scholarly journals Reliability and validity study of the Thai adaptation of the Copenhagen Burnout Inventory-Student Survey (CBI-SS) among preclinical medical students at the Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261887
Author(s):  
Wasit Wongtrakul ◽  
Yodying Dangprapai ◽  
Nattha Saisavoey ◽  
Naratip Sa-nguanpanich

Burnout syndrome is a syndrome of emotional exhaustion, professional efficacy and cynicism. A significant proportion of medical students reported having burnout syndrome during their training in medical education. Several tools including the Copenhagen Burnout Inventory-Student Survey (CBI-SS) are considered to be a valid measurement of burnout syndrome in medical students. This study aimed to translate, culturally adapt, and validate the CBI-SS for assessing burnout syndrome among preclinical medical students in Thailand. This study was conducted during February to March 2019 at the Faculty of Medicine Siriraj Hospital, Mahidol University (Bangkok, Thailand), which is Thailand’s largest and oldest medical school, and Thailand’s largest national tertiary referral center. After receiving formal permission to do so from the copyright owner, the original English language version of the CBI-SS was translated to Thai language using an internationally recommended and accepted forward-backward translation protocol. The Thai version of the CBI-SS (Thai CBI-SS) comprises 25 items, including 6 items for personal burnout, 7 items for study-related burnout, 6 items for colleague-related burnout, and 6 items for teacher-related burnout. Standardized Cronbach’s alpha coefficient was calculated to evaluate internal consistency reliability, and correlation coefficient was computed to determine test-retest reliability. A total of 414 preclinical medical students participated in this study. Due to sub-optimal factor weights (<0.50), items 6, 10 and 17 were excluded. The Cronbach’s alpha coefficients of the 22-item Thai CBI-SS for personal, study-related, colleague-related, and teacher-related burnout were 0.898, 0.896, 0.910 and 0.900 respectively. The correlation coefficients for test-retest reliability after three weeks were 0.820, 0.870, 0.821, and 0.787 for personal, study-related, colleague-related, and teacher-related burnout, respectively. Maximum likelihood analysis with oblimin rotation indicated four main components, and confirmatory factor analysis revealed good fit indices of the Thai CBI-SS. Confirmatory factor analysis showed good fit indices of CBI-SS domains (χ2/df = 2.39; CFI = 0.957; GFI = 0.909; RMSEA = 0.058; TLI = 0.949; and NFI = 0.928). The convergent validity analysis using the Average Variance Extracted (AVE) and the Composite Reliability (CR) was adequate for all dimensions (personal: AVE = 0.626, CR = 0.893; study-related: AVE = 0.601, CR = 0.899; colleague-related: AVE = 0.677, CR = 0.913; teacher-related: AVE = 0.606, CR = 0.900). The HTMT values for all variables are in the range from 0.315 to 0.833, confirming the discriminant validity. The Thai CBI-SS was found to be a valid and reliable tool for evaluating burnout syndrome in preclinical medical students in Thailand.

2017 ◽  
Vol 20 ◽  
Author(s):  
Marta Villacieros ◽  
Ricardo Olmos ◽  
José Carlos Bermejo

AbstractEmpathy has been identified as a relevant variable in order to predict burnout in healthcare professionals. In addition, assertiveness and self-esteem have been considered relevant variables to develop empathic capacity. In the other hand, misconceptions surrounding empathy constitute a risk factor for burnout. Two adult samples (N = 252 and N = 275) were used to explore and confirm the underlying structure of two questionnaires. The Exercise of Process of Empathy (EPE) scale (18 items) confirmatory factor analysis including 5 dimensions (cognitive and emotional comprehension, attention, clarity and assertiveness), showed reasonable goodness- of-fit indices χ2(130) = 269.63, p < .001; RMSEA = .069 90% CI [0.058 – 0.079]; CFI = .965; TLI = .959. Alpha coefficient resulted .848. Common Misconceptions (EH) of empathy scale (16 items) confirmatory factor analysis, including 3 dimensions (feeling, confluence and character misconceptions) also obtained reasonable goodness-of-fit indices χ2(101) = 250.59, p < .001; RMSEA = .075 90% CI [0.063 – 0.087]; CFI = .952; TLI = .943. Alpha coefficient for Character resulted .727 (5 items), for Confluence .764 (5 items) and for Feeling .822 (6 items). The SEM model’s R2 resulted .303, being EH (misconceptions) a risk factor (b* = .171), EPE (empathy process) a protection factor (b* = –.183). The model partially explains how misconceptions empathy process and self-esteem (b* = –.334) relate to burnout syndrome in healthcare professionals; what is more, it heralds a potential means to prevent it.


2009 ◽  
Vol 25 (4) ◽  
pp. 239-243
Author(s):  
Roberto Nuevo ◽  
Andrés Losada ◽  
María Márquez-González ◽  
Cecilia Peñacoba

The Worry Domains Questionnaire was proposed as a measure of both pathological and nonpathological worry, and assesses the frequency of worrying about five different domains: relationships, lack of confidence, aimless future, work, and financial. The present study analyzed the factor structure of the long and short forms of the WDQ (WDQ and WDQ-SF, respectively) through confirmatory factor analysis in a sample of 262 students (M age = 21.8; SD = 2.6; 86.3% females). While the goodness-of-fit indices did not provide support for the WDQ, good fit indices were found for the WDQ-SF. Furthermore, no source of misspecification was identified, thus, supporting the factorial validity of the WDQ-SF scale. Significant positive correlations between the WDQ-SF and its subscales with worry (PSWQ), anxiety (STAI-T), and depression (BDI) were found. The internal consistency was good for the total scale and for the subscales. This work provides support for the use of the WDQ-SF, and potential uses for research and clinical purposes are discussed.


2018 ◽  
Vol 26 (4) ◽  
pp. 530-536 ◽  
Author(s):  
Ka-Man Leung ◽  
Pak-Kwong Chung ◽  
Tin-Lok Yuen ◽  
Jing Dong Liu ◽  
Donggen Wang

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.


2016 ◽  
Vol 10 (10) ◽  
pp. 99
Author(s):  
Sara Aghababaei ◽  
Mokhtar Malekpour ◽  
Bagher Kajbaf ◽  
Ahmad Abedi

The aim of this research is confirmatory factor analysis of Aurora-a Battery on Iranian children. Aurora-a Battery is a cognitive assessment according to Robert J. Sternberg’s theory of Successful Intelligence. 400 children 9-12 years old were selected through multi-steps sampling method and were tested with Aurora-a test. These children were from geographically diverse schools in Isfahan city, Iran. The factor analysis of data was performed through Amos software. Fit indices show that data fit with model. Moreover, the correlation between test total score and the analytical, creative and practical intelligences were 0.91, 0.94 and 0.84, respectively. Alpha for Aurora’s total score was equal to 0.92 as well. Aurora-a test can be an appropriate and valid instrument for identification gifted children aged 9-12 according to Sternberg’s theory of successful intelligence. This test allows many children to be identified as gifted which in turn provides the opportunity of further development of their potential.


2018 ◽  
Vol 122 (4) ◽  
pp. 1372-1394
Author(s):  
Savaş Karataş ◽  
İlkay Demir

The aim of the present study is to test the factor structure and reliability of the Experience of Close Relationships-Relationship Structures Scale (ECR-RS) mother, father, romantic partner, close friend forms among Turkish adolescents. In order to test the structure validity of the ECR-RS, exploratory factor analysis is performed on a sample of 214 participants in Study 1, and to further investigate the structure validity, confirmatory factor analysis is performed on a second sample of 286 participants in Study 2. Within the scope of the reliability studies of the ECR-RS, internal reliability and test–retest reliability of the Turkish ECR-RS are also tested. The results of the explanatory and confirmatory factor analysis, Cronbach’s alpha coefficients, and test–retest reliability scores supported the original two-factor structure (attachment avoidance and attachment anxiety) for all forms of the ECR-RS among Turkish adolescents.


2022 ◽  
pp. 003329412110636
Author(s):  
Bruno Faustino

The presence of dysfunctional cognitions about how individuals see themselves and others is a hallmark of psychopathology. The Brief Core Schemas Scale (BCSS) was developed to evaluate adaptive and dysfunctional beliefs about the self and others. This study describes the first psychometric analysis of the BCSS in the Portuguese population. Participants were recruited from community ( N = 320, Mage=27.31, DP = 12.75). Confirmatory factor analysis (CFA) was used to confirm the BCSS factorial structure. Four-factor model revealed moderate to adequate goodness-of-fit indices (χ2/df = 717.1, (246) p = .01; SRMR = .044; RMSEA = .077; CFI/TLI < .90). Negative views of the self and others correlated positively with early maladaptive schemas, distress, and symptomatology and correlated negatively with psychological well-being. An inversed correlational pattern was found with the positive views of the self and others. Despite the model's moderate adherence to the data, results suggest that the BCSS may be an asset in the assessment of dysfunctional and adaptive cognitions about the self and others. Further analysis is required to deepen the psychometric properties of the BCSS in the Portuguese population.


2017 ◽  
Vol 34 (2) ◽  
pp. 211-218 ◽  
Author(s):  
Acácia Aparecida Angeli dos SANTOS ◽  
Thatiana Helena de LIMA

Abstract The objective of this study is to investigate the evidence of construct validity of a phonological awareness instrument. Exploratory factor analysis was carried out on data collected from 510 elementary and middle school students in 2nd and 6th grades attending two different public schools in the city of São Paulo, Brazil; most were males with mean age of 8.4 years. Confirmatory factor analysis was carried out on data collected from 427 students from other four Brazilian states in the same grades; most were females with mean age of 9.3 years. The instrument used was the Roteiro de Avaliação da Consciência Fonológica, a phonological awareness test. The exploratory factor analysis showed a three-factor solution. As for the confirmatory factor analysis, of the two models tested, the one that indicated better model fit indices was composed of three factors. The model found is adequate for the task carried out in this study. However, more studies should be carried out to further refine the instrument.


TH Open ◽  
2018 ◽  
Vol 02 (03) ◽  
pp. e280-e290 ◽  
Author(s):  
Willemijn Comuth ◽  
Henrik Lauridsen ◽  
Steen Kristensen ◽  
Anna-Marie Münster

Background The Anti-Clot Treatment Scale (ACTS) is a 17-item, 2-factor (Burdens and Benefits), patient-reported outcome instrument to evaluate patient satisfaction with oral anticoagulant treatment. Objectives This study aimed to translate and culturally adapt the English version of the ACTS into Danish and to subsequently validate the Danish version in a population of patients treated with dabigatran etexilate for atrial fibrillation. Methods The ACTS was translated into Danish and culturally adapted. This prospective phase 4 study included 232 respondents who completed the Danish ACTS after 1 month of treatment with dabigatran etexilate for atrial fibrillation. Psychometric properties were evaluated. For test–retest reliability, the ACTS was measured twice, 2 weeks apart, in a subgroup of 50 stable patients. Results Generally, a high level of treatment satisfaction was found. Confirmatory factor analysis showed a suboptimal fit for the two-factor model of the original version. Using modification indices of confirmatory factor analysis, a four-factor model had the best fit. Cronbach's α for internal consistency was acceptable at 0.78. There was good test–retest reliability with intraclass correlation at 0.80. Smallest detectable changes (SDCs) for individual patients were 5.89 points for the total ACTS, 5.57 for the reverse Burdens, and 3.34 for Benefits scores. Group SDCs were 0.39, 0.37, and 0.22 respectively. Substantial ceiling effects limit the ability to detect improvement at the high end of the scale. Conclusion The Danish version of the ACTS has inadequate structural validity. Reliability was acceptable. Ceiling effects challenge detection of improvement of treatment satisfaction in clinical practice in this patient population.


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