Psychometric evaluation of the 8-item Altarum Consumer Engagement (ACE) Measure™ in community-dwelling adults in Singapore

Abstract Background A valid and reliable measure is essential to assess patient engagement and its impact on health outcomes. This study aimed to examine the psychometric properties of the 8-item Altarum Consumer Engagement Measure™ (ACE Measure) among English-speaking community-dwelling adults in Singapore. Methods This cross-sectional study involved 400 randomly selected community-dwelling adults (mean age: 49.7 years, 50.0% were female, 72.3% were Chinese) who completed the English version of the 8-item ACE Measure independently. The item-level statistics were described. The internal consistency of the measure was measured by Cronbach alpha and item-rest correlations. Validity of the tool was assessed by 1) factorial validity using confirmatory factor analysis (CFA), 2) hypothesis-testing validity by correlating ACE subscales (Commitment and Navigation) with health-related outcomes, and 3) criterion validity against the Patient Activation Measure and Health Confidence Measure. Results There was no floor or ceiling effect for Commitment and Navigation subscales, and the Cronbach alpha for each subscale was 0.76 and 0.54, respectively. The two-factor structure was confirmed by CFA. In general, Commitment and Navigation subscales were positively correlated with frequency of activity participation (rho = 0.30 - 0.33) and EQ-5D visual analog scale (rho = 0.15 - 0.30). Individuals who perceived better health than peers had higher subscale scores (p < 0.01). Each subscale score had moderate and positive correlations with activation score (rho = 0.48 - 0.55) and health confidence score (rho = 0.35 - 0.47). Conclusions The two-subscale ACE Measure demonstrated good construct validity in English-speaking Singapore community-dwelling adults. Evidence in internal consistency was mixed, indicating further investigation.

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Reliability Estimates for the Arabic Versions of the Cancer Behavior Inventory-Brief and the Functional Assessment of Cancer Therapy-Breast

Journal of Nursing Measurement ◽

10.1891/1061-3749.24.3.388 ◽

2016 ◽

Vol 24 (3) ◽

pp. 388-398 ◽

Cited By ~ 1

Author(s):

Maaidah M. Algamdi ◽

Sandra K. Hanneman

Keyword(s):

Cancer Therapy ◽

Internal Consistency ◽

Functional Assessment ◽

Cognitive Interview ◽

Internal Consistency Reliability ◽

Preliminary Evidence ◽

Community Dwelling ◽

Test Reliability ◽

Cross Sectional ◽

Reliability Estimates

Purpose: The study aims were to (a) test reliability of the Arabic versions of the Cancer Behavior Inventory-Brief Arabic (CBI-BA) among patients diagnosed with any type of cancer and the Functional Assessment of Cancer Therapy-Breast (FACT-BA) in women with breast cancer and (b) assess participant understanding of CBI-BA items. Methods: A cross-sectional design was used to assess preliminary evidence for internal consistency reliability of the CBI-BA and the FACT-BA in a community-dwelling sample of Arabic-speaking persons diagnosed with cancer. Participants were randomly selected for cognitive interview. Results: Cronbach’s alphas were ≥.76 for the CBI-BA, .91 for the FACT-BA, and .43–.89 for the FACT-BA subscales. Cognitive interviews revealed several CBI-BA items required revision. Conclusion: The total CBI-BA and the FACT-BA scales have adequate internal consistency reliability estimates.

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Validation of the MEDSAIL Tool to Screen for Capacity to Live Safely and Independently in Nursing Home Residents

Innovation in Aging ◽

10.1093/geroni/igaa057.145 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 44-45

Author(s):

Whitney Mills ◽

Mark Kunik ◽

P Adam Kelly ◽

Nancy Wilson ◽

Steven Starks ◽

...

Keyword(s):

Nursing Home ◽

Internal Consistency ◽

Independent Living ◽

Convergent Validity ◽

Nursing Home Residents ◽

Community Dwelling ◽

Veterans Health ◽

Test Statistic ◽

Cross Sectional ◽

User Friendly

Abstract Capacity for safe and independent living (SAIL) refers to an individual’s ability to solve problems associated with everyday life and perform activities necessary to live independently. Little guidance exists on the assessment of capacity for SAIL among nursing home residents. As a result, capacity for SAIL is not fully considered in the development of discharge plans to ensure safety and independence in the community. The Making and Executing Decisions for Safe and Independent Living (MEDSAIL) tool was developed to screen for capacity for SAIL among community-dwelling older adults. In this cross sectional pilot study, we tested the validity of MEDSAIL for use with nursing home residents. Participants were twenty-four residents of a Veterans Health Affairs nursing home. Exclusion criteria were cognitive impairment too severe to complete the protocol, diagnosis of serious mental illness or developmental disability, inability to hear, and inability to communicate verbally. Participants completed two assessments: the MEDSAIL interview administered by a research assistant and the criterion standard capacity interview administered by a geriatric psychiatrist. We examined internal consistency, convergent validity, divergent validity, and criterion-based validity. Five of seven MEDSAIL scenarios approximated acceptable levels of internal consistency (α>0.70). MEDSAIL scores were positively correlated with the criterion standard (0.88, p=0.001), and the Wilcoxon Rank Sum Test statistic was also statistically significant (p=0.001). MEDSAIL has promise as a user-friendly brief screening tool in nursing homes to understand resident capacity for SAIL and to inform development of discharge plans to keep the resident safe and independent in the community.

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Further Development and Validation of the Affordances in the Home Environment for Motor Development–Infant Scale (AHEMD-IS)

Physical Therapy ◽

10.2522/ptj.20140011 ◽

2015 ◽

Vol 95 (6) ◽

pp. 901-923 ◽

Cited By ~ 14

Author(s):

Priscila M. Caçola ◽

Carl Gabbard ◽

Maria I.L. Montebelo ◽

Denise C.C. Santos

Keyword(s):

Home Environment ◽

Internal Consistency ◽

Motor Development ◽

Expert Panel ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Cross Sectional ◽

Cronbach Alpha ◽

Time Frequency ◽

Infant Motor Development

Background Affordances in the home environment may play a significant role in infant motor development. Objective The purpose of this study was to further develop and validate the Affordances in the Home Environment for Motor Development–Infant Scale (AHEMD-IS), an inventory that measures the quantity and quality of motor affordances in the home. Design A cross-sectional study was conducted to evaluate criteria for content validity, reliability, internal consistency, floor and ceiling effects, and interpretability of the instrument. Methods A pilot version of the inventory with 5 dimensions was used for expert panel analysis and administered to parents of infants (N=419). Data were analyzed with Cronbach alpha, intraclass correlation coefficients (ICCs), ceiling and floor effects, and item and dimension interpretability analyses for creation of a scoring system with descriptive categories for each dimension and total score. Results Average agreement among the expert panel was 95% across all evaluation criteria. Cronbach alpha values with the 41-item scale ranged between .639 and .824 for the separate dimensions, with a total value of .824 (95% confidence interval [95% CI]=.781, .862). The ICC values were .990 for interrater reliability and .949 for intrarater reliability. There was a ceiling effect on 3 questions for the Inside Space dimension and on 3 questions for the Variety of Stimulation dimension. These results demonstrated the need for reduction in total items (from 41 to 35) and the combination of space dimensions. After removal of questions, internal consistency was .766 (95% CI=.729, .800) for total score. Overall assessment categories were created as: less than adequate, moderately adequate, adequate, and excellent. Limitations The inventory does not determine specific use (time, frequency) of affordances in the home, and it does not account for infants' out-of-home activities. Conclusions The AHEMD-IS is a reliable and valid instrument to assess affordances in the home environment that promote infant motor development.

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Uji Validitas Angket SLCQ-I pada Mahasiswa Fakultas Kedokteran Universitas Malahayati Lampung

Jurnal Ilmiah Kesehatan Sandi Husada ◽

10.35816/jiskh.v11i1.197 ◽

2020 ◽

Vol 11 (1) ◽

pp. 8-12

Author(s):

Ahmad Zidane Sagareno ◽

Sutarto Sutarto

Keyword(s):

Internal Consistency ◽

Cross Sectional ◽

Cronbach Alpha

Proses belajar membutuhkan konsentrasi agar mencapai hasil belajar yang diharapkan. Data dari hasil pengukuran konsentrasi belajar bermanfaat dalam evaluasi pembelajaran. Namun angket pengukuran konsentrasi belajar sangat terbatas sehingga penelitian mengenai konsentrasi belajar pada mahasiswa sangat sulit. Oleh karena itu, diperlukan angket yang valid untuk mengumpulkan data konsentrasi belajar pada mahasiswa. Studi ini bertujuan untuk melakukan uji validitas angket pada subyek mahasiswa. Metode yang digunakan pada uji validitas ini adalah analitik observasional dengan pendekatan cross sectional. Uji statistik yang digunakan adalah uji korelasi Pearson Product Moment dan uji reabilitas dengan internal consistency. Hasil didapatkan seluruh item pada uji validitas angket di atas 0,3 dan uji reabilitas angket nilai cronbach alpha 0,924. Kesimpulan angket SLCQ-I memenuhi syarat validitas dan reabilitas sehingga dinyatakan valid dan reliabel.

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Managing Multimorbidity (Multiple Chronic Diseases) Amid COVID-19 Pandemic: A Community Based Study From Odisha, India

Frontiers in Public Health ◽

10.3389/fpubh.2020.584408 ◽

2021 ◽

Vol 8 ◽

Author(s):

Sanghamitra Pati ◽

Pranab Mahapatra ◽

Srikanta Kanungo ◽

Azhar Uddin ◽

Krushna Chandra Sahoo

Keyword(s):

Chronic Diseases ◽

Patient Activation ◽

Principal Component ◽

Cross Sectional Study ◽

Community Dwelling ◽

Urban Residence ◽

Community Based ◽

Cross Sectional ◽

Younger Age ◽

Multiple Chronic Diseases

While most of the studies to date demonstrate the deleterious effect of multiple chronic diseases on COVID-19 risk and outcome, there is sparse information available on the effect of the pandemic on multimorbidity management, with no reports yet from India. We sought to explore the effect of COVID-19 pandemic on routine and emergency care for multimorbidity among community-dwelling adults in Odisha, India. A community-based cross-sectional study was undertaken pandemic lockdown, in Khurda district of Odisha, India. Around 600 individuals having at least one chronic disease residing in rural, urban residential and slums were interviewed using a specifically developed questionnaire MAQ COVID-19. The association of socio-demographic characteristics and multimorbidity with pandemic-related care challenges was examined by multiple logistic regression. Principal Component Analysis was employed to minimize the dimensionality of factors related to multimorbidity care. Multimorbidity was highly prevalent in younger age group (46–60 years) with cardio-metabolic clusters being dominant. Individuals with multimorbidity experienced significantly higher care challenges than those with single condition (AOR = 1.48, 95% CI = 1.01–2.05) with notable disruption in treatment and routine check-up. Most frequently cited concerns were—physician consultation (43%), diagnostic-services (26%), transport (33%), and mobility restrictions (21%). Multivariate analysis revealed older adults living alone in urban residence to have higher challenges than their rural counterparts. Patient activation for self-care, multimorbidity literacy, and technology-enabled tele-consultation could be explored as potential interventions. Future studies should qualitatively explore the challenges of physicians as well as garner an in-depth understanding of multimorbidity management in the vulnerable subgroups.

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Pain Interference Is Associated With Psychological Concerns Related to Falls in Community-Dwelling Older Adults: Multisite Observational Study

Physical Therapy ◽

10.2522/ptj.20140093 ◽

2014 ◽

Vol 94 (10) ◽

pp. 1410-1420 ◽

Cited By ~ 14

Author(s):

Brendon Stubbs ◽

Laura H.P. Eggermont ◽

Sandhi Patchay ◽

Pat A. Schofield

Keyword(s):

Risk Factors ◽

Older Adults ◽

Fear Of Falling ◽

Brief Pain Inventory ◽

Subscale Score ◽

Cross Sectional Study ◽

Community Dwelling ◽

Pain Interference ◽

Cross Sectional ◽

Community Dwelling Older Adults

Background Pain interference and psychological concerns related to falls (PCRF) are pervasive phenomena among community-dwelling older adults, yet their association remains elusive. Objective The purpose of this study was to establish whether pain interference is associated with PCRF in community-dwelling older adults. Design This was a multisite cross-sectional study. Method Two hundred ninety-five community-dwelling older adults (mean age=77.5 years, SD=8.1; 66.4% female) participated in the study. All participants completed the Brief Pain Inventory (BPI) interference subscale, Short Falls Efficacy Scale–International (FES-I), Activities-specific Balance Confidence Scale (ABC), modified version of the Survey of Activities and Fear of Falling in Elderly Scale (mSAFFE), and Consequences of Falling Scale (CoF). Hierarchical multiple regression analysis were conducted. In the first step of the study, sociodemographic and known risk factors for psychological concerns related to falls were inserted into the model, followed by the BPI interference subscale score in the second step. Results One hundred sixty-nine participants (57.3%) reported some pain interference. The BPI interference subscale was highly correlated with all PCRF (r>.5, P<.0001). After the adjustment for established risk factors, the BPI interference subscale significantly increased the variance in the Short FES-I (R2 change=13.2%), ABC (R2 change=4.7%), mSAFFE (R2 change=5.0%), and CoF (R2 change=10.0%). Pain interference was a significant and independent predictor in the final model for the Short FES-1 (β=0.455, P<.001), ABC (β=−0.265, P<.001), mSAFFE (β=0.276, P<.001), and CoF (β=0.390, P<.001). Limitations The study was cross-sectional. Conclusions Pain interference is an important contributing factor in each of the psychological concerns related to falls. Pain interference had the strongest impact on reducing falls efficacy and increasing older adults' concerns about the consequences of falling.

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Perceived Voice Disorders in Older Adults and Impact on Social Interactions

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00059 ◽

2021 ◽

pp. 1-8

Author(s):

Connie K. Porcaro ◽

Clare Singer ◽

Boris Djokic ◽

Ali A. Danesh ◽

Ruth Tappen ◽

...

Keyword(s):

Older Adults ◽

Social Interactions ◽

Social Engagement ◽

Leisure Activities ◽

Treatment Strategies ◽

Voice Disorders ◽

Community Dwelling ◽

Vocal Performance ◽

Older Individuals ◽

Cross Sectional

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.

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The Coping Scales From the German Stress and Coping Questionnaire for Children and Adolescents

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000530 ◽

2020 ◽

Vol 36 (4) ◽

pp. 545-553 ◽

Cited By ~ 1

Author(s):

Heike Eschenbeck ◽

Uwe Heim-Dreger ◽

Denise Kerkhoff ◽

Carl-Walter Kohlmann ◽

Arnold Lohaus ◽

...

Keyword(s):

Emotion Regulation ◽

Children And Adolescents ◽

Internal Consistency ◽

Stress And Coping ◽

Self Report ◽

Partial Metric ◽

Confirmatory Factor Analyses ◽

Language Version ◽

English Speaking ◽

And Coping

Abstract. The coping scales from the Stress and Coping Questionnaire for Children and Adolescents (SSKJ 3–8; Lohaus, Eschenbeck, Kohlmann, & Klein-Heßling, 2018 ) are subscales of a theoretically based and empirically validated self-report instrument for assessing, originally in the German language, the five strategies of seeking social support, problem solving, avoidant coping, palliative emotion regulation, and anger-related emotion regulation. The present study examined factorial structure, measurement invariance, and internal consistency across five different language versions: English, French, Russian, Spanish, and Ukrainian. The original German version was compared to each language version separately. Participants were 5,271 children and adolescents recruited from primary and secondary schools from Germany ( n = 3,177), France ( n = 329), Russia ( n = 378), the Dominican Republic ( n = 243), Ukraine ( n = 437), and several English-speaking countries such as Australia, Great Britain, Ireland, and the USA (English-speaking sample: n = 707). For the five different language versions of the SSKJ 3–8 coping questionnaire, confirmatory factor analyses showed configural as well as metric and partial scalar invariance (French) or partial metric invariance (English, Russian, Spanish, Ukrainian). Internal consistency coefficients of the coping scales were also acceptable to good. Significance of the results was discussed with special emphasis on cross-cultural research on individual differences in coping.

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Assessment Instrument of Fiqh Mu'āmalāt Learning with Financial Literacy Oriented

10.35542/osf.io/p2ync ◽

2019 ◽

Author(s):

Adib Rifqi Setiawan

Keyword(s):

Secondary Education ◽

Survey Research ◽

Internal Consistency ◽

Financial Literacy ◽

Lesson Plan ◽

Assessment Instrument ◽

Validity And Reliability ◽

Cross Sectional Survey ◽

Cross Sectional

The goal of this cross-sectional survey research was to find the validity and reliability of assessment instrument for fiqh mu'āmalāt learning with financial literacy oriented for secondary education. To reveal validity is assessed based on obtain judgement expert and reliability measured by internal consistency. It was gained that the validity is 7 items very feasible and 5 item quite feasible with reliability’s value is 0,763. This finding shows that assessment instrument can be used to analyze difficulties of students for designing lesson plan of fiqh mu'āmalāt learning with financial literacy oriented.

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