Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly

Abstract Background The Balance Evaluation Systems Test (BESTest) and its abbreviated version, the Mini-BESTest are clinical examination of balance impairment, but its psychometric properties have not yet been tested in European Spanish. We aimed to assess the psychometric properties of BESTest and Mini-BESTest in Spanish in community-dwelling elderly people. Methods We designed a cross-sectional transcultural adaptation and validation study. Convenience sample of thirty (N-30) adults aged 65 to 89 years old without balance problems were recruited. Two physiotherapists assessed participants at the same time. Internal consistency of Spanish BESTest and Mini-BESTest was carried out by obtaining the Cronbach Alpha. The reproducibility between raters was studied with the Intraclass Correlation Coefficient. The Pearson correlation coefficient was calculated by comparing the relationship between the BESTest, mini-BESTest, Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). Results BESTest and Mini-BESTest showed good internal consistency. BESTest and Mini-BESTest total scores showed an excellent inter-rater agreement. There was a significant correlation between total score of the BESTest and the Mini-BESTest (r = 0.65; p < 0.001). BESTest had a moderate association with BBS and a strong association with FES-I. Mini-BESTest had a fair correlation with BBS and FES-I. Total scores obtained by women at BESTest and at Mini-BESTest were significantly lower than those reached by men. The differences observed in all the test when disaggregating data by sex require further research. Conclusions Spanish versions of BESTest and Mini-BESTest are comprehensible for new raters. They are reliable tools to provide information on which particular balance systems show impairment in community dwelling older adults. Elderly women had a worse quality of balance and a greater perception of their risk of falling. Trial registration This study was registered in ClinicalTrials.gov with NCT 03403218 on 2018/01/17.

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A study of the validity and reliability of the Brazilian version of the Body Shape Questionnaire (BSQ) among adolescents

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292009000300012 ◽

2009 ◽

Vol 9 (3) ◽

pp. 331-338 ◽

Cited By ~ 82

Author(s):

Maria Aparecida Conti ◽

Táki Athanássios Cordás ◽

Maria do Rosário Dias de Oliveira Latorre

Keyword(s):

Body Image ◽

Nutritional Status ◽

Correlation Coefficient ◽

Internal Consistency ◽

Body Shape ◽

Discriminant Validity ◽

Total Population ◽

Intraclass Correlation ◽

The Body ◽

Validity And Reliability

OBJECTIVES: to produce evidence of the validity and reliability of the Body Shape Questionnaire (BSQ) - a tool for measuring an individual's attitude towards his or her body image. METHODS: the study covered 386 young people of both sexes aged between 10 and 18 from a private school and used self-applied questionnaires and anthropometric evaluation. It evaluated the internal consistency, the discriminant validity for differences from the means, according to nutritional status (underweight, eutrophic, overweight and obese), the concurrent validity by way of Spearman's correlation coefficient between the scale and the Body Mass Index (BMI), the waist-hip circumference ratio (WHR) and the waist circumference (WC). Reliability was tested using Wilcoxon's Test, the intraclass correlation coefficient and the Bland-Altman figures. RESULTS: the BSQ displayed good internal consistency (±=0.96) and was capable of discriminating among the total population, boys and girls, according to nutritional status (p<0.001). It correlated with the BMI (r=0.41; p<0.001), WHR (r=-0.10; p=0.043) and WC (r=0.24; p<0.001) and its reliability was confirmed by intraclass correlation (r=0.91; p<0.001) for the total population. The questionnaire was easy to understand and could be completed quickly. CONCLUSIONS: the BSQ presented good results, thereby providing evidence of its validity and reliability. It is therefore recommended for evaluation of body image attitudes among adolescents.

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Short Assessment of Health Literacy for Portuguese-speaking Adults

Revista de Saúde Pública ◽

10.1590/s0034-89102012005000047 ◽

2012 ◽

Vol 46 (4) ◽

pp. 702-711 ◽

Cited By ~ 48

Author(s):

Daniel Apolinario ◽

Rafaela de Castro Oliveira Pereira Braga ◽

Regina Miksian Magaldi ◽

Alexandre Leopold Busse ◽

Flavia Campora ◽

...

Keyword(s):

Older Adults ◽

Health Literacy ◽

Construct Validity ◽

Psychometric Properties ◽

Assessment Tool ◽

Characteristic Curve ◽

Intraclass Correlation ◽

Validity And Reliability ◽

Convenience Sample ◽

Inadequate Health Literacy

OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults. METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions. RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76). The instrument showed adequate internal consistency (Cronbach's alpha=0.93) and adequate test-retest reliability (intraclass correlation coefficient=0.95). The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties. CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.

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Frommelt Attitudes Toward Care of the Dying Scale Form B

OMEGA - Journal of Death and Dying ◽

10.1177/0030222815568944 ◽

2015 ◽

Vol 70 (3) ◽

pp. 227-250 ◽

Cited By ~ 13

Author(s):

Chiara Mastroianni ◽

Michela Piredda ◽

Chiara Taboga ◽

Fiorino Mirabella ◽

Elisabetta Marfoli ◽

...

Keyword(s):

Nursing Students ◽

End Of Life ◽

Internal Consistency ◽

End Of Life Care ◽

Intraclass Correlation ◽

Italian Population ◽

Life Care ◽

Validity And Reliability ◽

Convenience Sample ◽

Care Of The Dying

Nurses' attitudes toward caring for dying patients have an impact on the quality of the care provided. Education can improve knowledge and attitudes toward end-of-life care. No validated tool that measures such attitudes is available for Italian nursing students. The aim of this study was to translate the Frommelt Attitudes Toward Care of the Dying Scale (FATCOD) Form B from English into Italian and to establish its validity and reliability within an Italian population of students. A two-stage design was used. Stage 1 adapted the original version of the tool and tested it for content validity through a multistep process. Stage 2 tested its psychometric properties by analyzing internal consistency, test–retest reliability, and construct validity. The convenience sample consisted of 465 nursing students from all the universities of one Italian region. Measures of stability showed a very good overall (0.87) intraclass correlation coefficient (ICC). The discriminating capacity of the scale was adequate with good values of asymmetry and kurtosis for most of the items. Good internal consistency was found. The six factors derived from the factor analysis are the following: Fear/Malaise, Communication, Relationship, Care of the family, Family as Caring, and Active Care. FATCOD Form B-I is a valid, reliable, and acceptable tool for evaluation of attitudes toward end-of-life care in Italian students. It measures six specific dimensions that should be highlighted during health care student education and training.

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The Modified Gait Efficacy Scale: Establishing the Psychometric Properties in Older Adults

Physical Therapy ◽

10.2522/ptj.20110053 ◽

2012 ◽

Vol 92 (2) ◽

pp. 318-328 ◽

Cited By ~ 41

Author(s):

Alaina M. Newell ◽

Jessie M. VanSwearingen ◽

Elizabeth Hile ◽

Jennifer S. Brach

Keyword(s):

Older Adults ◽

Correlation Coefficient ◽

Internal Consistency ◽

Intraclass Correlation ◽

Community Dwelling ◽

Self Report ◽

Retest Reliability ◽

And Performance ◽

Test Retest Reliability ◽

Community Dwelling Older Adults

BackgroundPerceived ability or confidence plays an important role in determining function and behavior. The modified Gait Efficacy Scale (mGES) is a 10-item self-report measure used to assess walking confidence under challenging everyday circumstances.ObjectiveThe purpose of this study was to determine the reliability, internal consistency, and validity of the mGES as a measure of gait in older adults.DesignThis was a cross-sectional study.MethodsParticipants were 102 community-dwelling older adults (mean [±SD] age=78.6±6.1 years) who were independent in ambulation with or without an assistive device. Participants were assessed using the mGES and measures of confidence and fear, measures of function and disability, and performance-based measures of mobility. In a subsample (n=26), the mGES was administered twice within a 1-month period to establish test-retest reliability through the intraclass correlation coefficient (ICC [2,1]). The standard error of measure (SEM) was determined from the ICC and standard deviation. The Cronbach α value was calculated to determine internal consistency. To establish the validity of the mGES, the Spearman rank order correlation coefficient was used to examine the association with measures of confidence, fear, gait, and physical function and disability.ResultsThe mGES demonstrated test-retest reliability within the 1-month period (ICC=.93, 95% confidence interval=.85, .97). The SEM of the mGES was 5.23. The mGES was internally consistent across the 10 items (Cronbach α=.94). The mGES was related to measures of confidence and fear (r=.54–.88), function and disability (Late-Life Function and Disability Instrument, r=.32–.88), and performance-based mobility (r=.38–.64).LimitationsThis study examined only community-dwelling older adults. The results, therefore, should not be generalized to other patient populations.ConclusionThe mGES is a reliable and valid measure of confidence in walking among community-dwelling older adults.

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Development and psychometric properties of the Japanese Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS)

PLoS ONE ◽

10.1371/journal.pone.0250843 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250843

Author(s):

Takuya Aoki ◽

Kuichiro Taguchi ◽

Eiichi Hama

Keyword(s):

Psychometric Properties ◽

Ambulatory Care ◽

Patient Experience ◽

Internal Consistency ◽

Pearson Correlation ◽

Healthcare Providers ◽

Internal Consistency Reliability ◽

Validity And Reliability ◽

Structural Validity ◽

Consumer Assessment

The Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) is one of the most widely studied and endorsed patient experience measures for ambulatory care. This study aimed to develop a Japanese CG-CAHPS and examine its psychometric properties. We evaluated the structural validity, criterion-related validity, internal consistency reliability, and site-level reliability of the scale. Data were analyzed for 674 outpatients aged 18 years or older in 11 internal medicine clinics. The confirmatory factor analysis supported the scale’s structural validity and the same composites (Access, Provider Communication, Care Coordination, and Office Staff) as that of the original CG-CAHPS. All site-level Pearson correlation coefficients between the Japanese CG-CAHPS composites and overall provider rating exceeded the criteria. Results of item-total correlations and Cronbach’s alpha indicated adequate internal consistency reliability. We developed the Japanese CG-CAHPS and examined its validity and reliability to measure the quality of ambulatory care based on patient experience. The results of the Japanese CG-CAHPS survey will provide useful information to providers, organizations, and policy makers for achieving a patient-centered healthcare system in Japan.

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Validity and reliability testing of the Indonesian version of the eHealth Literacy Scale during the COVID-19 pandemic

Health Informatics Journal ◽

10.1177/1460458220975466 ◽

2021 ◽

Vol 27 (1) ◽

pp. 146045822097546

Author(s):

Maria Cellina Wijaya ◽

Yudhistira Pradnyan Kloping

Keyword(s):

Internal Consistency ◽

Pearson Correlation ◽

Intraclass Correlation ◽

Correlation Method ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Acceptable Result ◽

Cross Sectional ◽

Ehealth Literacy ◽

Cronbach's Alpha

Nowadays, it is common for people to look for health care information on the internet. The eHealth Literacy Scale (eHEALS) is commonly used to measure eHealth literacy. As of the publication of this study, the Indonesian version for eHEALS has not been published even though eHealth literacy is necessary, especially in the current COVID-19 pandemic. We aimed to evaluate the validity and reliability of the Indonesian version of eHEALS (I-eHEALS). A total of 100 respondents in East Java were involved in this cross-sectional study. Pearson-product moment correlation method and construct validity were used to validate the results. The reliability was determined based on the Cronbach’s alpha internal consistency measurement and intraclass correlation coefficient (ICC). The Pearson correlation analysis results are significantly higher ( r > 0.254, p < 0.01) compared to the critical value table. Single factors accounting for 57.66% variance in the scales exhibit a unidimensional latent structure. The internal consistency between items is excellent as shown by the Cronbach’s alpha coefficient (0.91). The ICC analysis shows an acceptable result (0.552, p < 0.01). The I-eHEALS is valid and reliable to be used for evaluating the eHealth literacy of the Indonesian population.

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Psychometric Properties of Strength and Cardiovascular Endurance Items of The Persian Version of Functional Fitness Assessment Test in the Iranian Elderly

Salmand ◽

10.32598/sija.2020.3.100 ◽

2020 ◽

Vol 15 (2) ◽

pp. 224-235

Author(s):

Fatemeh Shoaei ◽

◽

Amir Shams ◽

Robab Sahaf ◽

Parvaneh Shamsipour Dehkordi ◽

...

Keyword(s):

Psychometric Properties ◽

Correlation Coefficient ◽

Internal Consistency ◽

Concurrent Validity ◽

Pearson Correlation ◽

Pearson Correlation Coefficient ◽

Functional Fitness ◽

Persian Version ◽

Cardiovascular Endurance ◽

Fitness Assessment

Objectives: The present research was conducted to evaluate the psychometric properties (validity and reliability) of Persian version of strength and cardiovascular endurance items of functional fitness assessment test in Iranian elderly. Methods & Materials: The statistical sample consisted of 200 elderly (100 males and 100 females) with mean aged 68.05±5.21 years old that were selected by random cluster sampling in Tehran city. The tools used included strength and cardiovascular endurance items of Functional Fitness Assessment test for adults over 60 years (FFAA). Content, structure and concurrent methods was used to evaluate validity. For evaluation of concurrent validity, the hand grip and treadmill tools were used. In order to assess the reliability, the temporal and internal consistency methods were used. Results: The results showed that the content validity of strength and cardiovascular endurance items were confirmed (90%-95%). Results of construct validity showed that the Pearson correlation coefficient between age with strength and cardiovascular endurance items is meaningful significant (0.71-0.75). Results of Pearson correlation coefficient test showed that the correlation between strength and cardiovascular endurance items and laboratory tests related to each of them were obtained for high levels (0.90-0.96). Therefore, the correlation obtained indicates the concurrent validity of this test items. Also, results showed that the test-retest interclass correlation test with a one-week interval, indicate that the temporal stability is acceptable (0.81-0.85). Furthermore, the results of Cronbach's alpha coefficient showed that the internal consistency of each item was acceptable (α>0.75). Conclusion: Results indicate that the strength and cardiovascular endurance items in elderly sample are valid and reliable, and the Persian version of these items can be used to assess the functional fitness among Iranian elderly people.

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Development and psychometric properties of the Thai Graves’ ophthalmopathy quality of life (GO-QOL) questionnaire

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-019-0164-8 ◽

2019 ◽

Vol 4 (1) ◽

Author(s):

Mingkwan Lumyongsatien ◽

Benjama Keeratidamkerngsakul ◽

Kanokrat Pornpanich ◽

Sumalee Vangveeravong ◽

Preamjit Saonanon ◽

...

Keyword(s):

Quality Of Life ◽

Psychometric Properties ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Clinical Activity ◽

Life Questionnaire ◽

Validity And Reliability ◽

Graves Ophthalmopathy

Abstract Purpose To develop and assess the psychometric properties of the Thai version of the Graves’ Ophthalmopathy Quality of Life (GO-QOL) questionnaire. Background Graves’ ophthalmopathy (GO) is a chronic condition that causes negative self-image and impaired visual function. These conditions impact quality of life (QOL) but are rarely documented. Graves’ Ophthalmopathy Quality of Life Questionnaire (GO-QOL) has good validity, reliability and responsiveness. In this study we developed a Thai GO-QOL questionnaire by translating the questionnaire from English to the Thai language and evaluated its reliability and validity. Patients and methods Forward and backward translations were performed independently by four translators with extensive experience in both English and Thai. Seventy patients at the thyroid clinic responded to the Thai translated version upon their first visit and again 2–3 weeks afterwards. Validity was assessed by the content validity index (CVI) and correlation with relevant clinical parameters. Reliability was evaluated by Cronbach’s alpha, the intraclass correlation coefficient, and the Bland-Altman plot. Results The Thai GO-QOL version showed high CVI (0.97) and a moderate negative correlation of the functional QOL score with disease severity (r = − 0.49), the clinical activity score (r = − 0.31), and exposure parameter (r = − 0.32). It showed good reliability with a high intraclass correlation coefficient (0.92) and high Cronbach’ s coefficient (0.86). Conclusion The Thai GO-QOL has good validity and reliability. It can be used to evaluate the quality of life of Graves’ ophthalmopathy patients as a consequence of their disease in thyroid treatment programs.

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A Simple Step Test to Estimate Cardio-Respiratory Fitness Levels of Rheumatoid Arthritis Patients in a Clinical Setting

International Journal of Rheumatology ◽

10.1155/2013/174541 ◽

2013 ◽

Vol 2013 ◽

pp. 1-8 ◽

Cited By ~ 10

Author(s):

Jennifer K. Cooney ◽

Jonathan P. Moore ◽

Yasmeen A. Ahmad ◽

Jeremy G. Jones ◽

Andrew B. Lemmey ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Correlation Coefficient ◽

Clinical Setting ◽

Pearson Correlation ◽

Intraclass Correlation ◽

Step Test ◽

Validity And Reliability ◽

Cvd Risk ◽

Exercise Tests ◽

Cardio Respiratory Fitness

Purpose. Exercise tests represent an important clinical tool to evaluate cardio-respiratory fitness and to predict future adverse cardiovascular events. However, use of such tests in patients with rheumatoid arthritis (RA) is relatively uncommon despite well-established evidence that low exercise capacity and high CVD mortality are features of this disease. Therefore, this study examined the validity and reliability of a sub-maximal step test for use in RA patients.Methods. Thirty patients (24 females) (mean ± SD age53±10years) performed a sub-maximal step test on two occasions to estimate the criterion measure of cardio-respiratory fitness (V.O2max). A further maximal cycling test provided a direct fitness measurement (V.O2 peak). Pearson correlation coefficient, intraclass correlation coefficient (ICC), Bland and Altman plots, and 95% limits of agreement (LOA) were used to determine the validity and reliability of the sub-maximal test.Results. EstimatedV.O2maxcorrelated well with directly measuredV.O2 peak(r=0.79, LoA ±5.7 mL·kg−1·min−1). Test-retest reproducibility for estimatedV.O2maxwas excellent (ICC=0.97, LoA ±2.2 mL·kg−1·min−1).Conclusion. The sub-maximal step test studied here represents a valid and reproducible method to estimate cardio-respiratory fitness in RA patients. This test may be useful for the assessment and management of CVD risk in a clinical setting.

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Psychometric Properties of the Multidimensional Scale of Perceived Social Support in Greek Nurses

Canadian Journal of Nursing Research ◽

10.1177/0844562118799903 ◽

2018 ◽

Vol 51 (1) ◽

pp. 23-30

Author(s):

Eleni Tsilika ◽

Antonis Galanos ◽

Tzanis Polykandriotis ◽

Efi Parpa ◽

Kyriaki Mystakidou

Keyword(s):

Mental Health ◽

Social Support ◽

Psychometric Properties ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Perceived Social Support ◽

Intraclass Correlation ◽

Internal Consistency Reliability ◽

Oncology Nurses

Background Psychosocial well-being in the workplace may increase retention of oncology nurses, while a lack of social support has been a predictor of occupational stress in nurses. Purpose To further explore this phenomenon by examining the psychometric properties of the Multidimensional Scale of Perceived Social Support in Greek nurses working in oncology and mental health settings. Methods A cross-sectional design was used. The sample consisted of 150 nurses (70 oncology nurses and 80 mental health nurses) from the area of greater Athens who joined the study. The scale was translated to Greek using the “forward-backward” procedure. The Multidimensional Scale of Perceived Social Support’s internal consistency reliability (Cronbach’s α), stability (intraclass correlation coefficient), factor structure (factor analysis), and convergent validity (correlation with Ways of Coping Questionnaire) were examined. Results A three-factor (significant others, family, and friends) model was confirmed. The subscales representing the three factors demonstrated excellent internal consistency reliability (Cronbach’s αs > .90) and stability intraclass correlation coefficient (>.90). Conclusions The measure is reliable and valid, and it can be used to assess nurses’ social support; the results of such an assessment could be helpful when selecting strategies for assisting nurses.

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