scholarly journals Validation of the care providers version of the Rainbow Model of Integrated Care-Measurement Tool in Chinese primary care systems

2020 ◽  
Author(s):  
Yixiang Huang ◽  
Paiyi Zhu ◽  
Lijin Chen ◽  
Xin Wang ◽  
Pim Valentijn
Keyword(s):  
Primary Care ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Integrated Care ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Internal Consistency Reliability ◽  
Measurement Tool ◽  
Adaptation Process ◽  
Care Systems

Abstract Background: The original Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) is based on the Rainbow Model of Integrated Care (RMIC), which provides a comprehensive theoretical framework for integrated care. To translate and adapt the original care provider version of the RMIC-MT and evaluate its psychometric properties by a pilot study in Chinese primary care systems.Methods: The translation and adaptation process were performed in four steps, forward and back-translation, experts review and pre-testing. We conducted a cross-sectional study with 1610 community care professionals in all 79 community health stations in the Nanshan district. We analyzed the distribution of responses to each item to study the psychometric sensitivity. Exploratory factor analysis with principal axis extraction method and promax rotation was used to assess the construct validity. Cronbach’s alpha was utilized to ascertain the internal consistency reliability. Lastly, confirmation factor analysis was used to evaluate the exploratory factor analysis model fit.Results: During the translation and adaptation process, all 48 items were retained with some detailed modifications. No item was found to have psychometric sensitivity problems. Six factors (person- & community-centeredness, care integration, professional integration, organizational integration, cultural competence and technical competence) with 45 items were determined by exploratory factor analysis, accounting for 61.46% of the total variance. A standard Cronbach’s alpha of 0.940 and significant correlation among all items in the scale (>0.4) showed good internal consistency reliability of the tool. And, the model passed the majority of goodness-to-fit test by confirmation factor analysis Conclusions: The results showed initial satisfactory psychometric properties for the validation of the Chinese RMIC-MT provider version. Its application in China will promote the development of people-centered integrated primary care. However, further psychometric testing is needed in multiple primary care settings with both public and private community institutes.

scholarly journals Validation of the care providers version of the Rainbow Model of Integrated Care-Measurement Tool in Chinese primary care systems

2020 ◽  
Author(s):  
Yixiang Huang ◽  
Paiyi Zhu ◽  
Lijin Chen ◽  
Xin Wang ◽  
Pim Valentijn
Keyword(s):  
Primary Care ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Integrated Care ◽  
Exploratory Factor Analysis ◽  
Care Provider ◽  
Internal Consistency Reliability ◽  
Measurement Tool ◽  
Adaptation Process ◽  
Care Systems

Abstract Background: The original Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) is based on the Rainbow Model of Integrated Care, which provides a comprehensive theoretical framework for integrated care. To translate and adapt the original care provider version of the Rainbow Model of Integrated Care-Measurement Tool and evaluate its psychometric properties by a pilot study in Chinese primary care systems.Methods: The translation and adaptation process were performed in four steps, forward and back-translation, expert review and pre-testing. We conducted a cross-sectional study with 1610 community care professionals in all 79 community health stations in the Nanshan district. We analyzed the distribution of responses to each item to study the psychometric sensitivity. Exploratory factor analysis with principal axis extraction method and promax rotation was used to assess the construct validity. Pearson’s correlation was used to assess concurrent validity. Cronbach’s alpha was utilized to ascertain the internal consistency reliability. Lastly, confirmation factor analysis was used to evaluate the exploratory factor analysis model fit.Results: During the translation and adaptation process, all 55 items were retained with some detailed modifications. No item was found to have psychometric sensitivity problems. Eight factors were determined by exploratory factor analysis, accounting for 66.41% of the total variance. According to exploratory factor analysis and discussion with all authors, the original ten dimensions were adjusted to nine dimensions in the Chinese version. A standard Cronbach’s alpha of 0.960 and significant correlation among all items in the scale (>0.4) showed good internal consistency reliability of the tool. And, the model passed the majority of goodness-to-fit test by confirmation factor analysis Conclusions: The results showed initial satisfactory psychometric properties for the validation of the RMIC-MT care provider version. Its application in China will promote the development of people-centered integrated primary care. However, further psychometric testing is needed in multiple primary care settings with both public and private community institutes.

Validation of the Beliefs of Physical Activity among Clergy (B-PAC) Instrument

2017 ◽  
Vol 32 (2) ◽  
Author(s):  
Shannon Gwin ◽  
Paul Branscum ◽  
E. Laurette Taylor
Keyword(s):  
Physical Activity ◽  
Factor Analysis ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Internal Consistency Reliability ◽  
Retest Reliability ◽  
Reliable Instrument ◽  
The Stability ◽  
Test Retest Reliability

The purpose of this study was to create a valid and reliable instrument to evaluate theory-basedbeliefs towards physical activity among clergy members. Data were collected from 174 clergy that par-ticipated in a 15-item online and paper-based survey. Psychometric properties of the instrument includedconfirmatory factor analysis (construct validity), and cronbach’s alpha (internal consistency reliability).In addition, the stability (test-retest reliability) of each subscale was evaluated with a sub-sample of 30participants. Results show the instrument was both valid and reliable, and will be useful in future studiestargeting this population. Future implications are discussed.

Development of an Instrument to Measure Medical Students' Attitudes Toward People with Disabilities

2012 ◽  
Vol 50 (3) ◽  
pp. 251-260 ◽  
Author(s):  
Andrew B. Symons ◽  
Reva Fish ◽  
Denise McGuigan ◽  
Jeffery Fox ◽  
Elie A. Akl
Keyword(s):  
Factor Analysis ◽  
Medical Students ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Clinical Setting ◽  
People With Disabilities ◽  
Internal Consistency Reliability ◽  
Alpha Coefficient ◽  
Good Internal Consistency ◽  
Students Attitudes

Abstract As curricula to improve medical students' attitudes toward people with disabilities are developed, instruments are needed to guide the process and evaluate effectiveness. The authors developed an instrument to measure medical students' attitudes toward people with disabilities. A pilot instrument with 30 items in four sections was administered to 342 medical students. Internal consistency reliability and factor analysis were conducted. The Cronbach's alpha coefficient was 0.857, indicating very good internal consistency. Five components were identified: comfort interacting with people with disabilities, working with people with disabilities in a clinical setting, negative impressions of self-concepts of people with disabilities, positive impressions of self-concepts of people with disabilities, and conditional comfort with people with disabilities. The instrument appears to have good psychometric properties and requires further validation.

scholarly journals Modification and Psychometric Evaluation of the Peterson War Scale

2007 ◽  
Vol 101 (2) ◽  
pp. 519-524 ◽  
Author(s):  
D. Gabrielle Jones-Wiley ◽  
Alberto F. Restori ◽  
Howard B. Lee
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Longitudinal Research ◽  
Item Analysis ◽  
Psychometric Evaluation ◽  
Internal Consistency Reliability ◽  
Point Scale ◽  
Attitudes Toward War

A measure on attitudes toward war was administered to 125 student participants at a California university to assess psychometric properties for this scale for possible use in current research. A 5-point scale was substituted for the 2-point one originally. Item analysis indicated 23 of 32 items were viable. Using Cronbach reliability coefficient α and factor analysis, the shortened measure had an internal consistency reliability of .85. Factor analysis yielded a 4-factor structure: (1) War is Bad, (2) War is Necessary, (3) Positive Aspects of War, and (4) No Justification. These results indicate this seemingly outdated measure of war attitudes remains useful for current research purposes involving measuring attitudes toward war. However, longitudinal research is necessary.

scholarly journals Validity and reliability of Korean version of the Grit Scale for Korean nursing students

2020 ◽  
Vol 26 (3) ◽  
pp. 322-331
Author(s):  
Hyo-Suk Song ◽  
So-Hee Lim
Keyword(s):  
Factor Analysis ◽  
Nursing Students ◽  
Confirmatory Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Item Analysis ◽  
Internal Consistency Reliability ◽  
Validity And Reliability ◽  
Korean Version ◽  
Confirmatory Factor

Purpose: The purpose of this study was to investigate the validity and reliability of the Korean Version of the Grit (Grit-K) scale for nursing students in Korea.Methods: The participants in the study were 277 nursing students. Their grit was verified by using self-reports and the results of a questionnaire. Grit was translated into Korean and its content validity was verified by five experts. The validity of the instrument was verified through item analysis, exploratory factor analysis, and confirmatory factor analysis. Reliability verification was analyzed by using internal consistency reliability.Results: Two factors were identified through exploratory factor analysis and six items of the original instrument were found to be valid. In the confirmatory factor analysis, the validity of the instrument was verified as the model. The internal consistency reliability was also acceptable and Grit was found to be an applicable instrument.Conclusion: This study shows that the Korean Version of the Grit Questionnaire is a valid and reliable instrument to assess nursing students in Korea.

scholarly journals Psychometric properties of the Patient Reported Outcomes, Burdens and Experiences (PROBE) questionnaire

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e021900 ◽  
Author(s):  
Chatree Chai-Adisaksopha ◽  
Mark W Skinner ◽  
Randall Curtis ◽  
Neil Frick ◽  
Michael B Nichol ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Patient Reported Outcomes ◽  
Clinical Care ◽  
Internal Consistency Reliability ◽  
Floor Effect ◽  
Cross Sectional ◽  
Patient Organisations ◽  
Patient Reported

ObjectiveTo assess the psychometric properties of the Patient Reported Outcomes, Burdens and Experiences (PROBE) questionnaire.MethodsThis study was a cross-sectional, multinational study. Participants were enrolled if they were more than 10 years old and people with haemophilia A or B or people without a bleeding disorder. Participants were invited through non-governmental patient organisations in 21 countries between 01/27/2016 and 02/23/2017. The following psychometric properties: missing data, floor and ceiling effects, exploratory factor analysis and internal consistency reliability were examined. A PROBE Score was derived and assessed for its convergent and known groups validity.ResultsThe study analysed the data on 916 participants with median age of 37.0 (IQR 27.0 to 48.0) years, 74.8% male. In the domain assessing patient-reported outcomes (PROs), more than 15% of participants presented a ceiling effect for all items but two, and a floor effect for one item. Factor analysis identified three factors explaining the majority of the variance. Cronbach’s alpha coefficient indicated good internal consistency reliability (0.84). PROBE items showed moderate to strong correlations with corresponding EuroQol five dimension 5-level instrument (EQ-5D-5L) domains. The PROBE Score has a strong correlation (r=0.67) with EQ-5D-5L utility index score. The PROBE Score has a known groups validity among various groups.ConclusionsThe results of this study suggest that PROBE is a valid questionnaire for evaluating PROs in people with haemophilia as well as control population. The known-group property of PROBE will allow its use in future clinical trials, longitudinal studies, health technology assessment studies, routine clinical care or registries. Additional studies are needed to test responsiveness and sensitivity to change.Trial registration numberNCT02439710; Results.

scholarly journals Psychometric evaluation of the Farsi version of the diabetes foot self-care bahavior scale

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Ali Hasanpour Dehkordi ◽  
Yen-Fan Chin ◽  
Tzu-Ting Huang ◽  
Abbas Ebadi ◽  
Reza Ghanei Gheshlagh
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Self Care ◽  
The Self ◽  
Diabetic Patients ◽  
Confirmatory Factor ◽  
Farsi Version

Abstract Background Diabetes foot self-care is one of the self-management behaviors of diabetic patients leading to a reduction in the incidence of pressure ulcers and amputation. Having a valid, reliable, simple and comprehensive tool is essential in measuring the self-care behavior of diabetic patients. The aim of this study was to evaluate the psychometric properties of the Farsi version of the diabetes foot self-care bahavior scale (DFSBS) in Iran. Methods In this cross-sectional and methodological study, 500 patients with type 2 diabetes were recruited by convenience sampling. Construct validity was assessed by exploratory factor analysis (over 300 patients) and confirmatory factor analysis (over 200 patients). Internal consistency was calculated by Cronbach’s alpha coefficient and its stability was calculated by intraclass correlation coefficient (ICC). Results In the exploratory factor analysis, two self-care factors related to feet and shoes were extracted which had specific values of 38.49 and 1.24, respectively, and were able to account for 56.22% of the total self-care variance of diabetes foot. Confirmatory factor analysis had excellent fit model. The internal consistency and ICC of the whole instrument were 0.83 and 0.791 (95% CI: 0.575–0.925; P < 0.001), respectively. Conclusions The Farsi version of DFSBS (F-DFSBS) has good validity and reliability, and due to its appropriate psychometric properties, this tool can be used in future studies.

scholarly journals Psychometric Properties of the 8-Item English Arthritis Self-Efficacy Scale in a Diverse Sample

Arthritis ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Sara Wilcox ◽  
Danielle E. Schoffman ◽  
Marsha Dowda ◽  
Patricia A. Sharpe
Keyword(s):  
High School ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Self Efficacy ◽  
Concurrent Validity ◽  
Weight Status ◽  
School Education ◽  
High School Education

Arthritis self-efficacy is important for successful disease management. This study examined psychometric properties of the 8-item English version of the Arthritis Self-Efficacy Scale (ASES-8) and differences in ASES-8 scores across sample subgroups. In 401 participants with self-reported doctor-diagnosed arthritis, exploratory factor analysis and tests of internal consistency were conducted. Concurrent validity was examined by associating ASES-8 scores with disease-specific, psychosocial, functional, and behavioral measures expected to be related to arthritis self-efficacy. All analyses were conducted for the full sample and within subgroups (gender, race, age, education, and weight status). Exploratory factor analysis for the entire sample and in all 12 subgroups demonstrated a one factor solution (factor loadings: 0.61 to 0.89). Internal consistency was high for measures of Cronbach’s alpha (0.87 to 0.94), omega (0.87 to 0.93), and greatest lower bound (0.90 to 0.95). ASES-8 scores were significantly correlated with all measures assessed (P<0.05), demonstrating concurrent validity. Those with a high school education or greater had higher ASES-8 scores than those with less than a high school education (P<.001); no other subgroup differences were found. The ASES-8 is a valid and reliable tool to measure arthritis self-efficacy efficiently and thereby reduce participant burden in research studies.

scholarly journals Cross-cultural adaptation and exploratory factor analysis of the Person-centred Practice Inventory - Staff (PCPI-S) questionnaire among Malaysian primary healthcare providers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nur Zahirah Balqis-Ali ◽  
Pui San Saw ◽  
Anis Syakira Jailani ◽  
Weng Hong Fun ◽  
Noridah Mohd Saleh ◽  
...  
Keyword(s):  
Primary Care ◽  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Healthcare Providers ◽  
Local Context ◽  
Care Practice ◽  
Underlying Structure ◽  
Expert Committee ◽  
Local Practice

Abstract Background The Person-centred Practice Inventory-Staff (PCPI-S) instrument was developed to measure healthcare providers’ perception towards their person-centred practice. The study aimed to explore the influence of culture, context, language and local practice towards the PCPI-S instrument adaptation process for use among public primary care healthcare providers in Malaysia. Methods The original PCPI-S was reviewed and adapted for cultural suitability by an expert committee to ensure conceptual and item equivalence. The instrument was subsequently translated into the local Malay language using the forward-backward translation by two independent native speakers, and modified following pre-tests involving cognitive debriefing interviews. The psychometric properties of the corresponding instrument were determined by assessing the internal consistency, test-retest reliability, and correlation of the instrument, while the underlying structure was analysed using exploratory factor analysis. Results Review by expert committee found items applicable to local context. Pre-tests on the translated instrument found multiple domains and questions were misinterpreted. Many translations were heavily influenced by culture, context, and language discrepancies. Results of the subsequent pilot study found mean scores for all items ranged from 2.92 to 4.39. Notable ceiling effects were found. Internal consistency was high (Cronbach’s alpha > 0.9). Exploratory factor analysis found formation of 11 components as opposed to the original 17 constructs. Conclusion The results of this study provide evidence regarding the reliability and underlying structure of the PCPI-S instrument with regard to primary care practice. Culture, context, language and local practice heavily influenced the adaptation as well as interpretation of the underlying structure and should be given emphasis when translating person-centred into practice.

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