Psychometric evaluation of the perceived access to health care questionnaire

Abstract Background and objective Access to health care is a universal concern. Therefore, this study was conducted to develop a questionnaire to assess the Perceived Access to Health care based on Penchansky and Thomas’s definition of access and the assessment of its psychometric properties. Method The initial questionnaire contains 31 items developed based on a deductive approach with an extensive review of the related literature. Content validity, face validity, construct validity, internal consistency, and instrument reliability were further examined. Data analysis was conducted using SPSS software version 24, R software version 4, and lavaan package. Results The initial questionnaire was examined using qualitative content validity, and the necessary modifications were applied to each item. The content validity ratio (CVR) was approved in 30 items with a value greater than 0.78, and one item with a CVR value lower than 0.78 was removed. In the case of the content validity index (CVI), 29 items were approved with a CVI value of greater than 0.79, and one item with a CVI value between 0.70 and 0.79 was revised. In qualitative face validity, all items were approved by a panel of experts and the participants. All 30 items with an impact score index higher than 1.5 were approved for the next steps. The confirmatory factor analysis results showed that the six-factor model of access to health care has an appropriate fit. Cronbach’s alpha coefficient for the questionnaire was calculated 0.86. The value of Cronbach’s alpha for the dimensions of availability, accessibility, affordability, accommodation, acceptability, and awareness were 0.61, 0.76, 0.66, 0.60, 0.80, and 0.76, respectively. The Intraclass Correlation Index (ICC) value for reliability (test-retest) of the whole instrument was calculated 0.94 using the two-way mixed absolute agreement method. Conclusion The success of health programs depends on eliminating barriers to access to provided health care services. One of the most critical barriers to understanding access is a perception of limited access. This questionnaire might be used further to understand perceived health care access in different global contexts.

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Development and Validation of a Knowledge, Attitude and Practice Questionnaire on Antibiotic Use in Arabic and French Languages in Lebanon

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19020687 ◽

2022 ◽

Vol 19 (2) ◽

pp. 687

Author(s):

Narmeen Mallah ◽

Rubén Rodríguez-Cano ◽

Danielle A. Badro ◽

Adolfo Figueiras ◽

Francisco-Javier Gonzalez-Barcala ◽

...

Keyword(s):

Construct Validity ◽

Content Validity ◽

Mean Squared Error ◽

Intraclass Correlation ◽

Antibiotic Use ◽

Face Validity ◽

Cronbach’S Alpha ◽

Validity Index ◽

Content Validity Index ◽

Cronbach's Alpha

Objectives: Validated knowledge–attitude–practice (KAP) questionnaires are essential to design and evaluate intervention programs on antibiotic use. Recently, we validated the first KAP questionnaire on antibiotics in Spain. Cross-cultural adaptation and validation of research tools increase their universal usefulness. Here, we aimed to validate the questionnaire in a developing country with different socioeconomic characteristics from that of Spain. Methods: We translated the previously developed KAP-questionnaire into Arabic and French, tailored it and then validated it in adult population in Lebanon. The item content validity index (I-CVI), scale content validity index (S-CVI/Ave) and modified Kappa (k*) were calculated. The construct validity of the questionnaire was evaluated using confirmatory factorial analysis (CFA, N = 1460) and its reliability was assessed using intraclass correlation coefficients (ICC, N = 100) and Cronbach’s alpha statistic. Results: ICV-I (>0.78), k* (equal to ICV-I for all items) and S-CVI/Ave (≥0.95) confirmed the questionnaire content validity. Pilot testing (N = 40) and face validity showed the understandability of the questionnaire by the population. Test–retest reliability analysis (N = 100) yielded ICC ≥ 0.59 for all knowledge and attitude items, showing the capacity of the questionnaire to generate reproducible results. CFA evidenced adequate fit of the chosen model, thus establishing the construct validity of the questionnaire (root mean squared error approximation = 0.053, standardized root mean square residual = 0.045, comparative fit index = 0.92 and Tucker–Lewis index = 0.90). The questionnaire showed an acceptable internal reliability (Cronbach’s alpha = 0.62) and was highly accepted in Lebanon (response rate = 96% and item response rates ≥ 94%). Conclusions: The validity of the KAP-questionnaire on antibiotics in Arabic and French was demonstrated in Lebanon.

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Validity and Reliability of the Treatment Adherence Questionnaire for Patients with Hypertension

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v37n3e09 ◽

2019 ◽

Vol 37 (3) ◽

Cited By ~ 1

Author(s):

Natalia Esquivel Garzón ◽

Luz Patricia Díaz Heredia

Keyword(s):

Treatment Adherence ◽

Content Validity ◽

Statistical Tests ◽

Spanish Version ◽

Face Validity ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Validity Index ◽

Content Validity Index ◽

Cronbach's Alpha

Objective. To determine the validity and reliability of the Treatment Adherence Questionnaire for Patients with Hypertension (TAQPH), Spanish version, designed by Chunhua Ma et al.Methods. This study was carried out in the city of Ibagué (Colombia) and the test validation determined validity (face, content, and construct) and reliability. Face and content validity were conducted through expert judgment, using Fleiss’ Kappa Coefficient statistical tests and modified Lawshe’s content validity index. The construct validity and the reliability test had the participation of 220 people with diagnosis of primary hypertension. Reliability was calculated through Cronbach’s alpha statistical test.Results. In the face validity, the instrument reported a Fleiss’ Kappa index was 0.68 in comprehension, 0.76 in clarity, and 0.64 in accuracy, interpreted as a substantial agreement. The content validity index was satisfactory with 0.91; el exploratory factor analysis reported six factors with a total variance explained of 54%. Cronbach’s alpha for the total scale was 0.74.Conclusion. The Spanish version of the TAQPH is a valid and reliable scale to evaluate adherence to treatment in patients with primary hypertension.Descriptors: essential hypertension; treatment adherence and compliance; surveys and questionnaires; psychometrics; validation studies.How to cite this article: Esquivel N, Díaz LP. Validity and Reliability of the Treatment Adherence Questionnaire for Patients with Hypertension. Invest. Educ. Enferm. 2019; 37(3):e09.

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P4337Construction and validation of the instrument “nutritional knowledge and feeding practice scale – QCPA” – for children, 7 to 11 years

European Heart Journal ◽

10.1093/eurheartj/ehz745.0747 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

A B S Bozzetto-Silva ◽

A Piccoli ◽

C S D R Dal Ri ◽

L C P Pellanda

Keyword(s):

Internal Consistency ◽

Intraclass Correlation ◽

Feeding Practices ◽

Face Validity ◽

Feeding Practice ◽

Nutritional Knowledge ◽

Consistency Analysis ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Multidisciplinary Group

Abstract Introduction The increase in the prevalence of obesity is one of the major public health problems. There is a weak relationship between nutritional knowledge and feeding practices. Studies have evaluated that the associations between obesity and the level of nutritional knowledge and feeding practices in children are scarce. The evaluation of nutritional knowledge and feeding practices should be carried out using validated instruments. Study showed the need to improve the instruments of habit research and feeding practices in children for better evaluation. Objectives: To develop and validate an instrument about nutritional knowledge and feeding practices for use in children from 7 to 11 years, based on the Food Guide for the Brazilian Population. Methods The study filled all the steps expected to validate an instrument: review on the subject, instrument elaboration, Content's Validity (Content Validity Index – CVI) with two groups of judges: 1° – nutritionists and, after adjustments, 2° – multidisciplinary group), FACE Validity, reliability analysis [Intraclass Correlation Coefficient (ICC) and Kappa (K), Internal Consistency Analysis - Cronbach's Alpha] and Validity of Construct (Exploratory Factorial Analysis - EFA) The sample was calculated, considering, at least, 10 subjects for each question of the questionnaire. Results Validation occurred in a final sample of 453 children, 46.4% boys and 53.6% girls, mean age 9.45 (SD = 1.44). The validity of the content presented CVI ≥0.80 for relevance in 62.3% of items for nutritionist group and 100% of items for multidisciplinary group), clarity (49.4%, 91.8%), Pertinence (58.8%, 98.4%), respectively. The test-retest had a level of agreement of 84.3% and K=0.740 for the Knowledge Dimension; and the ICC=0.754 for the Practices Dimension. Cronbach's Alpha, for internal consistency analysis, was α=0.589 for the Knowledge Dimension and α=0.618 for the Practices Dimension. The EFA with variance of 47.01% (7.81% at 10.85%), with varimax rotation, it defined five factors for the Practices Dimension: Involvement; Healthy Eating and drinking; Unhealthy eating and drinking; Basic food consumption; Attitudes during the meal. Conclusion The instrument QCPA demonstrated validity and reliability to evaluate nutritional knowledge and practices in children aged 7 to 11 years.

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Design and validation of a hospital emergency department preparedness questionnaire for radiation accidents, nuclear accidents, and nuclear terrorism in Iran

American Journal of Disaster Medicine ◽

10.5055/ajdm.2020.0377 ◽

2020 ◽

Vol 15 (4) ◽

pp. 283-292

Author(s):

Milad Ahmadi Marzaleh, MPH, PhD ◽

Abbas Rezaianzadeh, PhD ◽

Mahnaz Rakhshan, PhD ◽

Gholamhassan Haddadi, PhD ◽

Mahmoudreza Peyravi, MD, PhD

Keyword(s):

Emergency Department ◽

Content Validity ◽

Intraclass Correlation ◽

Expert Judgement ◽

Nuclear Accidents ◽

Hospital Emergency ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Radiation Accidents ◽

Nuclear Terrorism

Background and objectives: Radiation accidents can cause numerous challenges to hospitals, the appropriate medical responses to which may save the lives of countless people. The present study aimed at the design and validation of an Emergency Department preparedness questionnaire for hospital emergency departments (EDs) in the case of radiation accidents, nuclear accidents, and nuclear terrorism in Iran.Materials and methods: This multistage cross-sectional study was conducted in 2019. The questionnaire items were created with the reference to article reviews and expert judgement. The validity of the questionnaire was assessed through face, content, and construct validities. Additionally, its reliability was estimated using measures of internal consistency and stability, namely Cronbach’s alpha and intraclass correlation coefficient (ICC). To this end, the questionnaire was completed by the ED staff in the hospitals of Iran.Results: The proposed 48-item questionnaire consisted of three themes: staff preparedness, stuff preparedness, and structure preparedness. The face and content validities were confirmed by expert judgement. All items remained with content validity ratio (CVR) 0.7 and the mean content validity index (CVI) = 0.891. The overall Cronbach’s alpha and ICC were 0.781 and 0.709, respectively for the whole questionnaire.Conclusion: Hospital ED preparedness in radiation and nuclear accidents requires readiness of staff, stuff, and structure of the ED, the consideration of which will properly respond to radiation and nuclear accidents. Thus, upstream organizations like the Ministry of Health and the Emergency Organization should oblige hospital EDs to make themselves be more prepared by codifying certain imperative laws and policies.

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A Study on the Status of Error Reporting Cultures among Nurses in Medical Sciences Hospitals of Islamic Azad University

Internal Medicine And Medical Investigation Journal ◽

10.24200/imminv.v2i4.193 ◽

2018 ◽

Vol 4 (1) ◽

Author(s):

Abasat Mirzaei ◽

Zeinab Abbasi ◽

Sima Safarzadeh

Keyword(s):

Construct Validity ◽

Content Validity ◽

Work Experience ◽

Pearson Correlation ◽

Face Validity ◽

Error Reporting ◽

Cronbach’S Alpha ◽

Cross Sectional ◽

Cronbach's Alpha ◽

The Status

Background:One of the goals of nursing is to provide safe patient care and medical errors are one of the most important threats in this field.Therefore, the purpose of this study is to assess the status of error reporting culture and determine its relationship with demographic characteristics.Methods:This descriptive,analytical and cross-sectional study was carried out among 239 nurses of amiralmomenin and bouali hospitals. First,face validity and then content validity were performed by 15 nursing experts and the questionnaire was distributed and collected. The normal distribution of data was confirmed by Kolmogorov-Smirnov test. The reliability and construct validity were performed with Cronbach’s Alpha test and exploratory factor analysis by PCM.The status of reporting culture was determined by computing descriptive statistics and its relation with demographic variables with Pearson correlation test and logistic regression test with SPSS software version 16.Results:The content validity with CVR &CVI of 0.820 and 0.920 were confirmed. The reporting culture was favorable with a mean and standard deviation of 2.674 and 0.475.The reliability with Cronbach's alpha of 0.747 and the construct validity with a KMO of 0.727 and Significance of the Bartlett test were confirmed and 3 subscales were extracted. The relationship between age and work experience with the reporting culture with a correlation of 0.009 and 0.013 with a significant < 0.05 were rejected But with the variable of gender(=female) with a chance of 2.536 and the significant of 0.006 was confirmed.Conclusion:Developing a safety culture in hospitals by implementing various health programs improves the reporting culture,but the mental climate is undesirable and requires major steps to reduce worries and negative outcomes after reporting.The presence of female nurses in comparison with men improves the error reporting culture.Perhaps the main reason is patriarchy in Iranian culture.

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Development and validation of the Occupational Back Pain Prevention Behaviors Questionnaire in nursing personnel

10.21203/rs.2.12282/v1 ◽

2019 ◽

Author(s):

Seyedeh Somayeh Kazemi ◽

Sedigheh-Sadat Tavafian ◽

Alireza Hidarnia ◽

Ali Montazeri

Keyword(s):

Factor Analysis ◽

Back Pain ◽

Correlation Coefficient ◽

Exploratory Factor Analysis ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Face Validity ◽

Cronbach’S Alpha ◽

Cross Sectional ◽

Cronbach's Alpha

Abstract Background: Occupational back pain is the most prevalent health problem among nurses and needs to be assessed by a valid and multi-factorial questionnaire. The purpose of the present study was to design and develop an instrument based on the PRECEDE-PROCEED model for assessing job-related behaviors that cause low back pain. Methods: First an item pool of 49 items was generated. Then, content and face validity was carried out. Consequently, a cross-sectional study was conducted in Mazandaran, Iran. The questionnaire was distributed among a sample of nurses working in hospitals affiliated to Mazandaran University of Medical Sciences. Exploratory factor analysis was used to determine the factor structure of the questionnaire. The Cronbach’s alpha was estimated to assess the reliability and the intraclass correlation coefficient was calculated to examine stability. Results: In all 155 nurses participated in the study. The mean age of respondents was 34.1 (SD = 7.66) years, and 83.2% were female. Six factors with 30 items emerged from the exploratory factor analysis: knowledge, attitude, self-efficacy, reinforcing factors, enabling factors and behavior that jointly accounted for %66.5 of behavior change variance observed. The Cronbach’s alpha coefficient showed excellent internal consistency (alpha=0.92). The intraclass correlation coefficient with 2-weeks interval also indicated that the questionnaire has satisfactory stability (ICC = 0.97). Conclusions: The findings showed that the Occupational Back Pain Prevention Behavior Questionnaire is a reliable and valid instrument for measuring occupational back pain and prevention behaviors among nurses. Keywords: Occupational Back Pain, Prevention behaviors, Psychometric evaluation, PRECEDE-PROCEED model, Nurse

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Psychometrics of Assessment Tools to Examine the Challenges of Physicians' Participation in Accreditation Programs

Quarterly Journal of Management Strategies in Health System ◽

10.18502/mshsj.v6i1.6508 ◽

2021 ◽

Author(s):

Hosein Ebrahimipour ◽

Elahe Hooshmand ◽

Mehdi Varmaghani ◽

Seyyed Morteza Mojtabaeian

Keyword(s):

Health Care ◽

Correlation Coefficient ◽

Content Validity ◽

Health Care Quality ◽

Care Quality ◽

Assessment Tools ◽

Alpha Coefficient ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Improvement Programs

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.

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Validation of a questionnaire measuring patient knowledge of atrial fibrillation in an Asian cohort

Heart Asia ◽

10.1136/heartasia-2018-011143 ◽

2019 ◽

Vol 11 (1) ◽

pp. e011143 ◽

Cited By ~ 1

Author(s):

Rebecca Hoe ◽

Wanyun Lin ◽

Mary Ann Cruz Bautista ◽

Hubertus Johannes Maria Vrijhoef ◽

Toon Wei Lim

Keyword(s):

Atrial Fibrillation ◽

Internal Consistency ◽

Content Validity ◽

Specific Treatment ◽

Face Validity ◽

Patient Knowledge ◽

Cronbach’S Alpha ◽

Patient Understanding ◽

Cronbach's Alpha ◽

Disease Specific

BackgroundPoor patient understanding of atrial fibrillation (AF) may contribute to underuse of anticoagulation. There are no validated instruments to measure patient knowledge in Asian cohorts. This study aims to validate a disease-specific questionnaire measuring the level of understanding of AF and its treatment among patients with AF in Singapore.MethodsA 10-item interviewer-administered questionnaire was created based on previously published questionnaires. Face and content validity were assessed. 165 participants were identified by convenience sampling at cardiology clinics of a tertiary hospital. The questionnaire was administered in either English (n = 53) or Mandarin (n = 112). Exploratory factor analysis was performed using principal component method. Internal consistency was evaluated using Cronbach’s alpha coefficient.ResultsFace validity was tested by surveying 10 cardiologists who could all identify what the questionnaire was designed to measure. Mean content validity ratio across items was 0.9. Participants were 68.7 (SD 10.5) years old. 55.8% were male. 95.2% were on oral anticoagulation. Kaiser-Meyer-Olkin measure was 0.67 and Bartlett’s test of sphericity was significant (p < 0.01). Four factors were retained based on the eigenvalue > 1. These were knowledge of the following: disease characteristics, disease-specific treatment, role of treatment in symptom management and treatment mechanisms. Internal consistency was good (Cronbach’s alpha = 0.71).ConclusionsA questionnaire on the knowledge of AF and its treatment was validated in a cohort of Asian patients in English and Mandarin. It allows quantification of patient knowledge and may be useful in Asian populations to assess the efficacy of interventions to improve patient understanding of AF.

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Validation of a Survey Questionnaire on Organ Donation: An Arabic World Scenario

Journal of Transplantation ◽

10.1155/2018/9309486 ◽

2018 ◽

Vol 2018 ◽

pp. 1-10 ◽

Cited By ~ 4

Author(s):

Rajvir Singh ◽

Tulika Mehta Agarwal ◽

Hassan Al-Thani ◽

Yousuf Al Maslamani ◽

Ayman El-Menyar

Keyword(s):

Construct Validity ◽

Organ Donation ◽

Content Validity ◽

Domain Knowledge ◽

Intraclass Correlation ◽

Principal Component ◽

Demographic Information ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Arabic And English

Objective. To validate a questionnaire for measuring factors influencing organ donation and transplant. Methods. The constructed questionnaire was based on the theory of planned behavior by Ajzen Icek and had 45 questions including general inquiry and demographic information. Four experts on the topic, Arabic culture, and the Arabic and English languages established content validity through review. It was quantified by content validity index (CVI). Construct validity was established by principal component analysis (PCA), whereas internal consistency was checked by Cronbach’s Alpha and intraclass correlation coefficient (ICC). Statistical analysis was performed by SPSS 22.0 statistical package. Results. Content validity in the form of S-CVI/Average and S-CVI/UA was 0.95 and 0.82, respectively, suggesting adequate relevance content of the questionnaire. Factor analysis indicated that the construct validity for each domain (knowledge, attitudes, beliefs, and intention) was 65%, 71%, 77%, and 70%, respectively. Cronbach’s Alpha and ICC coefficients were 0.90, 0.67, 0.75, and 0.74 and 0.82, 0.58, 0.61, and 0.74, respectively, for the domains. Conclusion. The questionnaire consists of 39 items on knowledge, attitudes, beliefs, and intention domains which is valid and reliable tool to use for organ donation and transplant survey.

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Scale Validation for the identification of falsified hand sanitizer: Public and Regulatory Authorities Perspectives from United Arab Emirates

10.21203/rs.3.rs-48962/v2 ◽

2020 ◽

Author(s):

Ammar Abdulrahman Jairoun ◽

Sabaa Saleh Al-Hemyari ◽

Moyad Shahwan ◽

Faris El-Dahiyat ◽

SHAZIA Jamshed

Keyword(s):

Internal Consistency ◽

Content Validity ◽

Statistical Significance ◽

Intraclass Correlation ◽

World Health ◽

Cronbach’S Alpha ◽

Retest Reliability ◽

Hand Sanitizer ◽

Cronbach's Alpha ◽

Test Retest Reliability

Abstract Background: Since the time of declaration of global pandemic of COVID-19 by World Health Organization (WHO), falsified hand sanitizers surfaced regularly in markets, posing possible harm to public due to unlisted inclusion of methanol. The current research is an attempt to develop and validate a tool to document falsified hand sanitizer in the UAE community.Method: A descriptive cross-sectional community-based study was conducted among 1280 randomly selected participants. Respondents were sent a web-based electronic link to the survey via email. Content validity, factor analyses and known group validity were used to develop and validate a new scale to identify falsified hand sanitizer. Test-retest reliability, internal consistency, item internal consistency (IIC), and intraclass correlation coefficients (ICCs) were used to assess the reliability of the scale. SPSS version 24 was used to conduct data analysis.Results: A total of 1280 participants were enrolled in the study. The content validity index (CVI) was 0.83 with the final scale of 12 items. The Kaiser-Meyer-Olkin (KMO) value was 0.788, with the Bartlett test of sphericity achieving statistical significance (p <0.001). Our factor analysis revealed a 3-component model. The 3-factor solution was confirmed by PCFA analysis and had associations with good fit values. The PCFA for NFI was 0.970, CFI 0.978, and TLI 0.967. All values were in excess of 0.95, with RMSEA values below 0.06 at 0.03; all of these values indicated a good model fit. The Cronbach's alpha was good overall (0.867). All factors had a Cronbach's alpha value in excess of 0.70. The instrument demonstrated that every item met the IIC correlation standard ≥ 0.40. The scale displayed good overall ICC statistics of 0.867 (95% CI 0.856 - 0.877) with statistical significance (p < 0.001). The scale's test-retest reliability was assessed through correlation of the falsified hand sanitizer identification score of respondents at the two time points. The test-retest correlation coefficient was 0.770 (p value <0.01). Participants with post-graduate education were more likely to identify the falsified hand sanitizer compared to those with high school education. (p < 0.001).Conclusions: This study developed and validated a new scale for the measurement of falsified hand sanitizer. This is expected to improve and promote collaboration between the health regulators and the public and hereby encourage customer satisfaction and participation.

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