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2.
J Prim Care Community Health ; 12: 21501327211008437, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33840276

RESUMEN

BACKGROUND: Primary care physicians have been present on the frontline during the ongoing pandemic, adding new tasks to already high workloads. Our aim was to evaluate burnout in primary care physicians during the COVID-19 pandemic, as well as associated contributing factors. METHODS: Cross-sectional study with an online questionnaire disseminated through social media, applying the snowball technique. The target population was primary care physicians working in Portugal during the first outbreak of the COVID-19 pandemic. In addition to sociodemographic data, the questionnaire collected responses to the Copenhagen Burnout Inventory (CBI), the Resilience Scale and the Depression, Anxiety, and Stress Scales (DASS-21). Data were collected from May 9 to June 8, 2020, a period comprising the declaration of a national calamity and then state of emergency, and the subsequent ease of lockdown measures. Levels of burnout in 3 different dimensions (personal, work, and patient-related), resilience, stress, depression, and anxiety were assessed. Logistic regression analyses were conducted to identify factors associated with burnout levels. RESULTS: Among the 214 physician respondents, burnout levels were high in the 3 dimensions. A strong association was found between gender, years of professional experience, depression and anxiety, and burnout levels. CONCLUSIONS: Physician burnout in primary care is high and has increased during the pandemic. More studies are needed in the long term to provide a comprehensive assessment of COVID-19'simpact on burnout levels and how to best approach and mitigate it during such unprecedented times.


Asunto(s)
Agotamiento Psicológico/epidemiología , Médicos/psicología , Atención Primaria de Salud , Adulto , Anciano , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Portugal/epidemiología , Psicometría/instrumentación , Encuestas y Cuestionarios
3.
Health Qual Life Outcomes ; 19(1): 81, 2021 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-33691744

RESUMEN

INTRODUCTION: In Australia, health-related quality of life (HRQoL) instruments have been adopted in national population surveys to inform policy decisions that affect the health of Aboriginal and Torres Strait Islanders. However, Western-developed HRQoL instruments should not be assumed to capture Indigenous conceptualization of health and well-being. In our study, following recommendations for cultural adaptation, an Indigenous Reference Group indicated the EQ-5D-5L as a potentially valid instrument to measure aspects of HRQoL and endorsed further psychometric evaluation. Thus, this study aimed to investigate the construct validity and reliability of the EQ-5D-5L in an Aboriginal Australian population. METHODS: The EQ-5D-5L was applied in a sample of 1012 Aboriginal adults. Dimensionality was evaluated using Exploratory Graph Analysis. The Partial Credit Model was employed to evaluate item performance and adequacy of response categories. Area under the receiver operating characteristic curve (AUROC) was used to investigate discriminant validity regarding chronic pain, general health and experiences of discrimination. RESULTS: The EQ-5D-5L comprised two dimensions, Physiological and Psychological, and reliability was adequate. Performance at an item level was excellent and the EQ-5D-5L individual items displayed good discriminant validity. CONCLUSIONS: The EQ-5D-5L is a suitable instrument to measure five specific aspects (Mobility, Self-Care, Usual activities, Pain/Discomfort, Anxiety/Depression) of Aboriginal and Torres Strait Islander HRQoL. A future research agenda comprises the investigation of other domains of Aboriginal and Torres Strait Islander HRQoL and potential expansions to the instrument.


Asunto(s)
Grupo de Ascendencia Oceánica/psicología , Calidad de Vida , Encuestas y Cuestionarios/normas , Adulto , Australia , Dolor Crónico/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría/instrumentación , Curva ROC , Racismo/psicología , Reproducibilidad de los Resultados
4.
Psicothema (Oviedo) ; 33(1): 131-138, feb. 2021. tab, graf
Artículo en Inglés | IBECS | ID: ibc-199561

RESUMEN

BACKGROUND: The aim of this study was to evaluate the psychometric properties, convergent validity, and factorial invariance of the Multidimensional Scale of Perceived Social Support (MSPSS) in cancer patients. METHOD: Confirmatory factor analysis (CFA) was conducted to explore the scale's dimensionality and test for strong measurement invariance across sex and age in a cross-sectional, multicenter, prospective study. Patients completed the MSPSS and Satisfaction with Life Scale (SWLS). RESULTS: A total of 925 consecutive patients were recruited in 13 hospitals between July 2015 and December 2018. The CFA indicated that the original three-factor model was replicated in patients with cancer. The results of the multi-group CFA revealed a strong invariance according to sex and age. The Spanish version of the MSPSS had high estimated reliability with values exceeding .90. The simple sum of the items of each scale was a good indicator of oncology patients' perceived social support. The three MSPSS subscales correlated significantly with the SWLS. Women scored higher on social support by friends than men. CONCLUSION: The Spanish version of the MSPSS proved to be a valid, reliable instrument to assess perceived social support in cancer patients


ANTECEDENTES: el objetivo de este estudio fue evaluar las propiedades psicométricas, la validez convergente y la invariancia factorial de la Escala Multidimensional de Apoyo Social Percibido (MSPSS) en pacientes con cáncer. MÉTODO: el análisis factorial confirmatorio (CFA) se realizó para explorar la dimensionalidad de la escala y la invariancia de medición por sexo y edad en un estudio prospectivo, transversal y multicéntrico. Los pacientes completaron el MSPSS y la Escala de Satisfacción con la Vida (SWLS). RESULTADOS: un total de 925 pacientes consecutivos fueron reclutados en 13 hospitales entre julio de 2015 y diciembre de 2018. El CFA indicó que el modelo original de tres factores fue replicado en pacientes con cáncer. Los resultados del CFA multigrupo revelaron invariancia fuerte según el sexo y la edad. La versión en español del MSPSS tenía una alta fiabilidad estimada, con valores superiores a 0,90. La suma simple de los ítems de cada escala fue un buen indicador del apoyo social percibido de los pacientes oncológicos. Las tres subescalas MSPSS se correlacionaron significativamente con el SWLS. CONCLUSIÓN: la versión en español del MSPSS demostró ser un instrumento válido y confiable para evaluar el apoyo social percibido en pacientes con cáncer


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Apoyo Social , Neoplasias/psicología , Psicometría/instrumentación , Percepción Social , Análisis Factorial , Estudios Prospectivos , Estudios Transversales , Neoplasias/epidemiología , Encuestas y Cuestionarios , Neoplasias/terapia
5.
Psicothema (Oviedo) ; 33(1): 139-145, feb. 2021. tab
Artículo en Inglés | IBECS | ID: ibc-199562

RESUMEN

BACKGROUND: Psychometric properties and initial normative information are provided for the sluggish cognitive tempo, attention-deficit/hyperactivity disorder-inattention, attention-deficit/hyperactivity disorder-hyperactivity/impulsivity, oppositional defiant disorder, callous-unemotional behavior (limited prosocial emotions specifier), anxiety, depression, social impairment, and academic impairment scales of the Spanish Child and Adolescent Behavior Inventory. METHOD: Mothers, fathers, and teachers of 2,142 third to sixth grade Spanish children (49.49% girls; ages 8-13) from randomly selected schools on the Balearic Islands completed the Child and Adolescent Behavior Inventory. RESULTS: Scores from the scales demonstrated reliability (internal consistency and inter-rater), structural validity, and convergent/discriminant validity with attention-deficit/hyperactivity disorder and learning disorder diagnoses for boys and girls separately for each source. Normative information (T-scores) is provided for the nine scales separately for boys and girls, with test information functions supporting use of the symptom scales for screening purposes. CONCLUSIONS: Although more comprehensive Spanish norms are still needed, the initial normative information on the scales should be useful to inform the clinical care of individual Spanish children, with the positive psychometric properties of the scores also supporting the use of the scale for research. Copies of the Spanish Child and Adolescent Behavior Inventory and norms are available for free to clinicians and researchers


ANTECEDENTES: en este trabajo se presenta información psicométrica y normativa inicial de la versión española del Child and Adolescent Behavior Inventory para las escalas: tempo cognitivo lento, inatención e hiperactividad/impulsividad del trastorno por déficit de atención e hiperactividad, negativismo desafiante, dureza emocional, ansiedad, depresión, afectación social y deterioro académico. MÉTODO: una muestra de madres, padres y maestros de 2.142 niños españoles de tercer a sexto curso de escuelas seleccionadas al azar en las Islas Baleares completaron el Child and Adolescent Behavior Inventory. RESULTADOS: las puntuaciones de las escalas demostraron fiabilidad, validez estructural y validez de criterio con diagnósticos de TDAH y de trastornos del aprendizaje para niños y niñas. Se proporciona información normativa para las nueve escalas por separado para niños y niñas, mientras las funciones de información del test han respaldado el uso de las escalas de síntomas para fines de detección inicial. CONCLUSIONES: aunque todavía son necesarios datos normativos más completos en niños de muestras españolas, la información normativa inicial que proporcionamos de las escalas CABI debería ser útil para los informes en el ámbito clínico, además los datos psicométricos positivos de sus puntuaciones también apoyan su uso en investigación


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Conducta Infantil/psicología , Psicometría/instrumentación , Conducta del Adolescente/psicología , Padres/educación , Inventario de Personalidad/normas , Déficit de la Atención y Trastornos de Conducta Disruptiva/psicología , Madres , Emociones , Determinación de la Personalidad/estadística & datos numéricos , Maestros , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Padres/psicología , Déficit de la Atención y Trastornos de Conducta Disruptiva/epidemiología
6.
Psicothema (Oviedo) ; 33(1): 155-163, feb. 2021. tab, graf
Artículo en Inglés | IBECS | ID: ibc-199564

RESUMEN

BACKGROUND: The Cancer Survivors' Unmet Needs (CaSUN) measure is an assessment tool developed specifically for this population but several issues about its structural properties still remain unresolved. METHOD: The present study tests the theoretical model, the original authors' empirical solution, and a new rational proposal of the CaSUN using Confirmatory Factor Analysis. Reliability and convergent validity are also analysed. 566 Spanish breast cancer survivors completed the CaSUN, the Brief Symptom Inventory-18 (BSI-18) and the Quality of Life in Adult Cancer Survivors questionnaire (QLACS). RESULTS: The proposed model of five domains (physical effects, psychological effects, comprehensive care and information, practical issues, and relationships) plus a total score provided better fit than the authors' theoretical proposal and some advantages over their empirical proposal. Internal consistency (Alpha = .73 - .95; r item-total > .30) and test-retest reliability (r = .74 - 89) were adequate. The CaSUN correlated with high emotional distress (r = .43 - .77) and poor quality of life (r = .18 - .64). CONCLUSIONS: The CaSUN-S is an effective and complete instrument that can help health professionals to collect data about the impact of the disease beyond the diagnosis and treatment phase that is important for patient care


ANTECEDENTES: el Cancer Survivors' Unmet Needs (CaSUN) ha sido desarrollado para esta población, pero varias cuestiones sobre sus propiedades estructurales permanecen inconclusas. MÉTODO: este estudio prueba el modelo teórico, la solución empírica de los autores originales y una nueva propuesta racional del CaSUN utilizando Análisis Factorial Confirmatorio; también analiza su fiabilidad y validez convergente. 566 supervivientes de cáncer de mama completaron el CaSUN, el Inventario Breve de Síntomas-18 (BSI-18) y el Quality of Life in Adult Cancer Survivors (QLACS). RESULTADOS: el modelo propuesto de cinco dominios (efectos físicos, efectos psicológicos, atención integral e información, cuestiones prácticas y relaciones) y una puntuación total proporcionó un mejor ajuste que la propuesta teórica de los autores y algunas ventajas respecto a su propuesta empírica. La consistencia interna (alfa = .73 - .95; r item-total > .30) y la fiabilidad test-retest (r = .51 - .89) fueron apropiadas. El CaSUN correlacionó con alto distrés emocional (r = .43 - .77) y baja calidad de vida (r = .18 - .64). CONCLUSIONES: el CaSUN-S es un instrumento eficaz y completo que ayuda a los profesionales de la salud a obtener información sobre las repercusiones de la enfermedad más allá del diagnóstico y tratamiento para su atención


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Neoplasias de la Mama/epidemiología , Neoplasias de la Mama/psicología , Psicometría/instrumentación , Supervivientes de Cáncer/psicología , Evaluación de Necesidades/normas , Encuestas y Cuestionarios , Calidad de Vida/psicología , Estudios Transversales
7.
Psicothema (Oviedo) ; 33(1): 164-170, feb. 2021. graf, tab
Artículo en Inglés | IBECS | ID: ibc-199565

RESUMEN

BACKGROUND: Anxiety during pregnancy is one of the most common mental health problems and a significant risk factor for postpartum depression. The Generalized Anxiety Disorder-7 (GAD-7) is one of the most widely used self-report measures of anxiety symptoms available in multiple languages. This study evaluates the psychometric properties and underlying factor structures of the Spanish GAD-7 among pregnant women in Spain. METHOD: Spanish-speaking pregnant women (N = 385) were recruited from an urban obstetrics setting in Northern Spain. Women completed the GAD-7 and the anxiety subscale of the Symptom Checklist (SCL90-R) at three time points, once per trimester. The reliability, concurrent validity, and factor analyses were conducted to evaluate the psychometric properties and factor structure, respectively. RESULTS: In the first trimester, the GAD-7 demonstrated good internal consistency (a = 0.89). GAD-7 is positively correlated with SCL90-R (anxiety subscale; r = 0.75; p < 0.001). The proposed one-factor structure is found using exploratory factor analysis -FACTOR program - with Unweighted Least Squares procedure and optimal implementation of parallel analysis (GFI = 0.99). CONCLUSIONS: Health providers should screen for anxiety using the GAD-7 during pregnancy among urban Spanish-speaking samples to provide appropriate follow-up care


ANTECEDENTES: la ansiedad durante el embarazo es uno de los problemas de salud más comunes y un factor de riesgo para la depresión posparto. El Trastorno de Ansiedad Generalizada-7 es una de las medidas de autoinforme de síntomas de ansiedad más utilizadas en varios idiomas. Este estudio evalúa las propiedades psicométricas y la estructura factorial del GAD-7 español en mujeres embarazadas. MÉTODO: se reclutaron mujeres embarazadas (N = 385) de un entorno de obstetricia urbana en el norte de España. Las mujeres completaron el GAD-7 y la subescala de ansiedad del SCL90-R en tres puntos temporales. La fiabilidad, la validez concurrente y los análisis factoriales se realizaron para evaluar las propiedades psicométricas y las estructuras factoriales, respectivamente. RESULTADOS: en la primera toma de medidas el GAD-7 demostró una buena consistencia interna (a = 0.89). GAD-7 se correlaciona positivamente con SCL90-R (subescala de ansiedad; r = 0.75; p < 0.001). Mediante análisis factorial exploratorio - programa FACTOR, extracción de factores de mínimos cuadrados no ponderados, análisis paralelo con implementación óptima - se obtiene una estructura unifactorial (GFI = 0.99). CONCLUSIONES: los profesionales deberían evaluar la ansiedad usando el GAD-7 durante el embarazo entre muestras urbanas de habla hispana para brindar atención adecuada


Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Trastornos de Ansiedad/epidemiología , Trastornos de Ansiedad/psicología , Depresión Posparto/psicología , Psicometría/instrumentación , Cuestionario de Salud del Paciente/normas , Complicaciones del Embarazo/psicología , Factores de Riesgo , Autoinforme , Análisis Factorial , Escala de Ansiedad Manifiesta/estadística & datos numéricos , Encuestas y Cuestionarios
8.
Orv Hetil ; 162(6): 212-218, 2021 02 07.
Artículo en Húngaro | MEDLINE | ID: mdl-33550273

RESUMEN

Összefoglaló. Bevezetés: Interdiszciplináris kutatásokkal igazolták, hogy a páciensnek a betegségérol kialakított elképzelései meghatározó szerepet játszanak a gyógyulási folyamat sikerességében. Célkituzés: Vizsgálatunk célja az ezen elképzelések felmérésére kifejlesztett Rövid Betegségpercepció Kérdoív magyar nyelvu változatának megbízhatósági és validitási vizsgálata krónikus betegségben szenvedo, daganattal küzdo és transzplantált páciensek körében. Módszer: Keresztmetszeti vizsgálatunkban 490 páciens vett részt. A kérdoív validitásának vizsgálatára a Spielberger-féle Állapot- és Vonásszorongás Kérdoívet, a Beck Depresszió Kérdoívet és a Poszttraumás Növekedésérzés Kérdoívet alkalmaztuk, illetve felmértük a betegcsoportok életminoségét. Eredmények: A kérdoív belso megbízhatósága, a teszt-reteszt megbízhatósága kiváló. A konstruktumvaliditást vizsgálva közepesen eros összefüggést találtunk a szorongás, a depresszió, a poszttraumás növekedésérzés, az életminoség és a Rövid Betegségpercepció Kérdoív között. A prediktív validitást vizsgálva igazolást nyert, hogy a betegségpercepció összefüggésben áll a vesemuködést jelzo eGFR-szinttel (p = 0,027). A kérdoív diszkrimináns validitását igazolta, hogy képes különbséget tenni a különbözo betegcsoportok között. Következtetés: A Rövid Betegségpercepció Kérdoív magyar verziójának reliabilitása és validitása a vizsgált populáción jónak mutatkozott. A kérdoív megbízható információt ad a pácienseknek a betegségükrol kialakított elképzeléseirol. Orv Hetil. 2021; 162(6): 212-218. INTRODUCTION: Interdisciplinary studies confirm that patients' illness perception can have a substantial effect on the healing process. OBJECTIVE: The aim of this study was to assess the reliability and validity of the Hungarian version of the Brief Illness Perception Questionnaire in chronic disease, cancer, and transplant patients. METHOD: 490 patients were assessed using the Spielberger Anxiety Inventory, the Beck Depression Inventory, Posttraumatic Growth Inventory and quality of life questionnaires. RESULTS: The scale showed good internal consistency, and the test-retest reliability was excellent. The Brief Illness Perception Questionnaire scores moderately correlated with anxiety, depression, posttraumatic growth and quality of life. Examining predictive validity, the questionnaire correlated with eGFR level (p = 0.027). The discriminant validity of the questionnaire was supported by its ability to distinguish between different patient groups. CONCLUSION: The reliability and validity of the Hungarian version of the Brief Illness Perception Questionnaire in the sample were excellent. The questionnaire turned out to be a useful psychometric tool in the measurement of illness perception. Orv Hetil. 2021; 162(6): 212-218.


Asunto(s)
Psicometría/instrumentación , Calidad de Vida , Encuestas y Cuestionarios , Enfermedad Crónica/psicología , Humanos , Hungría , Neoplasias/psicología , Reproducibilidad de los Resultados , Receptores de Trasplantes/psicología
9.
Health Qual Life Outcomes ; 19(1): 51, 2021 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-33568146

RESUMEN

BACKGROUND: Mindfulness has emerged as an important correlate of well-being in various clinical populations. The present study evaluated the psychometric properties of the 20-item short form of the Five Facet Mindfulness Questionnaire (FFMQ-SF) in the Chinese context. METHODS: The study sample was 127 Chinese colorectal cancer patients who completed the FFMQ-SF and validated physical and mental health measures. Factorial validity of the FFMQ-SF was assessed using Bayesian structural equation modeling (BSEM) via informative priors on cross-loadings and residual covariances. Linear regression analysis examined its convergent validity with the health measures on imputed datasets. RESULTS: The five-factor BSEM model with approximate zero cross-loadings and one residual covariance provided an adequate model fit (PPP = 0.07, RMSEA = 0.06, CFI = 0.95). Satisfactory reliability (ω = 0.77-0.85) was found in four of the five facets (except nonjudging). Acting with awareness predicted lower levels of perceived stress, negative affect, anxiety, depression, and illness symptoms (ß = - 0.37 to - 0.42) and better quality of life (ß = 0.29-0.32). Observing, nonjudging, and nonreacting did not show any significant associations (p > .05) with health measures. Acting with awareness was not significantly correlated (r < 0.15) with the other four facets. CONCLUSION: The present findings provide partial support for the psychometric properties of the FFMQ-SF in colorectal cancer patients. The nonjudging facet showed questionable validity and reliability in the present sample. Further studies with larger sample sizes are needed to elucidate the viability of FFMQ-SF as a measure of mindfulness facets in cancer patients.


Asunto(s)
Neoplasias Colorrectales/psicología , Atención Plena , Calidad de Vida , Encuestas y Cuestionarios/normas , Adulto , Teorema de Bayes , China , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría/instrumentación , Reproducibilidad de los Resultados
10.
BMC Med Educ ; 21(1): 135, 2021 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-33639895

RESUMEN

BACKGROUND: The Modified Fresno Test has been used to evaluate the use of the Evidence-Based Physiotherapy (EBP). So far, none of the versions of the Fresno Test were subjected to analysis of the factorial structure. The objective of the study was to describe the exploratory and confirmatory factor structure of the Modified Fresno Test adapted to the Portuguese-Brazilian and analyze the statistical feasibility for the elaboration of a short version. METHODS: The questionnaire was applied with a convenience sample of 57 physiotherapists, being 36 professionals (13 of these also professors) and 21 students from the last semester of the physiotherapy course. Exploratory Factor Analysis (EFA) was performed by the method of principal components. Confirmatory Factor Analysis (CFA) was performed by the method of maximum likelihood. The total score of the answers in the test and retest was evaluated, totalling 228 observations. Reliability was assessed by means of internal consistency, using Cronbach's alpha coefficient. RESULTS: Reliability was satisfactory (α 0.81) for all questions of the instrument. The coefficient α calculated for the corrected item-total showed values higher than 0.20 except for item 9. Preliminary tests for Exploratory Factor Analysis showed acceptable values with Kaiser-Meyer-Olkin (KMO = 0.80) and Bartlett's test of sphericity [chi-square (78) = 1149.615, p < 0.001], indicating that the correlations were sufficient for analysis. The analysis revealed the presence of 3 factors (eigenvalues> 1), which explains 60.9% of the instrument's total variance. In Confirmatory Factor Analysis, none of the indices came close to an acceptable level (≥ 0.90), however, the second model which tested a three-factor structure provided a better fit to the data. From the results of this study the Modified Fresno Test short version was drawn. CONCLUSION: The analysis showed good factor validity and adequate internal consistency for the use of the instrument consisting of 13 questions and 3 factors. This model proved to be better than the original model. The short version consisting of 9 questions may be an appropriate alternative for use in the population of interest.


Asunto(s)
Análisis Factorial , Fisioterapeutas , Psicometría/instrumentación , Brasil , Estudios Transversales , Práctica Clínica Basada en la Evidencia , Humanos , Reproducibilidad de los Resultados
11.
Health Qual Life Outcomes ; 19(1): 60, 2021 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-33622357

RESUMEN

OBJECTIVE: To sinicize the Supportive Supervisory Scale (SSS) and analyze the psychometric properties of the Chinese version of SSS (SSS-C). METHODS: The SSS (the original English version) was firstly sinicized and adjusted, then its psychometric properties were examined in 300 health care aides from four long-term care (LTC) facilities. SPSS 22.0 was used to process the data and calculate the reliability and validity. RESULTS: The 15-item SSS-C had satisfactory internal consistency (Cronbach's α coefficient = 0.852), split half reliability (Spearman-Brown coefficient = 0.834) and test-retest reliability (Pearson correlation coefficient = 0.784), and three factors were extracted. If the four items with their communality < 0.4 were deleted, the remaining 11 items could explain 55.654% of the total variance. The discriminant validity of the SSS-C varied significantly between sites. CONCLUSIONS: The Chinese version of SSS can be used to effectively measure the supervisory support of the nurses within the LTC settings.


Asunto(s)
Enfermeras Administradoras/psicología , Psicometría/métodos , Encuestas y Cuestionarios/normas , Adulto , Grupo de Ascendencia Continental Asiática , Actitud del Personal de Salud , China , Prestación de Atención de Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría/instrumentación , Calidad de Vida , Reproducibilidad de los Resultados
12.
Nurs Outlook ; 69(2): 127-135, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33583605

RESUMEN

BACKGROUND: There is a lack of formal guidelines and decision support tools to prevent community-acquired pressure injuries (CAPrIs) in Veterans with spinal cord injury (SCI). PURPOSE: In this article we present our research protocol that describes our plans to create and test a decision support tool to prevent CAPrIs in SCI. METHODS: In Aim 1, we identified mental-models of CAPrI prevention from the perspectives of Veterans (using photovoice, guided tours), and Veterans Health Administration SCI providers (using interviews), and triangulation to compare the two mental-models. This led to a decision support tool developed and validated using Delphi approaches in Aim 2 and will be followed by tool automation and system redesign for pilot implementation in Aim 3. FINDINGS: The nurse-led research protocol provides a map to systematically explore, address and translate research into evidence-based practice. DISCUSSION: Refinement of the protocol will guide future research and implementation.


Asunto(s)
Atención Ambulatoria/métodos , Protocolos Clínicos , Técnicas de Apoyo para la Decisión , Úlcera por Presión/prevención & control , Traumatismos de la Médula Espinal/complicaciones , Atención Ambulatoria/tendencias , Técnica Delfos , Humanos , Desarrollo de Programa/métodos , Psicometría/instrumentación , Psicometría/métodos
13.
Medicine (Baltimore) ; 100(3): e24335, 2021 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-33546066

RESUMEN

ABSTRACT: Phaeochromocytomas are catecholamine-producing neuroendocrine tumors that may manifest in many ways, specifically as sustained or paroxysmal hypertension. Data, including data from mental status screening, were prospectively collected from suspected patients. The Hospital Anxiety and Depression Scale was used as a screening tool to identify abnormal mental status. Results showed phaeochromocytoma patients were more likely to experience anxiety and depression. For future phaeochromocytoma treatment, early screening for anxiety and depression should be recommended.


Asunto(s)
Neoplasias de las Glándulas Suprarrenales/psicología , Ansiedad/etiología , Depresión/etiología , Feocromocitoma/complicaciones , Neoplasias de las Glándulas Suprarrenales/complicaciones , Adulto , Anciano , Ansiedad/clasificación , Ansiedad/epidemiología , Estudios de Casos y Controles , China/epidemiología , Depresión/clasificación , Depresión/epidemiología , Humanos , Modelos Logísticos , Persona de Mediana Edad , Feocromocitoma/epidemiología , Feocromocitoma/fisiopatología , Psicometría/instrumentación , Psicometría/métodos , Traducción
14.
Medicine (Baltimore) ; 100(1): e24168, 2021 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-33429800

RESUMEN

ABSTRACT: Psoriasis (Pso) and psoriatic arthritis (PsA) frequently have a negative impact on patients' sexual health. We have developed a specific questionnaire assessing the impact of Pso and PsA on patient perception of sexuality: the QualipsoSex Questionnaire (QSQ). The aim of the present study was to further validate this questionnaire by checking its psychometric properties including validity, reliability, and responsiveness.A cross sectional observational study with a longitudinal component for responsiveness and test-retest reliability was performed in 12 centers in France including 7 dermatologists and 5 rheumatologists. Psychometric properties were examined according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) check-list.At baseline, 114 patients had Pso and 35 patients had PsA including 17 peripheral arthritis, 4 axial disease, 13 patients with both axial disease and peripheral arthritis and one patient with an undifferentiated phenotype. The mean Pso Area and Severity Index score was 12.5. Genital organs were involved in 44.7% of Pso cases. Internal consistency, construct validity, and reliability were good with Cronbach's α coefficient, measure of sampling adequacy and intraclass correlation coefficient respectively at 0.87, 0.84, and 0.93. The QSQ also demonstrated acceptable sensitivity to change.The QSQ has demonstrated good psychometric properties fulfilling the validation process relative to the recommendations of the COSMIN check list. The QSQ is simple to score and may hopefully be valuable in clinical practice and in clinical trials.


Asunto(s)
Medición de Resultados Informados por el Paciente , Percepción , Psicometría/normas , Sexualidad/psicología , Adulto , Artritis Psoriásica/complicaciones , Artritis Psoriásica/psicología , Estudios Transversales , Femenino , Francia , Humanos , Masculino , Persona de Mediana Edad , Psoriasis/complicaciones , Psoriasis/psicología , Psicometría/instrumentación , Psicometría/métodos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
15.
BMC Psychol ; 9(1): 16, 2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33509281

RESUMEN

BACKGROUND: This study aims to design and validate ten projective images of Young's Early Maladaptive Schema (EMS) domains. For this purpose, two questions are to be addressed. (1) How is the factorial structure of the projective images of EMS domains? (2) Do the images designed in the domains of disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, and over-vigilance and inhibition have sufficient validity? METHODS: This is an applied mixed-methods exploratory study, in which the statistical population consisted of psychologists from Tehran Province in the qualitative section (n = 8) as well as other individuals aged between 18 and 65 years (mean age = 33) from Qazvin in the quantitative section (n = 102) in 2018. The research questions were analyzed through principal axis factoring with a varimax rotation, confirmatory factor analysis, Pearson correlation coefficient, and Cronbach's alpha. RESULTS: According to the results, ten images and five domains of Young's EMSs contribute to a simple structure. Accounting for 70.35% of the total variance of EMSs, the five dimensions include disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, and over-vigilance and inhibition. CONCLUSIONS: The results indicated that the designed projective images yielded acceptable construct validity.


Asunto(s)
Determinación de la Personalidad/normas , Psicometría/instrumentación , Autoimagen , Encuestas y Cuestionarios/normas , Adolescente , Adulto , Anciano , Análisis Factorial , Humanos , Irán , Persona de Mediana Edad , Reproducibilidad de los Resultados , Adulto Joven
16.
Health Qual Life Outcomes ; 19(1): 5, 2021 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-33407525

RESUMEN

PURPOSE: We aimed to conduct psychometric tests for the Chinese version of ICECAP-A and compare the differences between ICECAP-A and EQ-5D-3L for patients with T2DM and explore the relationship between clinical conditions and ICECAP-A through diabetes-related clinical indicators. METHODS: Data were collected from a sample of 492 Chinese T2DM patients. The reliability and validity of the ICECAP-A were verified. Exploratory factor analysis (EFA), correlation analysis and regression analysis were conducted for both the ICECAP-A and EQ-5D-3L. RESULTS: Our results show that the Chinese version of ICECAP-A has good internal consistency with an overall Cronbach's Alpha coefficient of 0.721. The mean scores of ICECAP-A and EQ-5D-3L are 0.85 vs. 0.94. A weak correlation (r = 0.116) was found between the ICECAP-A tariff and EQ-5D-3L utility. EFA showed that although the five dimensions of the ICECAP-A and EQ-5D-3L scales were loaded into two different factors respectively. However, the two scales captured different dimensions of quality of life and can complement each other. The ICECAP-A, EQ-5D-3L, and EQ-VAS scores showed differences across different socio-demographic characteristics and clinic conditions groups. CONCLUSION: The Chinese version of the ICECAP-A capability instrument can be for assessing outcomes in adults with T2DM. It may capture more dimensions of QoL than traditional Health-related QoL (HRQoL) instruments and may be useful for economic evaluations of health care and social care for people with T2DM or other chronic diseases.


Asunto(s)
Diabetes Mellitus Tipo 2/psicología , Estado de Salud , Psicometría/instrumentación , Calidad de Vida , Adulto , Anciano , Grupo de Ascendencia Continental Asiática/etnología , China/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
17.
Health Qual Life Outcomes ; 19(1): 13, 2021 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-33413455

RESUMEN

BACKGROUND: The World Health Organization's Quality of Life Questionnaire (WHOQOL-Bref) is a frequently used instrument to assess the quality of life in both healthy and ill populations. Inquiries of the psychometric properties of the WHOQOL-Bref report that the validity and reliability is generally satisfactory. However, some studies fail to support a four-factor dimensionality; others report poor reliability of the social and environmental domain; and there may be some challenges of supporting construct validity across age. This paper evaluates the psychometric properties of the Norwegian WHOQOL-Bref and extends previous research by testing for measurement invariance across age, gender and education level. In addition, we provide updated normative data for the Norwegian population. METHODS: We selected a random sample of the Norwegian population (n = 654) aged 18-75 years. Participants filled out the WHOQOL-Bref, the Utrecht Work Engagement Scale and various sociodemographic variables. RESULTS: We found an acceptable convergent and discriminate validity and internal consistency of the physical, psychological and environmental domains, but a marginal reliability was found for the social domain. The factor loadings were invariant across gender, education and age. Some items had low factor loadings and explained variance, and the model fit for the age group 60-75 years were less satisfactory. CONCLUSIONS: The original four-factor dimensionality of the WHOQOL-Bref displayed a better fit to the data compared to the one-factor solution and is recommended for use in the Norwegian population. The WHOQOL-Bref is suitable to use across gender, education and age, but for assessment in the oldest age group, the WHOQOL-Old module could be a good supplementary, but further studies are needed.


Asunto(s)
Estado de Salud , Satisfacción Personal , Calidad de Vida/psicología , Encuestas y Cuestionarios/normas , Adolescente , Adulto , Anciano , Escolaridad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Examen Físico , Psicometría/instrumentación , Reproducibilidad de los Resultados , Organización Mundial de la Salud , Adulto Joven
18.
Health Qual Life Outcomes ; 19(1): 17, 2021 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-33419447

RESUMEN

BACKGROUND: Cancer patients often experience severe financial distress due to the high cost of their treatment, and strategies are needed to objectively measure this financial distress. The COmprehensive Score for financial Toxicity-Functional Assessment of Chronic Illness Therapy (COST-FACIT) is one instrument used to measure such financial distress. This study aimed to translate the COST-FACIT (Version 2) [COST-FACIT-v2] instrument into traditional Chinese (COST-FACIT-v2 [TC]) and evaluate its psychometric properties. METHODS: The Functional Assessment of Chronic Illness Therapy (FACIT) translation method was adopted. The translated version was reviewed by an expert panel and by 20 cancer patients for content validity and face validity, respectively, and 640 cancer patients, recruited from three oncology departments, completed the translated scale. Its reliability was evaluated in terms of internal consistency and test-retest reliability. Confirmatory factor analysis has been used to evaluate the one- and two-factor structures of the instrument reported in the literature. The convergent validity was examined by the correlation with health-related quality of life (HRQoL) and psychological distress. Known-group validity was examined by the difference in the COST-FACIT-v2 (TC) total mean score between groups with different income levels and frequency of health care service use. RESULTS: The COST-FACIT-v2 (TC) showed good content and face validity and demonstrated high internal consistency (Cronbach's alpha, 0.86) and acceptable test-retest reliability (intraclass correlation coefficient, 0.71). Confirmatory factor analysis showed that the one- and two-factor structures of the instrument that have been reported in the literature could not be satisfactorily fitted to the data. Psychological distress correlated significantly with the COST-FACIT-v2 (TC) score (r = 0.47; p < 0.001). HRQOL showed a weak to moderate negative correlation with the COST-FACIT-v2 (TC) score (r = - 0.23 to - 0.46; p < 0.001). Significant differences were seen among the COST-FACIT-v2 (TC) scores obtained in groups of different income level and frequency of health care service use. CONCLUSIONS: The COST-FACIT-v2 (TC) showed some desirable psychometric properties to support its validity and reliability for assessing cancer patients' level of financial toxicity.


Asunto(s)
Enfermedad Crónica/economía , Enfermedad Crónica/terapia , Costo de Enfermedad , Neoplasias/economía , Psicometría/instrumentación , Adulto , Anciano , Grupo de Ascendencia Continental Asiática , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Factores Socioeconómicos , Encuestas y Cuestionarios , Traducciones
19.
Health Qual Life Outcomes ; 19(1): 25, 2021 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-33472648

RESUMEN

BACKGROUND: A variety of diabetes self-management instruments have been developed but few of them consist of the preparedness for diabetes self-management behavior. The novel psychometric evaluation tool "the LMC Skills, Confidence & Preparedness Index (SCPI)" measures three key aspects of a patient's diabetes self-management: knowledge of the skill, confidence in being able to perform skill and preparedness to implement the skill. The objective of this study was to translate, adapt and validate the SCPI for use in Chinese adult patients with type 2 diabetes. METHODS: This study followed the guideline recommended by the American Academy of Orthopaedic Surgeons Evidence Based Medicine Committee (AAOS) to indigenize the scale. Forward and back translation, and cross-cultural language debugging were completed according to the recommended steps. A convenience sample of Chinese patients with type 2 diabetes (n = 375) were recruited from a university-affiliated hospital in Shanghai. The validity (criterion, discriminant validity, and construct validity), reliability (internal consistency and test-retest reliability) and the interpretability of the instrument were examined. The content validity was calculated by experts' evaluation. RESULTS: The Chinese version of SCPI (C-SCPI) has good internal consistency with a Cronbach's alpha of 0.92. The ceiling effects of the preparedness subscales is 21%. The criterion validity of three dimensions of C-SCPI was established with significantly moderate correlations between the DKT, DES-SF and SDSCA (p < 0.05). The S-CVI of the whole scale was 0.83. Except for entry 21, the I-CVI values of all entries were greater than 0.78. The C-SCPI has also shown good discriminative validity with statistically significant differences between the patients with good and poor glycemic control. Confirmatory factor analysis showed that modified results indicate that the fitting degree of the model is good, χ2/df = 2.775, RMSEA = 0.069, CFI = 0.903, GFI = 0.873, TLI = 0.889, IFI = 0.904. The test-retest reliability coefficient was 0.61 (p < 0.01). CONCLUSION: We established a Chinese version of SCPI through translation and cross-cultural adaptation. The C-SCPI is reliable and valid for assessment of the level of self-management in Chinese patients with type 2 diabetes.


Asunto(s)
Diabetes Mellitus Tipo 2/psicología , Psicometría/instrumentación , Automanejo/psicología , Anciano , China/epidemiología , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Traducciones
20.
Gac. sanit. (Barc., Ed. impr.) ; 34(6): 595-600, nov.-dic. 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-200252

RESUMEN

OBJETIVO: Realizar una validación concurrente de la versión corta del Woman Abuse Screening Tool (WAST), un instrumento utilizado en la detección de violencia de pareja hacia la mujer, estimando los índices de validez en población general. MÉTODO: La fuente de información fue la tercera Encuesta de violencia de pareja hacia la mujer de la Comunidad de Madrid de 2014, realizada a mujeres de 18 a 70 años. Como referencia se utilizó la definición de violencia de pareja hacia la mujer basada en un cuestionario de 26 preguntas. La versión corta del WAST incluye dos preguntas con tres respuestas posibles. Se calculan y comparan la prevalencia de violencia de pareja hacia la mujer y los índices de validez del cuestionario según dos criterios de puntuación con intervalos de confianza del 95% (IC95%). RESULTADOS: La tasa de respuesta fue del 60%. Se analizaron 2979 encuestas. La prevalencia de violencia de pareja hacia la mujer fue del 7,6% (IC95%: 6,6-8,5%). Se encontró un 21,1% (IC95%: 19,6-22,5) de test positivos según el criterio 1 y un 11,0% (IC95%: 9,9-12,1) según el criterio 2. El criterio 2 presentó una mayor eficiencia global del test (81,5% [IC95%: 80,1-82,9] para el criterio 1 vs. 88,8% [IC95%:87,7-89,9] para el criterio 2). Los mejores índices se obtuvieron en mujeres a partir de 30 años de edad. CONCLUSIONES: La versión reducida del cuestionario WAST presentó índices de validez aceptables para ser utilizados como cuestionario de cribado de violencia de pareja hacia la mujer. Recomendamos utilizar el criterio 2 de puntuación en la estimación de la prevalencia de violencia de pareja hacia la mujer en encuestas dirigidas a población general


OBJECTIVE: To perform a concurrent validation of the short version of the Woman Abuse Screening Tool (WAST), used to detect intimate partner violence, estimating the validity indexes in the general population. METHOD: The information source was the third Intimate partner violence survey in the Region of Madrid (Spain) conducted on women aged 18-70 in 2014. As the gold standard we used the definition of intimate partner violence based on a 26- question survey. The short version of WAST includes two questions with three possible answers. The prevalence of intimate partner violence and the validity indexes were calculated and compared according to two scoring criteria with 95% confidence intervals (95%CI). RESULTS: The response rate was 60.0%, and 2979 surveys were analysed. The prevalence of intimate partner violence was 7.6% (95%CI: 6.6-8.5). We showed 21.1% (95%CI: 19.6-22.5) positive test results according to WAST criterion 1 and 11.0% (95%CI: 9.9-12.1) according to criterion 2. Criterion 2 presented higher overall efficiency of the test (81.5% [95%CI: 80.1-82.9] criterion 1 vs. 88.8% [95%CI: 87.7-89.9] criterion 2). The best indexes were obtained in women ≥30 years old. CONCLUSIONS: The short version of the WAST showed acceptable validity indexes for use as a screening tool of intimate partner violence in the general population. We recommend using scoring criterion 2 to estimate prevalence of intimate partner violence in surveys on the general population


Asunto(s)
Humanos , Femenino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Maltrato Conyugal/diagnóstico , Psicometría/instrumentación , Violencia contra la Mujer , Violencia de Género/estadística & datos numéricos , Mujeres Maltratadas/psicología , Reproducibilidad de los Resultados , Tamizaje Masivo/métodos , Encuestas Epidemiológicas/estadística & datos numéricos
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