scholarly journals Validation and refinement of the Stakeholder-driven Community Diffusion Survey for childhood obesity prevention

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ariella R. Korn ◽  
Julia Appel ◽  
Ross A. Hammond ◽  
Erin Hennessy ◽  
Louise C. Mâsse ◽  
...  
Keyword(s):  
South Carolina ◽  
Childhood Obesity ◽  
Construct Validity ◽  
Obesity Prevention ◽  
Content Validity ◽  
Diffusion Theory ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Validity And Reliability ◽  
Childhood Obesity Prevention

Abstract Background Whole-of-community interventions hold promise in addressing childhood obesity. The COMPACT Stakeholder-driven Community Diffusion theory posits that stakeholders’ knowledge of childhood obesity prevention efforts and engagement with the issue contribute to successful intervention implementation. Building on completed formative research and pilot testing, we describe the validation and refinement of knowledge and engagement measures. Methods We assessed content validity using a modified Delphi process with science (n=18) and practice-based (n=16) experts. Next, we refined the survey based on input from science- and practice-based experts, cognitive response testing, and item analysis of extant survey data. Field testing of the refined survey involved community stakeholders in Greenville County, South Carolina (n=50), East Boston, Massachusetts (n=30), and Tucson, Arizona (n=84) between 2019 and 2020. Construct validity was assessed with confirmatory factor analysis (CFA). Two-week test-retest reliability was assessed among a subsample of 14 paired respondents in South Carolina. Results Experts rated existing knowledge domains (intervention factors, roles, sustainability, problem, resources) and engagement domains (dialogue/mutual learning, flexibility, influence/power, leadership/stewardship, trust) highly for their importance in addressing childhood obesity. Expert input resulted in 11 new knowledge items and 7 new engagement items that mapped onto existing domains. Correspondingly, two domain names were modified: implementation/sustainability and trust/trustworthiness. We also eliminated 8 extant items (4 knowledge and 4 engagement) and adapted item language for comprehension and consistency. Further modifications based on CFA results and item analyses resulted in 23 knowledge items across four domains (roles and resources merged) and 23 engagement items across five domains. Modified knowledge and engagement scales had adequate fit and strong item factor loadings (most >0.7 and all >0.5). Knowledge (α=0.86–0.87) and engagement (α=0.75–0.90) subscales had high internal scale consistency. Knowledge intraclass correlation coefficients (ICCs) for test-retest agreement of subscale scores ranged from 0.50 for intervention factors to 0.86 for roles/resources. For engagement subscale scores, ICCs ranged from 0.70 for trust/trustworthiness to 0.96 for leadership/stewardship. Conclusions Findings from this multi-method survey development process increase our confidence of the knowledge and engagement measures’ content validity, construct validity, and reliability.

scholarly journals Modifying the food environment for childhood obesity prevention: challenges and opportunities

2014 ◽  
Vol 73 (2) ◽  
pp. 226-236 ◽  
Author(s):  
Tarra L. Penney ◽  
Eva Almiron-Roig ◽  
Cindy Shearer ◽  
Jessie-Lee McIsaac ◽  
Sara F. L. Kirk
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Food Environment ◽  
Population Level ◽  
Food Environments ◽  
Clear Understanding ◽  
Individual Choice ◽  
Validity And Reliability ◽  
Childhood Obesity Prevention ◽  
The Individual

The prevention of childhood obesity is a global priority. However, a range of complex social and environmental influences is implicated in the development of obesity and chronic disease that goes beyond the notion of individual choice. A population-level approach recognises the importance of access to and availability of healthy foods outside the home. These external food environments, in restaurants, supermarkets, and in school, or recreation and sports settings, are often characterised by energy dense, nutrient-poor food items that do not reflect the current nutritional guidelines for health. In addition, our understanding of these broader influences on nutritional intake is still limited. Particularly, lacking is a clear understanding of what constitutes the food environment, as well as robust measures of components of the food environment across different contexts. Therefore, this review summarises the literature on food environments of relevance to childhood obesity prevention, with a focus on places where children live, learn and play. Specifically, the paper highlights the approaches and challenges related to defining and measuring the food environment, discusses the aspects of the food environment unique to children and reports on environmental characteristics that are being modified within community, school and recreational settings. Results of the review show the need for a continued focus on understanding the intersection between individual behaviour and external factors; improved instrument development, especially regarding validity and reliability; clearer reported methodology including protocols for instrument use and data management; and considering novel study design approaches that are targeted at measuring the relationship between the individual and their food environment.

scholarly journals Measuring advance care planning behavior in Dutch adults: translation, cultural adaptation and validation of the Advance Care Planning Engagement Survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Doris van der Smissen ◽  
Agnes van der Heide ◽  
Rebecca L. Sudore ◽  
Judith A. C. Rietjens ◽  
Ida J. Korfage
Keyword(s):  
Chronic Disease ◽  
Construct Validity ◽  
Internal Consistency ◽  
Advance Care Planning ◽  
Content Validity ◽  
Intraclass Correlation ◽  
Criterion Validity ◽  
Care Planning ◽  
Validity And Reliability ◽  
Advance Care

Abstract Background Advance care planning (ACP) enables people to define, discuss, and record preferences for treatment and care. Measures of ACP behavior are lacking in the Netherlands. We aimed to translate, culturally adapt and validate the 34-item ACP Engagement Survey into Dutch. Methods Following validation guidelines, we tested content validity, internal consistency, reproducibility, construct validity, interpretability and criterion validity among persons with and without chronic disease. Results Forward-backward translation indicated the need of only minor adaptations. Two hundred thirty-two persons completed baseline and retest surveys; 121 were aged ≥60 years. Persons with chronic disease (n = 151) considered the survey more valuable than those without (66 vs. 59, p < 0.001, scale of 20–100), indicating good content validity. Internal consistency (Cronbach’s alpha: 0.97) and reproducibility (intraclass correlation: 0.88) were good. Total ACP Engagement was higher among persons with chronic disease than those without (2.9 vs. 2.4, p < 0.01, scale of 1 to 5), indicating good psychometric support for construct validity and interpretability. Positive correlations of the ACP Engagement Survey and the General Self-Efficacy survey indicated good criterion validity (p < 0.05). Conclusions This study provided good psychometric support for the validity and reliability of the Dutch 34-item ACP Engagement Survey. This instrument can be used to assess involvement in ACP in adults with and without chronic disease.

scholarly journals Development and psychometric properties of a questionnaire to assess the Iranian women’s sexual self-efficacy

2019 ◽  
Author(s):  
Farzaneh Dastaran ◽  
Raziyeh Maasoumi
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Content Validity ◽  
Self Efficacy ◽  
Intraclass Correlation ◽  
Criterion Validity ◽  
Sexual Relationship ◽  
Inductive Method ◽  
Second Phase ◽  
Validity And Reliability

Background & Aim: It is necessary to have a valid, reliable, and socio-cultural appropriate questionnaire for evaluation of women's sexual self-efficacy. Therefore, the objective of the study was the development and psychometric evaluation of the context-based questionnaire for women's sexual self-efficacy. Methods & Materials: The study was conducted during two phases on clients visiting the healthcare centers of Tehran University of medical sciences in 2018. In the first phase, Iranian women' sexual self-efficacy, and its dimensions were explored through thematic analysis, and it was compiled in 24 items by the deductive-inductive method. In the second phase, the psychometric properties of the questionnaire were tested using face, content, construct, and criterion validity and reliability of the questionnaire was assessed by the intraclass correlation coefficient. Results: Iranian women's sexual self-efficacy was defined as "women' ability to make sexual relationship which leads to mutual orgasm or sexual satisfaction." Sexual relationship, the proper level of sexual self-expression, women's ability in the management of her and husband's sexual response cycle and having the necessary skills to make a delightful sexual relationship were explored as the dimensions of definition of women’s sexual self-efficacy. Questionnaires were prepared with 24 items. The content validity index and content validity ratio (CVI and CVR) were found as 0.92 and 0.84, respectively. The results of qualitative and quantitative face validity and criterion validity were acceptable. Construct validity through exploratory factor analysis led to identifying four factors explained 66.68% of the variance. The items of the questionnaire were reduced from 24 to 21 after construct validity. The results of Cronbach’s alpha coefficient (0.94) and ICC (0.50) supported the acceptable stability of the questionnaire. Conclusion: The psychometric properties of developed sexual self-efficacy questionnairewomen (SSEQ-W) has good validity and reliability. Therefore, it can be used as a useful tool in future studies.

Reliability and Validity of a Tool to Measure School Nurse Perceptions and Practices Associated With Childhood Obesity Prevention

2015 ◽  
Vol 23 (2) ◽  
pp. 239-254 ◽  
Author(s):  
Susan B. Quelly
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
School Nurse ◽  
School Nurses ◽  
Childhood Obesity Prevention ◽  
Internal Reliability ◽  
Adequate Test ◽  
Test Retest Reliability

Background and Purpose: Childhood obesity prevention (COP) should include increasing school nurse involvement. Measurements of school nurse perceptions influencing COP practices are limited. The purpose of this study is to evaluate the reliability and validity of 5 measures of school nurse COP practices and perceptions. Methods: A 70-item anonymous survey was completed by 171 Florida registered nurse (RN) school nurses and tested for reliability and validity. Results: Internal reliability was acceptable with Cronbach’s alphas ranging from .81 to .94. Uncertain to adequate test–retest reliability was determined by correlation coefficients (r = .55–.78). Significant correlations (p < .05) based on hypothesized relationships provided moderate support for construct validity. Conclusions: Results support use of these scales in research with targeted school nurse populations to promote COP practices.

PP67 Validity Of A Questionnaire Assessing Patient Medication Experiences

2018 ◽  
Vol 34 (S1) ◽  
pp. 93-93
Author(s):  
Merel Kimman ◽  
Marlies Wijsenbeek ◽  
Remy Mostard ◽  
Nelleke Tak ◽  
Adrienne Rotteveel ◽  
...  
Keyword(s):  
Decision Making ◽  
Side Effects ◽  
Construct Validity ◽  
Content Validity ◽  
Atypical Hemolytic Uremic Syndrome ◽  
Intraclass Correlation ◽  
Patient Experiences ◽  
Validity And Reliability ◽  
Generic Module ◽  
The Impact

Introduction:The Patient Experiences and Satisfaction with Medications (PESaM) questionnaire was recently developed. It consists of two disease-specific modules for evaluating drug treatment of idiopathic pulmonary fibrosis (IPF) and atypical hemolytic uremic syndrome (aHUS): (i) a generic module applicable to any medication, and (ii) a patient expectations module. This study assessed the validity and reliability of the generic module in a large sample of patients in the Netherlands.Methods:In 2017, the PESaM-questionnaire was sent out to IPF patients on pirfenidone or nintedanib, aHUS patients receiving eculizumab, and patients using advagraf after kidney transplantation. The generic module consists of 16 items related to the domains effectiveness, side-effects and ease of use, and assesses patient experiences regarding the impact of the medication on daily life and health, and satisfaction. Mean scores for each domain were calculated using a scoring algorithm. Content validity, construct validity, and reliability were assessed using recommended methods.Results:Patients (n=188) completed the generic module of whom 48 percent used pirfenidone, 36 percent nintedanib, 11 percent advagraf, and 5 percent eculizumab. Content validity was established. Expected associations between patient experiences, satisfaction, and quality of life (QoL) were generally confirmed, demonstrating construct validity. For example, a moderate to strong positive association was found between patient experiences and satisfaction with side-effects (correlation coefficient 0.625, p < 0.05), and low (positive) associations were found between patient experiences and QoL. Importantly, the PESaM-questionnaire was able to discriminate between patients using different medications. Intraclass correlation coefficients, for test-retest reliability, ranged between good and excellent for most domains.Conclusions:The PESaM questionnaire is a promising tool to provide scientific evidence regarding the patient's perspective in health technology assessments and reimbursement decision-making regarding (expensive) medications, but can also support shared decision-making and appropriate use of medication at the individual patient level. Further research will assess the questionnaire's responsiveness and generalizability of results to other patient populations.

scholarly journals Childhood Obesity Prevention in South Carolina Communities

2015 ◽  
Vol 47 (4) ◽  
pp. S107
Author(s):  
Sonya Jones ◽  
C. Draper ◽  
H. Pope ◽  
J. Craig ◽  
C. Childers ◽  
...  
Keyword(s):  
South Carolina ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Childhood Obesity Prevention

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

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

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

scholarly journals Spanish adaptation and validation of the Pain Assessment Scale in Advanced Dementia (PAINAD) in patients with dementia and impaired verbal communication: cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e049211
Author(s):  
Vanesa Cantón-Habas ◽  
María del Pilar Carrera-González ◽  
María Teresa Moreno-Casbas ◽  
Manuel Rich-Ruiz
Keyword(s):  
Construct Validity ◽  
Pain Assessment ◽  
Content Validity ◽  
Interobserver Reliability ◽  
Intraclass Correlation ◽  
Secondary Outcome ◽  
Advanced Dementia ◽  
Validity And Reliability ◽  
Global Deterioration Scale ◽  
Cross Sectional

ObjectivesThe aim of this study was to adapt and validate the Pain Assessment in Advanced Dementia (PAINAD) scale in Spanish.DesignCross-sectional observational study.SettingTwo health districts of Andalusian provinces, located in the south of Spain, through the Andalusian network of Primary Healthcare centres and four institutions dedicated to the care of patients with dementia.ParticipantsA total of 100 older people, with a medical diagnosis of dementia and a score on the Global Deterioration Scale between 5 and 7 were assessed using the PAINAD scale.Primary and secondary outcome measuresPsychometric properties including content validity, construct validity and reliability of the scale have been tested.ResultsThe overall Item Content Validity Index was excellent (0.95). Regarding construct validity, it was confirmed that a lower use of analgesics implied a lower score on the PAINAD scale (p<0.05). The internal consistency of the scale was 0.76 and it increases to 0.81 if we remove the breathing item. Furthermore, the intraclass correlation coefficient (ICC) used to assess interobserver reliability was 0.94, whereas the ICC used to assess temporary stability was 0.55.ConclusionsThe Spanish version of the PAINAD scale is a valid tool to assess pain in patients with dementia and inability to communicate verbally.

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