scholarly journals Distance education perception scale for medical students: a validity and reliability study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Güven Özkaya ◽  
Mevlüt Okan Aydin ◽  
Züleyha Alper
Keyword(s):  
Distance Education ◽  
Factor Analysis ◽  
Medical Students ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Reliability Analysis ◽  
Content Validity ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Abstract Background There are major changes in education strategies as higher education institutions urgently need to adopt distance education tools and practices due to the Covid-19 pandemic. Medical education is also trying to get out of this emergency using distance education. In this study, we aimed to develop a reliable and valid scale in order to evaluate the perceptions of medical students towards distance education. Methods The students taking part in the study were in the first five academic years of the medical faculty in Bursa in Turkey. At first, 57 items were determined to evaluate students’ perceptions. Content validity was examined according to the assessment of the expert team. Construct validity of these items was examined by exploratory and confirmatory factor analysis. Also, Cronbach’s alpha coefficients were calculated for reliability analysis. The medical students’ responses were scored using a five-point Likert scale. Results When the content validity was examined, the number of items was determined to be 38 items. Construct validity of these items was examined by exploratory and confirmatory factor analysis. Because of the exploratory factor analysis performed on the responses of 429 medical students, 22 items were included in four factors. This four-factor model was applied to 286 medical students and validated by confirmatory factor analysis. Also, Cronbach’s alpha coefficients were calculated for reliability analysis and values were between 0.713 and 0.930. Conclusions This study demonstrated validation and reliability of perceptions of distance education for medical students. We suggest a 22-item model with a four-factorial scale.

scholarly journals PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version)

2019 ◽  
Vol 16 (23) ◽  
pp. 4867 ◽  
Author(s):  
Achim Siegel ◽  
Anna T. Ehmann ◽  
Ingo Meyer ◽  
Oliver Gröne ◽  
Wilhelm Niebling ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Survey Instrument ◽  
German Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor ◽  
Two Factors ◽  
Patient Enablement

Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subjects was followed by a random sample survey of N = 1168 subjects. An exploratory factor analysis was conducted in a random split-half sample of the data to explore PEN-13’s factor structure; a confirmatory factor analysis was conducted in the validation sample. The internal consistency of the factors was evaluated using Cronbach’s alpha, PEN-13’s construct validity was checked by means of additional hypothesis testing. Results: The two factors self-management and patient-practitioner interaction, detected in the exploratory analysis, were confirmed with a few modifications in the confirmatory factor analysis, with the comparative fit index (CFI) amounting to 0.903. The Cronbach’s alpha values of those two factors amounted to α = 0.90 and α = 0.82, respectively. The correlations of the PEN-13 score with the ’general self-efficacy’ and ’health literacy’ (HLS-EU-Q16) scores further confirmed its construct validity; the respective correlation coefficients amounted to 0.57 and 0.60. Conclusion: The German version of the survey instrument Patient Enablement Scale—13 items (PEN-13) shows acceptable psychometric properties. Practical implications: PEN-13 seems particularly suitable for health services research purposes. We recommend checking the results in another sample as well as evaluating its responsiveness to enablement-enhancing interventions.

scholarly journals Psychometric properties of a Chinese version of the Fraboni Scale of Ageism: evidence from medical students sample

2020 ◽  
Author(s):  
Jun-Yao Fan ◽  
Hui-Min Zhao ◽  
Yue-Ting Liu ◽  
Ling-Lin Kong ◽  
Jing Mao ◽  
...  
Keyword(s):  
Older Adults ◽  
Factor Analysis ◽  
Medical Students ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Content Validity ◽  
Intraclass Correlation ◽  
Chinese Version ◽  
Confirmatory Factor ◽  
Chinese Medical Students

Abstract Background The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students. Methods By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability. Results The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis. Conclusions FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against the older adults in Chinese medical students.

scholarly journals Development of PATS: A tool to assess professionalism

2019 ◽  
Author(s):  
humaira Fayyaz Khan ◽  
raheela Yasmeen ◽  
Shabana Ali ◽  
Tahira sadiq
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Focus Group ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Content Validity ◽  
Validity Index ◽  
Content Validity Index ◽  
Medical Graduates ◽  
Confirmatory Factor

Abstract Background: Professionalism has become a specific requirement for medical graduates because of dissatisfaction regarding their preparedness to adequately deal with the challenges of the medical world. It should be assessed as a competency in the final year of study using a valid and reliable instrument. The purpose was to develop and validate a tool to assess the development of professionalism in final year medical students in the local context to assess the readiness of medical graduates. Method: This was a mixed method study. Micro scenarios for the preliminary instrument were developed after a focus group meeting. These were validated using a 3-round modified Delphi technique by email. Twenty-four participants responded in the first round, and 15 in the second and third rounds. After the first round, relevance of the item was obtained. The content validity ratio was calculated after second round. Cut off value for items were approximated to be 0.6 and 0.73 for modification and 0.8 for item retention. The second round revised analysis was sent to participants for the third round and the content validity index average and universal agreement were calculated. Cognitive pretesting was performed. Cronbach’s Alpha for reliability and Confirmatory factor analysis were carried out. Results: The focus group produced 46 micro-scenarios using a manual qualitative analysis. The first round of Delphi produced 35 items. On calculation of Content validity ratio 12 items were retained, 18 were revised and 5 were removed. Content validity index (I-CVI) and content validity scale (S-CVI) were 0.94 and 0.64 respectively. Pre-cognitive testing resulted in the modification of 4 items. The Confirmatory factor analysis was 4.1. Cronbach’s Alpha was 0.96. Conclusion: The final instrument developed has a 27 item 5-point Likert scale. It has good content validity, reliability and acceptable construct validity. The strength of the instrument is in its process of development i.e. focus group discussion, the iterative Delphi rounds, cognitive pre-testing and piloting. It can be used to assess the development of professionalism in final year medical students. Keywords: Professionalism, respect, altruism, honor and integrity, accountability, content validity, construct validity, cognitive pre-testing, and confirmatory factor analysis

scholarly journals Adaptation of Intercultural Sensitivity Scale for Turkish Medical Students

2021 ◽  
Author(s):  
Şevkat Bahar Özvarış ◽  
Bahar Güçiz Doğan ◽  
Hande Konşuk Ünlü ◽  
Tuğçe M. Şanver ◽  
Çağla Susuz ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Confirmatory Factor Analysis ◽  
Service Providers ◽  
Intercultural Sensitivity ◽  
Validity And Reliability ◽  
Healthcare Provision ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Abstract Background: Different languages and insufficient levels of intercultural sensitivity among healthcare providers hinder migrants from benefiting from health services, resulting in a lack of trust in service providers and non-adherence to the treatment. This study aims to verify the validity and reliability of the “Intercultural Sensitivity Scale” developed by Chen and Starosta among Turkish medical students. Methods: Data were collected between December 18, 2017, and February 28, 2018, from 667 students. In order to demonstrate the construct validity of the scale, the data were randomly divided into two parts using the functions in the SPSS package program. For the first half of the data (n1=337), exploratory factor analysis (EFA) based on polychoric correlation was applied together with the oblique rotation method. For the second half of the data (n2=330), confirmatory factor analysis (CFA) based on polychoric correlations was applied to confirm the factor structure of the scale. In order to demonstrate the reliability of the scale, the Cronbach’s alpha reliability coefficient, which shows internal consistency, and Spearman-Brown coefficients, which shows the two-half reliability, were calculated. Results: Of the participants, 52.6% were female and the mean age was 24.2±1.4. Only one-third of the students stated they had knowledge about intercultural sensitivity. Cronbach’s alpha coefficient for the scale was 0.906. The Spearman-Brown coefficients for the whole scale and its sub-dimensions show that reliability values were also sufficient. In the confirmatory factor analysis, fit indices (RMSEA: 0.077, GFI: 0.98, CFI: 1.00) demonstrated a very good model fit. Conclusions: These results confirmed that the scale consisting of 23-items and 5-dimensions is a valid and reliable tool and can be used for Grade V and VI Turkish medical students. It is considered that integrating intercultural sensitivity training in undergraduate education of physicians would help to increase the number of physicians who are sensitive to different cultures and thus contribute to reducing disparities in healthcare provision. Keywords: intercultural sensitivity, scale, medical education, reliability-validity, confirmatory factor analysis, Cronbach’s alpha

The Adaptation of the Substance Use Stigma Mechanism Scale (SU-SMS) Into Turkish: A Validity and Reliability Study

2020 ◽  
pp. 107839032094992
Author(s):  
Ganime Can Gür ◽  
Derya Tanriverdi ◽  
Mahsun Ariti ◽  
Fatma Özgün Öztürk
Keyword(s):  
Substance Use ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Reliability Analysis ◽  
Validity And Reliability ◽  
Turkish Version ◽  
Alpha Coefficient ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Background: Substance users are among the most highly stigmatized individuals by both the public and health care providers. However, no multidimensional scale for measuring substance use stigma for substance use disorders (SUDs) currently exists in Turkey. Aims: The aim of this study was to determine the validity and reliability of the Turkish version of the Substance Use Stigma Mechanism Scale (SU-SMS). Method: The study was conducted at the AMATEM (Alcohol and Substance Addiction Treatment Center Clinic). The sample group of this methodological study consisted of 156 participants with SUDs who met the inclusion criteria. “Social-demographics Questionnaire,” “The Substance Use Stigma Mechanism Scale,” and “Internalized Stigma of Mental Illness Scale” were used for data collection. In the validity–reliability analysis of the scale, language and content validity, explanatory and confirmatory factor analysis, criterion-concurrent validity, Cronbach’s alpha coefficient, item–total score correlation, split-half reliability analysis, and test–retest reliability methods were used. Results: Using exploratory factor analysis, it was found that the SU-SMS has five factors. Its five-factor structure was confirmed using confirmatory factor analysis. Its Cronbach’s alpha coefficient was .828, and factor loading was between .402 and .971. Analyses indicated that each of the factors of the Turkish version of the scale had high internal consistency. The test–retest correlation value was .752, p = .000. Conclusions: It was concluded that the Turkish version of the SU-SMS is a reliable and valid instrument for assessing substance use-related stigma in individuals with SUDs.

scholarly journals Validation of Bakas Caregiving Outcome Scale for brazilian portuguese

2020 ◽  
Vol 28 ◽  
Author(s):  
Tatiana Ferreira da Costa ◽  
Cláudia Jeane Lopes Pimenta ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria das Graças Melo Fernandes ◽  
Jordana de Almeida Nogueira ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Well Being ◽  
Brazilian Portuguese ◽  
Cerebral Vascular Accident ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor ◽  
Cerebral Vascular

Objective: to analyze the psychometric properties of the adapted version of Bakas Caregiving Outcome Scale for Brazilian Portuguese. Method: this is a cross-sectional methodological study conducted with 151 informal caregivers of people with cerebral vascular accident sequelae enrolled in Family Health Units. To assess reliability, Cronbach’s alpha was used. Construct validity was verified through exploratory factor analysis, confirmatory factor analysis and correlation with measures of instruments that evaluate correlated constructs. Results: Cronbach’s alpha for the total BCOS score was 0.89. Factor and exploratory analysis generated a one-factor structure, which was confirmed by confirmatory factor analysis. Construct validity was supported by the high positive correlations with Negative Affect (r = 0.51) and Negative Experience (r = 0.47) of the Well-being Scale and the Depression Anxiety and Stress Scale -21 (r = 0.53) and negative correlations with Positive Affect (r =-0.47) and Positive Experience (r = -0.17) of the Well-being scale. Conclusion: Bakas Caregiving Outcome Scale shows evidence of satisfactory reliability and validity in family caregivers of cerebral vascular accident survivors.

scholarly journals Cross-Culture Adaptation and Psychometric Properties of the Persian Version of Duke Health Profile

2020 ◽  
Vol 14 (4) ◽  
Author(s):  
Mohammad Hassan Novin ◽  
Farshad Farzadfar ◽  
Tahereh Pashaei ◽  
Emran Razaghi
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Content Validity ◽  
Health Profile ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Persian Version ◽  
Confirmatory Factor ◽  
Item Content ◽  
Duke Health Profile

Background: Duke health profile (DHP) is a 17-item questionnaire that measures six health scales (physical, mental, social, general, perceptual, and self-confidence) and four dysfunction scales of anxiety, depression, pain, and disability. Objectives: To systematically translate DHP to Persian language and measure the validity and reliability of the translated version. Methods: We used the forward-backward method for translation of DHP from English to Persian. After linguistic matching and pilot review, a cross-sectional study was carried out on 239 individuals aged over 18 to measure the psychometric characteristics of the Persian version of DHP. The reliability of the questionnaire was assessed using Cronbach’s alpha and test-retest analysis. Content validity, face validity, and construct validity were evaluated by an expert panel, interviewing a sample of the general population, and confirmatory factor analysis, respectively. Results: Item content validity indexes (I-CVI) for relevance and clarity were between 88 and 100. Scale content validity index (S-CVI) for relevance and clarity were 96% and 94%, respectively. The calculated item content validity ratio (I-CVR) was between 0.78 and 1.0. The confirmatory factor analysis showed that the data fit the model, and the indicators of fitness were acceptable. The Cronbach’s alpha was 0.77 for the total tool and varied between 0.47 and 0.69 for different subscales. The reliability of the test-retest was 0.64 - 0.88, which was good after two weeks. Conclusions: The Persian version of DHP is a valid and reliable tool for measuring health profile.

scholarly journals Translation and validation of the Japanese version of the measure of moral distress for healthcare professionals

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Tomoko Fujii ◽  
Shinshu Katayama ◽  
Kikuko Miyazaki ◽  
Hiroshi Nashiki ◽  
Takehiro Niitsu ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Healthcare Professionals ◽  
Moral Distress ◽  
Japanese Version ◽  
Intention To Leave ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Abstract Objectives Moral distress occurs when professionals cannot carry out what they believe to be ethically appropriate actions because of constraints or barriers. We aimed to assess the validity and reliability of the Japanese translation of the Measure of Moral Distress for Healthcare Professionals (MMD-HP). Methods We translated the questionnaire into Japanese according to the instructions of EORTC Quality of Life group translation manual. All physicians and nurses who were directly involved in patient care at nine departments of four tertiary hospitals in Japan were invited to a survey to assess the construct validity, reliability and factor structure. Construct validity was assessed with the relation to the intention to leave the clinical position, and internal consistency was assessed with Cronbach’s alpha. Confirmatory factor analysis was conducted. Results 308 responses were eligible for the analysis. The mean total score of MMD-HP (range, 0–432) was 98.2 (SD, 59.9). The score was higher in those who have or had the intention to leave their clinical role due to moral distress than in those who do not or did not have the intention of leaving (mean 113.7 [SD, 61.3] vs. 86.1 [56.6], t-test p < 0.001). The confirmatory factor analysis and Cronbach’s alpha confirmed the validity (chi-square, 661.9; CMIN/df, 2.14; GFI, 0.86; CFI, 0.88; CFI/TLI, 1.02; RMSEA, 0.061 [90%CI, 0.055–0.067]) and reliability (0.91 [95%CI, 0.89–0.92]) of the instrument. Conclusions The translated Japanese version of the MMD-HP is a reliable and valid instrument to assess moral distress among physicians and nurses.

scholarly journals Validation of AQoL-8D: a health-related quality of life questionnaire for adult patients referred for otolaryngology

2021 ◽  
Author(s):  
Anita Obrycka ◽  
Jose-Luis Padilla ◽  
Artur Lorens ◽  
Piotr Henryk Skarzynski ◽  
Henryk Skarzynski
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Pearson Correlation ◽  
Adult Population ◽  
Life Questionnaire ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Content Relevance ◽  
Confirmatory Factor ◽  
Item Content

Abstract Purpose The purpose of the study was to validate the AQoL-8D questionnaire in the adult population of patients referred to an otolaryngology clinic. Methods AQoL-8D was translated into Polish. 463 patients (age18–80 years) with otolaryngological conditions were assessed with the AQoL-8D, SF-6D, and SWLS questionnaires. We investigated the item content-relevance, factor structure by means of Confirmatory Factor Analysis, corrected item-total correlations, Cronbach’s alpha, Pearson correlation of the AQoL-8D scores with results from SF-6D and from the SWLS questionnaires. Finally, ANOVA was used to test the AQoL-8D ability to group the HRQoL of patients in terms of their otolaryngological management type. Results The median score of item content-relevance was 5.0 for all AQoL-8D items. Confirmatory Factor Analysis revealed the following fit indices: Comparative Fit Index = 0.81; Tucker–Lewis Index = 0.80; and Root Mean Square Error of Approximation = 0.07. Cronbach's alpha for AQoL-8D dimensions ranged from 0.48 to 0.79. Mean item-total correlations over all dimensions, super dimensions, and the instrument overall were higher than 0.3. There was a significant Pearson correlation between the results obtained with AQoL-8D and SF-6D (r = 0.68), and with AQoL-8D and SWLS (r = 0.43). A one-way ANOVA showed a significant effect of management type on HRQoL as measured by AQoL-8D [F(4,458) = 6.12, p < 0.001] Conclusion AQoL-8D provides valid and reliable measures of HRQoL in patients undergoing otolaryngological treatment. Because it is a generic questionnaire, it is possible to make general comparisons of otolaryngology outcomes with those from other subspecialties.

Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation

2021 ◽  
pp. 1-8
Author(s):  
Merve Aliye Akyol ◽  
Seher Gönen Şentürk ◽  
Burcu Akpınar Söylemez ◽  
Özlem Küçükgüçlü
Keyword(s):  
Factor Analysis ◽  
Content Validity ◽  
Educational Interventions ◽  
Psychometric Validation ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Income Status ◽  
Confirmatory Factor ◽  
Fit Indexes ◽  
Knowledge Scale

<b><i>Background:</i></b> The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it’s prevention, early diagnosis, treatment, and care. The psychometric properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study. <b><i>Methods:</i></b> The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale’s reliability was obtained using Cronbach’s alpha coefficient, a paired sample <i>t</i>-test, item-total score correlation, and Hotelling’s <i>T</i>-squared test. <b><i>Results:</i></b> The mean age of the sample was 29.38 (±11.50) years; 66.8% (<i>n</i> = 1064) were female, and 54.1% (<i>n</i> = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall <i>W</i> = 0.155, <i>p</i> = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be &#x3e;0.30 in factor analysis. In CFA, all of the fit indexes were &#x3e;0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach’s alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (<i>t</i> = −1.362, <i>p</i> = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling’s <i>T</i>-squared = 2573.681, <i>p</i> &#x3c; 0.001). <b><i>Conclusion:</i></b> The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.

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