scholarly journals Confirmatory Factor Analysis of Knowledge, Attitude, and Behaviour Questionnaire towards Oral Health among Indian Adults

2021 ◽  
Vol 11 (4) ◽  
pp. 320
Author(s):  
Siddharthan Selvaraj ◽  
Nyi Nyi Naing ◽  
Nadiah Wan-Arfah ◽  
Somasundaram Prasadh

Background: Oral health-related conditions are among the common conditions seen in adults in India. The usage of inappropriate measurement tools that are unvalidated may result in deceptive and imprecise findings that might lead to substandard plans for cessation programs and ineffectiveness. This study was conducted to validate a questionnaire that can assess the factor structure of knowledge, attitude, and behaviour towards oral health among adults in India by confirmatory factor analysis. Methods: Simple random sampling was conducted among adults in India. A total of 260 adults participated in this study. The knowledge, attitude, and behaviour (KAB) questionnaire on oral health was circulated among the adults who were willing to participate in the study after it was explained to them, and the questionnaires were retrieved once they completed. Software R version 3.6 was used to analyse the data of this study. Robust maximum likelihood was utilized for the assessment due to the violation of multivariate normality assumption. For attitude and behaviour domain, a three-factor model was used for measurement model validity and construct validity. Results: The confirmatory factor analysis of the three-factor model for the 26-item KAB questionnaire on oral health gave sufficient goodness-of-fit values and the measurement model exhibited ideal convergent and discriminant validity following model re-specification. The three-factor model was tested to obtain measurement model validity and construct validity for attitude and behaviour domains. The results of this study gave a statistically significant value (p < 0.001), with χ2 (df) values of 39 (7) and 28 (11) for attitude and behaviour domains, respectively. Conclusions: The KAB oral health questionnaire used in this study has a valid measurement model and reliable constructs. It was found to be an ideal tool to measure the KAB towards oral health among adults in India.

2017 ◽  
Vol 60 (6) ◽  
pp. 1516-1534 ◽  
Author(s):  
Wolfram Ziegler ◽  
Anja Staiger ◽  
Theresa Schölderle ◽  
Mathias Vogel

Purpose Standardized clinical assessment of dysarthria is essential for management and research. We present a new, fully standardized dysarthria assessment, the Bogenhausen Dysarthria Scales (BoDyS). The measurement model of the BoDyS is based on auditory evaluations of connected speech using 9 scales (traits) assessed by 4 elicitation methods. Analyses of the BoDyS' reliability and construct validity were performed to test this model, with the aim of gauging the auditory dimensions of speech impairment in dysarthria. Method Interrater agreement was examined in 70 persons with dysarthria. Construct validity was examined in 190 persons with dysarthria using a multitrait-multimethod design with confirmatory factor analysis. Results Interrater agreement of < 1 on a 5-point scale was found in 91% of cases across listener pairs and scales. Average reliability was .85. Inspection of the multitrait-multimethod matrix pointed at a high convergent and discriminant validity. Modeling of the BoDyS trait and method factors using confirmatory factor analysis yielded high goodness of fit. Model coefficients confirmed high discriminant and convergent validity and revealed meaningful relationships between scales and methods. Conclusions The 9 auditory scales of the BoDyS provide a reliable and valid profile of dysarthric impairment. They permit standardized measurement of clinically relevant dimensions of dysarthric speech.


1995 ◽  
Vol 9 (4) ◽  
pp. 271-281 ◽  
Author(s):  
Oliver Mason

Recent research into schizotypal traits has been concerned with the number and nature of these personality dimensions. Earlier exploratory factor analytic work using a wide variety of scales (the CSTQ) has generated a four‐factor solution but other solutions have been provided by other investigators. This study uses confirmatory factor analysis on a large sample to compare several plausible models of the relationships between scales. These models include a two‐factor model separating ‘positive’ from ‘negative’ schizotypal features, a three‐factor model including features of cognitive disorganization, and the four‐factor model generated previously by exploratory factor analysis. Results offer support for the four‐factor solution as the only structure meeting multiple criteria for goodness of fit. The relevance of Eysenck's dimensions, and the P scale in particular, to the results is discussed. Attention is drawn to the possibility that the factors describe predispositions of risk of psychotic disorders beyond that of schizophrenia.


Author(s):  
Mi Kyoung Yim ◽  
Yoon Hee Kim

Confirmatory factor analysis based on a measurement model of a structural equation model was used to test the construct validity of 13 subjects in the Korean Dental Licensing Examination (KDLE). The results of 1,086 examinees who wrote the KDLE in 2004 were analyzed. The thirteen subjects were classified into 62 major categories and 122 intermediate categories. There were 364 items. A hierarchical model was constructed, including major and intermediate categories. The impact of the variables was determined by the standardized regression coefficient that related latent and measured variables in the measurement model. The KDLE showed a high goodness-of-fit with a root mean square error of approximation of 0.030 and a non-normed fit index of 0.998. When the latent variables for the major and intermediate categories were analyzed, the standardized regression coefficients of all of the subjects, with the exception of Health and Medical Legislation, were significant. From the result, we concluded that the 13 subjects showed constructive validity. In addition, the study model and data were very compatible. The subject Health and Medical Legislation had a low explanatory impact with respect to testing the ability of dentists to perform their jobs. This study suggests that similar psychometric studies are needed before integrating or deleting subjects on the KDLE, and to improve item development.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A201-A202
Author(s):  
Kristina Puzino ◽  
Susan Calhoun ◽  
Allison Harvey ◽  
Julio Fernandez-Mendoza

Abstract Introduction The Sleep Inertia Questionnaire (SIQ) was developed and validated in patients with mood disorders to evaluate difficulties with becoming fully awake after nighttime sleep or daytime naps in a multidimensional manner. However, few data are available regarding its psychometric properties in clinical samples with sleep disorders. Methods 211 patients (43.0±16.4 years old, 68% female, 17% minority) evaluated at the Behavioral Sleep Medicine (BSM) program of Penn State Health Sleep Research & Treatment Center completed the SIQ. All patients were diagnosed using ICSD-3 criteria, with 111 receiving a diagnosis of chronic insomnia disorder (CID), 48 of a central disorder of hypersomnolence (CDH), and 52 of other sleep disorders (OSD). Structural equation modelling was used to conduct confirmatory factor analysis (CFA) of the SIQ. Results CFA supported four SIQ dimensions of “physiological”, “cognitive”, “emotional” and “response to” (RSI) sleep inertia with adequate goodness-of-fit (TLI=0.90, CFI=0.91, GFI=0.85, RMSEA=0.08). Internal consistency was high (α=0.94), including that of its dimensions (physiological α=0.89, cognitive α=0.94, emotional α=0.67, RSI α=0.78). Dimension inter-correlations were moderate to high (r=0.42–0.93, p&lt;0.01), indicating good construct validity. Convergent validity showed moderate correlations with Epworth sleepiness scale (ESS) scores (r=0.38) and large correlations with Flinders fatigue scale (FFS) scores (r=0.65). Criterion validity showed significantly (p&lt;0.01) higher scores in subjects with CDH (69.0±16.6) as compared to those with CID (54.4±18.3) or OSD (58.5±20.0). A SIQ cut-off score ≥57.5 provided a sensitivity/specificity of 0.77/0.65, while a cut-off score ≥61.5 provided a sensitivity/specificity of 0.71/0.70 to identify CDH vs. ESS&lt;10 (AUC=0.76). Conclusion The SIQ shows satisfactory indices of reliability and construct validity in a clinically-diverse sleep disorders sample. Its criterion validity is supported by its divergent association with hypersomnia vs. insomnia disorders, as well as its adequate sensitivity/specificity to identify patients with CDH. The SIQ can help clinicians easily assess the complex dimensionality of sleep inertia and target behavioral sleep treatments. Future studies should confirm the best SIQ cut-off score by including good sleeping controls, while clinical studies should determine its minimal clinically important difference after pharmacological or behavioral treatments. Support (if any):


2022 ◽  
pp. 003329412110636
Author(s):  
Bruno Faustino

The presence of dysfunctional cognitions about how individuals see themselves and others is a hallmark of psychopathology. The Brief Core Schemas Scale (BCSS) was developed to evaluate adaptive and dysfunctional beliefs about the self and others. This study describes the first psychometric analysis of the BCSS in the Portuguese population. Participants were recruited from community ( N = 320, Mage=27.31, DP = 12.75). Confirmatory factor analysis (CFA) was used to confirm the BCSS factorial structure. Four-factor model revealed moderate to adequate goodness-of-fit indices (χ2/df = 717.1, (246) p = .01; SRMR = .044; RMSEA = .077; CFI/TLI < .90). Negative views of the self and others correlated positively with early maladaptive schemas, distress, and symptomatology and correlated negatively with psychological well-being. An inversed correlational pattern was found with the positive views of the self and others. Despite the model's moderate adherence to the data, results suggest that the BCSS may be an asset in the assessment of dysfunctional and adaptive cognitions about the self and others. Further analysis is required to deepen the psychometric properties of the BCSS in the Portuguese population.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammed Dauda Goni ◽  
Nyi Nyi Naing ◽  
Habsah Hasan ◽  
Nadiah Wan-Arfah ◽  
Zakuan Zainy Deris ◽  
...  

Abstract Background Respiratory tract infections are one of the common infection associated with Hajj pilgrimage that is of great public health and global concern. This study is aimed at determining the factor structure of the knowledge, attitude, and practice questionnaire for the prevention of respiratory tract infections during Hajj by confirmatory factor analysis (CFA). Methods A multistage cluster sampling method was conducted on Malaysian Umrah pilgrims during the weekly Umrah orientation course. A total of 200 Umrah pilgrims participated in the study. The knowledge, attitude and practice (KAP) questionnaire was distributed to pilgrims at the beginning of the orientation and retrieved immediately at the end of the orientation. Data analysis was done using R version 3.5.0 after data entry into SPSS 24. The robust maximum likelihood was used for the estimation due to the multivariate normality assumption violation. A two-factor model was tested for measurement model validity and construct validity for each of the attitude and practice domains. Results CFA of a 25-item in total, the two-factor model yielded adequate goodness-of-fit values. The measurement model also showed good convergent and discriminant validity after model re-specification. A two-factor model was tested for measurement model validity and construct validity for each of the attitude and practice domains. The result also showed a statistically significant value (p < 0.001) with χ2 (df) values of 76.8 (43) and 121 (76) for attitude and practice domains, respectively. Conclusion The KAP questionnaire was proven to have a valid measurement model and reliable constructs. It was deemed suitable for use to measure the KAP of Hajj and Umrah pilgrims towards the prevention for all respiratory tract infections.


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.


2014 ◽  
Vol 28 (2) ◽  
pp. 80-90 ◽  
Author(s):  
Chung-Yi Chiu ◽  
Joseph Jochman ◽  
Mayu Fujikawa ◽  
David Strand ◽  
Gladys Cheing ◽  
...  

Purpose: To examine the factorial structure of the Coping Strategy Questionnaire-24 (CSQ-24) in a sample of Canadians with chronic musculoskeletal pain.Method: The sample included 171 workers’ compensation clients (50.9% men) recruited from outpatient rehabilitation facilities in Canada. Mean age of participants was 42.45 years (SD = 9.87). Confirmatory factor analysis (CFA) was used to evaluate the factorial validity of the CSQ-24.Results: CFA indicated that the respecified 4-factor model comprising 20-specific coping items provided the best fit between the model and data, with χ2/df = 2.009, CFI = 0.916, RMSEA = .077. The Cronbach’s alpha coefficients for the 4 factors ranged from .80 to .86. The CSQ-24 correlated moderately in the predicted directions with pain intensity, activity interference, and depression, supporting its construct validity.Conclusion: The CSQ-24 was found to measure the 4 coping strategy factors reported by Harland and Georgieff (2003). It demonstrated good internal consistency reliability and construct validity and can be used as a brief coping measure for chronic pain clients in clinical rehabilitation settings.Chung-Yi Chiu, PhD, CRC, is an assistant professor, Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign.


Author(s):  
Wanida Simpol ◽  
Phoom Praraksa ◽  
Siridej Sujiva

The sufficiency economy philosophy in King Bhumibol’s initiative is a principle for the development of people especially their ideas and the relationship of adequate living, that is providing guidance on appropriate conduct covering numerous aspects of life. This construct is a new model in educational measurement in Thailand. This study tried to examine the construct validity of the measurement model by using the sufficient life skill (SLS) scale. The scale was used to measure the SLS of 599 Thai students studying in basic education level and the lie scale was applied to detect faking of test takers. The confirmatory factor analysis was utilised for comparing the two different models, holistic and specific models. The result showed consequence of construct validity of the better model. In addition, findings also supported the importance of applying lie scale for detecting faking responses. Theoretical implications are discussed. Keywords: Construct validity, confirmatory factor analysis, sufficient life skill, sufficiency economy philosophy.


2014 ◽  
Vol 1 (4) ◽  
Author(s):  
Manoochehr Azkhosh ◽  
Ali Asgari

This study aimed to investigate the construct validity and factor structure of NEO-Five Factor Inventory (Costa & McCrae, 1992) in Iranian population. Participants were 1639 (780 male, 859 female) Tehran people aged 15-71. The results of explanatory factor analysis showed no notable differences between the factor structures extracted by oblique and orthogonal rotations and didn’t replicate the scoring key. The Openness and Agreeableness had more psychometric problems (low internal consistency and high deleted items). The female’s NEO-FFI factor structure (with 41 items of 60 loaded on intended factors)was clearer than males’ (with 37 items). Confirmatory factor analysis supported the male’s latent modeling of the 31-item but failed to fit the female’s model. The women scored significantly higher in the Neuroticism, Openness, Agreeableness, and Conscientiousness than men who scored significantly higher in the Extraversion. As previous findings, the current results showed the NEO-FFI’s cultural limitations assessing the universality of the Five Factor Model.


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