Adaptation and validation of the Measuring of Treatment Adherence for mental health

ABSTRACT Objective: to adapt culturally and validate the Measuring Instrument of Treatment Adherence for mental health. Method: methodological study, carried out with 300 individuals with mental disorders, in two Psychosocial Care Centers in Curitiba, state of Paraná, Brazil, from April to June 2014. The cross-cultural adaptation was developed according to international recommendations, the construct validation was made by exploratory factor analysis, and internal consistency was verified by Cronbach’s alpha. Results: through the evaluation of a committee of experts and completion of the pre-testing, face and content validation was achieved. From the factor analysis, we identified two factors of the instrument’s construct: involuntary action and voluntary action, with a total explanation variance of 55.7%. The value of Bartlett’s test of sphericity was p<0.001. Cronbach’s alpha was 0.74. Conclusion: the adapted and validated instrument proved to be trustworthy to be applied to the verification of adherence to drug therapy for individuals with mental disorders.

Download Full-text

The development of a contextually appropriate measure of psychological distress in Sierra Leone

BMC Psychology ◽

10.1186/s40359-021-00610-w ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Rebecca Horn ◽

Kanykey Jailobaeva ◽

Stella Arakelyan ◽

Alastair Ager

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Psychological Distress ◽

Sierra Leone ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Phase 1 ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Distress Scale

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.

Download Full-text

PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16234867 ◽

2019 ◽

Vol 16 (23) ◽

pp. 4867 ◽

Cited By ~ 2

Author(s):

Achim Siegel ◽

Anna T. Ehmann ◽

Ingo Meyer ◽

Oliver Gröne ◽

Wilhelm Niebling ◽

...

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Construct Validity ◽

Survey Instrument ◽

German Version ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Confirmatory Factor ◽

Two Factors ◽

Patient Enablement

Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subjects was followed by a random sample survey of N = 1168 subjects. An exploratory factor analysis was conducted in a random split-half sample of the data to explore PEN-13’s factor structure; a confirmatory factor analysis was conducted in the validation sample. The internal consistency of the factors was evaluated using Cronbach’s alpha, PEN-13’s construct validity was checked by means of additional hypothesis testing. Results: The two factors self-management and patient-practitioner interaction, detected in the exploratory analysis, were confirmed with a few modifications in the confirmatory factor analysis, with the comparative fit index (CFI) amounting to 0.903. The Cronbach’s alpha values of those two factors amounted to α = 0.90 and α = 0.82, respectively. The correlations of the PEN-13 score with the ’general self-efficacy’ and ’health literacy’ (HLS-EU-Q16) scores further confirmed its construct validity; the respective correlation coefficients amounted to 0.57 and 0.60. Conclusion: The German version of the survey instrument Patient Enablement Scale—13 items (PEN-13) shows acceptable psychometric properties. Practical implications: PEN-13 seems particularly suitable for health services research purposes. We recommend checking the results in another sample as well as evaluating its responsiveness to enablement-enhancing interventions.

Download Full-text

A Psychometric Analysis of the Epworth Sleepiness Scale

Journal of Nursing Measurement ◽

10.1891/106137407783095748 ◽

2007 ◽

Vol 15 (3) ◽

pp. 177-188 ◽

Cited By ~ 11

Author(s):

Karen Heaton ◽

Debra Anderson

Keyword(s):

Factor Analysis ◽

Epworth Sleepiness Scale ◽

Sleep Problems ◽

Cost Effective ◽

Time Cost ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Two Factors ◽

Effective Instrument ◽

Current Sample

Psychometric performance of the Epworth Sleepiness Scale (ESS) has not been evaluated in groups of workers. This study evaluated its use in a sample of 843 long-haul truckers. Interitem correlations and Cronbach’s alpha were conducted. Correlation of the ESS with the sleep problems subscale of the Trucker Strain Monitor (TSM) was performed. Dimensionality was evaluated using factor analysis. Cronbach’s alpha (.79) was strong. Interitem correlations were significant. A weak but significant correlation between the ESS and TSM sleep problems subscale (r = .18, p = < .001) was shown. Factor analysis yielded two factors that explained 56.2% of scale variance. The ESS performed well in the current sample. It is an inexpensive, time/cost-effective instrument. It should be considered for use in studies of workers in naturalistic settings.

Download Full-text

Translation and validation of caring behaviors inventory among nurses in Iran

PLoS ONE ◽

10.1371/journal.pone.0254317 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254317

Author(s):

Raziyeh Ghafouri ◽

Malihe Nasiri ◽

Foroozan Atashzadeh-Shoorideh ◽

Faraz Tayyar-Iravanlou ◽

Zahra Rahmaty

Keyword(s):

Factor Analysis ◽

Construct Validity ◽

Internal Consistency ◽

Face Validity ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Cross Sectional ◽

Caring Behaviors ◽

Cronbach's Alpha ◽

Two Factors

Background and objectives Nurses’ caring behaviors, professional activities, and behaviors for the benefit of patients, influence patients’ perception of care and satisfaction with the quality of care provided. Caring behaviors of nurses are contextual and various factors such as patients’ social structure, lifestyle, culture, and interests, as well as their biographical, social, and physiological characteristics, can influence perceptions of caring behaviors of nurses, as caring behaviors are an interactive and mental process between patients and nurses. This study was conducted to provide a transcultural translation and psychometric analysis of Caring Behaviors Inventory (CBI) among nurses in Iran. Methodology Transcultural translation of the 16-item CBI was performed. Then, face validity (qualitative), content validity (quantitative and qualitative), and construct validity were examined in a cross-sectional study of 509 patients. A demographic questionnaire and the 16-item CBI were sent to enrolled patients via online questionnaires. The reliability of the instrument was assessed by internal consistency using Cronbach’s alpha. Then, construct validity of the single factor CBI was assessed using Confirmatory Factor Analysis (CFA). Since one factor CBI was not confirmed, construct validity was examined using Exploratory Factor Analysis (EFA). The final number of factors was confirmed using CFA. Results The internal consistency of the instrument was good with Cronbach’s alpha 0.89. Based on EFA, the CBI were loaded on two factors, eigenvalues >1, no item was removed. The emergent factors were named "Communicating respectfully" and "Professional knowledge and skill". These two factors explained 50.197% of the total variance. Then, CFA showed an acceptable fit for the two factors CBI. Conclusion The results showed that the Persian version of the 16-item CBI had adequate validity and reliability. Accordingly, this instrument can be used to study nurses’ caring behaviors.

Download Full-text

Psychometrics of The Physical Health Attitude Scale in Taiwanese Mental Health Nurses: A Validation Study Authors’ Full Names

10.21203/rs.3.rs-1033208/v1 ◽

2021 ◽

Author(s):

Wen-Chii Tzeng ◽

Hsin-Pei Feng ◽

Chia-Huei Lin ◽

Yue-Cune Chang ◽

Mark Haddad

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Physical Health ◽

Attitude Scale ◽

Chinese Version ◽

Cronbach’S Alpha ◽

Mental Health Nurses ◽

Cronbach's Alpha ◽

Group Validity ◽

Nurses Attitude

Abstract Background The Physical Health Attitude Scale (PHASe) is a reliable and valid scale for assessing mental health nurses’ attitude towards providing physical healthcare to patients diagnosed with serious mental illness. Aims To psychometrically evaluate the Chinese adaptation of the PHASe. Methods A total of 520 mental health nurses from 11 hospitals across Taiwan participated in this study. Brislin’s translation model was utilized for the validation process. Both exploratory factor analysis and confirmatory factor analysis were used to establish the construct validity of the scale, and Cronbach’s alpha and composite reliability were used to determine reliability. Results The four-factor 17-item Chinese version of the PHASe demonstrated satisfactory fit with significant factor loadings. Each factor had adequate internal consistency (Cronbach's alpha = 0.70 to 0.80). Known-group validity was supported by the significant differences between groups with different attitudes. Conclusions Our findings suggest that the Chinese version of PHASe is acceptable for evaluating nurses’ attitude towards providing physical health care both within culturally Chinese societies and in cross-cultural studies.

Download Full-text

A modified version of the mental health literacy scale (MHLS) in Iranian people

BMC Psychiatry ◽

10.1186/s12888-021-03050-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mahbobeh Nejatian ◽

Hadi Tehrani ◽

Vahideh Momeniyan ◽

Alireza Jafari

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Health Literacy ◽

Confirmatory Factor Analysis ◽

Mental Health Literacy ◽

Alpha Coefficient ◽

Cronbach’S Alpha ◽

Cross Sectional ◽

Cronbach's Alpha ◽

Confirmatory Factor

Abstract Background The risk rate for the lifetime prevalence of any mental disorder is calculated as 50%, and the prevalence of mental disorders has an increasing trend. So, this study aimed to evaluate the Mental Health Literacy Scale (MHLS) among Iranian people. Methods This cross-sectional study was conducted with a multi-stage sampling method with 1273 people in the general population. After searching and reviewing various sources, the research team decided to use the questionnaire of MHLS with 35 items and six attributes that were measured and developed by O’Connor et al. The face, content, and construct validity (Confirmatory factor analysis) were used for validation of MHLS. McDonald’s omega coefficient and Cronbach’s alpha coefficient were used to calculate the reliability of MHLS. Confirmatory factor analysis was performed using AMOS software Version 24. Results In the CFA test, the six items were deleted. The final modified version of the MHLS included a total of 29 items with six attributes consisted of (a) knowledge of where to seek information (4 items), (b) ability to recognize disorders (8 items), (c) knowledge of self-treatment (2 items), (d) knowledge of risk factors and causes (2 items), (e) attitudes that promote recognition or appropriate help-seeking behavior (10 items), and (f) knowledge of professional help available (3 items). Based on the results of reliability, McDonald’s omega coefficient and Cronbach’s alpha coefficient for all attributes of MHLS were 0.797 and 0.789, respectively. Conclusion Due to the lack of appropriate instruments for measuring mental health literacy in the Iranian population, the modified version of MHLS with 29 items and six attributes can be considered as a valid and reliable instrument for this purpose.

Download Full-text

Development of a Care Coordinator Performance Measurement Tool for Indonesian Family Physicians

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v5i3.1312 ◽

2017 ◽

Vol 5 (3) ◽

pp. 317

Author(s):

Retno Asti Werdhani ◽

Astrid Sulistomo ◽

Muchtaruddin Mansyur ◽

Herqutanto Herqutanto ◽

Ismail Wirawan ◽

...

Keyword(s):

Factor Analysis ◽

Delphi Technique ◽

Family Physicians ◽

Measurement Tool ◽

Characteristic Difference ◽

Cronbach’S Alpha ◽

Care Coordinator ◽

Cronbach's Alpha ◽

Bartlett’S Test ◽

Scale 8

Background, aims and objectives: One of the roles of a family physician is as a care coordinator. This study aimed to develop a care coordinator measurement tool for family physicians in Indonesia. The instrument development method was conducted using Expert Judgement, the Delphi Technique and Factor Analysis. Thirteen themes relevant to the work of a care coordinator were obtained from 19 experts. Eighty-eight items were drafted from thematic definition and a literature search. Fifty-four items were selected through 2 rounds of Delphi Technique. No significant characteristic difference were found in both Delphi samples. The items considered very relevant to the work of a care coordinator (Likert scale 8-9) from more than 75% respondents were selected for factor analysis. A factor analysis was conducted on 249 samples. It showed an adequate number of samples and correlation for all items (KMO of Sampling 0.936 and Bartlett’s Test < 0.001). Eleven factors were derived from the results of eigenvalue > 1. Thirty-three items were filtered after determined loading factor > 0.4. Cronbach's alpha for each factor varied from 0.7-0.91. Cronbach's alpha for a total of 33 items was 0.94 with total variation documented as high as 77%. Conclusion: A valid and reliable care coordinator measurement tool for Indonesian Family Physicians has been developed, consisting of 11 factors and 33 items.

Download Full-text

Pengembangan instrumen penilaian afektif siswa kelas IV sekolah dasar di Kabupaten Klaten

Jurnal Penelitian dan Evaluasi Pendidikan ◽

10.21831/pep.v22i2.16885 ◽

2018 ◽

Vol 22 (2) ◽

pp. 231-242

Author(s):

Anggarwati Riscaputantri ◽

Sri Wening

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Exploratory Factor Analysis ◽

Fourth Grade ◽

Cronbach’S Alpha ◽

Chi Square ◽

Cronbach's Alpha ◽

Bartlett’S Test ◽

Confirmatory Factor ◽

Affective Assessment

Penelitian ini bertujuan untuk menghasilkan instrumen yang memenuhi syarat untuk mengukur afektif siswa kelas IV, dan mengetahui gambaran afektif siswa kelas IV tahun ajaran 2016/2017 di Kabupaten Klaten. Pendekatan yang digunakan dalam penelitian ini adalah Research and Developmentdengan Model Thiagarajan. Instrumen penilaian afektif telah dinyatakan valid dan reliabel. Validitas isi diuji oleh ahli dan diperoleh indeks Aiken sebesar 0,85. Validitas konstruk dilakukan dengan analisis faktor eksploratori dan konfirmatori. Hasil analisis faktor eksploratori menunjukkan nilai KMO sebesar 0,726 sedangkan Bartlett’s Test sebesar Sig. 0,000. Hasil analisis faktor konfirmatori menunjukkan nilai Chi-Kuadrat sebesar 0,039; RMSEA= 0,012; GFI=0,93; SRMR=0,033; AGFI=0,90; CFI=1,00; RFI=1,00. Hasil reliabilitas menunjukkan bahwa koefisien Cronbach’s Alpha sebesar 0,653 sedangkan pada reliabilitas konstruk menunjukkan bahwa pada sikap disiplin koefisien CR=0,99 dan VE=0,99; sikap jujur CR=0,99 dan VE=0,99; sikap peduli CR=0,99 dan VE=0,99; sikap percaya diri CR=0,94 dan VE=0,95; sikap santun CR=0,99 dan VE=0,81; sikap tanggung jawab CR=0,99 dan VE=0,79. Gambaran afektif siswa adalah (a) berdasarkan tingkatan afektif Krathwohl, Bloom & Masia pada tingkatan karakterisasi sebesar 42,9%, mengorganisasi sebesar 50,9 %, menilai 6,2% sedangkan tahapan merepon dan menerima sebesar 0%, (b) berdasarkan acuan Kurikulum 2013 pada kategori baik sekali sebesar 62%, kategori baik 38% dan kategori cukup 1%, kategori butuh bimbingan sebesar 0%.Kata kunci: penilaian afektif, sikap, tingkatan afektif Krathwohl, Bloom & Masia, analisis faktor eksploratori, analisis faktor konfirmatori DEVELOPING AFFECTIVE ASSESMENT INSTRUMEN OF FOURTH GRADE STUDENT IN KLATEN REGENCYAbstractThis study aimed to: produce qualified instrument to measure an affective of grade IV students and find out the affective picture of fourth grade students in academic year 2016/2017 Klaten. This study used Research and Development approach by using Thiagarajan Model. Affective assessment instruments were stated as valid and reliable. Content validity was judged by experts. The Aiken index of instruments is 0.85. Construct validity was measured by using both exploratory and confirmatory factor analysis. The results of exploratory factor analysis showed that the KMO value is 0.726 while the Bartlett’s Test is equal to Sig. 0,000. Confirmatory factor analysis showed that Chi-Square value is 0.039; RMSEA = 0.012; GFI = 0.93; SRMR = 0.033; AGFI = 0.90; CFI = 1.00; RFI = 1.00. Cronbach's Alpha coefficient is 0.653 while the construct reliability showed the coefficient of discipline CR = 0.99 and VE = 0.99; honest attitude CR = 0.99 and VE = 0.99; attitude caring about CR = 0.99 and VE = 0.99; self-confidence CR = 0.94 and VE = 0.95; polite attitude CR = 0.99 and VE = 0.81; the attitude of responsibility CR = 0.99 and VE = 0.79. The description of students’ affective was (a) based on the affective level of Krathwohl, Bloom & Masia, level of characterization 42.9%, organizing 50.9%, assessing 6.2% while phoning and receiving 0%, (b) based on the 2013 Curriculum reference, it could be stated as excellent category 62%, favorable category 38% and fair category 1%, the category needs guidance at 0%.Keywords: affective assessment, attitude, Krathwohl affective level, Bloom & Masia, exploratory factor analysis, confirmatory factor analysis

Download Full-text

Preliminary factor analysis of the O’Kelly Women Beliefs Scale in a US sample

Universitas Psychologica ◽

10.11144/javeriana.upsy11-2.pfao ◽

2011 ◽

Vol 11 (2) ◽

pp. 611-617 ◽

Cited By ~ 1

Author(s):

Arturo Heman Contreras ◽

Leonor Lega ◽

Monica O´Kelly ◽

Mark J. Friedman ◽

Joshua Feinberg ◽

...

Keyword(s):

Factor Analysis ◽

Exploratory Study ◽

Sex Role ◽

Rational Emotive Behavior Therapy ◽

Cronbach’S Alpha ◽

Varimax Rotation ◽

Cronbach's Alpha ◽

Sex Role Stereotyping ◽

The Us ◽

Two Factors

Using a Rational Emotive Behavior Therapy framework, the O’Kelly Women Beliefs Scale (O’Kelly, in press) was originally constructed in Australia to measure sex-role beliefs women may develop through sex-role stereotyping. Factor analysis of the 92 original items showed that 64 items loaded into a single component that accounted for 18.2% of the variance in a sample of 974 Australian women. The present exploratory study examined the psychometric properties of the OWBS in a sample of 202 women born and living in the US. A varimax rotation with cutoff eigenvalues of 3, showed that 37 items loaded into 3 components which accounted for 58.48% of the variance. The items were subsequently grouped into two factors: Irrationality, with a total of 27 items was created by merging component 1 and 3 (Pearson’s r = 0.8 between them), and Rationality, with the 10 items from component 2. Analyses indicated a Cronbach’s alpha of 0.91 for Factor 1, and a Cronbach’s alpha 0.74 for Factor 2. Results indicate that this version of the instrument may be used to evaluate both the rational and irrational content of sex-role beliefs of women born in the US.

Download Full-text

Development and validation of the Lo’s Healthy and Happy Lifestyle Scale (LHHLS): The resilience in general population facing COVID-19 in Taiwan

International Journal of Social Psychiatry ◽

10.1177/0020764020960771 ◽

2020 ◽

pp. 002076402096077

Author(s):

Angela Lo ◽

Kuan-Ying Hsieh ◽

Wan-Chun Lu ◽

Ierna Shieh ◽

Frank Huang-Chih Chou ◽

...

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Self Efficacy ◽

High Reliability ◽

Reliability And Validity ◽

Health State ◽

Positive Thinking ◽

Healthy Living ◽

Cronbach’S Alpha ◽

Cronbach's Alpha

Background: This article explores the effectiveness of development of the Lo’s Healthy and Happy Lifestyle Scale (LHHLS), which is an evaluative tool that monitors the resilience of the Taiwan population in times of such COVID-19 epidemic. Also, to verify factors of resilience, namely the reliability and validity of self-efficacy and positive thinking, and establishment of a prospective norm analysis. Method: The study mainly applied Explorative Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) to develop LHHLS and establish the reliability and validity of the tool’s structure, verify norm analysis and the reliability of data from each question using Cronbach’s alpha. Results: According to statistics, LHHLS has a good factorial effectiveness and relatively high reliability, with factor reliability analyses where Cronbach’s alpha lies between 0.83 to 0.94. The 14 questions in the LHHLS has a total variance of 67.04%. The tool includes two sub-assessments that are theoretically and statistically appropriate: mental health/self-efficacy and positive thinking. Conclusion: The tool LHHLS can be applied to populations affected by COVID-19. With participants’ self-awareness of mental health state and state of happy living, this tool is valid and reliable in assessing and evaluating the resilience of such participants against times of COVID-19. This study can become future use for epidemic prevention communities in monitoring residents’ healthy living and changes in their resilience. Also, can become a reference standard for interventions to reduce the impacts populations’ happy and healthy living, in times of biological disasters.

Download Full-text