scholarly journals Development and Validation of the Readiness for End-of-Life Conversations (REOLC) Scale

2021 ◽  
Vol 12 ◽  
Author(s):  
Pia Berlin ◽  
Nico Leppin ◽  
Katharina Nagelschmidt ◽  
Carola Seifart ◽  
Winfried Rief ◽  
...  

Background: Engaging in end-of-life care considerations is beneficial when the time is right. The purpose of this study is to provide a valid instrument to assess peoples readiness for end-of-life conversations before they are initiated.Materials and Methods: A community sample was recruited in study one for exploratory factor analysis of a 13-item questionnaire. In study two, psychometric properties were analyzed with structural equation modeling in a population affected by cancer. Convergent and discriminant validity were assessed with questionnaires measuring distress, depression, anxiety, fear of progression, and distress of death and dying.Results: In study one (N = 349) exploratory factor analysis resulted in three subscales readiness (α = 0.84), communication (α = 0.76), and values (α = 0.56) with a possible common factor (α = 0.84) for a community sample. In study two (N = 84) the three-factor solution with 13 items was not supported for cancer patients. Factor structure was adapted to 12 items with one common factor readiness (α = 0.87). Model fit was good: χ2(50) = 59.18, p>0.05 (Satorra-Bentler-correction = 1.27), with χ2/df = 1.184, rRMSEA = 0.053 (90%-CI[0.000;0.100]), and rSRMR = 0.072. Convergent validity was supported by moderate correlations to trait gratitude, ratings of readiness to provide a living will or talk with family about the end of life. Divergent validity was supported by no or small correlation with distress, depression, general and death anxiety and fear of progression, respectively.Conclusions: Results support usage of the REOLC Scale in different settings with adapted factor structure. The questionnaire is interpreted as valid and reliable instrument to assess objective readiness for end-of-life conversations.

Author(s):  
JunJae Namgung ◽  
Soonmook Lee ◽  
HyoSun Kim

We demonstrated how to perform exploratory factor analysis on situational judgment data of creative personality. Situational judgment test(SJT) has a long history of 80 years and has settled down in industrial/organizational settings for the last 20 years. However, we have not overcome the problem of estimating construct because item scores in SJT contain method effect generated by the scenarios as well as response scores to the substantive questions. We applied Asparouhov and Muthen’s(2009) logic of explorary structural equation modeling(ESEM) to open an approach to estimating common factor structures after controling for the method effect generated by scenarios. Using ESEM, it is possible to specify measurement error correlations in the frame of structural equation modeling and to use exploratory approach to factor analysis on the remaining part of data. As a result we could estimate a four-factor structure on data of 40 items with eight scenarios measuring creative personality of college students.


Assessment ◽  
2020 ◽  
pp. 107319112097685
Author(s):  
Anthony Robinson ◽  
Sara Stasik-O’Brien ◽  
Matthew Calamia

Previous investigations on the factor structure of perfectionism have largely focused on the Frost Multidimensional Perfectionism Scale and the Multidimensional Perfectionism Scale. The current study aimed to identify the underlying factor structure of perfectionism, based on several widely used measures, and to examine how these factors related to psychopathology and personality broadly. College students ( N = 598) completed several measures of perfectionism and broadband measures of psychopathology and personality. Exploratory structural equation modeling (ESEM) was conducted to examine the hierarchical structure of perfectionism followed by exploratory factor analysis. The hierarchical structure examined provides a framework for understanding the relationship between models of perfectionism at different levels of the hierarchy. The exploratory factor analysis revealed five dimensions of perfectionism: Achievement Striving, Evaluative Concerns, Expectations From Others, Narcissistic Perfectionism, and Organization. These dimensions were associated with psychopathology to differing degrees and were differentially related to personality. These results support using a multidimensional perspective to understand perfectionism.


Author(s):  
Sarah Beale ◽  
Silia Vitoratou ◽  
Sheena Liness

Abstract Background: Effective monitoring of cognitive behaviour therapy (CBT) competence depends on psychometrically robust assessment methods. While the UK Cognitive Therapy Scale – Revised (CTS-R; Blackburn et al., 2001) has become a widely used competence measure in CBT training, practice and research, its underlying factor structure has never been investigated. Aims: This study aimed to present the first investigation into the factor structure of the CTS-R based on a large sample of postgraduate CBT trainee recordings. Method: Trainees (n = 382) provided 746 mid-treatment audio recordings for depression (n = 373) and anxiety (n = 373) cases scored on the CTS-R by expert markers. Tapes were split into two equal samples counterbalanced by diagnosis and with one tape per trainee. Exploratory factor analysis was conducted. The suggested factor structure and a widely used theoretical two-factor model were tested with confirmatory factor analysis. Measurement invariance was assessed by diagnostic group (depression versus anxiety). Results: Exploratory factor analysis suggested a single-factor solution (98.68% explained variance), which was supported by confirmatory factor analysis. All 12 CTS-R items were found to contribute to this single factor. The univariate model demonstrated full metric invariance and partial scalar invariance by diagnosis, with one item (item 10 – Conceptual Integration) demonstrating scalar non-invariance. Conclusions: Findings indicate that the CTS-R is a robust homogenous measure and do not support division into the widely used theoretical generic versus CBT-specific competency subscales. Investigation into the CTS-R factor structure in other populations is warranted.


2021 ◽  
Author(s):  
Παναγιώτης Ιωακειμίδης

Η παρούσα διδακτορική διατριβή αποσκοπεί στο να καταγράψει την ικανοποίηση των επισκεπτών από τις παρεχόμενες υπηρεσίες στα θεματικά μουσεία της Ελλάδας, την πρόθεση συμπεριφοράς των επισκεπτών και κατά πόσο τεχνικές του τουριστικού μάρκετινγκ λαμβάνουν χώρα στα θεματικά μουσεία. Έγινε μία προσπάθεια να καταγραφούν οι απόψεις των ανθρώπων των θεματικών μουσείων και η αντίληψή τους σχετικά με το τουριστικό μάρκετινγκ, οι αντιλήψεις των επισκεπτών σχετικά με την εμπειρία που βιώνουν σε ένα θεματικό μουσείο, ο βαθμός ικανοποίησης τους, η υφιστάμενη κατάσταση που επικρατεί στα θεματικά μουσεία της χώρας και οι ενδεχόμενες αλλαγές που μπορούν να προκύψουν με απώτερο σκοπό την αύξηση της επισκεψιμότητας. Ένα αξιοσημείωτο της παρούσας έρευνας, είναι ένας σημαντικός αριθμός προσωπικών συνεντεύξεων με κατοίκους περιμετρικά των μουσείων που ερευνήθηκαν και η προσπάθεια καταγραφής των απόψεων και αντιλήψεων τους για τα μουσεία αυτά.Διενεργήθηκε επίσης μία ποσοτική έρευνα σε επισκέπτες θεματικών μουσείων της χώρας μας αλλά και στο ανθρώπινο δυναμικό που εργάζεται σε πολιτιστικούς οργανισμούς, καθώς και εκπαιδευτικούς. Διακρίνοντας τα μουσεία σε δημόσια και ιδιωτικά, σημαντική ήταν η καταγραφή απόψεων ότι στα περισσότερα δημόσια θεματικά μουσεία τα οποία λειτουργούν κάτω από την επίβλεψη του δημόσιου φορέα, δεν υπάρχουν συχνά δυνατότητες για καινοτομία και πρωτοτυπία. Τα πορίσματα της παρούσας διδακτορικής διατριβής είναι αρκετά σημαντικά λόγω της έλλειψης προηγούμενης έρευνας επάνω στα θεματικά μουσεία της Ελλάδας, από την οπτική του μάρκετινγκ και την αναγκαιότητα αυτού. Η πλειονότητα των ανθρώπων των θεματικών μουσείων με τους οποίους ήρθα σε επαφή, εντοπίζουν την ανάγκη για τεχνικές τουριστικού μάρκετινγκ στα μουσεία καθώς όλοι αντιλαμβάνονται ότι οι επισκέπτες αναζητούν ποιοτικότερες ψυχαγωγικές επιλογές, έχουν περισσότερες απαιτήσεις επισκεπτόμενοι ένα θεματικό μουσείο και ευελπιστούν σε μία βιωματική και διαδραστική εμπειρία που θα τους μείνει αξέχαστη. Σε αυτό το εγχείρημα, συνεργός είναι τα ποικίλα οπτικοακουστικά μέσα των νέων τεχνολογιών που ενισχύουν το βιωματικό χαρακτήρα της επίσκεψης και ερευνώνται στη διατριβή. Η παρούσα διατριβή αποτελεί μία πρώτη προσπάθεια χαρτογράφησης των τεχνικών τουριστικού μάρκετινγκ που χρησιμοποιούν τα θεματικά μουσεία της χώρας , τις σημαντικές ιδιαιτερότητες του τουρισμού που έχουν άμεση επίδραση στην επισκεψιμότητα των θεματικών μουσείων και τέλος προτάσσει ενέργειες και τεχνικές μάρκετινγκ για να δημιουργηθεί ένας ενάρετος κύκλος πολιτισμού - ψυχαγωγίας - οικονομίας. Για την επεξεργασία των δεδομένων της ποσοτικής έρευνας χρησιμοποιήθηκε το στατιστικό εργαλείο SPSS, αναλύθηκαν τα ευρήματα της Διερευνητικής Ανάλυσης Παραγόντων (Exploratory Factor Analysis) και των τεστ αξιοπιστίας με τον δείκτη Cronbach’s Alpha, εφαρμόζοντας και την μέθοδο Μοντελοποίησης Δομικών Εξισώσεων (Structural Equation Modeling, SEM) για τον έλεγχο των ερευνητικών υποθέσεων. Οι ερευνητικές υποθέσεις δημιουργήθηκαν έπειτα από ενδελεχή έρευνα μοντέλων που εφαρμόστηκαν σε προηγμένες μουσειολογικά χώρες, όπως η Ισπανία, η Ιταλία, η Ολλανδία κ.α. και μπορούν να ληφθούν σοβαρά υπόψιν στο κοινωνικό-οικονομικό περιβάλλον της Ελλάδας. Απώτερος στόχος του ερευνητικού μοντέλου είναι εάν ο επισκέπτης θα οδηγηθεί σε μελλοντική επίσκεψη (revisit ) ή θα αποτελέσει ο ίδιος κινητή διαφήμιση word-of-mouth του μουσείου που επισκέφθηκε.Η έρευνα αποτελεί οδηγό για μελλοντικές έρευνες που θα πλαισιώσουν ή θα συμπεριλάβουν τα θεματικά μουσεία για νέες μελέτες, όπως για παράδειγμα πολιτιστικές διαδρομές και είναι ένα χρήσιμο εργαλείο που έρχεται να καλύψει το ερευνητικό κενό που υπάρχει γύρω από το είδος των μουσείων αυτών.


1988 ◽  
Vol 4 (1) ◽  
pp. 49-59
Author(s):  
Joanne M. Gardner

The purpose of this study was to examine the construct validity (internal structure) of the Kaufman Assessment Battery for Children (K-ABC) for use with Cantonese, English, and Punjabi speaking Canadians. A confirmatory factor analysis revealed that the sequential/simultaneous theoretical model was supported by the English and Punjabi data: however, the Cantonese data did not exhibit a good fit with this model. Similarly, the results of the exploratory factor analysis suggested that sequential and simultaneous factors could apply when describing the factor structure of the English and Punjabi data, but not for the Cantonese data. Implications of these findings are discussed.


2018 ◽  
Vol 8 (4) ◽  
pp. 378-396 ◽  
Author(s):  
Alexander Lithopoulos ◽  
Peter A. Dacin ◽  
Tanya R. Berry ◽  
Guy Faulkner ◽  
Norm O’Reilly ◽  
...  

Purpose The brand equity pyramid is a theory that explains how people develop loyalty and an attachment to a brand. The purpose of this study is to test whether the predictions made by the theory hold when applied to the brand of ParticipACTION, a Canadian non-profit organization that promotes active living. A secondary objective was to test whether this theory predicted intentions to be more physically active. Design/methodology/approach A research agency conducted a cross-sectional, online brand health survey on behalf of ParticipACTION. Exploratory factor analysis and confirmatory factor analysis established the factor structure. Structural equation modeling was used to test the hypothesized model. Findings A nationally representative sample of Canadian adults (N = 1,191) completed the survey. Exploratory factor analysis and confirmatory factor analysis supported a hypothesized five-factor brand equity framework (i.e. brand identity, brand meaning, brand responses, brand resonance and intentions). A series of structural equation models also provided support for the hypothesized relationships between the variables. Practical implications Though preliminary, the results provide a guide for understanding the branding process in the activity-promotion context. The constructs identified as being influential in this process can be targeted by activity-promotion organizations to improve brand strength. A strong organizational brand could augment activity-promotion interventions. A strong brand may also help the organization better compete against other brands promoting messages that are antithetical to their own. Originality/value This is the first study to test the brand equity pyramid using an activity-promotion brand. Results demonstrate that the brand equity pyramid may be useful in this context.


2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Chizuru Nagata ◽  
Hironori Yada ◽  
Junko Inagaki

In Japan, the number of elderly people who require long-term care is increasing as a result of the country’s aging population. Consequently, the burden experienced by caregivers who provide end-of-life care at home has become a social problem. This study aimed to confirm the factor structure of such caregiver burden by analyzing the Japanese version of the Zarit Caregiver Burden Interview (J-ZBI). The J-ZBI was administered to 389 caregivers providing end-of-life care, and 247 answers were analyzed, with exploratory factor analysis performed on the results. Consequently, a four-factor structure emerged (sacrificing life, personal strain, severe anxiety, and captivity); these four factors, constituting 15 items, were cumulatively named “J-ZBI_15.” In regard to reliability, Cronbach’sαcoefficient for each factor was high; in terms of validity, a confirmatory factor analysis was conducted to examine the four-factor structure, and the goodness of model fit was determined to be satisfactory. Further, the convergent validity was also high. The care burden experienced by those providing end-of-life care at home differs from the burden of caregivers of individuals with other diseases, such as Alzheimer’s. For assessing the burden felt by this population, the 15-item four-factor ZBI model is more appropriate than the single-factor 22-item ZBI, and we also determined that J-ZBI_8 is unsuitable for this task. Thus, measurement of family caregivers’ burden in regard to providing end-of-life care at home should be performed using the 15-item four-factor J-ZBI model.


1996 ◽  
Vol 79 (3_suppl) ◽  
pp. 1339-1348 ◽  
Author(s):  
Matthew S. Steele ◽  
Stephen T. McGarvey

A modified version of Spielberger's 1988 Anger Expression Inventory including four Samoan culture-specific anger terms was administered to 593 adult American and Western Samoans, 25 to 55 years, to assess intrasample age, sex, and location differences and to examine its cross-cultural utility by an exploratory factor analysis. American Samoans men's and women's scores showed greater difficulty controlling anger than Western Samoan men and women, American Samoan males scored higher on Anger-Out and Samoan anger expression than Western Samoan men, and Western Samoan women scored higher on Anger-Out and higher on Samoan anger expression than Western Samoan men. Factor analysis showed that Spielberger's original factor structure was replicated in all subpopulations except American Samoan women. Control of anger, a Samoan cultural core value, appears to be more difficult in modern American Samoans of both sexes compared with the more traditional Western Samoans. Among American Samoan women, we speculate that role expansion may be responsible for their heterogeneous factor structure of anger expression.


2018 ◽  
Vol 17 (03) ◽  
pp. 314-321
Author(s):  
José Manuel Hernández-Padilla ◽  
Matías Correa-Casado ◽  
José Granero-Molina ◽  
Alda Elena Cortés-Rodríguez ◽  
Tamara María Matarín-Jiménez ◽  
...  

AbstractObjectiveTo translate, culturally adapt, and psychometrically evaluate the Spanish version of the “Scale for End-of Life Caregiving Appraisal” (SEOLCAS).MethodObservational cross-sectional study. Convenience sample of 201 informal end-of-life caregivers recruited in a southern Spanish hospital. The reliability of the questionnaire was assessed through its internal consistency (Cronbach's α) and temporal stability (Pearson's correlation coefficient [r] between test-retest). The content validity index of the items and the scale was calculated. Criterion validity was explored through performing a linear regression analysis to evaluate the SEOLCAS’ predictive validity. Exploratory factor analysis was used to examine its construct validity.ResultsThe SEOLCAS’ reliability was very high (Cronbach's α = 0.92). Its content validity was excellent (all items’ content validity index = 0.8–1; scale's validity index = 0.88). Evidence of the SEOLCAS’ criterion validity showed that the participants’ scores on the SEOLCAS explained approximately 79.3% of the between-subject variation of their results on the Zarit Burden Interview. Exploratory factor analysis provided evidence of the SEOLCAS’ construct validity. This analysis revealed that two factors (“internal contingencies” and “external contingencies”) explained 53.77% of the total variance found and reflected the stoic Hispanic attitude toward adversity.Significance of resultsThe Spanish version of the SEOLCAS has shown to be an easily applicable, valid, reliable, and culturally appropriate tool to measure the impact of end-of-life care provision on Hispanic informal caregivers. This tool offers healthcare professionals the opportunity to easily explore Hispanic informal end-of-life caregivers’ experiences and discover the type of support they may need (instrumental or emotional) even when there are communicational and organizational constraints.


Author(s):  
Eric T. Greenlee ◽  
Gregory J. Funke ◽  
Lindsay Rice

To date, conceptual explanations of workload and development of workload measures have been focused primarily on individual workload, the workload of a single operator as they perform a task. Yet, this focus on individual workload does not consider the many situations in which operators are required to collaborate, communicate, and operate as a team to achieve successful performance outcomes. In short, conceptualization and development of team workload measures have lagged behind those of individual workload. In an effort to meet the need for a conceptually-driven team workload measure, Sellers, Helton, Näswall, Funke, and Knott (2014) recently developed the team workload questionnaire (TWLQ). In developing the measure, Sellers and colleagues asked rugby players to rate their workload on TWLQ items. Subsequent exploratory factor analysis suggested that team workload was best described by three latent factors: Taskwork, the demands for task execution on the individual; Teamwork, the demands for team members to cooperate and coordinate with other teammates; and Team-Task Balancing, the demands associated with the need to manage both taskwork and teamwork – reflective of the dual task nature of working within a team. As with any novel measure of workload, it is important to continue evaluation of the measure’s sensitivity to task demands, diagnosticity regarding sources of task demands, and correlation with performance outcomes. Early research with the TWLQ has demonstrated that the measure is sensitive to changes in team task demands and the effects of training in a team UAV control task (Helton, Epling, de Joux, Funke, & Knott, 2015; Sellers, Helton, Näswall, Funke, & Knott, 2015). An additional, critical component of continued validation of the TWLQ is confirmation of the factor structure initially observed by Sellers and colleagues (2014) with data generated from a novel task. Concerns regarding generalizability are particularly germane because of variability in the nature of tasks that teams engage. Whereas some teams are tasked with executing coordinated physical activities, such as is the case in athletic contests (e.g., rugby), the task of other teams is to talk, plan, and decide (e.g., committees; McGrath, 1984). In the current study, we applied the TWLQ in a collaborative choice task (a personnel hiring decision). This team choice task required a high degree of communication, discussion, and joint decision making – team dynamics that contrast sharply with those required during an execution task. In short, the nature of the teamwork in the current study was significantly different from the teamwork evaluated by Sellers and colleagues (2014) when generating the TWLQ. Our goal in this study was to continue validation of the TWLQ by examining its factor structure with a novel dataset derived from a task requiring qualitatively different team dynamics. Confirmatory factor analysis indicated that the present data (N = 144) were a poor fit for the three-factor structure of the TWLQ. Subsequent exploratory factor analysis revealed a much more interrelated model of team workload with no clear division between the three conceptual factors described in the original validation of the TWLQ. This finding indicates that the factor structure of the TWLQ did not generalize to the present team choice task. Given that the duties of operational teams vary, it is critical that future research examine how the conceptual structure of team workload may be altered by task type.


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