Refining the Factor Structure of the All Aspects of Health Literacy Scale

2020 ◽  
Vol 44 (2) ◽  
pp. 118-128
Author(s):  
D. Jeremy Barsell ◽  
Robin S. Everhart ◽  
Paul B. Perrin

Objective: Although the All Aspects of Health Literacy Scale (AAHLS) is a commonly used measure of health literacy, the psychometric evaluation approach employed in its original validation is questionable. In this study, we evaluated the psychometric properties and factor structure of the AAHLS using widely-accepted analytic methods. Methods: We collected data from 393 students from a Mid-Atlantic university. Participants completed the AAHLS in an online format. We conducted an exploratory factor analysis (EFA) to determine whether a different factor/subscale structure emerged in this sample than in the original validation sample. We ran follow-up confirmatory factor analyses (CFAs). Results: The EFA suggested an 11-item, 4-factor model. The CFA of the 4-factor model had adequate model fit but evidenced several low item loadings, suggesting that several items did not perform well. We tested a modified 8-item, 3-factor model that had good fit and high item loadings. Compared to the original factor structure, the functional health literacy subscale was removed. Conclusions: The newly proposed 3-factor/subscale model with 8 items captures communicative health literacy and 2 separate aspects of critical health literacy. Further replication in other diverse samples is warranted to investigate the psychometric properties of the AAHLS, although we recommend use of the revised version over the original.

2017 ◽  
Vol 36 (7) ◽  
pp. 725-735
Author(s):  
Qingqing Zhu ◽  
Patricia A. Lowe

The purpose of this study was to adapt the Revised Children’s Manifest Anxiety Scale–Second Edition (RCMAS-2) into Mandarin and to examine its psychometric properties among Chinese adolescents. The participants included 436 Chinese students in Grades 7 to 12 who were administered the Chinese version of the Revised Children’s Manifest Anxiety Scale (RCMAS-2-C). Confirmatory factor analyses (CFAs) were performed to examine the factor structure of the RCMAS-2-C. Results indicated a modified four-factor model (Worry and Social Anxiety factors combined, Physiological Anxiety, Defensiveness I, and Defensiveness II factors) provided an adequate model fit to the data. Categorical omegas were computed and ranged from .68 to .90 for the RCMAS-2 scale scores. Convergent evidence of validity for the RCMAS-2-C anxiety scores was also found. Implications of the findings of the study for clinicians and researchers are discussed.


2012 ◽  
Vol 111 (3) ◽  
pp. 898-904 ◽  
Author(s):  
Rita Rueff-Lopes ◽  
António Caetano

This manuscript examined the psychometric properties and factor structure of the Emotional Contagion Scale in a Portuguese sample. The original scale was first given to a sample of 1,445 individuals to verify its internal consistency. Both exploratory and confirmatory factor analyses were performed. Results suggested that the data from the Emotional Contagion Scale are best fit by a one-factor model. Differences between sexes were assessed and higher susceptibility to emotional contagion was observed in women than in men. Convergent and discriminant validity analyses were also conducted. The Portuguese version of the Emotional Contagion Scale also had good internal consistency and test-retest reliabilities; thus it is a psychometrically sound measure within a Portuguese population.


2018 ◽  
Vol 34 (3) ◽  
pp. 206-215 ◽  
Author(s):  
Rahel Bachem ◽  
Andreas Maercker

Abstract. The present study introduces a revised Sense of Coherence (SOC) scale, a new conceptualization and operationalization of the resilience indicator SOC. It outlines the scale development and aims for testing its reliability, factor structure, and validity. Literature on Antonovsky’s SOC (SOC-A) was critically reviewed to identify needs for improving the scale. The scale was investigated in two samples. Sample 1 consisted of 334 bereaved participants, Sample 2 of 157 healthy controls. The revised SOC Scale, SOC-A, and theoretically relevant questionnaires were applied. Explorative and confirmatory factor analyses established a three-factor structure in both samples. The revised SOC Scale showed significant but discriminative associations with related constructs, including self-efficacy, posttraumatic growth, and neuroticism. The revised measure was significantly associated with psychological health indicators, including persistent grief, depression, and anxiety, but not to the extent as the previous SOC-A. Stability over time was sufficient. The study provides psychometric support for the revised SOC conceptualization and scale. It has several advantages over the previous SOC-A scale (unique variance, distinct factor structure, stability). The scale could be used for clinical and health psychological testing or research into the growing field of studies on resilience over the life span.


2021 ◽  
pp. 1-13
Author(s):  
Brittany DeFeis ◽  
Gelan Ying ◽  
Andrea M. Kurasz ◽  
Liselotte De Wit ◽  
Priscilla Amofa ◽  
...  

Background: In Alzheimer’s disease and related disorders (ADRD) research, common outcome measures include cognitive and functional impairment, as well as persons with mild cognitive impairment (pwMCI) and care partner self-reported mood and quality of life. Studies commonly analyze these measures separately, which potentially leads to issues of multiple comparisons and/or multicollinearity among measures while ignoring the latent constructs they may be measuring. Objective: This study sought to examine the latent factor structure of a battery of 12-13 measures of domains mentioned above, used in a multicomponent behavioral intervention (The HABIT® program) for pwMCI and their partners. Methods: Exploratory factor analysis (EFA) involved 214 pwMCI-partner pairs. Subsequent Confirmatory factor analyses (CFA) used 730 pairs in both pre- and post-intervention conditions. Results: EFA generated a three-factor model. Factors could be characterized as partner adjustment (29.9%), pwMCI adjustment (18.1%), and pwMCI impairment (12.8%). The subsequent CFA confirmed our findings, and the goodness-of-fit for this model was adequate in both the pre- (CFI = 0.937; RMSEA = 0.057, p = 0.089) and post-intervention (CFI = 0.942; RMSEA = 0.051, p = 0.430) groups. Conclusion: Results demonstrated a stable factor structure across cohorts and intervention conditions suggesting that three broad factors may provide a straightforward and meaningful model to assess intervention outcome, at least during the MCI phase of ADRD.


2017 ◽  
Vol 33 (3) ◽  
pp. 548 ◽  
Author(s):  
Maria Fernández-Capo ◽  
Silvia Recoder ◽  
Juana Gómez-Benito ◽  
María Gámiz ◽  
Pilar Gual ◽  
...  

<p>Introduction: The Transgression-Related Interpersonal Motivation (TRIM-18) Inventory is an instrument that assesses episodic forgiveness. This scale is composed of three subscales: <em>avoidance</em>, <em>revenge</em> and <em>benevolence</em>. The present study examined the dimensionality of the Spanish version of the TRIM-18 (TRIM-18-S) and provided evidence of validity and reliability. Method: A total of 943 participants completed the TRIM-18-S.  A subset of 277 participants completed additional measures of empathy, anger, and information regarding the relation with the offender. Results: The TRIM-18-S showed good psychometric properties, and confirmatory factor analyses revealed a three-factor structure. Conclusions: The scale presents adequate psychometric properties for its potential use in a Spanish population.</p><p> </p>


2021 ◽  
Vol 10 (2) ◽  
pp. 116
Author(s):  
Konstantinos Lavidas ◽  
Dionysios Manesis ◽  
Vasilios Gialamas

The purpose of this study was to adapt the Statistics Anxiety Rating Scale (STARS) for a Greek student population. The STARS was administered to 890 Tertiary Education students in two Greek universities. It was performed a cross-validation study to examine the factorial structure and the psychometric properties with a series of confirmatory factor analyses. Results revealed a correlated six first-order factor model which provided the best fit to the data compared to a six-factor model with one superordinate factor. All six factors of the Greek version of the STARS presented convergent and discriminant validity and were internally consistent. Implications and limitations are discussed.


2002 ◽  
Vol 16 (3) ◽  
pp. 272-290 ◽  
Author(s):  
Scott B. Martin ◽  
Michael Kellmann ◽  
David Lavallee ◽  
Stephen J. Page

Exploratory and confirmatory factor analyses were conducted to develop a revised form of the Attitudes Toward Seeking Sport Psychology Consultation Questionnaire (ATSSPCQ; Martin, Wrisberg, Beitel, & Lounsbury, 1997). The 50-item ATSSPCQ was administered to 533 athletes (M = 18.03 ± 2.71). Exploratory alpha factor analysis with varimax rotation produced four factors: (a) stigma tolerance, (b) confidence in sport psychology consultation, (c) personal openness, and (d) cultural preference. The new questionnaire, the Sport Psychology Attitudes - Revised form (SPA-R), was then administered to 379 United States, 234 United Kingdom, and 443 German athletes (M = 20.37 ± 5.13). Confirmatory factor analysis demonstrated the factorial validity of the four-factor model for the SPA-R for male and female athletes, late adolescent


2021 ◽  
pp. 003022282110623
Author(s):  
Ramzi Fatfouta ◽  
Radosław Rogoza

Fear is a fundamental response in the face of a life-threatening pandemic, such as COVID-19. To assess COVID-19-related fear, the Fear of COVID-19 Scale (FCV-19S) has been recently developed and validated in many countries across the globe. The current study aimed to adapt the FCV-19S into German and to examine its psychometric properties. Participants ( N = 866) were asked to complete the FCV-19S, report their perceived risk of contracting the virus, and their willingness to comply with mask wearing. Confirmatory Factor Analysis supported both a two-factor structure (emotional and somatic fear) and a more parsimonious one-factor model. Among demographic variables, only female gender was positively associated with the FCV-19S. Moreover, the measure was associated with increased risk perception and compliance with mask wearing. Results suggest that the FCV-19S has good psychometric properties in German and can be used in future work.


BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e034943
Author(s):  
Mohammed B A Sarhan ◽  
Harry S Shannon ◽  
Rika Fujiya ◽  
Masamine Jimba ◽  
Rita Giacaman

ObjectivesHealth literacy research in Palestine is limited, and a locally validated tool for use among adolescents has been unavailable until now. Therefore, this study aimed to adapt health literacy assessment scale for adolescents (HAS-A) into Arabic language (HAS-A-AR) and Palestinian context and to investigate its psychometric properties.DesignWe conducted a cross-sectional household survey using a stratified random sample and household face-to-face interviews.Setting and participantsWe conducted 1200 interviews with sixth to ninth graders in the Ramallah and al-Bireh district of the West Bank, Palestine in 2017.MethodsWe translated and adapted HAS-A to be sensitive to the Palestinian context and tested its psychometric properties. We evaluated face and content validity during the back-translation process and checked for construct validity through exploratory factor analysis (EFA). We tested for internal consistency using Cronbach’s alpha, MacDonald’s omega test and the greatest lower bound (GLB). Furthermore, we calculated the scale’s average inter-item correlation.ResultsEFA revealed that HAS-A-AR has a similar structure to the original HAS-A. It extracted three factors (communication, confusion and functional health literacy) whose eigenvalues were >1. Together they explained 57% of the total variance. The proportions of adolescents with high levels of communication, confusion and functional health literacy were 45%, 68% and 80%, respectively. Cronbach’s alpha, MacDonald’s omega and the GLB values for communication subscale were 0.87, 0.88 and 0.90, and they were 0.78, 0.77 and 0.79 for confusion subscale, while they were 0.77, 0.77 and 0.80, respectively, for functional healthy literacy subscale. The average inter-item correlation for the subscales ranged between 0.36 and 0.59.ConclusionHAS-A-AR is a valid and reliable health literacy measuring instrument with appropriate psychometric properties. HAS-A-AR is currently available for use among adolescents in Palestine and the surrounding Arab countries with similar characteristics as Palestine, including language, culture and political instability.


Assessment ◽  
2019 ◽  
Vol 27 (6) ◽  
pp. 1116-1127 ◽  
Author(s):  
Jessica M. Petri ◽  
Frank W. Weathers ◽  
Tracy K. Witte ◽  
Madison W. Silverstein

The Detailed Assessment of Posttraumatic Stress (DAPS; Briere, 2001) is a comprehensive questionnaire that assesses posttraumatic stress disorder (PTSD) diagnostic criteria as well as peritraumatic responses and associated problems such as dissociation, suicidality, and substance abuse. DAPS scores have demonstrated excellent reliability, validity, and clinical utility, performing as well or better than leading PTSD questionnaires. The present study was an initial psychometric evaluation of the unreleased DAPS (DAPS-2), revised for Diagnostic and Statistical Manual of Mental Disorders–Fifth edition ( DSM-5), in an MTurk-recruited mixed trauma sample ( N = 367). DAPS-2 PTSD scale and associated features scales demonstrated high internal consistency and strong convergent and discriminant validity. In confirmatory factor analyses, the DSM-5 four-factor model of PTSD provided adequate fit, but the leading seven-factor model provided superior fit. These results indicate the DAPS-2 is a psychometrically sound measure of DSM-5 PTSD symptoms.


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