Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 9.361
Filtrar
1.
Medicine (Baltimore) ; 99(9): e19294, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32118742

RESUMEN

The aim of the present study was to reveal the physical symptom changes and their correlations with mental health status in deep underground miners.A total of 286 deep underground miners completed a cross-sectional questionnaire study at China Pingmei Shenma mine complex. The questionnaire included sociodemographics, self-reported physical symptoms, underground adverse environmental factors, and the Symptom Checklist-90-Revised (SCL-90-R). Five environmental parameters of 1 deep mine were also measured.Data from 266 valid questionnaires were analyzed. The 3 most frequent complaints about underground adverse conditions were moisture [62.03% (165/266)], dim light [45.86% (122/266)], and high temperature [42.11% (112/266)]. Fatigue [40.22% (107/266)], hearing loss [34.96% (93/266)], and tinnitus [31.58% (84/266)] were reported to be the three most common physical symptoms. Insomnia was reported in 204 participants (76.69%) mainly due to the difficulty of falling asleep [42.35% (84/204)] and dreams [39.70% (81/204)]. Mean scores of SCL-90-R subscales including somatization, anxiety, phobic anxiety, psychoticism, and paranoid ideation were elevated compared to Chinese norms, while there was diminished interpersonal sensitivity. Univariate analyses indicated that the 3 most common physical symptoms were associated with poorer SCL-90-R scores. With increasing depth below ground, air pressure, relative humidity, CO2 concentration and temperature rose, while total gamma radiation dose-rate decreased.The physical and mental health status of deep underground miners was poorer than the general Chinese male population. Some adverse environmental factors were identified that may have influenced health status. Measures are suggested to improve the deep underground working environment.


Asunto(s)
Salud Mental/normas , Síndrome , Lugar de Trabajo/psicología , Adulto , China , Correlación de Datos , Estudios Transversales , Humanos , Masculino , Salud Mental/estadística & datos numéricos , Persona de Mediana Edad , Mineros , Psicometría/instrumentación , Psicometría/métodos , Encuestas y Cuestionarios , Factores de Tiempo , Lugar de Trabajo/normas
2.
Medicine (Baltimore) ; 99(9): e19302, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32118748

RESUMEN

Perioperative anxiety could negatively affect surgery outcomes, and cardiac diseases have long been known to be an independent risk factor for anxiety development. However, little is known about preoperative anxiety in Nepalese adult cardiac patients waiting for surgery. The primary objectives of this study were to: (1) clarify the levels of preoperative anxiety in Nepalese adult cardiac patients waiting for open heart surgery; (2) identify factors associated with preoperative anxiety; and (3) evaluate any possible factors associated with patients' desire to obtain information related to their heart surgery.This is a prospective observational study for patients already scheduled for cardiac surgery at a core medical institution in Kathmandu, Nepal. We collected sociodemographic and clinical characteristics of the patients from their medical charts, and assessed their preoperative anxiety using the Amsterdam Preoperative Anxiety and Information Scale. We performed descriptive analyses of the collected data. Further, we employed regression models to assess to the objectives of the study.In total, 140 patients participated, and data of 123 (87.9%) were used for analysis. 58.5% of the participants had preoperative anxiety. Female gender (OR 0.31, 95% CI 0.15-0.65, P < .001) and past anesthesia exposure (OR 2.38, 95% CI 1.01-5.62, P < .05) were identified as risk factors for developing anxiety before cardiac surgery. Further, female gender (IRR 0.80, 95% CI 0.67-0.94, P < .001), higher education levels (IRR 1.18, 95% CI 1.01-1.40, P < .05), and higher preoperative anxiety (IRR 1.44, 95% CI 1.21-1.73, P < .001) could lead to higher levels of desire to acquire information related to the procedure.The study concluded that more than a half of the cardiac surgery patients experiences preoperative anxiety; female gender and having past anesthesia exposure are the risk factors. Anxious patients have more desire to acquire knowledge about the procedure. Thus, the evaluation and adequate management of preoperative anxiety should be proposed in high-risk groups.


Asunto(s)
Ansiedad/diagnóstico , Procedimientos Quirúrgicos Cardíacos/psicología , Adulto , Ansiedad/clasificación , Ansiedad/psicología , Procedimientos Quirúrgicos Cardíacos/métodos , Procedimientos Quirúrgicos Cardíacos/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nepal , Estudios Prospectivos , Psicometría/instrumentación , Psicometría/métodos , Factores de Riesgo , Encuestas y Cuestionarios
3.
PLoS One ; 15(1): e0223235, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31971942

RESUMEN

Workplace bullying is a significant cause of stress at work. Existing studies, primarily based on Western-oriented frameworks and instruments, have largely overlooked the role of culture. This oversight questions whether understandings generated from those studies can be generalised to employees working in Eastern countries, which differ on important cultural dimensions. To date, there is no Eastern-based instrument for measuring workplace bullying. In two studies, we developed and validated such a measure: the Malaysian Workplace Bullying Index (MWBI). Study 1 entailed a content validation of bullying behaviours via written records (diaries) completed by Malaysian bullying victims. The 19 validated behaviours formed the basis of Study 2, with additions from the wider literature. Study 2 used survey data collected at three time-points from Malaysian employees exposed to bullying at work. The final result was an 18-item scale with two nine-item factors: work-related bullying and person-related bullying. Overall, the MWBI is a psychometrically sound measure of workplace bullying in Eastern workplaces.


Asunto(s)
Acoso Escolar/psicología , Emociones , Psiquiatría , Lugar de Trabajo/psicología , Adolescente , Adulto , Cultura , Empleo/psicología , Análisis Factorial , Femenino , Humanos , Malasia/epidemiología , Masculino , Persona de Mediana Edad , Psicometría/métodos , Conducta Social , Adulto Joven
4.
Gait Posture ; 75: 46-62, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31593873

RESUMEN

BACKGROUND: Centre of pressure (COP), plantar pressure (PP), and plantar-flexion isometric strength (PFisom) are often examined in relation to postural control and gait. RESEARCH QUESTION: Our aim was to systematically review and quality appraise articles addressing the reliability of COP and PP measures in static stance and PFisom measures. METHODS: Three electronic databases (SCOPUS®, SportDISCUS™, and PubMed) were searched and supplemented by a manual search. Peer-reviewed original research on the reliability of COP, PP, and PFisom in healthy adults (≥18 years) was included. Quality appraisal was done according to the updated COnsensus-based Standards for the selection of health Measurement INstruments reliability checklist. Data regarding study characteristics, test protocols, outcome measures, and reliability metrics were extracted. RESULTS: Forty articles met inclusion and were assessed for their methodological quality. Only four articles (10%) obtained uppermost quality scores. From the reviewed studies, the most reliable measures were: COP sway area and path length; PP mean pressure, percentage body weight distribution, and contact area; and PFisom peak torque and force. Although these measures generally exhibited good-to-excellent relative reliability based on correlation coefficients, absolute reliability based on typical errors were not always optimal (variation > 10%). Literature on PP reliability was scarce (n = 2). SIGNIFICANCE: Our findings highlight the need for better quality methodological reliability studies to be undertaken to make stronger inferences about the reliability of COP, PP, and PFisom measures. The most reliable measures based on the current review are: COP sway area and path length; PP mean pressure, percentage of body weight distribution, and contact area; and PFisom peak torque and peak force. These measures are the ones that should be selected preferentially in clinical settings, bearing in mind that their typical errors might be suboptimal despite exhibiting strong relative reliability.


Asunto(s)
Pie/fisiología , Marcha/fisiología , Contracción Isométrica/fisiología , Balance Postural/fisiología , Humanos , Presión , Psicometría/métodos , Reproducibilidad de los Resultados
5.
Support Care Cancer ; 28(1): 55-64, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30980258

RESUMEN

PURPOSE: To facilitate access to and provision of psychosocial care to cancer patients in the community, the Cancer Support Community (CSC) developed CancerSupportSource® (CSS), an evidence-based psychosocial distress screening program. The current study examined the psychometric properties and multi-dimensionality of a revised 25-item version of CSS, and evaluated the scale's ability to identify individuals at risk for clinically significant levels of depression and anxiety. METHODS: CSS development and validation were completed in multiple phases. Exploratory factor analysis was completed with 1436 individuals diagnosed with cancer to examine scale dimensionality, and nonparametric receiver operating characteristic (ROC) curve analyses were used to determine scoring thresholds for depression and anxiety risk scales. Internal consistency reliability and convergent and discriminant validity were also examined. Confirmatory factor analysis and intraclass correlation coefficients were subsequently calculated with a separate sample of 1167 individuals to verify the scale factor structure and examine test-retest reliability. RESULTS: Five factors were identified and confirmed: (1) emotional well-being, (2) symptom burden and impact, (3) body image and healthy lifestyle, (4) health care team communication, and (5) relationships and intimacy. Psychometric evaluation of the total scale and factors revealed strong internal consistency reliability, test-retest reliability, and convergent and divergent validity. Sensitivity of CSS 2-item depression and 2-item anxiety risk scales were .91 and .92, respectively. CONCLUSIONS: Results indicate that CancerSupportSource is a reliable, valid, multi-dimensional distress screening program with the capacity to screen for those at risk for clinically significant levels of depression and anxiety.


Asunto(s)
Supervivientes de Cáncer/psicología , Tamizaje Masivo/métodos , Neoplasias/psicología , Psicometría/métodos , Estrés Psicológico/diagnóstico , Adulto , Anciano , Ansiedad/diagnóstico , Ansiedad/etiología , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/etiología , Depresión/diagnóstico , Depresión/etiología , Trastorno Depresivo/diagnóstico , Trastorno Depresivo/etiología , Femenino , Humanos , Masculino , Tamizaje Masivo/normas , Persona de Mediana Edad , Neoplasias/complicaciones , Neoplasias/diagnóstico , Psicometría/normas , Reproducibilidad de los Resultados , Apoyo Social
6.
Support Care Cancer ; 28(1): 141-153, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30993452

RESUMEN

PURPOSE: Head-to-head comparison of reliability, validity and responsiveness of four patient-reported outcome measures (PROMS) suitable for assessing health-related quality of life (HRQOL) in palliative care settings: EORTC QLQ-C15-PAL, FACT-G7, FACIT-Pal and short-form FACIT-Pal-14. METHODS: Secondary analysis of two phase III randomised trials: ketamine for chronic cancer pain, octreotide for vomiting in inoperable malignant bowel obstruction. Sub-groups were defined by Australia-modified Karnofsky performance status (AKPS) and participants' global impression of change (GIC). Two aspects of reliability were assessed: internal consistency (Cronbach alpha, α); test-retest reliability (intra-class correlation coefficient (ICC)) of patients with stable AKPS and those who self-reported 'no change' on GIC. Construct validity was assessed via pre-determined hypotheses about sensitivity of PROM scores to AKPS groups and responsiveness of PROM change scores to GIC groups using analysis of variance. RESULTS: FACIT-Pal had better internal consistency (α ranged 0.59-0.80, 15/18 ≥ 0.70) than QLQ-C15-PAL (0.51-0.85, 4/8 ≥ 0.70) and FACT-G7 (0.54-0.64, 0/2 ≥ 0.70). FACIT scales had better test-retest reliability (FACIT-Pal 11/27 ICCs ≥ 0.70, FACT-G7 2/3 ICCs ≥ 0.70) than QLQ-C15-PAL (2/30 ICCs ≥ 0.70, 18/30 ≤ 0.5). Four scales demonstrated sensitivity to AKPS: QLQ-PAL-15 Physical Functioning and Global QOL, FACT-G Functional Wellbeing and FACIT-Pal Trial Outcome Index (TOI). Nine scales demonstrated responsiveness: three in the ketamine trial population (QLQ-C15-PAL Pain, FACIT-Pal-14, FACT-G7), six in the octreotide trial population (QLQ-C15-PAL Fatigue; FACIT-Pal PalCare, TOI, Total; FACT-G Physical Wellbeing and Total). CONCLUSIONS: No PROM was clearly superior, confirming that choosing the best PROM requires careful consideration of the research goals, patient population and the domains of HRQOL targeted by the intervention being investigated.


Asunto(s)
Cuidados Paliativos , Medición de Resultados Informados por el Paciente , Psicometría , Calidad de Vida , Adulto , Anciano , Australia/epidemiología , Dolor en Cáncer/epidemiología , Dolor en Cáncer/terapia , Dolor Crónico/epidemiología , Dolor Crónico/terapia , Ensayos Clínicos Fase III como Asunto/estadística & datos numéricos , Femenino , Humanos , Estado de Ejecución de Karnofsky , Masculino , Persona de Mediana Edad , Neoplasias/complicaciones , Neoplasias/epidemiología , Neoplasias/terapia , Cuidados Paliativos/métodos , Cuidados Paliativos/psicología , Cuidados Paliativos/normas , Psicometría/métodos , Psicometría/normas , Ensayos Clínicos Controlados Aleatorios como Asunto/estadística & datos numéricos , Reproducibilidad de los Resultados , Autoinforme , Encuestas y Cuestionarios , Vómitos/epidemiología , Vómitos/terapia
7.
Behav Sleep Med ; 18(1): 107-119, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-30462561

RESUMEN

Objective/Background: Safety behaviors play a prominent role in the development and maintenance of insomnia. The Sleep-Related Behaviors Questionnaire (SRBQ) is a self-report questionnaire designed to assess safety behaviors employed to cope with fatigue or to improve sleep. Despite its frequent use in insomnia, no systematic psychometric validation of the SRBQ has been conducted; its factor structure has never been explored. Furthermore, there is no French version of this scale. The goal of this study was to empirically validate a French version of the SRBQ. Participants/Methods: A total of 539 French-speaking community-dwelling participants from the general population completed a face-to-face clinical interview to determine insomnia disorder against DSM-5 criteria and several questionnaires including the French SRBQ. Results: SRBQ items with poor psychometric properties were removed, thus leading to a 20-item version (SRBQ-20). Exploratory factor analysis and parallel analysis revealed three distinct factors with good internal consistency. The results supported the internal temporal stability of the SRBQ-20. The construct validity of that instrument was underpinned by correlations obtained with various measures of insomnia and related constructs. Adequate discriminative validity was established by comparing individuals with insomnia and individuals without insomnia. Conclusions: This study demonstrated that the French version of the SRBQ-20 has good psychometric properties.


Asunto(s)
Psicometría/métodos , Sueño/fisiología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Adulto Joven
8.
Allergol. immunopatol ; 47(6): 558-563, nov.-dic. 2019. graf, tab
Artículo en Inglés | IBECS | ID: ibc-186548

RESUMEN

Introduction and objectives: Food allergy in school children ranges between 5.7 and 6.4% in Turkey. Studies emphasize the importance of improving school personnel's self-efficacy in managing food allergy and anaphylaxis. However, a brief and valid measurement tool for school personnel is not available in Turkey. The aim of this study was to determine the validity and reliability of the Turkish version of the School Personnel's Self-efficacy in Managing Food Allergy and Anaphylaxis (SPSMFAA-T) scale with teachers. Patients or materials and methods: This methodological study was conducted by 282 primary school teachers. Data were collected with a demographic characteristics form and SPSMFAA-T. The psychometric properties of the SPSMFAA-T were evaluated by content, discriminant, construct validity and internal consistency. Results: Cronbach's alpha for the scale was 0.91 and item-total correlations were between 0.50 and 0.82 (p < 0.001). The discriminant validity suggested that the scale successfully discriminated the teachers who had training on food allergy and anaphylaxis from the teachers who did not. The model fit indices of scale were determined to be the root mean square error of approximation (RMSEA) at 0.08, goodness of fit index (GFI) at 0.96, comparative fit index (CFI) at 0.99. Conclusions: The results supported that the SPSMFAA-T was a valid and reliable measurement tool to assess Turkish teachers’ self-efficacy levels to manage food allergy and anaphylaxis in school setting. The scale can be used in education programs to improve school personnel's skills to manage food allergy and anaphylaxis


No disponible


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Autoeficacia , Hipersensibilidad a los Alimentos/diagnóstico , Anafilaxia/terapia , Psicometría/métodos , Docentes/estadística & datos numéricos , Hipersensibilidad a los Alimentos/terapia , Psicometría/instrumentación , Turquia , Análisis Factorial , Análisis de Regresión
9.
PLoS One ; 14(12): e0225932, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31869336

RESUMEN

INTRODUCTION: This study evaluated the psychometric properties of the PERMA Profiler, a 15-item self-report measurement tool designed to measure Seligman's five pillars of wellbeing: Positive emotions, Relationships, Engagement, Meaning, and Accomplishment. METHODS: Australian adults (N = 439) completed the PERMA Profiler and measures of physical and mental health (SF-12), depression, anxiety, stress (DASS 21), subjective physical activity (Active Australia Survey), and objective activity and sleep (GENEActiv accelerometer). Internal consistency was examined using Cronbach's alpha and associations between theoretically related constructs examined using Pearson's correlation. Model fit in comparison with theorised models was examined via Confirmatory Factor Analysis. RESULTS: Results indicated acceptable internal consistency for overall PERMA Profiler scores and all subscales (α range = 0.80-0.93) except Engagement (α = 0.66). Moderate associations were found between PERMA Profiler wellbeing scores with subjective constructs (e.g. depression, anxiety, stress; r = -0.374 - -0.645, p = <0.001) but not objective physical activity or sleep. Data failed to meet model fit criteria for neither the theorised five-factor nor an alternative single-factor structure. CONCLUSIONS: Findings were mixed, providing strong support for the scale's internal consistency and moderate support for congervent and divergent validity, albeit not in comparison to objectively captured activity outcomes. We could not replicate the theorised data structure nor an alternative, single factor structure. Results indicate insufficient psychometric properties of the PERMA Profiler.


Asunto(s)
Trastornos Mentales/epidemiología , Salud Mental , Psicometría , Adolescente , Adulto , Anciano , Ansiedad , Australia/epidemiología , Depresión , Femenino , Humanos , Masculino , Trastornos Mentales/psicología , Salud Mental/estadística & datos numéricos , Persona de Mediana Edad , Psicometría/métodos , Vigilancia en Salud Pública , Calidad de Vida , Sistema de Registros , Adulto Joven
10.
PLoS One ; 14(12): e0226223, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31846470

RESUMEN

The present study examined the measurement invariance of the Big Five Personality Trait Short Questionnaire (BFPTSQ) across language (Spanish and English), Spanish-speaking country of origin (Argentina and Spain) and gender groups (female and male). Evidence of criterion-related validity was examined via associations (i.e., correlations) between the BFPTSQ domains and a wide variety of mental health outcomes. College students (n = 2158) from the USA (n = 1117 [63.21% female]), Argentina (n = 353 [65.72% female]) and Spain (n = 688 [66.86% female]) completed an online survey. Of the tested models, an Exploratory Structural Equation Model (ESEM) fit the data best. Multigroup ESEM and ESEM-within-CFA generally supported the measurement invariance of the questionnaire across groups. Internalizing symptomatology, rumination and low happiness were related mainly to low emotional stability across countries, while low agreeableness and low conscientiousness were related chiefly to externalizing symptomology (i.e., antisocial behavior and drug outcomes). Some correlational differences arose across countries and are discussed. Our findings generally support the BFPTSQ as an adequate measure to assess the Big Five personality domains in Spanish- and English-speaking young adults.


Asunto(s)
Comparación Transcultural , Salud Mental/estadística & datos numéricos , Personalidad , Psicometría/métodos , Encuestas y Cuestionarios , Adulto , Trastorno de Personalidad Antisocial/psicología , Femenino , Felicidad , Humanos , Lenguaje , Masculino , Uso de la Marihuana/psicología , Modelos Estadísticos , Adulto Joven
11.
Medicine (Baltimore) ; 98(44): e17764, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31689836

RESUMEN

While stress is known to cause many diseases, there is no established method to determine individuals vulnerable to stress. Sasang typology categorizes humans into four Sasang types (So-Eum, Tae-Eum, So-Yang, and Tae-Yang), which have unique pathophysiologies because of their differential susceptibilities to specific stimuli, including stress. The purpose of this study was to determine if Sasang typology can be used identify individuals who are vulnerable to stress by evaluation of heart rate variability (HRV).This was a cross-sectional study. A total of 399 healthy men and women aged 30 to 49 years were recruited. Physical examinations for stress included HRV measurement and blood tests. The subjects also completed questionnaires about psychological stress, self-awareness, and lifestyle. HRV was analyzed using frequency-domain analysis. Subjects were divided into So-Eum (SE) and non-So-Eum (non-SE) groups according to their diagnosis.The weight and body mass index in the SE group were significantly lower than those in the non-SE group (both, P = .000). There were no significant between-group differences in any other demographic variables. In HRV analysis, the normalized high frequency (nHF) was higher (P = .008) while the normalized low frequency (nLF; P = .008) and LF:HF ratio (LF/HF; P = .002) were lower in the SE group than in the non-SE group.Although there was no difference in variables affecting HRV, HRV values were significantly different between groups. The LF/HF value for the SE group was at the lower limit of the normal range, although there were no associated clinical problems. These findings suggest that individuals with the SE type are more susceptible to stress than those with the other types. Thus, middle-aged individuals who are vulnerable to stress can be identified using Sasang typology.


Asunto(s)
Susceptibilidad a Enfermedades/diagnóstico , Frecuencia Cardíaca/fisiología , Medicina Tradicional Coreana/métodos , Psicometría/métodos , Estrés Psicológico/diagnóstico , Adulto , Índice de Masa Corporal , Estudios Transversales , Susceptibilidad a Enfermedades/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Somatotipos/psicología , Estrés Psicológico/psicología , Encuestas y Cuestionarios
12.
Health Qual Life Outcomes ; 17(1): 172, 2019 Nov 12.
Artículo en Inglés | MEDLINE | ID: mdl-31718663

RESUMEN

BACKGROUND: Early detection of psychosocial problems post-injury may prevent them from becoming chronic. Currently, there is no psychosocial screening instrument that can be used in patients surviving a physical trauma or injury. Therefore, we recently developed a psychosocial screening instrument for adult physical trauma patients, the PSIT. The aim of this study was to finalize and psychometrically examine the PSIT. METHODS: All adult (≥ 18 years) trauma patients admitted to a Dutch level I trauma center from October 2016 through September 2017 without severe cognitive disorders (n = 1448) received the PSIT, Impact of Events Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9), Rosenberg Self-Esteem Scale (RSES), State-Trait Anxiety Inventory-State (STAI-S), and the World Health Organization Quality of Life-Abbreviated version (WHOQOL-Bref). After 2 weeks, a subgroup of responding participants received the PSIT a second time. The internal structure (principal components analysis, PCA; and confirmatory factor analysis, CFA), internal consistency (Cronbach's alpha, α), test-retest reliability (Intraclass Correlation Coefficient, ICC), construct validity (Spearman's rho correlations), diagnostic accuracy (Area Under the Curve, AUC), and potential cut-off values (sensitivity and specificity) were examined. RESULTS: A total of 364 (25.1%) patients participated, of whom 128 completed the PSIT again after 19.5 ± 6.8 days. Test-retest reliability was good (ICC = 0.86). Based on PCA, five items were removed because of cross-loadings ≥ 0.3. Three subscales were identified: (1) Negative affect (7 items; α = 0.91; AUC = 0.92); (2) Anxiety and Post-Traumatic Stress Symptoms (4 items; α = 0.77; AUC = 0.88); and (3) Social and self-image (4 items; α = 0.79; AUC = 0.92). CFA supported this structure (comparative fit index = 0.96; root mean square error of approximation = 0.06; standardized rood mean square residual = 0.04). Four of the five a priori formulated hypotheses regarding construct validity were confirmed. The following cut-off values represent maximum sensitivity and specificity: 7 on subscale 1 (89.6% and 83.4%), 3 on subscale 2 (94.4% and 90.3%), and 4 on subscale 3 (85.7% and 90.7%). CONCLUSION: The final PSIT has good psychometric properties in adult trauma patients.


Asunto(s)
Ansiedad/diagnóstico , Trastornos por Estrés Postraumático/diagnóstico , Encuestas y Cuestionarios/normas , Heridas y Traumatismos/psicología , Adulto , Ansiedad/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría/métodos , Calidad de Vida , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Trastornos por Estrés Postraumático/etiología , Heridas y Traumatismos/complicaciones , Adulto Joven
13.
BMC Complement Altern Med ; 19(1): 321, 2019 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-31752832

RESUMEN

OBJECTIVES: This study aimed to develop and validate scales to assess attitudes towards patient' s use of TCM (APUTCM) and to measure a communicative competence in TCM (CCTCM) among nurses. METHODS: The instrument development process was conducted from Sep 2013 to Jul 2014, using the following steps: 1) item development; 2) internal review and refinement; 3) face and content validation; 4) instrument administration to a development sample; and 5) evaluation of validity and reliability. A convenience sample was used to recruit registered and advanced practice nurses who worked in different regions throughout Taiwan. A total of 755 respondents completed the online questionnaire. Statistical analyses were performed using the software of SPSS Version 21.0 and Analysis of Moment Structures (AMOS) version 24.0. RESULTS: The scale-level indexes (S-CVI) of content validity for both scales were over 80%. The reliabilities for the 13-item APUTCM scale and for the five-item CCTCM scale were 0.88 and 0.84, respectively. The model suitability for both scales was assessed, and the findings revealed suitable parameters for all indicators: GFI = 0.954, AGFI = 0.932, CFI = 0.959, RMSEA = 0.62, and chi-square/df = 3.891 for APUTCM; and GFI = 0.992, AGFI = 0.969, CFI = 0.992, RMSEA = 0.63, and chi-square/df = 4.04 for CCTCM. The convergent and divergent validity of scores on both scales provided evidence in the expected direction. CONCLUSION: This scale development study provides preliminary evidence that suggests that the 13-item APUTCM and the five-item CCTCM are reliable and valid scales for assessing attitudes toward patient's TCM use and communicative competence in TCM.


Asunto(s)
Actitud del Personal de Salud , Terapias Complementarias , Enfermeras y Enfermeros , Psicometría , Adulto , Femenino , Humanos , Análisis de Clases Latentes , Masculino , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/estadística & datos numéricos , Psicometría/métodos , Psicometría/normas , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Taiwán
14.
Z Gerontol Geriatr ; 52(Suppl 4): 264-272, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31628612

RESUMEN

BACKGROUND AND OBJECTIVE: Acutely ill older patients with cognitive impairment represent a major subgroup in acute care hospitals. In this context, communication plays a crucial role for patients' well-being, healthcare decisions, and medical outcomes. As validated measures are lacking, we tested the psychometric properties of an observational instrument to assess Communication Behavior in Dementia (CODEM) in the acute care hospital setting. As a novel feature, we were also able to incorporate linguistic and social-contextual measures. MATERIAL AND METHODS: Data were drawn from a cross-sectional mixed methods study that focused on the occurrence of elderspeak during care interactions in two German acute care hospitals. A total of 43 acutely ill older patients with severe cognitive impairment (CI group, Mage ± SD = 83.6 ± 5.7 years) and 50 without cognitive impairment (CU group, Mage ± SD = 82.1 ± 6.3 years) were observed by trained research assistants during a standardized interview situation and rated afterwards by use of CODEM. RESULTS: Factor analysis supported the expected two-factor solution for the CI group, i.e., a verbal content and a nonverbal relationship aspect. Findings of the current study indicated sound psychometric properties of the CODEM instrument including internal consistency, convergent, divergent, and criterion validity. CONCLUSION: CODEM represents a reliable and valid tool to examine the communication behavior of older patients with CI in the acute care hospital setting. Thus, CODEM might serve as an important instrument for researcher and healthcare professionals to describe and improve communication patterns in this environment.


Asunto(s)
Técnicas de Observación Conductual/instrumentación , Disfunción Cognitiva/psicología , Comunicación , Cuidados Críticos , Demencia/psicología , Psicometría/métodos , Anciano de 80 o más Años , Estudios de Casos y Controles , Femenino , Evaluación Geriátrica , Alemania , Hospitales , Humanos , Pacientes Internos , Masculino , Calidad de Vida , Reproducibilidad de los Resultados
15.
Rev Lat Am Enfermagem ; 27: e3170, 2019.
Artículo en Portugués, Inglés, Español | MEDLINE | ID: mdl-31596407

RESUMEN

OBJECTIVE: to translate, adapt and test the psychometric properties of the Brazilian Nurse-Work Instability Scale. METHOD: this was a methodological study following the translation steps: synthesis, back-translation, specialist´s committee, semantics analysis, pretest, and psychometric tests. The committee was composed of 5 specialists. For the semantics analysis, 18 nursing workers evaluated the instrument and 30 pretested it. For the psychometric tests, the sample size was 214 nursing workers. The internal construct validity was analyzed by the Rasch model. Reliability was assessed using internal consistency, and concurrent validity with Pearson's correlation between the Nurse-Work Instability Scale, and the Work Ability Index, Job Stress Scale. RESULTS: a Nurse-Work Instability Scale in Brazilian Portuguese with 20 items showed an adequate reliability (0.831), stability (p <0.0001), and an expected correlation with Work Ability Index (r = -0.526; P<0.0001) and Job Stress Scale (r = 0.352; p <0.0001). CONCLUSION: the instrument is appropriated to detect work instability in Brazilian nursing workers with musculoskeletal disorders. Its application is fundamental to avoid long-term withdrawal from work by early identification of the work instability. Furthermore, the scale can assist the development of actions and strategies to prevent the abandonment of the profession of nursing workers affected by musculoskeletal disorders.


Asunto(s)
Empleo/psicología , Personal de Enfermería en Hospital/psicología , Salud Laboral/normas , Psicometría/métodos , Encuestas y Cuestionarios/normas , Carga de Trabajo/psicología , Adulto , Brasil , Femenino , Humanos , Lenguaje , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital/organización & administración , Reproducibilidad de los Resultados , Traducciones , Evaluación de Capacidad de Trabajo , Lugar de Trabajo/organización & administración
16.
Artículo en Inglés | MEDLINE | ID: mdl-31623268

RESUMEN

The aim of this study was to design and validate an instrument, based on the WHO 5As+5Rs model, to test the acquisition by nursing students of a brief tobacco intervention (BTI) learning. A validation design of an instrument following the criterion referenced tests model using videos of simulated BTIs in the primary care setting was carried out. The study included 11 experts in smoking prevention/care and 260 second-year nursing students. The study was in two stages: (1) selection and recording of clinical simulations (settings), and (2) test construction. Content was validated by applying the Delphi consensus technique and calculating the Content Validity Ratio (CVR) and Content Validity Index (CVI). A pilot test was conducted for item analysis. Reliability was evaluated as internal consistency (Kuder-Richardson [KR-20]) and test-retest temporal stability (intraclass correlation coefficient [ICC]). Three simulation settings were recorded. An instrument (BTI-St®) was developed with 23 items for dichotomous (yes/no) response. CVR was >70% for all items, KR-20 of 0.81-0.88, and ICC between 0.68 and0.73 (p < 0.0001). The BTI-St® is a robust and reliable instrument that is easily and rapidly applied. It follows the WHO 5As+5Rs model and offers objective criterion-referenced evaluation of BTI learning in nursing students.


Asunto(s)
Estudiantes de Enfermería , Fumar Tabaco/prevención & control , Femenino , Humanos , Psicometría/métodos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
17.
Rev. clín. esp. (Ed. impr.) ; 219(7): 351-359, oct. 2019. tab
Artículo en Español | IBECS | ID: ibc-ET1-4051

RESUMEN

Antecedentes: La información sobre el autocuidado en la insuficiencia cardiaca (IC) en España es escasa. En concreto, existe la necesidad de fijar el nivel de comprensión de los pacientes sobre la IC, así como su capacidad para reconocer los signos y los síntomas de la descompensación. Pacientes y métodos: Estudio transversal para determinar el nivel de autocuidado en una población de pacientes españoles ingresados en el hospital con un diagnóstico primario de IC descompensada. Para el estudio, se reclutó una muestra de conveniencia integrada por 108 pacientes (50 mujeres y 58 hombres) con una edad de 83+/-8 años. Resultados: Para cuantificar el autocuidado en nuestra muestra se empleó el Índice de Autocuidado en Insuficiencia Cardiaca versión 6.2. La media y la desviación estándar de la subescala de mantenimiento de autocuidado del Índice de Autocuidado en Insuficiencia Cardiaca fueron: a) «ejercicio durante 30 minutos», 1+/-1; b) «olvida tomar una de sus medicinas», 2+/-2; c) «pedir productos bajos en sal cuando sale a comer o de visita», 2+/-1. En el mes previo, el 67,6% experimentó dificultad para respirar o inflamación del tobillo. Sin embargo, era improbable que la gran mayoría de nuestros pacientes implementaran de forma independiente un remedio: a) reducir sal, 2+/-1; b) reducir la ingesta de líquidos, 1+/-1; c) tomar un diurético extra, 1+/-1. Más del 50% de los pacientes de nuestra muestra se sintieron confiados o muy confiados siguiendo los consejos profesionales (3+/-1), manteniéndose libres de síntomas (3+/-1), reconociendo los cambios en su enfermedad (3+/-1) y valorando la importancia de dichos cambios (3+/-1). Conclusiones: Al comparar a nuestros pacientes con IC con los de otros países el nivel de autocuidado es significativamente bajo, especialmente en lo que se refiere a la gestión de su enfermedad. La promoción del autocuidado debería ser una prioridad para todos los profesionales de la salud involucrados en la gestión de los pacientes con IC


Background: There is scarce evidence relating to self-care of heart failure (HF) in Spain. In particular, there is a need to establish patients' level of understanding of HF, as well as their ability to recognise signs and symptoms of decompensation. Patients and methods: Cross-sectional study to determine the level of self-care in a population of Spanish patients admitted to hospital with a primary diagnosis of decompensated HF. A convenience sample of 108 patients (50 women and 58 men) aged 83+/-8 were recruited to participate in this study. Results: The Self-Care of Heart Failure Index version 6.2 was used to quantify self-care in our sample. Mean and standard deviation from the Self-Care of Heart Failure Index self-care maintenance subscale were: a) "exercise for 30 minutes", 1+/-1; b) "forget to take one of your medicines", 2+/-2; c) "ask for low-salt items when eating out or visiting others", 2+/-1. A percentage of 67.6 had experienced shortness of breath or ankle swelling in the past month. However, the vast majority of our patients were unlikely to independently implement a remedy: a) reduce salt, 2+/-1; b) reduce fluid intake, 1+/-1; c) take an extra diuretic, 1+/-1. Over 50% of our sample felt confident or very confident at following professional advice (3+/-1), keeping themselves free of symptoms (3+/-1), recognizing changes in their condition (3+/-1) and evaluating the significance of such changes (3+/-1). Conclusions: HF patients have a significantly low level of self-care when compared with HF patients from other countries, especially when it comes to managing their condition. Self-care promotion should be a priority for all healthcare professionals involved in the care and management of HF patients


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Autocuidado/métodos , Insuficiencia Cardíaca/complicaciones , Psicometría/métodos , Estudios Transversales , Brote de los Síntomas , Automanejo/métodos , Hospitalización/estadística & datos numéricos , Comorbilidad , Encuestas y Cuestionarios/estadística & datos numéricos , Marcapaso Artificial/estadística & datos numéricos
18.
Artículo en Inglés | MEDLINE | ID: mdl-31561438

RESUMEN

For the past 15 years, a regular indoor football competition has been taking place in Madrid (Spain) with 15 teams from different mental health services in the city, in which teams face off weekly as part of a competition lasting nine months of the year. We are not aware of whether a similar competition experience is offered in other cities. The purpose of the present study was to evaluate whether participating in this league, called Ligasame, has an influence on participants' self-stigma. To do so, the Internalized Stigma of Mental Illness scale (ISMI) was adapted into Spanish and applied to 108 mental health patients, 40% of which participated in Ligasame, and the remainder of which did not. The results obtained reflect significant differences between those participating in Ligasame and those that did not in terms of two specific dimensions related to self-stigma (stereotype endorsement and stigma resistance) and total score. On the other hand, no significant differences were found in terms of other variables, such as patients' prior diagnosis, age or belonging to different resources/associations. In this article, we discuss the importance of these results in relation to reducing self-stigma through participation in a regular yearly mental health football league.


Asunto(s)
Fútbol Americano/psicología , Trastornos Mentales/psicología , Autoimagen , Estigma Social , Estereotipo , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría/métodos , Fútbol , España
19.
Qual Life Res ; 28(12): 3137-3151, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31522371

RESUMEN

BACKGROUND: On average older adults experiencing TBI are hospitalized four times as often, have longer hospital stays, and experience slower recovery trajectories and worse functional outcomes compared to younger populations with the same injury severity. A standard measure of Qol for older adults with TBI would facilitate accurate and reliable data across the individual patient care continuum and across clinical care settings, as well as support more rigorous research studies of metadata. PURPOSE: The aim of this systematic review was to investigate patient reported Qol measures in studies with older adults post TBI. METHOD: A systematic review was carried out focusing on the various tools to measure Qol in older adults, ≥ 65 years of age with a diagnosis of TBI. Data bases searched included Medline, Embase, PubMed, CINAHL, and PsychInfo from date of inception to September 25, 2017. RESULTS: A total of 20 articles met the inclusion criteria. Nine different tools were identified. CONCLUSIONS: Findings based on the comparison of reliability and construct validity of the Qol measures reported in this review suggest that no single instrument is superior to all others for our study population. Future research in this field should include the enrollment of larger study samples of older adults. Without these future efforts, the ability to detect an optimal Qol measure will be hindered.


Asunto(s)
Lesiones Traumáticas del Encéfalo/psicología , Lesiones Traumáticas del Encéfalo/terapia , Calidad de Vida/psicología , Anciano , Humanos , Psicometría/métodos , Reproducibilidad de los Resultados
20.
Obes Facts ; 12(5): 518-528, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31553993

RESUMEN

BACKGROUND: The Dietary Fat and Free Sugar-Short Questionnaire (DFS) is a cost- and time-efficient self-report screening instrument to estimate dietary intake of saturated fat and free sugar. To date, only the English version has been psychometrically evaluated. We assessed the psychometric characteristics of the German version of the DFS in individuals with normal weight, overweight, and obesity. METHOD: Sixty-five adult participants completed a German translation of the DFS and a validated food frequency questionnaire (FFQ). We correlated participants' percentage of energy intake from saturated fat and free sugar from the FFQ with the DFS scores. To establish test-retest reliability, participants completed the DFS a second time. To investigate convergent validity, we correlated participants' DFS scores with self-reported eating behavior and sensitivity to reward. RESULTS: DFS scores correlated with percentage of energy from free sugar (rs = 0.443) and saturated fatty acids (rs =0.258) but not with non-target nutrients. The correlation between DFS scores and percentage energy from free sugar was not moderated by body mass index (BMI), whereas the correlation with percentage energy from saturated fat slightly decreased with BMI. Intra-class correlation as an indicator of test-retest reliability was 0.801. DFS scores correlated significantly with restraint of eating behavior (rs = -0.380) and feelings of hunger (rs = 0.275). Correlations of the DFS score with disinhibited eating and sensitivity to rewards failed to be significant. CONCLUSION: Our data indicate that the German version of the DFS might be a psychometrically sound self-report instrument to estimate saturated fat and free sugar intake of German adults.


Asunto(s)
Grasas de la Dieta/administración & dosificación , Azúcares de la Dieta/administración & dosificación , Conducta Alimentaria/fisiología , Psicometría/métodos , Encuestas y Cuestionarios , Traducciones , Adolescente , Adulto , Índice de Masa Corporal , Ingestión de Energía/fisiología , Femenino , Alemania , Humanos , Masculino , Encuestas Nutricionales/métodos , Obesidad/epidemiología , Obesidad/etiología , Sobrepeso/epidemiología , Sobrepeso/etiología , Reproducibilidad de los Resultados , Autoinforme , Encuestas y Cuestionarios/normas , Adulto Joven
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA