Adaptation and Validation of a Short Acculturation Scale in a Multi-Ethnic Asian Population

The Short Acculturation Scale (SAS) has been widely used for assessing the level of the acculturation of migrants in Western countries. However, the validity of SAS for use in cosmopolitan settings without a single prevailing culture is unclear. We examined the validity and reliability of a version of the SAS adapted to a multi-ethnic Asian society. We used cross-sectional data from 12,610 Singaporean citizens and permanent residents, aged 21–75 years, of Chinese, Malay, and Indian ethnicity. Our version used 11 items, with 5 questions on language use, 3 on media use, and 3 on ethnic social relations, to measure acculturation. Our version of the SAS had good internal consistency. The three-factor CFA model had a good fit to our data. The results from the multiple group CFA supported metric invariance and partial scalar invariance across the three ethnic groups. The total score was positively correlated with generation in Singapore and the number of languages spoken. Among first generation immigrants, country of origin, but not the duration of residence was significantly associated with the acculturation score. Our three-factor version of the SAS is a reliable and valid tool for measuring acculturation in Singapore residents. These findings indicate that adapted SAS can be used to assess acculturation in multicultural settings.

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First Prospective Cross-Sectional Study on the Impact of Immigration Background and Education in Early Detection of Breast Cancer

Breast Care ◽

10.1159/000511654 ◽

2020 ◽

pp. 1-7

Author(s):

Elna Kuehnle ◽

Wulf Siggelkow ◽

Kristina Luebbe ◽

Iris Schrader ◽

Karl-Heinz Noeding ◽

...

Keyword(s):

Breast Cancer ◽

Early Detection ◽

First Generation ◽

Participation Rate ◽

Educational Status ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

First Generation Immigrants ◽

Cancer Early Detection

Background: Although immigrant health is an important issue in national health policy, there is a serious shortage of data in many countries. Most studies lack information on educational status, which is a major limitation. This prospective cross-sectional study analyzed a real-world breast cancer population on the influence of immigration background and educational status on participation in breast cancer early detection programs in the federal state of Lower Saxony, Germany. Methods: Data collection was conducted from 2012 to 2016 in six certified breast cancer centers using a standardized questionnaire for patients’ interview and tumor-specific data from the patients’ medical records. Results: 2,145/3,047 primary breast cancer cases were analyzed. 17.5% of our patients had a history of immigration, including n = 202 first-generation immigrants and n = 168 second-generation immigrants. Most of them were citizens of EU27 member states. No significant difference was seen in age, tumor stage, histology, grading, Ki-67, Her2/neu-status, and hormone receptor status compared to the native cohort. 100% participation rate in the breast cancer early detection programs were seen in patients with no school graduation. With regards to the national mammography screening program, participation decreased significantly with educational status (p = 0.0003). Conclusions: No tumor biological differences were seen between immigrants and German natives. In first-generation immigrants, early detection programs were well accepted despite sociocultural and language differences. Participation rate decreased significantly with higher education levels irrespective of country of origin. Immigration background does not have a negative effect on the participation in breast cancer screening. This mainly relates to immigrants from EU27 member states.

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A 21 tételes Háromfaktoros Evési Kérdőívvel szerzett tapasztalatok fiatal férfiak körében

Orvosi Hetilap ◽

10.1556/650.2017.30847 ◽

2017 ◽

Vol 158 (37) ◽

pp. 1469-1477

Author(s):

Edit Czeglédi

Keyword(s):

Trait Anxiety ◽

Emotional Eating ◽

Body Height ◽

Validity And Reliability ◽

Eating Behaviours ◽

Cross Sectional ◽

Three Factor Eating Questionnaire ◽

Uncontrolled Eating ◽

Male University Students ◽

Three Factor

Abstract: Introduction: Eating behaviours play a crucial role in the development of obesity. Aims: To conduct a psychometric analysis of the Three-Factor Eating Questionnaire–R21 and to investigate the correlates of obesogenic eating behaviours among males. Method: Participants of the cross-sectional questionnaire-based study were male university students (n = 239, mean of age: 20.3 years, SD = 2.78 years). Measures: self-reported body weight and body height, Three-Factor Eating Questionnaire–R21, Trait Anxiety Scale of the State-Trait Anxiety Inventory. Results: Results of confirmatory factor analysis supported the theoretical model of the Three-Factor Eating Questionnaire–R21 (χ2(186) = 366.1, p<0.001, CFI = 0.959, TLI = 0.954, RMSEA = 0.064). Internal consistency of the scales was adequate (Cronbach’s α: 0.79–0.88). Body Mass Index and trait anxiety showed significant, positive associations with eating behaviours, such as uncontrolled eating, cognitive restraint, and emotional eating. Conclusions: Results support the construct validity and reliability of the Three-Factor Eating Questionnaire–R21 among males and highlight the importance of taking psychological factors into account in the prevention of obesity. Orv Hetil. 2017; 158(37): 1469–1477.

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Vitamin D Status among First-Generation Immigrants from Different Ethnic Groups and Origins: An Observational Study Using the Canadian Health Measures Survey

Nutrients ◽

10.3390/nu13082702 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2702

Author(s):

Said Yousef ◽

Douglas Manuel ◽

Ian Colman ◽

Manny Papadimitropoulos ◽

Alomgir Hossain ◽

...

Keyword(s):

Vitamin D ◽

First Generation ◽

Baseline Risk ◽

Cross Sectional ◽

Southeast Asians ◽

First Generation Immigrants ◽

Health Measures ◽

Explanatory Factors ◽

Canadian Health ◽

Canadian Health Measures Survey

One in five Canadians are first-generation immigrants. Evidence suggests the baseline risk for vitamin D (vitD) deficiency is increased among immigrants who move from equatorial to northern countries. We investigated the prevalence and determinants of vitD deficiency/insufficiency among first-generation immigrants compared with native-born Canadians and identified explanatory covariables. We used a cross-sectional design with data from the national Canadian Health Measures Survey (Cycles 3 and 4) (11,579 participants aged 3–79 years). We assessed serum 25-hydroxyvitamin D (S-25(OH)D) levels, sociodemographic and environmental factors, immigration status, length of time in Canada, vitD-rich food intake, ethnicity, and place of birth. Immigrants had lower mean S-25(OH)D than non-immigrants (51.23 vs. 62.72 nmol/L, p < 0.001). Those with younger age at the time of immigration (<18 years) had a high risk for low vitD, and S-25(OH)D levels increased with the length of time they had lived in Canada. The highest deficiency levels were in immigrants born in Morocco, India, and Lebanon compared with native-born Canadians. Ethnicity was the factor most strongly associated with S-25(OH)D. Compared with the white ethnic grouping, the Japanese had the highest level of vitD deficiency, followed by Arabs and Southeast Asians. Ethnic variations, dietary intake, and lifestyle factors are the main predictors of/explanatory factors for vitD status among Canadian immigrants.

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The Measurement of Uncertainty in Caregivers of Patients With Heart Failure

Journal of Nursing Measurement ◽

10.1891/1061-3749.21.1.23 ◽

2013 ◽

Vol 21 (1) ◽

pp. 23-42 ◽

Cited By ~ 5

Author(s):

Karen Harkness ◽

Heather Arthur ◽

Robert McKelvie

Keyword(s):

Heart Failure ◽

Financial Burden ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Validity And Reliability ◽

Cross Sectional ◽

Study Results ◽

Patients With Heart Failure ◽

Good Internal Consistency

Background and Purpose: Family caregivers of heart failure (HF) patients describe feelings of uncertainty; however, studies measuring uncertainty in caregivers of HF patients are extremely sparse. This study examined the validity and reliability of the Mishel Uncertainty in Illness Scale-Family Member form (PPUS-FM) in caregivers of HF patients. Methods: Caregivers (n = 50) of community-dwelling HF patients completed the PPUS-FM, Caregiver Reaction Assessment (CRA) and Hospital Anxiety and Depression Scale (HADS) in this cross-sectional study. Results: Significant correlations emerged among PPUS-FM and (a) CRA-schedule burden (r = .499, p < .01); (b) CRA-financial burden (r = .292, p < .05); (c) CRA-family burden (r = .385, p < .01); (d) CRA-health burden (r = .421; p < .01); and (e) HADS-depression scores (r = −.298, p < .05). Cronbach’s alpha for the PPUS-FM was .89. Conclusions: In this sample, the PPUS-FM had some evidence of construct validity and good internal consistency. However, the respondent burden and unidimensional nature of the PPUS-FM suggest that this tool needs further revision and testing for use with caregivers of HF patients.

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Adult attachment, stress-coping, and resilience in first-generation immigrants in the United States

British Journal of Occupational Therapy ◽

10.1177/03080226211022962 ◽

2021 ◽

pp. 030802262110229

Author(s):

Chiao-Ju Fang ◽

Nenette Tong ◽

Rosely J Villa ◽

Ana M Flores ◽

Elaine Lim ◽

...

Keyword(s):

United States ◽

Coping Strategies ◽

Adult Attachment ◽

First Generation ◽

Linear Regression Analysis ◽

The United States ◽

Stress Coping ◽

Annual Household Income ◽

Cross Sectional ◽

First Generation Immigrants

Introduction Previous studies have shown correlations between adult attachment, stress-coping, and resilience, but little is known about how attachment and stress-coping affect resilience, particularly among first-generation immigrants. This study explored relationships among adult attachment, stress-coping, and resilience for first-generation immigrants. Method A quantitative cross-sectional design was used to assess associations between adult attachment and stress-coping with resilience among first-generation immigrants. Thirty-five participants answered an online Qualtrics survey. A simple linear regression analysis was conducted to analyze the results. Results The results indicated statistically significant correlations between avoidance scores and annual household income but not between resilience and education, resilience and income, and stress-coping scores and education and income. Positive reinterpretation growth was positively correlated with resilience, while denial and behavioral disengagement were negatively correlated. Adult attachment and number of years in the United States were not significantly statistically related to resilience. Conclusion The findings indicate high income may be associated with attachment avoidance, and increases in positive coping strategies and decreases in negative coping strategies are associated with resilience among first-generation immigrants. Understanding influences on first-generation immigrants to engage in stress-coping skills may inform the development and implementation of occupational therapy, including programs and interventions for successful client-centered outcomes.

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Nurse’s knowledge and Awareness Regarding Cervical Cancer and its Prevention in Different Hospitals of Quetta, Pakistan

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2018.v04i01.06 ◽

2017 ◽

Vol 4 (1) ◽

pp. 436-441

Author(s):

Saba Haider ◽

Noman Ul Haq ◽

Sohail Riaz ◽

Aqeel Nasim ◽

Muhammad Saood ◽

...

Keyword(s):

Cervical Cancer ◽

Family History ◽

Sampling Technique ◽

Knowledge Score ◽

Validity And Reliability ◽

Contributing Factors ◽

Cross Sectional ◽

Adequate Knowledge ◽

Current Area ◽

One Year

Objective: This study aimed to assess the knowledge and awareness regarding cervical cancer and its prevention among nurses working in different hospitals of Quetta, Pakistan. Methodology: The cross sectional, descriptive study was conducted by using structured questionnaire in different hospitals of Quetta from January to September 2016. Convenient sampling technique was applied by targeting all the nurses working in different hospitals of Quetta city. Study questionnaire was developed and tested for validity and reliability. Descriptive and inferential statistics (Mann Whitney U test and Kruskal Wallis tests, p<0.05) were used to assess the significance among study variables and were performed by using IBM SPSS v.20. Results: Out of 415 distributed questionnaires 324 were returned (response rate of 78%). The mean Age of respondents was 28.18 ±9.5 years. Majority (n=127, 43.3%) of participants were interns and had no or less than one year of experience (n=128, 43.7%) with negative family history of any cancer (n=275, 93.9%). Mean knowledge score was 18.52±4.84with majority (n=258, 88.1%) had adequate knowledge regarding cervical cancer. Respondent sage, current area of practice, qualification, Institute of degree and past family history were contributing factors (p > 0.05) in adequate knowledge in this study. The results also reviled that not only 68.3% (n=200) and 65.5% (n=192) respondents knew that cervical cancer is vaccine preventable and availability of the vaccine for it. Conclusions: Nurses working in different hospitals of Quetta city had better understanding of the disease cervical cancer and its prevention. Yet many of the respondent are not aware of it vaccine and its availability.

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Assessment Instrument of Fiqh Mu'āmalāt Learning with Financial Literacy Oriented

10.35542/osf.io/p2ync ◽

2019 ◽

Author(s):

Adib Rifqi Setiawan

Keyword(s):

Secondary Education ◽

Survey Research ◽

Internal Consistency ◽

Financial Literacy ◽

Lesson Plan ◽

Assessment Instrument ◽

Validity And Reliability ◽

Cross Sectional Survey ◽

Cross Sectional

The goal of this cross-sectional survey research was to find the validity and reliability of assessment instrument for fiqh mu'āmalāt learning with financial literacy oriented for secondary education. To reveal validity is assessed based on obtain judgement expert and reliability measured by internal consistency. It was gained that the validity is 7 items very feasible and 5 item quite feasible with reliability’s value is 0,763. This finding shows that assessment instrument can be used to analyze difficulties of students for designing lesson plan of fiqh mu'āmalāt learning with financial literacy oriented.

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Longitudinal and Gender Measurement Invariance of the Gratitude Questionnaire in Chinese Adolescents

Psychological Reports ◽

10.1177/00332941211036015 ◽

2021 ◽

pp. 003329412110360

Author(s):

Qingsong Tan ◽

Jilin Zou ◽

Feng Kong

Keyword(s):

Measurement Invariance ◽

Time Interval ◽

Longitudinal Measurement Invariance ◽

Multiple Group ◽

Longitudinal Measurement ◽

Confirmatory Factor ◽

Adolescent Sample ◽

Good Internal Consistency ◽

And Gender ◽

Mean Differences

The 5-item Gratitude Questionnaire (GQ-5) is one of the most commonly used instruments to measure dispositional gratitude in adolescents. The purpose of this study was to verify the longitudinal measurement invariance (LMI) and gender measurement invariance (GMI) of the GQ-5 that was administered to an adolescent sample twice over the course of 18 months ( N = 669). Single-group confirmatory factor analysis (CFA) was adopted to examine the LMI and multiple-group CFA was conducted to assess the GMI. The results showed that the GQ-5 had strong invariance (i.e., equality of factor patterns, loadings, and intercepts) across time and gender. Validation of latent factor mean differences showed that females had higher gratitude scores than males. In addition, the GQ-5 exhibited good internal consistency indices across time and a moderate stability coefficient was also found across an 18-month time interval in adolescents. In summary, our study showed that LMI and GMI of the GQ-5 are satisfactory and the GQ-5 is a reliable instrument for measuring gratitude in adolescents.

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Psychometric evaluation of the Persian version of the spiritual well-being scale (SWBS) in Iranian patients with cancer

Palliative & Supportive Care ◽

10.1017/s1478951521000407 ◽

2021 ◽

pp. 1-9

Author(s):

Hamid Sharif Nia ◽

Mobin Mohammadinezhad ◽

Kelly A. Allen ◽

Christopher Boyle ◽

Saeed Pahlevan Sharif ◽

...

Keyword(s):

Discriminant Validity ◽

Psychometric Evaluation ◽

Well Being ◽

Validity And Reliability ◽

Cross Sectional ◽

Patients With Cancer ◽

Persian Version ◽

Convergent And Discriminant Validity ◽

Spiritual Well Being ◽

Iranian Patients

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.

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Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157843 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7843

Author(s):

María Rodríguez-Barragán ◽

María Isabel Fernández-San-Martín ◽

Ana Clavería-Fontán ◽

Susana Aldecoa-Landesa ◽

Marc Casajuana-Closas ◽

...

Keyword(s):

Primary Care ◽

Psychometric Properties ◽

Public Health Problem ◽

Composite International Diagnostic Interview ◽

Spanish Version ◽

Major Public Health Problem ◽

Symptom Checklist ◽

Validity And Reliability ◽

Cross Sectional ◽

Hopkins Symptom Checklist

Depression constitutes a major public health problem due to its high prevalence and difficulty in diagnosis. The Hopkins Symptom Checklist-25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use in primary care (PC). The purpose of the study was to assess the psychometric properties of the HSCL-25 and validate its Spanish version. A multicenter cross-sectional study was carried out at six PC centers in Spain. Validity and reliability were assessed against the structured Composite International Diagnostic Interview (CIDI). Out of the 790 patients, 769 completed the HSCL-25; 738 answered all the items. Global Cronbach’s alpha was 0.92 (0.88 as calculated for the depression dimension and 0.83 for the anxiety one). Confirmatory factor analysis (CFA) showed one global factor and two correlated factors with a correlation of 0.84. Area under the curve (AUC) was 0.89 (CI 95%, 0.86–0.93%). For a 1.75 cutoff point, sensibility was 88.1% (CI 95%, 77.1–95.1%) and specificity was 76.7% (CI 95%, 73.3–79.8%). The Spanish version of the HSCL-25 has a high response percentage, validity, and reliability and is well-accepted by PC patients.

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