scholarly journals Measuring menstrual hygiene experience: Development and validation of the Menstrual Practice Needs Scale (MPNS-36)

2019 ◽  
Author(s):  
Julie Hennegan ◽  
Agnes Nansubuga ◽  
Calum Smith ◽  
Maggie Redshaw ◽  
Agnes Akullo ◽  
...  
Keyword(s):  
School Environment ◽  
Reliability And Validity ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Menstrual Hygiene ◽  
Test Retest Reliability ◽  
Development And Validation ◽  
Home And School

Objectives. This study describes the development and validation the Menstrual Practice Needs Scale (MPNS-36) which measures the extent to which females’ menstrual practices and environments meet their needs. Methods. A 54-item pool was developed following systematic-review of qualitative and quantitative studies and expert feedback. Item reduction and scale validation were undertaken using a cross-sectional survey of 538 menstruating schoolgirls in Soroti, Uganda. Test-retest reliability was assessed in a sub-sample of 52 girls two weeks after the first administration. Construct validity was tested through relationships with hypothesised correlates: confidence to manage menses, self-reported school absenteeism, and mental health symptoms. Results. The final MPNS-36 comprises 28 items applicable to all respondents, and 8 items capturing washing and drying experiences for those reusing menstrual materials. A four-factor solution for the core 28 items was the best fit for the data (RMSEA=0.028-0.029; CFI=0.961-0.964; TFI=0.957-0.959), supplemented by two factors for reuse (RMSEA=0.021-0.030; CFI=0.987-0.994; TFI=0.981-0.991). Subscale and total scores were calculated as mean scores to support accessibility for practitioners. Subscales were ‘material and home environment needs’ (11 items, α-ordinal=0.84), ‘transport and school environment needs’ (5-items, α-ordinal=0.73), ‘material reliability concerns’ (3-items, α-ordinal=0.55), ‘change and disposal insecurity’ (9-items, α-ordinal=0.80), ‘reuse needs’ (5-items, α-ordinal=0.76), and ‘reuse insecurity’ (3-items, α-ordinal=0.56). Relationships between subscales and hypothesised correlates supported validity. Home- and school-based items were more strongly associated with confidence to manage menstruation at home and school, respectively. Higher scores predicted not missing school during the last menstrual period (total score: OR=2.62, 95%CI=1.52-4.50). Test-retest reliability was moderate (total score: ICC(2,1)=0.69).Conclusions. The MPNS-36 demonstrated acceptable reliability and validity. It is the first measure to capture women and girls perceived menstrual hygiene and may be used across a range of study designs to assess menstrual needs. Future research should explore the suitability and sensitivity of the measure across contexts.

scholarly journals Measuring menstrual hygiene experience: development and validation of the Menstrual Practice Needs Scale (MPNS-36) in Soroti, Uganda

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034461 ◽  
Author(s):  
Julie Hennegan ◽  
Agnes Nansubuga ◽  
Calum Smith ◽  
Maggie Redshaw ◽  
Agnes Akullo ◽  
...  
Keyword(s):  
School Environment ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Menstrual Hygiene ◽  
Test Retest Reliability ◽  
Development And Validation

ObjectiveThis study describes the development and validation of the Menstrual Practice Needs Scale (MPNS-36), which measures the extent to which respondents’ menstrual practices and environments meet their needs.MethodsA 54-item pool was developed following systematic review of qualitative and quantitative studies and expert feedback. Item reduction and scale validation were undertaken using a cross-sectional survey of 538 menstruating schoolgirls in Soroti, Uganda. Test–retest reliability was assessed in a subsample of 52 girls 2 weeks after the first administration. Construct validity was tested through relationships with hypothesised correlates: confidence to manage menses, self-reported school absenteeism and mental health symptoms.ResultsThe MPNS-36 comprises 28 items applicable to all respondents and 8 items capturing washing and drying experiences for those reusing menstrual materials. A four-factor solution for the core 28 items was the best fit for the data (root mean square error of approximation (RMSEA)=0.028–0.029; comparative fit index (CFI)=0.961–0.964; Tucker-Lewis index (TLI)=0.953–0.955), supplemented by two factors for reuse (RMSEA=0.021–0.030; CFI=0.987–0.994; TLI=0.981–0.991). Subscale and total scores were calculated as mean scores to support accessibility for practitioners. The subscales were ‘material and home environment needs’ (11 items, αordinal=0.84), ‘transport and school environment needs’ (5 items, αordinal=0.73), ‘material reliability concerns’ (3 items, αordinal=0.55), ‘change and disposal insecurity’ (9 items, αordinal=0.80), ‘reuse needs’ (5 items, αordinal=0.76) and ‘reuse insecurity’ (3 items, αordinal=0.56). Relationships between subscales and hypothesised correlates supported validity. Home-based and school-based items were more strongly associated with confidence to manage menstruation at home and school, respectively. Higher total scores indicated more positive experiences and were associated with greater odds of not missing school during the last menstrual period (OR=2.62, 95% CI 1.52 to 4.50). Test–retest reliability was moderate (total score: intraclass correlation coefficient, ICC(2,1)=0.69).ConclusionsThe MPNS-36 demonstrated acceptable reliability and validity. It is the first measure to capture perceived menstrual hygiene and may be useful across a range of study designs. Future research should explore the validity and suitability of the measure across contexts and populations.

scholarly journals Development of a patient safety culture scale for maternal and child health institutions in China: a cross-sectional validation study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e025607
Author(s):  
Yuanyuan Wang ◽  
Hui Han ◽  
Liqian Qiu ◽  
Chaojie Liu ◽  
Yan Wang ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Workers ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Confirmatory Factor ◽  
Test Retest Reliability

ObjectiveThis study aimed to develop a patient safety culture (PSC) scale for maternal and child healthcare (MCH) institutions in China.MethodsA theoretical framework of PSC for MCH institutions was proposed through in-depth interviews with MCH workers and patients and Delphi expert consultations. The reliability and validity of the PSC scale were tested in a cross-sectional survey of 1256 MCH workers from 14 MCH institutions in Zhejiang province of China. The study sample was randomly split into half for exploratory and confirmatory factor analyses, respectively. Test–retest reliability was assessed through a repeated survey of 63 voluntary participants 2 weeks apart.ResultsThe exploratory factor analysis extracted 10 components: patient engagement in patient safety (six items), managerial response to patient safety risks (four items), perceived management support (five items), staff empowerment (four items), staffing and workloads (four items), reporting of adverse events (three items), defensive medical practice (three items), work commitment (three items), training (two items) and transfer and handoff (three items). A good model fit was found in the confirmatory factor analysis: χ2/df=1.822, standardised root mean residual=0.048, root mean square error of approximation=0.038, comparative fit index=0.921, Tucker-Lewis index=0.907. The PSC scale had a Cronbach’s α coefficient of 0.89 (0.59–0.90 for dimensional scales) and a test–retest reliability of 0.81 (0.63–0.87 for dimensional reliability), respectively. The intracluster correlation coefficients confirmed a hierarchical nature of the data: individual health workers nested within MCH institutions.ConclusionThe PSC scale for MCH institutions has acceptable reliability and validity. Further studies are needed to establish benchmarking in a national representative sample through a multilevel modelling approach.

scholarly journals Development and validation of continuity measures for inpatients receiving rehabilitation care

2018 ◽  
Vol 7 (4) ◽  
pp. 1
Author(s):  
Silvana L. Oliveira Sousa ◽  
Francesc Medina-Mirapeix ◽  
Pilar Escolar-Reina ◽  
Sean M. Collins ◽  
M. Carmen Lillo-Navarro
Keyword(s):  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Self Report ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Rehabilitation Care ◽  
Individual Measure ◽  
Relational Management ◽  
Test Retest Reliability ◽  
Development And Validation

Objective: The main goal of this study was to exemplify the development of a measure of continuity of care (COC) from inpatients’ perspective. This measure is focused on several aspects related to physiotherapy.Methods: A cross-sectional self-report based psychometric study was carried out in a public hospital in southeast Spain. One hundred and fifty two patients with neurological and orthopaedic disorders who received rehabilitation care during stay at hospital were included in the study. A self-report questionnaire was used to examine experiences of patients related to the three types of COC, relational, management and informational continuity. The questionnaire also includes questions about sociodemographic characteristics, patient/therapist affiliation and trust with therapist. To examine reliability were used test-retest and internal consistency. For validation analysis, there were used convergent and known group strategies.Results: Of the 19 indicators included, 13 were selected to demonstrate adequate reliability and validity. From these indicators were generated three composite measures (Relational, management and COC index) and one individual measure (Informational continuity). Test-retest reliability indicated excellent agreement (intraclass correlation coefficient [ICC] > 0.75) for the three indexes. The range of Cronbach’s value was from 0.60 to 0.73. Total scores of all the indexes were moderately correlated with the satisfaction scale (r > 0.30). Regarding the known groups, all indexes scores were similar for men and woman. However, significant differences were found for management index and for relational index, based on trust with therapist and patient/therapist affiliation, respectively.Conclusions: The continuity self-reported measures is a valid and reliable method to assessing the COC in hospitalized patients receiving physiotherapy.

scholarly journals Arabic Translation of the Weight Self-Stigma Questionnaire: Instrument Validation Study of Factor Structure and Reliability (Preprint)

2020 ◽  
Author(s):  
Nasser F BinDhim ◽  
Nora A Althumiri ◽  
Mada H Basyouni ◽  
Omar T Sims ◽  
Noara Alhusseini ◽  
...  
Keyword(s):  
Factor Structure ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Arabic Version ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Two Factors ◽  
Enacted Stigma ◽  
Test Retest Reliability

BACKGROUND While it is most often associated with its effects on physical health, obesity is also associated with serious self-stigmatization. The lack of a suitable, validated tool to measure weight-related self-stigma in Arabic countries may be partly responsible for the scarcity of literature about this problem. OBJECTIVE This study investigated the reliability and validity of an Arabic version of the Weight Self-Stigma Questionnaire (WSSQ). METHODS Data on the Arabic-translated version of the 12-item WSSQ were collected using two cross-sectional electronic questionnaires distributed among Saudi nationals through the Sharik Association for Health Research’s database in June 2020. Internal consistency, test-retest reliability, and exploratory factor analysis of the Arabic WSSQ were assessed and compared with the original English version and other translations. RESULTS For reliability analysis, 43 participants completed the Arabic WSSQ during two time periods. Internal consistency was α=.898 for the overall survey, α=.819 for the fear of enacted stigma subscale (factor 1), and α=.847 for the self-devaluation subscale (factor 2). The test-retest reliability of the intraclass correlation coefficient was α=.982. In the factor structure analysis, 295 participants completed the questionnaire. The Arabic WSSQ loading of the items was consistent with the original WSSQ, except for the loading of item 9, which was stronger in factor 2 than in factor 1. The two factors accounted for the observed variances of 47.7% and 10.6%. CONCLUSIONS The Arabic version of the WSSQ has good internal consistency and reliability, and the factorial structure is similar to that of the original WSSQ. The Arabic WSSQ is adaptable for clinicians seeking to assess weight-related self-stigma in Arabic-speaking people.

scholarly journals Translation and validation of the Revised Dental Beliefs Questionnaire (DBS-R) in China

2019 ◽  
Author(s):  
Lei Wu ◽  
Heather Buchanan
Keyword(s):  
Convergent Validity ◽  
Dental Anxiety ◽  
Reliability And Validity ◽  
Small Sample ◽  
Future Research ◽  
Chinese Adults ◽  
Retest Reliability ◽  
Dental Attendance ◽  
Test Retest Reliability ◽  
Chinese Standard

Abstract Background Patient perceptions of behaviours and attitudes of dentists are associated with dental fear and poor dental attendance in Western countries. However, there is a paucity of research exploring patients' perceptions of the dentist in China. One reason for this may be the lack of a valid and reliable scale in Chinese (Standard Mandarin) to measure this. This study aimed to translate the Revised Dental Beliefs Survey (DBS-R) into Chinese and then explore the reliability and validity of this measure (both the short and longer versions) in a Chinese population. 

Methods: We translated the DBS-R using the forwards-backwards method and pilot tested it on a small sample of adults in China. Following this, 480 Chinese adults completed the newly translated scale, as well as well as a standardised dental anxiety questionnaire (the Modified Dental Anxiety Scale Chinese version) to test convergent validity. 109 participants completed the DBS-R again 2 weeks later for test-retest reliability.

Results: Both versions of the Chinese DBS-R were internally consistent, demonstrated convergent validity and test-retest reliability was good. Conclusion Although both versions of the scale performed similarly, it is suggested the 28-item version may be the scale of choice as this version has items relating to the technical competence of the dentist which appear important to Chinese adults. Future research in China should test this measure in the clinical context.

scholarly journals Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Huang Rui ◽  
Zhang Haifen ◽  
Yang Yan ◽  
Fang Nina ◽  
Liu Qian ◽  
...  
Keyword(s):  
Physical Activity ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Hemodialysis Patients ◽  
Chinese Version ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Physical Activity Questionnaire ◽  
Test Retest Reliability ◽  
Activity Questionnaire

Abstract Background Valid instruments for measuring physical activity at the low end of the physical activity range and producing quantitative results are required among dialysis patients who are extremely inactive. This study aimed to translate and adapt a Chinese version of the low physical activity questionnaire (LoPAQ) and to examine its reliability and validity among hemodialysis patients. Methods This was a cross-sectional study. The LoPAQ was translated into Chinese and culturally adapted following the standardized questionnaire adaptation process. Participants wore an ActiGraph for seven consecutive days and were asked to complete the Chinese version of the LoPAQ (C-LoPAQ) following the ActiGraph monitoring period. The criterion validity of the C-LoPAQ was examined with accelerometers using Spearman’s correlation coefficients. Bland-Altman plots were adopted to determine the absolute agreement between methods. The test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). Results Eighty-five hemodialysis patients had valid accelerometers and C-LoPAQ data. The total walking time reported on LoPAQ was correlated with step counts by ActiGraph (rho = 0.47, p < 0.01). A moderate correlation was also observed between the C-LoPAQ and the ActiGraph-measured physical activity for total calories (rho = 0.44, p < 0.01). There was a fair correlation between ActiGraph-measured sedentary time and C-LoPAQ-measured inactive time (rho = 0.22, p < 0.05). The test-retest reliability coefficients of C-LoPAQ ranged from 0.30 to 0.66. Conclusions The C-LoPAQ demonstrated moderate validity for measuring low levels of physical activity, especially walking, and total kilocalories of physical activity among hemodialysis patients in China.

scholarly journals Development and validation of a risk assessment scale for hepatic encephalopathy in cirrhotic patients

2019 ◽  
Author(s):  
Na Wang ◽  
Si-Qin Liu ◽  
Xiao-Mei Wang
Keyword(s):  
Risk Assessment ◽  
Hepatic Encephalopathy ◽  
Item Analysis ◽  
Reliability And Validity ◽  
Two Dimensions ◽  
Assessment Scale ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cirrhotic Patients

Abstract Background: This study aims to develop a risk assessment scale to assess and quantify risk of hepatic encephalopathy in cirrhotic patients. Methods: Data were derived from two Delphi rounds and a cross-sectional survey of 276 cirrhotic patients. The minimal consensus were a mean score 3.5 on a scale of 1 to 5, and a coefficient of variation 0.25. The reliability and validity of the scale were validated by a cross-sectional survey. Results: After two Delphi rounds and item analysis, a final 23-item scale covered two dimensions. The total Cronbach’s αretest Cronbach’s α, interrater Cronbach’s α and split-half Cronbach’s α were higher than 0.7, showing an acceptable reliability. The AUC was 0.792, and the sensitivity and specificity were 83.9% and 59.6%, respectively, indicating that the scale had a good predictive validity. Conclusion: This scale may be a promising tool for estimating and ranking risk of hepatic encephalopathy. Future research is necessary to apply it in hepatic encephalopathy.

scholarly journals Development and validation of computer induced distress and factors influencing technostress among ICT users

2019 ◽  
Vol 1 (2) ◽  
pp. 47-58 ◽  
Author(s):  
Ajibola Abdulrahamon Ishola ◽  
Chinwuche Chisom Obasi ◽  
Olugbenga Joseph Oluwole
Keyword(s):  
Reliability And Validity ◽  
Preventive Measure ◽  
Review Literature ◽  
Cross Sectional Survey ◽  
Physiological Strain ◽  
Cross Sectional ◽  
Ict Skills ◽  
Private And Public ◽  
Public Organisations ◽  
Development And Validation

The increased use of information computer technology (ICT) across the Nigerian workplace have engendered the high incident of Techno stress or Computer Induced Distress (CID) in the work space. However, proper conceptualization and measurement of this phenomenon have not been done in the Nigerian context based on the review literature. This study develops and investigate the incidence of CID, and influence of expertise and education on CID among ICT users in organisations. The study is a cross sectional survey research design. Three hundred and ninty-eighty (398) employees working in ICT related activities were selected from private and public organisations in Lagos metropolis. Results revealed a reliability and validity coefficients (Cronbach alpha. 0.91). Factorial validity yielded three factors; psychological, depression, and physiological strain dimensions. Psychological, depression, and physiological dimensions converged with CID and discriminated by level of computer related skills. CID was associated with use of lower order computers, and non-provision of ergonomic comfortable work station. There was significant effect of level of ICT skills on CID. Provision of conducive and comfortable work environment as preventive measure in reducing technostress was advised.

scholarly journals Arabic Translation of the Weight Self-Stigma Questionnaire: Instrument Validation Study of Factor Structure and Reliability

10.2196/24169 ◽  
2020 ◽  
Vol 4 (11) ◽  
pp. e24169
Author(s):  
Nasser F BinDhim ◽  
Nora A Althumiri ◽  
Mada H Basyouni ◽  
Omar T Sims ◽  
Noara Alhusseini ◽  
...  
Keyword(s):  
Factor Structure ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Arabic Version ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Two Factors ◽  
Enacted Stigma ◽  
Test Retest Reliability

Background While it is most often associated with its effects on physical health, obesity is also associated with serious self-stigmatization. The lack of a suitable, validated tool to measure weight-related self-stigma in Arabic countries may be partly responsible for the scarcity of literature about this problem. Objective This study investigated the reliability and validity of an Arabic version of the Weight Self-Stigma Questionnaire (WSSQ). Methods Data on the Arabic-translated version of the 12-item WSSQ were collected using two cross-sectional electronic questionnaires distributed among Saudi nationals through the Sharik Association for Health Research’s database in June 2020. Internal consistency, test-retest reliability, and exploratory factor analysis of the Arabic WSSQ were assessed and compared with the original English version and other translations. Results For reliability analysis, 43 participants completed the Arabic WSSQ during two time periods. Internal consistency was α=.898 for the overall survey, α=.819 for the fear of enacted stigma subscale (factor 1), and α=.847 for the self-devaluation subscale (factor 2). The test-retest reliability of the intraclass correlation coefficient was α=.982. In the factor structure analysis, 295 participants completed the questionnaire. The Arabic WSSQ loading of the items was consistent with the original WSSQ, except for the loading of item 9, which was stronger in factor 2 than in factor 1. The two factors accounted for the observed variances of 47.7% and 10.6%. Conclusions The Arabic version of the WSSQ has good internal consistency and reliability, and the factorial structure is similar to that of the original WSSQ. The Arabic WSSQ is adaptable for clinicians seeking to assess weight-related self-stigma in Arabic-speaking people.

scholarly journals Development and Validation of the Digestive Function Assessment Instrument for Traditional Korean Medicine: Sasang Digestive Function Inventory

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Misuk Lee ◽  
Na Young Bae ◽  
Minwoo Hwang ◽  
Han Chae
Keyword(s):  
Internal Consistency ◽  
Convergent Validity ◽  
Reliability And Validity ◽  
Assessment Instrument ◽  
Eating Pattern ◽  
Retest Reliability ◽  
Digestive Function ◽  
Related Quality ◽  
Test Retest Reliability ◽  
Development And Validation

Objective. This study was conducted for development and validation of the Sasang Digestive Function Inventory (SDFI) with type-specific digestive function-related symptoms for identification of Sasang type and pathological pattern.Methods and Materials. We selected questionnaire items for pathophysiological symptoms using internal consistency analysis and examined construct validity using 193 healthy participants. Test-retest reliability with a four-week interval as well as convergent validity was examined using the Nepean Dyspepsia Index-Korean (NDIK), Functional Dyspepsia-Related Quality of Life (FDQOL), Dutch Eating Behavior Questionnaire (DEBQ), and Body Mass Index (BMI).Results. The 21-item SDFI showed satisfactory internal consistency (Cronbach’s alpha = 0.743) and test-retest reliability (r=0.886,P<0.001). Three extracted subscales, SDFI-Digestion, SDFI-Appetite, and SDFI-Eating pattern, explained 56.02% of the total variance. The SDFI showed significant (P<0.001) correlation with total symptom score of NDIK, FDRQOL-Eating status, DEBQ-External Eating scale, and BMI. The SDFI score of the Tae-Eum (50.62±8.05) type was significantly (P<0.001) larger than that of the So-Eum (43.11±11.26) type.Conclusion. Current results demonstrated the reliability and validity of the SDFI and its subscales, which can be utilized as an objective instrument for diagnosis of Sasang types and assessment of the type-specific digestive function.

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