scholarly journals The Validity and Reliability of the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET)

Author(s):  
Paul Thisayakorn ◽  
Yanin Thipakorn ◽  
Gompol Suwanpimolkul ◽  
Tippamas Taechawiwat ◽  
Jirada Prasartpornsirichoke ◽  
...  

Background: The cumulative number of patients during the COVID-19 pandemic led to a significant shortage of hospital beds. Many patients may not require hospitalization and can be clinically observed in home settings. However, some psychosocial factors are correlated with unsuccessful home isolation (HI), which might negatively affect the transmission control in the community. Therefore, we developed a new psychosocial screening tool (CCPHIET) for assessing HI suitability and examined its validity and reliability.Methods: This cross-sectional descriptive study included COVID-19 patients who were deemed to be medically safe for 14 days of HI. The CCPHIET is comprised of 8 clinical domains pertinent to HI behavioral compliance and risk. We explored its statistical validity and reliability and discussed the potential utility of this tool. Results: A total of 65 COVID-19 patients participated in this study. Most patients (58.5%) were evaluated as good candidates for HI. The CCPHIET has an acceptable content validity (IOC index > 0.5), moderate internal consistency (Cronbach’s alpha = 0.611) and substantial to excellent inter-rater reliability (Intraclass correlation coefficient = 0.944, Cohen’s kappa= 0.627).Conclusions: To compromise between strict and costly absolute institutional quarantine and the potentially unsuccessful absolute HI, the CCPHIET may help to identify good candidates for HI in mild and asymptomatic COVID-19 patients. This psychosocial information would support the physicians in matching each patient to the most suitable setting. Therefore, safe medical care is provided, unnecessary use of medical resources is spared, and local transmission is contained.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

Abstract Background The rate at which mothers experience a cesarean section in the absence of medical signs is growing worldwide. Women’s beliefs and intentions play an essential role in the request or choice of a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women’s beliefs about cesarean section in the Iranian population. This study was performed to develop and assess the validity and reliability of the intention-based cesarean section scale using the theory of reasoned action (TRA) constructs as a theoretical framework for measuring intention toward the selection of a delivery method. Methods In this cross-sectional validation study, 480 pregnant women were recruited from Sari, in northern Iran, through a multistage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and the intraclass correlation coefficient (ICC). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group. Results The results obtained from the factor analysis showed that the data were fit to the model (χ2 = 2298.389, P < 0.001). The TRA comprised 24 items assessing five domains, which described 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from 0.609 to 0.843, and the ICC value ranged from 0.71 to 0.84, which is within the satisfactory range. The IR-TBICS scale had no floor or ceiling effect on the total score or any of the dimensions. Conclusions The belief-based cesarean section scale appears to be a reliable instrument. It is considered suitable and can be applied in other research in Iran.


2019 ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

Abstract Background: The rate of mothers experiencing a cesarean section in the absence of medical signs is growing in the world. Women beliefs and intentions have an essential role in the request or choosing a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women' beliefs about cesarean section in the Iranian population. This study performed to develop and assess the validity and reliability of the belief-based cesarean section scale using the theory of reason action (TRA) constructs as a theoretical framework for measuring intention toward delivery method selection. Methods: In this cross-sectional validation study, 480 pregnant women were recruited of Sari, north of Iran, through a multi-stage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and intraclass correlation coefficient (ICC). Results: Results obtained from factor analysis showed that the data were fit to the model (χ2= 2298.389, P<0.001) and TRA consisted of 24 items assessing five domains which describing 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from .609 to .843, and the ICC value ranged from .71 to .84, which is within satisfactory ranges. Conclusion: The belief-based cesarean section scale is a reliable instrument and now is suitable and appropriate and can be applied in other researches. Keywords: Cesarean section, Intention, Scale development, Psychometrics, Pregnant women


2021 ◽  
Vol 6 (3) ◽  
pp. 19
Author(s):  
Aric Vranada ◽  
Chiou-Fen Lin ◽  
Chia-Jung Hsieh ◽  
Tsae-Jyy Wang

Background: Nursing shortages are a significant problem experienced by medical institutions worldwide as well as Indonesia. Understanding nurses’ work environment is a proper strategy for enhancing the retention and overcoming shortages of nurses. The Quality Nursing Work Environment (QNWE) is a well-known tool that has been commonly used to evaluate the working atmosphere of nurses. However, the availability and validated version of the instrument for hospital nurses in Indonesia is not confirmed.Purpose: This study aims to confirm the psychometric evaluation of the Indonesian version of QNWE instruments in hospital settings.Methods: A cross-sectional study design and psychometric analyses were administered. The 65-item, eight-domain questionnaire was translated, adapted, and face-validated using content validity index (CVI) analysis. The construct validity and internal consistency of the translated version were tested using confirmatory factor analysis (CFA) and Cronbach's Alpha to 334 hospital nurses. The intraclass correlation coefficient (ICC) was employed to determine test-retest and interrater reliability analysis to 33 nurses and 10 ratters in the pilot testing.Results: The CVI of the QNWE-I scale ranged from 0.86 to 1.00. The CFA determined an adequate model fit of the instrument. As to overall reliability, test-retest reliability of 0.90, ICC analysis of 0.82, and Cronbach's alpha of 0.96; was confirmed.Conclusions: The psychometric evaluation of the QNWE-I showed excellent acceptability, validity, and reliability. Therefore, the QNWE-I can serve as a comprehensive instrument for assessing the quality of nurses' work environments in Indonesia.


2021 ◽  
Vol 27 (1) ◽  
pp. 146045822097546
Author(s):  
Maria Cellina Wijaya ◽  
Yudhistira Pradnyan Kloping

Nowadays, it is common for people to look for health care information on the internet. The eHealth Literacy Scale (eHEALS) is commonly used to measure eHealth literacy. As of the publication of this study, the Indonesian version for eHEALS has not been published even though eHealth literacy is necessary, especially in the current COVID-19 pandemic. We aimed to evaluate the validity and reliability of the Indonesian version of eHEALS (I-eHEALS). A total of 100 respondents in East Java were involved in this cross-sectional study. Pearson-product moment correlation method and construct validity were used to validate the results. The reliability was determined based on the Cronbach’s alpha internal consistency measurement and intraclass correlation coefficient (ICC). The Pearson correlation analysis results are significantly higher ( r > 0.254, p < 0.01) compared to the critical value table. Single factors accounting for 57.66% variance in the scales exhibit a unidimensional latent structure. The internal consistency between items is excellent as shown by the Cronbach’s alpha coefficient (0.91). The ICC analysis shows an acceptable result (0.552, p < 0.01). The I-eHEALS is valid and reliable to be used for evaluating the eHealth literacy of the Indonesian population.


2021 ◽  
Vol 5 (2) ◽  
pp. 104-109
Author(s):  
Durotun Nafisah ◽  
Laura Khattrine ◽  
Siti Juwariyah

The large number of patients affected by Covid-19 not only causes physical symptoms and diseases, but also has a major impact on mental health with government policies in the form of physical distancing and large scale social restrictions (PSBB) to deal with Covid-19 emotional, depressed to experience stres. Emotion regulation is ability to control and adjust the emotion that appears at the right level of intensity to actieve a goal. Mental health is an important dimensions of life, because of it, life will walk with well and seasonable. Emotion changes that occus at adolescence have big influencein teenagers life. This research has done in Glonggong village RW 002. This research is quantitative that uses cross sectional with apply in inclusion and exclusion criteria. Independent variable in this research is emotion regulation even the dependent variable is health mental level of teenagers. Then for questionnaire has done validity and reliability test. For validity test uses technic of person product moment in valid item if r score count >table r (0,0361) or score sig <5% and reliability test in this research uses cronbach alpha from the result that avolded cronbach alpha score of 0,784, because of the score bigger than >0,6 so we can conclude that questionnaire for variable of emotion regulation is reliable or consistent of using in the research. The result of research shows variable of emotion regulation to health mental level of teenagers in pandemic period of covid-19, emotion regulation to health mental level of teenagers is p value (0,018<0,05). The summary of this research is there is relation between emotion regulation to health mental level of teenagers in pandemic period of covid-19. From this research, we hpe the teenagers can give the knowledge about emotion regulation and the health mental level of teenagers will be better and the teenagers can control their emotion in order they donˈt have mental health.   Keywords: Pandemic Of Covid-19, Teenagers, Emotion Regulation, Health Mental Level  


2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0034
Author(s):  
Anthony A. Pollizzi ◽  
Mollie K. Mansfield ◽  
Joseph G. Monir ◽  
Christopher W. Reb

Category: Ankle Introduction/Purpose: When necessary, surgical treatment of ankle syndesmosis disruption typically yields excellent functional outcomes. That is, when the syndesmosis is correctly reduced. However, accurate reduction of the ankle syndesmosis is difficult to achieve reproducibly. A clinically important step would be to translate the precision of a computed tomography (CT)-based technique for syndesmosis reduction accuracy assessment into a validated clinical approach. Reb et al. previously demonstrated the clinical feasibility of translating the CT tibiofibular line (CT-TFL) to a clinical technique. However, this study raised questions regarding several potentially significant confounding effects. These included the effects of fibula morphology. The present study evaluated the validity and reliability of the CT-TFL technique, particularly with regard to variations in fibula morphology. Methods: An IRB approved, retrospective cross sectional study of consecutive foot and ankle CT scans obtained for non-ankle complaints and without radiographic evidence of ankle injury or prior surgery. 3 trained observers repeatedly performed measurements on the 52 patients meeting criteria. Anterolateral fibula shape was categorized in the axial plane 10 mm superior to the plafond. The CT-TFL was drawn contacting the longest section of straight anterolateral cortical surface of fibula with this length recorded. The CT-TFL distance measurement was made connecting the CT-TFL to the closest point of tibial surface (Figure 1). Means, standard deviations, and 95% confidence intervals were calculated for continuous variables and frequencies were calculated for categorical variables. Intraobserver and interobserver consistency were assessed using intraclass correlation for continuous variables and Fleiss’ kappa for categorical variables. The optimal range of straight anterolateral fibula cortical length was determined by plotting CT-TFL contact length versus observer consistency of CT-TFL distances. Results: Mean fibula cortical contact length ranged from 3.74 mm (95% CI 3.24 to 4.24 mm) to 11.45 mm (95% CI 11.21 to 11.69mm). Mean TFL distance ranged from -2.83 mm (95% CI -3.65 to -2.00) to 5.03 mm (95% CI 4.48 to 5.57 mm). Intraobserver and interobserver consistencies were excellent (minimum ICC, 0.87) for these measurements. For fibula shape categorization, intraobserver consistency ranged from substantial to almost perfect (Fleiss’ Kappa range, 0.73 to 0.97). However, interobserver consistency was moderate (Fleiss’ Kappa, 0.55). 6 mm to 10 mm of fibula contact length corresponded to a minimum of excellent observer consistency for CT-TFL distance (ICC 0.80 to 0.98). Conclusion: The study refines and expands upon the initial description of the CT-TFL technique. Among uninjured syndesmoses, a broader range of CT-TFL values were observed than previously reported, including negative values of which some were relatively large. Instead of fibula shape, anterolateral fibula cortical contact length was more useful in discerning which subjects were best suited for this technique. Excellent observer consistency occurred when 6 mm to 10 mm of fibula contact length was present. These results support the validity of the TFL technique and further characterize its role in the clinical setting.


2014 ◽  
Vol 94 (6) ◽  
pp. 866-874 ◽  
Author(s):  
Judit Takacs ◽  
S. Jayne Garland ◽  
Mark G. Carpenter ◽  
Michael A. Hunt

Background There is a high incidence of falls in older adults with knee osteoarthritis (OA). Adequate dynamic balance and mobility reduce the risk of falls; however, there are currently no validated, advanced tests of dynamic balance and mobility for individuals with knee OA. Objective The purpose of this study was to determine the convergent validity, known-groups validity, and test-retest reliability of a dynamic test of balance and mobility, the Community Balance and Mobility Scale (CB&M), in a knee OA population. Design A cross-sectional design was used. Methods Twenty-five individuals aged 50 years and older with medial knee OA and an equal number of healthy controls completed the CB&M and other tests of balance and mobility, including the Berg Balance Scale, the Timed “Up & Go” Test, a test of maximal single-leg stance time, and the 10-Meter Walk Test (self-selected and fast walking speed). Convergent validity of balance tests with the CB&M was assessed using Pearson product moment correlation coefficients, and known-groups validity was assessed using independent t tests. Test-retest reliability of the CB&M was assessed using intraclass correlation coefficients (ICCs) and standard error of measurement (SEM). Results Scores on the CB&M were significantly correlated with all measures of balance and mobility for those with knee OA. There were significant differences in CB&M scores between groups. Scores on the CB&M were highly reliable in people with knee OA (ICC=.95, 95% confidence interval [95% CI]=0.70 to 0.99; SEM=3, 95% CI=2.68 to 4.67). Limitations Few participants had severe knee OA. Conclusions The CB&M displayed moderate convergent validity, excellent known-groups validity, and high test-retest reliability. The CB&M can be used as a valid and reliable tool to assess dynamic balance and mobility deficits in people with knee OA.


RMD Open ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. e001539
Author(s):  
Catia Duarte ◽  
Eduardo José Ferreira Santos ◽  
Ricardo J O Ferreira ◽  
Tore K Kvien ◽  
Maxime Dougados ◽  
...  

ObjectiveThe rheumatoid arthritis impact of disease (RAID) questionnaire comprises seven patient-important domains of disease impact (pain, function, fatigue, sleep disturbance, emotional well-being, physical well-being, coping). RAID was validated as a pooled-weighted score. Its seven individual items separately could provide a valuable tool in clinical practice to guide interventions targeting the patient’s experience of the disease. The aim was to separately assess the psychometric properties of each of the seven numeric rating scale (NRS) of the RAID (RAID.7).Material and methodsPost hoc analyses of data from the cross-sectional RAID study and from the Rainbow study, an open-label 12-week trial of etanercept in patients with RA. Construct validity of each NRS was assessed cross-sectionally in the RAID data set by Spearman’s correlation with the respective external instrument of reference. Using the rainbow data set, we assessed reliability through intraclass correlation coefficient between the screening and the baseline visits and responsiveness (sensitivity to change) by standardised response mean between baseline and 12 weeks.ResultsA total of 671 patients with RA with features of established disease were analysed, 563 and 108 from RAID and Rainbow, respectively. The NRS correlated moderately to strongly with the respective external instrument of reference (r=0.62–0.81). Reliability ranged from 0.64 (0.51–0.74) (pain) to 0.83 (0.76–0.88) (sleep disturbance) and responsiveness from 0.93 (0.73–1.13) (sleep disturbance) to 1.34 (1.01–1.64) (pain).ConclusionThe separate use of the individual NRS of RAID (RAID.7) is valid, feasible, reliable and sensitive to change, representing an opportunity to improve the assessment and treatment of disease impact with minimal questionnaire burden.Trial registration numberNCT00768053.


10.2196/14641 ◽  
2019 ◽  
Vol 7 (11) ◽  
pp. e14641
Author(s):  
Victor Coswig ◽  
Jader Sant' Ana ◽  
Maicon Nascimento Coelho ◽  
Antonio Renato Pereira Moro ◽  
Fernando Diefenthaeler

Background TReaction is a mobile app developed to determine strike response time at low cost and with easy application in combat sports. However, the validity and accuracy of the response time obtained by the TReaction app has not yet been evaluated. Objective This study aimed to test the validity and reliability of the TReaction app in measuring motor response time in combat sports. Methods A total of two athletes performed 59 strikes to assess the response time upon visual stimulus using the TReaction app simultaneously with a high-speed camera. Accuracy of the measure was verified using a computer simulator programmed to discharge visual stimuli and obtain the response time. Pearson correlation, Student t test for dependent samples, and the Bland-Altman analysis were performed. Accuracy was verified using the intraclass correlation coefficient. Effect size (g) and the typical error of measurement (TEM) were calculated. The significance level was set at P<.05. Results No significant difference (P=.56) was found between both systems. The methods presented a very strong correlation (r=0.993). The magnitude of differences was trivial (g<0.25), and TEM was 1.4%. These findings indicate a high accuracy between the computer screen and the mobile app measures to determine the beginning of the task and the response time. Conclusions Our findings suggest that the TReaction app is a valid tool to evaluate the response time in combat sports athletes.


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