Development and Testing of a Sedation Scale for Use in Rabbits (Oryctolagus cuniculus)

In biomedical research, rabbits are commonly sedated to facilitate a variety of procedures. Developing a sedation assessment scale enables standardization of levels of sedation and comparisons of sedation protocols, and may help in predicting sedation level requirements for different procedures. The goal of this study was to develop a rabbit sedation assessment scale using a psychometric approach. We hypothesized that the sedation scale would have construct validity, good internal consistency, and reliability. In a prospective, randomized, blinded study design, 15 (8 females, 7 males) healthy 1-y-old New Zealand white rabbits received 3 intramuscular treatments: midazolam (0.5 mg/kg; n = 6); midazolam (1.5 mg/kg)–ketamine (5 mg/kg; n = 7); and alfaxalone (4 mg/kg)–dexmedetomidine (0.1 mg/kg)–midazolam (0.2 mg/kg; n = 3). One rabbit received 2 treatments. A sedation scale was developed by using psychometric methods, with assessment performed by 6 independent raters who were blind to treatment. Final sedation scale items included posture, palpebral reflex, orbital tightening, lateral recumbency, loss of righting reflex, supraglottic airway device placement, toe pinch, and general appearance. The scale showed construct validity, good to very good interrater reliability for individual items (6 raters; intraclass correlation coefficient, 0.671 to 0.940), very good intrarater reliability (5 raters; intraclass correlation coefficient, 0.951 to 0.987), and excellent internal consistency (Cronbach α, 0.947). The sedation scale performed well under the conditions tested, suggesting that it can be applied in a wider range of settings (different populations, raters, sedation protocols).

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Reliability, validity, and agreement of the short-form Activities-specific Balance Confidence Scale in people with lower extremity amputations

Prosthetics and Orthotics International ◽

10.1177/0309364619875623 ◽

2019 ◽

Vol 43 (6) ◽

pp. 609-617 ◽

Cited By ~ 1

Author(s):

Katherine Fuller ◽

Humberto Adolfo Omaña Moreno ◽

Courtney Frengopoulos ◽

Michael W Payne ◽

Ricardo Viana ◽

...

Keyword(s):

Lower Extremity ◽

Construct Validity ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Short Form ◽

Intraclass Correlation ◽

Balance Confidence ◽

Absolute Reliability ◽

Confidence Scale

Background: Clinicians use the Activities-specific Balance Confidence Scale to understand balance confidence. A short-form Activities-specific Balance Confidence scale, was developed using the six most difficult tasks from the original Activities-specific Balance Confidence scale; however, short-form the short-form scale psychometrics and agreement with the original scale have yet to be explored in people with lower extremity amputations. Objective: To determine the relative and absolute reliability, construct validity, and agreement of the short-form Activities-specific Balance Confidence scale. Study design: Test–retest with a 2-week interval. Methods: Analysis for relative reliability and internal consistency was intraclass correlation coefficient and Cronbach’s α, respectively. Absolute reliability was measured using standard error of measurement and minimal detectable change. Bland–Altman plots measured agreement between scales. Construct validity was evaluated against the L Test using a Pearson-product moment correlation. Results: The short-form Activities-specific Balance Confidence (intraclass correlation coefficient = 0.92) and Activities-specific Balance Confidence (intraclass correlation coefficient = 0.91) scales had excellent relative reliability. Both scales demonstrated good internal consistency. Worse absolute reliability was observed in the short-form Activities-specific Balance Confidence scale. Construct validity against the L Test was confirmed. Bland–Altman plots indicated poor agreement between scales. Conclusion: Both scales exhibit excellent relative reliability and good internal consistency and construct validity. Poor agreement between short-form Activities-specific Balance Confidence and Activities-specific Balance Confidence indicates the scales should not be used interchangeably. Inadequate absolute reliability of the short-form Activities-specific Balance Confidence scale suggests the Activities-specific Balance Confidence should be the balance confidence scale of choice. Clinical relevance: Balance confidence is an important metric for our understanding of rehabilitation and community re-integration in people with lower extremity amputations. Due to inferior absolute reliability and a lack of appropriate items composing the short-form Activities-specific Balance Confidence scale, the full-scale Activities-specific Balance Confidence is recommended for the assessment of balance confidence in this population.

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Validation and adaptation of the Spanish version of the systemic lupus activity questionnaire (S-SLAQ) in an Argentinean population

Lupus ◽

10.1177/09612033211061064 ◽

2021 ◽

pp. 096120332110610

Author(s):

Cecilia Catoggio ◽

Alejandro Martínez Muñoz ◽

Rafael Chaparro del Moral ◽

Diana S Klajn ◽

Silvia B Papasidero ◽

...

Keyword(s):

Disease Activity ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Intraclass Correlation ◽

Systemic Lupus ◽

Cronbach's Alpha ◽

Clinically Significant ◽

Significant Disease ◽

Activity Questionnaire

Objectives To validate the systemic lupus activity questionnaire (SLAQ) in Spanish language. Methods The SLAQ questionnaire was translated and adapted in Spanish. Consecutive SLE patients from 8 centers in Argentina were included. A rheumatologist completed a Systemic Lupus Activity Measure (SLAM), Systemic Lupus Erythematosus Disease Activity Index (SLEDAI)-2K, and a physician’s assessment. Reliability was assessed by internal consistency (Cronbach’s alpha), stability by test–retest reliability (intraclass correlation coefficient), and construct validity by evaluating the correlation with clinically relevant scores. Sensitivity and specificity for clinically significant disease activity (SLEDAI ≥6) of different S-SLAQ cut-off points were evaluated. Results We included 97 patients ((93% female, mean age: 40 years (SD14.7)). Internal consistency was excellent (Cronbach’s alpha = 0.84, p < 0.001), and the intraclass correlation coefficient was 0.95 ( p < 0.001). Mean score of S-SLAQ was 8.2 (SD 7.31). Correlation of S-SLAQ was moderate with Patient NRS (r= 0.63 p< 0.001), weak with SLAM-no lab ( r = 0.42, p <0.001) and SLAM ( r = 0.38, p < 0.0001), and very weak with SLEDAI-2K ( r = 0.15, p =0.1394). Using the S-SLAQ cutoff of five points, the sensitivity was 72.2% and specificity was 37.9%, for clinically significant disease activity. Conclusions The S-SLAQ showed good validity and reliability. A good correlation, similar to the original instrument, was observed with patient´s global disease activity. No correlation was found between S-SLAQ and gold standard disease activity measures like SLEDAI-2K and SLAM. The S-SLAQ cutoff point of 5 showed a good sensitivity to identify the active SLE population and therefore could be an appropriate screening instrument for disease activity in clinical and epidemiological studies.

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Design and validation of an anatomically based assessment scale for handwashing with alcohol-based hand rub

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2018.119 ◽

2018 ◽

Vol 39 (8) ◽

pp. 1000-1002 ◽

Cited By ~ 1

Author(s):

Daniel Aiham Ghazali ◽

Julie Thomas ◽

Elsa Deilhes ◽

Catherine Laland ◽

Sarah Thévenot ◽

...

Keyword(s):

Linear Regression ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Dorsal Side ◽

Assessment Scale ◽

Psychometric Measurements

AbstractAn anatomically based assessment scale of handwashing quality with alcohol-based hand rub was designed. Contents of the scale divided each hand into 40 zones. Psychometric measurements were studied in 30 participants (120 hand sides). The scale was both valid (Cronbach α: 0·83 dorsal side and 0·73 palmar side) and reproducible (linear regression R2, 0·91; intraclass correlation coefficient, 0·99).

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Indian (Marathi) version of the Shoulder Pain and Disability Index (SPADI): Translation and validation in patients with adhesive capsulitis

Hong Kong Physiotherapy Journal ◽

10.1142/s101370252150013x ◽

2021 ◽

pp. 1-8

Author(s):

Apeksha Jayesh Pahade ◽

Surendra K. Wani ◽

Rajani P. Mullerpatan ◽

Kathryn Elizabeth Roach

Keyword(s):

Pain Score ◽

Correlation Coefficient ◽

Shoulder Pain ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Negative Correlation ◽

Intraclass Correlation ◽

Care Hospital ◽

Disability Score ◽

Shoulder Range Of Motion

Background: The Shoulder Pain and Disability Index (SPADI) is the most commonly used self-administered questionnaire which is a valid and reliable instrument to assess the proportion of pain and disability in shoulder disorders. There is no evidence of SPADI questionnaire being translated into regional Indian language (Marathi). Objective:This study aims to translate and culturally adapt and validate the Marathi version of the SPADI questionnaire. This was done as per the AAOS outcomes committee guidelines. Methods: Cross-cultural adaptation and psychometric testing of SPADI was done in the Outpatient Physiotherapy Department of Tertiary Care Hospital, Ahmednagar, India. Results: The internal consistency was assessed by calculating Cronbach alpha value for the pain score (0.908), disability score (0.959), and total SPADI (0.969) which were all high. The Test–retest reliability was assessed using the intraclass correlation coefficient (ICC) values for the pain score (0.993), disability score (0.997), and total SPADI (0.997) which showed excellent reliability. The criterion validity was assessed using Pearson correlation coefficient. In Males, weak to strong negative correlation was observed except for shoulder extension and in females, moderate negative correlation was observed between baseline shoulder range of motion and initial total SPADI scores and individual pain and disability except for shoulder internal rotation. The internal consistency of the Marathi SPADI (Cronbach’s alpha [Formula: see text]0.99) was higher than the original English version. The reliability of the total Marathi SPADI and its subscale (Intraclass correlation coefficient [Formula: see text]0.90) were found to be higher than that of the English SPADI and were consistent with the German, Brazilian, Slovene and Greek versions. Conclusion: The translated and culturally adapted Marathi version of the SPADI questionnaire is a reliable and valid tool for the assessment of pain and disability in Marathi population.

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Development and validation of the Occupational Back Pain Prevention Behaviors Questionnaire in nursing personnel

10.21203/rs.2.12282/v2 ◽

2019 ◽

Author(s):

Seyedeh Somayeh Kazemi ◽

Sedigheh-Sadat Tavafian ◽

Alireza Hidarnia ◽

Ali Montazeri

Keyword(s):

Factor Analysis ◽

Back Pain ◽

Construct Validity ◽

Correlation Coefficient ◽

Exploratory Factor Analysis ◽

Intraclass Correlation Coefficient ◽

Correlation Matrix ◽

Intraclass Correlation ◽

Cronbach's Alpha ◽

Item Scale

Abstract Background: Occupational back pain is the most prevalent health problem among nurses that needs to be assessed by a valid and multi-factorial questionnaire. The purpose of the present study was to design and develop an instrument for assessing job-related back pain prevention behaviors among nursing professionals. Methods: First an item pool of 49 items was generated. Then, content and face validity was carried out. Consequently, a cross-sectional study was conducted in Mazandaran, Iran. The questionnaire was distributed among a sample of nurses working in hospitals affiliated to Mazandaran University of Medical Sciences. Exploratory factor analysis was used to determine the factor structure of the questionnaire. Item-scale correlation matrix employed to examine the construct validity. The Cronbach’s alpha was estimated to assess the reliability and the intraclass correlation coefficient was calculated to examine stability. Results: In all 155 nurses participated in the study. The mean age of respondents was 34.1 (SD = 7.66) years, and 83.2% were female. Six factors with 30 items emerged from the exploratory factor analysis: knowledge, attitude, self-efficacy, reinforcing factors, enabling factors and behavior that jointly accounted for %66.5 of variance observed. Item-scale correlation matrix showed satisfactory results lending support to construct validity of the questionnaire. The Cronbach’s alpha coefficient showed excellent internal consistency (alpha=0.92). The intraclass correlation coefficient with 2-weeks interval also indicated that the questionnaire has satisfactory stability (ICC = 0.97). Conclusions: The findings showed that the Occupational Back Pain Prevention Behavior Questionnaire is a reliable and valid instrument for measuring occupational back pain prevention behaviors among nurses. Keywords: Occupational Back Pain, Prevention behaviors, Psychometric evaluation, PRECEDE-PROCEED model, Nurse

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Validation of the Iranian version of the childbirth experience questionnaire 2.0

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2606-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 5

Author(s):

Solmaz Ghanbari-Homayi ◽

Anna Dencker ◽

Zahra Fardiazar ◽

Mohammad Asghari Jafarabadi ◽

Sakineh Mohammad-Alizadeh-Charandabi ◽

...

Keyword(s):

Factor Analysis ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Intraclass Correlation ◽

Group Method ◽

Childbirth Experience ◽

Childbirth Experience Questionnaire ◽

Experience Questionnaire ◽

Childbirth Experiences

Abstract Background Assessing women’s childbirth experiences is a crucial indicator in maternity services because negative childbirth experiences are associated with maternal mortalities and morbidities. Due to the high caesarean birth rate in Iran, measuring childbirth experience is a top priority, however, there is no standard tool to measure this key indicator in Iran. The aim of present study is to adapt the “Childbirth Experience Questionnaire 2.0” to the Iranian context and determine its psychometric characteristics. Methods Childbirth Experience Questionnaire 2.0 was translated into Farsi. A total of 500 primiparous women, at 4 to 16 weeks postpartum, were randomly selected from 54 healthcare centres in Tabriz. Internal consistency and reliability was calculated using the Cronbach’s Coefficient alpha and Intraclass Correlation Coefficient, respectively. Construct validity was assessed using exploratory and confirmatory factor analysis and discriminant validity using the known-group method and the Mann-Whitney U-test. Results The internal consistency and reliability for the total tool were high (Cronbach’s alpha = 0.93; Intraclass Correlation Coefficient = 0.97). Explanatory factor analysis demonstrated the adequacy of the sampling (Kaiser-Meyer-Olkin = 0.923) and significant factorable sphericity (p < 0.001). Confirmation factor analysis demonstrated acceptable values of fitness (RMSEA = 0.07, SRMSEA = 0.06, TLI = 0.97, CFI > 0.91, x2/ df = 4.23). Discriminatory validity of the tool was confirmed where the CEQ score and its subdomains were significantly higher in women who reported having control over their childbirth than women who did not. Conclusion The Farsi version of the Childbirth Experience Questionnaire 2.0 tool is a valid and reliable tool and can be used to measure the childbirth experience in Iranian women.

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Validity and reliability of the Questionnaire for Compliance with Standard Precaution

Revista de Saúde Pública ◽

10.1590/s0034-8910.2015049005975 ◽

2015 ◽

Vol 49 (0) ◽

Cited By ~ 5

Author(s):

Marília Duarte Valim ◽

Maria Helena Palucci Marziale ◽

Miyeko Hayashida ◽

Fernanda Ludmilla Rossi Rocha ◽

Jair Lício Ferreira Santos

Keyword(s):

Health Care ◽

Construct Validity ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Health Care Facilities ◽

Validity And Reliability ◽

Standard Precautions ◽

Standard Precaution ◽

Care Facilities

ABSTRACT OBJECTIVE : To evaluate the validity and reliability of the Questionnaire for Compliance with Standard Precaution for nurses. METHODS : This methodological study was conducted with 121 nurses from health care facilities in Sao Paulo's countryside, who were represented by two high-complexity and by three average-complexity health care facilities. Internal consistency was calculated using Cronbach's alpha and stability was calculated by the intraclass correlation coefficient, through test-retest. Convergent, discriminant, and known-groups construct validity techniques were conducted. RESULTS : The questionnaire was found to be reliable (Cronbach's alpha: 0.80; intraclass correlation coefficient: (0.97) In regards to the convergent and discriminant construct validity, strong correlation was found between compliance to standard precautions, the perception of a safe environment, and the smaller perception of obstacles to follow such precautions (r = 0.614 and r = 0.537, respectively). The nurses who were trained on the standard precautions and worked on the health care facilities of higher complexity were shown to comply more (p = 0.028 and p = 0.006, respectively). CONCLUSIONS : The Brazilian version of the Questionnaire for Compliance with Standard Precaution was shown to be valid and reliable. Further investigation must be conducted with nurse samples that are more representative of the Brazilian reality. The use of the questionnaire may support the creation of educational measures considering the possible gaps that can be identified, focusing on the workers' health and on the patients' safety.

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Cultural adaptation to Brazil and psychometric performance of the “Evidence-Based Practice Questionnaire”

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400068 ◽

2014 ◽

Vol 27 (5) ◽

pp. 405-411 ◽

Cited By ~ 2

Author(s):

Karina Rospendowiski ◽

Neusa Maria Costa Alexandre ◽

Marilia Estevam Cornélio

Keyword(s):

Construct Validity ◽

Psychometric Properties ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Cultural Adaptation ◽

Evidence Based Practice ◽

Intraclass Correlation ◽

Evidence Based ◽

Measurement Instruments ◽

Brazilian Version

Objectives To culturally adapt the instrument “Evidence-Based Practice Questionnaire” (EBPQ) to the Portuguese language and assess its psychometric qualities. Methods The steps of cultural adaptation of measurement instruments were followed. Reliability was verified through internal consistency, stability by test-retest, and construct validity by the contrasted groups approach. Results High Cronbach’s alpha (0.91 to 0.68) and satisfactory Intraclass Correlation Coefficient (0.90) were obtained in all domains. In assessing construct validity, significant differences were found between groups of nurses with different backgrounds. Conclusion The steps of cultural adaptation of measurement instruments have been successfully completed. The Brazilian version obtained presents reliable psychometric properties for its use in this population.

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Cross-cultural adaptation and validity of the Chinese version of the Oxford elbow score

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-02100-y ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

James Reeves Mbori Ngwayi ◽

Jie Tan ◽

Ning Liang ◽

Emmanuel Gildas Eric Sita ◽

Daniel Edward Porter

Keyword(s):

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Intraclass Correlation ◽

Chinese Version ◽

Expert Committee ◽

Social Psychological ◽

Sf 36 ◽

Patient Reported ◽

Chinese Mandarin

Abstract Background The Oxford Elbow score (OES) is a patient-reported outcome measure designed to evaluate patients before and after elbow surgery. Although various translated versions of the score are available, there is no Chinese mandarin version. The aim of this study was to develop a Chinese language version of the OES and evaluate its psychometric properties for clinical use. Methods The English version of the OES was forward translated into Chinese, followed by a backward translation into English. Then a final Chinese version was produced following expert committee discussions and pilot study of 11 patients. A smart device compatible electronic version of the OES was designed and completed by 70 patients with elbow pathology alongside the Quick-Dash and the SF-36. Reliability was assessed by measuring intraclass correlation coefficient (ICC) for test-retest reliability and Cronbach’s alpha for internal consistency. Spearman’s correlation coefficient was used to test the construct validity. Confirmatory factor analysis (CFA) was performed to evaluate the 3-factor structure of the OES. Results The overall Cronbach’s α coefficient was 0.906 and for the 3 different domains Function, Pain, and Social-psychological was 0.806, 0.796, and 0.776 respectively. The overall intraclass correlation coefficient was 0.764 and for the three different domains Function, Pain, and Social-psychological was 0.764, 0.624, and 0.590 respectively. The Spearman’s coefficient for correlation, between the QuickDASH and OES domains Function, Pain, and Social-psychological, was − 0.824, − 0.734, and − 0.622 respectively, showing strong correlation (r > 0.5; p < 0.01). There were moderate correlations between OES domains and the physical functioning, role physical, and strong correlations with bodily pain subscales of the PCS domain of the SF-36; results were insignificant for all other subscales. Conclusion Our translated Chinese mandarin OES version (mainland) was reliable and valid, suitable for evaluating elbow disorders in the Chinese population. Reliability was measured using both the Cronbach’s α for internal consistency and the intraclass correlation. Results were classified as “excellent” and were similar to results from the original OES. Electronic PROMs were used instead of the traditional paper-based PROMs for collection of data which was well tolerated by patients.

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Psychometric Properties of the Multidimensional Scale of Perceived Social Support in Greek Nurses

Canadian Journal of Nursing Research ◽

10.1177/0844562118799903 ◽

2018 ◽

Vol 51 (1) ◽

pp. 23-30

Author(s):

Eleni Tsilika ◽

Antonis Galanos ◽

Tzanis Polykandriotis ◽

Efi Parpa ◽

Kyriaki Mystakidou

Keyword(s):

Mental Health ◽

Social Support ◽

Psychometric Properties ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Internal Consistency ◽

Perceived Social Support ◽

Intraclass Correlation ◽

Internal Consistency Reliability ◽

Oncology Nurses

Background Psychosocial well-being in the workplace may increase retention of oncology nurses, while a lack of social support has been a predictor of occupational stress in nurses. Purpose To further explore this phenomenon by examining the psychometric properties of the Multidimensional Scale of Perceived Social Support in Greek nurses working in oncology and mental health settings. Methods A cross-sectional design was used. The sample consisted of 150 nurses (70 oncology nurses and 80 mental health nurses) from the area of greater Athens who joined the study. The scale was translated to Greek using the “forward-backward” procedure. The Multidimensional Scale of Perceived Social Support’s internal consistency reliability (Cronbach’s α), stability (intraclass correlation coefficient), factor structure (factor analysis), and convergent validity (correlation with Ways of Coping Questionnaire) were examined. Results A three-factor (significant others, family, and friends) model was confirmed. The subscales representing the three factors demonstrated excellent internal consistency reliability (Cronbach’s αs > .90) and stability intraclass correlation coefficient (>.90). Conclusions The measure is reliable and valid, and it can be used to assess nurses’ social support; the results of such an assessment could be helpful when selecting strategies for assisting nurses.

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