scholarly journals Validación de un instrumento para evaluar el componente comunitario de la estrategia de atención integrada a las enfermedades prevalentes de la infancia (AIEPI)

2021 ◽  
Vol 20 (1) ◽  
pp. 172-192
Author(s):  
Jacqueline Hernández-Escolar ◽  
Cristina Bohórquez Moreno ◽  
Sandra Mondragón- Bohórquez

Objetivo: Validar un instrumento para evaluar el componente comunitario, de la estrategia de atención integrada a las enfermedades prevalentes de la infancia (AIEPI). Método: Estudio transversal descriptivo, el cual buscó hallar la validez de constructo de la encuesta SIAC utilizada para medir AIEPI comunitario, mediante un análisis factorial exploratorio, el cual redujo el número de ítems que explicaban los constructos; participaron 120 madres adolescentes de la ciudad de Cartagena, Colombia. La validación de constructo se realizó a través del Análisis Factorial Exploratorio, con el método de Factores Principales, se utilizó la prueba de esfericidad de Bartlett y la medida de la adecuación muestral de Kaiser-Meyer-Olkin (Coeficiente KMO) mediante el paquete estadístico SPSS versión 22.0. Resultados. De acuerdo a los valores obtenidos en los dominios 1 (saneamiento básico), 3 (lactancia materna y alimentación complementaria), 4 (inmunizaciones), 5 (signos de alarma), 11 (cuidado de la mujer gestante) y 13 (SIDA), se procedió a aplicar el método de factorización por ejes principales. En el dominio 7 (prevención de accidentes) se realizó el método de factorización por componentes principales. Conclusiones: La encuesta SIAC mantuvo en los 7 dominios buenos niveles de validez después del cambio, se hace necesario evaluar los puntos de corte que permitan un diagnóstico más sensible y específico del grado de apropiación y aplicación de las practicas clave de la estrategia AIEPI, por parte de los cuidadores de los niños y niñas menores de 5 años. Objective: Validate an instrument to evaluate the community component of the integrated care strategy for prevalent childhood diseases (IMCI).Method: descriptive cross-sectional study, which sought to find the construct validity of the SIAC survey specified to measure community IMCI, through an exploratory factor analysis, which reduces the number of items that explained the constructs; 120 teenage mothers from the city of Cartagena, Colombia participated. The construction validation was carried out through the Exploratory Factor Analysis, with the Main Factors method, the Bartlett sphericity test and the measurement of the sampling adequacy of Kaiser-Meyer-Olkin (KMO coefficient) were performed using the SPSS statistical package. version 22.0.Results: According to the values obtained in domains 1 (basic sanitation), 3 (breastfeeding and complementary feeding), 4 (immunizations), 5 (warning signs), 11 (care of pregnant women) and 13 (AIDS), the main axis factorization method was applied. In domain 7 (accident prevention) the principal component factorization method was performed.Conclusions: the SIAC survey maintained good levels of validity after the change in the 7 domains, it is necessary to evaluate the cut-off points that allow a more sensitive and specific diagnosis of the degree of appropriation and application of the key practices of the IMCI strategy, for part of the caregivers of children under 5 years Objetivo: validar um instrumento para avaliar o componente comunitário da estratégia de atendimento integrado para doenças prevalentes na infância (AIDPI). Método: estudo descritivo transversal, que buscou encontrar a validade de construto da pesquisa SIAC especificada para mensurar o IMCI da comunidade, por meio de uma análise fatorial exploratória, que reduz o número de itens que explicam os construtos; Participaram 120 mães adolescentes da cidade de Cartagena, Colômbia. A validação da construção foi realizada através da Análise Fatorial Exploratória, com o método dos Principais Fatores, o teste de esfericidade de Bartlett e a medição da adequação da amostra de Kaiser-Meyer-Olkin (coeficiente KMO), utilizando o pacote estatístico SPSS. versão 22.0. Resultados: De acordo com os valores obtidos nos domínios 1 (saneamento básico), 3 (aleitamento materno e alimentação complementar), 4 (imunizações), 5 (sinais de alerta), 11 (assistência a gestantes) e 13 (AIDS), o principal eixo método de fatoração foi aplicado. No domínio 7 (prevenção de acidentes), foi realizado o método de fatoração do componente principal. Conclusões: a pesquisa do SIAC manteve bons níveis de validade após a mudança nos 7 domínios, é necessário avaliar os pontos de corte que permitem um diagnóstico mais sensível e específico do grau de apropriação e aplicação das principais práticas da AIDPI. estratégia, para parte dos cuidadores de crianças menores de 5 anos

2019 ◽  
Author(s):  
Wei Cheng ◽  
Chen Wang ◽  
Jing Ma ◽  
Wen Ji ◽  
Xiangli Yang ◽  
...  

Abstract Background Prescription-checking is becoming increasingly popular in medical institutions, but the prescription-checking ability of pharmacists needs improvement. This study aimed to explore the key aspects of the prescription-checking training and provide an empirical reference for standardizing the prescription-checking training for pharmacists in medical institutions.Methods Trainees who were willing to complete the Likert questionnaire were enrolled in this study. Percentage and composition ratio were used for statistical description. The chi-square test and exploratory factor analysis were used for statistical analysis. A difference with p<0.05 was considered statistically significant.Results The questionnaire had good internal consistency and validity. The overall satisfaction of the trainees was 90%. Three dimensions, training organization, teaching mode as well as consolidation and assessment of knowledge were extracted using exploratory factor analysis. The average examination score of the 20 courses was 89.21±2.62 points. From the perspective of needs, 94.66% of the trainees preferred face-to-face lectures, 89.33% of the trainees expected high professional skills of the lecturers, and 62.27% of the trainees believed that clinical expertise was highly desirable.Conclusion There was a great demand for prescription-checking training among pharmacists. Trainees enrolled in this training showed high satisfaction and good examination results. The key aspects of prescription-checking training were training organization, as well as consolidation and assessment of knowledge. It is recommended to conduct training in a stratified manner according to pharmacists’ educational background, in order to effectively improve their prescription-checking competence. The pharmacists preferred face-to-face lectures and interaction to supplement clinical disease-related knowledge.


2020 ◽  
pp. 025371762093224
Author(s):  
Mamidipalli Sai Spoorthy ◽  
Lokesh Kumar Singh ◽  
Sai Krishna Tikka ◽  
Suchandra Hari Hara

Background: Internet use has spread across the world due to easy accessibility and affordability. However, it has been creating many problems at several levels. So, there is a need to identify the suitability of psychometric properties and the factor structure of the widely used Internet Addiction Test (IAT) in the Indian settings. Our objective was to perform an exploratory factor analysis on the IAT and to test the reliability of the scale. Methods: It was a cross-sectional study that included various professional groups. We used an online questionnaire that included sociodemographic details and Young’s IAT. Exploratory factor analysis was used to identify the factor structure of Young’s IAT in the Indian setup. Results: The mean age of the sample (N = 1,782) was 27.7 years (SD = 8.74) with a predominantly male population 1040 (58.4%). In total, 1.0% (17) of the sample had significant problems with internet usage, whereas 13% (232) were in the range of frequent/occasional problems, and the mean score on IAT was 32 (SD = 16.42). Exploratory factor analysis revealed two factors that explained 49% of the variance (Kaiser–Meyer–Olkin measure of sampling adequacy: 0.95, Bartlett’s test of sphericity: P = 0.000). They were “mood and relationship issues” and “duration and productivity.” Cronbach’s α was 0.92, which indicates a high level of internal consistency. Conclusion: In Indian settings, IAT can be understood based on the two-factor structure. The scale has excellent reliability. Further studies are needed to replicate these results, by using confirmatory factor analysis and validity testing.


2020 ◽  
Author(s):  
Jennyfer Hallit ◽  
Pascale Salameh ◽  
Chadia Haddad ◽  
Hala Sacre ◽  
Michel Soufia ◽  
...  

Abstract Background This study objective was to evaluate the prevalence as well as factors (smoking, internet addiction, social phobia, depression, child abuse and bullying) associated with alcohol use disorder among a representative sample of Lebanese young people, in addition to validating and confirming psychometric properties of the AUDIT scale. Methods A cross-sectional study, conducted between January and May 2019, enrolled 1810 adolescents aged between 14 and 17. Alcohol dependence was defined as a high AUDIT score. A principal component analysis technique to confirm the validity of the construct of the AUDIT scale score was done and a confirmatory analysis to assess the structure of the instrument was conducted. Results The mean AUDIT score was 6.46 ± 8.44 and high risk of hazardous alcohol drinking was found in 28% of adolescents. One factor solution of the AUDIT scale had been found after running the factor analysis and the confirmatory factor analysis demonstrated that the χ2/df=2.4, the Steiger-Lind RMSEA was 0.10 [0.084-0.155] and the Joreskog GFI equaled 0.91 and AGFI equaled 0.92. Higher cigarette (Beta=0.372) and waterpipe (Beta=0.319) dependence, higher child sexual (Beta=0.581) and neglect (Beta=0.106) abuse, higher internet addiction (Beta=0.088), separated parents compared to living together (Beta=3.202) and higher bullying victimization (Beta=0.143) were significantly associated with higher AUDIT scores. Conclusion Alcohol dependence seems to be influenced by several risk factors among the Lebanese adolescents such as cigarette and waterpipe dependence, higher internet addiction, bullying, and child sexual and neglect abuse. Parents and healthcare professionals could use this data to influence intervention efforts.


Author(s):  
R Soltani Shal ◽  
F Saadatbin Javaheri ◽  
A Zebardast

Introduction: Mental health problems is common among nurses, because they have to deal with to workplace stresses such as work-rest cycle problems, overload responsibility, financial problems, lack of vacation time, pressures of work, patient communication frameworks  and painful experiences of patients. These factors can decrease their wellbeing, but there is not brief and practical scale to assess psychological resiliency among nurses. Therefore, the aim of the present study was to evaluate the psychometric properties of the hospital nurses’ well-being at work scale. Materials and Methods: This cross-sectional study was conducted on 194 nurses. The hospital nurses’ well-being at work was administered. The hospital nurses’ well-being at work is composed of 67 items and psychometric properties were examined through the Face validity, Content Validity, Concurrent validity, Construct validity. The data were analyzes by SPSS software. Results: Face and content validity were approved by five psychologists. The KMO index and Bartlett's Cruity Index indicated that correlation matrix was suitable for performing exploratory factor analysis. Factor analysis with Principal Component Analysis extracted one factor with 67.06% total variance. Internal consistency was confirmed by a Cronbach’s alpha of 0.957. According to the findings of the present study, 2.1% of nurses experienced very low well-being, 6.7% experienced low, 66.6% experienced moderate and 22.7% experienced high one. Conclusion: This study showed that the hospital nurses’ well-being at workplace had appropriate psychometric properties and is a valid and reliable screening index to measure well-being of nurses. This index could facilitate the assessing Well-Being in brief and practical way among nurses.


2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Razman MR ◽  
Naing L ◽  
Aziah D ◽  
Kamarul IM

Introduction: Exposure to excessive noise is the major avoidable cause of permanent hearing impairment. Sawmill is one of the workplaces where workers are exposed to hazardous noise level. This study was conducted to determine the reliability and validity of noise-induced hearing loss questionnaire among sawmill workers. Materials and Methods: This cross sectional study was conducted in March 2007 among 35 consented sawmill workers. A total of 40 items; 10 items for knowledge (8 areas), 20 items for attitude (7 areas) and 10 items for practice (2 areas) were assessed. Statistical analysis for reliability analysis was test by internal consistency and construct validity by exploratory factor analysis using principal components and Varimax rotation method. Results: Cronbach’s alpha coefficients were acceptable for attitude (0.90) and practice (0.75). However, it was low for knowledge (0.67). Exploratory factor analysis showed three meaningful exploratory factors that could explain the three dimensions in the questionnaire. Conclusion: The results of the validation study suggested that the noise-induced hearing loss questionnaire is reliable and valid tool for assessing knowledge, attitude and practice among sawmill workers.


Author(s):  
Ahmad Rida Abuzinadah ◽  
Lara Cooke

AbstractBackground: Lack of a health advocacy curriculum and clarity are obstacles for effectively teaching neurology health advocacy (NHA) to neurology residents. Our purpose is to assess the need and develop content for a NHA curriculum and to describe its underlying components. Methods: This is a cross-sectional study with two steps. In step one, neurologists and neurology residents at University of Calgary were surveyed about their perception of teaching NHA and asked to rank 56 neurological diseases on a Likert scale based on how well they lend themselves to teaching health advocacy. In step two, curricular items were developed for the top five neurological diseases, using a modified Delphi procedure. The reliability of the survey instrument was determined by Cronbach’s alpha. Exploratory factor analysis was used to identify the underlying components of NHA. Results: Forty-six neurologists and 14 neurology residents were surveyed, with a response rate of 88.33%. Fifty-six percent of neurologists and 85% of residents believe that NHA curriculum is needed. The top five neurological presentations, that lend themselves easily to teaching NHA were: stroke/transient ischemic attacks, alcoholism, epilepsy, Alzheimer’s disease, and multiple sclerosis. The survey instrument reliability was 0.97. Exploratory factor analysis revealed four factors that can explain the variability in the survey instrument: multidisciplinary approach to neurological disorders, prevention of recurrence of neurological disease, collaboration with other medical subspecialties, and communication with professions outside the medical field. Conclusion: Neurologists’ and residents’ responses support that NHA curriculum is needed. Four components of NHA were identified that can be used for teaching NHA as well as health advocacy in general practice.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bothaina Ahemd Attal ◽  
Fawziah Kassim Al-Ammar ◽  
Mohammed Bezdan

The study was conducted with the aim to assess the psychometric measures of an adapted Arabic version of the Epworth Sleepiness Scale (ESS) among medical students at Sana’a University, Yemen. The cross-sectional study targeted 360 students (males: 176; females: 184) from the preclinical 3rd year (N: 197) and the final clinical year (N: 163). Participants self-filled an Arabic and slightly modified version of the 8-item Epworth Sleepiness Scale. Exploratory Principal Component Analysis (PCA) and Confirmatory Factor Analyses (CFA) were conducted on two equal subsets of the sample (N: 180 each). The PCA yielded a two-dimension model subsequently confirmed by factor analysis. The first dimension was grouped on three items while the second dimension had five items reflecting the respondents’ propensity to sleep during “interactive situations” and “sitting and lying,” respectively. The model had an acceptable goodness of fit measures for the overall ESS (CMINDF=2.362, CFI=0.91, IFI=0.92) and acceptable reliability indicators (factor 1 α=0.65, factor 2 α=0.62). However, due to weak variance explanation (0.07) of item 6 (sitting and talking) in factor 1, analysis was repeated excluding this item. The 7-item model was also two-dimensional, valid, and reliable. The reliability indicators were acceptable with α=0.65 for factor 1 (4 items of interactive situations) and 0.62 for factor 2 (3 items of sitting) and overall α=0.68. Overall, the ESS is a useful tool. Factor analysis produced a two-factor model of 7 items with good validity and reasonable reliability that can be used in diagnosing daytime sleepiness among young Yemeni adults.


2021 ◽  
Vol 8 (1) ◽  
pp. 70-79
Author(s):  
Aftab Ahmad ◽  
Mudasrah Rahman ◽  
Shagufta Yasmin ◽  
Nasif Raza Jafri ◽  
Usama Abrar ◽  
...  

Working eternally from the shoreline is all around considered as a distressing profession where work environment stress is accepted as a noteworthy danger aspect for mental ailment. Then again, stress-related writing relating to this part is scant. The aim of present research is to investigating the impacts of work-stress among the individuals working in managerial cadres of oil and gas sector organizations at Pakistan. A self designed instrument was used to gather information for this cross-sectional examination. Measure's legitimacy was built up by ascertaining Cronbach's alpha (0.914). Exploratory factor analysis (EFA) with Principal Component Analysis extraction method and Oblimin with Kaiser Normalization rotation method was applied on the collected information. Barlett test of sphericity and the Kaiser-Meyer-Olkin (KMO) proved the suitability of factor analysis as an explanatory apparatus for the analysis of the collected data. EFA distinguished four components for the impacts of work-stress: Psychological; Performance; physiological, and Cognitive. These components explained 73.62% of total variance. The component Psychological was the most noteworthy component. This investigation has not just recognized the significant impacts of work-stress in seaward oil organizations at Pakistan yet in addition gave an organized rundown of these factors. Discoveries of the investigation will support analysts, arrangement creators, bosses and the specialists to devise and execute pressure avoidance and development technique. This is the ever first work of its sort in Pakistan.


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