Validity Testing and cultural adaptation of the eHealth Literacy Questionnaire (eHLQ) among people with chronic disease in Taiwan: A mixed-methods study (Preprint)

2021 ◽  
Author(s):  
Yu-Chi Chen ◽  
Christina Cheng ◽  
Richard H Osborne ◽  
Lars Kayser ◽  
Chieh-Yu Liu ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Chronic Diseases ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Digital Health ◽  
Test Theory ◽  
Measurement Properties ◽  
Validity Testing ◽  
Ehealth Literacy

BACKGROUND Advancements in digital technologies seek to promote health and access to services. However, people lacking abilities and confidence to use technology are likely to be left behind, leading to health disparities. In providing digital health services, health care providers need to be aware of users diverse electronic health (eHealth) literacy to address particular needs and ensure equitable uptake and use of digital services. To understand such needs, an instrument that captures user’s knowledge, skills, trust, motivation and experiences in relation to technology is required. The eHealth Literacy Questionnaire (eHLQ) is a multi-dimensional tool with 7 scales covering diverse dimensions of eHealth literacy. The tool was simultaneously developed in English and Danish using a grounded and validity-driven approach and was shown to have strong psychometric properties. OBJECTIVE This study aimed to translate and culturally adapt the eHLQ for application among Chinese-speaking people with chronic diseases in Taiwan, and then undertake a rigorous set of validity testing procedures. METHODS The cross-cultural adaptation of the eHLQ included translation and evaluation of the translations. The measurement properties were assessed using classical test theory and Item Response Theory (IRT) approaches. Content validity, known groups validity and internal consistency were explored, as well as item characteristic curves (ICCs), item discrimination and item location/difficulty. RESULTS The adapted version was reviewed and a recommended forward translation was confirmed through consensus meetings. The tool exhibited good content validity. A total of 420 people with one or more chronic diseases participated in a validity testing survey. The eHLQ showed good internal consistency (Cronbach’s α .75 ~.95). For known groups validity, all 7 eHLQ scales showed strong expected associations with education. Unidimensionality and local independence assumptions were met, except for Scale 2. IRT analysis showed that all items demonstrated good discrimination and a good range of difficulty, except for 2 items in Scale 7. CONCLUSIONS Using a rigorous process, the eHLQ was translated from English into a culturally appropriate tool for use in the Chinese language. Validity testing provided evidence of satisfactory to strong psychometric properties of the eHLQ. The 7 scales are likely to be useful research tools for evaluating digital health interventions and for informing the development of health technology products and interventions that equitably suit diverse users’ needs. CLINICALTRIAL Inapplicable This study was not a clinical trial.

scholarly journals Brazilian version of the Personal Report of Communication Apprehension: Cross-cultural adaptation and psychometric evaluation among healthcare students

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246075
Author(s):  
Dyego Carlos Souza Anacleto de Araújo ◽  
Sylmara Nayara Pereira ◽  
Willian Melo dos Santos ◽  
Pedro Wlisses dos Santos Menezes ◽  
Kérilin Stancine dos Santos Rocha ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Communication Apprehension ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Healthcare Students ◽  
Brazilian Version

Introduction Communication apprehension (CA) refers to an individual’s level of fear or anxiety toward either real or anticipated communication with another person or persons. The Personal Report of Communication Apprehension (PRCA-24) is the most widely used measure of CA, even among healthcare students. Objective This study aimed to undertake a cross-cultural adaptation of this scale, translate it into Brazilian Portuguese, and examine its psychometric properties among healthcare students. Methods The translation and cross-cultural adaptation procedures were undertaken with the objective of establishing compatibility between the original and translated scales. The content validity of the scale was established based on the feedback of a multidisciplinary expert committee. Its psychometric properties were evaluated using a convenience sample of 616 healthcare students. Its construct validity was examined using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Its internal consistency was examined by computing Cronbach’s alpha and McDonald’s omega coefficients. Its criterion validity was examined against the Interpersonal Communication Competence Scale (ICCS). Results The adapted scale demonstrated acceptable content validity. EFA showed that it was undergirded by one dimension, and this observation was confirmed by the results of CFA. The scale demonstrated excellent internal consistency. Its convergent validity was examined by conducting correlation analysis, and scores on the adapted PRCA-24 were negatively correlated with scores on the ICCS. Conclusion The Brazilian version of the PRCA-24 has satisfactory psychometric properties and is, therefore, suitable for use with Brazilian healthcare students. It can be used to assess their communication needs for the purpose of designing tailored training programs.

scholarly journals Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study

10.2196/12504 ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. e12504 ◽  
Author(s):  
Areti Efthymiou ◽  
Nicos Middleton ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Chronic Diseases ◽  
Internal Consistency ◽  
Content Validity ◽  
Karolinska Institute ◽  
Term Care ◽  
Web Based ◽  
Ehealth Literacy ◽  
People With Dementia ◽  
At Home

Background As the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist the work of carers at home. Measuring the levels of electronic health (eHealth) literacy is of top priority to facilitate inclusion of this population and develop training programs to enhance eHealth literacy skills. Objective This study aimed to adapt the eHealth Literacy Scale (eHeals) for carers of people with dementia, who speak Greek as their native language and live in Greece and Cyprus, and to test the reliability and validity of the scale for carers. Methods The content validity of the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) was assessed with an expert panel (N=10). A descriptive study with face-to-face interviews among 101 primary carers of people with dementia was conducted. In addition to the eHeals-Carer to assess their perceived eHealth literacy, participants responded to a brief questionnaire regarding characteristics of internet use and provided sociodemographic data. The internal consistency of the tool and the construct validity via an exploratory factor analysis (EFA) were explored. Results The Mean Item-Level Content Validity Index (CVI) and Scale-Level CVI Average was 0.93. The participants were mostly women (75.2%, 76/101), aged less than 60 years (67.3%, 68/101) with secondary education. The internal consistency was estimated at a Cronbach alpha of .83. Two factors were extracted from the EFA: information seeking questions 1 to 5 (factor 1) and evaluation questions 6 to 8 (factor 2). Conclusions eHeals-Carer is the first perceived eHealth literacy tool adapted for carers of people with dementia. The use of Web-based services available for carers could help them and improve the health care system in the long term. In Greece and Cyprus, there is a lack of services, and improving the digital skills of carers could provide them with the means to support themselves at home and improve care provision. International Registered Report Identifier (IRRID) RR2-10.2196/resprot.8080

eHealth Literacy Instruments: a Systematic Review of Measurement Properties (Preprint)

2021 ◽  
Author(s):  
Jiyeon Lee ◽  
Eun-Hyun Lee ◽  
Duckhee Chae
Keyword(s):  
Systematic Review ◽  
Factor Structure ◽  
Content Validity ◽  
Digital Health ◽  
Measurement Properties ◽  
Health Measurement ◽  
Ehealth Literacy ◽  
Health Technologies ◽  
Psychometric Studies ◽  
Quality Evidence

BACKGROUND The internet is now a major source of health information. With the growth of internet users, electronic health literacy (eHealth literacy) has emerged as a new concept for digital health care. Health professionals need to consider the eHealth literacy of consumers when providing care utilizing digital health technologies. OBJECTIVE The objectives of this study were to identify currently available eHealth literacy instruments and evaluate their measurement properties with the intention of providing robust evidence to researchers and clinicians who are selecting an eHealth literacy instrument. METHODS A systematic review and meta-analysis was conducted of self-reported eHealth literacy instruments by applying the updated COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. RESULTS This study included 7 instruments from 41 articles describing 57 psychometric studies, as identified in 4 databases (PubMed, CINAHL, Embase, and PsycInfo). No eHealth literacy instrument provided evidence for all measurement properties. The eHealth Literacy Scale (eHEALS) was originally developed with a single-factor structure under the definition of eHealth literacy before the rise of social media and the mobile Web. That instrument was evaluated in 18 different languages in 26 countries involving diverse populations. However, a variety of other factor structures were exhibited: seven types of two-factor structure, three types of three-factor structure, and one-bifactor structure. The Transactional eHealth Literacy Instrument (TeHLI) was developed to reflect broader concept of eHealth literacy, and was demonstrated to have a sufficient low- and very-low-quality evidence for content validity (relevance, comprehensiveness, and comprehensibility), and sufficient high-quality evidence for structural validity and internal consistency; however, that instrument has rarely been evaluated. CONCLUSIONS The eHEALS was the most frequently investigated instrument. However, it is strongly recommended that the content of the instrument be updated to reflect recent advancements in digital health technologies. The TeHLI needs improvements in content validity and further psychometric studies to increase the credibility of its synthesized evidence. CLINICALTRIAL Not applicable.

scholarly journals Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study (Preprint)

2018 ◽  
Author(s):  
Areti Efthymiou ◽  
Nicos Middleton ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Chronic Diseases ◽  
Internal Consistency ◽  
Content Validity ◽  
Karolinska Institute ◽  
Term Care ◽  
Web Based ◽  
Ehealth Literacy ◽  
People With Dementia ◽  
At Home

BACKGROUND As the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist the work of carers at home. Measuring the levels of electronic health (eHealth) literacy is of top priority to facilitate inclusion of this population and develop training programs to enhance eHealth literacy skills. OBJECTIVE This study aimed to adapt the eHealth Literacy Scale (eHeals) for carers of people with dementia, who speak Greek as their native language and live in Greece and Cyprus, and to test the reliability and validity of the scale for carers. METHODS The content validity of the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) was assessed with an expert panel (N=10). A descriptive study with face-to-face interviews among 101 primary carers of people with dementia was conducted. In addition to the eHeals-Carer to assess their perceived eHealth literacy, participants responded to a brief questionnaire regarding characteristics of internet use and provided sociodemographic data. The internal consistency of the tool and the construct validity via an exploratory factor analysis (EFA) were explored. RESULTS The Mean Item-Level Content Validity Index (CVI) and Scale-Level CVI Average was 0.93. The participants were mostly women (75.2%, 76/101), aged less than 60 years (67.3%, 68/101) with secondary education. The internal consistency was estimated at a Cronbach alpha of .83. Two factors were extracted from the EFA: information seeking questions 1 to 5 (factor 1) and evaluation questions 6 to 8 (factor 2). CONCLUSIONS eHeals-Carer is the first perceived eHealth literacy tool adapted for carers of people with dementia. The use of Web-based services available for carers could help them and improve the health care system in the long term. In Greece and Cyprus, there is a lack of services, and improving the digital skills of carers could provide them with the means to support themselves at home and improve care provision. INTERNATIONAL REGISTERED REPORT RR2-10.2196/resprot.8080

scholarly journals Measuring Subjective Sleep Quality: A Review

2021 ◽  
Vol 18 (3) ◽  
pp. 1082
Author(s):  
Marco Fabbri ◽  
Alessia Beracci ◽  
Monica Martoni ◽  
Debora Meneo ◽  
Lorenzo Tonetti ◽  
...  
Keyword(s):  
Construct Validity ◽  
Sleep Quality ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Self Report ◽  
Measurement Properties ◽  
Poor Sleep ◽  
Daily Routine ◽  
Factorial Structure ◽  
Poor Sleep Quality

Sleep quality is an important clinical construct since it is increasingly common for people to complain about poor sleep quality and its impact on daytime functioning. Moreover, poor sleep quality can be an important symptom of many sleep and medical disorders. However, objective measures of sleep quality, such as polysomnography, are not readily available to most clinicians in their daily routine, and are expensive, time-consuming, and impractical for epidemiological and research studies., Several self-report questionnaires have, however, been developed. The present review aims to address their psychometric properties, construct validity, and factorial structure while presenting, comparing, and discussing the measurement properties of these sleep quality questionnaires. A systematic literature search, from 2008 to 2020, was performed using the electronic databases PubMed and Scopus, with predefined search terms. In total, 49 articles were analyzed from the 5734 articles found. The psychometric properties and factor structure of the following are reported: Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), Insomnia Severity Index (ISI), Mini-Sleep Questionnaire (MSQ), Jenkins Sleep Scale (JSS), Leeds Sleep Evaluation Questionnaire (LSEQ), SLEEP-50 Questionnaire, and Epworth Sleepiness Scale (ESS). As the most frequently used subjective measurement of sleep quality, the PSQI reported good internal reliability and validity; however, different factorial structures were found in a variety of samples, casting doubt on the usefulness of total score in detecting poor and good sleepers. The sleep disorder scales (AIS, ISI, MSQ, JSS, LSEQ and SLEEP-50) reported good psychometric properties; nevertheless, AIS and ISI reported a variety of factorial models whereas LSEQ and SLEEP-50 appeared to be less useful for epidemiological and research settings due to the length of the questionnaires and their scoring. The MSQ and JSS seemed to be inexpensive and easy to administer, complete, and score, but further validation studies are needed. Finally, the ESS had good internal consistency and construct validity, while the main challenges were in its factorial structure, known-group difference and estimation of reliable cut-offs. Overall, the self-report questionnaires assessing sleep quality from different perspectives have good psychometric properties, with high internal consistency and test-retest reliability, as well as convergent/divergent validity with sleep, psychological, and socio-demographic variables. However, a clear definition of the factor model underlying the tools is recommended and reliable cut-off values should be indicated in order for clinicians to discriminate poor and good sleepers.

scholarly journals Psychometric Testing of the Spanish Modified Version of the Mini-Suffering State Examination

2021 ◽  
Vol 18 (15) ◽  
pp. 7821
Author(s):  
Daniel Gutiérrez-Sánchez ◽  
Rafael Gómez-García ◽  
Isabel María López-Medina ◽  
Antonio I. Cuesta-Vargas
Keyword(s):  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Informal Caregivers ◽  
Psychometric Testing ◽  
Spanish Version ◽  
Measurement Properties ◽  
Quality Of Dying ◽  
State Examination

Background: The mini-suffering state examination is a valid and reliable measure that have been used to assess suffering in patients with advanced cancer. The aim of this study was to carry out a psychometric analysis of the Spanish version of the mini-suffering state examination. Method: A validation study was conducted. Seventy-two informal caregivers of deceased patients in palliative care were included in this study. A psychometric testing of content validity, internal consistency, and convergent validity with the Spanish version of the quality of dying and death questionnaire was performed. Results: The original instrument was modified to be used by informal caregivers. The content validity was acceptable (0.96), and the internal consistency was moderate (α = 0.67). Convergent validity was demonstrated (r = −0.64). Conclusion: The Spanish modified version of the MSSE showed satisfactory measurement properties. The Spanish modified version of MSSE can be useful to facilitate screening, monitor progress, and guide treatment decisions in end-of-life cancer patients.

scholarly journals Development and psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form

2020 ◽  
Vol 32 (10) ◽  
pp. 701-707
Author(s):  
Mehtap Akgün ◽  
Selma Turan Kavradim ◽  
İlkay Boz ◽  
Zeynep Özer
Keyword(s):  
Psychometric Properties ◽  
Root Mean Square ◽  
Internal Consistency ◽  
Content Validity ◽  
Assessment Tool ◽  
Short Form ◽  
Mean Square ◽  
Structural Validity ◽  
Caring Behaviors ◽  
Fit Index

Abstract Objectives To develop and examine the psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form (CBAN-SF) based on the Theory of Human Caring to assess the nurses’ perceptions about caring behaviors. Design This study is based on the Consensus-based Standards for the Selection of Health Measurement Instruments checklist. Setting The study was conducted at the medical-surgical services of Akdeniz University Hospital between October 2019 and January 2020. Participants This study was conducted with 216 nurses working in the surgery and internal clinics. Main Outcome Measures Psychometric properties of the Turkish version of the CBAN-SF with 27 items. Results It was found that the Content Validity Index (CVI) for the items of the draft scale was between 0.972 and 1.00 and the instrument’s CVI had an average score of 0.994. The CBAN-SF had good fit indexes (chi-square goodness of fit / degrees of freedom = 2.914, root mean square error of approximation = 0.075, comparative fit index = 0.984, non-normed fit index = 0.983, normed fit index = 0.972 and standardized root mean square residuals = 0.054) in structural validity. For internal consistency, the Cronbach’s alpha, Spearman–Brown and the Guttman split-half coefficients were all 0.974. The Cronbach’s alpha coefficient for the seven subfactors of the scale ranged between 0.793 and 0.904 and had acceptable internal consistency. The item-total score correlation of the scale was 0.648–0.829, and the factor loadings were 0.455–0.769. Conclusion The structural validity, internal consistency and content validity of the CBAN-SF supported to be a reliable and valid tool for assessment of caring behaviors by nurses.

scholarly journals Cross-cultural adaptation of the primary health care satisfaction questionnaire

2014 ◽  
Vol 27 (5) ◽  
pp. 419-426 ◽  
Author(s):  
Elisabete Pimenta Araujo Paz ◽  
Pedro Miguel Santos Dinis Parreira ◽  
Alexandrina de Jesus Serra Lobo ◽  
Rosilene Rocha Palasson ◽  
Sheila Nascimento Pereira de Farias
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Care Service ◽  
Cross Cultural ◽  
Care Services ◽  
Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

Psychometric Analysis of Persian Version of Patient Safety Competency Self-Evaluation in Psychiatric Wards

2021 ◽  
Vol 15 (6) ◽  
pp. 2048-2053
Author(s):  
Mahya Torkaman ◽  
Marzieh Momennasab ◽  
Shahrzad Yektatalab ◽  
Mahin Eslamishahrbabaki
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Psychiatric Hospitals ◽  
Psychiatric Ward ◽  
Self Evaluation ◽  
Persian Version

Background: Assessment of the patient safety competency is necessary for the growth of nursing and safe care profession as well as evaluation of the nurses' educational needs. To this end, valid and reliable tools are required. Aim:The present study was conducted to determine psychometric properties of the Persian version of the patient safety competency self-evaluation (PSCSE) tool in Iranian psychiatric wards. Methods: All nurses (n = 209) working in two psychiatric hospitals of Kerman, Iran were included in the present cross-sectional study using census method. Followed by administering the Persian version of PSCSE to the participants, its internal consistency and reliability were assessed by test-retest method with an interval of 14 days. Other psychometric properties such as content, construct, and convergent validity of the tool were also examined. Results:The content validity index was 0.65 and the content validity ratio was 0.89. Item 14 was removed from the skill domain because it was not related to the psychiatric ward. According to the results of factor analysis, 40 items and three domains of knowledge (6 items), attitude (14 items), and skills (20 items) were confirmed with acceptable values. In terms of its convergent validity, PSCSE had a moderate correlation (r = 0.57) with the Assessment of the Safe Nursing Care (ASNC) scale. The correlation coefficient for test-retest was ICC = 0.92 for the whole instrument and 0.89, 0.89, and 0.92 for the domains of knowledge, attitude, and skill, respectively. The internal consistency coefficient (Cronbach's alpha) of the whole tool was 0.95 and 0.95, 0.79, and 0. 95 for the domains of knowledge, attitude, and skill, respectievly. Conclusion: Persian version of the nurses' competency tool in ensuring patient safety in psychiatric wards has acceptable psychometric characteristics. Keywords: Validity, Reliability, Confirmatory factor analysis, Patient safety competency, psychiatric nurse

Sign in / Sign up

Export Citation Format

Share Document