scholarly journals Development of an instrument for measuring adolescent health compromising behaviours among rural students: a Delphi study

Author(s):  
Kasturi Mandal ◽  
Pankaj K. Mandal

Background: There is an increasing trend of health compromising behaviors in adolescents worldwide. As behavioral determinants are extremely culture specific, person specific and as such least instruments have been developed in West Bengal. The aim of this study was to develop a specific instrument with strong content validity for measuring adolescent health compromising behavior of adolescent students of rural area.Methods: Face and content validity were evaluated in three round Delphi procedure by a panel of 15 experts who had extensive experience and knowledge of adolescent health compromising behavior. To ensure good cultural fit of the instrument with the rural context, modified Delphi procedure conducted among five stakeholders: medical and nursing, psychologist, sociologist, education experts, and parents. Reliability testing done among 100 students through test retest method with one-week interval.Results: A 85 questions-based instrument was developed reflecting 5 areas of health compromising behaviors; physical inactivity, sedentary behavior, unhealthy eating, poor dental hygiene, tobacco use and their multi-dimensional correlates. After round 3 Delphi, the final instrument had overall S–CVI/Ave of 99.05% and found to be reliable as evident by Pearson product moment correlation coefficient (r) for the scoring questions ranged from 0.72 to 0.84 and Cohen’s kappa coefficient (k) for nominal data, ranged from 0.8-1.Conclusions: The instrument has similarities as well as differences compared with instruments of Western origin. The instrument was valid and reliable and can be applied in both research and practice for measuring adolescent health compromising behaviors.

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 655
Author(s):  
Marta Amor-Barbosa ◽  
Montserrat Girabent-Farrés ◽  
Ferran Rosés-Noguer ◽  
Anna Ortega-Martínez ◽  
Almudena Medina-Rincón ◽  
...  

Childhood is a critical period in the development and consolidation of healthy habits, such as the practice of physical activity (PA). It is essential to have valid instruments to measure PA from an early age. The aim of this study was to design and evaluate the content validity of the Physical Activity Questionnaire-Young Children (PAQ-YC) to measure the PA level in children aged 5–7 years. The first version of the questionnaire was tested by a 2-round Delphi study. It was established as a consensus criterion that the relative interquartile range (RIR) and/or the coefficient of variation (CV) were ≤20%. The most significant discrepancies in the Delphi survey (n = 11–13) were observed for items about hours of Physical Education or similar activities at school (item 7: RIR = 20, CV = 38.73) and for items about participation in Physical Education (item 8: RIR = 25, CV = 15.45). The cognitive interviews (n = 5) confirmed the version agreed by the experts. The results show that the PAQ-YC presents adequate content validity in terms of relevance, comprehensiveness and comprehensibility.


2020 ◽  
pp. 251512742096412
Author(s):  
Josef Hanson

Arts entrepreneurship education is a multifaceted endeavor encompassing a diversity of learning contexts, from collegiate lecture halls to close apprenticeships and one-on-one coaching. Although existing research explores best practices for the arts entrepreneurship classroom, relatively few studies have been undertaken to explore the role of mentoring in arts endeavoring, the effectiveness of mentoring as a targeted pedagogical approach, and how mentoring might complement or even conflict with the tenets of classroom-based arts entrepreneurship education. The purpose of this study was to build consensus among established arts entrepreneurship educators regarding optimal mentoring activities, outcomes, and competencies. Eleven experts in the field of arts entrepreneurship participated in a multiphase Delphi procedure to generate and subsequently evaluate approaches to, and outcomes and characteristics of, effective mentoring. The result is a set of 43 expert-approved recommendations that can inform mentoring practice immediately and provide a foundation for future research in this still-emerging area of inquiry.


2018 ◽  
Vol 27 (5) ◽  
pp. 1159-1170 ◽  
Author(s):  
C. B. Terwee ◽  
C. A. C. Prinsen ◽  
A. Chiarotto ◽  
M. J. Westerman ◽  
D. L. Patrick ◽  
...  

Author(s):  
A. Carlien Straat ◽  
Pieter Coenen ◽  
Denise J. M. Smit ◽  
Gerben Hulsegge ◽  
Esther V. A. Bouwsma ◽  
...  

Evidence for recommendations concerning the resumption of activities of daily life, including work and sport, after knee arthroplasty is lacking. Therefore, recommendations vary considerably between hospitals and healthcare professionals. We aimed to obtain multidisciplinary consensus for such recommendations. Using a Delphi procedure, we strived to reach consensus among a multidisciplinary expert panel of six orthopaedic surgeons, three physical therapists, five occupational physicians and one physician assistant on recommendations regarding the resumption of 27 activities of daily life. The Delphi procedure involved three online questionnaire rounds and one face-to-face consensus meeting. In each of these four rounds, experts independently decided at what time daily life activities could feasibly and safely be resumed after knee arthroplasty. We distinguished patients with a fast, average and slow recovery. After four Delphi rounds, the expert panel reached consensus for all 27 activities. For example, experts agreed that total knee arthroplasty patients with a fast recovery could resume cycling six weeks after the surgery, while those with an average and slow recovery could resume this activity after nine and twelve weeks, respectively. The consensus recommendations will subsequently be integrated into an algorithm of a personalized m/eHealth portal to enhance recovery among knee arthroplasty patients.


Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3300
Author(s):  
Dahyun Park ◽  
Yoo Kyoung Park ◽  
Clara Yongjoo Park ◽  
Mi-Kyung Choi ◽  
Min-Jeong Shin

The concept of food literacy is evolving and expanding, increasing the need for a comprehensive measurement tool for food literacy. This study aimed to develop a validated food literacy questionnaire based on an expanded conceptual framework for food literacy. A literature review of existing frameworks and questionnaires for food literacy and focus group interviews (n = 12) were conducted to develop a conceptual framework and candidate questions. A Delphi study (n = 15) and pilot survey (n = 10) to test the preliminary questionnaire’s content and face validity were conducted, which were followed by the main survey (n = 200). Construct validity and reliability were assessed using exploratory factor analysis (EFA) and Cronbach’s alpha, respectively. Criterion validity was assessed by comparing food literacy scores with food knowledge scores (FN-score) and nutrient quotient scores (NQ-score). By integrating and revising the six existing conceptual frameworks and focus group interview results, we proposed a two-dimensional conceptual framework comprising a literacy dimension and a food system dimension. After reviewing 560 items and categorizing them into 18 domains (3 in the literacy dimension × 6 in the food system dimension), 32 questions were selected. As a result of the Delphi study, two items were deleted, and content validity was confirmed for the remaining 30 items (content validity ratio (CVR) = 0.92). Ten items were revised during the face validation process, and five items were excluded as a result of the EFA. The final food literacy questionnaire comprised 25 questions related to five factors: production, selection, preparation and cooking, intake, and disposal. Food literacy scores were positively associated with FN- and NQ-scores, confirming the reliability and criterion validity of the final questionnaire. The two-dimensional food literacy conceptual framework developed in this study systematically encompasses complex food literacy concepts by adding a food systems dimension (production, selection, preparation and cooking, intake, and disposal domain) to the existing literacy dimension (functional, interactive, and critical literacy domain). Based on this integrated conceptual framework, a 25-item food literacy questionnaire was developed and validated for practical use.


2014 ◽  
Vol 23 (4) ◽  
pp. 1095-1103 ◽  
Author(s):  
Julyana Gall da Silva ◽  
Maria Luiza de Oliveira Teixeira ◽  
Márcia de Assunção Ferreira

This study aims to identify the contents of teenagers' representations about eating and to analyze the relations established among feeding, weight and health. Social Representations Theory was applied in combination with the Convergent-Care Method. The participants were 27 teenagers of both genders between 13 and 19 years old who attended a group of young people from an evangelical church. The thematic content analysis organized categories that clarified the contents of the representations about healthy and unhealthy eating, which influence the occurrence of diseases and overweight. Although typical of teenagers, fast food is not healthy. It was concluded that teenagers know about healthy food and the problems deriving from bad eating habits; thinness represents health and obesity is related to disease; and the food culture of adolescence influences their practices.


2021 ◽  
Author(s):  
Sisco M.P. van Veen ◽  
Natalie Evans ◽  
Andrea M. Ruissen ◽  
Joris Vandenberghe ◽  
Aartjan T.F. Beekman ◽  
...  

Background Patients with a psychiatric disorder (PPD) are eligible to request physician assisted death (PAD) in a small but growing number of jurisdictions, including the Netherlands and Belgium. For this request to be granted, most of these jurisdictions demand that the patient is competent in her request, and that the suffering experienced is unbearable and irremediable. Especially the criterion of irremediability is challenging to establish in patients with psychiatric disorders. Aims To establish what criteria Dutch and Belgian experts agree to be essential in characterising irremediable psychiatric suffering (IPS) in the context of PAD. Method A two round Delphi procedure among psychiatrists with relevant experience. Results Thirteen consensus-criteria were established: five diagnostic and eight treatment-related criteria. Diagnostically, the participants deem a narrative description and attention to contextual and systemic elements necessary. Also, a mandatory second opinion is required. The criteria concerning treatment show that extensive biopsychosocial treatment is needed, and the suffering must be present for several years. Finally, in the case of treatment refusal, the participants agree that there are limits to the number of diagnostic procedures or treatments a patient must undergo. Conclusions Consensus was found among a Dutch and Belgian expert group on essential criteria for establishing IPS in the context of PAD. These criteria can be used in clinical decision making and can inform future procedural demands and research.


2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Sibele Pontes Rocha ◽  
Quiteria Larissa Teodoro Farias ◽  
Maristela Inês Osawa Vasconcelos ◽  
Stella Maris Brum Lopes ◽  
Igor Iuco Castro-Silva ◽  
...  

ABSTRACT Objective: to build and validate the appearance of a digital educational technology to promote the mental health of school adolescents. Methods: methodological study, which included the elaboration and validation of the “Conect@dos com a S@ude” online course based on the Galvis-Panqueva methodological framework. The elaboration was based on a literature review and followed the Theory of Meaningful Learning. The validation was performed by a total of 21 adolescent students, using an instrument adapted for the study. A quantitative analysis was performed from the Content Validity Index and descriptive of the suggestions pointed out by the target audience. Results: the analysis of the Content Validity index ranged from 0.8 to 1 in all evaluated items. The adolescents presented some suggestions for improvement for the course, most of them were accepted. Conclusion: the course was validated by the target audience.


2021 ◽  
pp. 219256822110379
Author(s):  
J Naresh-Babu ◽  
Kenny Yat Hong Kwan ◽  
Yabin Wu ◽  
Caglar Yilgor ◽  
Ahmet Alanay ◽  
...  

Study Design: Modified Delphi study. Objective: Adult spinal deformity (ASD) is an increasingly recognized condition, comprising a spectrum of pathologies considerably impacting patients’ health and functional status. Patients present with a combination of pain, disability, comorbidities and radiological deformity. The study aims to propose a systematic approach of gathering information on the factors that drive decision-making by developing a patient profile. Methods: The present study comprises of 3 parts. Part 1: Development of prototype of patient profile: The data from the Core Outcome Study on SCOlisis (COSSCO) by Scoliosis Research Society (SRS) was categorized into a conceptual framework. Part 2: Modified Delphi study: Items reaching >70% agreement were included in a 4 round iterative process with 51 panellists across the globe. Part 3: Pilot testing—feasibility: Content validity and usability were evaluated quantitatively. Results: The profile consisted of 4 domains. 1. General health with demographics and comorbidities, 2.Spine-specific health with spine related health and neurological status, 3. Imaging with radiographic and MRI parameters and 4. Deformity type. Each domain consisted of 1 or 2 components with various factors and their measuring instruments. Profile was found to have an excellent content validity (I-CVIr 0.78-1.00; Ave-CVI 0.92) appropriateness, relevance and usefulness. Conclusions: The present study, is first to provide a universally applicable multimodal ASD patient profile to methodically describe patients. Physicians are encouraged to assess ASD patients holistically using this profile and not just based on radiographic findings.


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