scholarly journals Psychometric properties of a condition-specific PROM for the psychosocial consequences of Labelling hypertension by using Rasch analysis

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
János Valery Gyuricza ◽  
Karl Bang Christensen ◽  
Ana Flávia Pires Lucas d’Oliveira ◽  
John Brodersen

Abstract Background A previous qualitative assessment of the psychosocial consequences of labelling hypertension describes the diagnosis of hypertension as a labelling event with potential unintended negative long-term psychosocial consequences (labelling effects). Until now, the benefits of diagnosing hypertension have been far more reported than the harms. To obtain the net result of the preventive interventions for cardiovascular disease, such as diagnosing and treating mild hypertension, assessing benefits and harms in the most comprehensive way possible is necessary, including the psychosocial consequences of labelling. When measuring psychosocial consequences of labelling hypertension, a questionnaire with high content validity and adequate psychometric properties is needed. Objectives The aim of this study was to describe the psychometric parameters of face and content-validated pool of items. Other objectives were also to screen the item pool by using Rasch model analysis and confirmatory factor analysis (CFA) for identifying such items with sufficient fit to the hypothesised models. Methods We surveyed the pool of items as a draft questionnaire to Brazilians recruited via social networks, sending e-mails, WhatsApp® messages and posting on Facebook®. The inclusion criteria were to be older than 18 years old, to be healthy and to have only hypertension. We used Rasch model analysis to screen the item pool, discarding items that did not fit the hypothesised domain. We searched for local dependence and differential item functioning. We used CFA to confirm the derived measurement models and complementarily assessed reliability using Cronbach’s coefficient alpha. Results The validation sample consisted of 798 respondents. All 798 respondents completed Part I, whereas 285 (35.7%)—those with hypertension—completed Part II. A condition-specific questionnaire with high content validity and adequate psychometric properties was developed for people labelled with hypertension. This measure is called ‘Consequences of Labelling Hypertension Questionnaire’ and covers the psychosocial consequences of labelling hypertension in two parts, encompassing a total of 71 items in 15 subscales and 11 single items. Conclusion We developed a tool that can be used in future research involving hypertension, especially in scenarios of screening, prevention, population strategies and in intervention studies. Future use and testing of the questionnaire may still be required.

2020 ◽  
Vol 13 ◽  
Author(s):  
I. Rudolf von Rohr ◽  
S. Corrie ◽  
M.S. Fischer ◽  
D.H. Baucom ◽  
M. Worrell ◽  
...  

Abstract This paper outlines a pilot validation study of the newly developed Behavioural Couple Therapy Scale for Depression (BCTS-D). The BCTS-D aims to assess therapist competence in delivering behavioural couple therapy (BCT) and provide therapists with summative and formative feedback on their performance. Completed by both therapist and supervisor, this will aid therapists’ reflection on practice and improve performance. This paper will report on two stages in the development of the BCTS-D: (a) a study evaluating content validity, face validity and usability and (b) a focus group examining usability and utility. Both parts of the study were conducted in the context of a BCT training course and included 20 participants who were either BCT supervisors or BCT trainees. Results suggest that the BCTS-D has good face validity, content validity and usability, and provides a useful tool for promoting self-reflection and providing formative feedback. The studies also provided insight into the strengths of the scale and into areas of refinement, and a number of modifications were undertaken to improve the BCTS-D in response to feedback collected. Future research will need to focus on evaluating the psychometric properties of the BCTS-D and continue to adapt the scale to its users’ needs. Key learning aims (1) Readers will understand the importance of measuring therapists’ competence to improve practice. (2) Readers will understand the development of the BCTS-D scale and its initial psychometric properties. (3) Readers will know how to use the BCTS-D in everyday clinical practice. (4) Readers will know about the challenges of developing a therapist competence measure within a real-world clinical context.


2019 ◽  
Vol 12 (2) ◽  
pp. 82-90
Author(s):  
Sofía E. Auné ◽  
Facundo J.P. Abal ◽  
Horacio F. Attorresi

The development procedure and the psychometric properties of the Buenos Aires Loneliness Scale (BALS) are presented. An initial set of 40 items was analyzed by means of the expert judgment method. After that, the 16 selected items were administered to a convenience sample comprised of 509 adult participants (53 % of which were female). The Argentine version of the UCLA-LS (University of California Los Angeles Loneliness Scale), the Argentine version of the Balanced Inventory of Socially Desirable Responding, and loneliness self-perception questions were applied in conjunction with the BALS. Exploratory factor analysis showed evidence of unidimensionality, with an adequate internal consistency (alpha=.80, ordinal alpha=.87), and seven items were kept. Correlations with the criterion measures yielded the expected results and no gender-based differential item functioning was found. Conclusions were reached about the adequate psychometric properties of the BALS, the limitations of the present study, and the goals for future research.


2021 ◽  
Vol 10 (4) ◽  
pp. 2133-2144
Author(s):  
Moh. Irma ◽  
Jumadi Jumadi ◽  
Heru Kuswanto ◽  
M. Anas

<p style="text-align: justify;">Metacognition inventory supports increased awareness and self-control to improve student’s academic success, including physics. However, there are limitations to revealing the Physics Metacognition Inventory (PMI), especially in Indonesia. This study aims to explore and evaluate the psychometric properties of PMI. This survey research has involved 479 students from three high schools in Indonesia. The psychometric properties of the I-PMI were evaluated using a Confirmatory Factor Analysis and Rasch Model approach. The results show that the Indonesian Physics Metacognition Inventory (I-PMI) is collected in 6 constructs from 26 items. The validity, reliability, and compatibility tests have also been analyzed with good results. The five rating scales used have adequate functionality. This research has also presented more comprehensive information about the Physics Metacognition Inventory in the context of Indonesian culture. This study has implications for using I-PMI to assess students’ metacognition at the high school level in Indonesia and recommendations for future research.</p>


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Marianne Müller ◽  
Andrea Haenni Hoti

Abstract Aim To test the psychometric properties of the KIDSCREEN-10. Background It is important to assess mental health and well-being in children for an early detection of psychological problems or hidden morbidities. There is limited knowledge about the psychometric quality of the reduced version of the KIDSCREEN questionnaire with only 10 items. Methods Analysis of psychometric properties was done by fitting Rasch models and graphical loglinear Rasch models to data collected in a study on acculturation of primary school children and their teachers in 2017. Results The data did not fit a Rasch model but did fit a graphical loglinear Rasch model. There was local dependence for four item pairs and differential item functioning for gender and citizenship. Conclusions The KIDSCREEN-10 provides essentially valid measurements of health-related quality of life in children if local dependency and dif ferential item functioning are taken into account. Reliability and targeting were less than satisfactory, especially for certain subgroups but reliability was adequate for most groups.


2021 ◽  
Vol 11 ◽  
Author(s):  
Amy Shaw ◽  
Jennifer J. Zhang

The present study analyses the psychometric properties of the irrational procrastination scale (IPS; Steel, 2002, 2010) in a sample of United States college students using the Rasch modeling approach. Results showed that the IPS items had a high level of reliability, good content validity, structural validity, and substantive validity, and no differential item functioning (DIF) effects in terms of gender. The IPS was found to be unidimensional, supporting the originally proposed theoretical structure by Steel (2002, 2010). Finally, psychometric implications derived from the results and study limitations are discussed; recommendations for future investigations are also offered.


2021 ◽  
pp. JNM-D-20-00117
Author(s):  
Lin Zhan ◽  
Xichen Mou ◽  
Marie Gill

Background and PurposeAdverse childhood experiences (ACEs) negatively impacting children’s health and later in their lives warrant necessity to educate nursing students about ACEs. The purposes of this study were to evaluate (a) nursing students' understanding of key concepts of ACEs using the ACEs Knowledge Scale (AKS) and (b) psychometric properties of the AKS.MethodsA survey using AKS was conducted with randomly selected student participants (n = 344) to evaluate students' understanding of ACEs knowledge. Empirical validation of the AKS included content validity using Content Validity Index (CVI), reliability, and construct validity analyses.ResultsThe results showed students in the Bachelor of Science in Nursing (BSN) program had increased knowledge of ACEs over pre-nursing students, and the BSN graduating students had increased knowledge related to trauma-informed care and building resilience. There were no significant differences in ACEs knowledge between Family Nurse Practitioner (FNP) and BSN students. Evaluation of psychometric properties of AKS revealed S-CVI/Ave=0.912, indicated excellent content validity based on the expert panel’s ratings. Cronbach’s alpha coefficient = .84 for the overall instrument indicated good reliability. Factor analyses were employed, showing that the 5-factor model gives good fit indexes, supporting the hypothesized factor structure of five key concepts.ConclusionsThe AKS has showed promising implications to future research, nursing education, and nursing practice.


2014 ◽  
Vol 7 (11) ◽  
Author(s):  
Samah Ali Mohsen Mofreh ◽  
Mohammed Najib Abdul Ghafar ◽  
Abdul Hafiz Hj Omar ◽  
Monsurat Mosaku ◽  
Amar Ma’ruf

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Minna Stolt ◽  
Anders Kottorp ◽  
Riitta Suhonen

Abstract Background Reliable and valid measurement is the foundation of evidence-based practice. The self-administered Foot Health Assessment Instrument (S-FHAI) was recently developed to measure patients’ evaluations of their own foot health. Evidence regarding the psychometric properties of the S-FHAI is limited. The aim of this study was to investigate those properties by using a Rasch analysis. Methods This methodological study analysed secondary data that was collected from nurses (n = 411) in 2015. The psychometric properties of the S-FHAI were evaluated using the Rasch model. Unidimensionality was analysed first, followed by item functioning, person misfit and differential item functioning (DIF). Results The S-FHAI demonstrated evidence of unidimensionality, with an acceptable item fit according to the Rasch model. Person fit and person separation were low, however, indicating restricted separation among different respondents. Item separation was high, demonstrating clear discrimination between the items. No DIF was detected in relation to gender, but significant DIF was demonstrated in relation to age for 6 of the 25 items. Conclusions The S-FHAI has potential for use in investigating self-reported foot health. The Rasch analysis revealed that the psychometric properties of the instrument were acceptable, although some issues should be addressed to improve the scale. In future, it may be beneficial to analyse the sensitivity of the items and to test the S-FHAI in more diverse patient populations.


2021 ◽  
Author(s):  
Feng Liu ◽  
Zhen-xiang Zhang ◽  
Bei-lei Lin ◽  
Zhi-guang Ping ◽  
Yong-xia Mei

Abstract Background Self-efficacy is a significant predictor of return to work and affects the confidence of survivors to return to work after illness. The Return-to-work self-efficacy (RTW-SE) questionnaire is a self-report questionnaire to assess confidence in returning to work with good reliability and validity. The aim of this study was to translate and cross-culturally adapt the RTW-SE questionnaire into Chinese and examine the psychometric properties among young and middle-aged stroke survivors using rasch model analysis.Methods The cross-cultural adaptation and translation procedures followed a dual-translation approach. The psychometric properties of the RTW-SE questionnaire were examined using Rasch model analysis by Winsteps software. The unidimensionality and local independence were analyzed by principal component analysis and standardized residual correlations. Category diagnostics were performed for scale function, and the item fit, reliability, and separation were also validated. Item-person maps were used to examine the distribution and matching of item’s difficulty and person ability. Finally, the differential item functioning (DIF) was used to measure gender-related group equivalence.Results A total of 366 participants aged 23–59 years were recruited from three communities in Zhengzhou. The RTW-SE questionnaire demonstrated unidimensionality and a 5-point Likert rating scale was more appropriate to investigate young and middle-aged stroke survivors’self-efficacy. There was a good fit for the items with both person and item reliabilities greater than 0.8 and separation indices of 3.75 and 3.94, respectively. The item difficulty was identified from the item-person map as not covering person ability, but the scale did not have an age-related DIF.Conclusions The results confirm evidence of appropriate psychometric properties of the RTW-SE questionnaire and can be used as a reliable and validated instrument for measuring self-efficacy to return to work in young and middle-aged Chinese patients with stroke.


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