scholarly journals The Brain Injury Screening Tool (BIST): Tool development, factor structure and validity

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246512
Author(s):  
Alice Theadom ◽  
Natalie Hardaker ◽  
Charlotte Bray ◽  
Richard Siegert ◽  
Kevin Henshall ◽  
...  
Keyword(s):  
Health Care ◽  
Brain Injury ◽  
Factor Structure ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Screening Tool ◽  
Care Pathways ◽  
Symptom Scale ◽  
Injury Screening ◽  
The Brain

Currently health care pathways (the combination and order of services that a patient receives to manage their injury) following a mild traumatic brain injury vary considerably. Some clinicians lack confidence in injury recognition, management and knowing when to refer. A clinical expert group developed the Brain Injury Screening Tool (BIST) to provide guidance on health care pathways based on clinical indicators of poor recovery. The tool aims to facilitate access to specialist services (if required) to improve longer term prognosis. The tool was developed using a three-step process including: 1) domain mapping; 2) item development and 3) item testing and review. An online retrospective survey of 114 adults (>16 years) who had experienced a mild brain injury in the past 10 years was used to determine the initial psychometric properties of the 15-item symptom scale of the BIST. Participants were randomised to complete the BIST and one of two existing symptom scales; the Rivermead Post-concussion Symptom Questionnaire (RPQ) or the Sports Concussion Assessment Test (SCAT-5) symptom scale to determine concurrent validity. Participant responses to the BIST symptom scale items were used to determine scale reliability using Cronbach’s alpha. A principal components analysis explored the underlying factor structure. Spearman’s correlation coefficients determined concurrent validity with the RPQ and SCAT-5 symptom scales. The 15 items were found to require a reading age of 6–8 years old using readability statistics. High concurrent validity was shown against the RPQ (r = 0.91) and SCAT-5 (r = 0.90). The BIST total symptom scale (α = 0.94) and the three factors identified demonstrated excellent internal consistency: physical/emotional (α = 0.90), cognitive (α = 0.92) and vestibular-ocular (α = 0.80). This study provides evidence to support the utility, internal consistency, factor structure and concurrent validity of the BIST. Further research is warranted to determine the utility of the BIST scoring criteria and responsiveness to change in patients.

scholarly journals Rasch analysis of the Brain Injury Screening Tool (BIST) in mild traumatic brain injury

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nusratnaaz Shaikh ◽  
Alice Theadom ◽  
Richard Siegert ◽  
Natalie Hardaker ◽  
Doug King ◽  
...  
Keyword(s):  
Brain Injury ◽  
Rasch Analysis ◽  
Screening Tool ◽  
Symptom Burden ◽  
Person Separation Index ◽  
Symptom Scale ◽  
Good Reliability ◽  
Item Functioning ◽  
Injury Screening ◽  
The Brain

Abstract Objective To evaluate the psychometric properties of the Brain Injury Screening Tool (BIST) symptom scale in a sample of people with a mild Traumatic Brain Injury (mTBI) through Rasch analysis, and to obtain an interval level measurement score for potential clinical use. Materials and methods Data were obtained from 114 adults aged over 16 years, who had experienced at least one mTBI in the past 10 years. Participants were recruited via social media, concussion clinics and sports organisations over a 4-month period between May and September 2020. Participants were asked to compete the symptom scale of the BIST tool via an anonymous online questionnaire. Internal construct validity, dimensionality, person separation index, and differential item functioning of the BIST were examined with Rasch analysis. Results BIST in its original form produced a satisfactory item-trait interaction, and good reliability, but was found to be multi-dimensional. Rasch analysis of the full scale with three domains as subtests resulted in acceptable model fit (χ2(6) =3.8, p >  0.05), with good reliability (Person Separation Index = 0.84), and uni-dimensionality. Differential Item Functioning (DIF) analysis displayed no significant DIF effects for sex or age revealing that people responded consistently and similarly to the individual BIST items based on severity of symptom burden. Conclusions The 15-item symptom scale of the BIST tool is a psychometrically sound measure of symptom burden following mTBI. The findings provide support for use of both total and sub scale scores for clinical use. Ordinal to interval score conversions are recommended for use when using the scores for research purposes in mTBI.

scholarly journals Correction to: Rasch analysis of the Brain Injury Screening Tool (BIST) in mild traumatic brain injury

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nusratnaaz Shaikh ◽  
Alice Theadom ◽  
Richard Siegert ◽  
Natalie Hardaker ◽  
Doug King ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Rasch Analysis ◽  
Screening Tool ◽  
Injury Screening ◽  
The Brain

The Stigma of Suicide Scale

Crisis ◽  
2013 ◽  
Vol 34 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Helen Christensen
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Online Survey ◽  
National University ◽  
Stigmatizing Attitudes ◽  
High Internal Consistency ◽  
At Home

Background: There are presently no validated scales to adequately measure the stigma of suicide in the community. The Stigma of Suicide Scale (SOSS) is a new scale containing 58 descriptors of a “typical” person who completes suicide. Aims: To validate the SOSS as a tool for assessing stigma toward suicide, to examine the scale’s factor structure, and to assess correlates of stigmatizing attitudes. Method: In March 2010, 676 staff and students at the Australian National University completed the scale in an online survey. The construct validity of the SOSS was assessed by comparing its factors with factors extracted from the Suicide Opinion Questionnaire (SOQ). Results: Three factors were identified: stigma, isolation/depression, and glorification/normalization. Each factor had high internal consistency and strong concurrent validity with the Suicide Opinion Questionnaire. More than 25% of respondents agreed that people who suicided were “weak,” “reckless,” or “selfish.” Respondents who were female, who had a psychology degree, or who spoke only English at home were less stigmatizing. A 16-item version of the scale also demonstrated robust psychometric properties. Conclusions: The SOSS is the first attitudes scale designed to directly measure the stigma of suicide in the community. Results suggest that psychoeducation may successfully reduce stigma.

Development and testing of three unique scales measuring the brand image of nursing

2018 ◽  
Vol 12 (1) ◽  
pp. 2-14 ◽  
Author(s):  
Judi Allyn Godsey ◽  
Tom Hayes ◽  
Clinton Schertzer ◽  
Robert Kallmeyer
Keyword(s):  
Health Care ◽  
Factor Structure ◽  
Internal Consistency ◽  
Health Care Access ◽  
Brand Image ◽  
Principal Component ◽  
Internal Consistency Reliability ◽  
Content Type ◽  
Brand Position ◽  
The Impact

Purpose Nurses have been called to be leaders in the transformation of health care and to help improve health-care access for the nation’s most vulnerable populations. However, to lead health-care transformation, the profession of nurses must first see themselves as leaders. Unfortunately, nursing has been described as lacking cohesiveness and failing to communicate a consistent brand image. No empirically tested quantitative tools exist to measure the brand identity of nursing, making it difficult to assess where the profession stands in regard to the mantel of leadership. The purpose of this study was to develop empirically sound instruments which could measure nurses’ perceptions of their professional brand image. A total of three scales were developed and then tested: The Nursing Brand Image Scale, Nursing’s Current Brand Position Scale and Nursing’s Desired Brand Position Scale. Design/methodology/approach The factor structure and internal consistency reliability of each scale were examined following survey administration to a national sample of registered nurses. Principal component analyses were used to explore the factor structure of each scale. Item reduction was achieved through examination of the loading of items across the factors and the impact of the item on internal consistency reliability. Findings Respondents to the survey were nursing alumni who received a baccalaureate or master’s degree in nursing at a private, mid-western university, and nursing faculty affiliated with a private, collegiate network (n = 286). For all scales, principal component analysis showed no inter-item correlations >0.9 or <0.1. The Kaiser–Meyer–Olkin measure for sampling adequacy was high and Bartlett’s test of sphericity was significant (p < 0001). The internal consistency reliability of each of the three scales was good to excellent. Current brand position mean scores were highest for the factor “caring advocates for patients/public”, and lowest on “influential leaders”. The most desired brand position mean scores were highest and rated similarly for factors “influential leaders” and “patient-centered caregivers”. Originality/value This study provides strong preliminary evidence for the factor structure and internal consistency reliability for each of the three scales and represents an important first step toward quantitatively measuring the brand image of nursing. However, results suggest there is work to be done if nursing is to formulate and adopt a brand image that consistently reinforces their role as leaders. Further testing of the scales with other nursing populations, the general public and with larger sample sizes is recommended.

Brain injury and social exclusion

2017 ◽  
Author(s):  
Michael Oddy ◽  
Sara da Silva Ramos ◽  
Deborah Fortescue
Keyword(s):  
Risk Factors ◽  
Brain Injury ◽  
Social Exclusion ◽  
Low Cost ◽  
Homeless People ◽  
Marginalised Groups ◽  
Potential Risk Factors ◽  
Common Risk Factors ◽  
Injury Screening ◽  
The Brain

This chapter examines the link between brain injury and social exclusion. Evidence suggests that people belonging to socially peripheral and disadvantaged groups are more likely to have suffered an acquired brain injury (ABI), particularly a traumatic brain injury (TBI). However, it is not clear whether this association is due to common risk factors for social exclusion and for brain injury, or whether each increases the risk of the other. The chapter first considers screening for brain injury, with particular emphasis on the Brain Injury Screening Index (BISI), before discussing a number of potential risk factors for brain injury such as homelessness and offending. It then describes a low-cost, low-intensity intervention known as the Linkworker system developed by The Disabilities Trust Foundation (TDTF) and concludes that self-reports of brain injury are an important source of evidence that TBI is prevalent in socially marginalised groups such as offenders and homeless people.

scholarly journals Factor structure of The Opening Minds Stigma Scale for Health Care Providers and psychometric properties of its Hungarian version

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dorottya Őri ◽  
Sándor Rózsa ◽  
Péter Szocsics ◽  
Lajos Simon ◽  
György Purebl ◽  
...  
Keyword(s):  
Health Care ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Health Care Providers ◽  
Concurrent Validity ◽  
General Factor ◽  
Care Providers ◽  
Specific Factors ◽  
Test Retest Reliability ◽  
Hungarian Version

Abstract Background The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a widely used questionnaire to measure the stigmatising attitudes of healthcare providers towards patients with mental health problems. The psychometric properties of the scale; however, have never been investigated in Hungary. We aimed to thoroughly explore the factor structure of the OMS-HC and examine the key psychometric properties of the Hungarian version. Methods The OMS-HC is a self-report questionnaire that measures the overall stigmatising attitude by a total score, and three subscales can be calculated: Attitude, Disclosure and Help-seeking, and Social Distance. Our study population included specialists and trainees in adult and child psychiatry (n = 211). Exploratory and confirmatory factor analyses were performed, and higher-order factors were tested. We calculated the test-retest reliability on a subgroup of our sample (n = 31) with a follow-up period of 1 month. The concurrent validity of the scale was measured with the Mental Illness: Clinician’s Attitudes-4 scale (MICA-4). Results Three factors were extracted based on a parallel-analysis. A bifactor solution (a general factor and three specific factors) showed an excellent model-fit (root mean square error of approximation = 0.025, comparative fit index = 0.961, and Tucker-Lewis index = 0.944). The model-based reliability was low; however, the general factor showed acceptable reliability (coefficient omega hierarchical = 0.56). The scale demonstrated a good concurrent validity with the MICA-4 [intraclass correlation coefficient (ICC) = 0.77]. The test-retest reliability was excellent for the general factor (ICC = 0.95) and good for the specific factors (ICC = 0.90, 0.88, and 0.84, respectively). Conclusions The three dimensions of the OMS-HC was confirmed, and the scale was found to be an adequate measure of the stigmatising attitude in Hungary. The bifactor model is more favourable as compared to the three correlated factor model; however, despite the excellent internal structure, its model-based reliability was low.

scholarly journals Questionnaire measuring patient participation in health care: Scale development and psychometric evaluation

2020 ◽  
Vol 19 (7) ◽  
pp. 600-608
Author(s):  
Selina Kikkenborg Berg ◽  
Jane Færch ◽  
Pernille Fevejle Cromhout ◽  
Marianne Tewes ◽  
Preben Ulrich Pedersen ◽  
...  
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Construct Validity ◽  
Factor Structure ◽  
Internal Consistency ◽  
Patient Participation ◽  
Cardiac Disease ◽  
Psychometric Evaluation ◽  
Mixed Group ◽  
Convergent Construct Validity

Background: Patient participation in treatment and care is often encouraged and is desirable because of its proven positive impact on treatment, quality of care and patient safety. Aims: To develop an instrument to measure patient participation in health care and to investigate the measurement properties of the Patient Participation Questionnaire (PPQ). Methods: A literature review was conducted to develop a model of patient participation. The PPQ was constructed consisting of 17 items organized into four subscales. Psychometric evaluation of factor structure, convergent construct validity by hypothesis testing and analyses of internal consistency using Cronbach’s alpha were performed on data from a hospitalised mixed group of patients with cardiac disease, pulmonary disease and cancer ( N=378 patients). Results: Confirmatory factor analysis did not show a clear model fit, which is why an exploratory factor analysis was performed, suggesting a different four subscale structure consisting of a total of 16 items. The four subscales were labelled Shared decision power, Adapted and individualized knowledge, Collaboration and Human approach. There were strong ceiling effects on all items. Analysis of convergent construct validity showed a moderate correlation (0.59) between the PPQ and another instrument measuring patient participation. Internal consistency for the total PPQ score was high: 0.89. Conclusion: In a mixed group of patients with cardiac disease, pulmonary disease and cancer, the PPQ showed promising psychometric properties in terms of factor structure, convergent construct validity and internal consistency. The PPQ may be used to shed light on the experience of patient participation and guide quality improvements.

Rasch Analysis of Postconcussive Symptoms: Development of Crosswalks and the Brain Injury Symptom Scale

2019 ◽  
Vol 100 (10) ◽  
pp. 1844-1852 ◽  
Author(s):  
Leia Vos ◽  
Gale G. Whiteneck ◽  
Esther Ngan ◽  
Luis Leon-Novelo ◽  
Mark Sherer
Keyword(s):  
Brain Injury ◽  
Rasch Analysis ◽  
Symptom Scale ◽  
Postconcussive Symptoms ◽  
The Brain

scholarly journals Psychometric Properties of the Italian Versions of the Gambling Urge Scale (GUS) and the Gambling Refusal Self-Efficacy Questionnaire (GRSEQ)

2019 ◽  
Author(s):  
Paolo Iliceto ◽  
Emanuele Fino ◽  
Mauro Schiavella ◽  
Tian Po Oei
Keyword(s):  
Construct Validity ◽  
Pathological Gambling ◽  
Factor Structure ◽  
Internal Consistency ◽  
Self Efficacy ◽  
Concurrent Validity ◽  
Positive Emotions ◽  
One Dimension ◽  
Confirmatory Factor ◽  
And Gender

AbstractGambling urges and gambling refusal self-efficacy beliefs play a major role in the development and maintenance of problem gambling. This study aimed to translate the Gambling Urge Scale (GUS) and the Gambling Refusal Self-Efficacy Questionnaire (GRSEQ) from English to Italian (GUS-I, GRSEQ-I) and to test their factor structure, internal consistency, construct validity, concurrent validity, and gender differences in 513 individuals from the Italian community. Factor structure and construct validity were tested through Confirmatory Factor Analysis, internal consistency through Cronbach’s alpha, concurrent validity through correlations with gambling-related cognitions (GRCS-I), probable pathological gambling (SOGS-I), and gambling functioning (GFA-R-I). Results confirmed that the 6 items of the GUS-I load highly on one dimension of Gambling Urge, and each of the 26 items of the GRSEQ-I load highly on their relevant sub-dimension, among the following: situations/thoughts, drugs, positive emotions, negative emotions. Both scales are internally consistent and show concurrent validity with gambling-related cognitions, probable pathological gambling, and gambling functioning. Males score higher than females at the GUS-I; females score higher than males at the GRSEQ-I. The findings from the present study suggest that the GUS-I and the GRSEQ-I are internally consistent and valid scales for the assessment of gambling urges and gambling refusal self-efficacy in Italian individuals from the community, with significant repercussions in terms of assessment, prevention, and intervention.

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