Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals

Background: The increasing dependence care in patients hospitalized in acute hospitals around the world entails classification systems heeding the wide range of care dependency levels generated by the many different types of dependent patients. This article is a report of a study assessing the validity and reliability of a short-from version of the instrument (Inventario del NIvel de Cuidados mediante Indicadores de Resultados de Enfermería (INICIARE)) used to classify inpatients according to their care dependency level. Methods: The validation, carried out in a multicenter longitudinal study, included three different samples: the first sample of 1800 patients to evaluate the reliability and validity, a second of 762 patients for confirmatory factor analysis, and a third of 762 to test the short-form version. Patients over 16 years of age, admitted to medical or surgical units at 11 public hospitals, were included. Results: The final sample included 3605 patients. Patients had a mean age of 64.5 years, 60% were admitted to medical units, with severe dependency. The validation process yielded two versions of the instrument: a 40-item version, with eight factors with 83.6% of total variance explained and Cronbach’s alpha values between 0.98 and 0.92, and a short-form with 26 items, with five factors and Cronbach’s alpha values between 0.96 and 0.90. The Confirmatory Factor Analysis yielded a good fit model to the 40-item version (Chi Square on Degrees of Freedom CMIN/DF) = 1.335; Normed Fit Index (NFI); Tucker–Lewis Index (TLI); Comparative Fit Index (CFI) > 0.90; Standardized Residual Root Mean Square (RMSEA) = 0.02; and Standardized Residual Root Mean Square (SRMR) = 0.027) and 26-item version (Chi Square on Degrees of Freedom CMIN/DF = 1.385; NFI = 0.998; CFI = 0.999; RMSEA = 0.02; and SRMR 0.02). Both INICIARE versions obtained a high correlation between them (r = 0.96; p < 0.001). Conclusion: INICIARE has proved to be a valid and reliable instrument for the assessment of the level of care dependency of acutely hospitalized patients.

Download Full-text

The Sports Mental Toughness Questionnaire (SMTQ): A psychometric evaluation of the Turkish version

Studia sportiva ◽

10.5817/sts2017-2-9 ◽

2017 ◽

Vol 11 (2) ◽

pp. 90-98 ◽

Cited By ~ 1

Author(s):

Bulent Okan Miçooğulları

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Degrees Of Freedom ◽

Reliability And Validity ◽

Psychometric Evaluation ◽

Mental Toughness ◽

Chi Square ◽

Analysis Technique ◽

Confirmatory Factor ◽

Fit Index

The objective of this study was to adapt the Sports Mental Toughness Questionnaire (SMTQ) for use in Turkey, and to test its reliability and validity. With a sample of 184 males (mean ± s: age 24.22 ± 3.01 years) and 153 females (mean ± s: age 21.54 ± 3.82 years) total 337 athletes (mean ± s: age 21.76 ± 4.2 years) drawn from 20 sport classifications, confirmatory factor analysis technique to evaluate the psychometric properties of the SMTQ. Athletes completed 14 item SMTQ was applied to all volunteered participants. Afterwards Confirmatory Factor Analysis was conducted by Analysis Moments of Structures 18. Comparative fit index, non-normed fit index and root mean square error of approximation were used to check if the model fit the data. Chi-square/degrees of freedom ratio was found as (χ2/df) 1.46. The other parameters were determined as RMSEA= .74, NNFI= .90, and CFI= .90. The confirmatory factor analysis results supported the three-factor structure and indicated proper models should include correlations among the three factors. Internal consistency estimates ranged from .69 to .78 and were consistent with values reported by previous studies. Based on these findings, “Sports Mental Toughness Questionnaire” was found to be a valid and reliable instrument.

Download Full-text

VALIDITAS KONSTRAK INSTRUMEN ADAPTABILITAS KARIER BIDANG KELISTRIKAN

Jurnal Edukasi Elektro ◽

10.21831/jee.v2i1.19944 ◽

2018 ◽

Vol 2 (1) ◽

Author(s):

Muhammad Yafie Nuha

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Root Mean Square Error ◽

Mean Square Error ◽

P Value ◽

Mean Square ◽

Chi Square ◽

Significance Level ◽

Confirmatory Factor ◽

Fit Index

AbstractThis research aims to get a proof of the validity career adapt-ability scale in the field of electrical construction. The samples in this research are electrical engineering education students, amounting to 146 students. The data analysis technique used in this research is second order confirmatory factor analysis (CFA). The compatibility of theoretical models with empirical data is determined with the coefficients of Chi-Square, p-value, CFI (Comparative Fit Index), and RMSEA (Root Mean Square Error of Approximation). The validity of each item in the career adapt-ability scale is determined with the value of factor loading, t value, and the significance level. Item is considered valid if the factor load is more than 0.3, the t-value is greater than 1.96, and the significance level is less than 5%. The validity of each factor of career adapt-ability is determined with CR (Construct Reliability) and average variance extracted (AVE). Based on the results of the analysis, it is found that the career adapt-ability instrument in the field of electricity consists of 20 items representing four factors, namely concern, control, curiosity, and confidence are categorized valid. Keywords: Construct Validity, Confirmatory Factor Analysis, and Career Adaptability. AbstrakPenelitian ini bertujuan untuk memperoleh bukti validitas instrumen pengukur konstrak adaptabilitas karier bidang kelistrikan. Sampel dalam penelitian adalah mahasiswa pendidikan teknik elektro yang berjumlah 146 mahasiswa. Teknik analisis data yang digunakan dalam penelitian ini adalah analisis faktor konfirmatori orde kedua. Kesusuaian model teoritis dengan data empiris ditentukan dengan melihat koefisien Chi-Square, p-value, CFI (Comparatie Fit Index), dan RMSEA (Root Mean Square Error of Approxiamation). Validititas tiap item dalam konstrak adaptabilitas karier ditentukan dengan melihat nilai muatan faktor, nilai t, dan taraf signifikasinsi. Item dianggap valid jika muatan faktor lebih dari 0,3, nilai-t lebih besar daripada 1,96, dan taraf signifikansi kurang dari 5%. Validitas tiap faktor dari adaptabilitas karier ditentukan dengan melihat nilai CR (Construct Reliability) dan rerata varian terekstrak. Berdasarkan hasil analisis diperoleh bahwa instrumen adaptabilitas karier bidang kelistrikan terdiri atas 20 butir yang mewakili empat faktor, yaitu perhatian, kontrol, kengintahuan, dan kepercayaan dapat dinyatakan valid. Kata Kunci: Validitas Konstrak, Analisis Faktor Konfirmatori, dan Adaptabilitas Karier.

Download Full-text

Validation of the Mindful Self-Care Scale (MSCS) and development of the Brief-MSCS among hospice and healthcare professionals: a confirmatory factor analysis approach to validation

Palliative & Supportive Care ◽

10.1017/s1478951519000269 ◽

2019 ◽

Vol 17 (6) ◽

pp. 628-636

Author(s):

Jason T. Hotchkiss ◽

Catherine P. Cook-Cottone

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Root Mean Square Error ◽

Mean Square Error ◽

Healthcare Professionals ◽

Self Care ◽

Mean Square ◽

Chi Square ◽

Confirmatory Factor ◽

Fit Index

AbstractObjectiveIn the emotionally intense field of healthcare, the ability to peacefully inhabit one's body, maintain good boundaries, and be fully present during care is essential. This study aimed to validate the recently developed Mindful Self-Care Scale (MSCS) among hospice and healthcare professionals and develop a brief version of the 33-item MSCS.MethodA sample of hospice and healthcare professionals from all 50 states (n = 858) was used. A confirmatory factor analysis was run using a rigorous methodology for validation and item reduction to develop a brief version of the 33-item MSCS. The brief MSCS (B-MSCS) was developed by identifying items for exclusion through examination of conceptual overlap, descriptive statistics by detecting sources of improvement model fit using confirmatory factor analysis. Model modifications were done sequentially and with regard to theoretical considerations.ResultThe existing model, 33-item MSCS with six subscales, had good fit to the data with all indicators in acceptable ranges (chi-square/df = 3.08, df (480), p < 0.01, root mean square error of approximation = 0.059, comparative fit index = 0.915, Tucker and Lewis's index of fit = 0.907). Nine items were excluded on the basis of very low loadings and conceptual and empirical overlap with other items.Significance of resultsThe final 24-item, B-MSCS model was consistent with the original conceptual model and had a closer fit to the data (chi-square/df = 1.85, df (215), p < 0.01, root mean square error of approximation = 0.041, comparative fit index = 0.961, Tucker and Lewis's index of fit = 0.955). In addition, the reliability, construct, and concurrent validity of the MSCS and B-MSCS were in the acceptable and good ranges, respectively. Mean and standard deviation of the MSCS and B-MSCS scores were similar; B-MSCS mean scores well approximated the MSCS scores. Informal mindful self-care, in the process of everyday life, was practiced more regularly and associated with increased wellness and reduced burnout risk than formal mind-body practices.

Download Full-text

The Self-Transcendence Scale

Journal of Holistic Nursing ◽

10.1177/0898010111429849 ◽

2011 ◽

Vol 30 (3) ◽

pp. 147-159 ◽

Cited By ~ 19

Author(s):

Gørill Haugan ◽

Toril Rannestad ◽

Helge Garåsen ◽

Randi Hammervold ◽

Geir Arild Espnes

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Goodness Of Fit ◽

Factor Model ◽

Well Being ◽

The Self ◽

Mean Square ◽

Confirmatory Factor ◽

Self Transcendence ◽

Fit Index

Purpose: Self-transcendence, the ability to expand personal boundaries in multiple ways, has been found to provide well-being. The purpose of this study was to examine the dimensionality of the Norwegian version of the Self-Transcendence Scale, which comprises 15 items. Background: Reed’s empirical nursing theory of self-transcendence provided the theoretical framework; self-transcendence includes an interpersonal, intrapersonal, transpersonal, and temporal dimension. Design: Cross-sectional data were obtained from a sample of 202 cognitively intact elderly patients in 44 Norwegian nursing homes. Results: Exploratory factor analysis revealed two and four internally consistent dimensions of self-transcendence, explaining 35.3% (two factors) and 50.7% (four factors) of the variance, respectively. Confirmatory factor analysis indicated that the hypothesized two- and four-factor models fitted better than the one-factor model (c x2, root mean square error of approximation, standardized root mean square residual, normed fit index, nonnormed fit index, comparative fit index, goodness-of-fit index, and adjusted goodness-of-fit index). Conclusions: The findings indicate self-transcendence as a multifactorial construct; at present, we conclude that the two-factor model might be the most accurate and reasonable measure of self-transcendence. Implications: This research generates insights in the application of the widely used Self-Transcendence Scale by investigating its psychometric properties by applying a confirmatory factor analysis. It also generates new research-questions on the associations between self-transcendence and well-being.

Download Full-text

PSYCHOMETRIC PROPERTIES OF SPIRITUAL INDEX OF WELL-BEING AMONG FILIPINO WOMEN WITH BREAST CANCER

Belitung Nursing Journal ◽

10.33546/bnj.1167 ◽

2020 ◽

Vol 6 (5) ◽

pp. 177-181

Author(s):

Gil P Soriano

Keyword(s):

Breast Cancer ◽

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Content Validity ◽

Well Being ◽

Mean Square ◽

Validity Index ◽

Filipino Women ◽

Confirmatory Factor ◽

Fit Index

Background: Breast cancer patients need to be treated not only physically and emotionally but also spiritually. Hence, the assessment of the spirituality of patients is essential to provide holistic nursing care. However, there was no culturally valid and reliable instrument that measures spirituality among Filipino women with breast cancer.Objective: The study was conducted to determine the psychometric properties of the spiritual index of well-being among Filipino women with breast cancer.Methods: A descriptive cross-sectional design was utilized in the study, and a sample of 170 Filipino women with breast cancer were included. The World Health Organization guidelines were used to translate the original instrument to Filipino, and content validity was computed using the Davis technique. Also, confirmatory factor analysis with maximum likelihood estimation was performed to assess the construct validity of the instrument. Cronbach’s α and item-total correlations were done to assess the internal consistency of the Filipino version of the spiritual index of well-being.Results: The Filipino version of the spiritual index of well-being had an item content validity index (I-CVI) ranging from 0.86 to 0.92 and a scale content validity index (S-CVI) of 0.95. The confirmatory factor analysis (CFA) showed factor loadings of 0.42 to 0.72. Also, the CFA model revealed a 𝜒2/df = 2.51, root mean square error of approximation= 0.074, comparative fit index= 0.091, goodness of fit index=0.98, Tucker-Lewis index= 0.93, incremental fit index= 0.91, and standard root mean square residual== 0.072.Conclusion: The Filipino version of the spiritual index of well-being was cross-culturally valid and reliable in measuring the spiritual index of well-being among Filipino women with breast cancer.

Download Full-text

Spanish Adaptation and Validation of the Posttraumatic Growth Inventory–Short Form

Violence and Victims ◽

10.1891/0886-6708.vv-d-13-00165 ◽

2015 ◽

Vol 30 (5) ◽

pp. 756-769 ◽

Cited By ~ 7

Author(s):

Manuel Cárdenas Castro ◽

Jaime Barrientos Delgado ◽

Emilio Ricci Alvarado ◽

Darío Páez Rovira

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Posttraumatic Growth ◽

Meaning In Life ◽

Short Form ◽

Validity And Reliability ◽

Confirmatory Factor ◽

Posttraumatic Growth Inventory ◽

Fit Indexes ◽

Fit Index

The purpose of this article is to adapt and validate the short form of the Posttraumatic Growth Inventory (PTGI-SF) in Spanish. The scale consists of 10 items distributed in 5 posttraumatic growth dimensions measured in the original instrument. The psychometric properties and dimensionality of the scale are examined in a sample of college students (N = 681). Results lend support to the validity and reliability (α = .83) of the PTGI-SF. The dimensions of PTGI-SF show correlations ranging between .29 and .52. In addition, the inventory correlates significantly with deliberate rumination (r = .39) and the search for meaning in life (r = .32). The factor loadings of the items in the confirmatory factor analysis varied between .52 and .87, showing good fit indexes (comparative fit index = .97, Tucker-Lewis index = .93, relative fit index = .90, incremental fit index = .97, normed fit index = .96, and root mean square error of approximation = .05). Multigroup confirmatory factor analysis supported invariance of the PTGI-SF across the 2 groups. Finally, significantly higher PTGI-SF scores were observed in subjects who were actively looking for meaning in life, or had found it after a seeking process, than in subjects who had not looked for meaning in life or had given up because they had not been successful.

Download Full-text

The Psychometric Properties of the Difficult Behavior Self-Efficacy Scale

Adapted Physical Activity Quarterly ◽

10.1123/apaq.27.3.191 ◽

2010 ◽

Vol 27 (3) ◽

pp. 191-207 ◽

Cited By ~ 1

Author(s):

Hyun-Kyoung Oh ◽

Francis M. Kozub

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Psychometric Properties ◽

Root Mean Square ◽

Internal Consistency ◽

Self Efficacy ◽

Mean Square ◽

Two Samples ◽

Confirmatory Factor ◽

Fit Index

The study was designed to estimate the psychometric properties of Hastings and Brown’s (2002a) Difficult Behavior Self-efficacy Scale. Participants were two samples of physical educators teaching in Korea (n = 229) and the United States (U.S.; n = 139). An initial translation of the questionnaire to Korean and pilot study were conducted along with the larger study using a confirmatory factor analysis procedure. Internal consistency estimates (weighed Omega) for the five-item scale were 0.88 both the Korean and U.S. samples. The average variances extracted for the one factor were 0.59 for the total data set and 0.57 each for the Korean and U.S. samples. Confirmatory factor analysis supported a five-item, unidimensional model for self-efficacy for the total sample: Goodness of Fit Index (GFI) = 0.97, Nonnormed Fit Index (NNFI) = 0.95, Comparative Fit Index (CFI) = 0.98, and Standardized Root Mean Square Residual (SRMR) = 0.03. Only the Root Mean Square Error of Approximation (RMSEA = 0.12) fell below criterion levels of acceptable fit, with similar fit indices occurring in separate analyses of the Korean and U.S. samples. Invariance testing across the two samples supported metric invariance (similarity of factor loadings) but not scalar invariance (U.S. means higher on all five items). The factor structure for the self-efficacy scale provides an initial estimate of validity and internal consistency for use with different teacher groups.

Download Full-text

Confirmatory Factor Analysis and Internal Consistency of the Suicidal Ideation Scale of the Center for Epidemiological Studies Depression Among Colombian Adolescents

Psychological Reports ◽

10.1177/0033294120971771 ◽

2020 ◽

pp. 003329412097177

Author(s):

Yuli P. Suárez-Colorado ◽

Carmen C. Caballero-Domínguez ◽

Adalberto Campo-Arias

Keyword(s):

Factor Analysis ◽

Suicidal Ideation ◽

Confirmatory Factor Analysis ◽

Root Mean Square ◽

Internal Consistency ◽

Epidemiological Studies ◽

Mean Square ◽

Chi Square ◽

Cronbach's Alpha ◽

Confirmatory Factor

The current study tested the one-dimensionality of the Center for Epidemiological Studies Depression Scale for Suicidal Ideation (CES-D-SI) and its reliability among high school students in Santa Marta, Colombia. A total of 1,462 tenth and eleventh-grade students from public and private schools completed the CES-D-SI. The students were between 13 and 17 years ( M = 16.0, SD = 0.8), 60.3% were female, and 55.3% were in the tenth grade. A confirmatory factor analysis (CFA) was conducted, and the chi-square, root mean square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), and standardized root mean square residual (SRMR) statistics were calculated. The internal consistency of the dimension was calculated using Cronbach’s alpha and McDonald’s omega coefficients. The results of the CFA were as follows: chi-square = 26.51, df =2, p = .001; RMSEA = .092; 90% confidence interval = .063–.124; CFI = .983; TLI = .950; and SRMR = .019. Cronbach’s alpha coefficient was .75, and McDonald’s omega coefficient was .77. As conclusions, the scale exhibited a unidimensional structure similar to that in other studies and presented good reliability values. Hence, its use is recommended to screen suicidal ideation in school-aged adolescents in Santa Marta, Colombia.

Download Full-text

KONSTRUK KINERJA KEPALA SEKOLAH DASAR DI DAERAH ISTIMEWA YOGYAKARTA

Jurnal Penelitian dan Evaluasi Pendidikan ◽

10.21831/pep.v11i1.1416 ◽

2013 ◽

Vol 11 (1) ◽

Author(s):

Samsul Hadi

Keyword(s):

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Root Mean Square Error ◽

Mean Square Error ◽

Root Mean Square ◽

Goodness Of Fit ◽

Second Order ◽

Mean Square ◽

Confirmatory Factor ◽

Fit Index

Penelitian ini bertujuan untuk mengetahui model konstruk dan struktural kinerja kepala sekolah. Hasil penelitian ini diharapkan dapat memberi sumbangan terhadap pengukuran kinerja kepala sekolah di masa yang akan datang. Penelitian ini merupakan penelitian expost facto dengan populasi guru dan kepala sekolah dasar di Daerah Istimewa Yogyakarta. Sampel sebanyak 1239 guru dan 208 kepala sekolah dasar dipilih secara acak. Data guru dan kepala sekolah dianalisis dengan Second-Order Confirmatory Factor Analysis (Second-Order CFA) secara terpisah dan divalidasi silang dengan multi-sample CFA. Pengujian kecocokan model dilakukan menggunakan χ2 Satorra-Bentler dengan taraf signifikansi 5%, Comparative Goodness of Fit Index (CFI), dan Root Mean Square Error Approximation (RMSAE). Hasil penelitian menunjukkan hal-hal sebagai berikut. 1) Kinerja kepala sekolah mempunyai dimensi kepemimpinan, manajemen, dan kepribadian. 2) Berdasarkan data kepala sekolah, koefisien jalur dari dimensi dan muatan faktor dari indikator yang ada dalam model cukup tinggi, bernilai positif, dan signifikan. 3) Hasil validasi silang model konstruk kinerja kepala sekolah menggunakan data guru dan data kepala sekolah menunjukkan tidak ada perbedaan model. Kata kunci: model konstruk, persamaan pengukuran, persamaan struktural, kinerja kepala sekolah

Download Full-text

Lebanese Waterpipe Dependence Scale (LWDS-11) validation in a sample of Lebanese adolescents

BMC Public Health ◽

10.1186/s12889-021-11662-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Souheil Hallit ◽

Sahar Obeid ◽

Hala Sacre ◽

Pascale Salameh

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Nicotine Dependence ◽

Degrees Of Freedom ◽

Fit Indices ◽

Chi Square ◽

Cross Sectional ◽

Confirmatory Factor ◽

Dependence Scale ◽

Fit Index

Abstract Background Salameh et al. developed the Lebanese Waterpipe Dependence Scale (LWDS-11) that assesses nicotine dependence among adult waterpipe smokers. In view of the high waterpipe use among Lebanese youth and other neighboring countries, it was deemed necessary to check the psychometric properties of the LWDS-11, originally adapted to the Lebanese population, to measure nicotine dependence among adolescents. Methods Two cross-sectional investigations were conducted; Study 1 (January and May 2019) enrolled a total of 449 students who were exclusive waterpipe smokers; this sample was used to conduct the exploratory factor analysis. Study 2 enrolled another sample composed of 243 waterpipe smoking adolescents. This sample was independent from the first one and was used to conduct the confirmatory analysis. Results The results also showed that 312 (69.5%) [95% CI 0.652–0.738] had high waterpipe dependence (scores of ≥10). Results of the factor analysis in sample 1 showed that all LWDS-11 items were extracted following the factor analysis. Items converged over a solution of one factor; total variance explained = 70.45%, αCronbach = 0.96). The results of the confirmatory factor analysis were as follows: the Maximum Likelihood Chi-Square = 129.58 and Degrees of Freedom = 45, which gave a χ2/df = 2.88. For non-centrality fit indices, the Steiger-Lind Root Mean Square Error of Approximation (RMSEA) was 0.08 [0.071–0.106]. Moreover, the Comparative Fit Index (CFI) value was 0.77. Conclusion The preliminary results suggest that the LWDS-11 has good psychometric properties to measure waterpipe dependence among adolescents. We hope this tool would serve the benefit of research and epidemiology.

Download Full-text