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1.
An. psicol ; 37(2): 233-242, mayo-sept. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-202547

RESUMO

The study of happiness and well-being is receiving increased attention in different fields. Recent research into well-being has focused on delving deeper into the individual's conception about the experience of well-being. McMahan and Estes (2011a) created a scale that assesses lay conceptions of well-being based on four dimensions: the experience of pleasure, avoidance of negative experience, self-development and contribution to others. The goal of this study was to adapt this scale, the Beliefs about Well-Being Scale (BWBS), to the Spanish population. The sample consisted of 1,024 participants from the general population ranging in age interval from 17 to 87 years old. The confirmatory factorial analysis results in a structure of four dimensions, similar to the original scale, although in the adaptation of the scale the items decrease from 16 to 12. The results of the reliability analysis reveal indexes similar to those of the original scale. These results confirm the validity of Beliefs about Well-Being Scale with general population in a cultural context different from the original study. This will allow cross-cultural studies to analyze the influence of culture in the perception of well-being


El estudio de la felicidad y el bienestar está recibiendo cada vez más atención en diferentes campos. Las investigaciones recientes sobre el bienestar se han centrado en profundizar en la concepción del individuo sobre la experiencia del bienestar. McMahan y Estes (2011a) crearon una escala que evalúa las concepciones legas del bienestar en base a cuatro dimensiones: la experiencia de placer, la evitación de la experiencia negativa, el autodesarrollo y la contribución a los demás. El objetivo de este estudio fue adaptar esta escala, Beliefs about Well-Being Scale (BWBS), a la población española. La muestra estuvo formada por 1.024 participantes de la población general con un intervalo de edad entre 17 y 87 años. El análisis factorial confirmatorio da como resultado una estructura de cuatro dimensiones, similar a la escala original, aunque en la adaptación de la escala los ítems disminuyen de 16 a 12. Los resultados del análisis de fiabilidad revelan índices similares a los de la escala original. Estos resultados confirman la validez de la Escala de Creencias sobre el Bienestar con población general en un contexto cultural diferente al del estudio original. Esto permitirá realizar estudios transculturales para analizar la influencia de la cultura en la percepción del bienestar


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Satisfação Pessoal , Cultura , Adaptação Psicológica , Inquéritos e Questionários/normas , Felicidade , Comparação Transcultural , Filosofia , Testes Psicológicos/normas , Fatores Socioeconômicos , Análise Fatorial , Prazer , Espanha
2.
An. psicol ; 37(2): 243-252, mayo-sept. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-202548

RESUMO

El estudio de la resiliencia como recuperación del estrés se ha extendido, y se requiere dar cuenta del desarrollo y las propiedades psicométricas de las escalas que permiten utilizarla. El objetivo fue adaptar transculturalmente la Brief Resilience Scale (BRS) y evaluar sus propiedades psicométricas en población joven chilena. Participaron en el año 2016, tres traductores, y 1,237 estudiantes de 18 a 24 años de una universidad de la zona Central de Chile, 60.8% mujeres y 39.2% hombres. Se consiguió la equivalencia lingüística y conceptual después de una doble traducción, retro traducción y de realizar las entrevistas cognitivas con la población diana. Se observaron dificultades en el ítem 2. Del Análisis Factorial Exploratorio surgieron dos factores. Los índices de ajuste del Análisis Factorial Confirmatorio fueron adecuados: χ2 = 9.256(6), p = .160; CFI = .995; TLI = .988; RMSEA = .035, IC 90% [.000, .076]. El omega total .81. La estabilidad por ítem fue moderada y para la puntuación total, elevada. Las medias en general fueron menores en mujeres, pero similares entre grupos de edad. Hubo evidencia de validez concurrente y convergente. La versión chilena de la BRS puede ser útil para medir la resiliencia en jóvenes chilenos


The study of resilience as recovery from stress has been extended, and it is necessary to account for the development and psychometric properties of the scales that allow it to be used. The aim was to report on the cross-cultural adaptation process and psychometric properties of the Brief Resilience Scale (BRS) in young Chilean population. In 2016, three translators, and 1,237 students between 18 and 24 years old from a university in the Fifth Region of Chile participated. Linguistic and conceptual equivalence was achieved after carried out a double translation, back-translation and cognitive interviews with the target population. Difficulties were observed in item 2. From the Exploratory Factor Analysis, two factors emerged. In the Confirmatory Factorial Analysis, the fit indexes were suitable: χ2 = 9.256(6), p = .160; CFI = .995; TLI = .988; RMSEA = .035 IC 90% .000, .076. Total omega was .81. The stability per item was moderate; and high for the total score. Means were generally lower in women than in men but similar among age groups. It has evidence for concurrent and convergent validity. The BRS Chilean version might be useful for measuring resilience in young Chileans


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Comparação Transcultural , Resiliência Psicológica , Inquéritos e Questionários/normas , Psicometria , Análise Fatorial , Fatores Sexuais , Qualidade de Vida/psicologia , Escala de Avaliação Comportamental , Traduções , Reprodutibilidade dos Testes , Chile , Estudantes/psicologia
3.
An. psicol ; 37(2): 287-297, mayo-sept. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-202552

RESUMO

Actualmente, el engagement educativo se considera uno de los factores más importantes a la hora de predecir un buen aprendizaje por parte de los estudiantes, así como su éxito educativo. Sin embargo, la mayoría de los instrumentos descritos, no incluyen todos los factores clave vinculados al engagement académico: motivaciones, valores, contextos de aprendizaje, estado emocional y estrategias de gestión. El objetivo de este estudio es desarrollar una escala para valorar el nivel de engagement educativo de los estudiantes en Educación Superior (EMMEE) que supere esta limitación. MÉTODO: Se realizan análisis factoriales exploratorio y confirmatorio, así como un estudio de la consistencia interna, validez convergente y discriminante en una muestra de 764 estudiantes de la Universidad de Sevilla (España), perteneciente a todas las áreas de saber y los diferentes cursos de grados. RESULTADOS: Se explora y se confirma con muy buen nivel de ajuste una estructura multifactorial de engagement educativo de cinco factores que explican una varianza cercana al 65.78%, con una excelente consistencia interna (α = .91) y con indicios significativos de validez convergente y discriminante. CONCLUSIONES: Se concluye que la EMMEE es un instrumento válido y fiable para medir el nivel de engagement de las aulas, así como mejorar el entendimiento del constructo a través de sus factores


Today, educational engagement is considered one of the most important factors in predicting good student learning and educational success. However, most of the instruments described do not include all the key factors linked to academic engagement: motivations, values, learning contexts, emotional state and management strategies. The aim of this study is to develop a scale to assess the level of educational engagement in High-er Education students (MMSEE) that overcomes this limitation. METHODS: Exploratory and confirmatory factorial analyses, as well as a study of internal consistency, convergent and discriminant validity, were carried out on a sample of 764 students from the University of Seville (Spain), belonging to all areas of knowledge and different degree courses. RESULTS: A multifactorial structure of educational engagement with five factors that explain a variance close to 65.78%, with an excellent internal consistency (α = .91) and with significant indicators of convergent and discriminant validity is explored and confirmed with a very good level of adjustment. CONCLUSIONS: It is concluded that MMSEE is a valid and reliable instrument to measure the level of engagement of classrooms, as well as to improve the under-standing of the construct through its factors


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Aprendizagem , Motivação , Inquéritos e Questionários/normas , Avaliação Educacional/normas , Análise Fatorial , Emoções , Reprodutibilidade dos Testes , Valores de Referência
4.
An. psicol ; 37(2): 298-310, mayo-sept. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-202553

RESUMO

En el marco del Espacio Europeo de Educación Superior, el profesorado ha de contar con capacidades profesionales para impulsar en el alumnado la competencia aprender a aprender, que hace referencia a la capacidad de autorregulación del propio proceso de aprendizaje. El objetivo del presente trabajo consistió en diseñar y validar un cuestionario para medir los contextos facilitadores de aprendizaje que el profesorado universitario activa para el desarrollo de la competencia aprender a aprender, el CAA. En primer lugar, en base a la revisión teórica y empírica, se definieron 86 ítems. A continuación, se examinaron la validez de contenido (n = 20 expertos), la validez basada en los procesos de respuesta (n = 10 docentes), la validez basada en la estructura interna (n = 415 docentes), la validez concurrente y la validez externa. Los resultados mostraron una adecuada calidad psicométrica, consistencia interna, fiabilidad y bondad de ajuste. La versión final del CAA comprendió 4 dimensiones y 39 ítems. Este instrumento puede ser una herramienta de rápida aplicación, válida y fiable, para conocer el desarrollo de los contextos facilitadores de aprendizaje de la competencia aprender a aprender. Asimismo, puede servir para detectar necesidades de formación profesional en el desarrollo de dicha competencia


Within the European Higher Education Area framework, educators must have acquired professional skills in order to promote the learning to learn competence, which refers to the ability to self-regulate the learning process itself, in their students. The objective of this work was to design and validate a questionnaire, the learning to learn questionnaire (LLQ), to measure the facilitative learning contexts implemented by university educators to develop the learning to learn competence. First, based on a theoretical and empirical review, 86 items belonging to 7 dimensions were de-fined. Next, content validity (n = 20 experts), validity based on response processes (n = 10 teachers), validity based on internal structure (n = 415 teachers), and concurrent validity were examined. Our results showed sufficient psychometric quality, reliability of scores and goodness of fit. The final version of the LLQ consisted of 4 dimensions and 39 items. This instrument can be considered a valid and reliable tool that can be quickly ap-plied in order to identify the development of facilitative learning contexts in the evolution of the learning to learn competence. Likewise, it can also serve to detect training needs in the development of this competence in university educators


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Aprendizagem , Inquéritos e Questionários/normas , Docentes/psicologia , Competência Profissional , Psicometria , Qualidade de Vida , Reprodutibilidade dos Testes , Análise Fatorial , Escolaridade , Fatores de Tempo , Fatores Sexuais
5.
An. psicol ; 37(2): 311-322, mayo-sept. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-202554

RESUMO

Desde la teoría del liderazgo transformacional, este estudio tenía como objetivo analizar las propiedades psicométricas de una versión adaptada al ámbito educativo del Multifactor Leadership Questionnaire (MLQ-5X). Un total de 1551 estudiantes españoles (M = 15,47 años ± 0,72; 679 chicos y 872 chicas) de 31 centros de enseñanza secundaria participaron en el estudio. El análisis factorial confirmatorio de la estructura inicial de nueve factores de la escala determinó la necesidad de eliminar dos ítems del factor dirección por excepción pasiva, agrupando en un solo factor el liderazgo pasivo. En un segundo modelo de ocho factores, se hallaron altas correlaciones entre los factores del liderazgo transformacional, señalando la necesidad de establecer un factor de primer orden. Finalmente, se testó un tercer modelo que obtuvo valores adecuados de validez y fiabilidad, que estaba compuesto por 34 ítems distribuidos en 4 factores principales (liderazgo transformacional, recompensa contingente, dirección por excepción activa y liderazgo pasivo) y 5 factores secundarios para el liderazgo transformacional (influencia idealizada conducta, influencia idealizada atribuida, motivación inspiracional, estimulación intelectual y consideración individualizada. Por tanto, la versión española del MLQ-5X en el ámbito educativo puede ser utilizada para evaluar el liderazgo transformacional de los docentes desde la percepción del alumnado


Drawing on the transformational leadership theory, this study aimed to analyze the psychometric properties of a version adapted to the educational environment of the Multifactor Leadership Questionnaire (MLQ-5X). A total of 1551 Spanish students (M = 15.47 years ± 0.72; 679 boys and 872 girls) from 31 secondary schools participated in the study. The confirmatory factor analysis of the initial nine-factor structure of the scale determined the need to eliminate two items of the passive exception management factor, grouping passive leadership into a single factor. A second eight-factor model found high correlations between the factors of transformational leadership, revealing the need to establish a first-order factor. Finally, a third model, which obtained adequate values of validity and reliability, was composed of 34 items distributed in 4 main factors (transformational leadership, contingent reward, leadership by active exception, and passive leadership) and 5 secondary factors for transformational leadership (idealized influence behavior, attributed idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration). The Spanish version of the MLQ-5X in the educational field can be used to assess the students' perception of teacher leadership


Assuntos
Humanos , Masculino , Feminino , Adolescente , Inquéritos e Questionários/normas , Liderança , Estudantes/psicologia , Ensino Fundamental e Médio , Análise Fatorial , Valores de Referência , Reprodutibilidade dos Testes , Fatores Sexuais , Espanha
6.
An. psicol ; 37(2): 323-333, mayo-sept. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-202555

RESUMO

Este estudio tiene dos objetivos. Primero, estudiar la validez del modelo de clima motivacional de la familia como indicador de implicación parental, cuando se evalúa con el cuestionario de Clima Motivacional de la Familia para padres (CMF/P). Y, segundo, hacerlo en población española y cubana con el fin de determinar las diferencias en la percepción del CMF de los padres de ambos países. Participaron 892 padres, 400 españoles y 492 cubanos. Se realizaron análisis factoriales confirmatorios, de validez cruzada y multigrupo, y análisis de fiabilidad. Los resultados muestran, tanto en España como en Cuba, la validez del Modelo teórico que subyace al cuestionario. Las ayudas que ofrecen los padres sirviendo como ejemplo a sus hijos y la estructuración del trabajo escolar en casa por parte de los padres son los factores de mayor peso en la definición del CMF. Sin embargo, la cultura moderó la configuración del CMF en varios indicadores del Modelo, mostrando diferentes maneras de actuar entre padres españoles y cubanos en la configuración de un clima familiar motivador


This study has two objectives. First, to study the validity of the family motivational climate model as an indicator of parental involvement, when it is evaluated with the Family Motivational Climate questionnaire for Parents (CMF / P). Second, to do it in the Spanish and Cuban population in order to determine the differences in the CMF perception of the parents of both countries. A total of 892 parents participated in the study, 400 from Spain and 492 from Cuba. Confirmatory factor analyses, cross-validation and multi-group analyses performed, as well as reliability analysis. The results show, both in Spain and in Cuba, the validity of the theoretical model that underlies the questionnaire. The help offered by parents serving as an example to their children, and the way in which parents structure the schoolwork at home are the most important factors in the definition of the CMF. However, culture moderated the configuration of the CMF in several indicators of the Model, showing different ways of acting between Spanish and Cuban parents in the configuration of a family motivating climate


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Comparação Transcultural , Relações Pais-Filho , Motivação , Inquéritos e Questionários/normas , Análise Fatorial , Percepção , Reprodutibilidade dos Testes , Valores de Referência , Cuba , Espanha
7.
Health Qual Life Outcomes ; 19(1): 191, 2021 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-34344366

RESUMO

BACKGROUND: The Musculoskeletal Health Questionnaire (MSK-HQ) is a recently developed generic questionnaire that consists of 14 items assessing health status in people with musculoskeletal disorders. The objective was to translate and cross-culturally adapt the MSK-HQ into Norwegian and to examine its construct validity and reliability in people on sick leave with musculoskeletal disorders. METHODS: A prospective cohort study was carried out in Norway on people between 18 and 67 years of age and sick leave due to a musculoskeletal disorder. The participants were recruited through the Norwegian Labour and Welfare Administration during November 2018-January 2019 and responded to the MSK-HQ at inclusion and after four weeks. Internal consistency was assessed by Cronbach's alpha, and structural validity with a factor analysis. Construct validity was assessed by eight "a priori" defined hypotheses regarding correlations between the MSK-HQ and other reference scales. Correlations were analyzed by Spearman's- or Pearson's correlation coefficient and interpreted as high with values ≥ 0.50, moderate between 0.30-0.49, and low < 0.29. Reliability was tested with test-retest, standard error of measurement (SEM) and smallest detectable change (SDC). RESULTS: A total of 549 patients, mean age (SD) 48.6 (10.7), 309 women (56.3%), were included. The mean (SD) MSK-HQ sum scores (min-max 3-56) were 27.7 (8.2). Internal consistency was 0.86 and a three-factor structure was determined by factor analysis. Construct validity was supported by the confirmation of all hypotheses; high correlation with HRQOL, psychosocial risk profile, and self-perceived health; moderate correlation with physical activity, self-perceived work ability, and work presenteeism; and low correlation with the number of sick days. The test-retest reliability was good with an intraclass correlation coefficient of 0.83 (95% CI, 0.74-0.89), SEM was 2.3 and SDC 6.5. CONCLUSIONS: The Norwegian version of the MSK-HQ demonstrated high internal consistency, a three-factor structure, good construct validity and good test-retest reliability when used among people on sick leave due to musculoskeletal disorders.


Assuntos
Doenças Musculoesqueléticas , Qualidade de Vida , Licença Médica , Inquéritos e Questionários/normas , Feminino , Humanos , Noruega , Estudos Prospectivos , Psicometria , Reprodutibilidade dos Testes
8.
Health Qual Life Outcomes ; 19(1): 193, 2021 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-34344386

RESUMO

BACKGROUND: This study was conducted in a general population of schoolchildren in Sweden, with the aim to assess the psychometric properties of a generic preference-based health related quality of life (HRQoL) instrument, the Swedish Child Health Utility 9D (CHU9D), among schoolchildren aged 7-15 years, and in subgroups aged 7-9, 10-12 and 13-15 years. METHODS: In total, 486 school aged children, aged 7-15 years, completed a questionnaire including the CHU9D, the Pediatric quality of life inventory 4.0 (PedsQL), KIDSCREEN-10, questions on general health, long-term illness, and sociodemographic characteristics. Psychometric testing was undertaken of feasibility, internal consistency reliability, test-retest reliability, construct validity, factorial validity, concurrent validity, convergent validity and divergent validity. RESULTS: The CHU9D evidenced very few missing values, minimal ceiling, and no floor effects. The instrument achieved satisfactory internal consistency (Cronbach's Alfa > 0.7) and strong test-retest reliability (r > 0.6). Confirmatory factor analyses supported the proposed one-factor structure of the CHU9D. For child algorithm, RMSEA = 0.05, CFI = 0.95, TLI = 0.94, and SRMR = 0.04. For adult algorithm RMSEA = 0.04, CFI = 0.96, TLI = 0.95, and SRMR = 0.04. The CHU9D utility value correlated moderately or strongly with KIDSCREEN-10 and PedsQL total scores (r > 0.5-0.7). The CHU9D discriminated as anticipated on health and on three of five sociodemographic characteristics (sex, age, and custody arrangement, but not socioeconomic status and ethnic origin). CONCLUSIONS: This study provides evidence that the Swedish CHU9D is a feasible, reliable and valid measure of preference-based HRQoL in children. The study furthermore suggests that the CHU9D is appropriate for use among children 7-15 years of age in the general population, as well as among subgroups aged 7- 9, 10-12 and 13-15 years.


Assuntos
Saúde da Criança , Qualidade de Vida , Inquéritos e Questionários/normas , Adolescente , Criança , Estudos de Viabilidade , Feminino , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes , Instituições Acadêmicas , Suécia
9.
Health Qual Life Outcomes ; 19(1): 196, 2021 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-34391429

RESUMO

BACKGROUND: Myocardial infarction and unstable angina are prevalent in Korea. The MacNew Heart Disease health-related quality of life questionnaire is a widely used patient-reported outcome measure for patients with heart disease in several countries. In this study, we tested the validity and reliability of the Korean version of the MacNew (K-MacNew). METHODS: Participants were 200 patients who had experienced unstable angina or myocardial infarction, and were recruited from a tertiary hospital in Korea. The K-MacNew was developed using forward-backward translation techniques. Construct validity (including discriminative validity), concurrent validity, and internal consistency reliability of the K-MacNew were assessed. Discriminative validity was assessed by examining the between-group differences in the K-MacNew scores according to functional capacity, anxiety, and depression levels. Concurrent validity was examined by correlating the K-MacNew dimensions with the physical and mental health domains of the 36-item Short Form Health Survey Instrument (SF-36). RESULTS: Factor analysis results of the K-MacNew demonstrated a three-factor structure (emotional, physical, and social) that explained 57.92% of the variance. Significant differences in the K-MacNew scores were observed according to patients' functional capacity, anxiety, and depression levels. The SF-36 physical health domain score showed a moderate positive correlation with the physical dimension score of the K-MacNew (r = 0.517, P < 0.001), and the SF-36 mental health domain score showed a strong positive correlation with the emotional dimension of K-MacNew (r = 0.745, P < 0.001). The K-MacNew showed good internal consistency, with a Cronbach's α of 0.947 for the global scale. CONCLUSION: The K-MacNew demonstrated good reliability and validity for use as a patient-reported outcome measure and is ready for the assessment of the health-related quality of life of patients with coronary artery disease in Korea. To establish the clinical validity of the K-MacNew, additional studies should be conducted to verify the validity and reliability of the K-MacNew in a number of participants, including those with various types of coronary artery disease.


Assuntos
Cardiopatias/psicologia , Qualidade de Vida , Inquéritos e Questionários/normas , Feminino , Cardiopatias/diagnóstico , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes , República da Coreia
10.
Nutrients ; 13(7)2021 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-34371856

RESUMO

The identification of sodium and potassium intake in youths is an important step to preventing the increase of blood pressure in childhood. We examined food intake and estimated mineral intake using a brief-type self-administered diet history questionnaire (BDHQ) to test its validity as a comparison with urinary excretion in Japanese youths. The subjects were 5th and 8th graders (n = 2377), who completed the BDHQ and permitted the use of their overnight urine specimens. Sodium intake was poorly associated with sodium excretion (Rho = 0.048), and the coefficients of dietary potassium and a sodium-to-potassium molar ratio were 0.091-0.130. Higher soybean paste (miso) intake and pickles were significantly associated with higher sodium excretion (p ≤ 0.005). However, these foods were positively associated with potassium excretion (p = 0.002-0.012), and not associated with an excreted sodium-to-potassium ratio. Fruits and dairy products were positively associated (p ≤ 0.048), whereas beverages were negatively associated with potassium excretion (p ≤ 0.004). The association of the sodium-to-potassium ratio was opposite to that of potassium (p ≤ 0.001). The choice of foods, potassium, and the sodium-to-potassium ratio assessed using the BDHQ are available as part of health education for youths, but the assessment of sodium intake in population levels should be carefully conducted.


Assuntos
Inquéritos sobre Dietas/normas , Dieta/estatística & dados numéricos , Potássio na Dieta/análise , Sódio na Dieta/análise , Inquéritos e Questionários/normas , Adolescente , Pressão Sanguínea , Criança , Ingestão de Alimentos/fisiologia , Feminino , Humanos , Japão , Masculino , Estado Nutricional , Potássio/urina , Reprodutibilidade dos Testes , Sódio/urina
11.
Nutrients ; 13(7)2021 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-34371885

RESUMO

Type 1 diabetes mellitus (T1DM) patients occasionally develop disordered eating behaviors, leading to insulin manipulation without medical consultation, targeting to achieve weight control. In clinical practice, the Diabetes Eating Problem Survey-Revised Version (DEPS-R) questionnaire has been used to evaluate eating disorders in T1DM patients. This study was conducted to validate the factor structure of the Greek version of DEPS-R using Confirmatory Factor Analysis (CFA), to investigate its reliability and convergent validity in Greek T1DM adults and to compare a single factor DEPS-R model with multiple factor models. Participants were 103 T1DM adults receiving insulin, who responded to DEPS-R. Their anthropometric, biochemical and clinical history data were evaluated. The sample presented good glycemic control and 30.1% scored above the established DEPS-R cut-off score for disturbed eating behavior. CFA results revealed that the data fit well to the factor models. The DEPS-R scale had good reliability and was positively linked to BMI, HbA1c, total daily dose and time in range. Model comparison supported the superiority of the 1-factor model, implying that Greek clinicians and practitioners might not have to consider individualized treatment based on various scores across different subscales but they can adopt a single DEPS-R score for an easy and efficient screening for disordered eating.


Assuntos
Diabetes Mellitus Tipo 1/psicologia , Comportamento Alimentar/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Programas de Rastreamento/normas , Inquéritos e Questionários/normas , Adulto , Antropometria , Análise Fatorial , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Feminino , Grécia , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Traduções
12.
Health Qual Life Outcomes ; 19(1): 189, 2021 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-34332613

RESUMO

INTRODUCTION: The Diabetes Health Profile (DHP-18), structured in three dimensions (psychological distress (PD), barriers to activity (BA) and disinhibited eating (DE)), assesses the psychological and behavioural burden of living with type 2 diabetes. The objectives were to adapt the DHP-18 linguistically and culturally for use with patients with type 2 DM in Ecuador, and to evaluate its psychometric properties. METHODS: Participants were recruited using purposive sampling through patient clubs at primary health centres in Quito, Ecuador. The DHP-18 validation consisted in the linguistic validation made by two Ecuadorian doctors and eight patient interviews. And in the psychometric validation, where participants provided clinical and sociodemographic data and responded to the SF-12v2 health survey and the linguistically and culturally adapted version of the DHP-18. The original measurement model was evaluated with confirmatory factor analysis (CFA). Reliability was assessed through internal consistency using Cronbach's alpha and test-retest reproducibility by administering DHP-18 in a random subgroup of the participants two weeks after (n = 75) using intraclass correlation coefficient (ICC). Convergent validity was assessed by establishing previous hypotheses of the expected correlations with the SF12v2 using Spearman's coefficient. RESULTS: Firstly, the DHP-18 was linguistically and culturally adapted. Secondly, in the psychometric validation, we included 146 participants, 58.2% female, the mean age was 56.8 and 31% had diabetes complications. The CFA indicated a good fit to the original three factor model (χ2 (132) = 162.738, p < 0.001; CFI = 0.990; TLI = 0.989; SRMR = 0.086 and RMSEA = 0.040. The BA dimension showed the lowest standardized factorial loads (λ) (ranging from 0.21 to 0.77), while λ ranged from 0.57 to 0.89 and from 0.46 to 0.73, for the PD and DE dimensions respectively. Cronbach's alphas were 0.81, 0.63 and 0.74 and ICCs 0.70, 0.57 and 0.62 for PD, BA and DE, respectively. Regarding convergent validity, we observed weaker correlations than expected between DHP-18 dimensions and SF-12v2 dimensions (r > -0.40 in two of three hypotheses). CONCLUSIONS: The original three factor model showed good fit to the data. Although reliability parameters were adequate for PD and DE dimensions, the BA presented lower internal consistency and future analysis should verify the applicability and cultural equivalence of some of the items of this dimension to Ecuador.


Assuntos
Diabetes Mellitus Tipo 2/diagnóstico , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Estudos Transversais , Diabetes Mellitus Tipo 2/psicologia , Diabetes Mellitus Tipo 2/terapia , Equador , Feminino , Humanos , Hipoglicemiantes/uso terapêutico , Masculino , Psicometria , Reprodutibilidade dos Testes
13.
Health Qual Life Outcomes ; 19(1): 200, 2021 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-34419061

RESUMO

BACKGROUND: Valid measures of the well-being of older people are important for the evaluation of health and social care services. The nine-item Well-being of Older People measure (WOOP) was based on a novel framework derived from a recent Q-methodology study, and was developed to capture a comprehensive set of well-being domains relevant to older people, as identified by themselves. This study introduces the WOOP and describes the qualitative assessment of its feasibility and content validity. METHODS: Between December 2017 and January 2018, a sampling agency retrieved data from 269 adults aged 65 years and older in the Netherlands. Using an online survey, participants were asked to complete the WOOP and to indicate the importance of each item to their well-being. Open-ended questions were used to collect information about participants' own definition of well-being, their interpretation of the items of the WOOP, and their assessment of the descriptions and response options provided with each item. Data were analysed using inductive content analysis with the software package ATLAS.ti. RESULTS: The WOOP closely resembled respondents' own description of what well-being means to them. The majority of the respondents reported no important well-being aspects to be missing from the WOOP, and indicated all WOOP items to be at least 'reasonably important' to their well-being. Many linked the WOOP items to well-being aspects as intended, and only a few had suggestions for improving the items' descriptions and response options. CONCLUSIONS: Given these results, all nine items were retained, and no items were added to the measure. Based on respondents' feedback, minor changes were made to the wording of some descriptions and response options of items. Concluding, the feasibility and content validity of the WOOP seem satisfactory. Further validation of this new measure is required, in different health and social care settings and among subgroups of older people with potentially different views on what constitutes well-being.


Assuntos
Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Idoso , Feminino , Humanos , Masculino , Países Baixos , Psicometria , Reprodutibilidade dos Testes , Apoio Social , Serviço Social
14.
Health Qual Life Outcomes ; 19(1): 177, 2021 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-34246255

RESUMO

BACKGROUND: Caregivers are major contributor to the self-care of patients with heart failure. The Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI) measures these contributions across three scales: self-care maintenance (symptom monitoring and treatment adherence); self-care management (dealing with symptoms); and confidence in contributing to the self-care (self-efficacy in managing self-care) of patients with heart failure. Informal caregivers play a vital role in supporting family members with heart failure in Thailand, yet no validated tool exists to measure their contribution. We examined the psychometric properties of the CC-SCHFI in a Thai population. METHODS: The CC-SCHFI was translated into Thai using a standard forward and backward translation procedure. A cross-sectional design was used to examine the psychometric properties of the Thai version of the CC-SCHFI in 100 family caregivers of heart failure patients in Southern Thailand. Confirmatory factor analysis was used to assess construct validity, and factor score determinacy coefficients were computed to evaluate internal consistency reliability. RESULTS: The Thai version of the CC-SCHFI demonstrated acceptable internal consistency (composite reliability of each scale ranged from 0.76 to 0.99). Reliability estimates were adequate for each scale (McDonald's omega ranged from 0.75 to 0.96). Confirmatory factor analysis supported the original factor structure of the instrument, with good fit indices for all three scales (comparative fit index = 0.98-1.00; root-mean-square error of approximation = 0.00-0.07). CONCLUSIONS: The Thai version of the CC-SCHFI appears to be a valid and reliable instrument for measuring caregiver contributions to self-care maintenance and self-care management as well as contributing to caregiver confidence in the self-care of Thai heart failure patients.


Assuntos
Cuidadores , Insuficiência Cardíaca/enfermagem , Autocuidado/métodos , Inquéritos e Questionários/normas , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Qualidade de Vida , Reprodutibilidade dos Testes , Tailândia , Traduções
15.
Health Qual Life Outcomes ; 19(1): 179, 2021 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-34247645

RESUMO

BACKGROUND: Fatigability has recently emerged in oncology as a concept that anchors patients' perceptions of fatigue to defined activities of specified duration and intensity. This study aimed to examine the psychometric properties of the Korean version of the Pittsburgh Fatigability Scale (K-PFS) for women with breast cancer. METHODS: This cross-sectional study involved 196 women with breast cancer recruited from a tertiary hospital in Seoul, Korea. Reliability was evaluated using Cronbach's alpha, and confirmatory factor analysis was conducted to examine the factor structure of the K-PFS. Four goodness-of-fit values were evaluated: (1) the comparative fit index (CFI), (2) the Tucker-Lewis index (TLI), (3) the root mean square error of approximation (RMSEA), and (4) the standardized root mean square residual (SRMR). RESULTS: Of the 196 survivors, 71.1% had greater physical fatigability (K-PFS Physical score ≥ 15) and 52.6% had greater mental fatigability (K-PFS Mental score ≥ 13). The Cronbach's alpha coefficient for the total K-PFS scale was 0.926, and the coefficients for the physical and mental fatigability domains were 0.870 and 0.864, respectively. In the confirmatory factor analysis for physical fatigability, the SRMR value (0.076) supported goodness of fit, but other model fit statistics did not (CFI = 0.888, TLI = 0.826, and RMSEA = 0.224). For mental fatigability, although three goodness-of-fit values were acceptable (CFI = 0.948, TLI = 0.919, and SRMR = 0.057), the RMSEA value (0.149) did not indicate good model fit. However, each item coefficient was statistically significant (> 0.5), and the K-PFS was therefore found to be valid from a theoretical perspective. CONCLUSION: This study provides meaningful information on the reliability and validity of the K-PFS instrument, which was developed to meet an important need in the context of breast cancer survivors. Additional research should examine its test-retest reliability and construct validity with performance measures.


Assuntos
Neoplasias da Mama/psicologia , Sobreviventes de Câncer/psicologia , Fadiga/psicologia , Qualidade de Vida , Inquéritos e Questionários/normas , Adulto , Neoplasias da Mama/complicações , Estudos Transversais , Análise Fatorial , Fadiga/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Reprodutibilidade dos Testes , República da Coreia
16.
Worldviews Evid Based Nurs ; 18(4): 243-250, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34288388

RESUMO

BACKGROUND: Evidence-based practice (EBP) is a problem-solving approach to clinical decision making that leads to a higher quality and safety of health care. Three valid and reliable scales that measure EBP attributes, including the EBP Beliefs Scale, the EBP Implementation Scale, and the Organizational Culture and Readiness Scale for System-Wide Integration of EBP, are widely used but require approximately 5 min each to complete. Shorter valid and reliable versions of these scales could offer the benefit of less time for completion, thereby decreasing participant burden. AIM: The aim of this study was to determine the psychometric properties of the three shortened EBP scales, adapted from the longer versions. METHODS: This study used a descriptive survey design with 498 nurses who completed the three original EBP scales along with a shortened version of each scale. Exploratory factor analysis was conducted with principal components extracted to examine the factor structure of each EBP measure for the three shortened EBP scales. Item intercorrelations and the Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) were used to confirm the validity of using factor analysis. Reliability of each scale using Cronbach's α was examined. Convergent validity of the three shortened EBP scales was assessed by correlating each shortened scale with its longer scale. RESULTS: Factor analysis supported the construct validity of each of the three shortened scales, as all item intercorrelations were greater than 0.40, and KMO values were 0.62 to 0.74. The shortened scales Cronbach alphas were 0.81 for the EBP Beliefs Scale, 0.89 for the EBP Implementation Scale, and 0.87 for the EBP Culture and Readiness Scale. The three shortened EBP scales had acceptable convergent validity (r = 0.42-.072) for the correlations between the shortened and longer scales. LINKING EVIDENCE TO ACTION: The three shortened EBP scales, which are valid and reliable, can be used as an alternative to the longer three scales to decrease participant burden when conducting program evaluations, research, or organizational assessments.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Baseada em Evidências/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Psicometria/normas , Inquéritos e Questionários/normas , Adulto , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ohio , Reprodutibilidade dos Testes
17.
Health Qual Life Outcomes ; 19(1): 188, 2021 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-34330291

RESUMO

INTRODUCTION: As a result of high transmission and mortality rates, the Covid-19 pandemic has led to a worldwide health crisis, isolation, and widespread fear, therefore negatively influencing people's quality of life (QOL). The goal of the present study was to examine the psychometric properties (validity and reliability) of the Persian version of the COVID-19-Impact on Quality of Life (COV19-QoL) scale. METHODS: After translating the scale using the forward-backward method, face and content validly was qualitatively assessed. Then the scale was distributed to 488 individuals from the general population via online platforms. Construct validity was assessed using exploratory (EFA) and confirmatory (CFA) factor analysis. In addition, internal consistency was examined using Cronbach's alpha coefficient and McDonald's omega, relative stability was assessed using interclass correlation coefficient (ICC), and absolute stability was calculated through examination of standard error of measurement. RESULTS: The EFA revealed one factor that explained 55.96% of the total variance of the scale. Internal consistencies of 0.823 and 0.882 were found using Cronbach's alpha coefficient and McDonald's omega, respectively. In addition, an ICC of 0.837 (with a two-week interval) was found. Covid-19 had a greater impact on the QOL of healthy participants than that of those with underling conditions (p = 0.004), and also on the QOL of single participants than that of married ones (p = 0.032). CONCLUSION: The Persian version of the COV19-QoL is a valid and reliable instrument that can be used to examine the impact of Covid-19 on QOL.


Assuntos
COVID-19/psicologia , Psicometria/estatística & dados numéricos , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Adulto , COVID-19/epidemiologia , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Pandemias , Reprodutibilidade dos Testes , SARS-CoV-2
18.
Clin Nutr ESPEN ; 44: 463-465, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34330506

RESUMO

BACKGROUND: Completing malnutrition assessments when physically distant has been an immediate challenge during the COVID-19 pandemic. Even during periods of physical distancing, continuing nutrition assessments amongst those without COVID-19 is vital given that high malnutrition prevalence exists in clinical settings. The investigation aim was to assess the reliability of utilising the validated Subjective Global Assessment (SGA) tool, without compared to with physical examination. METHODOLOGY: Original paper-based SGA documentation from a hospital-wide audit was reassessed by a blinded experienced clinician using history alone without reviewing documented physical examination. Participants included adults admitted to a tertiary hospital with no maternity or obstetric services. Those terminally ill, undergoing end-of-life palliative care, with disordered eating or admitted to emergency or intensive care units were excluded. McNemar's test assessed paired categorical data. Cohen's kappa coefficient assessed inter- and intra-rater reliability. Sensitivity, specificity, positive and negative predictive values were completed. RESULTS: There was no significant difference in malnutrition identification (p < 0.454) with 97% (473/489) of assessments identical. High sensitivity (87.2%, 68/78), specificity (98.9%, 405/411), positive (91.9%, 68/74) and negative (97.6%, 405/415) predictive values were evident. High inter- and intra-rater reliability was confirmed (kappa values 0.875 and 0.987). CONCLUSION: The Abridged-SGA utilising the four key factors of the SGA history identified many malnourished amongst those without COVID-19 who otherwise would not be identified when physical distancing is required due to the pandemic. It did not overestimate malnutrition. Until alternative means of assessing physical parameters remotely are validated, the pragmatic value of practitioners' judgement when utilising the Abridged-SGA was confirmed.


Assuntos
COVID-19/prevenção & controle , Desnutrição/diagnóstico , Avaliação Nutricional , Estado Nutricional , Distanciamento Físico , Inquéritos e Questionários/normas , Dieta/métodos , Gastroenteropatias/complicações , Humanos , Desnutrição/complicações , Pandemias , Exame Físico , Projetos Piloto , Reprodutibilidade dos Testes , SARS-CoV-2 , Sensibilidade e Especificidade , Inquéritos e Questionários/estatística & dados numéricos , Centros de Atenção Terciária , Perda de Peso
19.
Bull World Health Organ ; 99(7): 496-505, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34248222

RESUMO

Objective: To validate a Russian-language version of the World Health Organization's Alcohol Use Disorders Identification Test (AUDIT). Methods: We invited 2173 patients from 21 rural and urban primary health-care centres in nine Russian regions to participate in the study (143 declined and eight were excluded). In a standardized interview, patients who had consumed alcohol in the past 12 months provided information on their sociodemographic characteristics and completed the Russian AUDIT, the Kessler Psychological Distress Scale and the Composite International Diagnostic Interview to identify problem drinking and alcohol use disorders. We assessed the feasibility of administering the test, its internal consistency and its ability to predict hazardous drinking and alcohol use disorders in primary health care in the Russian Federation. Findings: Of the 2022 patients included in the study, 1497 were current drinkers with Russian AUDIT scores. The test was internally consistent with good psychometric properties (Cronbach's α : 0.842) and accurately predicted alcohol use disorders and other outcomes (area under the curve > 75%). A three-item short form of the test correlated well with the full instrument and had similar predictive power (area under the curve > 80%). We determined sex-specific thresholds for all outcomes, as non-specific thresholds resulted in few women being identified. Conclusion: With the validated Russian AUDIT, there is no longer a barrier to introducing screening and brief interventions into primary health care in the Russian Federation to supplement successful alcohol control policies.


Assuntos
Alcoolismo/diagnóstico , Programas de Rastreamento/métodos , Inquéritos e Questionários/normas , Consumo de Bebidas Alcoólicas/efeitos adversos , Alcoolismo/epidemiologia , Feminino , Humanos , Masculino , Atenção Primária à Saúde , Psicometria , Reprodutibilidade dos Testes , População Rural , Federação Russa/epidemiologia , População Urbana
20.
Nutrients ; 13(7)2021 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-34202898

RESUMO

Up to 28% of elderly residents in Europe are at risk of malnutrition. As uniform diagnostic criteria for malnutrition have not been formulated, in autumn 2018, the Global Leadership Initiative on Malnutrition (GLIM) presented a consensus on its diagnosis. According to the consensus, the diagnosis of malnutrition requires a positive screening test result for the risk of malnutrition, and the presence of at least one etiologic and one phenotypic criterion. This study aimed to assess the diagnostic performance and accuracy of the Mini Nutritional Assessment-Short Form (MNA-SF) against GLIM criteria. The analysis involved 273 community-dwelling volunteers aged ≥ 60 years. All participants were screened for malnutrition with the MNA-SF questionnaire. Next, the GLIM phenotypic and etiologic criteria were assessed in all subjects. Based on the presence of at least one phenotypic and one etiologic criterion, malnutrition was diagnosed in more than one-third of participants (n = 103, 37.7%). According to the MNA-SF, only 7.3% of subjects had malnutrition, and 28.2% were at risk of malnutrition. The agreement between the MNA-SF score and the GLIM criteria were observed in only 22.3% of the population. The sensitivity and specificity of MNA-SF against the GLIM criteria were fair (59.2% and 78.8%, respectively). The area under the curve (AUC) was 0.77, indicating the fair ability of MNA-SF to diagnose malnutrition. Based on the present study results, the best solution may be an optional replacement of the screening tool in the first step of the GLIM algorithm with clinical suspicion of malnutrition.


Assuntos
Avaliação Geriátrica , Desnutrição/diagnóstico , Programas de Rastreamento/normas , Avaliação Nutricional , Inquéritos e Questionários/normas , Idoso , Área Sob a Curva , Consenso , Estudos Transversais , Feminino , Humanos , Vida Independente/estatística & dados numéricos , Masculino , Desnutrição/epidemiologia , Programas de Rastreamento/métodos , Pessoa de Meia-Idade , Polônia/epidemiologia , Prevalência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
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