Statistical Methods for Item Reduction in a Representative Lifestyle Questionnaire: Pilot Questionnaire Study.

BACKGROUND: Reducing the number of items in a questionnaire while maintaining relevant information is important as it is associated with advantages such as higher respondent engagement and reduced response error. However, in health care, after the original design, an a posteriori check of the included items in a questionnaire is often overlooked or considered to be of minor importance. When conducted, this is often based on a single selected method. We argue that before finalizing any lifestyle questionnaire, a posteriori validation should always be conducted using multiple approaches to ensure the robustness of the results. OBJECTIVE: The objectives of this study are to compare the results of two statistical methods for item reduction (variance inflation factor [VIF] and factor analysis [FA]) in a lifestyle questionnaire constructed by combining items from different sources and analyze the different results obtained from the 2 methods and the conclusions that can be made about the original items. METHODS: Data were collected from 79 participants (heterogeneous in age and sex) with a high risk of metabolic syndrome working in a financial company based in Tokyo. The lifestyle questionnaire was constructed by combining items (asked with daily, weekly, and monthly frequency) from multiple validated questionnaires and other selected questions. Item reduction was conducted using VIF and exploratory FA. Adequacy tests were used to check the data distribution and sampling adequacy. RESULTS: Among the daily and weekly questions, both VIF and FA identified redundancies in sleep-related items. Among the monthly questions, both approaches identified redundancies in stress-related items. However, the number of items suggested for reduction often differed: VIF suggested larger reductions than FA for daily questions but fewer reductions for weekly questions. Adequacy tests always confirmed that the structural detection was adequate for the considered items. CONCLUSIONS: As expected, our analyses showed that VIF and FA produced both similar and different findings, suggesting that questionnaire designers should consider using multiple methods for item reduction. Our findings using both methods indicate that many questions, especially those related to sleep, are redundant, indicating that the considered lifestyle questionnaire can be shortened.

Structural elasticity for tensile deformation of a single human hair and the comparison with it for the bending deformation.

Human hair is a multi-layered structure, which consists of the inner medulla, middle cortex, and outer cuticle. Therefore, the mechanical properties of the hair are related not only to the Young's modulus of each layer but also to the internal structures. Although the tensile test of a human hair has been performed elsewhere, the deformability of the hair for the tensile deformation is determined as the Young's modulus of the hair structure, which is similar to that of metals. In this paper, the structural elasticity of a single human hair for the tensile deformation, which expresses the deformability of a hair by tension without being dependent on external dimensions and shape, is defined based on the theoretical model, and is measured by performing the tensile test under the digital microscope observation. The values of the structural elasticity for the tensile deformation of the hair samples collected from healthy persons are compared with the values obtained for bending deformation. The structural elasticity for the tensile deformation of the hair sample is found to be lesser than that of the bending deformation, and this is verified to be always valid provided the Young's modulus of the outer cuticle is greater than that of the middle cortex.