Instrument Development and Validation to Assess Care Barriers for Patients in Saudi Arabia with Oral Clefts

The study objective was to construct and validate a tool to assess, measure, and evaluate the barriers and obstacles that patients with orofacial clefts (OFCs), and their families, face during treatment. The Effective Accessibility and Accommodation subscale, based on the translated Primary Care Assessment Survey and Primary Care Assessment Tool scales, was used as a reference for the questionnaire. A total of 165 parents from three main cleft referral centers in Saudi Arabia were interviewed. Questionnaire content validity was conducted by calculation of a content validity index for each item (I-CVI) as well as for the total scale (S-CVI). Reliability was tested using Cronbach’s alpha. Factor analysis and principal components analysis were performed to determine the factor structure of the instrument. The final questionnaire had nine items. Rating results showed both I-CVI and S-CVI scores of 1 and Cronbach’s alpha was 0.86. There were three factors (geographic accessibility, appointment availability and accessibility, and scheduling-related barriers) with eigenvalues above 1.00, which collectively accounted for 73% of the variance. In conclusion, this tool is valid and reliable to evaluate accessibility and barriers to care of patients with OFCs in Saudi Arabia.

Download Full-text

The Person-Centered Care Assessment Tool (P-CAT) in Nursing Home: Psychometric Evaluation of the Italian Version

Journal of Nursing Measurement ◽

10.1891/jnm-d-18-00090 ◽

2020 ◽

pp. JNM-D-18-00090

Author(s):

Martina Debiasi ◽

Alessandra Zenere ◽

Marianna Baggia ◽

Maria Elisabetta Zanolin ◽

Anna Brugnolli

Keyword(s):

Factor Analysis ◽

Construct Validity ◽

Assessment Tool ◽

Italian Version ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Person Centered Care ◽

Care Assessment ◽

Centered Care ◽

Test Retest Reliability

Background:The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice.Aim:This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy.Methods:Internal consistency and reliability were examined using the Cronbach’s alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test–retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA.Results:The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach’s alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87.Conclusion:Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach’s alpha ≥ .70). Test–retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.

Download Full-text

Development of a Readiness for Hospital Discharge assessment tool in Thai patients with stroke

Belitung Nursing Journal ◽

10.33546/bnj.1968 ◽

2022 ◽

Author(s):

Nuengruethai Posri ◽

Boonjai Srisatidnarakul ◽

Ronald L Hickman

Keyword(s):

Regression Analysis ◽

Construct Validity ◽

Hospital Discharge ◽

Content Validity ◽

Hospital Readmission ◽

Assessment Tool ◽

Multiple Logistic Regression Analysis ◽

Extensive Literature ◽

Cronbach’S Alpha ◽

Cronbach's Alpha

Background: The transition from hospital to home among patients with stroke is quite challenging. If the patients are not ready for hospital discharge, their condition may worsen, which also causes a high rate of readmission. Although instruments to measure readiness for hospital discharge exist, none of them fit with the Thailand context. Objective: This study aimed to develop a Readiness for Hospital Discharge assessment tool in Thai patients with stroke. Methods: The study was conducted from February to September 2020, which consisted of several steps: 1) conducting an extensive literature review, 2) content validity with five experts, 3) pilot testing with 30 samples, and 4) field testing with 348 participants. Content validity index (CVI) was used to measure the content validity, Cronbach’s alpha and inter-item correlation to evaluate reliability, and multiple logistic regression analysis to measure the construct validity. Results: The findings showed good validity and reliability, with I-CVI of 0.85, Cronbach’s alpha of 0.94, and corrected item-total correlation ranging from 0.43 to 0.86. The construct validity was demonstrated through the results of regression analysis showing that the nine variables include level of consciousness (OR = 0.544; CI 95% = 0.311 - 0.951), verbal response (OR = 0.445; 95% CI 0.272- 0.729), motor power right leg (OR = 0.165; 95% CI 0.56- 0.485), visual field (OR = 0.188; 95% CI 0.60-0.587), dysphagia (OR = 0.618; 95% CI 0.410-0.932), mobility (OR = 0.376; 95% CI 0.190 - 0.741), self-feeding (OR = 0.098; 95% CI 0.036 -0.265), bathing (OR = 0.099; 95% CI 0.026-0.378), and bladder control (OR = 0.589; 95% CI 0.355-0.977) that significantly influenced the hospital readmission within 30 days in patients with stroke. Conclusion: The Readiness for Hospital Discharge assessment tool is valid and reliable. Healthcare providers, especially nurses, can use this tool to assess discharge conditions for patients with stroke with greater accuracy in predicting hospital readmission.

Download Full-text

Satisfaction Assessment Tool for Obstetrics Triage(SATOT): Development and Psychometric Properties

10.21203/rs.3.rs-75608/v1 ◽

2020 ◽

Author(s):

Farzaneh Rashidi Fakari ◽

Masoumeh Simbar

Keyword(s):

Content Analysis ◽

Construct Validity ◽

Content Validity ◽

Assessment Tool ◽

Service Providers ◽

Two Dimensions ◽

Care Providers ◽

Cronbach’S Alpha ◽

Important Indicator ◽

Cronbach's Alpha

Abstract Background: Obstetrics triage is one of the major concerns of hospitals and health care providers. Satisfaction with the services received is a consequence and an important indicator in the assessment of service quality. However, service providers should frequently assess client satisfaction and use high reliability and validation tools to meet clients' needs. Thus, the aim of this study was designing and psychometric Satisfaction Assessment Tool for Obstetrics Triage.Methods: The current study is methodological research and was conducted by the exploratory sequential mixed method in two qualitative and qualitative stages. The first stage using a content analysis approach for describing the concept of satisfaction and then the initial items were extracted and the questionnaire was designed. In the second stage, the designed questionnaire was conducted on 200 subjects referring to obstetrics triage in terms of face validity, content validity, and construct validity by exploratory factor analysis. Reliability was calculated with internal consistency (Cronbach's alpha) and stability with ICC. Results: Ten items were extracted from the content analysis. Ten items were evaluated to face and content validity and no items were deleted. In the construct validity, one item was eliminated and nine items were extracted in two factors of structure and process satisfaction that explained 63.40% of the total variance. The numerical CVR of all items was above 0.49 and the I-CVI Modified Content Validity Index (K *) of all items ranged from 0.86 to one, and the S-CVI score was 0.97. The intra-cluster correlation coefficient was 0.884 and Cronbach's alpha was 0.793. Conclusion: The SATOT is a valid and reliable questionnaire for the assessment of the satisfaction of clients with obstetrics triage. The questionnaire consists of nine items with two dimensions (process and structure satisfaction) of five-point Likert scoring is a simple and easy-to-use tool. This questionnaire may help health providers and policymakers identify problems and challenges in triage that led to dissatisfaction and inappropriate outcomes and take appropriate action as appropriate.

Download Full-text

Primary Care Assessment Tool--Adult Edition

PsycTESTS Dataset ◽

10.1037/t77102-000 ◽

2001 ◽

Author(s):

Leiyu Shi ◽

Barbara Starfield ◽

Jiahong Xu

Keyword(s):

Primary Care ◽

Assessment Tool ◽

Care Assessment ◽

Primary Care Assessment Tool

Download Full-text

Uji Validitas Dan Reliabilitas Kuesioner Pengukuran Kompetensi Sistem Informasi Keperawatan: NICAT Dalam Bahasa Indonesia

HEALTH CARE : JURNAL KESEHATAN ◽

10.36763/healthcare.v8i1.36 ◽

2019 ◽

Vol 8 (1) ◽

pp. 39-43

Author(s):

Stephanie Dwi Guna ◽

Yureya Nita

Keyword(s):

Patient Safety ◽

Electronic Health Record ◽

Assessment Tool ◽

Competency Assessment ◽

Health Record ◽

Nursing Informatics ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Electronic Health ◽

Bahasa Indonesia

Integrasi Teknologi Informasi (TI) di bidang kesehatan terbukti meningkatkan kualitas pelayanan kesehatan dengan meningkatkan patient safety serta mempercepat waktu layanan. Salah satu inovasi TI di bidang kesehatan yaitu rekam medik elektronik (electronic health record). Rekam medik jenis ini sudah umum digunakan di negara maju namun masih jarang digunakan di negara berkembang termasuk Indonesia. Sebelum pengimplementasian suatu sistem informasi baru di pelayanan kesehatan, perlu dipastikan bahwa user dapat mengoperasikannya dengan baik sehingga hasil dari sistem tersebut optimal. Perawat sebagai tenaga kesehatan dengan jumlah paling banyak di suatu pelayanan kesehatan seperti Rumah Sakit merupakan user terbesar bila rekam medik elektronik ini diterapkan. Oleh karena itu diperlukan suatu alat untuk mengukur kemampuan atau literasi sistem informasi keperawatan (SIK). Salah satu alat ukur kompetensi SIK yaitu NICAT (Nursing Informatics Competency Assessment Tool) yang memiliki 3 bagian serta 30 item pertanyaan. Penulis melakukan alih bahasa pada kuesioner ini, kemudian melakukan uji validitas dan reliabilitas. Jumlah sampel pada penelitian ini yaitu 233 perawat di salah satu Rumah Sakit Pemerintah di Pekanbaru, Indonesia. Hasil uji validitas pada 30 item dengan r tabel 0.128 menunjukkan r hitung diatas nilai tersebut dengan Cronbach’s Alpha 0,975. Dapat disimpulkan kuesioner pengukuran kemampuan SIK (NICAT versi Bahasa Indonesia) telah valid dan reliabel sehingga dapat digunakan mengukur kemampuan SIK perawat Indonesia.

Download Full-text

Assessment of Dementia Knowledge Scale for the Nursing Profession and the General Population: Cross-Cultural Adaptation and Psychometric Validation

Dementia and Geriatric Cognitive Disorders ◽

10.1159/000517537 ◽

2021 ◽

pp. 1-8

Author(s):

Merve Aliye Akyol ◽

Seher Gönen Şentürk ◽

Burcu Akpınar Söylemez ◽

Özlem Küçükgüçlü

Keyword(s):

Factor Analysis ◽

Content Validity ◽

Educational Interventions ◽

Psychometric Validation ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Income Status ◽

Confirmatory Factor ◽

Fit Indexes ◽

Knowledge Scale

Background: The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it’s prevention, early diagnosis, treatment, and care. The psychometric properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study. Methods: The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale’s reliability was obtained using Cronbach’s alpha coefficient, a paired sample t-test, item-total score correlation, and Hotelling’s T-squared test. Results: The mean age of the sample was 29.38 (±11.50) years; 66.8% (n = 1064) were female, and 54.1% (n = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall W = 0.155, p = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be >0.30 in factor analysis. In CFA, all of the fit indexes were >0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach’s alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (t = −1.362, p = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling’s T-squared = 2573.681, p < 0.001). Conclusion: The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.

Download Full-text

Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis: A Psychometric Study in Brazil

Clinical Nursing Research ◽

10.1177/1054773821989800 ◽

2021 ◽

pp. 105477382198980

Author(s):

Marta Nunes Lira ◽

Clemente Neves Sousa ◽

Maria Carolina Medeiros Wanderley ◽

Natália Ramos Costa Pessoa ◽

Kelly Cristiane Rocha Lemos ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Arteriovenous Fistula ◽

Content Validity ◽

Self Care ◽

The Self ◽

Expert Committee ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Confirmatory Factor

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.

Download Full-text

The PUFFinCA scale: development of an instrument for evaluating the primary care functions of family physicians in childhood asthma

Primary Health Care Research & Development ◽

10.1017/s1463423618000609 ◽

2018 ◽

Vol 20 ◽

Author(s):

Ayşe Nur Usturali Mut ◽

Zeliha Aslı Öcek ◽

Meltem Çiçeklioğlu ◽

Şafak Taner ◽

Esen Demir

Keyword(s):

Primary Care ◽

Childhood Asthma ◽

Assessment Tool ◽

Asthma Management ◽

Correlation Coefficients ◽

Family Physicians ◽

Principal Component ◽

Care Assessment ◽

Provision Of Services ◽

Children With Asthma

AbstractAimTo develop the Primary care fUnctions oF Family physicians in Childhood Asthma (PUFFinCA) scale for evaluating the cardinal process functions of primary care services (accessibility, comprehensiveness, continuity and coordination) provided by family physicians (FPs) in the management of childhood asthma.BackgroundIn the literature on the functions of primary care, there is no assessment tool focusing on children with asthma. Primary care assessment scales adapted to various languages are not suitable to adequately address the needs of special patient groups, such as children with asthma.MethodsIn this methodological study, the instrument development process was completed in four stages: establishing the pool of items, evaluating the content validity, applying the scale and statistical analysis. The scale was applied to 320 children who had asthma and received care in the clinic of the Department of Pediatrics, Division of Allergy and Pulmonology at Ege University School of Medicine, Turkey. The Cronbach’s α and Spearman–Brown coefficient were calculated to determine the reliability of the scale. Principal component analysis was used to determine the construct validity of the scale.FindingsThe PUFFinCA scale was found to have four-factor structure and 25 items. Cronbach’s α coefficient was 0.93. It has been determined that the reliability was excellent and the item-total correlation coefficients were >0.30 each. The factors were titled FP’s ‘functions of accessibility, first contact and continuity’, ‘functions of coordination and comprehensiveness of health services related to asthma management’, ‘provision of preventive care related to asthma’ and ‘provision of services for paid vaccinations’.

Download Full-text

Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE

BMJ Open ◽

10.1136/bmjopen-2017-021317 ◽

2018 ◽

Vol 8 (11) ◽

pp. e021317 ◽

Cited By ~ 8

Author(s):

Lina Li ◽

Chenwen Zhong ◽

Jie Mei ◽

Yuan Liang ◽

Li Li ◽

...

Keyword(s):

Primary Care ◽

Family Practice ◽

Assessment Tool ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Quality Of Primary Care ◽

Care Assessment ◽

First Contact

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

Download Full-text

El abordaje de la Atención Primaria de Salud, modelos organizativos y prácticas: caso de un Centro de Salud público urbano de Montevideo, Uruguay 2011

Saúde em Debate ◽

10.1590/s0103-11042012000300017 ◽

2012 ◽

Vol 36 (94) ◽

pp. 461-472 ◽

Cited By ~ 2

Author(s):

Rosario Berterretche ◽

Ana Sollazzo

Keyword(s):

Primary Care ◽

Assessment Tool ◽

Care Assessment ◽

Primary Care Assessment Tool ◽

Estudio De Caso

El estudio de caso tuvo lugar en un Centro de Salud público de Montevideo, con el objetivo de comprender cómo los modelos organizativos de oferta y gestión de la APS son traducidos en servicios, prácticas y procesos asistenciales. El Instrumento de investigación utilizado se contextualizó en la herramienta creada por la Profª. B. Starfield, el Primary Care Assessment Tool, adaptada y validada por Almeida y Macinko en Brasilia en 2006. Se aplicaron los cuestionarios a un grupo de usuarios, profesionales y gestores seleccionados a través de un muestreo no probabilístico por criterios. Desde un punto de vista general, se observa una buena calificación de desempeño a nivel global en los atributos: puerta de entrada, cartera de servicios y formación profesional. Los atributos de nivel intermedio de desempeño corresponden a vínculo y coordinación. En el otro extremo, los atributos con menor nivel de desempeño fueron el enfoque familiar y comunitario y el acceso. Si bien la estrategia de APS está consagrada a un nivel macro social a través de un marco normativo sólido, su implementación a nivel operativo implica importantes desafíos para el logro de una adecuada integración y coordinación de los cuidados.

Download Full-text