Psychometric Properties of the Moral Injury Symptom Scale among Chinese Health Professionals during the COVID-19 Pandemic

Abstract Background Moral injury among physicians and other health professionals has attracted attention in the mainstream literature, this study aim to assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. Methods: A total of 583 nurses and 2,423 physicians were recruited from across mainland China. An online survey was conducted from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic) using the Chinese version of the MISS-HP. Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to determine scale structure. Results: Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability ( ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r=0.45 for physicians, r=0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r=0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r=0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B=4.16, 95%CI: 3.21-5.10, p<0.001). Conclusions: The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic.

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Psychometric properties of the moral injury symptom scale among Chinese health professionals during the COVID-19 pandemic

BMC Psychiatry ◽

10.1186/s12888-020-02954-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Wang Zhizhong ◽

Harold G. Koenig ◽

Tong Yan ◽

Wen Jing ◽

Sui Mu ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Health Professionals ◽

Workplace Violence ◽

Convergent Validity ◽

Mainland China ◽

Well Being ◽

Moral Injury ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Background Moral injury among physicians and other health professionals has attracted attention in the mainstream literature, this study aim to assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. Methods A total of 583 nurses and 2423 physicians were recruited from across mainland China. An online survey was conducted from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic) using the Chinese version of the MISS-HP. Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to determine scale structure. Results Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability (ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r = 0.45 for physicians, r = 0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r = 0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r = 0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B = 4.16, 95%CI: 3.21–5.10, p < 0.001). Conclusions The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic.

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Psychometric Properties of the Moral Injury Symptoms Scale among Chinese Health Professionals during the COVID-19 Pandemic

10.21203/rs.3.rs-32815/v1 ◽

2020 ◽

Cited By ~ 1

Author(s):

Zhizhong Wang ◽

Harold G Koenig ◽

Yan Tong ◽

Jing Wen ◽

Mu Sui ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Health Professionals ◽

Workplace Violence ◽

Convergent Validity ◽

Mainland China ◽

Well Being ◽

Moral Injury ◽

Retest Reliability ◽

Test Retest Reliability

Abstract Aims To assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. Methods: A total of 583 nurses and 2,423 physicians were recruited from across mainland China. An online survey was conducted using the Chinese version of the MISS-HP from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic). Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was performed to determine scale structure. Results: Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability ( ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r=0.45 for physicians, r=0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r=0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r=0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B=4.16, 95%CI: 3.21-5.10, p<0.001). Conclusion: The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic.

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Measuring the occupational balance of people with insomnia in a Chinese population: Preliminary psychometric evidence on the Chinese version of the Occupational Balance Questionnaire

Hong Kong Journal of Occupational Therapy ◽

10.1177/1569186120944534 ◽

2020 ◽

pp. 156918612094453

Author(s):

Eris CM Ho ◽

Mona Dür ◽

Tanja Stamm ◽

Andrew MH Siu

Keyword(s):

Factor Analysis ◽

Internal Consistency ◽

Convergent Validity ◽

Well Being ◽

Living Environment ◽

Chinese Version ◽

Retest Reliability ◽

Significant Difference ◽

Test Retest Reliability ◽

Insomnia Severity

Background Occupational balance, a fundamental concept in occupational therapy, is the arrangement of right amount and variety of occupations contributes to a person’s health and well-being. This study was aimed to investigate the reliability and validity of the Chinese version of the Occupational Balance Questionnaire (OB-Quest) for people with insomnia. Methods The OB-Quest was translated into traditional Chinese and reviewed by an expert panel for content validity, cultural relevance and translation accuracy. Internal consistency, factor analysis and convergent validity, as well as test–retest reliability, were explored. Results The participants (n = 205), 115 adults with insomnia and 90 adults without insomnia, completed a survey of demographic background, the Chinese version of OB-Quest and the Chinese Insomnia Severity Index (C-ISI). The Chinese version of OB-Quest demonstrated excellent test–retest reliability (ICC= 0.98) and good internal consistency (Cronbach’s α = 0.80). Factor analysis indicated that a single-factor solution explained 42% of the variance, and 9 out of 10 items had a factor loading of 0.4 or above. The Chinese version of OB-Quest had significant correlations with C-ISI (r = –0.88; p < 0.001). A significant difference was found in occupational balance between groups with different levels of insomnia severity and without insomnia (F = 169.72; p < 0.001). As in a previous study, age, living environment and life role had no significant relationship with occupational balance. Conclusion The Chinese version of OB-Quest is a short, easy to understand and culturally relevant assessment for Chinese. It demonstrates satisfactory psychometric properties and had significant correlations with insomnia.

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Psychometric Properties of the Persian Version of COVID Stress Scales (CSS) in the Iranian Population

10.21203/rs.3.rs-417409/v1 ◽

2021 ◽

Author(s):

Fereshte Momeni ◽

Mobina Hoseinpour Moqadam ◽

Mohammadreza Davoudi ◽

Nooshindokht MobarakAbadi ◽

Samaneh Hosseinzadeh

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Convergent Validity ◽

Online Survey ◽

Pearson Correlation ◽

Brief Symptom Inventory ◽

Iranian Population ◽

Retest Reliability ◽

Persian Version ◽

Test Retest Reliability

Abstract Background: Recently, 36-item COVID Stress Scales (CSS) was designed for assessing anxiety and stress related to COVID-19 outbreak. The present study aimed to evaluate the psychometric properties of the Persian version of CSS in the Iranian population.Methods: A total of 393 participants volunteered to cooperate in the present study via an online survey. They completed a collection of scales, including the CSS, COVID-19 Phobia Scale (C19P-S), and Brief Symptom Inventory (BSI). The CSS reliability was determined by calculating Cronbach alpha and test-retest reliability. The validity assessed by Pearson correlation among the CSS and its subscales with C19P-S and BSI. Exploratory Factor Analysis (EFA) and Confirmatory factor analysis (CFA) was used to evaluate the structure of CSS. All analysis assessed by SPSS-26 software.Results: Results showed that 45.3% of the participant’s age were in 18-25 years. Moreover, 72.8 % of the participants were female. Also, Cronbach’s alpha for all subscale was between0.83 to 0.92. The test-retest reliability coefficient of CSS was 0.87. The correlation between the CSS, BSI and C19P-S showed that CSS has suitable convergent validity. CFA and EFA showed that the 5-factor of CSS is the best model. Conclusion: To conclude, Persian version of CSS has suitable psychometric properties for utilizing in Iranian population.

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Psychometric Properties of the Chinese Version of the Positive Empathy Scale Among Undergraduates

Social Behavior and Personality An International Journal ◽

10.2224/sbp.2016.44.1.131 ◽

2016 ◽

Vol 44 (1) ◽

pp. 131-138 ◽

Cited By ~ 1

Author(s):

Tong Yue ◽

Jia Wei ◽

Xiting Huang ◽

Yuhan Jiang

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Psychometric Properties ◽

Well Being ◽

Chinese Version ◽

Retest Reliability ◽

Psychological Constructs ◽

Confirmatory Factor ◽

Empathy Scale ◽

Test Retest Reliability

We translated and examined the psychometric properties of a Chinese version of the Positive Empathy Scale (PES). Exploratory factor analysis (N = 428) and confirmatory factor analysis (N = 503) were performed on data from 2 undergraduate samples to examine the scale's construct validity, and the convergent, divergent, and concurrent validity, and test–retest reliability were also assessed (n = 87). The analyses showed that the PES had a single factor, a Cronbach's alpha of .837, and a test–retest reliability coefficient (4-week interval) of .78. Confirmatory factor analysis showed that the scale's structure was satisfactory. It was strongly correlated with measures of similar constructs (e.g., empathic concern, positive affect), but not with measures of dissimilar psychological constructs (e.g., personal distress). The scale also had a positive correlation with prosocial behavior and well-being. Thus, the Chinese version of the PES is a suitable measure of positive empathy for Chinese undergraduates.

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Psychometric properties of the Czech Integrated Palliative Outcome Scale: Reliability and content validity analysis

10.21203/rs.2.20850/v2 ◽

2020 ◽

Author(s):

Karolina Vlckova ◽

Eva Hoschlova ◽

Eva Chroustova ◽

Martin Loucka

Keyword(s):

Palliative Care ◽

Factor Analysis ◽

Psychometric Properties ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Retest Reliability ◽

Cronbach Alpha ◽

Test Retest Reliability

Abstract Background: Outcome measurement is an essential part of the evaluation of palliative care and the measurements need to be reliable, valid and adapted to the culture in which they are used. The Integrated Palliative Outcome Scale (IPOS) is a widely used tool for assessing personal-level outcomes in palliative care. The aim of this study was to provide Czech version of IPOS and asses its psychometric properties. Methods: Patients receiving palliative care in hospice or hospitals completed the IPOS. The reliability of Czech IPOS was tested with Cronbach alpha (for internal consistency), the intraclass correlation coefficient for total IPOS score and weighted Kappa (for test-retest reliability of individual items). Factor analysis was used for elucidating the construct (Exploratory Factor Analysis). Convergent validity was tested with correlation analysis (Spearman correlation) in a part of the sample, who completed also the Edmonton Symptom Assessment System (ESAS) and the Palliative Performance Scale (PPS). Results: The sample consisted of 140 patients (mean age 72; 90 women; 81 % oncological disease). The Cronbach alpha was 0.789; intraclass correlation was 0.88. The correlations of IPOS with ESAS was R= 0.4 and PPS R= -0.2. Exploratory factor analysis revealed a 2-factor solution on our data. The first factor covers emotional and information needs and the second factor covers physical symptoms. Conclusion: Czech IPOS has very good reliability regarding both internal consistency and test-retest reliability. Together with an item analysis results, we can conclude that the Czech adaptation of the tool was successful. The convergent validity needs to be assessed on the larger sample and the proposed 2-factor internal structure of the questionnaire has to be confirmed by using CFA.

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Psychometric properties of the Czech Integrated Palliative Outcome Scale: Reliability and content validity analysis

10.21203/rs.2.20850/v3 ◽

2020 ◽

Author(s):

Karolina Vlckova ◽

Eva Hoschlova ◽

Eva Chroustova ◽

Martin Loucka

Keyword(s):

Palliative Care ◽

Factor Analysis ◽

Psychometric Properties ◽

Exploratory Factor Analysis ◽

Internal Consistency ◽

Convergent Validity ◽

Intraclass Correlation ◽

Retest Reliability ◽

Cronbach Alpha ◽

Test Retest Reliability

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Psychometric properties of the critical thinking disposition assessment test amongst medical students in China: a cross-sectional study

BMC Medical Education ◽

10.1186/s12909-020-02437-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Liyuan Cui ◽

Yaxin Zhu ◽

Jinglou Qu ◽

Liming Tie ◽

Ziqi Wang ◽

...

Keyword(s):

Factor Analysis ◽

Critical Thinking ◽

Medical Students ◽

Psychometric Properties ◽

Internal Consistency ◽

Discriminant Validity ◽

Retest Reliability ◽

Critical Thinking Disposition ◽

Thinking Disposition ◽

Test Retest Reliability

Abstract Background Critical thinking disposition helps medical students and professionals overcome the effects of personal values and beliefs when exercising clinical judgment. The lack of effective instruments to measure critical thinking disposition in medical students has become an obstacle for training and evaluating students in undergraduate programs in China. The aim of this study was to evaluate the psychometric properties of the CTDA test. Methods A total of 278 students participated in this study and responded to the CTDA test. Cronbach’s α coefficient, internal consistency, test-retest reliability, floor effects and ceiling effects were measured to assess the reliability of the questionnaire. Construct validity of the pre-specified three-domain structure of the CTDA was evaluated by explanatory factor analysis (EFA) and confirmatory factor analysis (CFA). The convergent validity and discriminant validity were also analyzed. Results Cronbach’s alpha coefficient for the entire questionnaire was calculated to be 0.92, all of the domains showed acceptable internal consistency (0.81–0.86), and the test-retest reliability indicated acceptable intra-class correlation coefficients (ICCs) (0.93, p < 0.01). The EFA and the CFA demonstrated that the three-domain model fitted the data adequately. The test showed satisfactory convergent and discriminant validity. Conclusions The CTDA is a reliable and valid questionnaire to evaluate the disposition of medical students towards critical thinking in China and can reasonably be applied in critical thinking programs and medical education research.

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Psychometric properties of the short form of the Stroke Impact Scale in German-speaking stroke survivors

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01826-5 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Anna Coppers ◽

Jens Carsten Möller ◽

Detlef Marks

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Short Form ◽

Trial Registration ◽

Cognitive Domain ◽

Retest Reliability ◽

Stroke Impact Scale ◽

Impact Scale ◽

German Speaking ◽

Test Retest Reliability

Abstract Background The short form of the Stroke Impact Scale (SF-SIS) consists of eight questions and provides an overall index of health-related quality of life after stroke. The goal of the study was the evaluation of construct validity, reliability and responsiveness of the SF-SIS for the use in German-speaking stroke patients in rehabilitation. Methods The SF-SIS, the Stroke Impact Scale 2.0 (SIS 2.0), EQ-5D-5L, National Institutes of Health Stroke Scale (NIHSS) and de Morton Mobility Index were assessed in 150 inpatients after stroke, with a second measurement two weeks later for the analyses of responsiveness. In 55 participants, the test–retest-reliability was assessed one week after the first measurement. The study was designed following the recommendations of the COSMIN initiative. Results The correlations of the SF-SIS with the SIS 2.0 (ρ = 0.90), as well as the EQ-5D-5L (ρ = 0.79) were high, as expected. There was adequate discriminatory ability of the SF-SIS index between patients who were less and more severely affected by stroke, as assessed by the NIHSS. Exploratory factor analysis indicated a two-factor structure of the SF-SIS explaining 59.9% of the total variance, providing better model fit in the confirmatory factor analysis than the one-factorial structure. Analyses of test–retest-reliability showed an intraclass correlation coefficient of 0.88 (95% CI 0.75–0.94). Hypotheses concerning responsiveness were not confirmed due to lower correlations between the assessments change scores. Conclusion Results of this analysis of the SF-SIS’s psychometric properties are matching with the validity analysis of the English original version, confirming the high correlations with the Stroke Impact Scale and the EQ-5D-5L. Examination of structural validity did not confirm the presumed unidimensionality of the scale and found evidence of an underlying two-factor solution with a physical and cognitive domain. Sufficient test–retest reliability and internal consistency were found. In addition, this study provides first results for the responsiveness of the German version. Trial registration The study was registered at the German Clinical Trials Register. Trial registration number: DRKS00011933, date of registration: 07.04.2017

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Psychometric Properties of the Modified Social Environment Questionnaire in Chinese Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.2017-0044 ◽

2018 ◽

Vol 26 (4) ◽

pp. 530-536 ◽

Cited By ~ 1

Author(s):

Ka-Man Leung ◽

Pak-Kwong Chung ◽

Tin-Lok Yuen ◽

Jing Dong Liu ◽

Donggen Wang

Keyword(s):

Older Adults ◽

Factor Analysis ◽

Hong Kong ◽

Confirmatory Factor Analysis ◽

Psychometric Properties ◽

Measurement Invariance ◽

Social Environment ◽

Convergent Validity ◽

Confirmatory Factor ◽

Test Retest Reliability

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.

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