Measuring Parental Barriers to Childhood Immunizations: The Development and Validation of the Searching for Hardships and Obstacles to Shots (SHOTS) Instrument

2010 ◽  
Vol 18 (1) ◽  
pp. 26-35 ◽  
Author(s):  
Victoria P. Niederhauser

There is a plethora of literature on barriers to immunizations; however, these studies lack standardization of measurement. The aim of this study was to develop and establish an initial psychometric evaluation of an instrument to measure parental barriers to childhood immunizations. This was a cross-sectional study design. Data analysis included descriptive statistics, reliability estimates, item analysis, and factor analysis. Six hundred and fifty-five participants completed the survey. The Searching for Hardships and Obstacles to Shots instrument was developed with 60 items and reduced to 23 items thorough multiple statistical computations; the best factor model was a three-factor solution (Access to Shots, Concerns About Shots, and Importance of Shots) with a total variance explained of 59.4%. The Cronbach’s alpha reliability estimates ranged from .86 to .93, and temporal stability was adequate (r = .85). This study supports exceptional initial psychometric properties of an instrument to measure parental barriers to childhood immunizations.

Author(s):  
Zayid K. Almayahi ◽  
Fahad Alswaidi ◽  
Abdullah Alzahrani

Abstract Background The established aim of the Saudi Health Electronic Surveillance Network (HESN) is to support the prevention and control of different health events, and to facilitate the delivery of other public health programs. This study aims to evaluate the perceptions of active HESN users regarding its general performance through five major components: practicability, design, data and communication, technical support, and general impression. Methods A cross-sectional study was conducted in 2016 using a sample of active HESN users. Out of 1535 active users, 700 were randomly selected. A predesigned electronic questionnaire was sent to each participant via email which was completed by 485 participants. Different composite scores were calculated and compared to the sociodemographic and other technical variables. Results The mean age of the participants was 36.92 ± 9.12 (24–65 years), and 57.8% of the sample were male. Riyadh and the KSA’s eastern province represented the highest two regions of participation, at (18.4%) and (14.2%) participants, respectively. About 70.8% were generally satisfied with HESN, while 86.6%% believed that it is better than the traditional paper-work system. Participants who used to work more frequently expressed more level of satisfaction compared to those with minimal use per week or month (P ≤ 0.001). Internet speed displayed a significant association with the general level of satisfaction with HESN (P < 0.001). Additionally, users who accessed HESN with the Google Chrome browser displayed higher levels of satisfaction when compared to users who relied on other browsers (P = 0.003). Conclusion Presently, the level of user satisfaction with HESN is reasonable. However, to achieve optimal outcomes for HESN usage, improvements should be considered.


2019 ◽  
Vol 27 (1) ◽  
pp. 36-50 ◽  
Author(s):  
Mohammed Yasin Ghadi

Purpose Job crafting is recently argued to have five dimensions (Nielsen et al., 2017): increasing challenging demands, decreasing social demands, increasing social job resources, increasing quantitative demands and decreasing hindrance demands. The purpose of this study aimed to investigate the psychometric properties and construct validity of the five-factor model of job crafting, introduced by using a sample of Jordanian university employees. Design/methodology/approach A pre-determined survey on was used. Accordingly, 513 professional workers in several universities completed the survey. Cronbach’s alpha was used to assess the internal consistency of the scale, whereas series of confirmatory factor (CFA) analysis and exploratory factor analysis (EFA) were conducted to assess the scale’s factorial and discriminant validity. Other tests were also conducted. Findings As predicted, the proposed model best fit the data. Statistical analysis yielded several findings. First, the results of the reliability test revealed that the five sub-scales of job crafting had significant and sufficiently strong internal consistencies. Second, the results showed that the 15 items loaded significantly with a factor loadings more than 0.50. Third, the CFA results confirmed that the five-factor model best fitted the data in comparison to the one-factor model. Finally, the construct validity of JCRQ-15 was confirmed through its correlation with several validating variables. Research limitations/implications Some limitations need to be addressed. First, the sample came from participants working in specific Jordanian universities which may limit the generalization that could be made from the results to other occupations. Second, due to the cross-sectional design of the present study, the question remains whether the JCRQ-15 are stable overtime. Third, the common methods bias might be a problem because it is one of the main sources of measurement error in validation studies using self-reported scales. Originality/value The present study provided an early supportive evidence for the use of the JCRQ-15 as a valid measure of job crafting in the Jordanian context.


2020 ◽  
Author(s):  
Elliza Mansor ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli

BACKGROUND Globally, there is an increasing prevalence of excessive screen time exposure among young children, including Malaysia. Parents are advised to limit this exposure but there are barriers for many of them to follow this recommendation. To date, there is a lack of studies on the factors that cause these parental barriers. OBJECTIVE This study aimed to determine the parental barrier towards the reduction of excessive child’s screen time and its predictors among parents of children under five years old in Petaling District, Selangor. METHODS A cross-sectional study was conducted from April 2019 to June 2020 among 789 parent-child dyads attending child health clinics in Petaling District, Selangor. Validated self-administered questionnaires were used to capture information on sociodemographic factors, parental influences, child-related factors, environmental factors, and parental barriers. Stratified sampling with probability proportionate to size was employed. Data were analysed with IBM SPSS version 25. Descriptive analysis and bivariate analysis were performed before multiple linear regression was used to identify the predictors of parental barriers. RESULTS The overall mean score of parental barriers was 3.51 ± 0.83, indicating that the average numbers of barriers experienced by parents were more than three. The multivariate analysis showed that the predictors of parental barriers included monthly household income (adjusted β: -0.031, 95% CI: -0.048 to -0.015), parents who worked in public sectors (adjusted β: 0.178, 95% CI: 0.063 to 0.292), positive parental attitude on screens (adjusted β: 0.684, 95% CI: 0.576 to 0.793), parents’ low self-efficacy to influence child’s physical activity (adjusted β: -0.318, 95% CI: -0.432 to -0.204), and child’s screen time (adjusted β: 0.042, 95% CI: 0.024 to 0.061). CONCLUSIONS The strongest predictor of the parental barriers to reduce excessive child’s screen time was the positive parental attitude on screen time. Thus, future intervention strategies should aim to foster correct parental attitudes towards screen time activities among young children.


2021 ◽  
Vol 12 ◽  
Author(s):  
Mikkel Magnus Thørrisen ◽  
Talieh Sadeghi ◽  
Jannecke Wiers-Jenssen

Background: The Ten-Item Personality Inventory (TIPI) is a validated brief instrument measuring the five-factor model (FFM) personality dimensions, developed for instances where more comprehensive FFM instruments are impractical to use. The TIPI has been translated into several languages, but psychometric properties of the Norwegian version (N-TIPI) have not been systematically explored.Objectives: This study aimed to explore the psychometric properties of the N-TIPI, in terms of internal consistency and structural validity.Methods: In a cross-sectional study, responses on the N-TIPI were collected from 5,009 Norwegian master graduates. Descriptive statistics for the subscales and correlations between subscales were calculated. Internal consistency was assessed with inter-item correlations, Cronbach’s α and Spearman-Brown coefficients. Structural validity was explored with principal component analysis, parallel analysis, and visual scree plot inspection. Results for the N-TIPI were compared with those previously reported for the original TIPI as well as the German, French, Spanish, and Portuguese versions.Results: Compared with the original and non-English versions of TIPI, results for N-TIPI showed comparable subscale rank order of means, standard deviations, and pattern of correlations between subscales, as well as inter-item correlations and Cronbach’s α. The 10 N-TIPI items were adequately reduced to five components, theoretically corresponding with the FFM personality domains.Conclusion: The N-TIPI demonstrated acceptable internal consistency and satisfactory structural validity. Although further research is warranted, the instrument stands out as feasible when it is essential to minimize participants’ response burden in studies that aim to explore personality as one among several concepts or utilize personality traits as covariates.


Author(s):  
Nighat Murad ◽  
Syed Moyn Aly ◽  
Admin

Abstract Objective: Objective of the present study was to identify and describe the quality assurance procedures being implemented in assessment system of medical colleges in Pakistan. Methods: A cross-sectional study was conducted from March 2015 to December 2017 in 49 medical colleges of Pakistan, using mixed method technique. A semi-structured questionnaire was filled after informed consent. Data was analyzed by using SPSS version 21 (IBM). Results: In this study, 35(71.4%) of institutions followed a written assessment policy provided by the affiliated university, 09 (18%) never did so, 22 (44.8 %) participants reported that content experts checked if the questions matched the objectives, 17 (34.7%) reported that content expert would never/rarely check that. Majority, 42(85.7%) of institutions took strict steps to prevent cheating in exam, 26 (53.1%) institutions analyzed theory exam statistically. Discrimination index, difficulty index, reliability, and point biserial were calculated in 14(28.6%), 13(26.5%), 12(24.4%), and 7(14.3%) of the medical colleges respectively. Only 12(24.5%) of the institutions provided written feedback on the results, 15 (30.6%) institutions conducted internal audit annually. Themes belonging to assessment domain including, training for assessment, barriers and challenges, feedback and audit were identified. Conclusion: General issues related to quality assurance procedures in assessments (e.g. overall awareness about assessment policy) were in place in 60% of the colleges however, a large proportion did not have them. QA in assessments during exams was ensured by almost all medical colleges with only few exceptions. After exams QA was below average in terms of item analysis and feedback. Continuous...


2019 ◽  
Vol 21 (4) ◽  
pp. 487-493 ◽  
Author(s):  
Phanida Juntasopeepun ◽  
Sue Turale ◽  
Haruka Kawabata ◽  
Hunsa Thientong ◽  
Yuko Uesugi ◽  
...  

Author(s):  
Vesna Konjevoda ◽  
Marko Zelić ◽  
Radenka Munjas Samarin ◽  
Davorina Petek

The aim of this study was to validate City of Hope Quality of Life-Ostomy Questionnaire (CoH-QoL-OQ) for assessing the quality of life (QoL) of ostomy patients in the Republic of Croatia. The CoH-QoL-OQ is widely used, but has not been translated or validated so it can be used in the Republic of Croatia. This cross-sectional study encompassed 302 surgery patients with colostomy, ileostomy, or urostomy (182 (60.3%) male and 120 (39.7%) female), whose average age is 59 (M = 59.3, SD = 15.8). The CoH-QoL-OQ was translated into Croatian language using accepted guidelines for translation. Patients were recruited in a telephone conversation, followed by mail containing the CoH-QoL–OQ delivered to the home addresses of the patients who agreed to participate. The collected data were analyzed to verify psychometric properties of the questionnaire on the Croatian sample. All subscales showed high level of internal consistency (Cronbach α = 0.73–0.89). The test-retest reliability indicated a very satisfactory temporal stability (r = 0.99). The Confirmatory Factor Analysis (CFA), showed that the originally established model was not adequate for the data (χ2 = 4237.88, p < 0.01, CFI = 0.540, NNFI = 0.481, RMSEA = 0.113). However, after modification that excluded problematic items, the data showed a better fit with the theoretical model (except for the LR chi-square test that remained statistically significant: χ2 = 1144.28, p < 0.01, CFI = 0.869, NNFI = 0.855 RMSEA = 0.077). We conclude that the CoH-QoL-OQ is a valid, reliable, and reducible instrument for measuring the health-related quality of life (HRQoL) among Croatian patients with ostomy in clinical research and clinical practice.


2019 ◽  
Vol 8 (1) ◽  
pp. 11-16
Author(s):  
S Paudyal ◽  
SP Ojha ◽  
P Tulachan ◽  
S Dhungana ◽  
R Kafle

Introduction: Suicide is an important, largely preventable public health problem. The occurrence of suicide and suicidal behavior has been increasing dramatically. There is a growing recognition that the personality traits is important risk factor for intentional self-harm (suicide/ purposely self-inflicted poisoning or injury). This study was done to assess the personality traits in patients presenting with intentional self-harm and relationship of intent of the self-harm with personality traits. Material And Method: A cross sectional study was conducted in patients presenting with Intentional self-harm to tertiary hospital emergency department. Patients who met inclusion criteria and gave consent during six months period were included, Socio demographic information and detailed history was taken. The suicide intent scale and five factor model rating form were administered to the patients. Results: Most patients who presented with intentional self –harm scored median score of 4 (high) in anger hostility, self-consciousness, impulsivity and altruism traits while in other traits they scored neutral score, which concluded that patients who presented with intentional self–harm were more bitter, short-tempered, timid, impulsive and sacrificial. The study showed that the relation of certain traits as anxiousness, impulsivity, vulnerability, gregariousness, ideas, trust, straightforwardness, altruism, competence, order and SIS grading was statistically significant (p=<0.05). Conclusion: Our findings suggest that patients who presented with intentional self–harm were more bitter, short–tempered, timid, impulsive and sacrificial. Further patients who committed intentional self harm with low intent were more impulsive, vulnerable, outgoing, haphazard and sloppy as compared to those who committed with high intent who were rather more anxious and sacrificial.


Author(s):  
Craig Hassed ◽  
Andrew Flighty ◽  
Richard Chambers ◽  
Dominic Hosemans ◽  
Neil Bailey ◽  
...  

Abstract Background Mindfulness-based meditation practice (MBP) can be assessed in terms of time spent (quantity) or skill acquisition (quality), but these components have rarely been delineated in adherence measures. Individuals may also engage in MBP through everyday life (informal practice) and dedicate specific time for MBP (formal practice). Method The Mindfulness Adherence Questionnaire, a scale designed to assess quantity and quality of formal and informal MBP was evaluated. Study 1 used a cross-sectional design to examine internal reliability and construct validity (N = 282). Study 2 examined test–retest reliability and sensitivity (N = 55) during a 4-week mindfulness intervention. Results A nested-factor model showed adequate fit: MAQ items loaded on both the general factor (Practice) and specific factors (Formal and Informal). Discriminant validity analyses revealed the MAQ captured MBP adherence distinct from trait mindfulness. Quality of both formal and informal mindfulness practice was more strongly associated with higher levels of trait mindfulness than quantity. Changes in MAQ Quantity scores were observed over time. Conclusions The MAQ is reliable and has a meaningful scale structure, may usefully distinguish both quality versus quantity and formal versus informal MBP, and is sensitive to variations in MBP and does not solely measure trait mindfulness.


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