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.

scholarly journals Validation and psychometric evaluation of the Dutch Person-centred care of Older People with cognitive impairment in Acute Care (POPAC)

2021 ◽  
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 that 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.

scholarly journals Validation and psychometric evaluation of the Dutch Person-centred care of Older People with cognitive impairment in Acute Care (POPAC)

2020 ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Acute Care ◽  
Mean Square ◽  
Person Centered Care ◽  
Confirmatory Factor ◽  
Centered Care

Abstract Background: Person-centered care is the preferred model for caring for people with dementia. Knowledge of the level of person-centered 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 scale (POPAC) is a tool to determine the level of person-centered care. This study aimed to translate and validate the Dutch POPAC 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 (114) and via social media (45) completed the POPAC. By performing confirmatory factor analysis, the construct validity was tested. Cronbach’s alpha scale was utilized to establish the internal consistency.Results: The confirmatory factor analysis showed that the Confirmatory Fit Index (0.89) was slightly smaller than the cut-off value of 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. Findings confirm a three-dimensional structure. The loadings of the items (0.69-0.77) indicate that these are strong associated with each of the factors. This study confirms that deleting Item 5 improves the Cronbach’s alpha of the instrument as well as of the subscale. Instead of deleting this item, we suggest considering rephrasing it into a positive item.Conclusions: Our findings suggest that the Dutch POPAC is sufficiently valid and reliable and can be utilized for assessing person-centered care in acute care hospitals. The study enables nurses to interpret and compare person-centered care levels in wards and hospital levels between regions and countries. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

Psychometric Properties of Jacelon’s Attributed Dignity Scale with Iranian Older People

2019 ◽  
Vol 27 (2) ◽  
pp. 372-380
Author(s):  
Shamsedin Namjoo ◽  
Hamid Allahverdipour ◽  
Abdolreza Shaghaghi ◽  
Amir H Pakpour
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Psychometric Properties ◽  
Root Mean Square ◽  
Item Difficulty ◽  
Medical Science ◽  
Mean Square ◽  
Confirmatory Factor ◽  
Iranian Version

Objective: The main purpose of this study was the psychometric assessment of Jacelon’s Attributed Dignity Scale among Iranian older population. Methods: Using a standard “forward-backward” translation procedure, the original English version of Jacelon’s Attributed Dignity Scale was translated into Persian. Internal consistency of the scale was checked by the Cronbach’s α coefficient. Convergent validity of the instrument was appraised by the Social Skills Scale and General Health Questionnaire. Factor structure of the Iranian version of Jacelon’s Attributed Dignity Scale and possible interplay between its subscales were checked through recruiting a convenient sample of 300 Iranian older people and performing the confirmatory factor analysis. Findings: The estimated Cronbach’s α and intraclass correlation coefficients for the Iranian version of Jacelon’s Attributed Dignity Scale were in the vicinity of acceptable range, that is, 0.87 and 0.93, respectively. The output of confirmatory factor analysis revealed that a four-factor model best fitted the study data (χ2 = 323.49; df = 129; p < 0.001; comparative fit index = 0.913; Tucker–Lewis index = 0.901; root mean square error approximation = 0.074; standardized root mean square residual = 0.078). Rasch estimates of item difficulty ranged from –1.28 (less difficult) to 1.33 (more difficult). No significant cross-gender differences were observed regarding the Iranian version of Jacelon’s Attributed Dignity Scale’s items indicating its invariant psychometric properties for use in the Iranian men and women subgroups. Ethical Considertaion: This study was approved by the Ethics Committee at the Tabriz university of medical science. Informed consent, information confidentiality, and voluntary participation were guaranteed. Conclusion: The study findings were indicative of applicability of the Iranian version of Jacelon’s Attributed Dignity Scale as a reliable tool in measurement of the perceived social dignity among Iranian and probably other Persian-speaking older populations.

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 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 KONSTRUK KINERJA KEPALA SEKOLAH DASAR DI DAERAH ISTIMEWA YOGYAKARTA

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Samsul Hadi
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Root Mean Square Error ◽  
Mean Square Error ◽  
Root Mean Square ◽  
Goodness Of Fit ◽  
Second Order ◽  
Mean Square ◽  
Confirmatory Factor ◽  
Fit Index

Penelitian ini bertujuan untuk mengetahui model konstruk dan struktural kinerja kepala sekolah. Hasil penelitian ini diharapkan dapat memberi sumbangan terhadap pengukuran kinerja kepala sekolah di masa yang akan datang. Penelitian ini merupakan penelitian expost facto dengan populasi guru dan kepala sekolah dasar di Daerah Istimewa Yogyakarta. Sampel sebanyak 1239 guru dan 208 kepala sekolah dasar dipilih secara acak. Data guru dan kepala sekolah dianalisis dengan Second-Order Confirmatory Factor Analysis (Second-Order CFA) secara terpisah dan divalidasi silang dengan multi-sample CFA. Pengujian kecocokan model dilakukan menggunakan χ2 Satorra-Bentler dengan taraf signifikansi 5%, Comparative Goodness of Fit Index (CFI), dan Root Mean Square Error Approximation (RMSAE). Hasil penelitian menunjukkan hal-hal sebagai berikut. 1) Kinerja kepala sekolah mempunyai dimensi kepemimpinan, manajemen, dan kepribadian. 2) Berdasarkan data kepala sekolah, koefisien jalur dari dimensi dan muatan faktor dari indikator yang ada dalam model cukup tinggi, bernilai positif, dan signifikan. 3) Hasil validasi silang model konstruk kinerja kepala sekolah menggunakan data guru dan data kepala sekolah menunjukkan tidak ada perbedaan model. Kata kunci: model konstruk, persamaan pengukuran, persamaan struktural, kinerja kepala sekolah

scholarly journals Psychometric properties of the Korean version of the Pittsburgh Fatigability Scale in breast cancer survivors

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Min Kyeong Jang ◽  
Sue Kim ◽  
Chang Gi Park ◽  
Eileen G. Collins ◽  
Lauretta T. Quinn ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Root Mean Square ◽  
Breast Cancer Survivors ◽  
Goodness Of Fit ◽  
Model Fit ◽  
Mean Square ◽  
Confirmatory Factor

Abstract Background Fatigability has recently emerged in oncology as a concept that anchors patients’ perceptions of fatigue to defined activities of specified duration and intensity. This study aimed to examine the psychometric properties of the Korean version of the Pittsburgh Fatigability Scale (K-PFS) for women with breast cancer. Methods This cross-sectional study involved 196 women with breast cancer recruited from a tertiary hospital in Seoul, Korea. Reliability was evaluated using Cronbach’s alpha, and confirmatory factor analysis was conducted to examine the factor structure of the K-PFS. Four goodness-of-fit values were evaluated: (1) the comparative fit index (CFI), (2) the Tucker–Lewis index (TLI), (3) the root mean square error of approximation (RMSEA), and (4) the standardized root mean square residual (SRMR). Results Of the 196 survivors, 71.1% had greater physical fatigability (K-PFS Physical score ≥ 15) and 52.6% had greater mental fatigability (K-PFS Mental score ≥ 13). The Cronbach’s alpha coefficient for the total K-PFS scale was 0.926, and the coefficients for the physical and mental fatigability domains were 0.870 and 0.864, respectively. In the confirmatory factor analysis for physical fatigability, the SRMR value (0.076) supported goodness of fit, but other model fit statistics did not (CFI = 0.888, TLI = 0.826, and RMSEA = 0.224). For mental fatigability, although three goodness-of-fit values were acceptable (CFI = 0.948, TLI = 0.919, and SRMR = 0.057), the RMSEA value (0.149) did not indicate good model fit. However, each item coefficient was statistically significant (> 0.5), and the K-PFS was therefore found to be valid from a theoretical perspective. Conclusion This study provides meaningful information on the reliability and validity of the K-PFS instrument, which was developed to meet an important need in the context of breast cancer survivors. Additional research should examine its test–retest reliability and construct validity with performance measures.

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