scholarly journals Confirmatory Factor Structure of Treatment Adherence in the Covid-19 Era

Author(s):  
Cruz García-Lirios ◽  
◽  
Salvador Alvarado Garibaldi ◽  

The treatment adherence is a central hub in the health agenda. In the framework of the SARS CoV-2 pandemic, it is necessary to predict this phenomenon. The objective of the present work was to contrast a model of structural equations. A confirmatory, psychometric and cross-sectional work was carried out with a selection of 100 students, considering their participation in social service and professional practices in public hospitals in central Mexico. A factorial structure was found that explained 62% of the total variance, suggesting the contrast of the model in other scenarios.

2016 ◽  
Vol 35 (3) ◽  
pp. 336-341 ◽  
Author(s):  
Melissa R. Weber ◽  
Bohdan S. Lotyczewski ◽  
Guillermo Montes ◽  
A. Dirk Hightower ◽  
Marjorie Allan

The factor structure of the Teacher–Child Rating Scale (T-CRS 2.1) was examined using confirmatory factor analysis (CFA). A cross-sectional study was carried out on 68,497 children in prekindergarten through Grade 10. Item reduction was carried out based on modification indices, standardized residual covariance, and standardized factor loadings. A higher order model with a general super-ordinate factor fit the data well, and is consistent with the notion of a unidimensional non-cognitive set of learning-related skills. Model-based reliability estimates are provided.


Author(s):  
Ramin Ravangard ◽  
Amir Khodadad ◽  
Peivand Bastani

Abstract Background Applying marketing mix in the hospitals is necessary for their success. It is also important to optimize the price, developing services, increasing health literacy, and improving financial resources. Experts and patients may have different views about the factors that influence the decision for choosing a hospital. This study was conducted to identify the factors in the marketing mix which influence patients’ selection of hospitals in Shiraz, Iran. Methods A cross-sectional study involving patients assigned to six hospitals; three selected private and three corporate public hospitals in Shiraz in southern Iran in 2018 composed the study sample. From the inpatients and outpatients referring to these hospitals, 300 patients were included using a stratified sampling method proportional to size. Their views on the status of the selected hospitals regarding the 7Ps model of the hospital marketing mix (product, people, price, place, promotion, process, and physical environment) were assessed using a 5-point Likert scale. Data were collected by administering a validated researcher-developed questionnaire (CVI = 2.65, α = 0.929). Results Among 44 components of marketing mix according to 7Ps model, “specialty of health service providers” had the best status (mean (SD) 4.15 ± 0.82) from the patients’ viewpoints. Among the 7Ps, “physical environment” and “people” had better status respectively. In contrast, the studied hospitals had the poorest status in “promotion.” Significant relationship was revealed between the private and corporate public hospitals in terms of price, promotion, and process (P < 0.05). Pearson’s correlation revealed a direct relationship between all the components of marketing mix in the hospitals (P < 0.001). Conclusion The studied hospitals have an appropriate status in physical environment and people mix but poor status in promotion mix. It is therefore necessary for these hospitals to pay more attention to the “promotion mix” irrespective of the related costs. Moreover, as “process mix” had a high significant correlation with the other marketing mix, managers can improve their marketing services through correcting their current processes.


Author(s):  
María Luisa Quintero Soto ◽  
María de Lourdes Morales Flores

Reproductive health policies, centered on the decriminalization of abortion, involve effects on beliefs, attitudes, intentions and behaviors of abortion. As women get older, education and income, rationally choose an abortion, but are far from ideal for procreation is 22 years old. The aim of this study is to establish the factorial structure of scales measuring four factors and 28 indicators (seven per factor) relating to the termination of pregnancy. Consequently, it conducted a non experimental, transversal and exploratory study with a nonrandom selection of 145 students. From a structural model ?? 2 = 346.57 (57gl) p = 0.000; CFI = 0.990; GFI = 0.995; RMSEA = 0.005; R 2 = 0,35?las intentions determined behavior (? = 0.64), but the factor solution was explained by beliefs (alpha = 0.781; 35% of the total variance explained). However, the context, the selection of the sample and the type of analysis prevents data generalize to other areas. It is recommended to perform a confirmatory factor analysis with a probabilistic sample selection in the population of the town.


2018 ◽  
Vol 1 (1) ◽  
pp. 14-18
Author(s):  
Rachel Nolan ◽  
Jeffrey Hallam

Background: Various self-efficacy instruments have been used to predict exercise behavior. Many of these scales have been shown to be valid and reliable measures for the strength dimension of self-efficacy, but have overlooked the construct’s dimensions of magnitude and generality. This study established the Exercise Self-Efficacy Scale (ESE-S), a measure of the strength, generality, and magnitude dimensions of exercise self-efficacy, as a valid tool towards the promotion and adherence of routine physical activity. Methods: Using a non-experimental, cross-sectional design, the ESE-S was administered to individuals aged 18 and older (n=270) who were conveniently recruited from a large city located in Ohio. Participants were employees of a large, national company and consented to participate in an employee wellness campaign over a two-day period. Participants completed the 24-item ESE-S onetime and demographic data were not collected. Confirmatory factor analysis was used to examine the 4-factor hypothesized structure of the ESE-S. Results: The confirmatory analysis showed that the data did not conform to the factorial structure as originally hypothesized, but did retain a 4-four factor solution. Final factors identified from the confirmatory analysis were internal strength, external strength, generality, and magnitude. Conclusions: This study confirmed a 4-factor, 21-item factorial structure. Although the structure differed from that hypothesized, the results showed that the tool was a valid and reliable instrument to measure the dimensions of exercise self-efficacy commonly overlooked within the literature. Public health professionals and researchers can use the instrument to measure exercise self-efficacy and develop self-efficacy based exercise promotion programs. Key words: Exercise, self-efficacy, confirmatory factor analysis, physical activity


2019 ◽  
Vol 9 (2) ◽  
pp. 47-54
Author(s):  
José Alfonso Aguilar-Fuentes ◽  
Cruz García-Lirios ◽  
Gilberto Bermúdez-Ruiz ◽  
Minerva Isabel Pérez-Ortega ◽  
Eyder Bolivar-Mojica ◽  
...  

A model is a data management, production and transfer system organized in explanatory trends of past, current and future relationships. The emphasis on each suggests decision making and strategy execution. The objective of this work was to specify a model for of the perception of utility. An exploratory and cross-sectional study was conducted with a selection of 186 students from a public university in central Mexico, considering their participation in the system of professional practices and social service in local organizations. The validity of the instrument that found a one-dimensional variable that explained 43% of the variance was established, but the research design limited the results to the research scenario, suggesting the extension of the work.


2021 ◽  
Vol 14 (2) ◽  
pp. 82-92
Author(s):  
Fernando Alexander Garzón Lasso ◽  
Francisco López Gallego ◽  
Percy Marquina

Introduction: Recent cases of unethical behavior in organizations indicate the need to carry out empirical research about it. Objective: Determine the existence of a relationship between ethics and leadership, demanded by society and prescribed by various academic theories. Method: For this reason, through the conduction of non-experimental, cross-sectional, quantitative research, it is sought to make a process of falsification of the theoretical proposals in the context of a municipal mayoralty. In the development of the research, the responses of 219 leaders were satisfactorily received, answering questions from two psychometric instruments of wide recognition and academic validity, the Ethics Position Questionnaire and the Multifactor Leadership Questionnaire. They were carried out both through an exploratory data analysis and a confirmatory factor analysis, and a model of structural equations that tested the existence of a relation between the ethical position and the styles of leadership. Results: It was also possible to identify the influence exerted by the different ethical positions in each one of the styles of leadership in a local public administration. Conclusions: These findings facilitate the identification of ethical leadership models in local public organizations and contribute towards the empirical demonstration of the current discussion on the relationship between ethics and leadership in organizations.


2021 ◽  
Vol 5 ◽  
pp. 171-177
Author(s):  
Waleed M. Awwad ◽  
Nouf H. Alabdulkarim ◽  
Nojood E. Alhaidri

Objectives: Neck pain is the fourth leading cause of disability. The most common validated tool assessing its effect on the participant’s functional status is the neck disability index (NDI). We aimed to investigate the factorial structure of the Arabic NDI (NDI-Ar) using exploratory and confirmatory factor analysis (CFA) in a multioccupational sample. Methods: A cross-sectional study conducted in Saudi Arabia. A total of 641 participants completed the NDI-Ar. The Cronbach’s alpha test was used to test the reliability of the questionnaire. Exploratory factor analysis (EFA) was used to assess the existing factor structure within the 10-indicator NDI questionnaire. Parallel analysis (PA) and scree plot with the unidimensional congruence test, mean of item residual absolute loadings test, and explained common variance test were used to assess the number of the extractable factors and their unidimensionality. CFA was also carried out. Results: EFA of the NDI-Ar suggested the presence of two-factor solutions. However, the analysis with the tests of closeness to unidimensionality, PA tests, and the more rigorous CFA indicated that the two-factor solutions were not tenable, and a single latent factor solution is a better fit with the observed data measured on Middle Eastern people. Conclusion: The present study explored the factorial structure of the NDI-Ar. The two-factor solutions were not tenable and a single latent factor solution might be a better fit.


2016 ◽  
Vol 9 (1) ◽  
pp. 155
Author(s):  
Ghahraman Mahmoudi ◽  
Mohammad Ali Jahani ◽  
Mousa Yaminfirooz ◽  
Ramin Navaie

INTRODUCTION: As a health care organization, achieving security and high reliability is a goal in hospitals. Therefore, this research is concerned with the development of a structural high-reliability model in public hospitals of Iran.METHODOLOGY: This applied research was conducted in 2015 with a population that included directors, managers, faculty members and hospital affairs experts. A totalof 200 questionnaires were distributed in five areas of the country based on a cluster sampling method. The structural validity of the questionnaire was approved through confirmatory factor analysis test and its reliability was calculated as 0.73 by Cronbach’s alpha test. Moreover, data were analyzed by SPSS 18 and LISREL 8.5 software using factor analysis and mathematical models; and the confirmation of the model was assessed based on confirmatory factor analysis.FINDINGS: The results of factor analysis indicated that exploitable factors for factor analysis included selection of axis of reluctance to simplify interpretation, preoccupation with failure, sensitivity to operations, resilience and deference to expertise. Conversely, the ratio between Chi-Do index and degree offreedom was less than three, the RMSEA index was lower than 0.08, The NFI, NNFI, IFI and CFI values were higher than 0.9.CONCLUSIONS: By considering the axes of lack of tendency towards simplification of interpretations, concerns and tolerance against failure, sensitivity towards operations, flexibility and specialization hospitals will be able to achieve high-reliability criteria.


2021 ◽  
Vol 2 (4) ◽  
pp. 01-05
Author(s):  
Cruz García-Lirios ◽  
Francisco Rubén Sandoval-Vázquez ◽  
José Marcos Bustos-Aguayo ◽  
Margarita Juárez-Nájera ◽  
Michiko Amemiya

The objective of the document is to empirically test a structural model of the relationship between stigma and attitudes. A cross-sectional, psychometric, and predictive work was carried out with a sample of 100 students, considering their exposure to Covid-19 in their professional practices and social service. A factorial structure was found that explained 89% of the variance and the relationship between both variables, suggesting the inclusion of other variables such as the need for information, media framing, and government communication strategy.


2022 ◽  
Vol 4 (1) ◽  
pp. 01-11
Author(s):  
García Lirios ◽  
Jorge Hernández-Valdés ◽  
Arturo Sánchez-Sánchez ◽  
Francisco Espinoza Morales ◽  
Javier Carreón Guillén

The governance of migratory flows, understood as a system of co-management co-responsibility between institutional and private, political and social actors with respect to their identity and occupational health is addressed in the present non-experimental, exploratory and cross-sectional work with a non-probabilistic sample selection of 100 former migrants from central Mexico. From a structural model seven factors were established regarding framing, demands, resources, risks, opportunities, capabilities and employment. Based on the literature consulted, the limits, scope and lines of research aimed at deepening the effects of the variables and factors in an intercultural scenario are noticed.


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