scholarly journals Psychometric properties of a Chinese version of the Fraboni Scale of Ageism: evidence from medical students sample

2020 ◽  
Author(s):  
Jun-Yao Fan ◽  
Hui-Min Zhao ◽  
Yue-Ting Liu ◽  
Ling-Lin Kong ◽  
Jing Mao ◽  
...  

Abstract Background The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students. Methods By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability. Results The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis. Conclusions FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against the older adults in Chinese medical students.

2020 ◽  
Author(s):  
Jun-Yao Fan ◽  
Hui-Min Zhao ◽  
Yue-Ting Liu ◽  
Ling-Lin Kong ◽  
Jing Mao ◽  
...  

Abstract Background The increasing of older adults has led to enormous demand for medical care. However, as a group with unique needs and characteristics, older adults are often discriminated against in the medical field. In this paper, we aimed to translate the Fraboni Scale of Ageism (FSA) into Chinese and examine its construct validity, content validity, and reliability in Chinese mainland medical students. In order to evaluate the prevalence of ageism in Chinese medical students and prompt medical college to adopt necessary teaching methods to mitigate ageism in medical students.Methods By Brislin's translation guidelines, FSA was translated to Chinese. The convenient sampling method was used to select samples for this survey, including 1,974 students from two medical schools in central and north China. Construct validity was verified by the exploratory and confirmatory factor analysis. The content validity index (CVI) was used to assess content validity. The Cronbach's alpha coefficients and intraclass correlation coefficient (ICC) were used to estimate reliability.Results The alpha coefficients for FSA (Chinese version) was 0.81 and ICC was 0.87. The CVI was 0.93. Three factors were identified by exploratory factor analysis explaining 34.84% of the total variance and a three-factor model was confirmed to fit by confirmatory factor analysis.Conclusions FSA (Chinese version) is a reliable and valid scale for measuring discrimination degree against the older adults in Chinese medical students.


2019 ◽  
Author(s):  
humaira Fayyaz Khan ◽  
raheela Yasmeen ◽  
Shabana Ali ◽  
Tahira sadiq

Abstract Background: Professionalism has become a specific requirement for medical graduates because of dissatisfaction regarding their preparedness to adequately deal with the challenges of the medical world. It should be assessed as a competency in the final year of study using a valid and reliable instrument. The purpose was to develop and validate a tool to assess the development of professionalism in final year medical students in the local context to assess the readiness of medical graduates. Method: This was a mixed method study. Micro scenarios for the preliminary instrument were developed after a focus group meeting. These were validated using a 3-round modified Delphi technique by email. Twenty-four participants responded in the first round, and 15 in the second and third rounds. After the first round, relevance of the item was obtained. The content validity ratio was calculated after second round. Cut off value for items were approximated to be 0.6 and 0.73 for modification and 0.8 for item retention. The second round revised analysis was sent to participants for the third round and the content validity index average and universal agreement were calculated. Cognitive pretesting was performed. Cronbach’s Alpha for reliability and Confirmatory factor analysis were carried out. Results: The focus group produced 46 micro-scenarios using a manual qualitative analysis. The first round of Delphi produced 35 items. On calculation of Content validity ratio 12 items were retained, 18 were revised and 5 were removed. Content validity index (I-CVI) and content validity scale (S-CVI) were 0.94 and 0.64 respectively. Pre-cognitive testing resulted in the modification of 4 items. The Confirmatory factor analysis was 4.1. Cronbach’s Alpha was 0.96. Conclusion: The final instrument developed has a 27 item 5-point Likert scale. It has good content validity, reliability and acceptable construct validity. The strength of the instrument is in its process of development i.e. focus group discussion, the iterative Delphi rounds, cognitive pre-testing and piloting. It can be used to assess the development of professionalism in final year medical students. Keywords: Professionalism, respect, altruism, honor and integrity, accountability, content validity, construct validity, cognitive pre-testing, and confirmatory factor analysis


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Qiqi Zhuo ◽  
Changsheng Cui ◽  
Hongmin Liang ◽  
Yangjuan Bai ◽  
Qiulan Hu ◽  
...  

Abstract Background Health education basing on patients’ information-seeking styles can improve the effectiveness of health education and patients’ health outcomes. The Miller Behavioral Style Scale (MBSS) is widely used to identify individual’s information-seeking styles, but the Chinese version is lacking. The study aim was to translate and culturally adapt the MBSS into Chinese version and test the content validity, construct validity and internal consistency reliability of the Chinese version of MBSS (C-MBSS). Methods The forward-back-translation procedure was adopted in the translation of the MBSS. Content validity was assessed in a panel of experts. In a sample of 1343 individuals including patients, patients’ caregivers, university students, and medical staff, reliability and construct validity were assessed using Cronbach’s alpha coefficient and factor analysis. The measurement invariance across samples was tested using multigroup confirmatory factor analysis (MGCFA). Floor and ceiling effects were checked. Results The C-MBSS achieved conceptual and semantic equivalence with the original scale. The item-level content validity index (I-CVI) of each item ranged from 0.78 to 1, and the averaging scale-level content validity index (S-CVI/ Ave) was 0.95. The exploratory factor analysis resulted in 2-factor assumption for each hypothetical threat-evoking scenario. Confirmatory factor analysis demonstrated a good fit between theoretical model and data, which provided confirmatory evidence for the second-order factor structure of 2-factor solution (Monitoring and Blunting). The Cronbach's alpha coefficients for the Monitoring and Blunting sub-scales of the C-MBSS were 0.75 and 0.62 respectively. MGCFA results supported the measurement invariance for the Monitoring sub-scale of the C-MBSS across samples. No floor or ceiling effects occurred. Conclusions This study indicates that the C-MBSS has good content and construct validity. The Monitoring sub-scale of the C-MBSS had acceptable internal consistency reliability while the Blunting sub-scale had unsatisfactory one, which suggest that the Monitoring sub-scale of the C-MBSS can be used to identify individuals’ information-seeking styles in Chinese contexts across different populations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Güven Özkaya ◽  
Mevlüt Okan Aydin ◽  
Züleyha Alper

Abstract Background There are major changes in education strategies as higher education institutions urgently need to adopt distance education tools and practices due to the Covid-19 pandemic. Medical education is also trying to get out of this emergency using distance education. In this study, we aimed to develop a reliable and valid scale in order to evaluate the perceptions of medical students towards distance education. Methods The students taking part in the study were in the first five academic years of the medical faculty in Bursa in Turkey. At first, 57 items were determined to evaluate students’ perceptions. Content validity was examined according to the assessment of the expert team. Construct validity of these items was examined by exploratory and confirmatory factor analysis. Also, Cronbach’s alpha coefficients were calculated for reliability analysis. The medical students’ responses were scored using a five-point Likert scale. Results When the content validity was examined, the number of items was determined to be 38 items. Construct validity of these items was examined by exploratory and confirmatory factor analysis. Because of the exploratory factor analysis performed on the responses of 429 medical students, 22 items were included in four factors. This four-factor model was applied to 286 medical students and validated by confirmatory factor analysis. Also, Cronbach’s alpha coefficients were calculated for reliability analysis and values were between 0.713 and 0.930. Conclusions This study demonstrated validation and reliability of perceptions of distance education for medical students. We suggest a 22-item model with a four-factorial scale.


2021 ◽  
Author(s):  
Qiqi Zhuo ◽  
Changsheng Cui ◽  
Hongmin Liang ◽  
Yangjuan Bai ◽  
Qiulan Hu ◽  
...  

Abstract Background: Health education basing on patients’ information-seeking styles can improve the effectiveness of health education and patients’ health outcomes. The Miller Behavioral Style Scale (MBSS) is widely used to identify individual’s information-seeking styles, but the Chinese version is lacking. The study aim was to translate and culturally adapt the MBSS into Chinese version and test the content validity, construct validity and internal consistency reliability of the Chinese version of MBSS (C-MBSS).Methods: The forward-back-translation procedure was adopted in the translation of the MBSS. Content validity was assessed in a panel of experts. In a sample of 1343 individuals including patients, patients’ caregivers, university students, and medical staff, reliability and construct validity were assessed using Cronbach’s alpha coefficient and factor analysis. The measurement invariance across samples was tested using multigroup confirmatory factor analysis (MGCFA). Floor and ceiling effects were checked.Results: The C-MBSS achieved conceptual and semantic equivalence with the original scale. The item-level content validity index (I-CVI) of each item ranged from 0.78 to 1, and the averaging scale-level content validity index (S-CVI/ Ave) was 0.95. The exploratory factor analysis resulted in 2-factor assumption for each hypothetical threat-evoking scenario. Confirmatory factor analysis demonstrated a good fit between theoretical model and data, which provided confirmatory evidence for the second-order factor structure of 2-factor solution (Monitoring and Blunting). The Cronbach's alpha coefficients for the Monitoring and Blunting sub-scales of the C-MBSS were 0.75 and 0.62 respectively. MGCFA results supported the measurement invariance for the Monitoring sub-scale of the C-MBSS across samples. No floor or ceiling effects occurred. Conclusions: This study indicates that the C-MBSS has good content and construct validity. The Monitoring sub-scale of the C-MBSS had acceptable internal consistency reliability while the Blunting sub-scale had unsatisfactory one, which suggest that the Monitoring sub-scale of the C-MBSS can be used to identify individuals’ information-seeking styles in Chinese contexts across different populations.


2002 ◽  
Vol 22 (4) ◽  
pp. 132-142 ◽  
Author(s):  
Angela Y.C. Tong ◽  
David W.K. Man

The Lawton Instrumental Activities of Daily Living (IADL) scale is the assessment tool most commonly used by occupational therapists in Hong Kong. However, there has been no cross-cultural validation study of the Lawton IADL-Chinese Version (IADL-CV) scale as applied to Hong Kong's older adults. This was the first study of content validity, construct validity, and reliability of the Lawton IADL-CV. A total of 155 institutionalized older adults were recruited from three different hostels and one care-and-attention home by using a convenience sampling method. Expert panel review and pilot testing on the subjects established the linguistic and content validity of the Hong Kong Chinese version. The content of the scale, the scoring criteria, translation, and level of rating scale were examined. It was shown that all nine IADL items apart from “handyman work” were culturally relevant (more than 78% agreement). Nine items altogether had good representation in assessing the IADL ability of Hong Kong older adults (73% agreement). The scoring criteria were refined with reference to the local culture. Both panel review and the related psychometric properties supported the change of the level of rating scale from a three-point to a four-point scale. The inter-rater and test-retest reliability estimated by intraclass correlation coefficient (ICC) gave a value of 0.99 and 0.90, respectively. The Cronbach's alpha estimating the internal consistency was 0.86. In the study of the construct validity, the factor analysis and known-groups methods were used. The construct validity was examined by factor analysis of the Lawton IADL scores of 111 hostel subjects. The result showed that one factor was extracted from the nine items of the Lawton IADL-CV scale. The known-groups method was performed using the Lawton IADL-CV to separate 146 institutionalized subjects into their corresponding living institutions: hostel or care-and-attention home. An overall prediction ability of 78% was achieved so as to correctly discriminate between residents in the hostel and care-and-attention home. In conclusion, the Lawton IADL-CV scale is a valid and reliable instrument to assess the older adults' IADL ability to live independently in the community.


Author(s):  
Alina Alwast ◽  
Katrin Vorhölter

AbstractTeaching mathematical modeling is a demanding task. Thus, fostering teachers’ competencies in this regard is an essential component of teacher education. Recent conceptualizations of teachers’ competencies include situation-specific skills based on the concept of noticing, which is of particular interest for the spontaneous reactions needed when teaching mathematical modeling. The study described in this paper aims to analyze the development of a video-based instrument for measuring teachers’ noticing competencies within a mathematical modeling context and obtain evidence for the validity of the instrument. Three kinds of validity are examined in three different studies: content validity, elemental validity and construct validity. Indicators for content validity could be found through different expert ratings and implementation with the target group, where participants were able to perceive all relevant aspects. The qualitative analysis of participants’ reasoning, which is consistent with the coded level, indicates elemental validity. Moreover, the results of the confirmatory factor analysis suggest construct validity with one overall factor of noticing competence within a mathematical modeling context. Taken together, these studies imply a satisfactory validity of the video-based instrument.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Seung Eun Lee ◽  
V. Susan Dahinten

Abstract Background To date, there has been no universal and validated tool for measuring safety culture in Korea. The Hospital Survey on Patient Safety Culture (HSOPSC), version 2.0 was released by the Agency for Healthcare Research and Quality in 2019, but it had not yet been translated and assessed for use in Korea. The aim of this study was to assess the content validity and other psychometric properties of the Korean-language version of the HSOPSC 2.0. Methods Instrument adaptation was performed using a committee-based translation, cognitive interviews, and expert panel reviews. Confirmatory factor analysis was conducted on data obtained through an online survey from 526 registered nurses who worked on medical-surgical units in three teaching hospitals in South Korea. Results One item was dropped during the translation and adaption phase of the study as being a poor fit for the Korean healthcare context, resulting in excellent content validity. Confirmatory factor analysis supported the factorial structure of the K-HSOPSC 2.0. Correlations with an overall measure of patient safety provided further evidence of construct validity. Additionally, in comparing the results of this current study to those from U.S. research using the HSOPSC 2.0, it was found that Korean nurses assigned less positive scores to all dimensions of patient safety culture. Conclusion Our findings provide evidence of the content validity, reliability, and construct validity of the K-HOSPSC 2.0 for measuring patient safety culture in South Korean hospitals. Hospital administrators can use this tool to assess safety culture and identify areas for improvement to enhance patient safety and quality of care.


2020 ◽  
Author(s):  
Tirth R Bhatta ◽  
Eva Kahana ◽  
Nirmala Lekhak ◽  
Boaz Kahana ◽  
Elizabeth Midlarsky

Abstract Background and Objectives Scholarly research has established the role of altruism in facilitating human cooperation and prosocial behaviors and highlighted its contribution to psychological well-being. Given the health significance of altruistic attitudes and orientations, we developed a valid and reliable measure of this construct that is suitable for use with older adults. Research Design and Methods Based on data from a long-term panel study on adaptation to frailty among older adults (n = 366; mean age = 86 years), we used confirmatory factor analysis to perform construct validation of a five-item Elderly Care Research Center (ECRC) Altruism Scale among older adults (e.g., “Seeing others prosper makes me happy”). Moreover, we examined the invariance of the scale’s factor structure across time and gender using nested models. Results Composite reliability (coefficient omega = 0.78), factor loadings (>0.45 with eigenvalue = 2.84) from exploratory factor analysis, and model fit indices (e.g., comparative fit index = 0.999) from confirmatory factor analysis suggest a single factor, supporting a unidimensional reliable construct of altruistic orientation at baseline. The results provided support for configural, metric, and scalar invariance across time. Findings pertaining to measurement invariance across gender confirmed full configural invariance but only offered support for partial metric, scalar, and residual invariance at baseline. Strong correlations among the altruism scale, salient personality traits, psychological well-being, religiosity, and meaning in life help establish construct validity. Discussion and Implications The availability of a reliable and valid measure of altruistic attitudes enables a comprehensive evaluation of altruism’s influence on later-life health and well-being.


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Ari Setiawan ◽  
Widowati Pusporini ◽  
Hanandyo Dardjito

This study aims to 1) identify the content validity of observations of students' social attitudes, 2) identify the construct validity of the observation instruments of students 'social attitudes, and 3) identify the reliability of observations of students' social attitudes. The subjects of this study were grades IV, and V of elementary school students in Yogyakarta province selected using cluster random sampling. Observation guidelines were used to collect the data using a summative rating scale model. The content validity was analyzed by applying Aiken assisted by Microsoft Excel, the construct validity by using second-order Confirmatory Factor Analysis assisted by Lisrel, and the reliability by using the Omega reliability approach. The results indicated that all items were valid by which the content validity. The construct validity with the Confirmatory Factor Analysis is high. The reliability values of the observation instruments were reliable. 


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