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1.
Estud. pesqui. psicol. (Impr.) ; 18(4): 1299-1322, out.-dez. 2019.
Artigo em Espanhol | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-995100

RESUMO

Se describe la integración de tres mujeres argentinas a la carrera científica durante la década de 1960 desde sus estudios doctorales en un laboratorio extranjero. Se analizan los auspicios personales y los apoyos en políticas públicas que les otorgaron oportunidades para producir y gestionar ciencia. Se trata de Hermelinda Fogliatto, Rosalía Paiva y Ana María Insúa quienes comenzaron su actividad profesional en el ámbito educativo accediendo a la Psicología. Cuando en el país no existía tradición de promover doctorados en esa disciplina, ellas lo lograron en el Laboratorio de Psicometría de la Universidad de Loyola (Chicago) bajo la dirección de Horacio Rimoldi, quien las impulsó en su carrera. Desde modelos factoriales, condujeron investigaciones sobre procesos de pensamiento para la resolución de problemas que se convirtieron en referencia internacional. Las tres mujeres se desempeñaron en instituciones de Estados Unidos con financiamiento de agencias oficiales de salud y educación. Dos de ellas regresaron a Argentina donde ingresaron al Consejo Nacional de Investigaciones Científicas y Técnicas. Se discute el rol de dicha institución en la promoción de la investigación en psicología, el lugar de la misma en las carreras universitarias y su incidencia en el perfil de psicólogo.(AU)


O processo de integração de três mulheres argentinas na carreira científica é descrito a partir do momento em que eles obtiveram um doutorado em psicologia enquanto estavam trabalhando em um laboratório estrangeiro durante a década de 1960. A trajetória de Hermelinda Fogliatto, Rosalía Paiva e Ana María Insúa é retratada revelando sua chegada da educação ao campo da psicologia. Enquanto não havia tradição de promover o doutorado em psicologia na Argentina, eles conseguiram nesse objetivo sob a direção de Horacio Rimoldi no Laboratório Psicométrico da Universidade de Loyola (Chicago), que as encorajou em suas carreiras. Eles realizaram pesquisas sobre o processo de pensamento para resolução de problemas, com o modelo fatorial, consideradas como referência internacional. Trabalharam para organizações apoiadas pelas agências de Saúde e Educação dos Estados Unidos. Duas delas retornaram à Argentina onde trabalharam para o Consejo Nacional de Investigaciones Científicas y Técnicas. Discute-se o papel desta instituição na promoção da pesquisa psicológica bem como o lugar da pesquisa no treinamento e perfil dos psicólogos.(AU)


The integration of three Argentine women in the scientific career is described from the time they obtained a PhD in Psychology while working at a foreign laboratory in the 60's. The auspices under which they were integrated in the scientific career and the public policies which supported them are analyzed to understand how they took advantage from the opportunities they had to produce and manage science. The paths of Hermelinda Fogliatto, Rosalía Paiva and Ana María Insúa are portrayed revealing their arrival from education to the field of psychology. While there was no tradition of promoting PHDs on psychology in Argentina, they achieved this goal at the Psychometric Laboratory of Loyola University (Chicago) under the direction of Horacio Rimoldi, who encouraged their careers. Applying factorial models, they conducted research on the thinking process for problem solving, which was considered work of international reference. These women worked for organizations supported by Health and Education agencies of the United States. Two of them returned to Argentina where they worked for the National Council of Scientific and Technical Research. The role of this institution for the promotion of psychology research is discussed, as well as the place research had in psychologists training and profiles.(AU)


Assuntos
Psicologia/história , Mulheres Trabalhadoras/psicologia , Pensamento , Análise Fatorial
2.
Acta colomb. psicol ; 22(2): 292-318, July-Dec. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1019286

RESUMO

Abstract Resilience implies a process of positive adjustment to adverse conditions. The growing interest in their study demands the need for valid and reliable measurement instruments that allow assessments with scientific rigor in different types of populations. The aim of the present research was to analyze the psychometric properties of the Resilience Questionnaire for Children and Adolescents. 512 students from a high school of the University of Guadalajara, Mexico, participated. Exploratory factor analysis yielded a four-dimensional composition with 18 items than explain 61.18% of the variance, with an excellent level of reliability (a = .90). Through confirmatory factor analysis, the model was corroborated, presenting adequate levels of adjustment. Convergent validity was assessed using Rosenberg's Self-esteem Scale, obtaining significant positive correlations with the dimensions of resilience. The divergent validity was assessed through the Depression Scale of the Epidemiological Studies Center - Revised, showing significant negative correlations. Results and practical implications are discussed.


Resumo O estudo da resiliência, capacidade que implica um processo de adaptação positiva às condições de adversidade, passou por um crescente interesse nos últimos anos que demanda a necessidade de contar com instrumentos de medição válidos e confiáveis que permitam realizar avaliações com rigor científico em diferentes tipos de população. Por esse motivo, a presente pesquisa teve como objetivo analisar as propriedades psicométricas do Questionário de Resiliência para Crianças e Adolescentes com uma amostra de 512 estudantes do Ensino Médio preparatório da Universidade de Guadalajara, no México. Inicialmente, realizou-se uma análise fatorial exploratória que resultou em uma composição de quatro dimensões com 18 itens que explicam 61,18% da variância, com um nível de confiabilidade alto (a = .90), e uma análise fatorial confirmatória com a qual se corroborou o modelo, com níveis adequados de ajuste. Posteriormente, avaliou-se a validade convergente do instrumento com a Escala de Autoestima de Rosenberg, com a qual foram obtidas correlações positivas significativas com as dimensões da resiliência. E, por último, aplicou-se a validade divergente com a Escala de Depressão do Centro de Estudos Epidemiológicos (Revisada), com a qual foram encontradas correlações negativas significativas. Por fim, discutem-se os resultados e as implicações práticas.


Resumen El estudio de la resiliencia, capacidad que implica un proceso de adaptación positiva a condiciones de adversidad, ha tenido un creciente interés en los últimos años que demanda la necesidad de contar con instrumentos de medición válidos y confiables que permitan hacer evaluaciones con rigor científico en diferentes tipos de poblaciones. Por esta razón, la presente investigación tuvo como objetivo analizar las propiedades psicométricas del Cuestionario de Resiliencia para Niños y Adolescentes con una muestra de 512 estudiantes de una preparatoria de la Universidad de Guadalajara, México. Inicialmente, se realizó un análisis factorial exploratorio que arrojó una composición de cuatro dimensiones con 18 ítems que explican 61.18% de la varianza, con un nivel de confiabilidad alto (a = .90); y un análisis factorial confirmatorio con el que se corroboró el modelo, con niveles adecuados de ajuste. Posteriormente, se evaluó la validez convergente del instrumento con la Escala de Autoestima de Rosenberg, donde se obtuvieron correlaciones positivas significativas con las dimensiones de la resiliencia. Y, por último, se valoró la validez divergente con la Escala de Depresión del Centro de Estudios Epidemiológicos (Revisada), donde se encontraron correlaciones significativas negativas. Al final se discuten los resultados y las implicaciones prácticas.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Análise Fatorial , Adolescente , Resiliência Psicológica
3.
Acta colomb. psicol ; 22(2): 319-341, July-Dec. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1019287

RESUMO

Abstract The objective of the present study was to analyze the psychometric properties (evidences of validity and reliability) of the ENCAO in employees of a private company of the hydrocarbon sector in Metropolitan Lima. A sample of 384 participants was evaluated, of whom 64 % were women and 36% men, aged between 19 and 56 years (M = 29.57 years, SD = 7.33). As evidences of validity related to the internal structure, an exploratory factorial analysis (EFA) and a confirmatory factorial analysis (CFA) were carried out, resulting in a structure of four related factors (Organizational Learning and Culture, Social Learning, Group Learning and Strategic Individual Learning) with the 21 items on the scale that explained 60.33 % of the total variance and with adequate goodness of fit indexes (x 2 = 371.6, x 2/df = 2.03, CFI = .99, RMSEA = .041). As a source of external validity, moderate correlations (between .31 and .46) were obtained with the variable Job Satisfaction. The Cronbach alpha coefficients of the four factors obtained ranged between .60 and .84. It is concluded that the ENCAO and its derived scores are a valid and reliable measure to measure organizational learning in the evaluated labor sector.


Resumo O objetivo do presente estudo foi analisar as propriedades psicométricas (evidências de validade e confiabilidade) da ENCAO em trabalhadores de uma empresa privada do setor de hidrocarbonetos na região metropolitana de Lima, no Peru. Para isso, avaliou-se uma amostra de 384 participantes, 64 % mulheres e 36 % homens, com idades compreendidas entre 19 e 56 anos (M= 29.57 anos, DP = 7.33). Como evidências de validade relacionada à estrutura interna, realizou-se uma análise fatorial exploratória (AFE) e uma análise fatorial confirmatória (AFC) com as quais foi encontrada uma estrutura de quatro fatores relacionados (formação e cultura organizacional, aprendizagem social, aprendizagem grupal e aprendizagem estratégica individual) com os 21 itens da escala, os quais explicaram o 60.33 % da variância total e obtiveram adequados índices de bondade de ajuste (x 2 = 371.66; x 2 /gl = 2.03; CFI = .99; RMSEA = .041). Como fonte de validade externa foram obtidas correlações moderadas (entre .31 e .46) com a variável satisfação laboral. Os coeficientes alfa de Cronbach dos quatro fatores oscilaram entre .60 e .84. Conclui-se que a ENCAO e suas pontuações derivadas são uma medida válida e fiável para medir a aprendizagem organizacional no setor laboral avaliado.


Resumen El objetivo del presente estudio fue analizar las propiedades psicométricas (evidencias de validez y confiabilidad) de la ENCAO en trabajadores de una empresa privada del sector de hidrocarburos en Lima Metropolitana. Para esto, se evaluó a una muestra de 384 participantes, 64 % mujeres y 36 % hombres, con edades entre los 19 y los 56 años (M= 29.57 años, DE = 7.33). Como evidencias de validez de la estructura interna del instrumento, se realizó un análisis factorial exploratorio (AFE) y un análisis factorial confirmatorio (AFC), donde se encontró una estructura de cuatro factores relacionados (formación y cultura organizacional, aprendizaje social, aprendizaje grupal y aprendizaje estratégico individual) con los 21 ítems de la escala, los cuales explicaron el 60.33 % de la varianza total y obtuvieron adecuados índices de bondad de ajuste (x 2 = 371.66; x 2 /gl = 2.03; CFI = .99; RMSEA = .041). Como fuente de validez externa se obtuvieron correlaciones moderadas (entre .31 y .46) con la variable satisfacción laboral. Los coeficientes alfa de Cronbach de los cuatro factores oscilaron entre .60 y .84. Se concluye que la ENCAO y sus puntuaciones derivadas son una medida válida y fiable para medir el aprendizaje organizacional en el sector laboral evaluado.


Assuntos
Humanos , Masculino , Feminino , Adulto , Sociedades , Reprodutibilidade dos Testes , Análise Fatorial
4.
Occup Ther Int ; 2019: 8270637, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31485200

RESUMO

Introduction: This study aimed to validate the Hong Kong version of the Knee Injury and Osteoarthritis Outcome Score (HK-KOOS) for patients with knee osteoarthritis. Methods: Content validity was assessed using the Item and Scale Content Validity Index (I-CVI and S-CVI). Test-retest reliability and internal consistency were assessed by the Intraclass Correlation Coefficient (ICC) and Cronbach's alpha. Dimensionality was assessed by performing exploratory factor analysis (EFA). Convergent and Divergent Validity was performed by examining the correlation between the HK-KOOS and the Chinese version of the Short Form 12 (SF-12) Health Survey, the Chinese Modified Barthel Index (C-MBI), and the Visual Analogue Scale for Pain (VAS-Pain). Ceiling and floor effects were also examined. Results: A total of 125 participants were recruited in this study. In general, all instructions, items, and response options were considered as understandable, indicating a satisfactory cross-cultural adaptation. The I-CVI and S-CVI scores were 0.80-1 and 0.90-1, respectively, indicating excellent content validity in terms of relevance, representativeness, and understandability. The test-retest reliability of all HK-KOOS subscales was satisfactory with ICC exceeding 0.70 for all domains. Cronbach's alpha exceeded 0.80 for all subscales, indicating satisfactory internal consistency. Medium to strong correlations were found between the HK-KOOS and the VAS-Pain, SF-12, and C-MBI. However, factor analysis indicated a seven-factor structure, rather than the original five-factor structure. Items on pain and activities of daily living were loaded in the same factors. A floor effect was present in the sports and recreation subscale. Discussion and Conclusions: Future studies should further examine the dimensionality of the KOOS. The HK-KOOS is a culturally adapted, reliable, and valid outcome measure instrument to be used in Hong Kong patients with primary knee osteoarthritis.


Assuntos
Traumatismos do Joelho/reabilitação , Terapia Ocupacional , Osteoartrite do Joelho/reabilitação , Medidas de Resultados Relatados pelo Paciente , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Análise Fatorial , Feminino , Hong Kong , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Traduções
5.
Zhonghua Wei Chang Wai Ke Za Zhi ; 22(8): 736-741, 2019 Aug 25.
Artigo em Chinês | MEDLINE | ID: mdl-31422611

RESUMO

Objective: To identify the risk factors of perioperative complications after radical gastrectomy for gastric cancer. Methods: A retrospective case-control study was performed. Case inclusion criteria: (1) patients undergoing radical gastrectomy (D2); (2) primary gastric cancer without distant organ metastasis confirmed by postoperative pathology; (3) no neoadjuvant chemotherapy before surgery. Patients with peritoneal tumor dissemination found during operation, undergoing palliative operation due to distant metastasis, and undergoing combined organ resection and those without complete clinicopathological data were excluded. According to the above criteria, 426 patients with gastric cancer at our department from January 2015 to June 2017 were included in this study. Of 426 patients, 285 were male and 141 were female with a mean age of (55.4±9.7) years. According to the "Japan Clinical Cancer Research Group (JCOG) classification criteria for postoperative complications of gastric cancer", patients with grade II and higher complications were classified as complication group, and patients with no complication or grade I complication were classified as non-complication group. Baseline data were compared between two groups. Associations of perioperative complication with gender, age, body mass index, preoperative routine laboratory test, American Society of Anesthesiologists (ASA) classification, activities of daily living (ADL) assessment, past medical history as well as preoperative conditions (hypertension and/or diabetes), surgical resection procedure, incision type, operation time, intraoperative blood loss/body mass ratio were examined. Univariate analysis was performed using χ(2) test and the Wilcoxon rank sum test to screen the statistically significant variables associated with perioperative complications. The significant variables were included in multivariate logistic regression analysis to identify risk factors of perioperative complication. Results: Grade II or higher complications after surgery were developed in 97 patients (22.8%), which included anastomotic leakage in 18 cases (4.2%), postoperative bleeding in 9 cases (2.1%), abdominal abscess in 5 cases (1.2%), intestinal obstruction in 5 cases (1.2%), pancreatic leakage in 1 case (0.2%), and other adverse events in 59 cases (13.8%). Univariate analysis suggested that the gender, age, ADL, incision type, intraoperative blood loss/body mass ratio, and operation time were associated with perioperative complication (all P<0.05). Multivariate analysis revealed that elder age (OR=1.033, 95% CI:1.013-1.053, P=0.013), incision type of laparotomy (OR=2.091, 95% CI:1.247-3.508, P=0.004), longer operation time (OR=1.004, 95% CI:1.001-1.007, P=0.001) and higher ratio of intraoperative blood loss/body mass (OR=1.100, 95% CI: 1.039-1.163, P=0.031) were risk factors for postoperative complications. Conclusion: Attention should be paid to those cases with elder age, laparotomy incision, longer operation time and higher ratio of intraoperative blood loss/body mass, and perioperative management after gastrectomy should be improved.


Assuntos
Gastrectomia/efeitos adversos , Neoplasias Gástricas/cirurgia , Idoso , Análise Fatorial , Feminino , Gastrectomia/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/classificação , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Fatores de Risco
6.
Zhonghua Wei Chang Wai Ke Za Zhi ; 22(8): 748-754, 2019 Aug 25.
Artigo em Chinês | MEDLINE | ID: mdl-31422613

RESUMO

Objective: To investigate the risk factors of anastomotic leakage (AL) after laparoscopic surgery in rectal cancer patient with neoadjuvant therapy and construct a nomogram prediction model. Methods: This study was a retrospective case-control study that collected and reviewed the clinicopathological data of 359 patients who underwent laparoscopic surgery from January 2012 to January 2018, including 202 patients from the Department of General Surgery, Nanfang Hospital of Southern Medical University and 157 patients from the Department of Gastrointestinal Surgery of Fujian Provincial Cancer Hospital. Inclusion criteria: (1) age ≥ 18 years old; (2) diagnosis as rectal cancer by biopsy before treatment; (3) distance from tumor to anus within 12 cm; (4) locally advanced stage (T3-T4 or N+) diagnosed by imaging (CT, MRI, PET or ultrasound); (5) standardized neoadjuvant therapy followed by laparoscopic radical operation. Exclusion criteria: (1) previous history of colorectal cancer surgery; (2) short-term or incomplete standardized neoadjuvant therapy; (3) Miles, Hartmann, emergency surgery, palliative resection; (4) conversion to open surgery. Clinicopathological data, including age, gender, body mass index (BMI), preoperative albumin, distance from tumor to anus, operation hospital, American Society of Anesthesiologists score (ASA score), operation time, T stage, N stage, M stage, TNM stage, pathological complete response (pCR) were analyzed with univariate analysis to identify predictors for AL after laparoscopic surgery in rectal cancer patient with neoadjuvant therapy. Then, incorporated predictors of AL, which were screened by multivariate logistic regression, were plotted by the "rms" package in R software to establish a nomogram model. According to the scale of the nomogram of each risk factor, the total score could be obtained by adding each single score, then the corresponding probability of postoperative AL could be acquired. The area under ROC curve (AUC) was used to evaluate the predictive ability of each risk factor and nomogram on model. AUC > 0.75 indicated that the model had good predictive ability. The Bootstrap method (1000 bootstrapping resamples) was applied as internal verification to show the robustness of the model. The discrimination of the nomogram was determined by calculating the average consistency index (C-index) whose rage was 0.5 to 1.0. Higher C-index indicated better consistency with actual risk. The calibration curve was used to assess the calibration of prediction model. The Hosmer-Lemeshow test yielding a non-significant statistic (P>0.05) suggested no departure from the perfect fit. Results: Of 359 cases, 224 were male, 135 were female, 189 were ≥ 55 years old, 98 had a BMI > 24 kg/m(2), 176 had preoperative albumin ≤ 40 g/L, 128 had distance from tumor to anus ≤ 5 cm, 257 were TNM 0-II stage, 102 were TNM III-IV stage, and 84 achieved pCR after neoadjuvant therapy. The incidence of postoperative AL was 9.5% (34/359). Univariate analysis showed that gender, preoperative albumin and distance from tumor to the anus were associated with postoperative AL (All P<0.05). Multivariate logistic regression analysis revealed that male (OR=2.480, 95% CI: 1.012-6.077, P=0.047), preoperative albumin ≤40 g/L (OR=5.319, 95% CI: 2.106-13.433, P<0.001) and distance from tumor to anus ≤ 5 cm (OR=4.339, 95% CI: 1.990-9.458, P<0.001) were significant independent risk factors for postoperative AL. According to these results, a nomogram prediction model was constructed. The male was for 55 points, the preoperative albumin ≤ 40 g/L was for 100 points, and the distance from tumor to the anus ≤ 5 cm was for 88 points. Adding all the points of each risk factor, the corresponding probability of total score would indicated the morbidity of postoperative AL predicted by this nomogram modal. The AUC of the nomogram was 0.792 (95% CI: 0.729-0.856), and the C-index was 0.792 after internal verification. The calibration curve showed that the predictive results were well correlated with the actual results (P=0.562). Conclusions: Male, preoperative albumin ≤ 40 g/L and distance from tumor to the anus ≤ 5 cm are independent risk factors for AL after laparoscopic surgery in rectal cancer patient with neoadjuvant therapy. The nomogram prediction model is helpful to predict the probability of AL after surgery.


Assuntos
Fístula Anastomótica/etiologia , Laparoscopia/efeitos adversos , Terapia Neoadjuvante/efeitos adversos , Neoplasias Retais/cirurgia , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nomogramas , Prognóstico , Neoplasias Retais/terapia , Estudos Retrospectivos , Fatores de Risco
7.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 44(7): 823-829, 2019 Jul 28.
Artigo em Chinês | MEDLINE | ID: mdl-31413223

RESUMO

OBJECTIVE: To translate the English version of the 9-item Shared Decision Making Questionnaire (SDM-Q-9) into Chinese, and to test its reliability and validity in Chinese version.
 Methods: A total of 720 inpatients were recruited randomly from 6 hospitals in Changsha and were investigated using the Chinese version of SDM-Q-9. SPSS 23.0 and AMOS 23.0 were used to test the reliability and validity.
 Results: There were 660 participants completed and returned valid questionnaires (valid return rate was 91.7%). An analysis of internal consistency yielded a Cronbach's α at 0.945 and the correlation of test-retest reliability was 0.319 for whole instrument. The correlations between the items and total scale ranged from 0.790 to 0.879 (P<0.001). A single factor was extracted by exploratory factor analysis and it could explain 69.824% of the total variance. The confirmatory factor analysis revealed a good model fit. The goodness-of-fit index (GFI), adjusted goodness-of-fit index (AGFI), comparative fit index (CFI), normal fit index (NFI), and root mean square residual (RMR) were 0.870, 0.784, 0.926, 0.921, and 0.054, respectively.
 Conclusion: The Chinese version of SDM-Q-9 is proved to be reliable and eligible except the correlation of test-retest reliability is relatively low. It can be used to assess the patient's perspective in the process of shared decision making in clinical situation.


Assuntos
Tomada de Decisões , Análise Fatorial , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
8.
Rev Bras Epidemiol ; 22: e190041, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31365598

RESUMO

INTRODUCTION: Statistical methods such as Principal Component Analysis (PCA) and Factor Analysis (FA) are increasingly popular in Nutritional Epidemiology studies. However, misunderstandings regarding the choice and application of these methods have been observed. OBJECTIVES: This study aims to compare and present the main differences and similarities between FA and PCA, focusing on their applicability to nutritional studies. METHODS: PCA and FA were applied on a matrix of 34 variables expressing the mean food intake of 1,102 individuals from a population-based study. RESULTS: Two factors were extracted and, together, they explained 57.66% of the common variance of food group variables, while five components were extracted, explaining 26.25% of the total variance of food group variables. Among the main differences of these two methods are: normality assumption, matrices of variance-covariance/correlation and its explained variance, factorial scores, and associated error. The similarities are: both analyses are used for data reduction, the sample size usually needs to be big, correlated data, and they are based on matrices of variance-covariance. CONCLUSION: PCA and FA should not be treated as equal statistical methods, given that the theoretical rationale and assumptions for using these methods as well as the interpretation of results are different.


Assuntos
Registros de Dieta , Análise Fatorial , Preferências Alimentares , Inquéritos Nutricionais/métodos , Análise de Componente Principal , Humanos
9.
Health Qual Life Outcomes ; 17(1): 134, 2019 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-31362763

RESUMO

BACKGROUND: The psychosocial consequences of obesity are important but often underrated. The Attitudes Toward Obese Persons (ATOP) and Beliefs About Obese Persons (BAOP) scales used to measure weight-related bias have little psychometric information, especially in East Asian contexts. The objective of this study was to use rigorous statistical methods to demonstrate the psychometric properties of these two instruments in Hong Kong and Taiwanese college students. METHODS: A convenience sample of 707 students was recruited from the universities in Hong Kong and Taiwan. Several competing confirmatory factor analyses (CFAs) were conducted to confirm the factorial structure of the ATOP and BAOP. The best fit models for the ATOP and BAOP were chosen for the examination of the measurement invariance across subcultures. We then compared configurable models with or without loading and/or intercept constrained before correlating the latent constructs between the best models for the ATOP and BAOP. RESULTS: The comparison in multiple CFAs found that the model with one factor and two correlated-wording-method factors outperformed the other models for both the ATOP and BOAP. However, the internal consistency was suboptimal (ATOP: α = .56 to .80; BTOP: α = .57 to .65) and the measurement invariance was somewhat unsupported among the Hong Kong and Taiwan samples. Moreover, after controlling wording effects, the latent construct of the ATOP was moderately associated with that of BAOP (r = .356; p < .001). CONCLUSION: Chinese versions of the ATOP and BAOP can be treated as a unidimensional factor for use in Hong Kong and Taiwan university students. However, further refinements of both instruments may be needed before using them to capture the social attitudes and beliefs toward obesity individuals, which is expected to advance our understanding of weight-related bias in East Asian contexts.


Assuntos
Atitude , Obesidade/psicologia , Inquéritos e Questionários/normas , Adulto , Estudos Transversais , Análise Fatorial , Feminino , Hong Kong , Humanos , Masculino , Qualidade de Vida , Taiwan , Traduções , Adulto Jovem
10.
Health Qual Life Outcomes ; 17(1): 135, 2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31375110

RESUMO

BACKGROUND: Quality of life (QoL) and health-related quality of life (HRQoL) measurement in low and middle-income countries of people with cerebral palsy (CP), the major cause of childhood physical disability, is essential to assess the impact of interventions and inform policies that best improve people's lives. The purpose of this study was to cross-culturally translate and psychometrically validate the Cerebral Palsy Quality of Life-Teens (CPQoL-Teens) self- and proxy-report questionnaires for application with adolescents with CP in Bangladesh. METHOD: The CPQoL-Teens questionnaires were translated to Bengali using forward and backwards cross-cultural translation protocols. The questionnaires were interviewer administered to adolescents and their primary caregivers, identified through the Bangladesh Cerebral Palsy Register. Feasibility, sensitivity, internal consistency, content, concurrent and construct validity were assessed. RESULTS: One hundred fifty four adolescents with CP (10 to 18y; mean 15y 1mo SD 1y 8mo; 31.2% female) participated. Feasibility, sensitivity and internal consistency of both self- and proxy-report questionnaires was excellent; nil missing scores except 'school wellbeing' which was associated with non-school attendance (48.4 to 74.7%); floor and ceiling effect ≤13.6%; Cronbach's alpha 0.77 to 0.94. Instrument validity was good; confirmatory factor analysis reflected five of the seven original instrument dimensions. CPQoL-Teens correlated to Kidscreen-27 on most dimensions (r = 0.176 to 0.693, p < 0.05); minimal difference in known groups was observed by mental health status (p < 0.05) although could be accounted for by homogeneity of mental health problems in the sample. CONCLUSION: The CPQoL-Teens self- and proxy report questionnaires successfully translated to Bengali and showed excellent feasibility and strong psychometric properties confirming suitability to assess indicators of HRQoL among adolescents with CP in Bangladesh.


Assuntos
Paralisia Cerebral/psicologia , Qualidade de Vida , Inquéritos e Questionários/normas , Adolescente , Bangladesh , Cuidadores/psicologia , Criança , Pessoas com Deficiência/psicologia , Análise Fatorial , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Traduções
11.
Rev Bras Epidemiol ; 22: e190048, 2019 Aug 19.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31432988

RESUMO

INTRODUCTION: Dietary patterns are based on the concept that food consumed together or by itself is as important as food or nutrient intake. OBJECTIVES: To identify dietary patterns in a sample of nursing professionals and to explore the differences between the patterns found using two techniques: principal components (PC) and principal factorial axis (PAF). METHOD: The current report was based on data from 309 participants on a nursing team at a public hospital in Rio de Janeiro. A 24-hour dietary recall was used, resulting in 24 food groups. To identify the dietary patterns, we applied a multivariate analysis, specifically the PC and the PAF, followed by a Varimax orthogonal rotation. RESULTS: The Cattell graphic test indicated three factors to be extracted. The communality varied between 0.41 and 0.76. Higher loads than 0.30 were considered in the pattern composition. The two methods identified similar dietary patterns, called traditional patterns. The other two patterns were nominated as healthy and snacks, having inverted position of factors in the applied techniques. CONCLUSION: The observed differences refer to: the number of food groups that enter the composition of components and factors; the size of the smaller loads in the PAF and the order of the alimentary patterns, especially those derived from loads of a smaller magnitude. However, these differences do not seem to impact the interpretability of dietary patterns in this population.


Assuntos
Inquéritos sobre Dietas/métodos , Comportamento Alimentar , Enfermeiras e Enfermeiros/estatística & dados numéricos , Adulto , Brasil , Ingestão de Energia , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Componente Principal , Valores de Referência , Inquéritos e Questionários
12.
Health Qual Life Outcomes ; 17(1): 118, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31296228

RESUMO

BACKGROUND: Anxiety is one of the most common mental health problems experienced by the elderly that affects quality of life. This study aimed to assess the psychometric properties of the Persian version of the Geriatric Anxiety Inventory (GAI-P) in order to provide a valid instrument for measuring anxiety in this population. METHODS: Forward-backward translation was used to translate the Geriatric Anxiety Inventory from English into Persian and was tested by 10 elderly to assess its face validity. Then a sample of elderly people attending health centers in Dezful, Iran completed the questionnaire. Validity was assessed using both exploratory and confirmatory factors analysis, known-groups comparison (abused and non-abused elderly) also was administered. The internal consistency of the instrument was assessed using Kuder-Richardson 20 coefficients (KR-20). Afterwards, the reliability and validity through assessing the correlation between the Persian version of the GAI-P and the SF-36, were measured. RESULTS: In all 720 elderly completed the questionnaire. Of these data from 420 elderly were used for exploratory factor analysis and the data from the remaining 300 elderly were used for confirmatory factor analysis. The exploratory factor analysis showed a three-factor solution (cognitive, arousal and somatic) for the questionnaire that jointly explained 59.48% of the overall variance observed. The confirmatory factor analysis supported the three-factor solution and the second-order latent factor model. The findings indicated a positive and significant correlation between the two measures lending support to its concurrent validity (r = 0.67, p < .001).Ultimately, the Geriatric Anxiety Inventory was found to have a favorable internal consistency. CONCLUSION: This study confirmed that the GAI-P is a valid measure of anxiety in elderly population and now can be used in geriatric studies in Iran.


Assuntos
Ansiedade/diagnóstico , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Adulto , Idoso , Análise Fatorial , Feminino , Avaliação Geriátrica/métodos , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Traduções
13.
Health Qual Life Outcomes ; 17(1): 119, 2019 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-31299967

RESUMO

BACKGROUND: The purpose of this study is to evaluate the reliability and validity of the multiple happiness questionnaire (MHQ) in new-generation migrant workers (NGMW), to compare the difference of well-being and Health-Related Quality of Life (HRQOL) in NGMW with first-generation migrant workers (FGMW) and urban workers (UW), and to explore the relationship between well-being and HRQOL and analyze influential factors to well-being in NGMW in Zhejiang province, China. METHODS: By stratified sampling, 542 NGMW, 226 FGMW and 200 UW had completed the questionnaires in 2018. Cronbach's alpha coefficient (a) for internal consistency of the multiple happiness questionnaire (MHQ) was used. Factor analysis was applied for construct validity. Scores of well-being and HRQOL were compared between NGMW and control groups. Spearman's correlation was performed to clarify the relationship between well-being and HRQOL in NGMW. Multiple linear regression analytical methods were used to adjust confounding effects and to identify the variables that were associated with well-being. RESULTS: MHQ had good internal consistency (Cronbach's alpha overall was 0.960, subscales ranged from 0.754 to 0.957) and structural validity based on factor analysis. Except for life satisfaction and altruism commitment, there was a positive correlation between well-being and HRQOL in NGMW. There were significant differences in psychological well-being (PWB), health concern, subjective vitality, physical component summary (PCS) and mental component summary (MCS) between NGMW and FGMW. Compared to UW, NGMW's general well-being (GWB), subjective well-being (SWB), life satisfaction, positive relation and altruism commitment scores were lower and their negative affect was higher. The GWB score was related to MCS, PCS, self-reported social status, marital status, age and monthly income. CONCLUSION: The results suggest that the MHQ is a reliable and valid measure for well-being in NGMW. There is a significant difference in well-being and HRQOL between NGMW and control groups. Well-being is higher in NGMW than in FGMW, but is lower than in UW. Well-being is related with HRQOL and may be affected by MCS, PCS, self-reported social status, marital status, age and monthly income in NGMW.


Assuntos
Qualidade de Vida , Inquéritos e Questionários/normas , Migrantes/psicologia , Adulto , China , Análise Fatorial , Feminino , Felicidade , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Adulto Jovem
14.
Rev Lat Am Enfermagem ; 27: e3148, 2019 Jul 18.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31340341

RESUMO

OBJECTIVE: to evaluate the efficacy of quality of life questionnaires St. George Respiratory Questionnaire and Chronic Obstructive Pulmonary Disease Assessment Test in patients with chronic obstructive pulmonary disease based on correlation and agreement analyses, and identify the most effective tool to assess their quality of life. METHOD: cross-sectional cohort study with patients hospitalized in a Spanish hospital for exacerbation of chronic obstructive pulmonary disease. Health-related quality of life was assessed with both questionnaires. The correlation and the agreement between the questionnaires were analyzed, as well as the internal consistency. Associations were established between the clinical variables and the results of the questionnaire. RESULTS: one hundred and fifty-six patients participated in the study. The scales had a correlation and agreement between them and high internal consistency. A higher sensitivity of the Chronic Obstructive Pulmonary Disease Assessment Test was observed for the presence of cough and expectoration. CONCLUSION: the questionnaires have similar reliability and validity to measure the quality of life in patients with acute chronic obstructive pulmonary disease, and the Chronic Obstructive Pulmonary Disease Assessment Test is more sensitive to detect cough and expectoration and requires a shorter time to be completed.


Assuntos
Doença Pulmonar Obstrutiva Crônica/psicologia , Qualidade de Vida , Inquéritos e Questionários , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Estudos Transversais , Escolaridade , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Índice de Gravidade de Doença
15.
Artigo em Chinês | MEDLINE | ID: mdl-31327206

RESUMO

Objective:To investigate the prognosis of non-Hodgkin's lymphoma originating from the nasopharynx.Method:The clinical data of 56 patients with a primary diagnosis of non-Hodgkin's lymphoma originating from the nasopharynx treated between January 2010 and December 2015 were studied.The association between clinical parameters and survival rate was evaluated by Kaplan-Meier method and Cox regression model.Result:The 1,3,5-year overall survival were 91.1%, 73.1%,and 49.6% respectively.Single factor analysis displayed that age,Ann-Arbor staging,iactate dehydrogenase,combined with B symptoms at the time of diagnosis,international prognostic index and the expression level of Ki-67 were related to the prognosis factors.Multivariate analysis showed that the international prognostic index greater than or equal to 2 points and the positive rate of Ki-67 greater than or equal to 60% were the independent risk factors for the prognosis of non-Hodgkin's lymphoma originating from the nasopharynx.Conclusion:International prognostic index and the expression level of Ki-67 may be independent prognostic factors for non-Hodgkin's lymphoma originating from the nasopharynx.


Assuntos
Linfoma não Hodgkin/diagnóstico , Neoplasias Nasofaríngeas/diagnóstico , Análise Fatorial , Humanos , Antígeno Ki-67/análise , Nasofaringe/patologia , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Taxa de Sobrevida
16.
Prev Vet Med ; 169: 104706, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31311639

RESUMO

The international nature of the equine industry provides opportunities for the spread of infectious diseases between countries. While incursions of exotic diseases into the United Kingdom (UK) equine population have been rare, the potential socioeconomic and welfare impacts are a significant concern. However, little is known about leisure horse owners' ability or willingness to prepare for an exotic disease incursion. The objectives of this study were to describe UK leisure horse owners' awareness and perceptions of exotic diseases, and to identify clusters of horse owners characterised by their awareness and perceived risk of exotic diseases. A cross-sectional study of leisure horse owners in the UK was conducted between April and July 2018. Participants (n = 403) completed an online questionnaire with questions pertaining to demographics, experiences with endemic diseases, and awareness and perceptions of exotic diseases. Hierarchical cluster analysis was used to identify groups of participants that were similar in regard to their awareness and perceived risk of exotic diseases. Participants identified a median of 3 (IQR 2-4) exotic diseases, with the most recognised exotic diseases being African horse sickness and West Nile virus. The most frequently mentioned clinical signs that participants thought were associated with exotic diseases included high temperature (57.2%), discharge (46.5%), and lack of energy (41.2%). Hierarchical cluster analysis identified three clusters of participants: 1) those who were aware of exotic diseases and perceived a high amount of risk (n = 78); 2) those who were aware of exotic diseases but perceived a low amount of risk (n = 111); and 3) those who were less aware of exotic diseases and perceived a low amount of risk (n = 214). Efforts to communicate the relevance and consequences of exotic diseases to horse owners should consider the potential difference in receptiveness among horse owners in each cluster. Further investigations are required to determine the implications of horse owners' perceived risk on exotic disease preparedness.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Doenças dos Cavalos/psicologia , Adolescente , Adulto , Doença Equina Africana/psicologia , Criação de Animais Domésticos , Animais , Análise por Conglomerados , Estudos Transversais , Análise Fatorial , Feminino , Cavalos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários , Reino Unido , Febre do Nilo Ocidental/psicologia , Vírus do Nilo Ocidental , Adulto Jovem
17.
Psychiatr Danub ; 31(2): 182-188, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31291222

RESUMO

BACKGROUND: Despite relatively consistent findings regarding the number of personality pathology domains, differences in domain structure remain. Recently the proposed ICD-11 domains were partially validated in a sample of patients with major depression producing five domains: Detached, Anankastic, Negative Emotional, Antisocial and Borderline. The aim of our study was to attempt to cross-validate these findings in a sample of patients primarily diagnosed with personality disorder (PD). SUBJECTS AND METHODS: All subjects were assessed by Structured Clinical Interview for the DSM-IV Axis II PD. Exploratory factor analysis (EFA) was applied on fifty seven DSM PD symptoms selected to represent the five proposed domains. RESULTS: SCID II data were collected from a total of 223 subjects. The EFA extracted five factors. The first factor labeled as borderline-internalizing constituted of borderline together with avoidant and dependent items, the second, labeled as disinhibited/ borderline externalizing, incorporated narcissistic and histrionic items. The other three separate factors in our study labeled as antisocial, anankastic and detached, were less robust. CONCLUSIONS: In our study five personality pathology domains were partly replicated. The most robust findings support the existence of the two factors, borderline-internalizing and disinhibited/borderline externalizing. However, the EFA was performed on a relatively low prevalence symptoms distribution, particularly for antisocial and schizoid factors.


Assuntos
Transtornos da Personalidade/psicologia , Personalidade , Adolescente , Adulto , Idoso , Transtorno Depressivo Maior/psicologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Transtornos da Personalidade/diagnóstico , Adulto Jovem
18.
Medicine (Baltimore) ; 98(29): e16303, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31335676

RESUMO

To investigate the incidence, outcomes, and risk factors of postoperative acute respiratory distress syndrome (ARDS) in patients undergoing surgical repair for acute type A aortic dissection.This retrospective study involved 270 patients who underwent surgical repair for acute type A aortic dissection between January 2009 and December 2015. Data on clinical characteristics and outcomes were collected. Patients who immediately died after surgery and with preoperative myocardial dysfunction were excluded. The included patients were divided into the ARDS (ARDS patients who met the Berlin definition) and non-ARDS groups. Primary outcome was postoperative ARDS, according to the 2012 Berlin definition for ARDS and was reviewed by 2 qualified physicians with expertise in critical care and cardiac surgery. Outcomes of interest were the incidence and severity of risk factors for ARDS in this population, and perioperative outcomes and survival rates were compared with patients with or without ARDS.A total of 233 adult patients were enrolled into this study; of these, 37 patients (15.9%) had ARDS. Three, 20, and 14 patients had mild, moderate, and severe ARDS, respectively, according to the Berlin definition, with no significant difference in age, sex, and underlying disease. The ARDS group had lower mean oxygenation index (OI) than the non-ARDS group in the first 3 days post-surgery and demonstrated an improvement in lung function after the fourth day. Postoperative complication risks were higher in the ARDS group than in the non-ARDS group. However, no significant difference was observed in in-hospital mortality between the 2 groups (10.8% vs 5.6%, P = .268). Additionally, there was also no significant difference in the 3-year mortality rate between the 2 groups (P of log-rank test = .274). Postoperative hemoglobin level (odds ratio [OR]: 0.78; 95% confidence interval [CI]: 0.62-0.99) and perioperative blood transfusion volume (OR: 1.07; 95% CI: 1.03-1.12) were associated with ARDS risk.Postoperative ARDS after type A aortic dissection repair surgery was associated with risks of postoperative complications but not with risk of in-hospital mortality or 3-year mortality. A higher perioperative blood transfusion volume and a lower postoperative hemoglobin level may be risk factors for ARDS.


Assuntos
Aneurisma Dissecante/cirurgia , Aneurisma Aórtico/diagnóstico , Transfusão de Sangue , Hemoglobinas/análise , Complicações Pós-Operatórias , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Adulto , Idoso , Aneurisma Dissecante/diagnóstico , Aneurisma Aórtico/complicações , Gasometria/métodos , Transfusão de Sangue/métodos , Transfusão de Sangue/estatística & dados numéricos , Cuidados Críticos , Análise Fatorial , Feminino , Mortalidade Hospitalar , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/sangue , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Síndrome do Desconforto Respiratório do Adulto/sangue , Síndrome do Desconforto Respiratório do Adulto/etiologia , Síndrome do Desconforto Respiratório do Adulto/mortalidade , Testes de Função Respiratória/métodos , Medição de Risco/métodos , Fatores de Risco , Taxa de Sobrevida , Procedimentos Cirúrgicos Vasculares/métodos
19.
Health Qual Life Outcomes ; 17(1): 126, 2019 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-31319871

RESUMO

BACKGROUND: The psychosocial impact of dental aesthetics questionnaire (PIDAQ) is an efficient tool for assessment of oral health-related quality of life (OHRQoL). It evaluates the effect of dental esthetics on the psychosocial status of young adults. This questionnaire has been translated to many languages so far. However, it has not yet been translated to Persian. This study aimed to assess the validity and reliability of the Persian version of PIDAQ for use among the young adults. MATERIAL AND METHOD: The questionnaire was translated to Persian, back-translated to English and underwent cultural adaptation and pretesting. It was then filled out by 398 young adults (215 females and 183 males) between 18 to 30 years in Shiraz, Iran. The Persian version of PIDAQ along with the index of orthodontic treatment need-aesthetic component (IOTN-AC) and the perception of occlusion (POS) index were administered among participants to assess its discriminant validity. RESULTS: Factor analysis extracted four domains and the factor loading of domains ranged from 0.479 to 0.837. The Cronbach's alpha for the Persian version of PIDAQ ranged from 0.809 to 0.886. The mean score for each of the domains and the total score for PIDAQ, classified according to IOTN-AC and POS, showed a significant difference. The mean score acquired by subjects requiring orthodontic treatment was significantly higher than the score acquired by those not requiring orthodontic treatment (P = 0.00). CONCLUSION: The Persian version of PIDAQ has optimal validity, reliability and responsiveness for assessment of the psychosocial impact of malocclusion on the Iranian young adults.


Assuntos
Estética Dentária/psicologia , Má Oclusão/psicologia , Qualidade de Vida , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Masculino , Reprodutibilidade dos Testes , Traduções , Adulto Jovem
20.
Artigo em Japonês | MEDLINE | ID: mdl-31189766

RESUMO

OBJECTIVES: In academia, harassment may often occur and remain unrevealed in Japan, which discourages young researchers from pursuing their career. It is necessary to estimate and improve the perception of "academic harassment" among university faculties. Therefore, in this study, we aim to develop a scale of perception of academic harassment. METHODS: Prior to a quantitative survey, a task team consisting of medical doctors, researchers, nurses, hospital workers, and managers in general affairs division identified 36 items related to academic harassment. In February 2016, we sent a self-administered questionnaire to 1,126 academic faculty members who worked in a medical university located in Tokyo, Japan. We instructed them to score the extent to which they consider each item as related to academic harassment based on a Likert scale. We carried out maximum likelihood factor analyses with promax rotation and computed Cronbach's alpha to develop a scale and investigate the reliability of the scale. RESULTS: In total, 377 returned the questionnaires (response rate, 33.5%; male, 73.8%). In factor analyses, we removed 17 items owing to low factor loadings, and four factors were eventually extracted. The first factor was termed "Harassment in organization (7 items)" because it included conditions of forcing a particular person to work on chores or lectures for students that may prevent one's academic research outputs. The second factor was termed "Violence and denying personal character (4 items)". The third factor was termed "Research misconduct (5 items)" including conditions of excluding a particular person from the coauthor list of research outputs or pressuring a person to fabricate, falsify, or plagiarize research outputs. The fourth factor was termed "Research interference (3 items)" including a condition of interference with conference attendance. Cronbach's alpha values of these four factors ranged from 0.83 to 0.91, suggesting that the scale had high reliability. The means of these factors did not differ according to gender but were higher in participants aged 50 or older than in younger participants. CONCLUSIONS: The results suggest that the scale of perception on academic harassment consisting of four factors with 19 items is valid and reliable to some extent.


Assuntos
Docentes de Medicina/psicologia , Assédio não Sexual , Percepção , Faculdades de Medicina , Adulto , Fatores Etários , Análise Fatorial , Feminino , Assédio não Sexual/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Tóquio , Adulto Jovem
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