Cross-cultural validation of the decisional balance scale in exercise across countries

Background This study examined the psychometric properties of the Korean and Malay version of the decisional balance (DB) for exercise (i.e. perceived benefits and perceived barriers) using a cross-sectional design. Also, this study assessed the measurement and structural invariance of the DB scale across countries. Methods A cross sectional study was conducted in Malaysia and Korea. The study sample consisted of 574 Korean participants and 562 Malaysian participants. The mean age of the participants was 19.8 (SD = 1.29) for the Korean sample and 19.8 (SD = 1.22) for the Malaysian sample. Participants were invited to complete the DB scale with the 10-item and two factors (i.e., perceived benefit and perceived barriers). Confirmatory factor analysis (CFA) and invariance test were conducted on the data by using Mplus 8.3. Results The CFA results based on the hypothesised measurement model of two factors and ten items showed sufficient construct validity after adding residual covariance between items within the same factor: CFI = 0.979, TLI = 0.970, SRMR = 0.036, RMSEA = 0.036 for the Korea sample, and CFI = 0.964, TLI = 0.949, SRMR = 0.055, RMSEA = 0.066 for the Malay sample. For the Korea sample, the construct reliability was 0.62 and 0.74 for perceived benefits and perceived barriers respectively. For the Malay sample, the construct reliability was 0.75 and 0.77 for perceived benefits and perceived barriers respectively. The findings presented evidence for measurement and structural invariance of the DB scale for the Korea and Malaysia samples. Conclusion The DB scale was a valid and reliable measure for assessing exercise behaviour and for making comparisons between Korean and Malaysian samples.

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Anaesthetists’ attitudes towards attending the funerals of their patients: A cross-sectional study among Australian and New Zealand anaesthetists

PLoS ONE ◽

10.1371/journal.pone.0239996 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0239996

Author(s):

Kwangtaek Kim ◽

Leonid Churilov ◽

Chong Oon Tan ◽

Tuong Phan ◽

Jake Geertsema ◽

...

Keyword(s):

Response Rate ◽

Cross Sectional Study ◽

Perceived Barriers ◽

Trial Registration ◽

Perceived Benefits ◽

Sectional Study ◽

Cross Sectional ◽

Survey Response Rate ◽

Perceived Benefit ◽

The Family

A patient’s death can pose significant stress on the family and the treating anaesthetist. Anaesthetists’ attitudes about the benefits of and barriers to attending a patient’s funeral are unknown. Therefore, we performed a prospective, cross-sectional study to ascertain the frequency of anaesthetists’ attendance at a patient’s funeral and their perceptions about the benefits and barriers. The primary aim was to investigate the attitudes of anaesthetists towards attending the funeral of a patient. The secondary aims were to examine the perceived benefits of and barriers to attending the funeral and to explore the rate of bonds being formed between anaesthetists, patients and families. Of the 424 anaesthetists who completed the survey (response rate 21.2%), 25 (5.9%) had attended a patient’s funeral. Of the participants, 364 (85.9%) rarely formed special bonds with patients or their families; 233 (55%) believed that forming a special bond would increase the likelihood of their attendance. Showing respect to patients or their families was the most commonly perceived benefit of attending a funeral. Participants found expression of personal grief and caring for the patient at the end-of-life and beyond beneficial to themselves and the family. Fear of their attendance being misinterpreted or perceived as not warranted by the family as well as time restraints were barriers for their attendance. Most anaesthetists had never attended a patient’s funeral. Few anaesthetists form close relationships with patients or their families. Respect, expression of grief and caring beyond life were perceived benefits of attendance. Families misinterpreting the purpose of attendance or not expecting their attendance and time restraints were commonly perceived barriers. Trial registration: ACTRN 12618000503224.

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Analisis Pengaruh Persepsi Ibu Terhadap Perilaku Gaya Hidup Bersih dan Sehat Berdasarkan Health Belief Model di Surabaya

Jurnal Manajemen Kesehatan Yayasan RS Dr Soetomo ◽

10.29241/jmk.v6i1.310 ◽

2020 ◽

Vol 6 (1) ◽

pp. 94

Author(s):

Minarni Wartiningsih ◽

Danoe Soesanto ◽

Hanna Tabita Hasianna Silitonga ◽

Gianina Angelia Santoso

Keyword(s):

Health Belief Model ◽

Health Belief ◽

Perceived Barriers ◽

Perceived Benefits ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Perceived Severity ◽

Perceived Benefit ◽

Cues To Action ◽

Belief Model

Di Surabaya pada tahun 2017, Incidence penyakit diare sebesar 76,602 kasus yang sebelumnya sebanyak 77,617 suspek kasus (98,69%). Kota Surabaya memiliki 63 Puskesmas dan dari tahun 2016 hingga tahun 2018, terdapat 12 Puskesmas yang inciden penyakit diare pada balita meningkat. Penelitian ini bertujuan untuk menganalisis pengaruh persepsi ibu yang mengasuh balita terhadap perilaku gaya hidup bersih dan sehat berdasarkan Health Belief Model. Penelitian ini adalah penelitian kuantitatif analitik dengan pendekatan cross-sectional. Terdapat 120 ibu yang mengasuh balitanya dari 12 Puskesmas ikut terlibat dalam penelitian ini. Responden mengisi kuesioner tentang karakteristik, perceived susceptibility, perceived severity, perceived benefit, cues to action and perilaku gaya hidup sehat. Penelitian ini dilakukan pada bulan Mei tahun 2019. Analisis variabel dilakukan dengan uji analisis bivariat dengan regresi binomial. Karakteristik responden yang terdiri dari (usia, tingkat pendidikan dan tingkat sosio ekonomi) pada penelitian ini berpengaruh terhadap perceived susceptibility, perceived severity and perceived benefits. Perceived susceptibility dan perceived severity berpengaruh terhadap perceived barriers, tingkat pendidikan juga berpengaruh terhadap perceived benefits. Cues to action berpengaruh terhadap perceived barriers dan perceived barrier dan perceived benefits berpengaruh terhadap perilaku hidup bersih dan sehat. Kata kunci: Diare, Persepsi, Health Believe Models, PHBS

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Remote Proctored Exam for Proficiency-Testing: A Cross-Sectional Study

10.21203/rs.3.rs-296304/v1 ◽

2021 ◽

Author(s):

Vasiliki Andreou ◽

Sanne Peters ◽

Jan Eggermont ◽

Johan Wens ◽

Birgitte Schoenmakers

Keyword(s):

Cost Benefit ◽

Well Being ◽

Cross Sectional Study ◽

Future Research ◽

Assessment Practice ◽

Cross Sectional ◽

Live Supervision ◽

Two Factors ◽

Post Test ◽

Cross Sectional Design

Abstract Background: The COVID-19 pandemic has profoundly affected assessment practice in higher education including a complex planning of supervision. To organise safely and reliably a remote proficiency-test for admission to the Advanced Master of General Practice (AMGP), we developed a supervisor app tracking and tracing candidates’ behaviour. Methods: A cross-sectional design was adopted with candidates applying for admission to the AMGP. The supervisor app operated on three levels to register events: recording actions, analysing behaviour, and live supervision. Each suspicious event was given a score. The outcome measures were the number of suspicious events and the exam outcome compared to the past year. To get more insight into candidates’ perceptions about the app, a post-test questionnaire was administered. An exploratory factor analysis was performed to explore quantitative data, while qualitative data were thematically analysed. Results: In total, 472 (79%) candidates used the app in an off campus setting and 121 (20%) were on campus with live supervision. Test results of both groups were comparable. The app detected 22 candidates with a suspicious level >1, mainly due to background noise. All events occurred without fraud purpose. Out of 472 candidates, 304 filled in the post-test questionnaire. Two factors were extracted from the analysis and identified as candidates’ appreciation of the app and as emotional distress because of the app. Four themes were identified in the thematic analysis providing more insight on candidates’ emotional well-being. Conclusions: A supervisor app registering and recording behaviour to prevent fraud during off-campus exams is efficient without influencing the exam outcome. Although candidates’ perceptions were mixed, increased anxiety was due to the lack of clear guidelines about the app. Future research should compare in a controlled design the cost-benefit balance between the supervisor app and candidates’ awareness of being monitored combined with a safe exam browsing plug in.

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Attitudes and Perceived Barriers among Medical Students towards Clinical Research: A Cross-Sectional Study in an Egyptian Medical School

Journal of Biomedical Education ◽

10.1155/2016/5490575 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 5

Author(s):

Abdelrahman Ibrahim Abushouk ◽

Abdelrahman Nazmy Hatata ◽

Ibrahim Mahmoud Omran ◽

Mohammed Mahmoud Youniss ◽

Khaled Fayez Elmansy ◽

...

Keyword(s):

Medical Students ◽

Clinical Research ◽

Medical School ◽

Research Participation ◽

Cross Sectional Study ◽

Perceived Barriers ◽

Sectional Study ◽

Cross Sectional ◽

Positive Attitudes ◽

Cross Sectional Design

Background. Despite the key role played by physician-investigators in bridging basic and clinical sciences, their number has declined significantly in the last decades especially in developing countries. Thus, we aimed to investigate attitudes and perceived barriers towards participation in clinical research among medical students in an Egyptian medical school. Methods. We employed a cross-sectional design, in which 420 students from the Faculty of Medicine, Ain Shams University completed a self-administrated questionnaire to assess their attitudes, perceived barriers, and knowledge about clinical research. The results were analyzed considering the students’ gender, year of enrollment, and high school background. Results. Seventy medical students from each year of enrollment participated in the study. The majority of students (74.2%) agree that undergraduates should participate in clinical research. However, only 23.8% reported engagement in related activities. Students showed low knowledge scores of 1.9±0.3 on a scale of six questions. They highlighted several barriers against research participation including lack of time, proper mentoring, and funding. Conclusion. Although the majority of students showed positive attitudes towards clinical research, they reported low participation in related activities, associated with low knowledge scores. Several barriers should be addressed as lack of time, funding, and proper mentoring.

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Determinants of Screen Time Among Children Under Five Years: A Cross Sectional Study (Preprint)

10.2196/preprints.23506 ◽

2020 ◽

Author(s):

Diana Raj ◽

Norliza Ahmad ◽

Nor Afiah Mohd. Zulkefli ◽

Zalilah Mohd Shariff

Keyword(s):

Screen Time ◽

Well Being ◽

Cross Sectional Study ◽

Cross Sectional ◽

Children Under Five ◽

Under Five ◽

Health Clinics ◽

Age Appropriate ◽

Cross Sectional Design ◽

Time Future

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.

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Factors associated with physical inactivity among female and male rural adolescents in Borneo – a cross-sectional study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2013-0319 ◽

2014 ◽

Vol 26 (3) ◽

pp. 447-453 ◽

Cited By ~ 3

Author(s):

Whye Lian Cheah ◽

Hazmi Helmy ◽

Ching Thon Chang

Keyword(s):

Self Efficacy ◽

Physical Inactivity ◽

Cross Sectional Study ◽

Perceived Barriers ◽

Anthropometric Measurement ◽

Rural Adolescents ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Significant Difference

Abstract Rural communities have shown marked increase in metabolic syndrome among young people, with physical inactivity as one of the main contributing factors. This study aimed to determine factors associated with physical inactivity among male and female rural adolescents in a sample of schools in Malaysia. A cross-sectional study was conducted among 145 students aged 13–15 years. Data on socio-demographic, health-related, and psychosocial factors (perceived barriers, self-efficacy, social influences) were collected using a self-administered questionnaire. Anthropometric measurement was taken to generate body mass index (BMI)-for-age, while physical activity (PA) level was assessed using pedometers. The mean steps per day was 6251.37 (SD=3085.31) with males reported as being more active. About 27% of the respondents were either overweight or obese, with more females in this group. There was no significant difference in steps among males and females (p=0.212), and nutritional status (BMI-for-age) (p=0.439). Females consistently scored higher in most items under perceived barriers, but had significantly lower scores in self-efficacy’s items. Males were more influenced by peers in terms of PA (p<0.001) and were more satisfied with their body parts (p=0.047). A significantly higher body size discrepancy score was found among females (p=0.034, CI –0.639, –0.026). PA level was low and almost one-third of the respondents were overweight and obese. Female students faced more barriers and had lower self-efficacy with regards PA. Based on the findings, it is recommended that interventions focus on reducing barriers while increasing support for PA. This is particularly important in improving the health status of the youth, especially among the females.

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Coronavirus disease 2019 vaccine acceptance and perceived barriers among university students in northeast Ethiopia: A cross-sectional study

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2021.100848 ◽

2021 ◽

pp. 100848

Author(s):

Birhan Tsegaw Taye ◽

Fetene Kasahun Amogne ◽

Tesfanesh Lemma Demssie ◽

Mulualem Sileshi Zerihun ◽

Tebabere Moltot Kitaw ◽

...

Keyword(s):

University Students ◽

Cross Sectional Study ◽

Perceived Barriers ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Northeast Ethiopia

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Cross-Study of Malaria Prevalence in History, Bed Net Utilization, and Knowledge about the Disease among Tanzanian College Students

Malaria Research and Treatment ◽

10.1155/2018/8137051 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Yakobo Nyahoga ◽

Zanda Bochkaeva

Keyword(s):

Malaria Prevention ◽

Cross Sectional Study ◽

Malaria Prevalence ◽

Bed Nets ◽

Bed Net ◽

Prevention Measures ◽

Cross Sectional ◽

University Campuses ◽

High Prevalence ◽

Two Factors

University campuses are potential reservoirs of infectious diseases, but they are not in the research focus. It is obvious that the use of malaria preventive tools is extremely necessary in campus conditions in endemic countries. This study is the first malaria survey, conducted in a student campus in Tanzania. This cross-sectional study uncovered a surprisingly high prevalence of malaria history among students: 89,4% of 246 random respondents assume that they had malaria in history, among whom 145 (58,9%) suffered from the disease during the last year. And although students are relatively confident about the vector, parasite, and prevention measures of the disease, only 44,7% of the students use bed nets and 4,5% use a body spray or ointment daily. The others seldom use spray or ointment or do not care about the problem at all. This situation was found to be associated with two factors, financial and educational. Current results show that students are relatively educated on malaria, but they do not follow the malaria prevention guidance. It has become clear that at least proper informational propaganda of bed net use is required in Tanzanian university campuses.

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Scale of adverse events associated to nursing practices: a psychometric study in Portuguese hospital context

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2595.3093 ◽

2018 ◽

Vol 26 ◽

Author(s):

Teresa Neves ◽

Vitor Rodrigues ◽

João Graveto ◽

Pedro Parreira

Keyword(s):

Adverse Events ◽

Public Hospital ◽

Hospital Setting ◽

Cross Sectional Study ◽

Cross Sectional ◽

Stable Factor ◽

Hospital Units ◽

Northern Regions ◽

Structural Invariance ◽

The Stability

Objective to contribute to the validation study of the Scale of Adverse Events associated with Nursing Practices in the hospital context. Method cross-sectional study, in public hospital units, in the central and northern regions of Portugal. The exploratory factor analysis of the Scale of Adverse Events associated to Nursing Practices was conducted with a sample of 165 nurses and the confirmatory factorial analysis was made with a sample of 685 nurses. Reliability, internal consistency and construct validity were estimated. The invariance of the model was evaluated in two subsamples to confirm the stability of the factorial solution. Results the global sample consisted of 850 nurses aged between 22 and 59, mostly licensed professionals. The model had a good overall fit in the subscales (Nursing Practices: χ2/df = 2.88, CFI = 0.90, GFI = 0.86, RMSEA = 0.05, MECVI = 3.30; Adverse Events: χ2/df = 4.62, CFI = 0.93, GFI = 0.95, RMSEA = 0.07, MECVI = 0.39). There was a stable factor structure, indicating strong invariance in the subscale Nursing Practices and structural invariance in the subscale Adverse Events. Conclusion the refined model of the Scale of Adverse Events associated with Nursing Practices revealed good fit and stability of the factorial solution. The instrument was adjusted to evaluate the perception of nurses about adverse events associated with health care, precisely nursing care, in the hospital setting.

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The Profile of Saudi Nursing Workforce: A Cross-Sectional Study

Nursing Research and Practice ◽

10.1155/2017/1710686 ◽

2017 ◽

Vol 2017 ◽

pp. 1-9 ◽

Cited By ~ 12

Author(s):

Mohammad Alboliteeh ◽

Judy Magarey ◽

Richard Wiechula

Keyword(s):

Saudi Arabia ◽

Cross Sectional Study ◽

Nursing Workforce ◽

Cultural Issues ◽

Sectional Study ◽

Cross Sectional ◽

Strong Conclusion ◽

Research Questions ◽

Cross Sectional Design ◽

Gender Specific

Introduction. The Royal Monarchy in Saudi Arabia decreed that all sectors of the workforce would be subject to a policy of “Saudisation” to reduce the reliance on the expatriate workforce and to reduce the unemployment rate of Saudi nationals (Al-Mahmoud et al., 2012).Methodology. A cross-sectional design was chosen to investigate the research questions. The population of this study comprised Saudi Registered Nurses working in MOH hospitals in Riyadh which is the main health care provider in Saudi Arabia (Aboul-Enein, 2002; MOH, 2009).Results and Findings. A total number of 1,198 questionnaires were distributed and 61.2% (n=741) were returned. The findings of the study showed that the questionnaires were collected from an equal portion of the study locale and that a sample of 741 is enough to create a strong conclusion and answer the problem set in this study and all the questions in the study have been provided with answers with enough data and literatures to supports its findings.Conclusion and Recommendations. The results indicate that an increase in the recruitment of Saudi males may simply reflect cultural issues such as gender specific facilities and the Saudisation program’s nondiscriminatory approach to employment of both genders into nursing.

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