scholarly journals Determinants of compliance to the facemask directive in Greece: A population study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248929
Author(s):  
Georgios Labiris ◽  
Eirini-Kanella Panagiotopoulou ◽  
Asli Perente ◽  
Eleftherios Chatzimichael ◽  
Ioannis Fotiadis ◽  
...  

Purpose Primary objective of this study was to identify potential difficulties and/or discomfort when using a facemask. Moreover, to explore the impact of spectacles, contact lenses and visual acuity on the compliance to the facemask directive. Methods This is a prospective study that was conducted at the Department of Ophthalmology, University Hospital of Alexandroupolis, Greece between June 2020 and August 2020. Greek speaking citizens with permanent residency in Greece above 18 years old were included. A custom questionnaire (DeMask-20) was constructed and validated, which pertained to the perceived difficulty and discomfort when using a facemask. It contained 20 items grouped in 8 subscales (driving, near vision, distance vision, ocular discomfort, role limitation, collaboration, dependency on others, emotional stress). Perceived difficulty and discomfort when using a facemask, compliance and correlations of compliance with DeMask-20 scores, demographics, spectacle and/or contact lens use, and visual acuity were evaluated. Results The number of factors was determined through factor analysis. Cronbach’s alpha ranged from 0.716 for the “Role limitation” subscale to 0.938 for “Ocular discomfort” subscale. 1,214 participants (402 men, 812 women, mean age 36.79±12.50 years) completed the DeMask-20 instrument. Mean DeMask-20 score of all study participants was 3.79±0.71. Significant differences in DeMask-20 score were detected in gender (p = 0.009), spectacle use (p = 0.034), contact lens use (p = 0.049), and binocular distance visual acuity (bDVA) (p = 0.001). Mean compliance of all participants was 4.05±0.96. Men, people <50 years and spectacle wearers showed significantly worse compliance (p<0.05). Moreover, professional workers and professional drivers demonstrated significantly better compliance (p = 0.008 and p = 0.047). Significant correlation was detected between compliance and DeMask-20 score (p<0.001, R2 = 0.471). Significant correlations were detected with driving, near vision, distance vision, collaboration, role limitation, emotional stress (p<0.05, R2: 0.386–0.493). Conclusions Factor analysis suggested that the DeMask-20 instrument demonstrates adequate validity, while Cronbach’s alpha indicated sufficient internal consistency of all subscales. This study provided the necessary methods that could evaluate compliance trends and the efficacy of healthcare interventions against COVID-19. Our outcomes suggest that young males who use spectacles should be targeted by Greek Healthcare authorities in order to improve compliance rates.

2005 ◽  
Vol 64 (1) ◽  
Author(s):  
A.S. Carlson

A method of self-refraction, based onan old concept implemented with the aidof modern technology, is spectacles withadjustable lenses. The spectacle design isreferred to as the AdspecsTM. The advantageof the Adspecs is that the wearer can adjustthe powers of the lenses to suit his or hervisual needs. The power is spherical andranges from −6 to 6 D. Studies were undertakenin Ghana and South Africa. Subjectswere instructed under supervision to adjustthe powers of the Adspecs as accurately aspossible to correct their vision and obtainthe best visual acuity possible. An optometristthen refracted the patients and theresults were then compared. For the righteyes, the mean stigmatic coefficient differencefor distance vision was −0.13 D andthe standard deviation 0.89 D. For the lefteyes, the mean was −0.24 D and the standarddeviation 0.91 D. For near vision, themean for the right eyes was −0.27 D andstandard deviation 1.07 D, and for the lefteyes, the mean was −0.27 D and standarddeviation 1.23 D. The standard deviationsfor the means (at distance and near) forleft eyes were slightly greater than for theright eyes.


2018 ◽  
Vol 112 (2) ◽  
pp. 183-196
Author(s):  
M. Covadonga Vázquez Sánchez ◽  
Luz M. Gigirey Prieto ◽  
Carlos P. Del-Oro-Sáez ◽  
Antonio Piñeiro-Ces ◽  
Manuel Gandoy Crego

Introduction The purpose of this study was to determine the functional vision of a sample of older adults living in nursing homes in Galicia in northwestern Spain. The study is aimed at raising the awareness of clinicians, as well as researchers working in the field of vision and the Spanish Social and Equality Services, regarding the need to develop visual screening protocols in nursing homes, which are currently lacking in Spain (Ministry of Health, Social Services and Equality, n.d.). Methods Presenting visual acuity (visual acuity with current eyeglasses or contact lenses, if worn) was assessed to determine the functional vision of a sample of older adults living in nursing homes. We tested monocular and binocular high-contrast visual acuity using the directional-E screening test (3.70 scale) for distance vision, and the Rosenbaum near vision chart for near acuity. Visual impairment (distance and near vision) was defined as a binocular presenting visual acuity of less than 6/18 (20/63). Results The prevalence of visual impairment for distance and near vision reached 23.1% and 16.4%, respectively. We did not find any significant differences in the mean values of presenting visual acuity (far and near vision) between genders. The prevalence of visual impairment for distance vision increased with age (p < 0.01), reaching 25.8% among senior citizens between 80 and 89 years of age, and 50% in the case of nonagenarians. Nevertheless, we did not find any association between age and functional near vision (p > 0.05). Discussion The findings confirm the high prevalence of visual impairment among this population group. Many of the residents we examined have a level of vision that affects their typical daily activities and quality of life, so it is urgent to develop standard visual screening protocols in nursing homes. Implications for practitioners Developing visual screening programs in nursing homes would allow for the early detection of visual impairment and help other professionals working in nursing homes—especially clinicians, nurses, and caregivers—to optimize the care of the residents.


2021 ◽  
Vol 11 (6) ◽  
pp. 583
Author(s):  
Riitta Suhonen ◽  
Katja Lahtinen ◽  
Minna Stolt ◽  
Miko Pasanen ◽  
Terhi Lemetti

Patient-centredness in care is a core healthcare value and an effective healthcare delivery design requiring specific nurse competences. The aim of this study was to assess (1) the reliability, validity, and sensitivity of the Finnish version of the Patient-centred Care Competency (PCC) scale and (2) Finnish nurses’ self-assessed level of patient-centred care competency. The PCC was translated to Finnish (PCC-Fin) before data collection and analyses: descriptive statistics; Cronbach’s alpha coefficients; item analysis; exploratory and confirmatory factor analyses; inter-scale correlational analysis; and sensitivity. Cronbach’s alpha coefficients were acceptable, high for the total scale, and satisfactory for the four sub-scales. Item analysis supported the internal homogeneity of the items-to-total and inter-items within the sub-scales. Explorative factor analysis suggested a three-factor solution, but the confirmatory factor analysis confirmed the four-factor structure (Tucker–Lewis index (TLI) 0.92, goodness-of-fit index (GFI) 0.99, root mean square error of approximation (RMSEA) 0.065, standardized root mean square residual (SRMR) 0.045) with 61.2% explained variance. Analysis of the secondary data detected no differences in nurses’ self-evaluations of contextual competence, so the inter-scale correlations were high. The PCC-Fin was found to be a reliable and valid instrument for the measurement of nurses’ patient-centred care competence. Rasch model analysis would provide some further information about the item level functioning within the instrument.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rebecca Horn ◽  
Kanykey Jailobaeva ◽  
Stella Arakelyan ◽  
Alastair Ager

Abstract Background Studies of psychological distress in Sierra Leone have typically used measures which were developed for use in other contexts, and which often have not been adapted or validated for use in Sierra Leone. This has resulted in a lack of reliable information about the patterns of psychological distress within the population, which is a barrier to the development of effective and appropriate mental health services. The aim of the study was to develop a locally-appropriate measure of psychological distress for Sierra Leone. Methods The new measure consists of two instruments: the Sierra Leone Psychological Distress Scale (SLPDS) and a gendered measure of ability to carry out daily tasks—a Function scale—as an indication of the severity of distress. A three-phase mixed methods exploratory sequential study was conducted. Phase 1 was item generation and testing, leading to the development of a set of potential items for both instruments. Phase 2 was a small pilot study (N = 202) leading to the selection of the final set of items for both measures. Phase 3 was a validation phase where the SLPDS and the Function scale were administered with a larger sample of 904 respondents. Item analysis was used to assess the internal consistency of the scales, and Exploratory Factor Analysis to explore the properties of the SLPDS. Results Exploratory factor analysis using the principal axis factoring with an oblique rotation identified a three-factor structure for the 18-item SLPDS. Internal consistency for the SLPDS (Cronbach’s alpha = 0.89) and three subscales was good (Cronbach’s alpha > 0.73). The internal reliability of the male and female versions of the Function scale was also found to be acceptable (Cronbach’s alpha = 0.90 for the female scale and 0.79 for the male scale). Conclusions Together the SLPD and Function scales provide a locally-validated tool which will enable government bodies and local and international non-governmental organisations in Sierra Leone to assess mental health and psychosocial needs. This will support both effective service provision and the evaluation of initiatives designed to improve mental health and psychosocial wellbeing.


Author(s):  
Anita Obrycka ◽  
Jose-Luis Padilla ◽  
Artur Lorens ◽  
Piotr Henryk Skarzynski ◽  
Henryk Skarzynski

Abstract Purpose The purpose of the study was to validate the AQoL-8D questionnaire in the adult population of patients referred to an otolaryngology clinic. Methods AQoL-8D was translated into Polish. 463 patients (age18–80 years) with otolaryngological conditions were assessed with the AQoL-8D, SF-6D, and SWLS questionnaires. We investigated the item content-relevance, factor structure by means of Confirmatory Factor Analysis, corrected item-total correlations, Cronbach’s alpha, Pearson correlation of the AQoL-8D scores with results from SF-6D and from the SWLS questionnaires. Finally, ANOVA was used to test the AQoL-8D ability to group the HRQoL of patients in terms of their otolaryngological management type. Results The median score of item content-relevance was 5.0 for all AQoL-8D items. Confirmatory Factor Analysis revealed the following fit indices: Comparative Fit Index = 0.81; Tucker–Lewis Index = 0.80; and Root Mean Square Error of Approximation = 0.07. Cronbach's alpha for AQoL-8D dimensions ranged from 0.48 to 0.79. Mean item-total correlations over all dimensions, super dimensions, and the instrument overall were higher than 0.3. There was a significant Pearson correlation between the results obtained with AQoL-8D and SF-6D (r = 0.68), and with AQoL-8D and SWLS (r = 0.43). A one-way ANOVA showed a significant effect of management type on HRQoL as measured by AQoL-8D [F(4,458) = 6.12, p < 0.001] Conclusion AQoL-8D provides valid and reliable measures of HRQoL in patients undergoing otolaryngological treatment. Because it is a generic questionnaire, it is possible to make general comparisons of otolaryngology outcomes with those from other subspecialties.


Author(s):  
Merve Aliye Akyol ◽  
Seher Gönen Şentürk ◽  
Burcu Akpınar Söylemez ◽  
Özlem Küçükgüçlü

<b><i>Background:</i></b> The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it’s prevention, early diagnosis, treatment, and care. The psychometric properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study. <b><i>Methods:</i></b> The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale’s reliability was obtained using Cronbach’s alpha coefficient, a paired sample <i>t</i>-test, item-total score correlation, and Hotelling’s <i>T</i>-squared test. <b><i>Results:</i></b> The mean age of the sample was 29.38 (±11.50) years; 66.8% (<i>n</i> = 1064) were female, and 54.1% (<i>n</i> = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall <i>W</i> = 0.155, <i>p</i> = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be &#x3e;0.30 in factor analysis. In CFA, all of the fit indexes were &#x3e;0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach’s alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (<i>t</i> = −1.362, <i>p</i> = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling’s <i>T</i>-squared = 2573.681, <i>p</i> &#x3c; 0.001). <b><i>Conclusion:</i></b> The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.


2021 ◽  
pp. 105477382198980
Author(s):  
Marta Nunes Lira ◽  
Clemente Neves Sousa ◽  
Maria Carolina Medeiros Wanderley ◽  
Natália Ramos Costa Pessoa ◽  
Kelly Cristiane Rocha Lemos ◽  
...  

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mirjam Peters ◽  
Petra Kolip ◽  
Rainhild Schäfers

Abstract Background Home postpartum care is a major part of midwifery care in Germany. The user perspective plays an increasingly important role in the evaluation of health services, but there is a lack of valid and theoretically based measuring instruments, especially in midwifery care. The aim of this study was to develop and validate an instrument for measuring quality of midwifery care in the postpartum period from the perspective of women. Methods The following steps were taken to achieve this: (1) definition of the goals of midwifery work; (2) literature-based item development; (3) item selection based on a pre-test (n = 16); (4) item reduction and investigation of factor structure by means of explorative factor analysis (EFA; n = 133);(5) second EFA (n = 741) and confirmatory factor analysis (CFA; n = 744) based on a split representative sample survey; (6) hypothesis-based testing of correlations to sociodemographic characteristics of women and to characteristics of care. Results Measurement of Midwifery quality postpartum (MMAYpostpartum) consists of three scales with a total of 17 items which were found to have acceptable internal consistency: Personal Control (Cronbach’s alpha = .80), Trusting Relationship (Cronbach’s alpha = .87) and Orientation and Security (Cronbach’s alpha = .78). CFA verified and confirmed three factors: CFI = .928, TLI = .914, RMSEA = 0.073. Conclusion MMAYpostpartum is a predominantly valid, reliable short tool for evaluating the quality of midwifery care postpartum. It can be used to evaluate midwifery care, to compare different care models and in intervention research. It thus supports the orientation of midwives’ work towards the needs of women and their families.


Author(s):  
Gabriela Alejandra Grover-Baltazar ◽  
Gabriela Macedo-Ojeda ◽  
Ana Sandoval-Rodríguez ◽  
Marianne Martínez-Vizmanos ◽  
Lucrecia Carrera-Quintanar ◽  
...  

Positive attitudes towards breastfeeding in health professionals/students have been associated with increasing their confidence to provide support and accompaniment to mothers. In Mexico, there is no valid/reliable tool to assess attitudes towards breastfeeding in this population. The Australian Breastfeeding Attitudes (and Knowledge) Questionnaire (ABAQ) measures attitudes in the Australian population. We aimed to adapt and validate the ABAQ in Mexican health students. We included 264 health students (nursing, nutrition, and medicine) from the University of Guadalajara. Bilingual translators carried out the Spanish adaptation with a reverse translation into English. Experts evaluated the content validity. Reliability was evaluated through an internal consistency analysis (Cronbach’s alpha) and construct validity through convergent–divergent validation, item–total correlation, exploratory factor analysis (by principal components), and confirmatory factor analysis. According to the exploratory factor analysis, only one component was identified. Seven items were removed (low correlation between items ≤0.2 and low factor load ≤0.3). The Cronbach’s alpha was 0.78. According to the confirmatory factor analysis, the one-factor solution of the ABAQ-13Mx showed a good model fit (X2 = 98.41, G = 62, p = 0.02, CFI = 0.940, and RMSEA = 0.048). The ABAQ-13Mx is a reliable and valid instrument for evaluating attitudes towards breastfeeding in Mexican health degree students.


2021 ◽  
Author(s):  
Παναγιώτης Ιωακειμίδης

Η παρούσα διδακτορική διατριβή αποσκοπεί στο να καταγράψει την ικανοποίηση των επισκεπτών από τις παρεχόμενες υπηρεσίες στα θεματικά μουσεία της Ελλάδας, την πρόθεση συμπεριφοράς των επισκεπτών και κατά πόσο τεχνικές του τουριστικού μάρκετινγκ λαμβάνουν χώρα στα θεματικά μουσεία. Έγινε μία προσπάθεια να καταγραφούν οι απόψεις των ανθρώπων των θεματικών μουσείων και η αντίληψή τους σχετικά με το τουριστικό μάρκετινγκ, οι αντιλήψεις των επισκεπτών σχετικά με την εμπειρία που βιώνουν σε ένα θεματικό μουσείο, ο βαθμός ικανοποίησης τους, η υφιστάμενη κατάσταση που επικρατεί στα θεματικά μουσεία της χώρας και οι ενδεχόμενες αλλαγές που μπορούν να προκύψουν με απώτερο σκοπό την αύξηση της επισκεψιμότητας. Ένα αξιοσημείωτο της παρούσας έρευνας, είναι ένας σημαντικός αριθμός προσωπικών συνεντεύξεων με κατοίκους περιμετρικά των μουσείων που ερευνήθηκαν και η προσπάθεια καταγραφής των απόψεων και αντιλήψεων τους για τα μουσεία αυτά.Διενεργήθηκε επίσης μία ποσοτική έρευνα σε επισκέπτες θεματικών μουσείων της χώρας μας αλλά και στο ανθρώπινο δυναμικό που εργάζεται σε πολιτιστικούς οργανισμούς, καθώς και εκπαιδευτικούς. Διακρίνοντας τα μουσεία σε δημόσια και ιδιωτικά, σημαντική ήταν η καταγραφή απόψεων ότι στα περισσότερα δημόσια θεματικά μουσεία τα οποία λειτουργούν κάτω από την επίβλεψη του δημόσιου φορέα, δεν υπάρχουν συχνά δυνατότητες για καινοτομία και πρωτοτυπία. Τα πορίσματα της παρούσας διδακτορικής διατριβής είναι αρκετά σημαντικά λόγω της έλλειψης προηγούμενης έρευνας επάνω στα θεματικά μουσεία της Ελλάδας, από την οπτική του μάρκετινγκ και την αναγκαιότητα αυτού. Η πλειονότητα των ανθρώπων των θεματικών μουσείων με τους οποίους ήρθα σε επαφή, εντοπίζουν την ανάγκη για τεχνικές τουριστικού μάρκετινγκ στα μουσεία καθώς όλοι αντιλαμβάνονται ότι οι επισκέπτες αναζητούν ποιοτικότερες ψυχαγωγικές επιλογές, έχουν περισσότερες απαιτήσεις επισκεπτόμενοι ένα θεματικό μουσείο και ευελπιστούν σε μία βιωματική και διαδραστική εμπειρία που θα τους μείνει αξέχαστη. Σε αυτό το εγχείρημα, συνεργός είναι τα ποικίλα οπτικοακουστικά μέσα των νέων τεχνολογιών που ενισχύουν το βιωματικό χαρακτήρα της επίσκεψης και ερευνώνται στη διατριβή. Η παρούσα διατριβή αποτελεί μία πρώτη προσπάθεια χαρτογράφησης των τεχνικών τουριστικού μάρκετινγκ που χρησιμοποιούν τα θεματικά μουσεία της χώρας , τις σημαντικές ιδιαιτερότητες του τουρισμού που έχουν άμεση επίδραση στην επισκεψιμότητα των θεματικών μουσείων και τέλος προτάσσει ενέργειες και τεχνικές μάρκετινγκ για να δημιουργηθεί ένας ενάρετος κύκλος πολιτισμού - ψυχαγωγίας - οικονομίας. Για την επεξεργασία των δεδομένων της ποσοτικής έρευνας χρησιμοποιήθηκε το στατιστικό εργαλείο SPSS, αναλύθηκαν τα ευρήματα της Διερευνητικής Ανάλυσης Παραγόντων (Exploratory Factor Analysis) και των τεστ αξιοπιστίας με τον δείκτη Cronbach’s Alpha, εφαρμόζοντας και την μέθοδο Μοντελοποίησης Δομικών Εξισώσεων (Structural Equation Modeling, SEM) για τον έλεγχο των ερευνητικών υποθέσεων. Οι ερευνητικές υποθέσεις δημιουργήθηκαν έπειτα από ενδελεχή έρευνα μοντέλων που εφαρμόστηκαν σε προηγμένες μουσειολογικά χώρες, όπως η Ισπανία, η Ιταλία, η Ολλανδία κ.α. και μπορούν να ληφθούν σοβαρά υπόψιν στο κοινωνικό-οικονομικό περιβάλλον της Ελλάδας. Απώτερος στόχος του ερευνητικού μοντέλου είναι εάν ο επισκέπτης θα οδηγηθεί σε μελλοντική επίσκεψη (revisit ) ή θα αποτελέσει ο ίδιος κινητή διαφήμιση word-of-mouth του μουσείου που επισκέφθηκε.Η έρευνα αποτελεί οδηγό για μελλοντικές έρευνες που θα πλαισιώσουν ή θα συμπεριλάβουν τα θεματικά μουσεία για νέες μελέτες, όπως για παράδειγμα πολιτιστικές διαδρομές και είναι ένα χρήσιμο εργαλείο που έρχεται να καλύψει το ερευνητικό κενό που υπάρχει γύρω από το είδος των μουσείων αυτών.


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