scholarly journals Design and psychometric evaluation of epilepsy-related apathy scale (E-RAS) in adults with epilepsy: a sequential exploratory mixed methods design

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abbas Shamsalinia ◽  
Mozhgan Moradi ◽  
Reza Ebrahimi Rad ◽  
Reza Ghadimi ◽  
Mansoureh Ashghali Farahani ◽  
...  

Abstract Background Apathy in patients with epilepsy is associated with a wide range of consequences that reduce the patient’s ability to perform social functions and participate in self-care and rehabilitation programs. Therefore, apathy is one of the important diagnoses of the healthcare team in the process of caring for epileptic patients and its dimensions need to be examined and recognized. Therefore, appropriate instruments with the sociocultural milieu of each community should be provided to health care providers. The aim of the present study was to design and measure epilepsy–related apathy scale (E-RAS) in adults with epilepsy. Methods This study of sequential exploratory mixed methods design was conducted in Iran from April 2019 to December 2019. In the Item generation stage, two inductive (face-to-face and semi-structured interviews with 17 adult epileptic patients) and deductive (literature review) were used. In item reduction, integration of qualitative and literature reviews and scale evaluation were accomplished. For Scale Evaluation, face, content, construct [exploratory factor analysis (EFA) (n = 360) and confirmatory factor analysis (CFA) (n = 200)], convergent and divergent Validity and reliability (internal consistency and stability) were investigated. Results The results of EFA showed that E-RAS has four factors, namely, motivation; self-regulatory; cognition and emotional-effective. These four latent factors accounted for a total of 48.351% of the total variance in the E-RAS construct. The results of CFA showed that the 4-factor model of E-RAS has the highest fit with the data. The results of convergent and divergent validity showed that the values of composite reliability (CR) and average variance extracted (AVE) for the four factors were greater than 0.7 and 0.5, respectively, and the value of AVE for each factor was greater than CR. The Cronbach’s alpha coefficient for the whole scale was obtained 0.815. The results of the test-retest showed that there was a significant agreement between the test and retest scores (P < 0.001). Conclusion E-RAS is a multidimensional construct consisting of 24 items, and has acceptable validity and reliability for the study of epilepsy-related apathy in adult epileptic patients.

2016 ◽  
Vol 9 (2) ◽  
pp. 269 ◽  
Author(s):  
Parvin Abedi ◽  
Najva Hazeghi ◽  
Poorandokht Afshari ◽  
Ahmad Fakhri

<p>Extreme fear of childbirth may interfere with normal process of labor and increase the rate of cesarean section.<strong> </strong>The aim of this study was to evaluate validity and reliability of a Persian version of Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) among nulliparous women. In this cross-sectional study, 200 nulliparous women of reproductive age were recruited. The original form of the W-DEQ was received from corresponding author (Garthus-Niegel). This questionnaire was translated into Persian language and back-translated to English by three experts in reproductive health and psychiatry who were fluent in Persian and English. Two questionnaires namely the Beck Anxiety Inventory (BAI) and the Depression Anxiety Stress Scale (DASS) were used to check the convergent and divergent validity. Confirmatory factor analysis was used to assess the construct validity, while the Pearson correlation coefficient was used to assess the convergent and divergent validity of the W-DEQ. Reliability was measured using Cronbach’s coefficient alpha. Factor analysis yielded nine factors that explained 70.06% of the total variation. Cronbach’s alpha was 0.64 and the convergent validity with the BAI questionnaire was (r=0.402) and the divergent validity of W-DEQ with the DASS questionnaire was (r=0.349). The Persian W-DEQ has a good validity and reliability for measuring the fear of delivery in Iranian women of reproductive age. Using this questionnaire for nulliparous women is recommended.</p>


2018 ◽  
Vol 48 ◽  
pp. 01038
Author(s):  
Beyza Kırca ◽  
Halil Ekşi

In this study, it was aimed to adapt the Comprehensive Inventory of Mindfulness Experiences-Adolescents into Turkish, and to analyze the measure’s validity and reliability. The sample of the study consisted of 415 high school students. Confirmatory factor analysis confirmed the original eight-factor structure. Cronbach alpha coefficient for the overall scale is 0.70 and the coefficients differ from 0.48 to 0.69 for the sub-scales. Corrected item-total correlations are found to be between 0.20 and 0.55. The convergent and divergent validity was examined and statistically significant relations were found. The study showed that the Turkish adaptation of The Comprehensive Inventory of Mindfulness Experiences-Adolescents is a reliable and valid scale for measuring mindfulness in adolescents.


2020 ◽  
Author(s):  
Farzaneh Didvar ◽  
Fatemeh Ghaffari ◽  
Abbas Shamsalinia

Abstract BackgroundThe severe and acute pain of surgical site after hip fracture surgery among the elderly patients with dementia can threaten the treatment consequences. Pharmacological and non-pharmacological methods are used to reduce the risk of similar problems. Nevertheless, pain management may face different obstacles due to different reasons. Identifying and clarifying the acute pain management obstacles among the elderlies with dementia by the use of instruments tailored to the cultural structure of each community can lead to providing effective interventions.ObjectivesThis study aims to design and psychometrically validate the OPPMDS from the nurses’ point of view.MethodsA sequential explanatory mixed methods design was used for this study. The item-generation phase was carried out through two main methods: The inductive method (15 face-to-face and semi-structured interviews with 15 nurses) and the deductive method (literature review). Item reduction was conducted integration of qualitative, literature reviews and scale evaluation. For scale evaluation, face, content and construct validity (Exploratory Factor Analysis (EFA); N = 330) and Confirmatory Factor Analysis (CFA) ;N = 120), convergent and divergent Validity and Reliability (Internal consistency and stability) were conducted.ResultsThe EFA showed that the OPPMDS has three factors elderly-related factors, healthcare providers-related factors and system-related factors, which explained 57.572% of the overall variance. The CFA results indicated that the three-factor model of OPPMDS was best fit for the data. The convergent and divergent validity results suggested that the CR and AVE values of each factor was higher than 0.7 and 0.5, respectively (AVE > CR). The internal consistency of the first factor was 0.891, of the second was 0.929 and of the third was 0.890. The cronbach’s alpha coefficient of the scale was found to be 0.956. In addition, the test-retest results demonstrated high rates of agreement between the first and the second test scores (p < 0.001).ConclusionThe results of this study indicate that OPPMDS can be applied as a valid and reliable scale for measuring the postoperative acute pain management among the older patients with dementia and hip fracture.


2020 ◽  
Author(s):  
Sheng Qian Yew ◽  
Ahmad Iqmer Nashriq Bin Mohd Nazan ◽  
Kit Aun Tan ◽  
Anisah Baharom

Abstract Background: There is still insufficient blood pressure control in hypertensive patients although anti-hypertensive medications are highly available. Determinants of compliance and non-compliance with such medications in hypertensive patients have not been well documented. In response, the objective of the present study is twofold: to identify themes of compliance and non-compliance towards anti-hypertensive medications in hypertensive patients (Study 1) and to develop and validate the Malaysian Anti-Hypertensive Agents Compliance Scale (MAACS) (Study 2). Methods: This study has an exploratory mixed-methods design and will be conducted from December 2020 to December 2021. In Study 1, we will recruit hypertensive patients from two selected clinics to participate in a semi-structured interview session. Recruitment of participants will be terminated once thematic saturation is achieved. Coding and thematic analyses will be performed to identify the themes. In Study 2, based on the themes generated from Study 1, we will develop a Malaysian version of the Anti-Hypertensive Agents Compliance Scale (MAACS). Four hundred hypertensive patients will be randomly selected. Of these, data from 200 participants (serving as the calibration sample) will be subjected to exploratory factor analysis and data from 200 participants (serving as the validation sample) will be subjected to confirmatory factor analysis. Factor structure, concurrent validity, and reliability of the MAACS will be statistically tested. Discussion: With the presence of the MAACS, public health officials and health care providers can gather crucial information regarding barriers and facilitators to hypertensive treatment compliance and design effective health promotion programme in an attempt to reduce complications of uncontrolled hypertension.


2019 ◽  
Author(s):  
Bart Verkuil ◽  
Briana Brownlow ◽  
Michael Vasey ◽  
Jos F. Brosschot ◽  
Julian F. Thayer

Worry is a central process in a wide range of psychopathological and somatic conditions. Three studies (N = 856) were used to test whether a subscale composed of five items of the most commonly used trait anxiety questionnaire, Spielberger’s State Trait Anxiety Inventory-Trait version (STAI-T), is appropriate to measure worry. Results showed that the subscale, named the Brief Worry Scale (BWS), had excellent internal consistency and temporal stability. Convergent and divergent validity were supported by correlation analyses using worry questionnaires and measures of anxious arousal and depression. The BWS was a particularly good predictor of the pathogenic aspects of worry, including worry perseveration in daily life (study 1), measures of clinical worry (study 2) and the uncontrollability of experimentally induced worry (study 3). Taken together, these studies demonstrate that the BWS might be a valuable scale for pathological worry, for which many researchers already have data.


2021 ◽  
Author(s):  
Anne C. Wagner

The current investigation seeks to examine the attitudes and beliefs of health care providers in Canada about people living with HIV. The line of research consists of three studies. Study 1 was a qualitative study conducted with a critical lens. The critical lens was used in a series of four focus groups when qualitatively soliciting opinions about the range of attitudes, behaviours and cognitions health care providers may have towards people living with HIV. Study 2 used the information gathered from Study 1 to develop a scale to assess HIV stigma in health care providers. Items were created from examples and themes found in the qualitative study, and were tested via exploratory factor analysis, confirmatory factor analysis, test-retest reliability analysis, and assessed for convergent and divergent validity. Study 3 examined the newly developed scale’s relationship to proposed overlapping stigmas and attitudes, and tested the adapted intersectional model of HIV-related stigma with health care trainees using the newly developed HIV stigma scale as an outcome measure. The line of research found that HIV stigma continues to be a significant problem in the health care system. The scale developed in Study 2 demonstrates that HIV stigma can be conceptualized and assessed as a tripartite model of discrimination, stereotyping and prejudice, and that this conceptualization of HIV stigma supports an intersectional model of overlapping stigmas with homophobia, racism, stigma against injection drug use and stigma against sex work.


Psihologija ◽  
2012 ◽  
Vol 45 (2) ◽  
pp. 99-120 ◽  
Author(s):  
Ticu Constantin ◽  
Andrei Holman ◽  
Maria Hojbotă

The main goal of our research was to develop a new measure of persistence and to assess its construct validity and psychometric proprieties. First, we discuss the history of the psychological construct of persistence, defined here as the tendency to remain engaged in specific goal-related activities, despite difficulties, obstacles, fatigue, prolonged frustration or low perceived feasibility. The developed scale, measuring motivational persistence, contains three-factors: long-term purposes pursuing, current purposes pursuing and recurrence of unattained purposes. The results of the two validation studies conducted, employing both exploratory and confirmatory factor analysis, advocate the hypothesized structure. Also, the Pearson and canonical correlations between the three factors of the new self-report scale and other three related measures (and their factors) indicate good levels of convergent and divergent validity of the new scale.


Author(s):  
Scott Thomas Matlock ◽  
Michael G Aman

Abstract In this study, the authors developed the Adult Scale of Hostility and Aggression Reactive–Proactive (A-SHARP). Sixty-one caregivers rated 512 individuals with intellectual and developmental disabilities on the A-SHARP. Exploratory factor analysis revealed 5 factors on the Problem Scale: (a) Verbal Aggression, (b) Physical Aggression, (c) Hostile Affect, (d) Covert Aggression, and (e) Bullying. Internal consistency was high, and intercorrelation of subscales suggested logical convergent and divergent validity. Separate scores were also derived for the Provocation Scale, which was developed to reflect motivation for the aggression (reactive vs. proactive). Analyses of demographic variables revealed 1 gender effect, several effects due to age and functional level, and no effect of ethnicity. Normative data are provided for the Problem Scale.


2020 ◽  
Vol 36 (4) ◽  
pp. 681-693 ◽  
Author(s):  
Ida Sergi ◽  
Augusto Gnisci ◽  
Vincenzo P. Senese ◽  
Marco Perugini

Abstract. We developed and validated a novel measure, the 6-factor personality HEXACO-Middle School Inventory (MSI). We started with a pool of 16 items for each of the six dimensions of the HEXACO. In Study 1, we administered the HEXACO-MSI to 1,089 Italian children and the Observer version to their parents. Using principal component analyses (PCA) and extension factor analysis (EFA), we selected the best eight items for each dimension. Confirmatory factor analysis (CFA) confirmed the 6-factor dimensionality and its invariance. Internal consistency of each dimension was adequate. Convergent and divergent validity were successfully established with a version of the scale filled by parents. Convergent validity was also established with the Big Five Questionnaire – Children (BFQ-Children) whereas divergent validity was less clear-cut. Conscientiousness, Honesty-Humility, and eXtraversion demonstrated predictive validity of school marks (criterion validity). In Study 2 ( N = 317), we replicated dimensionality, internal consistency, and established test-retest reliability of each dimension in two measurements at a 1 month distance. The HEXACO-MSI showed a clear personality structure organized in six traits, and evidence of predictive validity of relevant school criteria particularly via Conscientiousness, Honesty-Humility, and eXtraversion.


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