Psychometric Properties of the Brief COPE Among Sexual Minority Adults.

BACKGROUND: The Brief COPE is a widely used coping instrument, but there is a paucity of research regarding its ability to measure coping among sexual minority (SM) persons. OBJECTIVE: This study determined the psychometric properties of the Brief COPE and identified coping domains among a sample of SM individuals. METHODS: An online survey was conducted with 530 SM persons in the United States. Participants completed the dispositional version of the Brief COPE. Confirmatory factor analysis (CFA) determined construct validity. Cronbach's alpha examined the reliability of resulting domains. Exploratory structural equation modeling (ESEM) was employed to identify coping domains and criterion-related validity was assessed by examining the relationship of the domains with substance use measures (alcohol, cannabis, and drug use). RESULTS: CFA replicated the original 14-factor structure. ESEM identified 3 second-order domains with acceptable fit (chi-square [χ2] = 905.81; degrees of freedom [df] = 334, P < .001; comparative fit index [CFI] = 0.90; root mean square error of approximation = 0.06; 90% confidence interval = 0.05-0.06; and standardized root mean residual = 0.08). The 3 second-order domains demonstrated good reliability: adaptive (ω = 0.84), support (ω = 0.85), and disengaged coping (ω = 0.84). Disengaged coping exhibited the strongest correlations with substance use outcomes. CONCLUSIONS: Findings provide evidence to support the reliability and validity of the Brief COPE and validates its use with SM persons.

Validation of the Polish version of an Ageism Scale for Dental Students (ASDS-PL).

BACKGROUND: Ageism is one of the common forms of discrimination and prejudice. It has also been shown to be present in health professionals, including doctors, nurses, and medical students. AIMS: The aim of this study was to translate the Ageism Scale For Dental Students (ASDS) into Polish, perform a culture adaptation, and conduct a preliminary validation analysis. METHODS: The survey was administered to 202 third-, fourth-, and fifth-year students at the Jagiellonian University (No. 1072.6120.283.2020). Data were analyzed using principal components analysis (PCA) with an oblique, Promax rotation, and confirmatory factor analysis (CFA). Cronbach's alpha (α) was calculated to check the internal consistency reliability. Discriminant validity was analyzed using the Mann-Whitney and Kruskal-Wallis test. RESULTS: PCA produced a 10-item scale distributed into three factors, which explains 59.52% of the total variance. Factor 1 ("preconceived notions about dental treatment") contained four items (α = 0.703), Factor 2 ("cost-benefit of providing care for older patients")-four items (α = 0.660) and Factor 3 ("dentist-older patient interaction")-two items (α = 0.662). CFA confirmed that the model is a good fit (RMSE = 0.058, 90% CI from 0.014 to 0.092, CFI = 0.950, and TLI = 0.926). The discriminant validity showed statistically significant differences in factors or individual items related to the year of the study, gender, and having a history of living with an older person(s) or an older patient(s) treated. CONCLUSION: The validation of the ASDS conducted in Poland identified 10 items with sufficient validity and reliability.

Validating an instrument for measuring community cultural wealth with biology majors at a Hispanic-serving institution.

Boosting underrepresented student persistence in STEM majors has been of interest for several years. Prior research has explored various factors that may influence student success and persistence in STEM majors. Specifically, some of these studies have employed Yosso's community cultural wealth framework to explore how a student's cultural wealth may link to certain outcomes. Most of these studies have taken a qualitative approach when exploring cultural wealth and less adopt a quantitative approach. Using biology students in an introductory biology class during the fall (n = 303) and spring semesters (n = 215) at a large Hispanic-serving institution in the southeastern United States, this study seeks to contribute to the literature by validating a previously constructed instrument with a new population. An exploratory factor analysis (EFA) was conducted using principal axis factoring and an oblique rotation. EFA results revealed 10 dimensions of cultural wealth. Additionally, confirmatory factor analysis confirmed that the model produced properly measures the constructs as intended. Overall, the final 56-item instrument used in this study was validated and can be used for measuring cultural wealth in similar populations.

Posttraumatic stress disorder (PTSD) in a sample of patients evaluated for acute coronary syndrome: A factor analysis of the PTSD checklist for DSM-5 (PCL-5).

The PCL-5 is a psychometrically sound measure of Post-Traumatic Stress Disorder (PTSD) symptoms. Although the scale is commonly applied to past external traumas (e.g., combat, assault), PTSD symptoms have also been assessed about potentially life-threatening cardiovascular events that represent ongoing internal threats. To date, there is a paucity of studies that have examined the updated scale factor structure for PTSD in patients with suspected acute coronary syndromes (ACS). METHODS: Exploratory and confirmatory factor analyses (EFA, CFA) were conducted using PCL-5 data completed by 830 patients enrolled in the REactions to Acute Care and Hospitalization (REACH) study, an observational cohort study of patients recruited from the emergency department during evaluation for ACS. Follow-up measurement invariance tests were conducted on pre-selected models and on the best-fitting model identified by EFA to evaluate invariance across diagnosis (confirmed v. rule-out ACS), sex, and language. RESULTS: The EFA identified a two-factor model with "Memories of Trauma" (MT) and "Cognitive Behavioral Symptoms" (CBS) factors offering a balanced fit and interpretability. In CFAs, the Anhedonia CFA model performed the best overall. Measurement invariance tests supported strong invariance across confirmed and ruled-out ACS, male and female sex, and English and Spanish language for all models. LIMITATIONS: Only 34 % of the sample was diagnosed with ACS at discharge, which limits generalizability. CONCLUSION: Our study contributes to the understanding of PTSD in the context of internal traumatic reminders and may guide future research and clinical practice by informing intervention targets to improve health and well-being after suspected ACS.

Psychometric properties of the Strengths and Difficulties Questionnaire in an Icelandic community sample.

PURPOSE: The current paper aimed to evaluate the psychometric properties of the Icelandic translation of the Strengths and Difficulties Questionnaire, for both parent and teacher reports. SDQ is a widely used questionnaire for screening mental problems among youth. However, only a few studies have conducted a factor analysis on the youngest and oldest cohorts using an adequate sample size. This study aims not only to examine the traditional 5-factor model and alternative models suggested in prior research but also to establish norm data for the Icelandic population. MATERIALS AND METHODS: The total sample consists of 1653 youth aged 5-16 years, thereof 316 parent reports and 271 teacher reports for the 5-year-old sample. We used confirmatory factor analysis to evaluate the factor structure. Special attention was given to the models' performance across different age groups and between genders. This cross-demographic evaluation is vital to ensure that the SDQ's utility is not limited by developmental or gender-specific variations in symptom expression or reporting. RESULTS: We found an acceptable fit for both the original five-factor model and the more recent three-factor model with higher-order internalizing and externalizing factors. The fit for the factor structures seemed to be quite similar across ages. However, we observed goodness-of-fit below the acceptable range for girls on the parent ratings. We also found evidence for the convergent and divergent validity of both models. CONCLUSIONS: The current study provides further evidence of the utility of the SDQ as a screening instrument, with an acceptable factor structure across ages.

Cultural translation of the ethical dimension: a study on the reliability and validity of the Chinese nurses' professional ethical dilemma scale.

BACKGROUND: Quantifying the professional ethical challenges that nurses encounter is crucial for both theoretical insights and practical outcomes. The objective of this research is to assess the psychometric properties of the Chinese adaptation of the Moral Distress Scale for Healthcare Professionals (MD-APPS). METHODS: In 2024, a survey approach was utilized to engage with several tertiary-level healthcare institutions throughout China. A cohort of 448 nursing professionals who satisfied the specified selection benchmarks was consequently incorporated into the study. To evaluate the scale's reliability and validity, methods including the Content Validity Index (CVI), Factor Analysis-both Exploratory (EFA) and Confirmatory (CFA)-alongside assessments of internal consistency and test-retest reliability were employed. RESULTS: Expert evaluations yielded an I-CVI of 0.90, suggesting good content validity for the MD-APPS's Chinese adaptation. Exploratory Factor Analysis (EFA) revealed a bi-dimensional framework with 7 components, explaining 56.34% of the cumulative variance. Confirmatory Factor Analysis (CFA) outcomes displayed a χ-square/df ratio of 1.542. The estimate for Robust RMSEA was 0.054, and the SRMR was ascertained to be 0.041. Indices for both Robust TLI and Robust CFI surpassed the 0.9 threshold, indicating an acceptable fit; this aspect was supported by a P-value (Chi-square) of 0.094. The internal consistency, measured by Cronbach's α, was found to be 0.74, while the test-retest reliability over a two-week period reached 0.964. These findings provide initial evidence for the psychometric properties of the Chinese MD-APPS. CONCLUSION: The Chinese adaptation of the MD-APPS demonstrates promising initial psychometric properties, suggesting its potential suitability for exploring nurses' professional ethical challenges within the Chinese cultural context. This scale may facilitate the identification of diverse elements influencing nurses' professional ethics and the assessment of the ethical climate in nursing practices. However, further validation studies are needed to fully establish its psychometric robustness across various healthcare settings in China.

Investigating mental workload across task modalities: a multimodal analysis using pupillometry.

Understanding mental workload is challenging due to its multidimensional nature and varying sensitivities of its primary measures: task performance, perceived workload, and physiological responses. This study investigates the effects of task load on performance, perceived workload, and pupil measures across different information modalities. A within-subjects experiment involving three tasks (digit span, matrix span, and dual n-back) was conducted with three task load levels. Workload measures included accuracy/sensitivity, reaction time, NASA-TLX, peak pupil diameter, and peak pupil latency. Consistent patterns of associations between task load and these workload measures were found across the three modalities. Workload measures revealed a nuanced interplay between task modality and task load. Robustness of peak pupil latency, accuracy, and NASA-TLX was highlighted across verbal and visual modalities, while peak pupil diameter showed a weaker impact with differences between modalities. The findings encourage multivariate assessment of mental workload to account for different task modalities.

Interacting with current human-machine interfaces requires operators to comprehend visual and verbal information. Therefore, a multivariate approach accounting for different types of information as well as different methods of workload assessment is essential for developing a more comprehensive model of mental workload.

Psychometric Properties and Measurement Equivalence of the Workplace Incivility Scale Across Cultures: Insights from Daily Diary Study.

Despite extensive research on workplace incivility, little attention has been given to its validation in culturally distinct contexts such as China and Pakistan. This study aims to bridge this gap by investigating the psychometric properties of the workplace incivility scale within these cultural frameworks. Additionally, it seeks to explore the cross-cultural measurement equivalence of the workplace incivility scale between these two diverse settings using a daily diary study design. The sample consisted of employees from service-providing organizations in China and Pakistan. Data was collected through snowball sampling, resulting in responses from 100 Chinese and 115 Pakistani employees over 10 consecutive workdays. Analysis of the daily responses, encompassing 748 from Chinese and 833 from Pakistani workers, indicated successful validation of the scale within both populations. This demonstrates the transferability of the concept of incivility to these cultural contexts. An integral aspect of this study is the consideration of potential cultural variations in workplace uncivil behavior. The validation and measurement equivalence of the scale for the core construct serves as essential infrastructure supporting such research endeavors.

Mild to moderate cognitive impairment does not bias the Geriatric Depression Scale in a large US sample of older adults.

PURPOSE: The Geriatric Depression Scale (GDS) is widely used to screen for depression in clinical practice and to assess symptoms of depression in research about older adults. To determine whether the 15-item GDS can be used in adults with dementia, this study investigated whether item- or test-level bias in the GDS-15 is associated with the respondent's level of cognitive impairment. METHODS: Using a large U.S. sample of 24,674 adults, we first conducted sample matching procedures between the five groups defined by CDR® Dementia Staging Instrument scores to control for potential confounding effects of common demographic variables. Then, we employed confirmatory factor analysis (for single-group and configural-invariance models only) and item response theory models to test potential differential item/test functioning effects associated with the GDS-15 across the five CDR groups. Practical consequences of the identified biases were quantified using sample-based Cohen's d effect sizes and misclassification rates. RESULTS: In general, people with higher CDR scores were older and had fewer years of education. In comparison to the normal cognition group (CDR-0), negligible biases in GDS-15 scores were found for the groups with questionable, mild, or moderate cognitive impairment (CDR-0.5/1/2). For individuals with severe cognitive impairment (CDR-3), their responses were inconsistent with the normal cognition group and their depression scores were significantly biased with a small-to-medium effect size. CONCLUSIONS: The GDS-15 can be used to assess depression in individuals with mild or moderate cognitive impairment, but not in individuals with severe cognitive impairment.

Developing a cyberchondria severity scale to promote self-care among university students during COVID-19.

Cyberchondria is a hybrid term signifying a state in which individuals compulsively search for health-related information online because of health distress or anxiety, further aggravating their worries. This study develops a Cyberchondria Severity Scale (CSS) to assess the current situation of university students. Exploratory factor analysis (EFA) was conducted using 145 valid questionnaires. Subsequently, a nationwide survey was conducted at various universities in Taiwan, and 802 questionnaires were used for confirmatory factor analysis (CFA). The EFA led to the development of a CSS for college students with four constructs: increased anxiety (α = 0.91), obsessive-compulsive hypochondria (α = 0.87), perceived controllability (α = 0.88), and online physician-patient interaction (α = 0.86), with a Cronbach's alpha of 0.92 and variance of 66.81%. The CFA indicated that item reliability ranged from 0.50 to 0.86, factor loadings ranged from 0.71 to 0.93, and the composite reliability for latent variables ranged from 0.83 to 0.90 (p < .001). The extracted average variance ranged from 0.46 to 0.60. There were significant differences in various dimensions: perceived controllability had the highest score and obsessive-compulsive hypochondria had the lowest (F3,2403=256.26, p < .001). Therefore, CSS has emerged as a reliable and valid measure. Future studies should explore the factors that influence cyberchondria, promote online health information searches, and enhance reading comprehension skills.

The German Communities That Care Youth Survey: dimensionality and validity of risk factors.

Background: Communities That Care (CTC) is an evidence-based community change strategy for supporting healthy youth development. One of its key elements is the development of a community profile to identify and prioritise risk factors for health and behavioural problems in adolescents based on the CTC Youth Survey. The strategy was originally developed and evaluated in the United States. An adapted version of the survey has been used in Germany since its first implementation in 2008. However, the dimensionality and validity of the adapted risk factor scales have not yet been evaluated. Therefore, this study aimed to confirm the assumed unidimensional structure and to establish the concurrent criterion validity of each risk factor. Methods: A sample of 1,911 adolescents attending grades six to eleven in Lower-Saxony, Germany, was used to evaluate 23 risk factor scales of the German CTC Youth Survey covering the domains peer/individual, family, school, and community. Confirmatory factor analysis was used to assess the dimensional structure of all risk factors with sufficient item numbers. Goodness of fit was determined using CFI, SRMR, and RMSEA. Latent regression analysis tested the concurrent criterion validity of all unidimensional risk factors. For this, violent and delinquent behaviour, substance use, and depressive symptomatology were regressed on each risk factor. Results: All evaluable risk factors demonstrated acceptable to good model fit regarding unidimensionality and predicted violent and delinquent behaviour, and substance use better than depressive symptomatology. Regarding the peer/individual risk factors, there are particularly high correlations with violent and delinquent behaviour, and substance use. In contrast, two risk factors were not correlated with substance use, whilst two other risk factors were not correlated with depressive symptomatology. Conclusion: Overall, the results indicate that most risk factors demonstrate unidimensionality and are valid in terms of concurrent criterion validity. Although some risk factors were not correlated with every outcome, they still predicted most outcomes, suggesting that the CTC Youth Survey is a viable tool for communities to assess their community risk profile. Risk factors that did not demonstrate unidimensionality or concurrent criterion validity should be monitored in future surveys and interpreted with caution until further evidence is available.

Psychometric Properties of the Serbian Version of the Arm, Shoulder, and Hand Disability Self-Assessment Questionnaire: Criterion Validity, Construct Validity, and Internal Consistency.

Background/Objectives: The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a widely employed self-report tool for assessing upper extremity function. The aim of this study was to assess the psychometric properties of the Serbian version of the DASH by determining its criterion and construct validity, as well as internal consistency. Methods: This cross-sectional study was conducted among patients with hand and wrist disabilities at the Institute for Orthopedics "Banjica", Serbia. The psychometric properties of the Serbian version of the DASH were analyzed through an examination of its factorial structure and internal consistency. The DASH consists of 30 items, 24 of which assess function, 21 of which focus on physical function and three on social/role function. The remaining six items evaluate symptoms related to pain, tingling/numbness, weakness, and stiffness. Results: A total of 297 patients were included in the study. The mean age was 47.4 ± 16.8 years, with 50.5% males. Three models were assessed to determine the reliability and validity of the questionnaire across different domains. Model 1 examined a single-factor structure. In Model 2, the items were divided into two domains: Physical Function and Psychosocial/Symptoms. In Model 3, items were subdivided into three domains: Physical Function, Symptoms, and Psychosocial. All models demonstrated an excellent internal consistency with a Cronbach's alpha > 0.9 for most domains. The values for the fit indices Tucker-Lewis index (TLI) and Comparative-Fit Index (CFI) were above their cut-off criteria of 0.9, while the Root Mean Square Error of Approximation (RMSEA) and Standardized Root Mean Square Residual (SRMR) were below the suggested value of 0.06, indicating an excellent level of models fit. Standardized factor loadings were statistically significant (p < 0.05). Conclusions: The present study provided the evidence for the appropriate metric properties of the Serbian version of the DASH. Results support both the unidimensional and multidimensional structures of the DASH.

Assessing the psychometric properties of Connor-Davidson Resilience Scale 25 (CD-RISC 25) in pharmacy students and academics in the Eastern Mediterranean Region.

Background: Resilience is a complex concept that is defined and influenced by the context of individuals, organisations, societies and cultures. The Connor-Davidson Resilience Scale (CD-RISC) is a widely used validated tool to evaluate psychological resilience. CD-RISC is a self-administered scale of twenty-five items, each rated by a 5-point Likert scale. The scale evaluates overall personal resilience through assessing five main resilience-related constructs; personal competence, trust in one's instincts, positive acceptance of change, control and spiritual influences. As per the scale's developers, higher scores reflecting greater level of resilience. This particular tool has not previously been tested with a pharmacy student or academic population sample. Objective: This study aims to assess the factor structure, validity, and reliability of the CD-RISC-25 in a sample of pharmacy students and academics from faculties drawn across the Eastern Mediterranean Region (EMR). Methods: A cross-sectional study was carried out between October 2020 and January 2021 sampling pharmacy students and academics across the EMR who were invited to complete the self-administered CD-RISC 25 questionnaire. Confirmatory factor analysis using principal components analysis with oblique rotation was conducted on sample responses (n = 616). The internal consistency and reliability for each identified factor and from the CD-RISC scale was evaluated by using Cronbach's alpha coefficient. Results: Five factors were isolated accounting for 51.5 % total cumulative model variance. Identification of factors showed high convergence with previous work on the CD-RISC resilience tool. The current study in our sample found a five-factor structure which differed from the original scale reliabilities. This study did identify a five-factor solution with differing item factor loadings. The reliability analysis on the CD-RISC-25 items in our study sample revealed an overall Cronbach Alpha value of 0.89; however, three items showed corrected Item-total correlations of <0.3. Our analysis, in this respondent sample, suggested a re-adjustment of the scale inclusions to improve overall scale stability and performance. Conclusions: The current research findings propose a modified five-factor structure to resilience, with a 22-item unidimensional model of CD-RISC scale.

Psychometric properties of the New General Self-Efficacy Scale for Vietnamese persons with colorectal cancer.

Background: There are currently no specific tools available to assess self-efficacy among Vietnamese individuals with colorectal cancer (CRC) post-surgery. Translating and evaluating the psychometric properties of the New General Self-Efficacy Scale (NGSE) for use in the Vietnamese population could help address this gap. Objective: This study aimed to evaluate the psychometric properties of the Vietnamese version of the NGSE scale. Methods: A cross-sectional study was conducted. The sample consisted of 120 individuals aged 20-59 with CRC post-surgery, recruited through a multi-stage sampling technique from three hospitals in Vietnam. The scale was translated into Vietnamese using Brislin's technique. Content validity was assessed using the Content Validity Index for item (I-CVI) and for scale (S-CVI). Construct validity was examined through confirmatory factor analysis (CFA), and reliability was measured using Cronbach's α coefficients. Results: The findings showed an I-CVI of 1.00 and an S-CVI of 1.00, indicating excellent content validity. The Cronbach's α for the NGSE was 0.95, indicating excellent internal consistency. CFA results showed that all eight items fit well within a unidimensional structure (χ2 = 48.936, p >0.05, df = 24, χ2/df = 2.04, RMSEA = 0.078, CFI = 0.979, TLI = 0.971, SRMR = 0.023). Factor loadings for each item ranged from 0.798 to 0.901. Conclusion: The results suggest that the NGSE scale demonstrates good psychometric properties as applied to the Vietnamese individuals examined in this study. This instrument can be regularly utilized in clinical settings to identify key concerns in colorectal cancer patients' care and facilitate appropriate nursing interventions to enhance self-efficacy in this population effectively.

Validation and measurement invariance of the Chinese version of the academic self-efficacy scale for university students.

Objectives: The objective of this study was to examine the psychometric properties of the Chinese version of the Academic Self-Efficacy Scale (ASES-C) and confirm its measurement invariance across gender identities. Methods: In this study, 502 university students (29.68% male, 70.32% female) with a mean age of 19.93 years (SD = 1.64) voluntarily participated. The Academic Self-Efficacy Scale (ASE) was utilized as a unidimensional measure of students' learning efficacy. The English version of ASES was translated into Chinese using a forward-backward translation procedure. Confirmatory factor analysis (CFA) and invariance testing were conducted with the single-factor model of ASES. Composite reliability (CR) and internal consistency were calculated based on Cronbach's alpha. Results: Upon re-specification of the model, CFA results for the hypothesized single-factor model with eight items indicated an acceptable fit (CFI = 0.959, TLI = 0.943, SRMR = 0.036, RMSEA = 0.065). Cronbach's alpha and CR values were 0.785 and 0.880, respectively. Multi-group CFA results demonstrated measurement equivalence for the Chinese version of ASES across gender identities. The findings supported the measurement invariance of ASES-C for both male and female participants. Conclusion: The ASES-C, consisting of one factor and eight items, is a reliable instrument for assessing Chinese university students' self-efficacy in learning. Furthermore, it is suitable for making meaningful comparisons across gender identities.

Satisfaction with family life scale: a validity and reliability study in the Turkish context.

BACKGROUND: The family is one of the most important pillars of society. They provide strong feelings of security, emotional support, and belonging. Family health has a significant impact on the welfare of people and society as a whole. OBJECTIVES: This study aimed to create the Satisfaction with Family Life Scale (SWFLS) for Türkiye by modifying the well-known Satisfaction with Life Scale (SWLS) first developed by Diener et al. (1985) and to evaluate its psychometric properties. METHOD: The present study examined the factor structure, measurement invariance, convergent validity, and internal consistency of the SWFLS. Confirmatory factor analyses (CFA) were performed on data from a research group of 646 participants aged 18-71 years (M = 31.71, SD = 11.79) in Study 1. As part of the validity assessment, CFA confirmed the unidimensional structure of the SWFLS. The reliability of the scale was assessed using Cronbach's alpha (α), composite reliability, and the McDonald 0mega (ω). In Study 2, the scale was administered to a new group of 555 participants aged 18 to 67 years (M = 36.4, SD = 9.73) to assess its criterion validity. Test-retest reliability was assessed using a sample of 48 undergraduate students via the intraclass correlation coefficient model 2.1 (ICC2,1). RESULTS: The CFA's results verified the SWFLS's single-factor model. The internal consistency coefficients of Cronbach's α and McDonald's ω were both 0.93. The composite reliability value was 0.94. The result of test-retest reliability (ICC2,1) was 0.96 and ranged from the ICC2,1 value of 0.85 to 0.90 for items of the SWFLS. Multigroup analysis supported full measurement invariance across genders for the SWFLS. Corrected item correlations ranged from 0.75 0.85. The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) and SWFLS were shown to have a positive correlation (r = .483, p 0.001), which supports the idea that the two scales have similar convergent validity. CONCLUSIONS: Based on these results, the Turkish SWFLS version can be utilized to measure family life satisfaction in the Turkish sample and has appropriate psychometric validity and reliability.

Satisfaction in mental health care: Examining psychometric properties of experience of service questionnaire.

Measuring satisfaction with psychological health services is important in clinical settings to evaluate the benefits of treatment. Past research has shown that relationship with therapist is at the core of satisfaction reports. However, measurement tools focusing on patients' psychological health care experiences are rather scarce. The objective of this study is to adapt the Experience of Service Questionnaire (ESQ) Parent form and examine its psychometric properties in a Turkish population. ESQ Parent form was presented to parents (N = 265) of children who have received treatment at a university's psychological counseling center. Child Behavior Checklist (CBCL) was gathered from parents pre- and post-treatment to measure symptomatic gains and investigate their associations with satisfaction with treatment. Confirmatory factor analysis comparing two different constructs showed that the 2-factor structure had a better fit. In addition, participants showing higher therapeutic gains showed significantly higher satisfaction in ESQ. This study is the first to measure satisfaction in psychological health care settings in Turkey, and therefore aims to contribute to a gap in the field. Results indicate a significant association between treatment outcome and satisfaction levels. Also, adapted measurement tool demonstrates adequate reliability and validity scores supporting its use in clinical settings.

Measuring Satisfaction in Mental Health Care: Measuring satisfaction in psychological health services could improve the quality of treatment and provide feedback to therapists. We aimed to adapt a questionnaire for measuring satisfaction in clinical settings in Turkey. We asked 265 parents whose children received psychological treatment at a university's counseling center to fill out a satisfaction questionnaire to evaluate their experiences with the services they received. Our findings show that the quality of patient-therapist relationship is a main factor that affects satisfaction in psychological health services. Moreover, environmental factors such as location and facilities may also be important factors in satisfaction with health services. Lastly, we showed that satisfaction was associated with better treatment outcome; patients who showed more clinical improvement in treatment also reported higher satisfaction with the services received. Our study has underlined factors that affect satisfaction levels (relationship with therapist and environmental arrangements) in mental health care settings. We also identified how measuring satisfaction with psychological health services could be of use in clinical settings. We hope that our study would help mental health workers to take notice of the relationship between satisfaction and therapeutic progress.

Development and validation of a survey instrument for reusable sanitary products toward sustainable menstrual hygiene.

The predominant use of disposable, non-organic menstrual products has significant environmental impacts due to waste and resource depletion. Concerns over the environmental, economic, and health implications of menstrual hygiene management (MHM) have highlighted the need to explore sustainable options like reusable sanitary pads (RSPs). Despite their benefits, the adoption of RSPs is limited by a lack of awareness, availability, cost, and research. This study emphasizes the need for the development of an instrument that can capture the effectiveness, safety, and user satisfaction of RSPs, addressing a significant gap in the literature. Using a convenient sampling method, data were collected through a structured offline survey and the sample comprised 446 South Asian women of reproductive age. The instrument included 15 items designed to measure factors such as comfort, hygiene, convenience, and environmental consciousness. The instrument's reliability and validity are thoroughly assessed using reliability and factor analysis to ensure its effectiveness in capturing the multifaceted dimensions of MHM product choices. The study revealed that the overwhelming majority of women would prefer the option of RSPs that are comfortable, accessible, and easy to use and dispose of. The findings aim to provide a validated tool for manufacturers, policymakers, and researchers to evaluate reusable pads, promoting their broader acceptance and adoption of a sustainable and equitable approach to menstrual hygiene.

The development of a digital intelligence quotient scale: A new measuring instrument for primary school students in China.

The development of a Digital Intelligence Quotient (DQ) scale for primary school students is the basis for research on the DQ of primary school students, which helps to scientifically diagnose the level and the current average DQ among Chinese primary school students. This study developed and validated a scale applicable to the assessment of DQ in Chinese primary school students where, the initial scale was first constructed; Then 1109 valid datasets were collected through purposive sampling and divided into Sample A and Sample B; Sample A was subjected to exploratory factor analysis and Sample B was tested by confirmatory factor analysis; The final validated scale consists of 22 items in 7 dimensions: digital identity, digital use, digital safety, digital security, digital emotional intelligence, digital literacy and digital rights. The scale has high reliability and validity and thus can be used as a reliable instrument for assessing DQ in Chinese primary school students.

Feelings of Empowerment Scale for Family Caregivers: Development, Exploratory, and Confirmative Analysis.

OBJECTIVES: This study aimed to validate a measure of feelings of empowerment among family caregivers of persons with life limiting illnesses. METHODS: Family caregivers (N = 295) completed a survey on their feelings of empowerment and psychosocial constructs. RESULTS: Utilizing exploratory and confirmatory factor analyses, the study validated the Empowerment in the Context of Caregiving scale, revealing a two-factor structure related to influencing the care recipient and controlling personal outcomes, with high reliability and validity. Convergent validity was supported by a strong association with an established measure of power. Discriminant validity was demonstrated through weak associations with theoretically less relevant constructs, confirming the scale's validity. CONCLUSIONS: This scale provides a reliable tool to identify feelings of disempowerment among caregivers, with implications for theory and practice. Future research should explore predictive validity and consider cultural factors to enhance its applicability in diverse caregiving contexts. CLINICAL IMPLICATIONS: This study provides a reliable tool to identify feelings of empowerment among family caregivers of persons with life limiting illnesses for clinicians. It also allows future studies to reliably investigate a theory-driven intervention target, feelings of power, and allows clinicians to tailor this into theory-driven intervention for family caregivers of persons with life limiting illnesses.