scholarly journals Questionnaire development and validation for designing a health telemonitoring system for frail elderly people

2019 ◽  
Vol 5 ◽  
pp. 205520761983894
Author(s):  
Ahmadreza Shamsabadi ◽  
Ahmad Delbari ◽  
Ahmad Siar Sadr ◽  
Esmaeil Mehraeen ◽  
Niloofar Mohammadzadeh ◽  
...  

Background Advancements in information technology have been instrumental in successful recent developments in telemonitoring systems. In this regard, there is a lack of development of valid and reliable tools to determine the requirements and applications of telemonitoring systems used to provide health care for frail elderly people living at home, specifically in a national setting. Method A cross-sectional study was carried out in 2018. The statistical population was 15 geriatric and gerontology professionals and 15 health information management experts. Then, content validity ratio (CVR), Cronbach's alpha, and correlation coefficient were calculated for measuring content validity, internal consistency and external reliability (through the test–retest method) respectively. SPSS software was used to analyze the collected data. Results Based on the identified items, a draft questionnaire was developed. Using the validity analysis in two stages, 37 items were removed, and 60 items were approved as the essential system requirements. The final questionnaire was organized into five sections with content validity index 99% and internal reliability (Cronbach's alpha coefficient 0.9). Furthermore, the external reliability results of the questionnaire showed that this instrument has a desirable correlation coefficient ( r = 0.85, p-value<0.05). Conclusion Considering the desirable validity and reliability of the questionnaire developed, it is recommended to telemonitoring system designers to determine the usages and requirements of health monitoring systems for frail elderly people living at home. The verified instrument is suitable for use in countries with the same living conditions and level of development as Iran.

Author(s):  
Esmail AHMADIAN ◽  
Hamidreza MEHRI ◽  
Faeze SEPAHI-ZOERAM ◽  
Hamed MOHAMMADI

Introduction: Due to occurrence of fires in process industries, it is vital to implement crisis management systems in these industries and keep the readiness of these systems high. The purpose of this study is to evaluate the readiness of emergency response teams to deal with a possible fire in a process industry. Methods: This descriptive-analytical study was performed in 2019 in a gas refinery with a statistical population of 200 people. A questionnaire with Likert scale was designed through library and field studies for all teams participating in the firefighting process. Content Validity Ratio (CVR) and Content Validity Index (CVI) were used to measure validity and Cronbach's alpha coefficient was used to measure the reliability of the questionnaires. The collected data were entered into SPSS software version 24 and statistical analysis was performed at 95% significance level using One Way ANOWA test. Results: The results showed that the readiness of this refinery to deal with a possible fire was 68.3%, which among the 11 teams participating in this process, the security team with 53.48% had the lowest and the logistics team with 77.5% had the highest preparedness (P-value = 0.028). The highest CVR was for the safety team questionnaire (0.77) and the highest Cronbach's alpha coefficient was for the liaison team (0.92).  Conclusion: The results of this study showed that the readiness of this gas refinery in the firefighting process is satisfactory, although some teams, including the security team, are less prepared than other teams. Therefore, it is better to take intervention measures as soon as possible, including providing the necessary equipment and providing various trainings and maneuvers in order to increase the readiness of the teams.  


Author(s):  
Diego de Leo ◽  
Marco Trabucchi

Italy has been hit very hard by the severe acute respiratory syndrome—coronavirus-2 (SARS-CoV-2) pandemic. This brief report highlights some of the peculiarities manifested by its older adult population, with particular reference to those living in nursing institutions and at home. Mortality data (as of 26 April) are reported, together with reactions to forced isolation, loneliness, and fear of contracting the disease, which represent big challenges for all, especially for frail elderly people.


Author(s):  
Hosein Ebrahimipour ◽  
Elahe Hooshmand ◽  
Mehdi Varmaghani ◽  
Seyyed Morteza Mojtabaeian

Background: Many organizations believe that physician involvement is important in quality and safety of health services, but they did not properly define, measure, and improve it, so because of the importance of the quality of health care and increasing the involvement of physician this study was conducted to evaluate the validity and reliability of a questionnaire on the challenges of physicians' participation in quality improvement programs. Methods: In this cross-sectional study conducted in the hospitals of Mashhad University of Medical Sciences, a researcher-made questionnaire about challenges of physicians' participation in accreditation activities used for data gathering. The content validity ratio index and content validity index were also calculated. To measure the internal consistency of the instrument, the questionnaire was distributed among 14 physicians, Cronbach's alpha coefficient was determined. For stability or reproducibility of the instrument, test - retest and correlation coefficient were calculated. By distributing questionnaires among 14 people those meeting inclusion criteria, the correlation coefficient was measured twice and at intervals of 2 weeks. SPSS 21 software was used for data analysis Results: The initial questionnaire was consisted of 61 items, which were reduced to 38 items after face and content psychometrics. The questionnaire has 12 sub-concepts. Cronbach's alpha coefficient of the questionnaire was 0.83 and the intragroup correlation coefficient in 2 measurements 2 weeks apart was 0.94. Conclusion: This questionnaire is the first and only valid and reliable dedicated tool in the field of challenges of physicians' participation in accreditation activities in Iran, which can measure and prioritize the challenges in each health center and it can be used to improve health care quality services that are performed by doctors.


1989 ◽  
Vol 4 (3) ◽  
pp. 171-178
Author(s):  
M. Stone ◽  
A. Barton ◽  
O. Coles ◽  
M. Dodds ◽  
J. Smith

Author(s):  
Kasturi Shukla ◽  
Priyadarshini Chandrashekhar ◽  
Shweta Mehta

ABSTRACT Introduction In case of internal disasters, such as fire in hospitals, health services to the community are severely hampered with the additional morbidity of victims, such as employees and visitors present when the disaster strikes. Risk assessment and fire preparedness are most crucial proactive measures to prevent fire disasters and minimize the loss in a hospital; however, scanty studies are available on this topic. Materials and methods This cross-sectional study was conducted at a multispecialty hospital in Mumbai, Maharashtra (India), during March. April 2014. Fire-Safety Preparedness Framework (FSPF) was designed with four domains (risk and vulnerability assessment, response mechanisms and strategies, preparedness plan and information management) for evaluation of fire safety preparedness of hospital employees. Baseline variables were summarized; instrument was tested for reliability using Cronbach's alpha and content validity through review by experts. The number of correct responses for each question was further analyzed across the type of employee. Results The instrument showed high reliability (Cronbach's alpha = 0.89, p-value. 0.01) and content validity. A total of 207 employees (mean age 32) 8.3 years, 63% females) consented and participated in the study. Out of 20 questions, awareness was high (90%) only for three questions from Response mechanism and strategies-domain. For the remaining questions, awareness was moderate to low. The awareness varied highly with the type of employee. Conclusion The FSPF is a reliable tool for application in the Indian context for hospital employees. Disaster preparedness training and drill need to involve employees from all departments as awareness levels varied highly with type of employee. How to cite this article Shukla K, Chandrashekhar P, Mehta S. How Prepared are Hospital Employees for Internal Fire Disasters? A Study of an Indian Hospital. Int J Res Foundation Hospc Health Adm 2016;4(1):20-24.


2019 ◽  
Vol 7 (9) ◽  
pp. 1407-1414 ◽  
Author(s):  
Zahra Ebnehoseini ◽  
Hamed Tabesh ◽  
Kolsoum Deldar ◽  
Seyed Mostafa Mostafavi ◽  
Mahmood Tara

BACKGROUND: Hospital Information System (HIS) is a type of health information system which is widely used in clinical settings. Determining the success rate of HISs is an ongoing area of research since its implications are of interest for researchers, physicians and managers. AIM: In the present study, we develop a novel instrument to measure HIS success rate based on users’ viewpoints in a teaching hospital. METHODS: The study was conducted in Ebnesina and Dr Hejazi Psychiatric Hospital and education centre in Mashhad, Iran. The instrument for data collection was a self-administered structured questionnaire based on ISSM, covering seven dimensions, which includes system quality, information quality, service quality, system use, usefulness, satisfaction, and net benefits. The verification of content validity was carried out by an expert panel. The internal consistency of dimensions was measured by Cronbach’s alpha. Pearson’s correlation coefficient was calculated to evaluate the significance of associations between dimensions. The HIS success rate on users’ viewpoints was determined. RESULTS: A total of 125 users participated in the study. The instrument was validated by an expert panel with the Content Validity Index (CVI): 0.85 and Content Validity Ratio (CVR): 0.86. The overall Cronbach’s alpha value of the instrument was 0.93. The Pearson correlation coefficient showed significant positive relationships among the investigated dimensions. On average, HIS success rate in the hospital under study was 65% (CI: 64%, 67%). The dimensions of “usefulness”, “system quality”, and “net benefits” showed the highest rates of success, respectively. CONCLUSION: The instrument used in this study can be adopted for HIS evaluation in future studies. In the current study, a method was developed to determine the HIS success rate based on users’ viewpoints. This method allows for the comparison of HIS success rates in various hospitals. As well, our findings underscore the viewpoints of HIS users in a developing country.


Author(s):  
M Firoozeh ◽  
A Kavousi ◽  
S Hassanzadeh

Introduction: Modified Euro Quest questionnaire to assess neurological and psychiatric effects caused by exposure to organic solvents is used. This study investigates the validity, reliability, and usability of the modified Euro Quest questionnaire in Iran. Materials and Methods: This cross-sectional descriptive study was conducted on 206 workers of color and textile industries. Modified Euro Quest questionnaire was translated into Persian by using the forward-backward translation standard method. To evaluate the content validity, convergent validity, internal consistency, and reliability of the questionnaire were used the index CVI, Pearson correlation coefficient, Cronbach's alpha, and test-retest. The convergent validity was compared, results of the questionnaire, with results of mini-mental state examination (MMSE) and Multidimensional Fatigue Inventory (MFI). Results: The relationship between the modified Euroquest questionnaire was compare with the MMSE test and the MFI's questionnaire, Pearson correlation coefficients, and the results showed in order - 0.86 and 0.65, which represents a significant inverse correlation between this questionnaire with MMSE test(p>0.001) And a moderate correlation with the MFI's questionnaire(p>0.001). Content validity index (CVI) and intraclass correlation coefficient (ICC) were obtained in order amounts of ≤0.79 and 0.92, which was acceptable. The final questionnaire, Cronbach's alpha coefficient, was calculated (α =0.84).  Conclusion: The modified Euroquest Persian version is a valuable tool to assess the neurological and psychological effects caused by exposure to organic solvents in Iranian workers. 


2003 ◽  
Vol 9 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Hiromichi Ezumi ◽  
Noriko Ochiai ◽  
Mikiko Oda ◽  
Shigeko Saito ◽  
Minae Ago ◽  
...  

We evaluated the effect of a video-phone network on peer support among frail elderly people living at home. We conducted a one-year trial of network formation among 14 people (five men and nine women, age range 78–85 years) through coordinator intervention and the use of ISDN video-phones. The purpose of the intervention was to support and improve the functional independence of frail elderly people at home and to widen their social network. During the study, the subjects made 1400 video-calls, lasting a total of 25,867 min. One subject made no calls. There was greater use of video-phones by those living outside the central city area. Calls between men and women were infrequent. The men generally had shorter call times and made fewer calls. The participants could be categorized into three groups: those using video-phones every day; those using them once per week; and those using them once per month. All subjects in the first group clearly expressed their satisfaction with the video-phone. A video-phone network appears to be helpful for elderly people in their peer support relationships.


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