The Person-Centered Care Assessment Tool (P-CAT) in Nursing Home: Psychometric Evaluation of the Italian Version

2020 ◽  
pp. JNM-D-18-00090
Author(s):  
Martina Debiasi ◽  
Alessandra Zenere ◽  
Marianna Baggia ◽  
Maria Elisabetta Zanolin ◽  
Anna Brugnolli

Background:The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice.Aim:This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy.Methods:Internal consistency and reliability were examined using the Cronbach’s alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test–retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA.Results:The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach’s alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87.Conclusion:Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach’s alpha ≥ .70). Test–retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Anggi Setyowati ◽  
Min-Huey Chung ◽  
Ah. Yusuf ◽  
Setya Haksama

Background: Curiosity is a personality characteristic, which fits with wellbeing and positive functioning. The objective of this study was to assess the construct validity of the Curiosity and Exploration Inventory II (CEI-II) in Indonesia.Design and Methods: The study included 256 undergraduate students who lived in Indonesia, mean age 19.8 years old. The CEI-II measures stretching and embracing using 11 items. The English version of CEI-II was translated into Bahasa. The Cronbach’s alpha coefficient and intraclass correlation coefficient (ICC) were addressed to examine internal consistency reliability and the test-retest reliability. To evaluate construct validity, exploratory factor analysis (EFA) was used to assess factor structure and confirmatory factor analysis (CFA) was used to evaluate the structural model fit of the CEI-II Indonesia version.Results: The study showed Cronbach’s alpha for the internal consistency of the overall CEI-II Indonesia version was 0.77. The ICC for the test-retest reliability ranged between 0.753-0.829. EFA showed adequate with the Kaiser-Meyer-Olkin value of 0.86 and the Bartlett’s test of sphericity was statistically significant. CFA tested the second-order model with two-order factors and showed a model fit.Conclusions: The CEI-II Indonesia version indicated acceptable construct validity to evaluate curiosity in Indonesia.


2011 ◽  
Vol 24 (3) ◽  
pp. 406-415 ◽  
Author(s):  
Karin Sjögren ◽  
Marie Lindkvist ◽  
Per-Olof Sandman ◽  
Karin Zingmark ◽  
David Edvardsson

ABSTRACTBackground: Person-centered care is a multidimensional concept describing good care, especially within aged care and care for people with dementia. Research studies evaluating person-centered care interventions seldom use direct measurement of levels of person-centeredness. Existing scales that measure person-centeredness need further testing. This study evaluated the psychometric properties of the Swedish version of the Person-Centered Care Assessment Tool (P-CAT).Methods: A cross-sectional sample of 1465 staff from 195 residential care units for older people in Sweden participated in the study. Validity, reliability, and discrimination ability of the scale were evaluated.Results: Confirmatory factor analysis, parallel analysis and exploratory factor analysis supported the construct validity of a two-factor solution. Reliability and homogeneity were satisfactory for the whole P-CAT as demonstrated by a Cronbach's α of 0.75. Test-retest reliability showed temporal stability of the scale, and the discrimination ability of the scale was satisfactory.Conclusion: The Swedish version of the P-CAT was found to be valid, reliable, and applicable for further use. Two subscales are recommended for the Swedish version.


Author(s):  
Achim Siegel ◽  
Anna T. Ehmann ◽  
Ingo Meyer ◽  
Oliver Gröne ◽  
Wilhelm Niebling ◽  
...  

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.


2020 ◽  
Author(s):  
Laura Elizabeth Bedford ◽  
Maegan Hon Yan Yeung ◽  
Chi Ho Au ◽  
Emily Tsui Yee Tse ◽  
Wing Yee Yim ◽  
...  

Abstract Background Patient enablement is a core tenet of patient-centred and holistic primary care. The Patient Enablement Instrument (PEI) is a transitional measure limited in its ability to measure changes over time. A modified version, PEI-2, has been developed to measure enablement at a given time-point without comparison to a recalled baseline. Objective To assess the validity, reliability, sensitivity and responsiveness of PEI-2. Methods PEI-2 was modified from the Chinese PEI to assess enablement over 4 weeks in a prospective cohort study nested within a community support programme [Trekkers Family Enhancement Scheme (TFES)] in Hong Kong. Construct validity was assessed by factor analysis and convergent validity by Spearman’s correlations with health-related quality of life and depressive symptoms. Internal reliability was assessed using Cronbach’s alpha. Test–retest reliability was assessed by intraclass correlation (ICC), responsiveness by 12–24-month change in PEI-2 score and sensitivity by differences in change of PEI-2 score between TFES participants and a control group. Results PEI-2 demonstrated construct validity with all items loading on one factor (factor loadings >0.7). Convergent validity was confirmed by significant correlations with 12-item Short Form Questionnaire, version 2 (r = 0.1089–0.1919) and Patient Health Questionnaire-9 (r = −0.2030). Internal reliability was high (Cronbach’s alpha = 0.9095) and test–retest reliability moderate (ICC = 0.520, P = 0.506). Significant improvements in PEI-2 scores among the TFES group suggested good responsiveness (P < 0.001). The difference in change of PEI-2 scores between TFES and control was significant (P = 0.008), indicating good sensitivity. Conclusions This study supports the validity, reliability, sensitivity and responsiveness of PEI-2 in measuring changes in enablement, making it a promising tool for evaluating enablement in cohort and intervention studies.


2015 ◽  
Vol 20 (5) ◽  
pp. 550-558 ◽  
Author(s):  
Teresa Martínez ◽  
Javier Suárez-Álvarez ◽  
Javier Yanguas ◽  
José Muñiz

2005 ◽  
Vol 16 (08) ◽  
pp. 585-595 ◽  
Author(s):  
Melissa N. Ruscetta ◽  
Catherine V. Palmer ◽  
John D. Durrant ◽  
Judith Grayhack ◽  
Carey Ryan

Psychometric evaluations were performed on a self-perceived localization disabilities and handicaps questionnaire. Twenty individuals with normal hearing bilaterally, twenty with profound unilateral hearing impairment (UHI), and ten with any degree of bilateral hearing impairment participated. Each subject completed the questionnaire. Comparisons of the responses of the subjects with normal hearing and those with UHI revealed significant differences among the groups for both disabilities and handicaps, establishing construct validity. Cronbach's Alpha correlational analyses of the responses of all subjects with hearing impairment revealed correlations of .900 (disabilities) and .800 (handicaps), establishing internal consistency. Each participant with hearing impairment was asked to complete the questionnaire again after three weeks. Pearson's correlational analyses of the responses at time one versus time two revealed correlations of .900 (disabilities) and .700 (handicaps), establishing test/retest reliability. This questionnaire is an appropriate tool for investigating the self-perceived localization disabilities and handicaps of individuals with hearing impairment.


2016 ◽  
Vol 23 (4) ◽  
pp. 16-26 ◽  
Author(s):  
Gururaghavendran Rajesh ◽  
Monica Eriksson ◽  
Keshava Pai ◽  
S Seemanthini ◽  
Dilip G. Naik ◽  
...  

Background: The importance of salutogenesis, with the focus of what creates health rather than what causes diseases, has been highlighted for a long time. This has been operationalized by Aaron Antonovsky as the Sense of Coherence (SOC-13) scale. The aim of this study was to further examine the psychometric properties of the SOC-13 in India. Methods: The present study was carried out among second-year degree students at three randomly chosen institutions at Mangalore University. Investigators assessed the appropriateness, relevance, comprehensiveness and understandability of the scale. Further, the scale was assessed by five subject experts. The SOC-13 was then pretested by administering it to peers, individuals and a few of the study subjects. Internal consistency was assessed by Cronbach’s alpha and split-half reliability. Test-retest reliability was assessed by administering the instrument to the same study participants after two weeks. Confirmatory factor analysis employing varimax rotation was employed. Results: The SOC-13 revealed a Cronbach’s alpha value of 0.76. Split-half reliability and Guttman split-half reliability were found to be 0.71 and 0.70, respectively. Test-retest reliability was found to be 0.71 ( p < 0.01). Factor analysis revealed a three-factor solution explaining 40.53% of the variation in SOC. Conclusions: SOC-13 was found to be a reliable and valid instrument for measuring SOC in an Indian context. The present study contributes to health promotion in an Indian context, and could be useful even in other developing countries and for further research in India.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Thanigasalam Thevi ◽  
Adinegara Lutfi Abas ◽  
Chang Stephanie Yen Li

Abstract Background We conducted the study to compare the psychometric properties of the English version of the Questionnaire and the Bahasa Malaysia (Malay Language) version regarding the vision-related Quality of Life of patients with cataracts. Methods The Malay version was translated by two independent translators who were well versed in both languages. We carried out a cross-sectional study collecting data between June 2017 and March 2018 in the pre-operative Eye Clinic of Hospital Melaka with 224 respondents (mean age 66.8 years) and another 204 respondents (mean age 64.3 years) participating in the English version and Malay version of the Questionnaire respectively. Methods used to validate the standard questionnaire included the use of construct validity via factor analysis and the deployment of reliability test through assessment of internal consistency via Cronbach’s alpha. Results We observed both English and Bahasa Malaysia versions to have high reliability with Cronbach’s alpha values of 0.90 and above in factors on difficulty with activities and responses to vision problems. Exploratory factor analysis performed revealed that the three-factor model fits the data well for the English version of the questionnaire - difficulty with activities (23.81 % of variance), responses to vision problem (22.22 % of variance) and general health and vision (14.68 % of variance). The Bahasa Malaysia version of the questionnaire produced three factors with two of the factors resembling the factors from the original version of the questionnaire - difficulty with activities (24.3 % of variance) and responses to vision problem (23.7 % of variance). Item response theory analysis revealed that these factors for both English and Bahasa Malaysia versions comprised of adequately fitted items. Conclusion The present study observed that both the English and Bahasa Malaysia versions of the NEI VFQ-25 have comparable construct validity to the original American version. With high validity and reliability, the tool shall be able to provide health care providers the assessment of impact due to cataract and other ophthalmic conditions on the vision-related quality of life of ophthalmic patients.


2020 ◽  
Author(s):  
Adinegara Lutfi Abas ◽  
Thanigasalam Thevi ◽  
Stephanie Yen Li Chang

Abstract Purpose: We conducted the study to compare the validation properties of the English version of the Questionnaire and the Bahasa Malaysia (Malay Language) version regarding the Quality of Life of patients with cataracts.Methods: We carried out a cross-sectional study collecting data between June 2017 and March 2018 in the pre-operative Eye Clinic of Hospital Melaka.The Malay version was translated by two independent translators who were well versed in both languages. Methods used to validate the standard questionnaire included the use of construct validity via factor analysis and the deployment of reliability test through assessment of internal consistency via Cronbach’s alpha. Results: We observed both English and Bahasa Malaysia versions to have high reliability with Cronbach’s alpha values of 0.90 and above in factors on difficulty with activities and responses to vision problems.Exploratory factor analysis performed revealed that the three-factor model fits the data well for the English version of the questionnaire - difficulty with activities (23.81% of variance), responses to vision problem (22.22% of variance) and general health and vision (14.68% of variance). The Bahasa Malaysia version of the questionnaire produced three factors with two of the factors resembling the factors from the original version of the questionnaire - difficulty with activities (24.28% of variance) and responses to vision problem (23.66% of variance). Conclusion: The present study observed that both the English and Bahasa Malaysia versions of the NEI VFQ-25 have comparable construct validity to the original American version. With high validity and reliability, the tool shall be able to provide health care providers the assessment of impact due to cataract and other ophthalmic conditions on the vision-related quality of life of ophthalmic patients.


Medwave ◽  
2021 ◽  
Vol 21 (07) ◽  
pp. e8434-e8434
Author(s):  
Jhony de la Cruz Vargas ◽  
Daniel Orejón ◽  
Luis Roldan ◽  
Lucy Correa-López ◽  
Alonso Soto

Introduction It is required to have validated instruments in health science students that identify unhealthy habits and assess the impact of educational interventions and programs aimed at promoting a healthy lifestyle. Objective To evaluate the validity and reliability of an instrument to measure medical students' lifestyles. Methods A lifestyle questionnaire was developed using the Delphi technique by a group of experts. The final questionnaire was applied to 332 students of the School of Medicine of the Ricardo Palma University in 2017. A preliminary examination was carried out to assess preconditions for construct validity—including the correlation matrix, the Kaiser Meyer Olkin statistic, and the Bartlett sphericity test. Factor analysis was used for construct validity, and the possible resulting factors were extracted through the principal component analysis. Cronbach's alpha coefficient was calculated to assess the instrument reliability. Results In this study, 41.6% of participants were men with a mean age of 20 years (standard deviation = 3). The preconditions for the factor analysis were a Kaiser Meyer Olkin coefficient = 0.773 and a significant Bartlett sphericity test. For the 47 items of the final questionnaire, the factor analysis showed an explained variance of 56.7% with eigenvalues greater than one. Cronbach's alpha was 0.78. The final questionnaire could assume values between -23 to 151 points. Based on a cut point of 71 points, the prevalence of students with an unhealthy lifestyle was 73.6%. Conclusion The developed instrument has acceptable validity and reliability to measure lifestyle in medical students. For external validation, studies in other university populations are suggested.


Sign in / Sign up

Export Citation Format

Share Document