Validity and reliability of the Self-Care Activities Screening Scale (SASS-14) during COVID-19 lockdown

Abstract Background In a context where there is no treatment for the current COVID-19 virus, the combination of self-care behaviours together with confinement, are strategies to decrease the risk of contagion and remain healthy. However, there are no self-care measures to screen self-care activities in general population and which, could be briefly in a lockdown situation. This research aims to build and validate a psychometric tool to screen self-care activities in general population. Methods Firstly, an exploratory factor analysis was performed in a sample of 226 participants to discover the underlying factorial structure and to reduce the number of items in the original tool into a significant pool of items related to self-care. Later a confirmatory factor analyses were performed in a new sample of 261 participants to test for the fit and goodness of factor solutions. Internal validity, reliability, and convergent validity between its score with perceived stress and psychological well-being measures were examined on this sample. Results The exploratory analyses suggested a four-factor solution, corresponding to health consciousness, nutrition and physical activity, sleep, and intra-personal and inter-personal coping skills (14 items). Then, the four-factor structure was confirmed as the best model fit for self-care activities. The tool demonstrated good reliability, predictive validity of individuals’ perception of coping with COVID-19 lockdown, and convergent validity with well-being and perceived stress. Conclusions This screening tool could be helpful to address future evaluations and interventions to promote healthy behaviours. Likewise, this tool can be targeted to specific population self-care’s needs during a scalable situation.

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Validity and reliability of the Self-Care Activities Screening Scale (SASS-14) during COVID-19 lockdown

10.21203/rs.3.rs-42014/v2 ◽

2020 ◽

Author(s):

Martín Martinez ◽

Elkin Luis ◽

Edwin Yair Oliveros ◽

Pablo Fernández-Berrocal ◽

Ainize Sarrionandia ◽

...

Keyword(s):

General Population ◽

Perceived Stress ◽

Convergent Validity ◽

Self Care ◽

Internal Validity ◽

Well Being ◽

Validity And Reliability ◽

Good Reliability ◽

Confirmatory Factor Analyses ◽

Health Consciousness

Abstract Background. In a context where there is no treatment for the current COVID-19 virus, the combination of self-care behaviours together with confinement, are strategies to decrease the risk of contagion and remain healthy. However, there are no self-care measures to screen self-care activities in general population and which, could be briefly in a lockdown situation. This research aims to build and validate a psychometric tool to screen self-care activities in general population. Methods. Firstly, an exploratory factor analysis was performed in a sample of 226 participants to discover the underlying factorial structure and to reduce the number of items in the original tool into a significant pool of items related to self-care. Later a confirmatory factor analyses were performed in a new sample of 261 participants to test for the fit and goodness of factor solutions. Internal validity, reliability, criterion validity, and convergent validity between its score with perceived stress and psychological well-being measures were examined on this sample. Results. The exploratory analyses suggested a four-factor solution, corresponding to health consciousness, nutrition and physical activity, sleep, and intra-personal and inter-personal coping skills (14 items). Then, the four-factor structure was confirmed as the best model fit for self-care activities. The tool demonstrated good reliability, predictive validity of individuals’ perception of coping with COVID-19 lockdown, and convergent validity with well-being and perceived stress.Conclusions. This screening tool could be helpful to address future evaluations and interventions to promote healthy behaviours. Likewise, this tool can be targeted to specific population self-care’s needs during a scalable situation.

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Validity and reliability of the Self-Care Activities Screening Scale (SASS-14) during COVID-19 lockdown

10.21203/rs.3.rs-42014/v1 ◽

2020 ◽

Author(s):

Martín Martinez ◽

Elkin Luis ◽

Edwin Yair Oliveros ◽

Pablo Fernández-Berrocal ◽

Ainize Sarrionandia Peña ◽

...

Keyword(s):

General Population ◽

Perceived Stress ◽

Convergent Validity ◽

Self Care ◽

Internal Validity ◽

Well Being ◽

Validity And Reliability ◽

Good Reliability ◽

Confirmatory Factor Analyses ◽

Health Consciousness

Abstract Background. In a context where there is no treatment for the current COVID-19 virus, the combination of self-care behaviours together with confinement, are strategies to decrease the risk of contagion and remain healthy. However, there are no self-care measures to screen self-care activities in general population and which, could be briefly in a lockdown situation. This research covers two studies aimed to build and validate a psychometric tool to screen self-care activities in general population. Methods. In Study 1, an exploratory factor analysis was performed in a sample of 226 participants to discover the underlying factorial structure and to reduce the number of items in the original tool into a significant pool of items related to self-care. In Study 2, confirmatory factor analyses were performed in a new sample of 261 participants to test for the fit and goodness of factor solutions. Internal validity, reliability, criterion validity, and convergent validity between its score with perceived stress and psychological well-being measures were examined on this sample. Results. In Study 1, exploratory analyses suggested a four-factor solution, corresponding to health consciousness, nutrition and physical activity, sleep, and intra-personal and inter-personal coping skills (14 items). In Study 2, the four-factor structure was confirmed as the best model fit for self-care activities. The tool demonstrated good reliability, predictive validity of individuals’ perception of coping with COVID-19 lockdown, and convergent validity with well-being and perceived stress measures. Conclusions. This screening tool could be helpful to address future evaluations and interventions to promote healthy behaviours. Likewise, this tool can be targeted to specific population self-care’s needs during a scalable situation.

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Self-care appraisal in nursing assistant students: Adaptation, validation and psychometric properties of the Spanish ASAS

PLoS ONE ◽

10.1371/journal.pone.0260827 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260827

Author(s):

Natura Colomer-Pérez ◽

Sergio A. Useche

Keyword(s):

Psychometric Properties ◽

Convergent Validity ◽

Structural Equation ◽

Structural Equation Models ◽

Healing Process ◽

Self Care ◽

Well Being ◽

Nursing Assistant ◽

Validity And Reliability ◽

The Core

The core implication of nursing professionals’ labor is promoting self-care and foster well-being among healthcare service users. The beginning of the healing process starts with the provider, and self-care habits are needed to positively impact on patients’ care outcomes at different spheres. Overall, current literature supports the idea that nurses’ personal self-care should be a necessary skill to be expected in their professional role. In this regard, the Appraisal of Self-care Agency Scale (ASAS) is a worldwide known instrument aimed at assessing the ability to engage in self-care. However, it has never been tested in the Spanish context before, and much less in nursing practitioners or apprentices. The aim of this study was to translate, adapt and validate the ASAS for Spanish nursing apprentices, assessing its dimensionality, psychometric properties and convergent validity by means of the Sense of Coherence (SOC-13) questionnaire. Methods: Data were collected from a random sample of 921 Certificated Nursing Assistant (CNA) Spanish students and was analyzed trough confirmatory factor analyses via structural equation models. The core ASAS construct and its subscales were correlated with the SOC-13 scores. Results: Fair psychometric properties for the questionnaire were set. Also, SEM models endorse the validity and reliability of the four-factor dimensionality of the Spanish adaptation of the ASAS, whose associations to SOC scores were coherent and significant. Conclusion: This study allowed to establish that the Spanish version of the ASAS might be a useful tool for addressing self-care-related issues among nursing apprentices, a key population for promoting both their own and patients’ health and welfare through healthy and care-related behaviors.

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The Positivity Dimension of Well-Being: Adaptation and Psychometric Evidence of a Measure1

Paidéia (Ribeirão Preto) ◽

10.1590/1982-43272459201404 ◽

2014 ◽

Vol 24 (59) ◽

pp. 305-312 ◽

Cited By ~ 2

Author(s):

Roosevelt Vilar Lobo de Souza ◽

Rafaella de Carvalho Rodrigues Araújo ◽

Rildésia Silva Veloso Gouveia ◽

Gabriel Lins de Holanda Coelho ◽

Valdiney Veloso Gouveia

Keyword(s):

Undergraduate Students ◽

Convergent Validity ◽

Satisfaction With Life ◽

Well Being ◽

Satisfaction With Life Scale ◽

Validity And Reliability ◽

Confirmatory Factor Analyses ◽

Life Scale ◽

Average Variance ◽

The One

This research aimed to adapt the Positivity Scale (PS) to the Brazilian context, gathering evidence of validity and reliability. Two studies were performed. Study 1 was composed of 200 people from Paraíba, with a mean age of 23.4 years old (SD = 4.53), who answered the PS and demographic questions. Results pointed to a one-factor solution in this scale, which presented satisfactory reliability (α = .85). Study 2 gathered 290 undergraduate students with a mean age of 23.9 years old (SD = 7.60), who answered the PS, the Satisfaction with Life Scale, the Subjective Vitality Scale and demographic questions. Confirmatory factor analyses (ML and ADF estimators) corroborated the one-factor structure, which presented an acceptable reliability (CR = .65). Furthermore, its convergent validity was confirmed based on the average variance extracted (AVE = .60) and on its correlations with satisfaction with life and vitality (p < .001). In conclusion, this measure has been shown to be psychometrically adequate for use in Brazil.

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Three Versions of the Perceived Stress Scale: Psychometric Evaluation in a Nationally Representative Sample of Chinese Adults during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168312 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8312

Author(s):

Zhuang She ◽

Dan Li ◽

Wei Zhang ◽

Ningning Zhou ◽

Juzhe Xi ◽

...

Keyword(s):

General Population ◽

Psychometric Properties ◽

Perceived Stress ◽

Representative Sample ◽

Online Survey ◽

Psychometric Evaluation ◽

Perceived Stress Scale ◽

Good Reliability ◽

Stress Scale ◽

Nationally Representative

(1) Background: The COVID-19 outbreak has created pressure in people’s daily lives, further threatening public health. Thus, it is important to assess people’s perception of stress during COVID-19 for both research and practical purposes. The Perceived Stress Scale (PSS) is one of the most widely used instruments to measure perceived stress; however, previous validation studies focused on specific populations, possibly limiting the generalization of results. (2) Methods: This study tested the psychometric properties of three versions of the Chinese Perceived Stress Scale (CPSS-14, CPSS-10, and CPSS-4) in the Chinese general population during the COVID-19 pandemic. A commercial online survey was employed to construct a nationally representative sample of 1133 adults in Mainland China (548 males and 585 females) during a one-week period. (3) Results: The two-factor (positivity and negativity) solution for the three versions of the CPSS showed a good fit with the data. The CPSS-14 and CPSS-10 had very good reliability and the CPSS-4 showed acceptable reliability. Scores on all three versions of the CPSS were significantly correlated in the expected direction with health-related variables (e.g., depression, anxiety, and perceived COVID-19 risk), supporting the concurrent validity of the CPSS. (4) Conclusions: All three versions of the CPSS appear to be appropriate for use in research with samples of adults in the Chinese general population under the COVID-19 crisis. The CPSS-10 and CPSS-14 both have strong psychometric properties, but the CPSS-10 would have more utility because it is shorter than the CPSS-14. However, the CPSS-4 is an acceptable alternative when administration time is limited.

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The Appraisal of Self-Care Agency Scale - Revised (ASAS-R): adaptation and construct validity in the Brazilian context

Cadernos de Saúde Pública ◽

10.1590/0102-311x00165312 ◽

2013 ◽

Vol 29 (10) ◽

pp. 2071-2082 ◽

Cited By ~ 16

Author(s):

Bruno Figueiredo Damásio ◽

Silvia Helena Koller

Keyword(s):

Convergent Validity ◽

Satisfaction With Life ◽

Negative Impact ◽

Short Form ◽

Self Care ◽

Satisfaction With Life Scale ◽

Confirmatory Factor Analyses ◽

Brazilian Version ◽

Life Scale ◽

Care Agency

This study presents the psychometric properties of the Brazilian version of the Appraisal of Self-Care Agency Scale - Revised (ASAS-R). The sample was made up of 627 subjects (69.8% women) aged between 18 and 88 years (mean = 38.3; SD = 13.26) from 17 Brazilian states. Exploratory factor analysis of part of the sample (n1 = 200) yielded a three-factor solution which showed adequate levels of reliability. Two confirmatory factor analyses of the other part of the sample (n2 = 427) tested both the exploratory and the original model. The analysis of convergent validity using the Subjective Happiness Scale, the Satisfaction with Life Scale, and the 36-item Short Form Health Survey Version 2 (SF-36v2) demonstrated adequate levels of validity. A significant correlation was found between levels of self-care agency and age, level of education and income. The analysis of sample members with chronic disease (n = 134) showed that higher levels of self-care agency indicated lower levels of negative impact of the chronic illness in the individual's everyday life.

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Validity and reliability of a wearable-controlled serious game and goniometer for telemonitoring of wrist fracture rehabilitation

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-021-01657-5 ◽

2021 ◽

Author(s):

Henriëtte A. W. Meijer ◽

Maurits Graafland ◽

Miryam C. Obdeijn ◽

Marlies P. Schijven ◽

J. Carel Goslings

Keyword(s):

Range Of Motion ◽

Intraclass Correlation ◽

Internal Validity ◽

Wrist Fracture ◽

Serious Game ◽

Reference Standard ◽

Validity And Reliability ◽

Good Reliability ◽

Rater Reliability ◽

Flexion Extension

Abstract Purpose To determine the validity of wrist range of motion (ROM) measurements by the wearable-controlled ReValidate! wrist-rehabilitation game, which simultaneously acts as a digital goniometer. Furthermore, to establish the reliability of the game by contrasting ROM measurements to those found by medical experts using a universal goniometer. Methods As the universal goniometer is considered the reference standard, inter-rater reliability between surgeons was first determined. Internal validity of the game ROM measurements was determined in a test–retest setting with healthy volunteers. The reliability of the game was tested in 34 patients with a restricted range of motion, in whom the ROM was measured by experts as well as digitally. Intraclass-correlation coefficients (ICCs) were determined and outcomes were analyzed using Bland–Altman plots. Results Inter-rater reliability between experts using a universal goniometer was poor, with ICCs of 0.002, 0.160 and 0.520. Internal validity testing of the game found ICCs of − 0.693, 0.376 and 0.863, thus ranging from poor to good. Reliability testing of the game compared to medical expert measurements, found that mean differences were small for the flexion–extension arc and the radial deviation-ulnar deviation arc. Conclusion The ReValidate! game is a reliable home-monitoring device digitally measuring ROM in the wrist. Interestingly, the test–retest reliability of the serious game was found to be considerably higher than the inter-rater reliability of the reference standard, being healthcare professionals using a universal goniometer. Trial registration number (internal hospital registration only) MEC-AMC W17_003 #17.015.

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Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model

BMJ Open ◽

10.1136/bmjopen-2020-048469 ◽

2021 ◽

Vol 11 (12) ◽

pp. e048469

Author(s):

Elkin Luis ◽

Elena Bermejo-Martins ◽

Martín Martinez ◽

Ainize Sarrionandia ◽

Cristian Cortes ◽

...

Keyword(s):

General Population ◽

Online Survey ◽

Self Care ◽

Well Being ◽

Active Role ◽

Total Sample ◽

Cross Sectional ◽

Psychological Well Being ◽

Sociodemographic Variables ◽

The Impact

ObjectivesTo examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.DesignCross-sectional, online survey.ParticipantsA stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.Primary outcomes measuresSociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.ResultsSelf-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (F (3,1078)=370.01, p<0.001, R2=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.ConclusionThe results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.

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Study of the measurement properties of the Portuguese Version of the Well-Being Questionnaire12 (W-BQ12) in women with pregnancy loss

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000300019 ◽

2012 ◽

Vol 20 (3) ◽

pp. 567-574 ◽

Cited By ~ 4

Author(s):

Cândida Koch ◽

Célia Santos ◽

Margarida Reis Santos

Keyword(s):

Convergent Validity ◽

Pregnancy Loss ◽

Well Being ◽

Measurement Properties ◽

Dimensional Structure ◽

Alpha Coefficient ◽

Good Reliability ◽

Discriminative Validity ◽

Perinatal Bereavement ◽

Measurement Capabilities

The assessment of well-being can be an important parameter in monitoring the process of mourning. In this study we sought to assess the applicability of the W-BQ12 - Well-Being Questionnaire - in a sample consisting of 74 women between four and six weeks following their respective pregnancy losses, analyzing its measurement capabilities. As proposed by the author, the analysis of the scale's primary components and the discriminating convergent validity confirmed the dimensional structure of three subscales. The scale showed good reliability (global Cronbach's Alpha coefficient = 0.84), and, overall, the items showed a good correlation with the corresponding subscale. Generally speaking, the W-BQ12 showed good discriminative validity when correlated with the PBGS - Perinatal Bereavement Grief Scale. This tool, applied to this study, was found to be both reliable and valid for use by nurses in assessing the well-being of women who have experienced this type of loss.

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Disability Among Young Adults With Congenital Heart Defects: Congenital Heart Survey to Recognize Outcomes, Needs, and Well‐Being 2016–2019

Journal of the American Heart Association ◽

10.1161/jaha.121.022440 ◽

2021 ◽

Author(s):

Karrie F. Downing ◽

Matthew E. Oster ◽

Scott E. Klewer ◽

Charles E. Rose ◽

Wendy N. Nembhard ◽

...

Keyword(s):

General Population ◽

Congenital Heart Defects ◽

Congenital Heart ◽

Heart Defects ◽

Self Care ◽

Well Being ◽

Measurement Information ◽

Limited Information ◽

Healthcare Needs ◽

Patient Reported

Background Disabilities have implications for health, well‐being, and health care, yet limited information is available on the percentage of adults with congenital heart defects (CHD) living with disabilities. We evaluated the prevalence of disability and associated characteristics among the 2016–2019 CH STRONG (Congenital Heart Survey to Recognize Outcomes, Needs, and Well‐Being) population‐based sample of 19‐ to 38‐year‐olds with CHD from 3 US locations. Methods and Results Prevalence of disability types (hearing, vision, cognition, mobility, self‐care, living independently) were compared with similarly aged adults from the general population as estimated by the American Community Survey and standardized to the CH STRONG eligible population to reduce nonresponse bias and confounding. Health‐related quality of life (HRQOL) was measured via Patient‐Reported Outcomes Measurement Information System Global Health Scale T‐scores standardized to US 18‐ to 34‐year‐olds. Separate multivariable regression models assessed associations between disability and HRQOL. Of 1478 participants, 40% reported disabilities, with cognition most prevalent (29%). Of those reporting disability, 45% ever received disability benefits and 46% were unemployed. Prevalence of disability types were 5 to 8 times higher in adults with CHD than the general population. Those with ≥1 disability had greater odds of being female, and of having non‐Hispanic Black maternal race and ethnicity, severe CHD, recent cardiac care, and noncardiac congenital anomalies. On average, adults with CHD and cognition, mobility, and self‐care disabilities had impaired mental HRQOL and those with any disability type had impaired physical HRQOL. Conclusions Two of 5 adults with CHD may have disabilities, which are associated with impaired HRQOL. These results may inform healthcare needs and services for this growing population.

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