scholarly journals Validation and Test of Measurement Invariance of the Adapted Health Consciousness Scale (HCS-G)

Author(s):  
Matthias Marsall ◽  
Gerrit Engelmann ◽  
Eva-Maria Skoda ◽  
Martin Teufel ◽  
Alexander Bäuerle

The objective of this study was the translation and validation of a health consciousness scale in order to provide an economically and empirically confirmed measurement of health consciousness, which is associated with health-related behavior. We evaluated this translation on the basis of psychometric testing in a German convenience sample. A cross-sectional online survey (n = 470) was carried out using a translated version of the health consciousness scale, oriented on the basis of international guidelines. As previous studies have not consistently confirmed the factorial structure of the health consciousness scale, we conducted a Confirmatory Factor Analysis to verify its factorial structure. Furthermore, we cross-validated the questionnaire with other scales in order to verify convergent and discriminant validity. The results indicated a two-factor solution for the Health Consciousness Scale-German (HCS-G). The criterion validity was confirmed on the basis of a significantly positive correlation between the HCS-G and health literacy. Furthermore, strict measurement invariance was able to be verified, indicating that the HCS-G is an applicable measurement, regardless of gender. In practical research, this questionnaire can help to assess health consciousness and its influence on health-related constructs. Future studies should consider possible mediating variables between health consciousness and health outcomes.

Assessment ◽  
2021 ◽  
pp. 107319112110435
Author(s):  
Elli Spyropoulou ◽  
Theodoros Giovazolias

Anger Rumination (AR) represents a maladaptive cognitive process that contributes negatively to psychosocial functioning. The purpose of the present study was to investigate the psychometric properties (e.g., factorial structure, measurement invariance, and reliability) of the Children’s Anger Rumination Scale (CARS). Factorial structure was tested by contrasting alternative model representations of the instrument (one- and four-factor independent cluster models–confirmatory factor analysis [ICM-CFA], exploratory structural equation modelling [ESEM], bifactor-CFA and bifactor-ESEM) in a convenience sample of 552 Greek students ( Mage = 11.50 years; 53.6% girls). The hypothesized bifactor-ESEM solution, composed by a general anger rumination factor and four specific factors (Angry Afterthoughts, Thoughts of Revenge, Angry Memories, and Understanding of Causes) provided the best fit to the data and revealed the unitary dimensionality of the CARS. Measurement invariance across gender and age in level of the latent means indicated no significant differences in relation to AR tendency. The CARS showed internal consistency, one-month test–retest reliability as well as desirable patterns of convergent and discriminant validity. The predictive power of the instrument was also supported as participants’ AR propensity was found to explain both depressive symptoms and bullying behaviors. Overall, our findings indicate that the CARS is a developmentally appropriate and psychometrically sound instrument that conceptualizes AR as an unidimensional construct among children and preadolescents.


Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 297
Author(s):  
Ya-Chin Yeh ◽  
I-Hua Chen ◽  
Daniel K. Ahorsu ◽  
Nai-Ying Ko ◽  
Kuan-Lin Chen ◽  
...  

The impacts of novel coronavirus disease-2019 (COVID-19) on human life continue to be serious. To control the spread of COVID-19, the production of effective vaccines is likely to be one of the best solutions. However, vaccination hesitancy may decrease individuals’ willingness to get vaccinated. The Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID19S) was recently developed to help healthcare professionals and researchers better understand vaccination acceptance. The present study examined whether DrVac-COVID19S is measurement invariant across different subgroups (Taiwanese vs. mainland Chinese university students; males vs. females; and health-related program majors vs. non-health-related program majors). Taiwanese (n = 761; mean age = 25.51 years; standard deviation (SD) = 6.42; 63.5% females) and mainland Chinese university students (n = 3145; mean age = 20.72 years; SD = 2.06; 50.2% females) were recruited using an online survey between 5 January and 21 February 2021. Factor structure and measurement invariance of the two DrVac-COVID19S scales (nine-item and 12-item) were tested using confirmatory factor analysis (CFA). The findings indicated that the DrVac-COVID19S had a four-factor structure and was measurement invariant across the subgroups. The DrVac-COVID19S’s four-factor structure was supported by the CFA results is a practical and valid instrument to quickly capture university students’ willingness to get COVID-19 vaccination. Moreover, the DrVac-COVID19S can be used to compare university students’ underlying reasons to get COVID-19 vaccination among different subgroups.


2021 ◽  
pp. 1-9
Author(s):  
Hamid Sharif Nia ◽  
Mobin Mohammadinezhad ◽  
Kelly A. Allen ◽  
Christopher Boyle ◽  
Saeed Pahlevan Sharif ◽  
...  

Abstract Objective The spiritual well-being scale (SWBS) is a widely used clinical scale which should be evaluated for Iranian patients with cancer. The aim of this study is to evaluate the psychometric properties of the Persian version of the SWBS in Iranian patients with cancer. Method This cross-sectional, methodological study was conducted among Iranian patients with cancer (n = 400). The participants were recruited using convenience sampling. The content, construct, convergent and discriminant validity, and reliability of the Persian version of the SWBS were evaluated. Results A two-factor structure for the scale was indicated with the factors being: connecting with God and meaningless life that explained 54.18% of the total variance of the concept of spiritual well-being. The results demonstrated the model had a good fit. Cronbach's alpha, McDonald's omega, and the inter-item correlation values of the factors indicated good internal consistency of the scale. Significance of results These results suggest that the Persian version of the SWBS is a reliable and valid measure to assess the spiritual well-being of patients with cancer through 16 items related to connecting with God and meaningless life.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ilya M. Veer ◽  
Antje Riepenhausen ◽  
Matthias Zerban ◽  
Carolin Wackerhagen ◽  
Lara M. C. Puhlmann ◽  
...  

AbstractThe SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.


Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Julee McDonagh ◽  
Yenna Salamonson ◽  
Roslyn Prichard ◽  
Sunita R Jha ◽  
Caleb Ferguson ◽  
...  

Introduction: Frailty assessment has become increasingly common in those with heart failure. The most frequently used frailty instrument is the Frailty Phenotype (FP). The validity of this instrument in those with heart failure is yet to be determined. Aim: To examine the convergent and discriminant validity of four frailty instruments: i) the FP ii) a Questionnaire-only version of FP [q-FP]; iii) St. Vincent’s Frailty [SVF]; and iv) the Frailty Instrument for Primary Care of the Survey of Health, Ageing and Retirement in Europe [SHARE-FI] for assessing the frailty status of adults with heart failure. Methods: Using a cross-sectional survey design, individuals aged ≥ 18 years, diagnosed with heart failure were recruited from the inpatient cardiology ward and outpatient heart failure clinic of a metropolitan academic hospital. In addition to assessing all items of the frailty instruments, other data collected included: a) NYHA classification; b) quality of life and health status using the EQ-5D-5L; c) physical status using the Australian-modified Karnofsky Performance Scale (AKPS); and d) 10-item Depression in Medically Ill (DMI) measure. Results: A total of 131 participants were recruited and included in the analyses, there were wide variations in frailty status across the four frailty instruments (Figure 1). Inter-correlations were highest between SVF and SHARE-FI instruments ( r = 0.62). The NYHA classification were correlated with SVF ( r = 0.46) and SHARE-FI ( r = 0.42). Similarly, all EQ-5D-5L dimensions were correlated with both SVF and SHARE-FI but not with FP or q-FP. The SVF differentiated between high and low AKPS scores (χ 2 = 11.70, df : 2, p = 0.003) and DMI scores (χ 2 = 7.28, df : 2, p = 0.026). Similarly, the SHARE-FI also had good discriminant validity using AKPS scores (χ 2 = 9.25, df : 2, p = 0.010) and DMI scores (χ 2 = 14.32, df : 2, p = 0.001). Conclusions: The SVF and SHARE-FI demonstrated good convergent and discriminant validity. Both instruments provide a valid alternative to the FP for the assessment of frailty in those with heart failure. Figure 1: Classification of frailty categories: FP, Questionnaire-only FP, SVF and SHARE-FI


2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Nasir Yusoff ◽  
Muaz Haqim Shaharum ◽  
Yee Cheng Kueh

Introduction: The Moral Identity Scale (MIS) measures the construct of moral identity – internalization and symbolization. This study aims to translate and validate the original English version of MIS to the Malay language version.  Methods: The 10 items of MIS (five items of symbolization and five items of internalization) were translated to the Malay language through forward and backward procedures.  A total of 388 youth-aged participants were involved in this online survey.  Participants’ age ranged from 18-24 years old.  More than half were females.  Results: The construct of moral identity was maintained with the re-modeling of internalization.  The final model suggested retaining the three internalization items and five symbolization items.  Discriminant validity and the construct reliability of the two factors were satisfactory (symbolization=0.81, internalization=0.69).  Internal consistencies indicated acceptable Cronbach’s alpha values for both symbolization (0.85) and internalization (0.81).  Test-retest Intraclass Correlation Coefficient (ICC) was good and satisfactory (internalization=0.79 and symbolization=0.81).  Conclusion: The Malay version of MIS is a reliable tool and free from cultural bias which is useful to be applied in a public health-related program.


2020 ◽  
Vol 8 ◽  
Author(s):  
Chung-Ying Lin ◽  
Jung-Der Wang ◽  
Li-Fan Liu

Objectives: To translate and validate a recently developed quality of life instrument (WHOQOL-AGE) on geriatric population into Chinese.Method: Using cross-sectional observational design, the WHOQOL-AGE was conducted among older people through interview. Confirmatory factor analysis (CFA) was used to examine the factor structure and multigroup CFA used to examine the measurement invariance.Results: Through convenience sampling, 522 older adults (mean age = 73.42) participated in the study. Among them, 194 were males, 213 had an educational level at primary school or below, 398 were residing in the community, and 307 were aged 70 years or above. A bifactor structure (items Q1–Q8 are embedded in the factor 1; items Q9–Q13 embedded in the factor 2; and all the items embedded in an additional construct of QoL) was confirmed by the CFA in both the entire sample (χ2 = 25.4; df = 51; p = 0.999) and the subgroup sample with age 70 years or above (χ2 = 25.28; df = 51; p = 1.000). Multigroup CFAs results supported the measurement invariance for the WHOQOL-AGE across genders, having different educational levels, living in different settings and age groups. It also shows good known-groups validity.Conclusions: The promising psychometric properties of the WHOQOL-AGE were found in our convenience sample of older Taiwanese. The supported measurement invariance indicates that the older people in different conditions of gender, educational level, and living setting interpret the WHOQOL-AGE similarly. However, our results should be interpreted with cautious because of the sample representativeness.


Author(s):  
Yasmeen Wajid Mauna Gauhar ◽  
Humaira Jami

Objective: To translate and validate Clinically Useful Depression Outcome Scale on Urdu speaking Pakistani population. Method: This cross-sectional study was conducted in Rawalpindi and Islamabad from January 2018 to November 2019 on a conveniently available sample. The process of translation and validation was conducted in two phases. In the first phase the scale was forward and backward translated. In the second phase it was validated on a convenient sample of 170 subjects. 85 of these were from clinical and 85 were from non-clinical setting. After descriptive analysis, Cronbach’s alpha as a reliability coefficient, test-retest reliability, item-to-total correlation for internal consistency, Pearson product-moment for convergent and discriminant validity, and independent sample t-test for contrast group mean comparison were computed for validation purpose on the data through SPSS 22. Cross-language validation and mean comparison of the original and translated scale were established on a separate sample of 82 participants as indicators for equivalence.  Result: The translated scale was found to be internally consistent with satisfactory Cronbach’s alpha and test-retest reliabilities.  Convergent and discriminant validity were in assumed directions. Significant mean differences between clinical and non-clinical groups indicated the diagnostic capability of the scale. Significant cross-language correlations and non-significant mean differences between original and translated version showed that the Urdu version can be considered as equivalent to original English version. Conclusion: Results of the study found the translated scale to be as a reliable and valid Instrument. Keywords: Depression, Urdu-translation, psychometrics, reliability, validity. Continuous....


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