Psychometric Evaluation of the Comprehensive Score for Financial Toxicity Scale Among Iranian Cancer Patients

2020 ◽  
Author(s):  
Saeed Pahlevan Sharif ◽  
Ong Fon Sim ◽  
Mozhgan Moshtagh ◽  
Navaz Naghavi ◽  
Hamid Sharif Nia

Abstract Objective This study aims to evaluate the psychometric properties of the Persian version of financial toxicity (COST) scale in a sample of cancer patients in Iran. Methods A total of 398 cancer patients completed a demographic questionnaire and the 11-item Persian COST. Performing a Maximum likelihood exploratory factor analysis, extracted three factors of financial worry (four items), financial distress (three items) and direct and indirect cost of control (three items) accounting for 65.204% of the variance. The highest load was related to financial distress and the lowest was related to direct and indirect costs concerns. Results The results of conducting confirmatory factor analysis indicated that the three-factor measurement model had a good fit. Moreover, the measurement model showed good items consistency, good construct reliability, as well as good construct validity in terms of convergent and discriminant validity. Conclusion This study highlights the importance of validating the scale in different contexts as the structure and loadings of the factors have appeared diffidently in various countries. The validated Persian COST can be used in future studies in Iran as a reliable and valid scale to measure financial toxicity among cancer patients.

2021 ◽  
Author(s):  
Naser Abdulhafeeth Alareqe ◽  
Siti Aishah Hassan ◽  
Engku Mardiah Engku Kamarudin ◽  
Mohamad Sahari Nordin ◽  
Nadeem Mohamed Ashureay ◽  
...  

Abstract Objectives: This study aimed to test and validate the two-factors measurement model of the Millon Clinical Multiaxial Inventory (MCMI). Specifically, this paper reported construct, convergent and divergent validities of the internalizing-externalizing MCMI model of adult psychopathology using a psychiatric sample from a developing society, the Republic of Yemen. Methods: MCMI was distributed among 232 outpatients from the Hospital of Taiz City and two private psychiatry clinics in Yemen; data were collected using structured interviews in four months. The Maximum Likelihood (ML) was used in Exploratory Factor Analysis (EFA) and the Confirmatory Factory Analysis (CFA) to explore and confirm the latent underlying MCMI and verifying evidence of convergent and discriminate validity. Results: The CFA results indicated that MCMI was a good fit for the internalizing-externalizing model of adult psychopathology. The results of the CFA confirmed that evidence of convergent and discriminant validity characterized MCMI with the internalizing and externalizing model. Conclusion: The adult psychopathology of internalizing and externalizing is a valid model by MCMI with ten personality disorders and eight clinical syndromes. Thus, practical clinical implications are suggested.


2020 ◽  
Author(s):  
Kanokporn Pinyopornpanish ◽  
Manee Pinyopornpanish ◽  
Nahathai Wongpakaran ◽  
Tinakon Wongpakaran ◽  
Atiwat Soontornpun ◽  
...  

Abstract Objective: The Zarit Burden Interview (ZBI) has been widely used to assess caregiver burden. Few research papers have investigated the Thai version of the ZBI. The study aimed to examine the psychometric properties of the Thai version of both the full length (ZBI-22) and short versions (ZBI-12) using Rasch analysis and confirmatory factor analysis among a sample of Alzheimer’s disease caregivers. Results: The ZBI-22 fitted the Rasch measurement model regarding unidimensionality but not for ZBI-12. Five items from ZBI-22, and 2 items from ZBI-12 were shown to be misfitting items. Half of ZBI items were shown to be disordered category or threshold, and were locally dependent. CFA revealed three-factor and four-factor fitted the data the best for ZBI-22 and ZBI-12, respectively. Reliability was good for both forms of the ZBI (a = 0.86 - 0.92). Significant correlations were found with caregiver’s perceived stress, anxiety/depression, pain and mobility but not with self-care and usual activity ( p >0.05), indicating convergent and discriminant validity. To conclude, the Thai version ZBI-22, but not ZBI-12, supported the reliability and unidimensional scale among Alzheimer’s disease caregivers. Some misfitting items of the ZBI undermined the unidimensionality of the scale, and need revision.


2021 ◽  
pp. 1-9
Author(s):  
Hamid Sharif Nia ◽  
Mobin Mohammadinezhad ◽  
Kelly A. Allen ◽  
Christopher Boyle ◽  
Saeed Pahlevan Sharif ◽  
...  

Abstract Objective The spiritual well-being scale (SWBS) is a widely used clinical scale which should be evaluated for Iranian patients with cancer. The aim of this study is to evaluate the psychometric properties of the Persian version of the SWBS in Iranian patients with cancer. Method This cross-sectional, methodological study was conducted among Iranian patients with cancer (n = 400). The participants were recruited using convenience sampling. The content, construct, convergent and discriminant validity, and reliability of the Persian version of the SWBS were evaluated. Results A two-factor structure for the scale was indicated with the factors being: connecting with God and meaningless life that explained 54.18% of the total variance of the concept of spiritual well-being. The results demonstrated the model had a good fit. Cronbach's alpha, McDonald's omega, and the inter-item correlation values of the factors indicated good internal consistency of the scale. Significance of results These results suggest that the Persian version of the SWBS is a reliable and valid measure to assess the spiritual well-being of patients with cancer through 16 items related to connecting with God and meaningless life.


Author(s):  
Karla Gallo-Giunzioni ◽  
María Prieto-Ursúa ◽  
Cristina Fernández-Belinchón ◽  
Octavio Luque-Reca

Given the scarcity of instruments in Spanish to measure forgiveness, two studies were conducted in this population to obtain validity evidence of the Heartland Forgiveness Scale (HFS), an instrument that measures dispositional forgiveness of self, others, and situations. In the first study, 203 students (65% women) participated. After ensuring the linguistic adequacy and clarity of the wording of the items, a lack of congruence was found between the factors obtained in the exploratory factor analysis and the original theoretical structure of the HFS. A sample of 512 participants (63.9% women) attended the second study. This study aimed to analyze the construct validity of the HFS using confirmatory factor analysis through structural equation modelling and to explore convergent, discriminant, and criterion validity. Of the different factorial configurations tested (including the original), only a scale reduction to eight items, grouped into three factors, showed an appropriate fit. The HFS eight-item version also showed acceptable internal consistency, adequate convergent and discriminant validity, and criterion validity with respect to related variables. These findings suggest that the eight-item version of the HFS may be a valid and reliable tool for assessing forgiveness for self, others, and situations in Spanish adults.


2003 ◽  
Vol 29 (2) ◽  
Author(s):  
Lee-Ann Greyling ◽  
Deléne Visser ◽  
Linda Fourie

The aim of the study was to examine the construct validity of an assessment centre. The sample included 138 individuals who participated in a one-day call centre team leader assessment centre. Nine competency dimensions were rated using six exercises. Correlations and a principle axis factor analysis were utilised to study the convergent and discriminant validity of the dimension ratings. The results showed that the ratings clustered according to exercises rather than to dimensions (traits), thereby indicating a substantial amount of method variance. A further factor analysis of the nine competency dimensions yielded two factors that were named interpersonal and problem solving. Implications for the design of assessment centres are discussed. Opsomming Die doel van die studie was om die konstrukgeldigheid van ’n takseersentrum te ondersoek. Die steekproef het uit 138 persone bestaan wat aan ’n eendagtakseersentrum vir oproepsentrumgroepleiers deelgeneem het. Ses oefeninge is gebruik om nege bevoegdheidsdimensies te meet. Korrelasies en ’n hoofasfaktorontleding is gebruik om die konvergente en diskriminante geldigheid van die dimensiebeoordelings te bestudeer. Die resultate het getoon dat die beoordelings volgens oefeninge eerder as dimensies (eienskappe) gegroepeer het. Hierdie bevinding dui op ’n hoë mate van metodevariansie. ’n Verdere faktorontleding van die nege bevoegdheidsdimensies het twee faktore, wat as interpersoonlik en probleemoplossend benoem is, opgelewer. Implikasies vir die ontwerp van takseersentrums word bespreek.


2014 ◽  
Vol 3 (3) ◽  
pp. 179
Author(s):  
Adnan Adnan ◽  
Dyah Aryani Perwitasari ◽  
Ully Adhie Mulyani

Tuberculosis (TB) is one of the disease as the highest contributor to the disease burden in Indonesia. Tuberculosis can affect the patients’ quality of life, such as psychological, physical, and social functioning. St. George's Respiratory Questionnaire (SGRQ) is a special instrument which was widely used to measure the patients’ quality of life with respiratory disease. The objective of this study was to validate the Indonesian version of the SGRQ as instrument to collect data. A descriptive cross section design with 61 subjects was conducted at the Pulmonary Clinics and Primary Health Centers in the region of Yogyakarta within 3 months. The validation process included the known group validity, convergent and discriminant validity and factor analysis. There were 14 items question numbers which did not meet the criteria for convergent validity and 9 items which did not meet the criteria for discriminant validity. Known group validity analysis on gender showed that of the three domains of SGRQ, the activity domain gave statistically significant result. The factor analysis showed the result of Kaiser Meyer Olkin analysis (KMO) was less than 0.5. With a few modifications, the Indonesian version of SGRQ is valid and reliable for measuring quality of life in tuberculosis patients.


2021 ◽  
Vol 30 ◽  
pp. 100308
Author(s):  
Saeed Pahlevan Sharif ◽  
Mozhgan Moshtagh ◽  
Ong Fon Sim ◽  
Navaz Naghavi ◽  
Hamid Sharif Nia

2021 ◽  
pp. 616-620
Author(s):  
Victoria Blinder ◽  
Francesca M. Gany

Financial toxicity is a preventable cancer treatment side effect, encompassing the subjective financial distress and objective financial burden that result from increased spending and decreased earning after diagnosis. The prevalence of financial toxicity has increased with new expensive cancer treatments and insurers gradually shifting costs to patients. Patients with financial toxicity experience increased symptom burden, treatment nonadherence, and cancer-related death. The patients at highest risk are young, female, and nonwhite. For low-income patients, the indirect costs of cancer care can be especially burdensome and include child/elder care, transportation, unpaid work absences or job loss, cancer-related comorbidity treatment costs, and fulfilling dietary requirements. Psychosocial impacts include depression, emotional distress, and reduced quality of life. Patients in palliative care have rated financial distress as more severe than physical, familial, and emotional distress. Interventions and policy changes are needed to ameliorate the effects of financial toxicity, especially for the most vulnerable groups.


Author(s):  
David Watson ◽  
Michael W. O’Hara

This chapter examines key symptom criteria of major depression. It begins by developing a comprehensive measurement model based on six symptom dimensions: dysphoria, lassitude, insomnia, suicidality, appetite loss, and appetite gain. It then demonstrates that these symptom dimensions are robust and show impressive convergent and discriminant validity across multiple methods (self-reports, clinicians’ ratings, interview assessments). Three types of symptoms—dysphoria, lassitude, and suicidality—exhibit strong criterion validity and significant specificity in relation to diagnoses of major depression. In contrast, symptoms of insomnia and appetite disturbance display unimpressive criterion validity and poor specificity. Moreover, these nonspecific symptoms provided little or no incremental information in logistic regression analyses. Taken together, these results suggest that the diagnosis of depression can be improved by focusing primarily on strong and specific symptoms (such as dysphoria and lassitude) and deemphasizing weak and nonspecific symptoms (i.e., insomnia and appetite disturbance).


Assessment ◽  
2019 ◽  
Vol 27 (6) ◽  
pp. 1116-1127 ◽  
Author(s):  
Jessica M. Petri ◽  
Frank W. Weathers ◽  
Tracy K. Witte ◽  
Madison W. Silverstein

The Detailed Assessment of Posttraumatic Stress (DAPS; Briere, 2001) is a comprehensive questionnaire that assesses posttraumatic stress disorder (PTSD) diagnostic criteria as well as peritraumatic responses and associated problems such as dissociation, suicidality, and substance abuse. DAPS scores have demonstrated excellent reliability, validity, and clinical utility, performing as well or better than leading PTSD questionnaires. The present study was an initial psychometric evaluation of the unreleased DAPS (DAPS-2), revised for Diagnostic and Statistical Manual of Mental Disorders–Fifth edition ( DSM-5), in an MTurk-recruited mixed trauma sample ( N = 367). DAPS-2 PTSD scale and associated features scales demonstrated high internal consistency and strong convergent and discriminant validity. In confirmatory factor analyses, the DSM-5 four-factor model of PTSD provided adequate fit, but the leading seven-factor model provided superior fit. These results indicate the DAPS-2 is a psychometrically sound measure of DSM-5 PTSD symptoms.


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