scholarly journals Validity and Reliability of the Scale to Report Emotional Stress Signs–Multiple Sclerosis (STRESS-MS) in Assessing Abuse and Neglect of Adults with Multiple Sclerosis

Author(s):  
Elizabeth H. Morrison ◽  
Dara Sorkin ◽  
Laura Mosqueda ◽  
Napatkamon Ayutyanont

Abstract Background: Approximately 30% of people with multiple sclerosis (MS) require caregiving, with unknown prevalence of abuse and neglect. To explore these issues, we created the Scale to Report Emotional Stress Signs–Multiple Sclerosis (STRESS-MS). The objective was to develop, validate, and field-test a self-report questionnaire for screening people with MS for mistreatment. Methods: We developed the STRESS-MS questionnaire and administered it to 102 adults with advanced MS-related disability and 97 primary informal caregivers, correlating responses with direct observation of mistreatment, conducting an item analysis, and evaluating validity using a Longitudinal, Expert, All Data (LEAD) panel. Results: Most STRESS-MS subscales correlated highly with criterion-standard LEAD panel evaluations of mistreatment, with strong concurrent and discriminant validity. Nearly 53% of participants with MS reported experiencing psychological abuse; 9.8%, financial exploitation; 6.9%, physical abuse; 4.9%, neglect; and 3.9%, sexual abuse. Protective factors for people with MS included social support and older age; risk factors included depression and aggressiveness. The greatest risk factor was an informal caregiver who spent 20 or more hours per week caring for the person with MS. Conclusions: The STRESS-MS questionnaire is reasonably reliable and valid for detecting caregiver mistreatment in adults with MS. Although most informal caregivers are not abusive, this study highlights an underrecognized need to detect and prevent abuse and neglect of people with MS.

Author(s):  
Mihyeon Seong ◽  
Juyoung Park ◽  
Soojin Chung ◽  
Sohyune Sok

This study aimed to develop an instrument for measuring the attitudes that reflect the characteristics of the pandemic (Adult Pandemic Attitude Scale (A-PAS)) and verifying its validity and reliability. This study used a methodological research design and was conducted with a development step and an evaluation step. The development step included development of preliminary items, content validity, face validity, and preliminary investigation. The evaluation step included item analysis, construct validity, convergent validity, discriminant validity, criterion validity, factor naming, reliability, and completion of the final instrument. The A-PAS developed in this study consisted of a total of 20 items in five dimensions. The internal consistency of 20 items of the A-PAS, Cronbach’s α was 0.92 for 20 items, Cronbach’s α for each factor, a subscale of instrument, was 0.61~0.87 and Raykov’s p coefficient of each factor, which is a subscale of the tool, was found to be 0.60 to 0.88. Analysis of construct validity showed the results as follows: χ2 (p) = 134.05 (p < 0.001), RMSEA = 0.02, RMR = 0.02, GFI = 0.94, CFI = 0.99. The study findings suggest that the developed instrument can be utilized to measure the attitudes of adults toward pandemics, and reflect the reality of the pandemic situation. The outcomes can be used as valuable data for intervention, prevention activities, and policy preparation. The instrument will be applied in the event of a pandemic, such as COVID-19, and will be helpful in promoting the health of the people.


2011 ◽  
Vol 26 (S2) ◽  
pp. 183-183
Author(s):  
R.M. Valiente ◽  
B. Sandín ◽  
P. Chorot ◽  
M.A. Santed ◽  
D. Campagne ◽  
...  

Introduction and aimsSome theory and empirical-driven classification systems of disgust have stimulated the creation of several self-report instruments for the assessment of disgust sensitivity [e.g., the Disgust Scale-Reviesed (DS-R,Haidt et al., 1994) and the Disgust Propensity and Sensitivity Scale-Revised (DPSS-R; van Overveld et al., 2006;Sandín et al., 2008)]. Two main problems of current self-report scales of disgust are that(a)there is not a consensus about the domains of disgust to be assessed, and(b)all self-report scales were developed in the Anglo-Saxon culture.Given the particular relationship of disgust to the individual's culture, it is desirable to construct self-report instruments based in other cultures.The aim of this work was to develop a new self-report instrument based in a Spanish-speaking population.MethodThe 11 domains (see Sandín et al.) in which Spanish people experience disgust served to define a broad range of disgust elicitors in our Cuestionario de Sensibilidad al Asco (CSA) [Disgust Sensitivity Questionnaire]. The initial questionnaire (92 items) was given to a sample of undergraduates at Universidad Nacional de Educación a Distancia. Based on factor and item analysis, sixty-two items were finally retained.ResultsExploratory factor analysis of the 62 CSA items revealed a robust eleven-factor structure, describing the following 9 dimensions of disgust: hygiene, socio-moral, sex, envelop violations/death,animals, disease,atypical food, animal decomposition, and unacceptable food. Internal consistency (alpha coeffients and corrected item-total correlations) was excellent.ConclusionsFindings suggest that the CSA is a promising new measure of disgust. The CSA demonstrated excellent factorial validity and reliability.


2007 ◽  
Vol 14 (2) ◽  
pp. 219-230 ◽  
Author(s):  
MC Simeoni ◽  
P. Auquier ◽  
O. Fernandez ◽  
P. Flachenecker ◽  
S. Stecchi ◽  
...  

This study aims to validate the Multiple Sclerosis (MS) International Quality of Life (MusiQoL) questionnaire, a multi-dimensional, self-administered questionnaire, available in 14 languages, as a disease-specific quality of life scale that can be applied internationally. A total of 1992 patients with different types and severities of MS from 15 countries were recruited. At baseline and day 21 ± 7, each patient completed the MusiQoL, a symptom checklist and the short-form (SF)-36 QoL questionnaire. Neurologists also collected socio-demographic, MS history and outcome data. The database was randomly divided into two subgroups and analysed according to different patient characteristics. For each model, psychometric properties were tested and the number of items was reduced by various statistical methods. Construct validity, internal consistency, reproducibility and external consistency were also tested. Nine dimensions, explaining 71% of the total variance, were isolated. Internal consistency and reproducibility were satisfactory for all the dimensions. External validity testing revealed that dimension scores correlated significantly with all SF-36 scores, but showed discriminant validity by gender, socio-economic and health status. Significant correlations were found between activity in daily life scores and clinical indices. These results demonstrate the validity and reliability of the MusiQoL as an international scale to evaluate QoL in patients with MS. Multiple Sclerosis 2008; 14: 219—230. http://msj.sagepub.com


2021 ◽  
Author(s):  
David Lacko ◽  
Tomáš Prošek ◽  
Jiří Čeněk ◽  
Michaela Helísková ◽  
Pavel Ugwitz ◽  
...  

Cognitive styles are commonly studied constructs in cognitive psychology. It can be argued that measurement of these styles in the past had significant shortcomings in validity and reliability. The theory of analytic and holistic cognitive styles followed from traditional research of cognitive styles and attempted to overcome these shortcomings. Unfortunately, the psychometric properties of its measurement methods in many cases were debatable or not reported. New statistical approaches, such as analysis of reaction times, have been reported in the recent literature but remain overlooked by current research on analytic and holistic cognitive styles. The aim of this pre-registered study was to verify the psychometric properties (i.e., factor structure, split-half reliability, test-retest reliability, discriminant validity with intelligence and personality, and divergent, concurrent and predictive validity) of several methods routinely applied in the field. We developed/adapted six methods, and selected several types frequently applied in cognitive style research: self-report questionnaires, methods based on rod-and-frame test principles, embedded figures, and methods based on hierarchical figures. The analysis was conducted on 392 Czech participants, with two data collection waves. The results indicate that the use of self-report questionnaires and methods based on the rod-and-frame principle may be unreliable, demonstrating unsatisfactory factor structure and no absence of association with intelligence. The use of embedded and hierarchical figures is recommended. Because the concurrent and divergent validity of the methods did not correspond with the original two-dimensional theory, we formulated a new three-level hierarchical model of analytic and holistic cognitive styles which better described our empirical findings.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038424
Author(s):  
Lina Bergman ◽  
Wendy Chaboyer ◽  
Monica Pettersson ◽  
Mona Ringdal

ObjectiveTo develop and evaluate the psychometric properties of a scale measuring patient safety during the intrahospital transport process for intensive care.DesignThe scale was developed based on a theoretical model of the work system and patient safety, and items generated from participant observations. A Delphi study with international experts was used to establish content validity. Next, a cross-sectional study was undertaken to inform item reduction and evaluate construct validity and internal consistency.SettingThe questionnaire was distributed to healthcare practitioners at 12 intensive care units in Sweden.ParticipantsA total of 315 questionnaires were completed. Eligible participants were healthcare practitioners in the included units that performed an intrahospital transport during the study period. Inclusion criteria were (1) transports of patients within the hospital to undergo an examination or intervention, and (2) transports performed by staff from the intensive care unit. We excluded transports to a step-down unit or hospital ward.Outcome measuresPsychometric evaluation, including item analysis, validity and reliability testing.ResultsItems were reduced from 55 to 24, informed by distributional statistics, initial reliabilities, factor loadings and communalities. The final factor model consisted of five factors, accounting for 59% of variance. All items loaded significantly on only one factor (>0.35). The original conceptual model of teamwork, transport-related tasks, tools and technologies, environment, and organisation was maintained with regrouping of items. Cronbach’s alpha ranged from 0.72 to 0.82 for each subscale (ie, factor).ConclusionsThe present study provides a self-report questionnaire to assess patient safety during intrahospital transport of patients in intensive care. The results indicate acceptable validity and reliability of the scale among a sample of Swedish healthcare practitioners. If further confirmatory testing supports the present results, this scale could be a useful tool to better understand safety prerequisites and improve clinical practice.


2017 ◽  
Vol 19 (5) ◽  
pp. 247-252 ◽  
Author(s):  
Susan E. Bennett ◽  
Lacey E. Bromley ◽  
Nadine M. Fisher ◽  
Machiko R. Tomita ◽  
Paulette Niewczyk

Background: The gold standards for assessing ambulation are the Expanded Disability Status Scale (EDSS) and the Timed 25-Foot Walk (T25FW) test. In relation with these measures, we assessed the reliability and validity of four clinical gait measures: the Timed Up and Go (TUG) test, the Dynamic Gait Index (DGI), the 2-Minute Walk Test (2MWT), and the 6-Minute Walk Test (6MWT). Patient self-report of gait was also assessed using the 12-item Multiple Sclerosis Walking Scale (MSWS-12). Methods: Individuals 20 years or older with a diagnosis of multiple sclerosis (MS) and an EDSS score of 2.0 to 6.5 completed the MSWS-12, T25FW test, TUG test, DGI, 2MWT, and 6MWT. All the tests were repeated 2 weeks later at the same time of day to establish their reliability and concurrent validity. Predictive validity was established using the EDSS. Results: Forty-two patients with MS were included. All measures showed high test-retest reliability. The TUG test, 2MWT, and 6MWT were significantly correlated with the T25FW test (Spearman ρ = −0.902, −0.919, and −0.905, respectively). The EDSS was also significantly correlated with all the walking tests. The MSWS-12 demonstrated the highest correlation to the EDSS (ρ = 0.788). Conclusions: The TUG test, the DGI, the 2MWT, and the 6MWT exhibited strong psychometric properties and were found to be significant predictors of the EDSS score. Use of these tests to prospectively monitor the effects of medical and rehabilitation treatment should be considered in the comprehensive care of patients with MS.


2014 ◽  
Vol 30 (3) ◽  
pp. 208-230 ◽  
Author(s):  
Tobias Koch ◽  
T. M. Ortner ◽  
M. Eid ◽  
J. Caspers ◽  
M. Schmitt

Although Objective Personality Tests (OPTs) have a long history in psychology and the field of psychological assessment, their validity, and reliability have not yet been sufficiently studied. In this study, we examined the convergent and discriminant validity of objective (personality) tests, Implicit Association Tests (IATs), and self-report measures for the assessment of conscientiousness and intelligence. Moreover, the convergent and discriminant validity of these measures was assessed on the trait (stable) and occasion specific (momentary) level by using the multimethod latent state-trait (MM-LST) model proposed by Courvoisier, Nussbeck, Eid, and Cole (2008) which allows for the decomposition of different sources of variance. Data from 367 students assessed on three different measurement occasions was incorporated. Results indicate generally low convergence of OPTs with data gained by other approaches. Additional analyses revealed that the OPTs used assess stable rather than momentary components of the constructs. Reliabilities of different tests ranged from .54 to .95. Furthermore, a substantial amount of trait method specificity revealed that different methods assess trait components that are not shared between OPTs and other measures. Data on the criterion validity of the objective conscientiousness test revealed that it is related to the punctuality of test takers in the laboratory.


2017 ◽  
Vol 31 (4) ◽  
pp. 349-363
Author(s):  
Denise M. Saint Arnault ◽  
Moonhee Gang ◽  
Seoyoon Woo

Purpose: The aim of this study was to evaluate the psychometric properties of the Beliefs Toward Mental Illness Scale (BMI) across women from the United States, Japan, and South Korea. Methods: A cross-sectional study design was employed. The sample was 564 women aged 21–64 years old who were recruited in the United States and Korea (American = 127, Japanese immigrants in the United States = 204, and Korean = 233). We carried out item analysis, construct validity by confirmatory factor analysis (CFA), and internal consistency using SPSS Version 22 and AMOS Version 22. Results: An acceptable model fit for a 20-item BMI (Beliefs Toward Mental Illness Scale–Revised [BMI-R]) with 3 factors was confirmed using CFA. Construct validity of the BMI-R showed to be all acceptable; convergent validity (average variance extracted [AVE] ≥0.5, construct reliability [CR] ≥0.7) and discriminant validity (r = .65–.89, AVE >.79). The Cronbach’s alpha of the BMI-R was .92. Conclusion: These results showed that the BMI was a reliable tool to study beliefs about mental illness across cultures. Our findings also suggested that continued efforts to reduce stigma in culturally specific contexts within and between countries are necessary to promote help-seeking for those suffering from psychological distress.


2003 ◽  
Vol 9 (6) ◽  
pp. 621-626 ◽  
Author(s):  
Ruth Ann Marrie ◽  
Deborah M Miller ◽  
Gordon J Chelune ◽  
Jeffrey A Cohen

Multiple sclerosis (MS) has important effects on quality of life but it is unknown how cognitive impairment affects the ability to assess or report this. O ur objective was to determine whether cognitive impairment negatively affects the construct validity and the reliability of the Multiple Sclerosis Q uality of Life Inventory (MSQLI). A neuropsychological test batter y and the Multiple Sclerosis Functional C omposite (MSFC) were administered to a sample of 136 patients referred for cognitive testing by their neurologists. A ge, sex, educatio n and ethnicity-adjusted T scores were calculated for each cognitive variable. C ognitive impairment was defined as any T score less than the fifth percentile. The MSQ LI was administered prior to neuropsychological testing and readministered one to four weeks later. C orrelations between the MSFC and the SF-36 were determined and compared between the cognitively impaired and unimpaired groups as the main test of construct validity. Test -retest and internal consistency reliability of each of the scales were compared for the impaired and unimpaired groups. Seventy-six (56%) patients were cognitively impaired. C onstruct validity and internal consistency reliability did not differ between the cognitively impaired and unimpaired groups. Test -retest reliability was lower for the bladder and vision scales in the impaired group, but remained acceptable for the bladder scale (r >0.7). C ognitive impairment, a common MS manifestation, does not appear to reduce the reliability or validity of the MSQ LI as a patient self-report measure of health status and quality of life.


BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Dehghani

Abstract Background Patients with multiple sclerosis face numerous problems during their lifetime. A self-report measurement of disease - specific problems is required to be developed for patients with multiple sclerosis based on different cultural factors. Accordingly, this can advance our understanding on the disease-specific problems for care planning as well as improving coping ways and quality of life. This study aimed to develop and validate the scale of disease-specific problems of Multiple Sclerosis. Methods This was an exploratory sequential mixed method study conducted in three phases. Correspondingly, in the first phase, the concept of disease-specific problems was defined using the content analysis approach in patients with MS. In the second phase, the item pool was generated from the findings of the first phase, and in the third phase, psychometric properties of the scale, including face, content, and construct validity and reliability, were evaluated. Results After examining both validity and reliability, 28 items were developed in the final questionnaire. As well, by performing the factor analysis, five factors were revealed as follows: physical problems, psychological problems, emotional problems, family problems, and socio-economic problems. Internal consistency and stability of the questionnaire were calculated as 0.82 and 0.90, respectively, indicating an excellent reliability. Conclusion The 28-item questionnaire is valid and reliable for measurement of level of disease - specific problems in Iranian people with MS.


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