy ◽  
Mean Square ◽  
Two Samples ◽  
Confirmatory Factor ◽  
Fit Index

The study was designed to estimate the psychometric properties of Hastings and Brown’s (2002a) Difficult Behavior Self-efficacy Scale. Participants were two samples of physical educators teaching in Korea (n = 229) and the United States (U.S.; n = 139). An initial translation of the questionnaire to Korean and pilot study were conducted along with the larger study using a confirmatory factor analysis procedure. Internal consistency estimates (weighed Omega) for the five-item scale were 0.88 both the Korean and U.S. samples. The average variances extracted for the one factor were 0.59 for the total data set and 0.57 each for the Korean and U.S. samples. Confirmatory factor analysis supported a five-item, unidimensional model for self-efficacy for the total sample: Goodness of Fit Index (GFI) = 0.97, Nonnormed Fit Index (NNFI) = 0.95, Comparative Fit Index (CFI) = 0.98, and Standardized Root Mean Square Residual (SRMR) = 0.03. Only the Root Mean Square Error of Approximation (RMSEA = 0.12) fell below criterion levels of acceptable fit, with similar fit indices occurring in separate analyses of the Korean and U.S. samples. Invariance testing across the two samples supported metric invariance (similarity of factor loadings) but not scalar invariance (U.S. means higher on all five items). The factor structure for the self-efficacy scale provides an initial estimate of validity and internal consistency for use with different teacher groups.

scholarly journals Development and Validation of a Chinese Parental Health Literacy Questionnaire for Caregivers of Children from 0 to 3 Years Old

2019 ◽  
Author(s):  
Yan Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Huijing Shi ◽  
Biao Xu ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parental Health ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Abstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children under three years old. Methods We conducted a validity and reliability study through a cross-sectional survey and test-retest analysis respectively between March and April 2017. 807 caregivers of children under three years old were recruited, among which 101 caregivers completed the test-retest assessment with two weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 39-question Chinese Parental Health Literacy Questionnaire was shown with high internal consistency (Cronbach’s α=0.89), spilt-half reliability (Spearman-Brown coefficient=0.92) and test-retest reliability (Pearson correlation coefficient=0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants’ test scores of the Chinese Parental Health Literacy Questionnaire in a cross-sectional survey were positively associated with caregivers being mothers, more educated, of children with Shanghai Hukou, having only one child in the family, having higher family income. Conclusion The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.

scholarly journals Validation of the Personality Measurement Tools for College Students: Focusing on Nursing Students

2019 ◽  
Vol 25 (3) ◽  
pp. 321-330
Author(s):  
Myoung Lyun Heo ◽  
Yang min Jang
Keyword(s):  
College Students ◽  
Factor Analysis ◽  
Nursing Students ◽  
Confirmatory Factor Analysis ◽  
Root Mean Square ◽  
Exploratory Factor Analysis ◽  
College Adjustment ◽  
Mean Square ◽  
Personality Measurement ◽  
Confirmatory Factor

Purpose: The purpose of this study was to analyze the validity and reliability of the personality measurement tool for nursing college students. Methods: Questionnaires were issued to 300 nursing students, with 275 eventually collected. The items were confirmed by validity experts. Construct validity was tested using exploratory factor analysis and confirmatory factor analysis. Reliability analysis was tested using Cronbach's ${alpha}$. Criterion validity was tested by analyzing correlation with the college adjustment scale. Results: Eight factors were confirmed by exploratory factor analysis. Confirmatory factor analysis was used to confirm the model fit (Root-mean-square residual .03; Root-mean-square error of approximation .06; Comparative fit index .92); and convergent validity and discriminant validity were confirmed. In addition, the criterion validity was confirmed through correlation (r=.64, p<.001) with the college adjustment scale. The reliability of this tool was Cronbach's ${alpha}$ .94. Conclusion: This tool can be used to measure personality in nursing education and can be used to develop and evaluate personality programs.

Confirmatory Factor Analysis and Internal Consistency of the Suicidal Ideation Scale of the Center for Epidemiological Studies Depression Among Colombian Adolescents

2020 ◽  
pp. 003329412097177
Author(s):  
Yuli P. Suárez-Colorado ◽  
Carmen C. Caballero-Domínguez ◽  
Adalberto Campo-Arias
Keyword(s):  
Factor Analysis ◽  
Suicidal Ideation ◽  
Confirmatory Factor Analysis ◽  
Root Mean Square ◽  
Internal Consistency ◽  
Epidemiological Studies ◽  
Mean Square ◽  
Chi Square ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

The current study tested the one-dimensionality of the Center for Epidemiological Studies Depression Scale for Suicidal Ideation (CES-D-SI) and its reliability among high school students in Santa Marta, Colombia. A total of 1,462 tenth and eleventh-grade students from public and private schools completed the CES-D-SI. The students were between 13 and 17 years ( M = 16.0, SD = 0.8), 60.3% were female, and 55.3% were in the tenth grade. A confirmatory factor analysis (CFA) was conducted, and the chi-square, root mean square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), and standardized root mean square residual (SRMR) statistics were calculated. The internal consistency of the dimension was calculated using Cronbach’s alpha and McDonald’s omega coefficients. The results of the CFA were as follows: chi-square = 26.51, df =2, p = .001; RMSEA = .092; 90% confidence interval = .063–.124; CFI = .983; TLI = .950; and SRMR = .019. Cronbach’s alpha coefficient was .75, and McDonald’s omega coefficient was .77. As conclusions, the scale exhibited a unidimensional structure similar to that in other studies and presented good reliability values. Hence, its use is recommended to screen suicidal ideation in school-aged adolescents in Santa Marta, Colombia.

scholarly journals Evaluation of Eight-Item Vancomycin Prescribing Confidence Questionnaire Among Junior Doctors

2021 ◽  
Vol 8 ◽  
Author(s):  
Lu Liu ◽  
Zhehan Jiang ◽  
Ana Xie ◽  
Weimin Wang
Keyword(s):  
Principal Component Analysis ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Root Mean Square ◽  
Principal Component ◽  
Component Analysis ◽  
Junior Doctors ◽  
Mean Square ◽  
Extreme Response ◽  
Confirmatory Factor

Background: Assessing the preparedness of junior doctors to use vancomycin is important in medical education. Preparedness is typically evaluated by self-reported confidence surveys.Materials and Methods: An eight-item vancomycin prescribing confidence questionnaire was developed, piloted, and evaluated. The questionnaire responses were collected from 195 junior doctors and a series of statistical techniques, such as principal component analysis and confirmatory factor analysis, and were implemented to examine the validity and reliability.Results: The principal component analysis supported a one-factor structure, which was fed into a confirmatory factor analysis model resulting in a good fit [comparative fit index (CFI) = 0.99, Tucker–Lewis index (TLI) = 0.99, root mean square error of approximation (RMSEA) = 0.08, standardized root mean square residual (SRMR) = 0.04]. Ordinal-based α was 0.95, and various ωs were all above 0.93, indicating a high reliability level. The questionnaire responses were further proved to be robust to extreme response patterns via item response tree modeling. Jonckheere–Terpstra test results (z = 6.5237, p = 3.429e−11) showed that vancomycin prescribing confidence differed based on the experience in order (i.e., four ordinal independent groups: “≤10 times,” “11–20 times,” “21–30 times,” and “≥31 times”) and therefore provided external validity evidences for the questionnaire.Conclusions: The questionnaire is valid and reliable such that teaching hospitals can consider using it to assess junior doctors' vancomycin prescribing confidence. Further investigation of the questionnaire can point to the relationship between the prescribing confidence and the actual performance.

scholarly journals Development and validation of the reproductive health literacy questionnaire for Chinese unmarried youth

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Xuemei Ma ◽  
Yufan Yang ◽  
Qian Wei ◽  
Hong Jiang ◽  
Huijing Shi
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Reproductive Health ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Evaluation Instrument ◽  
Retest Reliability ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Abstract Objectives This study aimed to develop and validate the reproductive health literacy questionnaire for Chinese unmarried youth aged 15–24. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test–retest analysis in four districts in Shanghai between April and June 2017. A total of 1587 participants completed a self-administered questionnaire anonymously on-site and the trained investigators conducted quality check afterwards. Sixty participants among them completed the test–retest assessment with 2 weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test–retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 58-question reproductive health literacy questionnaire for Chinese unmarried youth demonstrated high internal consistency (Cronbach’s α = 0.919), spilt-half reliability (Guttman splitting coefficient = 0.846) and test–retest reliability (correlation coefficient = 0.720). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The reproductive health literacy scores in unmarried girls aged 15–24 were higher than boys (P < 0.05) and college students who lived in rural areas when they were middle and high school obtained lower score than those living in cities and suburbs (P < 0.01). Conclusion The reproductive health literacy questionnaire for Chinese unmarried youth demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess reproductive health literacy among Chinese young people.

scholarly journals Development and Validation of a Chinese Parental Health Literacy Questionnaire for Caregivers of Children 0 to 3 Years Old

2019 ◽  
Author(s):  
Yan Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Huijing Shi ◽  
Biao Xu ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Literacy ◽  
Confirmatory Factor Analysis ◽  
Internal Consistency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parental Health ◽  
Health Literacy Questionnaire ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Abstract Background Given the limited information on parental health literacy measurements, the study aimed to develop and validate the Chinese Parental Health Literacy Questionnaire for caregivers of children 0 to 3 years old. Methods We conducted a validity and reliability study of the questionnaire through a cross-sectional survey and test-retest analysis respectively between March and April 2017. We recruited 807 caregivers of children 0 to 3 years old, among them 101 caregivers completed the test-retest assessment with two weeks interval. The reliability was determined by internal consistency, spilt-half reliability and test-retest reliability. The construct validity was assessed by confirmatory factor analysis. Results The 39-question Chinese Parental Health Literacy Questionnaire was demonstrated high internal consistency (Cronbach’s α=0.89), spilt-half reliability (Spearman-Brown coefficient=0.92) and test-retest reliability (Pearson correlation coefficient=0.82). The confirmatory factor analysis showed that the construct of the questionnaire fitted well with the hypothetical model. The participants’ test scores of the Chinese Parental Health Literacy Questionnaire in the cross-sectional survey were positively associated with caregivers being mothers, more educated, the children with Shanghai Hukou , having only one child in the family, and higher family income. Conclusion The Chinese Parental Health Literacy Questionnaire demonstrated good reliability and validity, which could potentially be used as an effective evaluation instrument to assess parental health literacy.

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