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1.
Medicine (Baltimore) ; 100(27): e26490, 2021 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-34232181

RESUMO

ABSTRACT: This study sought to validate the applicability of the mandarin Tinnitus Evaluation Questionnaire (TEQ), a brief score method administered by clinicians to quantify the tinnitus severity.A descriptive observational questionnaire study in regard to psychometric properties and practicability was conducted with a total of 414 primary tinnitus outpatients, in which 173 of 414 patients completed the follow-up after receiving an intervention based on the tinnitus educational counseling and the life-style adjustment guidance. For quantifying the tinnitus severity, the TEQ and other 2 self-report questionnaires, Tinnitus Handicap Inventory and visual analog scale, were administered on patients' first-visit and follow-up. With the psychometric analysis, we evaluated the performance of TEQ in tinnitus management, including distinguishing patients with varying severity and detecting the treatment-related outcome.At the first visit, the TEQ showed an excellent inter-rater reliability (Pearson correlation, 0.97, P < .01), a good internal consistency reliability (Cronbach's α, 0.79), and an acceptable convergent validity (Pearson correlation, 0.78 with the Tinnitus Handicap Inventory; 0.62 with a single-question visual analog scale, P < .01). In detecting the treatment-related change, a large effect size of TEQ verified a sensitive responsiveness. After estimating the test-error, a 2-point reduction (2/21) of the TEQ was recommend to be considered a reference outcome indicator for the effective intervention.Even though the TEQ is scored by clinician, it can reflect the clinical features of tinnitus patient. Flexible and simple assessing process makes it a practical tool for patient intake, intervention selection, and outcome measurement.


Assuntos
Gerenciamento Clínico , Psicometria/métodos , Qualidade de Vida , Autorrelato , Inquéritos e Questionários , Zumbido/diagnóstico , Adolescente , Adulto , Idoso , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estudos Retrospectivos , Zumbido/reabilitação , Adulto Jovem
2.
Health Qual Life Outcomes ; 19(1): 174, 2021 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-34217326

RESUMO

BACKGROUND: The main aim of post-mastectomy breast reconstruction is to improve the patient's quality of life, which makes high-quality and validated patient-reported outcome measurements essential. None of the established instruments include evaluation of donor-site morbidity, such as impact on upper extremity and back function, when a latissimus dorsi (LD) muscle is used; and BREAST-Q LD questionnaire was therefore recently developed for this purpose. The aim of this study was to translate into Swedish and culturally adapt the BREAST-Q LD questionnaire's two subscales, appearance and function, and perform a psychometric evaluation of the subscales in a Swedish population of patients. METHODS: This was a cross-sectional study. The questionnaire was translated according to established guidelines. The questionnaires were sent to all patients operated using an LD flap between 2007 and 2017. Internal consistency was assessed using Cronbach's α. Inter-item correlations and corrected item-total correlations were calculated using the Pearson's correlation coefficient. Convergent validity was evaluated by comparing the BREAST-Q LD questionnaire to the Western Ontario Osteoarthritis of the Shoulder Index, using the Spearman correlation coefficient. Test-retest reliability was tested with intraclass correlation coefficients (ICCs), and the coefficient of variation and Bland-Altman plots were drawn. Floor and ceiling effects were calculated. Known-group validation was tested by comparing scores from the patients and from normal controls using the Mann-Whitney U-test and by calculating eta squared effect size. RESULTS: The questionnaires were sent to 176 eligible patients and 125 responded (71%). The patients had been operated a mean of 6.6 years ago, and most (92%) had previous radiation. Internal consistency was satisfactory for both subscales. The correlation coefficients between questions were r > 0.30 for all items of both scales. The corrected item-total correlation coefficient ranged from 0.62 to 0.90. As hypothesised, the function scale was correlated with the WOOS "Physical symptoms" subscale. Reliability was adequate according to the ICCs. The ceiling effect threshold for the appearance scale was reached and that for the back scale was almost reached. There were significant differences between patients and controls, in the hypothesised direction. CONCLUSIONS: The results of this study support a good internal consistency, convergent validity, test-retest reliability and known-group validation for the Swedish BREAST-Q LD questionnaire. However, it may be difficult to discriminate between patients with very mild and those with no symptoms using the appearance scale. TRIAL REGISTRATION: ClinicalTrials.Gov identifier NCT04526561.


Assuntos
Neoplasias da Mama/cirurgia , Mamoplastia , Mastectomia , Satisfação do Paciente , Psicometria , Músculos Superficiais do Dorso/transplante , Retalhos Cirúrgicos , Inquéritos e Questionários , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Mastectomia/métodos , Pessoa de Meia-Idade , Medidas de Resultados Relatados pelo Paciente , Psicometria/métodos , Qualidade de Vida , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Suécia , Traduções
3.
Medicine (Baltimore) ; 100(23): e26177, 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34114999

RESUMO

BACKGROUND: Rational emotive education (REE) program aims to improve the behavioral and mental health of students. This study objective was to evaluate the effect of an REE program on stress among undergraduate students of religious education program in Nigerian Universities. METHOD: One hundred and fifty (150) religious education undergraduates who had high level of stress participated in the study. Participants were assigned to 2 different groups. The treatment group had 75 participants and while control group also had 75 participants. Data collection was done using the Perceived Stress Scale (PSS-10) while data analysis was done using independent sample t test and paired t test statistics at .05 probability level. RESULTS: The REE program resulted in a significant decrease in level of stress among undergraduate students of religious education program in the treatment group compared with those students in the control group. Also, the effect of the REE program was maintained during the follow-up among undergraduate students of religious education program exposed to it. CONCLUSION: The REE program can be used to assist undergraduate students of religious education program to manage their stress.


Assuntos
Educação/métodos , Religião , Estresse Psicológico/terapia , Estudantes/psicologia , Ensino/normas , Educação/normas , Educação/estatística & dados numéricos , Humanos , Nigéria , Psicometria/instrumentação , Psicometria/métodos , Estresse Psicológico/psicologia , Estudantes/estatística & dados numéricos , Ensino/psicologia , Ensino/estatística & dados numéricos
4.
Medicine (Baltimore) ; 100(23): e26187, 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34115002

RESUMO

ABSTRACT: Cosmetic appearance is a major concern for living donors. However, little is known about the impact of a surgical scar on body image changes in living liver donors. The aim of this study was to identify potential factors that cause displeasing upper midline incision scar, and to evaluate the overall satisfaction regarding body image and scarring after living donor hepatectomy.Donors who underwent right lobe hepatectomy were recruited. Exclusion criteria included reoperation, refusal to participate, and lost follow-up. All donors were invited to complete the Vancouver Scar Scale (VSS) and the body image questionnaire. According to the VSS results of upper midline incision scar, donors were divided into 2 groups: good scarring group (VSS ≤4) and bad scarring group (VSS >4). we compared the clinical outcomes, including the demographics, preoperation, intraoperation, and postoperation variables. The study also analyzed the results of the body image questionnaire.The proportion of male donors was 48.9%. The bad scarring group consisted of 63% of the donors. On multivariate analysis, being a male donor was found to be an independent predictor of a cosmetically displeasing upper midline incision scar with statistical significance. The results of body image questionnaires, there were significant differences in cosmetic score and confidence score among the 2 groups.The upper midline incision and male donors have higher rates of scarring in comparison with the transverse incision and female donors. Donors who reported having a higher satisfaction with their scar appearance usually had more self-confidence. However, the body image won't be affected. Medical staff should encourage donors to take active participation in wound care and continuously observe the impact of surgical scars on psychological changes in living liver donors.


Assuntos
Cicatriz/etiologia , Transplante de Fígado/efeitos adversos , Satisfação do Paciente , Ferida Cirúrgica/complicações , Doadores de Tecidos/psicologia , Adulto , Imagem Corporal/psicologia , Distribuição de Qui-Quadrado , Cicatriz/psicologia , Estudos Transversais , Feminino , Humanos , Transplante de Fígado/psicologia , Transplante de Fígado/normas , Doadores Vivos/psicologia , Doadores Vivos/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/psicologia , Psicometria/instrumentação , Psicometria/métodos , Ferida Cirúrgica/psicologia , Inquéritos e Questionários , Doadores de Tecidos/estatística & dados numéricos
5.
Medicine (Baltimore) ; 100(23): e26249, 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34115015

RESUMO

ABSTRACT: The experience and causes of pain in patients with nontuberculous mycobacterial pulmonary disease (NTM-PD) have not been clarified.This study aimed to determine the prevalence and severity of bodily pain (BP) in patients with NTM-PD. We also investigated the clinical indicators that contribute to pain.We used a retrospective cross-sectional study design. The participants were 114 NTM-PD patients (109 women) with a mean age of 65 years. The prevalence and severity of pain were measured using 2 items from the 36-Item Short Form Survey version 2 (SF-36), and the BP score was calculated. Functional limitation due to dyspnea was quantified using the Modified Medical Research Council Dyspnea Scale (mMRC), depression was assessed using the Center for Epidemiological Studies Depression Scale (CES-D), sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI); health-related quality of life was assessed using the Leicester Cough Questionnaire (LCQ), and exercise tolerance was measured using the Incremental Shuttle Walk Test (ISWT).Pain was reported by 70.2% of the patients (n = 80), and of these, 35.7% (n = 25) reported moderate to very severe pain. NTM-PD patients with high levels of pain had significantly higher scores on the mMRC, CES-D, and PSQI scores, and significantly lower performance on the ISWT and LCQ. Multiple regression analysis identified ISWT, CES-D, and PSQI as independent factors that affected BP scores.Our findings suggest that pain significantly impacts daily life associated with reduced exercise tolerance, the presence of depressive symptoms, and poor sleep quality in patients with NTM-PD.


Assuntos
Depressão/psicologia , Tolerância ao Exercício/fisiologia , Dor/complicações , Doenças Respiratórias/complicações , Sono/fisiologia , Idoso , Estudos Transversais , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Mycobacterium/patogenicidade , Dor/epidemiologia , Dor/psicologia , Medição da Dor/métodos , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Qualidade de Vida/psicologia , Doenças Respiratórias/epidemiologia , Doenças Respiratórias/fisiopatologia , Estudos Retrospectivos , Estatísticas não Paramétricas , Inquéritos e Questionários
6.
J Pediatr Orthop ; 41(Suppl 1): S70-S74, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34096541

RESUMO

BACKGROUND: Adolescent patients with moderate to severe idiopathic scoliosis who have completed their skeletal growth face a significant choice in their treatment path: watchful waiting or spinal fusion. Shared decision making (SDM) assists patients and clinicians to find treatments that make intellectual, practical and emotional sense. Our objective was to develop a tool that supports SDM for patients with scoliosis and their families. METHODS: We used a user-centered design approach that included collaboration between patients, surgeons and SDM experts, observation of clinician encounters, and literature review. We focused on adolescent idiopathic scoliosis patients 13 or more years of age with less than 1 year of growth remaining (Risser stage 3 or greater) and curves between 40 and 65 degrees. RESULTS: We included 22 patients, and collected 22 video recordings. From these videos, we identified salient patient priorities for decision making including treatment benefits, surgical complications, pain, scheduling and recovery, and cost. For each theme, we conducted a focused review to obtain the best estimate of effect. Then, an expert SDM designer developed an electronic prototype called Scoliosis Choice. CONCLUSIONS: The initial prototype of the scoliosis SDM was finalized and is currently being field tested in clinic. Scoliosis Choice may help patients and surgeons better understand the potential risks and benefits of spinal fusion vs. observation for scoliosis treatment and improve validated measures of quality in patient-parent-surgeon communication.


Assuntos
Tomada de Decisão Compartilhada , Complicações Pós-Operatórias , Psicometria/métodos , Escoliose , Fusão Vertebral , Conduta Expectante/métodos , Adolescente , Desenvolvimento do Adolescente , Adulto , Feminino , Humanos , Masculino , Preferência do Paciente , Relações Médico-Paciente , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/prevenção & controle , Complicações Pós-Operatórias/psicologia , Relações Profissional-Família , Reprodutibilidade dos Testes , Medição de Risco , Escoliose/psicologia , Escoliose/cirurgia , Escoliose/terapia , Índice de Gravidade de Doença , Fusão Vertebral/efeitos adversos , Fusão Vertebral/métodos , Fusão Vertebral/psicologia
7.
Rev Bras Enferm ; 74Suppl 4(Suppl 4): e20200102, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34105642

RESUMO

OBJECTIVE: To build and validate the content of a good practice tool in the newborn bath. METHOD: Methodological study, developed from December 2018 to January 2019, in a Joint Neonatal Housing Unit of a teaching hospital, in three stages: bibliographic survey, construction of the instrument and content validation by nine judges. The content validity index was used above 80% and general analysis with ten requirements. RESULTS: The instrument was organized in three domains: before bathing, during bathing and after bathing, with a total of 20 items. Two rounds of validation were carried out to adjust the suggestions; the second presented a percentage of agreement between the judges, equal to or above 0.82. CONCLUSION: The instrument "Good practices in the newborn's bath" was considered representative and valid in terms of content.


Assuntos
Banhos/normas , Psicometria/normas , Inquéritos e Questionários/normas , Banhos/métodos , Humanos , Recém-Nascido , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes
8.
Health Qual Life Outcomes ; 19(1): 169, 2021 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-34167544

RESUMO

BACKGROUND: Exercise adherence is important for achieving a long-term effect from musculoskeletal management. The Exercise Adherence Rating Scale (EARS), which was developed in 2017 as a patient reported outcome measure to assess exercise adherence in those with chronic low back pain in the UK, has demonstrated acceptable validity and reliability and is a robust measure of exercise adherence. This study aimed to undertake cross-cultural adaptation of the EARS into Japanese and investigate its structural validity in participants with musculoskeletal disorders. METHODS: The current study was composed of two phases, where a provisional Japanese version of the EARS was developed employing an international guideline for cross-cultural adaptation (Phase A), and structural validity was then evaluated using the Rasch analysis (Phase B). Participants with musculoskeletal disorders who have individualized home exercises prescribed by a physical therapist were recruited. RESULTS: In Phase A, the pilot testing was conducted twice because the initial testing detected some uncertainty revealed in comments from 17 participants (5 males and 12 females, 18-79 years of age) about which activities and exercises were supposed to be included. We therefore modified the draft by identifying a person who prescribed/recommended activities and exercises as per the Working Alliance Inventory. The second pilot testing using this draft recruited 30 participants (6 males and 24 females, 18-79 years of age), who provided no further comments, demonstrating the Japanese version of the EARS (EARS-J) had been successfully developed. In Phase B, data from 200 participants who completed the EARS-J (63 males and 127 females, mean ± SD of age = 53.6 ± 17.0) were analyzed using the Andrich's Rating Scale Model. Rasch statics indicated unidimensionality of the six items of the EARS-J. The Cronbach α was 0.77. Substantial ceiling effect (21.0%) was observed, with no floor effect (0.5%). CONCLUSIONS: A Japanese version of the EARS has been developed, which demonstrated acceptable structural validity with the evidence of unidimensionality in the Rasch analysis in Japanese people with musculoskeletal disorders who were prescribed individualized home exercises. However, there was a substantial ceiling effect and further studies are required to comprehensively establish validity and reliability of the EARS-J.


Assuntos
Terapia por Exercício , Doenças Musculoesqueléticas/reabilitação , Cooperação do Paciente , Adulto , Idoso , Feminino , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Medidas de Resultados Relatados pelo Paciente , Psicometria/métodos , Reprodutibilidade dos Testes , Traduções
9.
J Consult Clin Psychol ; 89(4): 277-287, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34014690

RESUMO

OBJECTIVE: Clients who receive alcohol use disorder (AUD) treatment experience variable outcomes. Measuring clinical progress during treatment using standardized measures (i.e., measurement-based care) can help indicate whether clinical improvements are occurring. Measures of mechanisms of behavioral change (MOBCs) may be particularly well-suited for measurement-based care; however, measuring MOBCs would be more feasible and informative if measures were briefer and if their ability to detect reliable change with individual clients was better articulated. METHOD: Three abbreviated measures of hypothesized MOBCs (abstinence self-efficacy, coping strategies, anxiety) and a fourth full-length measure (depression) were administered weekly during a 12-week randomized trial of cognitive-behavioral therapy (CBT) for women with AUD. Psychometric analyses estimated how reliably each measure distinguished within-person change from between-person differences and measurement error. Reliability coefficients were estimated for simulated briefer versions of each instrument (i.e., instruments with fewer items than the already-abbreviated instruments) and rates of reliable improvement and reliable worsening were estimated for each measure. RESULTS: All four measures had good reliability (.86-.90) for detecting within-person change. Many participants (41.4%-62.5%) reliably improved on MOBCs from first to last treatment session. Reliable improvement on MOBCs was associated with reductions in percentage of drinking days (PDD) at 3, 9, and 15-month follow-ups. Simulated briefer versions of each instrument retained good reliability for detecting change with only 3 (self-efficacy), 11 (coping strategies), 5 (anxiety), or 10 items (depression). CONCLUSIONS: Brief MOBC measures can detect reliable change for individuals in AUD treatment. Routinely measuring MOBCs may help with monitoring clinical progress. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Alcoolismo/terapia , Terapia Cognitivo-Comportamental , Psicometria/métodos , Adaptação Psicológica , Adulto , Ansiedade/psicologia , Depressão/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Autoeficácia , Autorrelato
10.
Clin Interv Aging ; 16: 863-875, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34040363

RESUMO

Objective: The Tilburg Frailty Instrument (TFI) is an instrument for assessing frailty in community-dwelling older people. Since its development, many studies have been carried out examining the psychometric properties. The aim of this study was to provide a review of the main findings with regard to the reliability and validity of the TFI. Methods: We conducted a literature search in the PubMed and CINAHL databases on May 30, 2020. An inclusion criterion was the use of the entire TFI, part B, referring to the 15 components. No restrictions were placed on language or year of publication. Results: In total, 27 studies reported about the psychometric properties of the TFI. By far, most of the studies (n = 25) were focused on community-dwelling older people. Many studies showed that the internal consistency and test-retest reliability are good, which also applies for the criterion and construct validity. In many studies, adverse outcomes of interest were disability, increased health-care utilization, lower quality of life, and mortality. Regarding disability, studies predominantly show results that are excellent, with an area under the curve (AUC) >0.80. In addition, the TFI showed good associations with lower quality of life and the findings concerning mortality were at least acceptable. However, the association of the TFI with some indicators of health-care utilization can be indicated as poor (eg, visits to a general practitioner, hospitalization). Conclusion: Since population aging is occurring all over the world, it is important that the TFI is available and well known that it is a user-friendly instrument for assessing frailty and its psychometric properties being qualified as good. The findings of this assessment can support health-care professionals in selecting interventions to reduce frailty and delay its adverse outcomes, such as disability and lower quality of life.


Assuntos
Pessoas com Deficiência/estatística & dados numéricos , Idoso Fragilizado/estatística & dados numéricos , Fragilidade/epidemiologia , Indicadores Básicos de Saúde , Inquéritos e Questionários/normas , Idoso , Idoso de 80 Anos ou mais , Área Sob a Curva , Avaliação Geriátrica/estatística & dados numéricos , Humanos , Vida Independente , Masculino , Psicometria/métodos , Qualidade de Vida , Reprodutibilidade dos Testes , Estudos de Validação como Assunto , Populações Vulneráveis/estatística & dados numéricos
11.
J Rehabil Med ; 53(5): jrm00197, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-33948671

RESUMO

OBJECTIVE: To describe data completeness, targeting and reliability of the Swedish version of the Spinal Cord Independence Measure Self-Report (s-SCIM-SR). DESIGN: Translation and reliability study. SUBJECTS: Programme participants (n = 48) and peer mentors (n = 42) with spinal cord injury enrolled in the INTERnational Project for the Evaluation of "activE Rehabilitation" (inter-PEER). METHODS: The translation process was based on guidelines/recommendations, and involved expert competence, including consumers. The s-SCIM-SR was distributed online, once for programme participants and twice for peer mentors. RESULTS: Sixty-nine individuals (77%) obtained a total score. Most missing data were found in the items Respiration and Using the toilet. Cronbach's alpha for the full scale was 0.89, for Self-care 0.92, for Respiration and sphincter management 0.37 and for Mobility 0.86. The intraclass correlation coefficient was excellent for all subscales and the full scale. Measures of variability showed high sensitivity to changes and Bland Altman analyses revealed no systematic changes between evaluation points. CONCLUSION: These results support the data completeness, targeting and reliability of the Swedish version of the SCIM-SR. However, some problems were found in the subscale Respiration and sphincter management. The s-SCIM-SR can be considered psychometrically sound and suitable to assess physical independence among persons with spinal cord injury in Swedish community settings.


Assuntos
Psicometria/métodos , Traumatismos da Medula Espinal/reabilitação , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Autorrelato , Suécia , Resultado do Tratamento , Adulto Jovem
12.
Medicine (Baltimore) ; 100(20): e25921, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011062

RESUMO

ABSTRACT: To review the various quality of life (QoL) scales specific for chronic venous diseases (CVDs) and provide guidance and a reference for researchers to select the ideal measurement scale before studying QoL in patients with CVDs.The EBSCO, Ovid, PubMed, Wanfang, and CNKI databases were searched for the keywords "vein," "quality of life," and "scale/questionnaire," and various scales used to measure QoL in patients with CVDs. The QoL aspects were investigated and researched, and then, the search results were screened and summarized.A total of 10 major scales related to the QoL in patients with CVDs were included. The scales differed in dimension, reliability, validity, scoring method, evaluation method, and scope of application.The investigator should select the chronic venous disease QoL scale according to the research purpose and subjects, and then implement the scale to compare the specific aspects of QoL in patients with different CVDs.


Assuntos
Psicometria/métodos , Qualidade de Vida , Telangiectasia/psicologia , Varizes/psicologia , Insuficiência Venosa/psicologia , Doença Crônica/psicologia , Doença Crônica/terapia , Humanos , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Inquéritos e Questionários , Telangiectasia/complicações , Telangiectasia/diagnóstico , Telangiectasia/terapia , Resultado do Tratamento , Varizes/complicações , Varizes/diagnóstico , Varizes/terapia , Insuficiência Venosa/complicações , Insuficiência Venosa/diagnóstico , Insuficiência Venosa/terapia
13.
Diabetes Metab Syndr ; 15(3): 919-925, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1193288

RESUMO

BACKGROUND AND AIMS: There seems to be hesitation in the general population in accepting COVID 19 vaccine because of associated myths and/or misinformation. This study is dedicated to develop and validate a tool to interpret vaccine acceptance and/or hesitancy by assessing the knowledge, attitude, practices, and concerns regarding the COVID vaccine. MATERIAL AND METHODS: Mixed methods study design was used. In phase 1, the questionnaire was developed through literature review, focus group discussion, expert evaluation, and pre-testing. In phase 2, the validity of the questionnaire was obtained by conducting a cross-sectional survey on 201 participants. The construct validity was established via principal component analysis. Cronbach's alpha value was used to assess the reliability of the questionnaire. RESULTS: The 39-item questionnaire to assess the knowledge, attitude, practices, and concerns regarding the COVID-19 vaccine was developed. The Cronbach's alpha value of the questionnaire was 0.86 suggesting a good internal consistency. CONCLUSION: The developed tool is valid to assess the knowledge, attitude, practices and concerns regarding the COVID-19 vaccine acceptance and/or hesitancy. It has the potential utility for healthcare workers and government authorities to further build vaccine literacy.


Assuntos
Vacinas contra COVID-19/uso terapêutico , COVID-19/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e Questionários , Vacinação , COVID-19/epidemiologia , COVID-19/psicologia , Estudos Transversais , Letramento em Saúde/organização & administração , Letramento em Saúde/normas , Letramento em Saúde/estatística & dados numéricos , Humanos , Pandemias , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Percepção , Psicometria/métodos , Reprodutibilidade dos Testes , SARS-CoV-2/imunologia , Inquéritos e Questionários/normas , Vacinação/psicologia , Vacinação/estatística & dados numéricos
14.
Diabetes Metab Syndr ; 15(3): 733-737, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1163661

RESUMO

BACKGROUND AND AIMS: To assess the psychometric properties of the Fear of COVID-19 (FCV-19S) scale and to determine its associated factors among the Pakistani patients with diabetes. METHODS: This observational study was conducted in 24-h helpline service, a department of Baqai Institute of Diabetology and Endocrinology (BIDE). Study duration was from August to September 2020. The target population was registered adult patients with type 2 diabetes aged >16 years. Baseline demographic details were obtained from hospital management system of BIDE. Forward-backward translation method was used to translate the existing Fear scale (FCV-19S). Symptoms of depressive disorder were assessed through Patient Health Questionnaire (PHQ9). RESULTS: Total of 380 participants with mean age 51.93 ± 12.03 years contributed in the study. Three factors loading and item correlation of fear COVID-19 explained 96% of total variance having unidimensional Cronbach's alpha of 0.881. All demographic indicators that showed significance in univariate model were included in multivariate model. Females had more fear for COVID-19 compared to males (OR = 1.73, 95% CI (1.15-2.6)), whereas current smokers had also showed 4 times more fear than non-smokers (OR = 4.19, 95% CI (1.18-14.83). Depression assessed by PHQ9 showed maximum fear of COVID-19 in participants with moderate depression. CONCLUSION: FCV-19S had adequate psychometric properties for assessing effects of pandemic in people with diabetes attending tertiary care center.


Assuntos
COVID-19/psicologia , Depressão/etiologia , Diabetes Mellitus Tipo 2/psicologia , Medo , Adulto , Idoso , Ansiedade/epidemiologia , COVID-19/epidemiologia , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/epidemiologia , Medo/classificação , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Paquistão/epidemiologia , Pandemias , Psicometria/métodos , Inquéritos e Questionários , Centros de Atenção Terciária
15.
PLoS One ; 16(4): e0250739, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1206201

RESUMO

INTRODUCTION: Due to the health crisis caused by the COVID-19 pandemic, 220 million college students in the world had to halt face-to-face teaching and migrate to what has been called Emergency Remote Teaching, using virtual media, but without adequate preparation. The way this has impacted the student body and its satisfaction with the training process is unknown and there are no instruments backed by specific validity and reliability studies for this teaching context. This is why this study aims to analyze the psychometric properties of the Remote Teaching Satisfaction Scale applied to Chilean health sciences students. METHOD: Quantitative study by means of surveys. We surveyed 1,006 health careers undergraduates chosen by convenience sampling. They came from six Chilean universities, located over a distance of 3,020 kilometers and followed 7 different careers. Women comprised the 78.53%. They answered the Remote Teaching Satisfaction Scale online to evaluate their perception of the first Emergency Remote Teaching term in 2020. RESULTS: A descriptive analysis of the items showed a moderate to positive evaluation of the teaching. The Confirmatory Factorial Analysis showed an adequate adjustment of the theoretical four factors model to the data obtained (CFI = 0.959; TLI = 0.953; RMSEA = 0.040). Correlations among factors oscillated from r = 0.21 to r = 0.69. The measurement invariance analysis supported the Configural, Metric and a partial Scalar model. Differences were found in three of the four factors when comparing the first-year students with those of later years. Finally, the Cronbach's α and McDonald's ω coefficients were over 0.70. DISCUSSION: The results display initial psychometric evidence supporting the validity and reliability of the Remote Teaching Satisfaction Scale to assess academic satisfaction in Chilean health careers students. Likewise, it is seen that first-year students show higher satisfaction levels about the implemented teaching.


Assuntos
Educação à Distância/tendências , Psicometria/métodos , Estudantes/psicologia , Adolescente , Adulto , COVID-19/psicologia , Chile , Educação à Distância/métodos , Análise Fatorial , Feminino , Humanos , Masculino , Pandemias , Satisfação Pessoal , Reprodutibilidade dos Testes , SARS-CoV-2/patogenicidade , Inquéritos e Questionários , Universidades , Adulto Jovem
16.
Intensive Crit Care Nurs ; 65: 103059, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: covidwho-1188596

RESUMO

OBJECTIVE: Burnout is a global work-related phenomenon. Intensive care unit (ICU) nurses are at risk of burnout and the COVID-19 pandemic may increase this risk. The objectives of this study were to assess the prevalence of burnout risk and identify risk factors among ICU nurses during the COVID-19 pandemic. RESEARCH METHODOLOGY: Web-based survey performed during the first wave of the COVID-19 pandemic in French speaking Belgium. MAIN OUTCOME MEASURES: Risk of burnout was assessed with the Maslach Burnout Inventory scale. RESULTS: A total of 1135 ICU nurses responded to the questionnaire. The overall prevalence of burnout risk was 68%. A total of 29% of ICU nurses were at risk of depersonalisation (DP), 31% of reduced personal accomplishment (PA), and 38% of emotional exhaustion (EE). A 1:3 nurse-to-patient ratio increased the risk of EE (OR = 1.77, 95% CI: 1.07-2.95) and DP (OR = 1.38, 95% CI: 1.09-2.40). Those who reported having a higher perceived workload during the COVID-19 pandemic were at higher risk for all dimensions of burnout. Shortage of personal protective equipment increased the risk of EE (OR = 1.78, 95% CI: 1.35-3.34) and nurses who reported having symptoms of COVID-19 without being tested were at higher risk of EE (OR = 1.40, 95% CI: 1.68-1.87). CONCLUSIONS: Two-thirds of ICU nurses were at risk of burnout and this risk was associated with their working conditions during the first wave of the COVID-19 pandemic. We recommend monitoring the risk of burnout and implementing interventions to prevent and manage it, taking into account the factors identified in this study.


Assuntos
Esgotamento Profissional/diagnóstico , COVID-19/complicações , Adulto , Bélgica , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/prevenção & controle , COVID-19/psicologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Inquéritos e Questionários , Carga de Trabalho/psicologia , Carga de Trabalho/normas
17.
J Drugs Dermatol ; 20(4): 410-418, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33852243

RESUMO

BACKGROUND: Clinical trials of primary axillary hyperhidrosis (AHH) require rigorous measurement of AHH severity from the patient’s perspective. Previously, we reported conceptualization and item content development for the Hyperhidrosis Disease Severity Measure-Axillary (HDSM-Ax) scale. OBJECTIVE: To evaluate the psychometric performance and estimate clinically meaningful change scores for the HDSM-Ax in a Phase IIb clinical study of sofpironium bromide gel for AHH. METHOD: HDSM-Ax measurement performance was analyzed in trial response data using two psychometric paradigms: Classical Test and Rasch Measurement Theories (CTT; RMT). HDSM-Ax meaningful change scores were estimated from anchor-based methods using two global summary questions of hyperhidrosis severity and the Hyperhidrosis Disease Severity Score (HDSS). RESULTS: HDSM-Ax satisfied CTT and RMT criteria as a fit-for-purpose outcome measure in AHH clinical trials. Within-person anchor-based analyses indicated a 1-point change in HDSM-Ax severity score (range, 0–4) represents a clinically meaningful change in AHH severity. CONCLUSION: HDSM-Ax is a well-defined and reliable measure of AHH severity. A 1-point change in HDSM-Ax score is clinically meaningful. J Drugs Dermatol.20(4):410-418. doi:10.36849/JDD.5569.


Assuntos
Antagonistas Colinérgicos/administração & dosagem , Hiperidrose/tratamento farmacológico , Psicometria/métodos , Qualidade de Vida , Índice de Gravidade de Doença , Administração Cutânea , Adulto , Axila , Antagonistas Colinérgicos/efeitos adversos , Ensaios Clínicos Fase II como Assunto , Feminino , Géis , Humanos , Hiperidrose/psicologia , Masculino , Pessoa de Meia-Idade , Estudos Multicêntricos como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Reprodutibilidade dos Testes , Resultado do Tratamento , Adulto Jovem
18.
Psychol Assess ; 33(5): 427-442, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33793264

RESUMO

The Continuous Assessment of Interpersonal Dynamics (CAID) is an observational coding method that enables continuous tracking of warmth and dominance in both members of a dyad as an interaction unfolds. Research using this tool has revealed dynamic patterns relevant to psychopathology and psychotherapy, suggesting considerable potential for clinical assessment and research. However, CAID data are sensitive to a variety of person and situational factors, and the way that these factors combine to influence CAID data is poorly understood. We examined data from 10 raters using CAID to assess moment-to-moment warmth and dominance in opposite-sex married dyads (N = 137 couples) interacting in four distinct situations. Using Generalizability Theory methods, we decomposed sources of variance in CAID data and estimated multiple forms of between- and within-person reliability. Results revealed how spouses' moment-to-moment behaviors varied as a function of person, sex, dyad, rater, situation, and relevant interactions between these factors. Based on these results, we provided guidelines for interpreting CAID data at different levels of aggregation in clinical research and practice. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Relações Interpessoais , Psicometria/métodos , Cônjuges/psicologia , Adulto , Avaliação Momentânea Ecológica , Feminino , Generalização Psicológica , Humanos , Masculino , Pessoa de Meia-Idade , Teoria Psicológica , Reprodutibilidade dos Testes
19.
Intensive Crit Care Nurs ; 65: 103059, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33875341

RESUMO

OBJECTIVE: Burnout is a global work-related phenomenon. Intensive care unit (ICU) nurses are at risk of burnout and the COVID-19 pandemic may increase this risk. The objectives of this study were to assess the prevalence of burnout risk and identify risk factors among ICU nurses during the COVID-19 pandemic. RESEARCH METHODOLOGY: Web-based survey performed during the first wave of the COVID-19 pandemic in French speaking Belgium. MAIN OUTCOME MEASURES: Risk of burnout was assessed with the Maslach Burnout Inventory scale. RESULTS: A total of 1135 ICU nurses responded to the questionnaire. The overall prevalence of burnout risk was 68%. A total of 29% of ICU nurses were at risk of depersonalisation (DP), 31% of reduced personal accomplishment (PA), and 38% of emotional exhaustion (EE). A 1:3 nurse-to-patient ratio increased the risk of EE (OR = 1.77, 95% CI: 1.07-2.95) and DP (OR = 1.38, 95% CI: 1.09-2.40). Those who reported having a higher perceived workload during the COVID-19 pandemic were at higher risk for all dimensions of burnout. Shortage of personal protective equipment increased the risk of EE (OR = 1.78, 95% CI: 1.35-3.34) and nurses who reported having symptoms of COVID-19 without being tested were at higher risk of EE (OR = 1.40, 95% CI: 1.68-1.87). CONCLUSIONS: Two-thirds of ICU nurses were at risk of burnout and this risk was associated with their working conditions during the first wave of the COVID-19 pandemic. We recommend monitoring the risk of burnout and implementing interventions to prevent and manage it, taking into account the factors identified in this study.


Assuntos
Esgotamento Profissional/diagnóstico , COVID-19/complicações , Adulto , Bélgica , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/prevenção & controle , COVID-19/psicologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Inquéritos e Questionários , Carga de Trabalho/psicologia , Carga de Trabalho/normas
20.
Diabetes Metab Syndr ; 15(3): 919-925, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33930855

RESUMO

BACKGROUND AND AIMS: There seems to be hesitation in the general population in accepting COVID 19 vaccine because of associated myths and/or misinformation. This study is dedicated to develop and validate a tool to interpret vaccine acceptance and/or hesitancy by assessing the knowledge, attitude, practices, and concerns regarding the COVID vaccine. MATERIAL AND METHODS: Mixed methods study design was used. In phase 1, the questionnaire was developed through literature review, focus group discussion, expert evaluation, and pre-testing. In phase 2, the validity of the questionnaire was obtained by conducting a cross-sectional survey on 201 participants. The construct validity was established via principal component analysis. Cronbach's alpha value was used to assess the reliability of the questionnaire. RESULTS: The 39-item questionnaire to assess the knowledge, attitude, practices, and concerns regarding the COVID-19 vaccine was developed. The Cronbach's alpha value of the questionnaire was 0.86 suggesting a good internal consistency. CONCLUSION: The developed tool is valid to assess the knowledge, attitude, practices and concerns regarding the COVID-19 vaccine acceptance and/or hesitancy. It has the potential utility for healthcare workers and government authorities to further build vaccine literacy.


Assuntos
Vacinas contra COVID-19/uso terapêutico , COVID-19/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e Questionários , Vacinação , COVID-19/epidemiologia , COVID-19/psicologia , Estudos Transversais , Letramento em Saúde/organização & administração , Letramento em Saúde/normas , Letramento em Saúde/estatística & dados numéricos , Humanos , Pandemias , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Percepção , Psicometria/métodos , Reprodutibilidade dos Testes , SARS-CoV-2/imunologia , Inquéritos e Questionários/normas , Vacinação/psicologia , Vacinação/estatística & dados numéricos
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