scholarly journals Dynamics of Health Technology Diffusion in Integrated Care System (DHTDICS): A Development and Validation Study

2020 ◽  
Author(s):  
Qingwen Deng ◽  
Wenbin Liu
Keyword(s):  
Integrated Care ◽  
Internal Consistency ◽  
Technology Diffusion ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Health Technology ◽  
Healthcare Outcomes ◽  
Cross Sectional ◽  
Valid Instrument ◽  
Care System

Abstract Background Limited diffusion and utilization of health technology has greatly halted the improvement of resource integration and healthcare outcomes. However, the dynamic mechanism of health technology diffusion in the context of integrated care system (ICS) remained largely unknown. The purpose of this study was to develop and validate the scale on Dynamics of Health Technology Diffusion in Integrated Care System (DHTDICS) for providing instruments to investigate the health technology diffusion in ICS.Methods The scale was initially designed on the basis of the proposed model developed from previous research. And it was validated in a cross-sectional questionnaire survey. Exploratory factor analysis was used to assess domains in the questionnaire, and analyzed factorials, internal consistency and validity of the questionnaire. Results Reliability analysis revealed excellent internal consistency, as the value of Cronbach’s alpha all greater than 0.80 for four of the domains in this study. An acceptable validity was confirmed through tests of construct validity, convergent validity and discriminant validity. With respect to the potential domains and dimensions that DHTDICS contributes, the results highlight the existence of 4 domains: personal beliefs, technical drivers, organizational readiness and external environment.Conclusions The findings of this study will be capable to serve as a valid instrument to measure health technology diffusion, and be also helpful in developing future intervention strategies to promote the health technology diffusion in ICS.

scholarly journals Dynamics of Health Technology Diffusion in Integrated Care System (DHTDICS): A Development and Validation Study

2020 ◽  
Author(s):  
Qingwen Deng ◽  
Wenbin Liu
Keyword(s):  
Integrated Care ◽  
Internal Consistency ◽  
Technology Diffusion ◽  
External Environment ◽  
Health Technology ◽  
Organizational Readiness ◽  
Equation Modeling ◽  
Personal Beliefs ◽  
The Impact ◽  
Care System

Abstract Background: Limited diffusion and utilization of health technology have greatly halted the improvement of resource integration and healthcare outcomes. However, the dynamic mechanism of health technology diffusion in the context of the integrated care system (ICS) remained largely unknown. The purpose of this study is to develop and validate the scale on Dynamics of Health Technology Diffusion in Integrated Care System (DHTDICS) for providing instruments to investigate the health technology diffusion in the ICS. Methods: The scale with 39 items was initially designed on the basis of the proposed model developed from previous research. And it was validated in a cross-sectional questionnaire survey including 246 participants. Exploratory factor analysis was used to assess domains in the questionnaire, and analyzed correlation, factorials, internal consistency and validity of the questionnaire. In addition, structural equation modeling was performed to determine the total effects of each domain on the health technology diffusion in the ICS.Results: Reliability analysis revealed excellent internal consistency, as the value of Cronbach’s alpha greater than 0.80 for all of the four DHTDICS domains in this study. An acceptable validity was confirmed through tests of construct validity, convergent validity and discriminant validity. With respect to the potential domains and dimensions that DHTDICS contributes, the results highlight the existence of 4 domains: personal beliefs, technical drivers, organizational readiness, and external environment. Among them, the impact on health technology diffusion is, in descending order, organizational readiness, personal beliefs, external environment, and technical drivers.Conclusions: The findings of this study support the validity of the DHTDICS, and will be a helpful reference for developing future intervention strategies to promote health technology diffusion in the ICS.

scholarly journals Translation and Validation of the Hungarian Version of the Infection Control Standardized Questionnaire: A Cross-sectional Study

2022 ◽  
Author(s):  
Sahar Hammoud ◽  
Faten Amer ◽  
Haitham Khatatbeh ◽  
Huda Alfatafta ◽  
Miklós Zrínyi ◽  
...  
Keyword(s):  
Infection Control ◽  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Infection Prevention And Control ◽  
Validity Index ◽  
Cross Sectional ◽  
Content Validity Index ◽  
Hungarian Version

Abstract Background: Up to our knowledge, there is currently no psychometrically validated Hungarian scale to evaluate nurses’ knowledge about infection prevention and control (IPC) practices. Thus, we aim in this study to assess the validity and reliability of the infection control standardized questionnaire Hungarian version (ICSQ-H).Methods: A cross-sectional, multisite study was conducted among 591 nurses in Hungary. The original ICSQ including 25 items was translated into Hungarian. A panel of four experts assessed the content validity of the questionnaire by calculating the item content validity index and scale content validity index. Then, construct validity was evaluated using principal component analysis and confirmatory factor analysis. The goodness of fit for the model was measured through fit indices. Convergent validity was assessed by calculating the average variance extracted. Additionally, discriminant validity was evaluated by computing the spearman correlation coefficient between the constructs. Finally, the interitem correlations, the corrected item-total correlations, and the internal consistency were calculated.Results: Content validity of the questionnaire was established with 23 items. The final four-construct ICSQ-H including 10 items showed a good fit model. Convergent validity was met except for the alcohol-based hand rub (ABHR) construct, while discriminant validity was met for all constructs. The interitem correlations and the corrected item-total correlations were met for all constructs but, the internal consistency of ABHR was unsatisfactory due to the low number of items.Conclusions: The results did not support the original three-factor structure of the ICSQ. However, the four-factor ICSQ-H demonstrated an adequate degree of good fit and was found to be reliable. Based on our findings, we believe that the ICSQ-H could pave the way for more research regarding nurses’ IPC knowledge to be conducted in Hungary. Nevertheless, its validation among other healthcare workers is important to tailor effective interventions to enhance knowledge and awareness.

FIN-TIERA: A Tool for Assessing Technology Induced Errors

2017 ◽  
Vol 56 (01) ◽  
pp. 1-12 ◽  
Author(s):  
Tuuli Pajunen ◽  
Lasse Lehtonen ◽  
Kaija Saranto ◽  
Sari Palojoki
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Health Information ◽  
Internal Consistency ◽  
Latent Variables ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Reliability And Validity ◽  
Cross Sectional ◽  
Hospital District

SummaryBackground: Due to the complexity of healthcare processes, the potential for Health Information Systems (HIS) to cause technology-induced errors is a growing concern. Health Information Technology (HIT) errors nearly always threaten good patient care and can lead to patient harm. Instruments to allow hospitals to proactively identify areas of Electronic Health Records (EHR) safety, to set priorities and to intervene before incidents occur are currently underdeveloped.Objectives: The aim was to design a Finnish questionnaire to measure EHR users’ perceptions of common EHR-related safety concerns in a specialized hospital district context through the lens of the theory of socio-technical dimensions. Moreover, the aim was to measure its reliability by assessing its internal consistency and validity, namely its content and construct validity.Methods: We constructed the instrument, based on the socio-technical theory and Sittig and Singh’s study findings, through a multi-stage process, and expert panels evaluated it to ensure its content validity. The final questionnaire consisted of eight error types to be assessed on a qualitative risk matrix scale. We used a cross-sectional design to test its psychometric properties. Application of the FIN-TIERA Questionnaire to a sample of 2864 clinicians in 2015 then served to evaluate the instrument’s reliability as well as its construct validity.Results: All eight multi-item scales showed high internal consistency (range α > 0.798-0.932 and CR 0.845-0.983). The average variance extracted (AVE) served to assess the confirmatory factor analysis (CFA). The results of the model fit with AGFI = .86, CFI = .898, RMSEA = .052, SRMR = .048 were deemed acceptable. For all factors, AVE yielded values > 0.5, which indicates adequate convergence and supports convergent validity. Discriminant validity was established for five out of a total of eight latent variables.Conclusions: FIN-TIERA is a new multi-dimensional instrument which may be a useful tool for assessing risk in EHR. Our testing shows its potential for use in-hospital settings: the involvement of EHR users demonstrated initial reliability and validity. Further research is recommended to assess the instrument’s psychometric properties.

scholarly journals PSYCHOMETRIC CHARACTERISTICS OF THE MACEDONIAN VERSION OF CLINICAL ASSESSMENT INTERVIEW FOR NEGATIVE SYMPTOMS (CAINS)

2021 ◽  
Author(s):  
Biljana Blaževska Stoilkovska ◽  
Stojan Bajraktarov ◽  
Silvana Markovska Simoska ◽  
Miloš Milutinović ◽  
Ljubiša Novotni ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Clinical Assessment ◽  
Convergent Validity ◽  
Negative Symptoms ◽  
Discriminant Validity ◽  
Family Relations ◽  
Cross Sectional Study ◽  
Factorial Structure ◽  
Cross Sectional ◽  
Assessment Interview

Background: Despite the importance of effective assessment and treatment of negative symptoms among patients with psychosis, no validated instruments are available in the Republic of North Macedonia. The aim of this paper was to explore psychometric properties, namely factorial structure, internal consistency, convergent and discriminant validity of the Clinical Assessment Interview for Negative Symptoms (CAINS).Subjects and methods: In this cross-sectional study 82 outpatients diagnosed with psychosis (64 with schizophrenia and 18 with bipolar disorder; female=34, mean age=41.05±10.09) were assessed.Results: The exploratory factor analysis revealed two factorial structure of the negative symptoms as measured by the CAINS, i.e. ‘expression and motivation’ and ‘pleasure’. Two items aimed to measure motivation for family relations and motivation for work/school activities loaded on the expression factor instead on motivation and pleasure factor which differs from the original version of the CAINS. Convergent validity was proven by positive relationship to negative symptoms as measured by the BPRS. Positive, but weak correlation with BPRS positive symptoms demonstrated its discriminant validity. Internal consistency of overall CAINS scale and its two subscales was very high.Conclusion: The CAINS can be used to assess negative symptoms in individuals with psychosis in the Macedonian clinical context. Consequently, this work can provide a foundation for further clinical advancement and research of negative symptoms in Macedonian healthcare.

PENGEMBANGAN SKALA LOCUS OF CONTROL

2017 ◽  
Vol 2 (3) ◽  
pp. 417-424
Author(s):  
Hendryadi Hendryadi
Keyword(s):  
Locus Of Control ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Short Form ◽  
Employee Selection ◽  
Future Research ◽  
Validity And Reliability ◽  
Control Scale ◽  
Two Stages

This article aims to develop a short form of the locus of control scale. The study was conducted in two stages: a study of 66 respondents as pilot testing which aims to test content validity, structure validity, and internal consistency. Study 2 was conducted on 328 respondents used to test the validity and reliability of the scale evaluated by the PLS-SEM method (such as internal consistency, convergent validity, and discriminant validity). The analysis concludes that the 8-item locus of control scales tested have adequate validity and reliability. A short form locus of control scale was developed and validated in this study, so it can be used in future research and evaluation for HR management practitioners in employee selection Keywords: locus of control, EFA, CFA, scale construction

scholarly journals Translation and Cross-Cultural Adaptation of the Aphasia Check List (ACL) for Farsi-Speaking Persons with Aphasia

2021 ◽  
Author(s):  
Ahmad Reza Khatoonabadi ◽  
◽  
Amin Modarres Zadeh ◽  
Azar Mehri ◽  
Elke Kalbe ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Discriminant Validity ◽  
Control Group ◽  
Check List ◽  
Time Saving ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Ceiling Effects ◽  
Language And Cognition ◽  
Test Retest Reliability

The Aphasia Check List (ACL) test is a comprehensive, time-saving tool for language evaluation in aphasia, including a cognitive assessment part. This cross-sectional study aimed to translate this test into Farsi and analyze the psychometric features of the translated version. The original version of the ACL was translated and adapted from German; its psychometric features were then determined. Twenty participants with aphasia (PWA) and 50 age- and education-matched, cognitively healthy controls participated. Possible floor and ceiling effects, discriminant validity, test-retest reliability, and internal consistency were analyzed in addition to the evaluation of internal correlations between the test parts (Language and Cognition). Regarding the performance of PWAs in the language section and the cognitive subtests assessing attention, memory, and reasoning, there were no floor and ceiling effects. Adequate discriminant validities for the language section of the test (i.e., total score: [Mann-Whitney U= 6.000, p<0.001]; diagnostic subtests scores: [U=3.000, p<0.001]; and each subtest individually) and for the attention subtest of the cognition section [U=16.500, p<0.001] were observed. There was no difference between the control group and the patient group in the subtests of memory [U=497.500, p=0.973] and reasoning [U=3.000, p=308]. The test-retest reliability was acceptable in all subtests (ICCagreement =0.573-0.984). The ACL-P test showed appropriate internal consistency (Cronbach’s alpha=0.761 for test and retest scores). There were also significant correlations between language and cognition in the control and patient groups. The ACL-P test showed sufficient reliability and validity for the evaluation of Farsi-speaking PWAs and used in studies on this population

scholarly journals Validation of the Indonesian version of the graded chronic pain scale 2.0 in pain-related temporomandibular disorders

2020 ◽  
Vol 29 (1) ◽  
pp. 42-6
Author(s):  
Ira Tanti ◽  
Vivi Vidya Waty Wira ◽  
Yenni Pragustine ◽  
Laura Susanti Himawan ◽  
Nina Ariani
Keyword(s):  
Chronic Pain ◽  
Internal Consistency ◽  
Temporomandibular Disorders ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Pain Scale ◽  
Disability Score ◽  
Positive Correlation

BACKGROUND Pain associated with oral problems is one of the most frequent chronic pain of temporomandibular disorders (TMDs). This study was conducted to analyze the psychometric properties of the Indonesian version of the graded chronic pain scale 2.0 (GCPS-ID) in Indonesian patients with TMDs. METHODS The English version of the GCPS version 2.0 was translated and back-translated according to international guidelines. This study conducted from June to December 2016 at the Dental Hospital, Faculty of Dentistry, Universitas Indonesia, and the participants were 202 TMDs patients who had never undergone temporomandibular joint surgery or suffered facial pain for more than 6 months. The evaluation of the GCPS-ID included the internal consistency test, test-retest reliability, and construct validity tests. RESULTS The GCPS-ID had a high internal consistency (Cronbach’s alpha = 0.896). The intraclass correlation coefficient of the pain intensity and the disability score were 0.789 and 0.706, respectively. The convergent validity demonstrated a moderately positive correlation between the GCPS-ID and the Indonesian version of oral health impact profile for TMD for pain (r = 0.595; p<0.001) and disability (r = 0.488; p<0.001). The discriminant validity between GCPS-ID and the subjective patient’s quality of life revealed a weak positive correlation (r = 0.195; p = 0.191). CONCLUSIONS GCPS-ID is a reliable and valid assessment tool for evaluating TMD pain in Indonesia.

scholarly journals Development and Evaluation of a Swedish Short Version of the Questionnaire About the Process of Recovery (QPR)

2019 ◽  
Vol 56 (2) ◽  
pp. 376-382
Author(s):  
Eklund Mona ◽  
Neil Sandra ◽  
Argentzell Elisabeth
Keyword(s):  
Psychometric Properties ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Psychiatric Symptoms ◽  
Internal Consistency Reliability ◽  
Short Version ◽  
Level Of Functioning ◽  
Ceiling Effects ◽  
Good Internal Consistency

Abstract The aim was to develop a short version of the Swedish Process of Recovery Questionnaire (QPR-Swe) for use with people with severe mental illness and to investigate its internal consistency, construct validity, known-groups validity and any floor or ceiling effects. Two independent samples were used, the first (N = 226) to develop the short version and the second (N = 266) to test its psychometric properties. A seven-item version was developed by selecting items based on item-total correlations. The QPR-Swe-7 showed good internal consistency reliability (α = 0.82). It showed moderate correlations with indicators of convergent validity (self-rated health, self-mastery and quality of life) and weak with those selected to test discriminant validity (psychiatric symptoms and level of functioning). QPR-Swe-7 differentiated between people receiving two different levels of housing support. No floor or ceiling effects were found. The QPR-Swe-7 had appropriate psychometric properties for use with people with a variety of mental disorders when a brief scale is warranted.

scholarly journals The Reliability and Validity of the Australian Moral Disengagement Scale

2016 ◽  
Vol 33 (3) ◽  
pp. 136-149
Author(s):  
Nicola C. Newton ◽  
Lexine A. Stapinski ◽  
Katrina E. Champion ◽  
Maree Teesson ◽  
Kay Bussey
Keyword(s):  
Factor Structure ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Moral Disengagement ◽  
Cross Validation ◽  
Reliability And Validity ◽  
Principal Component ◽  
Self Report ◽  
Valid Instrument ◽  
The Individual

Background: The present study explored the reliability, validity, and factor structure of a modified version of the Moral Disengagement Scale (MDS), which comprehensively assesses proneness to disengage from different forms of conduct specific to Australian adolescents. Methods: A sample of 452 students (Mage = 12.79; SD = 1.93) completed the modified MDS and the Australian Self-Report Delinquency Scale. A multistep approach was used to evaluate the factor structure of the MDS. The sample was divided into exploratory (n = 221) and cross-validation samples (n = 231). Principal component analysis was conducted with the exploratory sample and multiple factor solutions compared to determine the optimal factor structure of the modified MDS. The final factor solution was confirmed in the cross-validation sample using confirmatory factor analysis. Internal consistency of the final scale and convergent validity with the delinquency questionnaire was also assessed. Results: Analyses resulted in a 22-item MDS for use in Australia, with four factors mapping onto the four conceptual categories of moral disengagement. The individual subscales demonstrated adequate to good internal consistency, and the total scale also demonstrated high internal consistency (α = 0.87). Convergent validity of the scale was established. Conclusions: The 22-item Australian MDS is a reliable and valid instrument for use within an Australian population.

Sign in / Sign up

Export Citation Format

Share Document