scholarly journals Internet and decision-making regarding health among pregnant woman: cross-cultural adaptation of a questionnaire for use in Brazil

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Ana Carolina Cleto Borges ◽  
Raquel Conceição Ferreira ◽  
Lorrany Gabriela Rodrigues ◽  
Matheus França Perazzo ◽  
Saul Martins Paiva ◽  
...  

The aim of this study was to translate and cross-culturally adapt the Women’s Use of the Internet in Pregnancy Questionnaire (WUIPQ) to Brazilian Portuguese and analyze the psychometric properties of the Preparation for Decision Making Scale (PDMS). This study consisted of the following steps: translation, synthesis, back-translation, evaluation by the author of the original questionnaire, review by the panel of experts, and pretest of the WUIPQ. For such, Brazilian pregnant women and mothers who were members of Facebook groups participated in the study. We measured test-retest reliability as well as internal consistency and performed confirmatory factor analysis (CFA) of the B-PDMS. In the pretest, 88.14% of the participants considered the items of the B-WUIPQ to be clear and pertinent, and 84.09% rated the sequence and organization of the questionnaire as excellent/good. The intraclass correlation coefficient and Cronbach’s alpha coefficient for the B-PDMS were 0.850 (95%CI: 0.791-0.899) and 0.91, respectively. CFA revealed factor loadings higher than 0.70 for most items, with a comparative fit index of 0.989, Tucker-Lewis index of 0.984, and root mean square error of approximation of 0.08 (95%CI: 0.06-0.09). The B-WUIPQ presented cross-cultural adapted, and the B-PDMS demonstrated satisfactory psychometric proprieties to Brazilian pregnant women.

2022 ◽  
pp. 001316442110669
Author(s):  
Bitna Lee ◽  
Wonsook Sohn

A Monte Carlo study was conducted to compare the performance of a level-specific (LS) fit evaluation with that of a simultaneous (SI) fit evaluation in multilevel confirmatory factor analysis (MCFA) models. We extended previous studies by examining their performance under MCFA models with different factor structures across levels. In addition, various design factors and interaction effects between intraclass correlation (ICC) and misspecification type (MT) on their performance were considered. The simulation results demonstrate that the LS outperformed the SI in detecting model misspecification at the between-group level even in the MCFA model with different factor structures across levels. Especially, the performance of LS fit indices depended on the ICC, group size (GS), or MT. More specifically, the results are as follows. First, the performance of root mean square error of approximation (RMSEA) was more promising in detecting misspecified between-level models as GS or ICC increased. Second, the effect of ICC on the performance of comparative fit index (CFI) or Tucker–Lewis index (TLI) depended on the MT. Third, the performance of standardized root mean squared residual (SRMR) improved as ICC increased and this pattern was more clear in structure misspecification than in measurement misspecification. Finally, the summary and implications of the results are discussed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Janiny Lima e Silva ◽  
Matheus de Sousa Mata ◽  
Saionara Maria Aires Câmara ◽  
Íris do Céu Clara Costa ◽  
Kleyton Santos de Medeiros ◽  
...  

Abstract Background The Lederman Prenatal Self-Evaluation Questionnaire (PSEQ) is used to assess psychosocial adaptation to pregnancy, labor, childbirth, and maternity. The PSEQ is a tool used in various countries and has been translated into Portuguese; however, it needs to be validated in Brazil. This study aimed to analyze the validity and reliability of the PSEQ in Brazilian pregnant women. Method This methodological validity study investigated internal consistency and reliability using Cronbach’s alpha and intraclass correlation coefficients. Construct validity was assessed using Pearson’s correlation between domains and confirmatory factor analysis. To assess concurrent validity, Pearson’s correlation between the different domains of the PSEQ and Prenatal Psychosocial Profile-Portuguese Version (PPP-VP) was determined. The level of significance was set at 5%. Results This study included 399 pregnant women in the northeastern region of Brazil. The internal consistency and reliability of the total PSEQ score were high (Cronbach's alpha = 0.89; intraclass correlation coefficient = 0.95). Validity analysis showed positive and significant correlations between all PSEQ domains, ranging from 0.14 to 0.56. Confirmatory factor analysis demonstrated the following values of goodness of fit: RMSEA = 0.05, SRMR = 0.08, CFI = 0.61, χ2/df = 1.77. The discriminant and concurrent validities of the PSEQ were confirmed. Conclusions The Portuguese version of the PSEQ has adequate psychometric properties and is a valid and reliable tool to evaluate psychosocial adaptation to pregnancy in Brazilian pregnant women.


2021 ◽  
pp. 1-8
Author(s):  
Yasemin Eskigülek ◽  
Sultan Kav

Abstract Objective The aim of this study was to investigate the validity and reliability of the Patient Dignity Inventory (PDI) in the Turkish society, which was developed to evaluate dignity-related distress in palliative care patients. Methods One hundred and twenty-seven adults with advanced cancer hospitalized in several clinics of two university hospitals were included in the study. The patients whose Palliative Performance Scale score was at least 40% were recruited to study. The data were collected with a patient demographic form, the Turkish version of Hospital Anxiety and Depression Scale (HADS-TR), and the Turkish version of the PDI (PDI-TR). The PDI-TR was finalized and back-translated after translating into Turkish and obtaining 10 expert opinions. Exploratory and confirmatory factor analysis, internal consistency, concurrent validity, and test–retest reliability analysis were performed. Results The Cronbach's α coefficient of PDI-TR was 0.94. Factor analysis resulted in a five-factor solution, and all items were loaded on factors. Factors were labeled as symptom distress, existential distress, self-confidence, dependency, and supportive care needs and accounted for 68.70% of the overall variance. The model's normed fit index, comparative fit index, and X2/SD were found between acceptable range (0.90, 0.93, and 2.64, respectively). A positive and strong correlation was found between subdimension scores of HADS-TR and the total score of PDI-TR (r = 0.70 for anxiety subdimension; r = 0.73 for depression subdimension). The test–retest reliability was conducted with 32 patients within the sample two weeks after the first application, and no significant difference was found between the two application scores as the result of paired-sample t-test (p > 0.05). An intraclass correlation coefficient of test–retest reliability was r = 0.855. Significance of results PDI-TR was found to be a valid and reliable tool in palliative care patients in Turkish society.


Author(s):  
Cheng Li ◽  
Christy Hullings ◽  
Wei Wang ◽  
Debra M. Palmer Keenan

Background: Low-income adolescents’ physical activity (PA) levels fall below current recommendations. Perceived barriers to physical activity (PBPA) are likely significant predictors of PA levels; however, valid and reliable measures to assess PA barriers are lacking. This manuscript describes the development of the PBPA Survey for Low-Income Adolescents. Methods: A mixed-method approach was used. Items identified from the literature and revised for clarity and appropriateness (postcognitive interviews) were assessed for test–retest reliability with 74 adolescents using intraclass correlation coefficient. Items demonstrating low intraclass correlation coefficients or floor effects were removed. Both exploratory factor analysis and confirmatory factor analysis analyses (n = 1914 low-income teens) were used to finalize the scale; internal consistency was assessed by Cronbach’s alpha. Concurrent validity was established by correlating the PBPA with the PA questionnaire for adolescents using a Spearman correlation. Results: The exploratory factor analysis yielded a 38-item, 7-factor solution, which was cross-validated by confirmatory factor analysis (comparative-fit index, nonnormed fit index = .90). The scale’s Cronbach’s alpha was .94, with subscales ranging from .70 to .88. The PBPA Survey for Low-Income Adolescents’ concurrent validity was supported by a negative PA questionnaire for adolescents’ correlation values. Conclusion: The PBPA Survey for Low-Income Adolescents can be used to better understand the relationship between PBPA among low-income teens. Further research is warranted to validate the scale with other adolescent subgroups.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037129
Author(s):  
Emma Säfström ◽  
Lena Nasstrom ◽  
Maria Liljeroos ◽  
Lena Nordgren ◽  
Kristofer Årestedt ◽  
...  

ObjectiveEven though continuity is essential after discharge, there is a lack of reliable questionnaires to measure and assess patients’ perceptions of continuity of care. The Patient Continuity of Care Questionnaire (PCCQ) addresses the period before and after discharge from hospital. However, previous studies show that the factor structure needs to be confirmed and validated in larger samples, and the aim of this study was to evaluate the psychometric properties of the PCCQ with focus on factor structure, internal consistency and stability.DesignA psychometric evaluation study. The questionnaire was translated into Swedish using a forward–backward technique and culturally adapted through cognitive interviews (n=12) and reviewed by researchers (n=8).SettingData were collected in four healthcare settings in two Swedish counties.ParticipantsA consecutive sampling procedure included 725 patients discharged after hospitalisation due to angina, acute myocardial infarction, heart failure or atrial fibrillation.MeasurementTo evaluate the factor structure, confirmatory factor analyses based on polychoric correlations were performed (n=721). Internal consistency was evaluated by ordinal alpha. Test–retest reliability (n=289) was assessed with intraclass correlation coefficient (ICC).ResultsThe original six-factor structure was overall confirmed, but minor refinements were required to reach satisfactory model fit. The standardised factor loadings ranged between 0.68 and 0.94, and ordinal alpha ranged between 0.82 and 0.95. All subscales demonstrated satisfactory test–retest reliability (ICC=0.76–0.94).ConclusionThe revised version of the PCCQ showed sound psychometric properties and is ready to be used to measure perceptions of continuity of care. High ordinal alpha in some subscales indicates that a shorter version of the questionnaire can be developed.


2013 ◽  
Vol 62 (1) ◽  
Author(s):  
Muhamad Razuhanafi Mat Yazid

Konsep pengangkutan tidak bermotor adalah penting bagi menjamin kehidupan dalam persekitaran yang bersih, sihat dan berkualiti tinggi. Hari ini, sistem pengangkutan bandar-bandar di Malaysia mempunyai imej buruk seperti kesesakan, kemalangan, ketiadaan pengangkutan awam sebagai alternatif serta konflik pembebasan gas karbon ke ruang atmosfera menyumbang kepada pencemaran alam dan kepincangan dari aspek kualiti mobiliti kehidupan secara umumnya. Tujuan kajian ini adalah untuk mengukur kesahan dan kebolehpercayaan Instrumen model kenderaan tidak bermotor. Instrumen 4 konstruk yang mengandungi 17 item skala 5 mata telah digunakan dalam kajian ini. Instrumen ini telah ditadbirkan kepada 400 orang responden di bandar Kota Bharu yang dipilih secara rawak berkelompok. Perisian Amos versi 7 digunakan untuk menganalisis data. Nilai Comparative Fit Index (CFI), Tucker Lewis Index (TLI) dan RMSEA digunakan untuk mengekal dan menggugurkan item. Dapatan akhir kajian menggunakan model pengukuran confirmatory factor analisis telah menggugurkan 7 item dan mengekalkan 10 item yang sah dan boleh dipercayai untuk mengukur 4 konstruk. Instrumen ini boleh digunakan untuk membentuk model penggunaan kenderaan tidak bermotor berdasarkan teori tingkah laku terancang (TPB) iaitu berbasikal dan berjalan kaki dalam menjadikannya sebagai mod pengangkutan pilihan di Malaysia.


2012 ◽  
Vol 15 (3) ◽  
pp. 1432-1440 ◽  
Author(s):  
Jesús María De Miguel Calvo ◽  
Noemy Martín Sanz ◽  
Iván Sánchez-Iglesias ◽  
Miguel Ángel Ruiz Díaz

The following study will present findings on the validity of the adaptation of the Burger and Cooper's Desirability of Control Scale into Spanish. Two samples are present: the first involving 1,999 people to study their psychometric properties. In the second sample, 111 people were included to estimate test/ retest reliability. Cultural adaptation was performed using the translation & back-translation method. Item analysis, internal consistency and test/re-test reliability were assessed, then evidence of the validity of the internal structure was determined by using exploratory and confirmatory factor analysis. Subject recruitment was performed to gather the 1,999 subjects stratified by age, gender quotas as designed in the sampling plan. Of the subjects, 51% were female, average age of 45 years old (SD = 17.5). All items from the original scale were understood correctly, while five items presented ceiling effect. Cronbach's alpha = .736 and a test-retest correlation r = .713 were obtained. The factor structure indicated the presence of four dimensions: forecast, autonomy, power and influence and reactance which were reassured in the confirmatory analysis (x2/df = 4.805, CFI =.932, TLI =.954, RMSEA = .062). The basic dimensions of the scale have shown to be stable and well-defined, though not perfect. The scope, possible applications of the scale and further research are later proposed and discussed.


2021 ◽  
pp. JNM-D-20-00052
Author(s):  
Zhaleh Kouravand ◽  
Fereshteh Aein ◽  
Abbas Ebadi ◽  
Ghasem Yadegarfar

Background and PurposeThe aim of this study was the cross-cultural adaptation and psychometric evaluation of the Persian version of Clinical Decision Making in Nursing Scale (CDMNS).MethodsThe original CDMNS was translated into Persian using the Beaton's guideline. Its qualitative face validity, qualitative and quantitative content validity, its construct validity, and reliability was assessed.ResultsEleven items out of forty items were deleted due to factor loading values less than 0.3. Subsequently, model fit indices changed as follows: Chi-square value divided by degree of freedom (𝜒2/DF): 2.8, root mean score error of approximation (RMSEA): 0.07, standardized root mean square residual (SRMR): 0.06, comparative fit index (CFI): 0.93, goodness of fit index (GFI): 0.80, and adjusted goodness of fit index (AGFI): 0.77. The Cronbach's alpha values and test.retest intraclass correlation coefficient of the 29-item scale and its subscales also increased afte deleted.ConclusionThe 29-item Persian CDMNS is a valid and reliable instrument for assessing Iranian nurses' perceptions of clinical decision-making.


2021 ◽  
pp. 1-6
Author(s):  
Stéphanie Laconi ◽  
Raul Felipe Palma-Alvarez ◽  
Heino Stöver ◽  
Christina Padberg ◽  
Daniela Jamin ◽  
...  

Introduction: Improving the knowledge and attitudes of people facing an opioid overdose is one of the key prevention measures for reducing overdose occurrence and severity. In this respect, the Opioid Overdose Knowledge Scale (OOKS) and Opioid Overdose Attitudes Scale (OOAS) have been developed and validated in English to assess and improve knowledge and attitudes of opioid users and their families and care providers, in case of an overdose. Here, the OOKS and OOAS scales have been translated into French, Spanish, and German, and the different versions of the 2 scales have been assessed regarding their psychometric properties. Methods: The translation procedure of the scales was based on the international recommendations, including a back translation by a native English speaker. Subsequently, 80 (Spain: 29, France: 27, Germany: 24) former or current heroin users, aged from 20 to 61 years (M = 39.4 ± 9.23), completed the OOKS and OOAS versions of their native language, in test-retest, without specific between-assessment training. Internal consistency was assessed using Cronbach’s α, while test-retest reliability was assessed using intraclass correlation coefficient (ICC). The correlation between the OOKS and OOAS scores of a same language was assessed using Spearman’s (ρ) coefficient. Results: Internal consistency of the OOKS was found to be good to very good, with Cronbach’s α ranging from 0.62 to 0.87. Test-retest reliability was also very good, with ICCs ranging from 0.71 to 0.82. However, results were less reliable for the OOAS, as internal consistency was questionable to acceptable, with Cronbach’s α ranging from 0.12 to 0.63, while test-retest ICCs were very good for the French (0.91) and Spanish (0.99) versions and barely acceptable for the German version (0.41). No significant correlation was found between the OOKS and OOAS scores, irrespective of the version concerned. Conclusion: While satisfactory results were found for the 3 versions of the OOKS, results on the OOAS were relatively inconsistent, suggesting a possible gap between knowledge and attitudes on overdose among opioid users.


2021 ◽  
Author(s):  
JuHee Lee ◽  
Suzanne Hetzel Campbell ◽  
Natalia Del Angelo Aredes ◽  
Soomin Hong

Abstract Background: Person-centered nursing is pivotal to the high-quality and safe practice of nursing, and therapeutic communication plays an essential role in this process. Therapeutic communication by healthcare professionals is vital in developing and maintaining constructive relationships with patients. The Global Interprofessional Therapeutic Communication Scale© (GITCS©) measures the therapeutic communication skills of healthcare providers. This scale is useful for assessing the verbal, non-verbal, and culturally sensitive therapeutic communication abilities of healthcare providers in various clinical situations. The purpose of this study was to evaluate the cross-cultural validity and reliability of the Korean version of the Global Interprofessional Therapeutic Communication Scale© (K-GITCS). Methods: A cross-cultural validation of a psychometric evaluation is conducted in the present study. The instrument was translated into Korean using the original developers’ translation process.A convenience sample of 300 registered nurses with more than one year of experience was recruited from a tertiary hospital. Validity was evaluated through a confirmatory factor analysis, and the instrument was tested for psychometric reliability.Results: The three-factor structure of the K-GITCS was validated. A confirmatory factor analysis of the K-GITCS was conducted, and the results satisfied the statistical criteria with a standardized root mean square residual of 0.06, a non-normed fit index of 0.88, a root mean square error of approximation of 0.07, and a comparative fit index of 0.82. The following factors were correlated: trust and rapport building, power-sharing, and empathy. Cronbach’s alpha was 0.94, indicating good internal consistency.Conclusions: Initial testing with experienced registered nurses in one institution indicated that the K-GITCS© instrument has adequate construct validity and reliability to identify therapeutic communication skills in this population. The K-GITCS can be used to assess registered nurses’ therapeutic communication. Further research using the GITCS is required to promote the communication skills of healthcare providers. Studies testing with nursing students and nurses in other institutions and interprofessional healthcare providers are also necessary. This instrument can offer valuable insights to guide its development and to devise tailored interventions considering the specific demands of registered nurses. It can be used in nursing education and clinical settings for evaluations of therapeutic communication skills.


Sign in / Sign up

Export Citation Format

Share Document