scholarly journals An Improved Stress-Scale Specifically Designed to Measure Stress of Women with Newly Diagnosed Breast Cancer

Author(s):  
Tso-Ying Lee ◽  
Shih-Chun Hsing ◽  
Chin-Ching Li

Most breast cancer patients are middle-aged women actively involved in establishing a family, developing a career, or raising children. With the exception of the Newly Diagnosed Breast Cancer Stress Scale (NDBCSS), few stress scales have been designed for women with breast cancer. This study checked the dimensionality of the NDBCSS by confirmatory factor analysis (CFA) and the results showed a poor fit, indicating an urgent need for improvement. Exploratory factor analysis (EFA) using the varimax rotation method was performed to improve the model, the revised NDBCSS (NDBCSS-R), which showed a good Kaiser-Meyer-Olkin value, Bartlett’s test of sphericity, and internal consistency reliability. The NDBCSS-R showed improved indices compared with NDBCSS, including: chi-square fit statistics/degree of freedom (CMIN/DF), goodness-of-fit index (GFI), adjusted goodness of fit index (AGFI), normed fix index (NFI), relative fit index (RFI), incremental fix index (IFI), Tucker–Lewis index (TLI), comparative fix index (CFI), root mean square error of approximation (RMSEA), root mean square residual (RMR), parsimonious goodness-fit-index (PGFI), and parsimonious normed fit index (PNFI). In conclusion, the improved NDBCSS-R can provide health professionals with an early understanding of the stress levels of women with breast cancer so that they can provide immediate medical intervention to prevent vicious cycles in a timely manner.

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
M. Rakesh Krishnan ◽  
C. Ganesh

This study focused on developing a scale for measuring Investment Importance Perception in Equity shares (IIPe) of individual investors. Item generation (from equity share investors) and content validity was performed (with expert panel) to gather the initial pool of items for the scale. Exploratory Factor Analysis (EFA) was used for item reduction and for establishing the dimensions of IIPe. Further, Confirmatory Factor Analysis (CFA) was used test the measurement validity. Parameters were estimated with maximum likelihood (ML) through the use of AMOS (version 16). The assumptions for multivariate normality were checked by looking into the skewness and kurtosis value of the individual items of the scale. The chi-square goodness-of-fit test guided evaluation of model fit along with established fit indices such as goodness of fit index (GFI), comparative fit index (CFI), incremental fit index (IFI), standardized root mean square residual (SRMR), root-mean-square error of approximation (RMSEA) and Akaike Information Criterion (AIC).


2014 ◽  
Vol 22 (1) ◽  
pp. 120-134 ◽  
Author(s):  
Arinze Nkemdirim Okere ◽  
Colleen M. Renier ◽  
Jacqueline Morse

Background and Purpose: The primary objective of this study is to establish the validity and reliability of a perceived medication knowledge and confidence survey instrument (Okere–Renier Survey). Methods: Two-stage psychometric analyses were conducted to assess reliability (Cronbach’s α >.70) of the associated knowledge scale. To evaluate the construct validity, exploratory and confirmatory factor analyses were performed. Results: Exploratory factor analysis (EFA) revealed three subscale measures and confirmatory factor analysis (CFA) indicated an acceptable fit to the data (goodness-of-fit index [GFI = 0.962], adjusted goodness-of-fit index [AGFI = 0.919], root mean square residual [RMR = 0.065], root mean square error of approximation [RMSEA] = 0.073). A high internal consistency with Cronbach’s α of .833 and .744 were observed in study Stages 1 and 2, respectively. Conclusions: The Okere–Renier Survey is a reliable instrument for predicting patient-perceived level of medication knowledge and confidence.


2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Samsul Hadi

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


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Min Kyeong Jang ◽  
Sue Kim ◽  
Chang Gi Park ◽  
Eileen G. Collins ◽  
Lauretta T. Quinn ◽  
...  

Abstract Background Fatigability has recently emerged in oncology as a concept that anchors patients’ perceptions of fatigue to defined activities of specified duration and intensity. This study aimed to examine the psychometric properties of the Korean version of the Pittsburgh Fatigability Scale (K-PFS) for women with breast cancer. Methods This cross-sectional study involved 196 women with breast cancer recruited from a tertiary hospital in Seoul, Korea. Reliability was evaluated using Cronbach’s alpha, and confirmatory factor analysis was conducted to examine the factor structure of the K-PFS. Four goodness-of-fit values were evaluated: (1) the comparative fit index (CFI), (2) the Tucker–Lewis index (TLI), (3) the root mean square error of approximation (RMSEA), and (4) the standardized root mean square residual (SRMR). Results Of the 196 survivors, 71.1% had greater physical fatigability (K-PFS Physical score ≥ 15) and 52.6% had greater mental fatigability (K-PFS Mental score ≥ 13). The Cronbach’s alpha coefficient for the total K-PFS scale was 0.926, and the coefficients for the physical and mental fatigability domains were 0.870 and 0.864, respectively. In the confirmatory factor analysis for physical fatigability, the SRMR value (0.076) supported goodness of fit, but other model fit statistics did not (CFI = 0.888, TLI = 0.826, and RMSEA = 0.224). For mental fatigability, although three goodness-of-fit values were acceptable (CFI = 0.948, TLI = 0.919, and SRMR = 0.057), the RMSEA value (0.149) did not indicate good model fit. However, each item coefficient was statistically significant (> 0.5), and the K-PFS was therefore found to be valid from a theoretical perspective. Conclusion This study provides meaningful information on the reliability and validity of the K-PFS instrument, which was developed to meet an important need in the context of breast cancer survivors. Additional research should examine its test–retest reliability and construct validity with performance measures.


2021 ◽  
Vol 11 (6) ◽  
pp. 583
Author(s):  
Riitta Suhonen ◽  
Katja Lahtinen ◽  
Minna Stolt ◽  
Miko Pasanen ◽  
Terhi Lemetti

Patient-centredness in care is a core healthcare value and an effective healthcare delivery design requiring specific nurse competences. The aim of this study was to assess (1) the reliability, validity, and sensitivity of the Finnish version of the Patient-centred Care Competency (PCC) scale and (2) Finnish nurses’ self-assessed level of patient-centred care competency. The PCC was translated to Finnish (PCC-Fin) before data collection and analyses: descriptive statistics; Cronbach’s alpha coefficients; item analysis; exploratory and confirmatory factor analyses; inter-scale correlational analysis; and sensitivity. Cronbach’s alpha coefficients were acceptable, high for the total scale, and satisfactory for the four sub-scales. Item analysis supported the internal homogeneity of the items-to-total and inter-items within the sub-scales. Explorative factor analysis suggested a three-factor solution, but the confirmatory factor analysis confirmed the four-factor structure (Tucker–Lewis index (TLI) 0.92, goodness-of-fit index (GFI) 0.99, root mean square error of approximation (RMSEA) 0.065, standardized root mean square residual (SRMR) 0.045) with 61.2% explained variance. Analysis of the secondary data detected no differences in nurses’ self-evaluations of contextual competence, so the inter-scale correlations were high. The PCC-Fin was found to be a reliable and valid instrument for the measurement of nurses’ patient-centred care competence. Rasch model analysis would provide some further information about the item level functioning within the instrument.


2018 ◽  
Vol 35 (6) ◽  
pp. 1253-1267 ◽  
Author(s):  
Khahan Na-nan ◽  
Kanokporn Chaiprasit ◽  
Peerapong Pukkeeree

Purpose The purpose of this paper is to develop a performance management (PM) scale questionnaire that encompasses the pre-requisite, performance planning, performance evaluation, performance review, and performance application dimensions of PM. Design/methodology/approach In the study, the 33 questionnaire questions were first validated using exploratory factor analysis (EFA) and then by confirmatory factor analysis (CFA) along the three performance dimensions. The research sample consists of 330 entrepreneurs. The factor analysis results confirm the validity of the questionnaire as a reliable entrepreneur PM evaluation tool, as evidenced by the composite reliability of 0.845 and the average variance extracted of 0.532. Findings All constructs revealed the acceptable internal consistency reliability. A good model fit was found for the measurement model using several fit index like χ2=449.983, degree of freedom=415, p-value (p)=0.114, goodness of fit index=0.927, adjusted goodness of fit index=0.901, root mean square error of approximation=0.016, and root of mean square residuals=0.032. Research limitations/implications The PM model was examined using EFA and CFA only. A sample with only SMEs entrepreneurs and large sample size and sample area can be used in future research. Practical implications This research paper is an endeavor to explore only the reliability and validity of the PM model. Thus all the five dimension, namely “pre-requisite” “performance planning,” “performance evaluation,” “performance review,” and “performance application” proved out of be reliable and validated when it will be tested in case of SMEs’ high-growth sectors and high-impact sectors. Originality/value The main contribution of this research is that all factors have a good fit and acceptable reliability value; each factor can be measured individually depending on the nature of the research.


2011 ◽  
Vol 30 (3) ◽  
pp. 147-159 ◽  
Author(s):  
Gørill Haugan ◽  
Toril Rannestad ◽  
Helge Garåsen ◽  
Randi Hammervold ◽  
Geir Arild Espnes

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.


2012 ◽  
Vol 46 (5) ◽  
pp. 816-824 ◽  
Author(s):  
Juliana Alvares Duarte Bonini Campos ◽  
João Maroco

OBJETIVO: Realizar a adaptação transcultural da versão em português do Inventário de Burnout de Maslach para estudantes e investigar sua confiabilidade, validade e invariância transcultural. MÉTODOS: A validação de face envolveu participação de equipe multidisciplinar. Foi realizada validação de conteúdo. A versão em português foi preenchida em 2009, pela internet, por 958 estudantes universitários brasileiros e 556 portugueses da zona urbana. Realizou-se análise fatorial confirmatória utilizando-se como índices de ajustamento o χ²/df, o comparative fit index (CFI), goodness of fit index (GFI) e o root mean square error of approximation (RMSEA). Para verificação da estabilidade da solução fatorial conforme a versão original em inglês, realizou-se validação cruzada em 2/3 da amostra total e replicada no 1/3 restante. A validade convergente foi estimada pela variância extraída média e confiabilidade composta. Avaliou-se a validade discriminante e a consistência interna foi estimada pelo coeficiente alfa de Cronbach. A validade concorrente foi estimada por análise correlacional da versão em português e dos escores médios do Inventário de Burnout de Copenhague; a divergente foi comparada à Escala de Depressão de Beck. Foi avaliada a invariância do modelo entre a amostra brasileira e a portuguesa. RESULTADOS: O modelo trifatorial de Exaustão, Descrença e Eficácia apresentou ajustamento adequado (χ²/df = 8,498; CFI = 0,916; GFI = 0,902; RMSEA = 0,086). A estrutura fatorial foi estável (λ: χ²dif = 11,383, p = 0,50; Cov: χ²dif = 6,479, p = 0,372; Resíduos: χ²dif = 21,514, p = 0,121). Observou-se adequada validade convergente (VEM = 0,45;0,64, CC = 0,82;0,88), discriminante (ρ² = 0,06;0,33) e consistência interna (α = 0,83;0,88). A validade concorrente da versão em português com o Inventário de Copenhague foi adequada (r = 0,21;0,74). A avaliação da validade divergente do instrumento foi prejudicada pela aproximação do conceito teórico das dimensões Exaustão e Descrença da versão em português com a Escala de Beck. Não se observou invariância do instrumento entre as amostras brasileiras e portuguesas (λ:χ²dif = 84,768, p < 0,001; Cov: χ²dif = 129,206, p < 0,001; Resíduos: χ²dif = 518,760, p < 0,001). CONCLUSÕES: A versão em português do Inventário de Burnout de Maslach para estudantes apresentou adequada confiabilidade e validade, mas sua estrutura fatorial não foi invariante entre os países, apontando ausência de estabilidade transcultural.


2021 ◽  
Vol 8 (2) ◽  
pp. 141-151
Author(s):  
Fu-Lin Cai ◽  
Xiu-Feng Chen ◽  
Yong-Xin Wang

Abstract Objective To develop a questionnaire assessing nursing staff’s knowledge, attitude, and practice on the prevention of the nosocomial infection in elderly patients and test its reliability and validity. Methods After the drafted questionnaire was developed, two rounds of Delphi survey were conducted by consulting experts to improve the questionnaire. Subsequently, 700 copies of the questionnaire were distributed to nursing staff to assess its reliability and validity. Results Exploratory factor analysis (EFA) identifies 3 aspects, namely knowledge, attitude, and practice, with a total of 38 items. The Cronbach’s α coefficients of the questionnaire and each of the aspects are 0.85, 0.80, 0.886, and 0.77 (>0.7), respectively. Confirmatory factor analysis (CFA) of each of the aspects are c2/df = 3.99, 2.26, and 3.32; Goodness-of-fit index (GFI) = 0.91, 0.97, and 0.92; Root mean square error of approximation (RMSEA) = 0.06, 0.04, and 0.05; Comparative fit index (CFI) = 0.91, 0.96, and 0.90. Conclusions Through this study, it can be ascertained whether the developed questionnaire enjoys sound reliability and validity in assessing nursing staff’s knowledge, attitude, and practice on preventing the nosocomial infection in elderly patients and thus has certain application value.


2020 ◽  
Vol 6 (5) ◽  
pp. 177-181
Author(s):  
Gil P Soriano

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.


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