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1.
Support Care Cancer ; 28(1): 55-64, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30980258

RESUMO

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


Assuntos
Sobreviventes de Câncer/psicologia , Programas de Rastreamento/métodos , Neoplasias/psicologia , Psicometria/métodos , Estresse Psicológico/diagnóstico , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/etiologia , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/etiologia , Depressão/diagnóstico , Depressão/etiologia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/etiologia , Feminino , Humanos , Masculino , Programas de Rastreamento/normas , Pessoa de Meia-Idade , Neoplasias/complicações , Neoplasias/diagnóstico , Psicometria/normas , Reprodutibilidade dos Testes , Apoio Social
2.
Support Care Cancer ; 28(1): 141-153, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30993452

RESUMO

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


Assuntos
Cuidados Paliativos , Medidas de Resultados Relatados pelo Paciente , Psicometria , Qualidade de Vida , Adulto , Idoso , Austrália/epidemiologia , Dor do Câncer/epidemiologia , Dor do Câncer/terapia , Dor Crônica/epidemiologia , Dor Crônica/terapia , Ensaios Clínicos Fase III como Assunto/estatística & dados numéricos , Feminino , Humanos , Avaliação de Estado de Karnofsky , Masculino , Pessoa de Meia-Idade , Neoplasias/complicações , Neoplasias/epidemiologia , Neoplasias/terapia , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Cuidados Paliativos/normas , Psicometria/métodos , Psicometria/normas , Ensaios Clínicos Controlados Aleatórios como Assunto/estatística & dados numéricos , Reprodutibilidade dos Testes , Autorrelato , Inquéritos e Questionários , Vômito/epidemiologia , Vômito/terapia
3.
Spine (Phila Pa 1976) ; 44(22): 1539-1549, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31689249

RESUMO

STUDY DESIGN: Prospective Cohort Study OBJECTIVE.: The aim of this study was to validate the Patient Reported Outcomes Measurement Information System (PROMIS) against existing patient-reported outcomes in the cervical spine. SUMMARY OF BACKGROUND DATA: Current patient-reported outcomes in cervical spine have substantial limitations. PROMIS offers the potential for improved psychometric properties with reduced questionnaire burden. METHODS: Adult patients undergoing cervical spine surgery at a single institution between 2016 and 2018 were prospectively enrolled. Patients completed questionnaires (36-Item Short Form Health Survey [SF-36], Neck Disability Index (NDI), Visual Analog Scale arm/neck, and PROMIS pain Interference [PI], physical Function [PF], and Upper Extremity [UE]) preoperatively and at 6 months postoperatively. Demographic data, diagnosis, and procedural data were recorded. Validation of the instruments was completed with a Rasch Model as well as measurement of coverage, efficiency, test-retest reliability, responsiveness, and convergent validity. RESULTS: Of 197 patients who completed the preoperative survey, 164 were eligible for 6-month follow-up and 139 completed 6-month postoperative surveys. The most common diagnoses were radiculopathy (37.6%), myeloradiculopathy (30.5%), and myelopathy (28.4%). All studied instruments had acceptable fit to a Rasch model. PROMIS computer adaptive testings (CATs) demonstrated improved average time to completion for PI (39 seconds), PF (47 seconds), and UE (54  seconds), compared to NDI (117 s) and SF-36 PCS (175 seconds). Responsiveness for PROMIS CATs was similar to NDI and SF-36, test-retest reliability was lower for PI (intraclass correlation: 0.68), PF (0.70), and UE (0.59), compared to NDI (0.86) and PCS (0.85). For convergent validity, PI was strongly correlated to NDI and PF to SF-36 PCS. There were no significant floor or ceiling effects for the PROMIS domains, although UE had preoperative clustering (n = 18) at a high score (56.4) and PI had postoperative clustering (n = 27) at a low score (38.7). CONCLUSION: PROMIS CATs demonstrate several advantages, including efficiency and responsiveness, while demonstrating good convergent validity with legacy instruments. Nevertheless, CATs had lower test-retest reliability and had significant clustering at higher levels of function for the PI and UE CATs. These limitations must be considered before broad adoption of CATs in cervical spine patients. LEVEL OF EVIDENCE: 3.


Assuntos
Vértebras Cervicais , Medidas de Resultados Relatados pelo Paciente , Psicometria/normas , Radiculopatia , Doenças da Medula Espinal , Adulto , Vértebras Cervicais/fisiopatologia , Vértebras Cervicais/cirurgia , Humanos , Estudos Prospectivos , Radiculopatia/epidemiologia , Radiculopatia/fisiopatologia , Radiculopatia/cirurgia , Doenças da Medula Espinal/epidemiologia , Doenças da Medula Espinal/fisiopatologia , Doenças da Medula Espinal/cirurgia , Inquéritos e Questionários
4.
BMC Complement Altern Med ; 19(1): 321, 2019 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-31752832

RESUMO

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


Assuntos
Atitude do Pessoal de Saúde , Terapias Complementares , Enfermeiras e Enfermeiros , Psicometria , Adulto , Feminino , Humanos , Análise de Classes Latentes , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Psicometria/métodos , Psicometria/normas , Reprodutibilidade dos Testes , Inquéritos e Questionários , Taiwan
5.
Psychiatr Hung ; 34(3): 266-279, 2019.
Artigo em Húngaro | MEDLINE | ID: mdl-31570658

RESUMO

INTRODUCTION: The Inventory of Callous-Unemotional Traits (ICU) is one of the most widely used measures of psychopathic traits in children. Callous-unemotional (CU) traits designate an important subgroup of antisocial youth characterized by lack of empathy, guilt and remorse. The aim of the present study was to test the applicability and reliability of the self-reported ICU in a high-risk sample of adolescent boys. METHODS: Participants were 202 adolescent boys (mean age: 16.63 years; SD = 1.71) from institutional care facilities and juvenile detention centres. Confirmatory factor analyses (CFA) were conducted to investigate the factor structure of the ICU. In addition, MIMIC modelling (CFA with covariates) was applied to test the convergent validity of the ICU scores by examining relationships with externalizing symptoms (including conduct problems, hyperactivity-inattention, proactive-reactive aggression), and prosocial behaviour. RESULTS: We observed that the bifactor model with three correlated specific factors (callousness, uncaring and unemotional) and one general CU traits factor provided the best fit to the data. However, similar to previous studies, low internal consistency was found for the unemotional scale. In line with our expectations, CU traits showed positive associations with externalizing symptoms, and negative associations with prosocial behaviour. CONCLUSION: The ICU is a reliable and valid measure of callous-unemotional traits. Our results support the application of the Hungarian version of the questionnaire.


Assuntos
Transtorno da Personalidade Antissocial/diagnóstico , Transtorno da Personalidade Antissocial/psicologia , Emoções , Psicometria , Adolescente , Humanos , Hungria , Masculino , Inventário de Personalidade/normas , Psicometria/normas , Reprodutibilidade dos Testes , Risco , Autorrelato
6.
Artigo em Inglês | MEDLINE | ID: mdl-31547249

RESUMO

This study developed the Children's Vitality-Relaxation Scale (CVRS) by revising the adult version of the Restoration Outcome Scale (ROS). The CVRS was translated and culturally adapted into Korean, and its reliability and validity were evaluated in a cross-sectional, descriptive design study. Data collected from 181 elementary school students in grades 4‒6 were used to test the validity and reliability of the CVRS. Exploratory factor analysis, Pearson's correlation, known-groups comparison, and Cronbach's alpha were used for analysis. The factor analysis indicated a two-factor structure, and all factor loadings were above 0.40. The CVRS was a seven-point Likert scale consisting of eight items, which were classified as "vitality" (four items) and "relaxation" (four items). The external construct validity with the PANAS, PSS, and SRI was acceptable. In the known-groups comparison, the CVRS score was significantly higher for boys than for girls, and the CVRS score for high-income students was higher than low-income students. The Cronbach's α for the scale was 0.84 and ranged from 0.72-0.87 for the subscales. Results showed that the CVRS is a valid and reliable scale with acceptable psychometric characteristics in Korean children. The scale can be used to measure children's affect in various settings.


Assuntos
Psicometria/normas , Relaxamento/psicologia , Reprodutibilidade dos Testes , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Traduções , Criança , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , República da Coreia , Inquéritos e Questionários
7.
BMC Palliat Care ; 18(1): 68, 2019 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-31387575

RESUMO

BACKGROUND: To determine the validity, reliability and acceptability of the Mandarin Chinese version of the Problems and Needs in Palliative Care questionnaire-short version (PNPC-sv) for measuring problems and palliative care needs among patients with advanced cancer. METHODS: This was a validation study using a forward- and backward- translation procedure, a panel of experts and a cross-sectional study design. The Mandarin Chinese version of the PNPC-sv was translated by four independent translators. The translated Chinese version was further reviewed by an expert panel to identify its content validity. A pilot test was conducted in 10 advanced cancer patients to preliminarily assess the face validity, readability and clarity of the pre-final version of the PNPC-sv. 178 patients with advanced cancer, regardless of their gender and types of cancer diagnosis, were further recruited through a convenience sampling from three tertiary hospitals in China to assess the psychometric properties of the PNPC-sv Mandarin Chinese version. Content validity was measured using the content validity index (CVI). Construct validity was estimated via confirmatory factor analysis and the contrasted groups approach. Concurrent validity was identified by analysing the correlations between the EORTC Quality-of-Life Questionnaire-Core 30 (EORTC QLQ-C30) and the PNPC-sv. Reliability of the PNPC-sv was examined with the internal consistency reliability and item-to-total correlations. Several closed-ended and open-ended questions were designed to explore its acceptability. RESULTS: 174 patients completed the questionnaires. High content and face validity were determined after the two rounds of assessment with the expert panel and the patients. An excellent CVI of 1.0 was achieved and patients rated the PNPC-sv as a useful instrument for assessing their problems and needs (mean score = 7.99, 0-10 scale) and reported the items were not particularly sensitive and easy to understand. The majority of the fit indexes meet the critical criteria, with the Chi-square divided by degrees of freedom (x2/df) being 1.58 and 2.05, and the root mean squared error of approximation (RMSEA) being 0.06 and 0.07 for the problem part and need-for-care part, respectively. In relation to the contrasted groups analysis, it clearly discriminated the differences on the sub-scores of Activities of Daily Life (ADL), spiritual and psychological problems and needs between male and female patients; ADL, physical, social and financial problems and needs between age groups; and autonomic problems and needs between patients with different cancer stages. Statistically significant correlations (p < 0.05) were detected between the PNPC-sv and the EORTC QLQ-C30 in the majority of the sub-scores (positive correlations) and total scores (negative correlations). The Cronbach's alpha of the total scale was 0.88 and 0.91 for the problem part and need-for-care part, respectively. The Cronbach's alpha of the subscales were generally above 0.70. Item-to-total correlations were generally acceptable, with the majority of the values being above 0.40. The PNPC-sv questionnaire was reported to be convenient and easy to understand, and the average time for completing was 11 min. CONCLUSIONS: The Mandarin Chinese version of the PNPC-sv is a valid, reliable and user-friendly instrument for measuring problems and palliative care needs among patients with advanced cancer. Further research is needed to further examine its psychometric properties particular internal structure in a larger patient sample.


Assuntos
Cuidados Paliativos/normas , Psicometria/normas , Adulto , Idoso , China , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/métodos , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Tradução , Estudos de Validação como Assunto
8.
Intellect Dev Disabil ; 57(4): 274-288, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31373543

RESUMO

The purpose of this study was to explore the cross-cultural validity of the Self-Determination Inventory: Student Report, a newly developed measure of self-determination grounded in Causal Agency Theory. The tool was translated to Spanish and administered to American and Spanish adolescents. The sample was structured to include adolescents with and without intellectual disability in both cultural contexts. More than 3,000 students in the U.S. and Spain aged 13 to 22 completed the assessment. Findings suggest that the same set of items can be used across cultural contexts and in youth with and without intellectual disability, although there are some specific differences in item functioning across students with and without intellectual disability in Spain that must be further researched. There were specific patterns of differences in latent self-determination means, with students with intellectual disability scoring lower in the U.S. and Spain. Implications for assessment research and practice in diverse cultural contexts are explored.


Assuntos
Deficiência Intelectual/psicologia , Autonomia Pessoal , Psicometria/normas , Autorrelato , Estudantes , Adolescente , Comparação Transcultural , Feminino , Humanos , Masculino , Psicometria/instrumentação , Reprodutibilidade dos Testes , Espanha , Estados Unidos , Adulto Jovem
9.
Artigo em Inglês | MEDLINE | ID: mdl-31455027

RESUMO

Improvement of volunteering rates in the Netherlands is important because increased productivity among older adults would contribute to societal sustainability in the light of population aging. Therefore, a better understanding of volunteer motivations of Dutch older adults is needed. The Volunteer Functions Inventory (VFI) for assessing volunteer motivations has good psychometric properties and is adapted to several languages, but no validated Dutch translation yet exists. The aim of the current study is to validate the VFI for use in the Dutch older population (60 years and over). The Dutch-translated VFI (6 scales, 30 items) is included in the Lifelines 'Daily Activities and Leisure Activities add-on Study', which was distributed among participants aged 60 to 80. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) are performed to assess the validity of the translated VFI. Internal consistency is assessed by computing Cronbach's α's. Results of the EFA (N = 4208) point towards a six-factor solution with a nearly perfectly clean structure. Deletion of three problematic items results in a clean factor structure. CFA results indicate moderate model fit (RMSEA = 0.06, CFI = 0.90, TLI = 0.89). Cronbach's α's (0.78 to 0.85) indicate good internal consistency. Goodness-of-fit indices are sufficient and comparable to those obtained in the validation of the original VFI. The current study provides support for use of the Dutch-translation of the VFI (6 scales, 27 items) to assess volunteer motivations among Dutch volunteers aged 60 years and over.


Assuntos
Escolha da Profissão , Motivação , Psicometria/normas , Traduções , Voluntários/classificação , Voluntários/psicologia , Idoso , Idoso de 80 Anos ou mais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Voluntários/estatística & dados numéricos
10.
Tijdschr Psychiatr ; 61(7): 455-463, 2019.
Artigo em Holandês | MEDLINE | ID: mdl-31372967

RESUMO

BACKGROUND: Forensic psychiatric patients can be treated in different security levels. Clear criteria to estimate the required security level or transfer to a less secure setting are not yet available. A literature review shows that, of the few instruments that are used internationally, the DUNDRUM and the HoNOS-Secure are the most promising.
AIM: To investigate whether these instruments can be used in Flemish forensic psychiatric settings.
METHOD: DUNDRUM-1 scores were collected for 150 internees. The psychometric qualities of the scale were examined. In a subpopulation, the DUNDRUM-1 was compared with the HoNOS-Secure.
RESULTS: The psychometric properties of the DUNDRUM-1 were good and exceeded those of the HoNOS-Secure.
CONCLUSION: The DUNDRUM-1 is an instrument that can help clinicians and judges to better - and in a more transparent way - substantiate their decision-making to secure care. However, further research regarding the practical applicability is needed.


Assuntos
Psiquiatria Legal/métodos , Transferência de Pacientes , Psicometria/normas , Violência , Bélgica , Tomada de Decisões , Humanos , Violência/psicologia
11.
Early Hum Dev ; 136: 33-38, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31299551

RESUMO

BACKGROUND: Screening for developmental delay is recommended for pediatricians, yet validated screening tools in Arabic are scarce. AIMS: Assess the reliability, validity, sensitivity and specificity of the Arabic ASQ-3 in detecting developmental delays in children aged 4-33 months. STUDY DESIGN: Cross-sectional observational study. SUBJECTS: A sample of 491 children from all Lebanese governorates from five age groups (4, 10, 18, 27 and 33 months). OUTCOME MEASURES: Internal consistency using Cronbach's alpha (Cα), convergent construct validity using Pearson Correlation Coefficient (CC) comparing ASQ-3 in Arabic (A-ASQ-3) to Bayley scale for infant development (BSID-III) scores were computed. A subset sample (n = 35) underwent assessment with BSID-III for convergent validity, and sensitivity and specificity. A-ASQ-3 scores were compared to the US mean cutoff scores. RESULTS: Subjects' mean age was 17.75 ±â€¯10.6 months. Cα was 0.85; Pearson CC showed positive moderate correlation between A-ASQ-3 gross and fine motor scores and BSID-III composite motor scores (r = 0.42, p = 0.002; r = 0.39, p = 0.004, respectively); and positive moderate correlation between A-ASQ-3 problem solving and BSID-III cognitive scores (r = 0.43, p = 0.001). A-ASQ-3 had 100% sensitivity and 50% specificity for cognitive scores; 60% sensitivity and 70% specificity for motor scores. CONCLUSION: A-ASQ-3 has adequate reliability and validity for the tested age groups. It is plausible that this would hold true for the rest of the questionnaires. Further testing is needed to make the five clusters more aligned with the US sample scores and to improve the sensitivity and specificity.


Assuntos
Desenvolvimento Infantil , Características Culturais , Inquéritos e Questionários/normas , Adulto , Pré-Escolar , Feminino , Humanos , Lactente , Líbano , Masculino , Psicometria/normas
12.
Acta Odontol Scand ; 77(8): 630-635, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31267808

RESUMO

Objective: To examine the validity and reliability of the Swedish versions of the short-form Child Perceptions Questionnaire 11-14 (CPQ11-14) and Parental Perceptions Questionnaire (P-CPQ) for measuring children's oral health-related quality of life (OHRQoL). Material and methods: The sample comprised 247 children and parents. OHRQoL was assessed by asking each child and their accompanying parent to complete the relevant questionnaire. To allow test-retest analysis, 30 children and 32 parents were asked to complete the instrument a second time within 2-4 weeks. Results: In terms of construct validity, significant correlations were observed between CPQ scale scores and the global ratings of oral health and overall well-being for both the CPQ11-14 and the P-CPQ. Regarding internal consistency, Cronbach's alphas for the total scales were 0.81 and 0.77, respectively, indicating good reliability, and internal consistency for the subscales (two or four dimensions) was acceptable. Test-retest reliability was good for the CPQ11-14 total scale (ICC 0.77) and acceptable for the P-CPQ total scale (ICC 0.63). Conclusions: The Swedish versions of the short-form CPQ11-14 and P-CPQ are both valid and reliable, and can be recommended for use among Swedish children aged 11-14 years for evaluation of OHRQoL.


Assuntos
Saúde Bucal , Pais , Psicometria/normas , Qualidade de Vida , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pais/psicologia , Percepção , Reprodutibilidade dos Testes , Inquéritos e Questionários/normas , Suécia
13.
BMC Med Inform Decis Mak ; 19(1): 124, 2019 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-31272447

RESUMO

BACKGROUND: Decisional conflict is associated with decision quality and may affect decision outcomes. In the health sciences literature, the Decisional Conflict Scale is widely used to measure decisional conflict, yet limited research has described the psychometric properties of the Decisional Conflict Scale subscales and of the low literacy version of the scale. The purpose of this secondary data analysis was therefore to examine properties of the original (DCS-12) and low literacy (LL DCS-10) Decisional Conflict Scales using Classical Measurement Theory and Item Response Theory. METHODS: Data from two multi-site trials of men with prostate cancer were used to analyze the DCS-12, LL DCS-10, and an aggregated DCS-12 dataset in which five response options were aggregated into three. Internal consistency was estimated with Cronbach's alphas. Subscale correlations were evaluated with Pearson's correlation coefficient. Item difficulty, item discrimination, and test information were evaluated using Graded Response Modeling (GRM). The likelihood ratio test guided model selection. RESULTS: Cronbach's alphas for the total scales and three of four subscales were ≥ 0.85. Alphas ranged from 0.34-0.57 for the support subscales. Subscale correlations ranged from 0.42-0.71 (P < 0.001). Items on the DCS-12 exhibited the widest range of difficulty. Two items on the support subscale had low to moderate discrimination and contributed little information. Only the DCS-12 was informative across the full range of decisional conflict values. CONCLUSIONS: Lack of precision in the support subscale raises concerns about subscale validity. The DCS-12 is most capable of discriminating between respondents with high and low decisional conflict. Evaluation of interventions to reduce decisional conflict must consider the above findings.


Assuntos
Tomada de Decisão Clínica , Neoplasias da Próstata/terapia , Psicometria/normas , Idoso , Ensaios Clínicos como Assunto , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Multicêntricos como Assunto
14.
Contemp Nurse ; 55(2-3): 185-194, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31280682

RESUMO

Background: Depression is a common comorbidity in patients with coronary artery disease (CAD), which often remains undetected and untreated. Objective: This study aimed to examine the psychometric properties of the Depression Module of the Patient Health Questionnaire (PHQ-9) on a sample of cardiac patients in Iran. Method: The Persian version of the PHQ-9 was developed and administered to 150 patients with CAD, admitted to a tertiary hospital in Tehran, Iran. The major depression module of the International Neuropsychiatric Interview (MINI) was used as the gold standard for the diagnosis of depression. Results: The Persian PHQ-9 demonstrated acceptable internal consistency, with Cronbach's alpha coefficient of 0.80. The optimal cut-off score of ≥7 showed a sensitivity of 76, specificity of 78, and the area under curve of 0.82. Conclusion: The Persian PHQ-9 has acceptable psychometric properties to screen for and detect a current depressive episode in patients with CAD, with recommended cut-off score of ≥7.


Assuntos
Doença da Artéria Coronariana/complicações , Doença da Artéria Coronariana/psicologia , Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/etiologia , Programas de Rastreamento/métodos , Questionário de Saúde do Paciente/normas , Psicometria/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Traduções
15.
Rev Epidemiol Sante Publique ; 67(5): 303-309, 2019 Sep.
Artigo em Francês | MEDLINE | ID: mdl-31262608

RESUMO

BACKGROUND: Well-being at work is nowadays a major public health challenge. It includes, among others, absence of psychological (anxio-depressive) symptoms, perceived positive work conditions (environment and organization), happiness and good quality of life at work. Many studies have shown that social support and control at work protect mental health while high job demands and effort-reward imbalance are risk factors for anxiety and depression. There is currently no global indicator to measure both the state of mental health and social working conditions. The main objective of this work is to construct and explore the psychometric properties of scale of well-being at work called "Serenat" in order to validate it. METHODS: The Serenat Scale is a self-report questionnaire composed of 20 items. All items are scored on a four-point Likert scale ranging from 0 (strongly disagree) to 3 (strongly agree) resulting in a range of 0 to 60. It was constructed from data collected from the literature and from consultations in an Occupational Health Unit. From January 2014 to May 2017 193 subjects who have consulted an occupational doctor are included in this cross sectional survey. Validation included item quality and data structure diagnosis, internal consistency, intraobserver reliability evaluation and external consistency. RESULTS: The Serenat scale showed very good item quality, with a maximal non-response rate of 0.01 % per item, and no floor effect. Factor analysis concluded that the scale can be considered unidimensional. Cronbach's alpha of internal consistency was 0.89. The intraclass correlation coefficient for intraobserver reliability was 0.89. Serenat scale was correlated with HADS (r=-0.54; P<0.001), STAI-Y (r=-0.78; P<0.001) and BDI-13 (r=-0.57; P<0.001). CONCLUSION: Serenat's well-being at work scale shows good psychometric properties for final validation. It could be useful to occupational physicians for individual and collective screening. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT02905071.


Assuntos
Confiabilidade dos Dados , Saúde do Trabalhador , Medicina do Trabalho/métodos , Psicometria/métodos , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Estudos Transversais , Feminino , Felicidade , Humanos , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador/estatística & dados numéricos , Medicina do Trabalho/normas , Medicina do Trabalho/estatística & dados numéricos , Psicometria/normas , Qualidade de Vida , Reprodutibilidade dos Testes , Estresse Psicológico/diagnóstico , Estresse Psicológico/epidemiologia , Inquéritos e Questionários , Trabalho/psicologia , Trabalho/estatística & dados numéricos
16.
Int J Palliat Nurs ; 25(7): 334-343, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31339819

RESUMO

BACKGROUND: The Patient Dignity Inventory (PDI) is based on an empirically-driven dignity model that has been developed and used for clinically assessing the various sources of dignity-related distress. In a recent review, it received the highest score as a useful instrument in both practice and research in palliative care. The PDI has been adapted to and validated for use in various countries, but not yet Sweden. AIMS: To translate the PDI into Swedish, including cultural adaptation for clinical use. METHODS: A multi-step process of translation, negotiated consensus, expert group discussion (n=7: four invited experts and three researchers) and cognitive interviewing (n=7: persons with palliative care needs). FINDINGS: Discussion, by the expert reviewers, of both linguistic and cultural issues regarding the content and readability of the translated Swedish version resulted in revisions of items and response alternatives, focusing mainly on semantic, conceptual, and experiential equivalence. A pilot version for cognitive interviews was produced. The analysis of data showed that most of the items were judged to be relevant by the persons with palliative care needs. CONCLUSION: The process of translation and adaptation added clarity and consistency. The Swedish version of the PDI can be used in assessing dignity-related distress. The next step will be to test this Swedish version for psychometric properties in a larger group of patients with palliative care needs before use in research.


Assuntos
Cuidados Paliativos/normas , Pessoalidade , Psicometria/normas , Direito a Morrer , Inquéritos e Questionários/normas , Assistência Terminal/normas , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/psicologia , Reprodutibilidade dos Testes , Suécia , Assistência Terminal/psicologia , Traduções
17.
Asian Nurs Res (Korean Soc Nurs Sci) ; 13(3): 221-227, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31351143

RESUMO

PURPOSE: The purpose of this study was to develop a scale to measure person-centered perioperative nursing (PCPON) and validate its psychometric properties. METHODS: The preliminary items of the PCPON scale were developed through a literature review, in-depth interviews, and content validity analysis. A total of 459 nurses working in the operating rooms of 21 hospitals in Korea responded to the questionnaire from September to October 2017. The collected data were analyzed by exploratory factor analysis (EFA) and confirmative factor analysis (CFA) using SPSS and AMOS programs. RESULTS: The final PCPON scale consists of 20 items. Through EFA, five factors, compassionate interaction, respect, providing comfort, information sharing, and nursing expertise, were derived. The internal consistency of each factor of the PCPON scale, as represented by Cronbach α, was .76-.88. The model fit of the scale was satisfactory, and the items of the scale demonstrated convergent and discriminant validity. CONCLUSION: The evaluation of the new PCPON scale indicated good reliability and validity. The PCPON scale is easy to administer and implies factors of person-centered care. This scale can be used to assess the person-centered care in the perioperative nursing field.


Assuntos
Assistência Centrada no Paciente/estatística & dados numéricos , Assistência Centrada no Paciente/normas , Enfermagem Perioperatória/estatística & dados numéricos , Enfermagem Perioperatória/normas , Psicometria/normas , Inquéritos e Questionários/normas , Adulto , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , República da Coreia
18.
Work ; 63(3): 325-334, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256102

RESUMO

BACKGROUND: Currently, there are no assessment tools for measuring coping strategies for stress at work in the Korean language. OBJECTIVE: The purpose of this study was to translate the Latack Coping Scale to workplace stress into Korean and examine its psychometric properties in a Korean working population. METHODS: Translation of the the Latack Coping Scale was performed according to the scientific guidelines for cross-cultural adaptation. Two hundred and forty one general workers in Korea completed the new Korean version of the Latack Coping Scale as well as the Type D Personality Scale-14 (negative affectivity). Psychometric properties (reliability and validity) were evaluated. RESULTS: Factor analysis yielded a model that was consistent with the originally proposed subscales of the questionnaire. Good to excellent internal consistency and measurement consistency over a one week interval were obtained for five subscales (Cronbach's alpha; 0.61 to 0.86 and ICC (2.2); 0.80 to 0.87). Escape coping scales were positively associated with Type D personality while control coping scales were negatively associated with Type D personality. CONCLUSIONS: This Korean version of the Latack Coping Scale has shown excellent validity and reliability in the Korean working population. Organizations investigating work stress and coping methods in Korean workers can use this instrument with confidence.


Assuntos
Adaptação Psicológica/classificação , Psicometria/normas , Adulto , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , República da Coreia , Estresse Psicológico/classificação , Estresse Psicológico/etiologia , Inquéritos e Questionários , Tradução
19.
Matern Child Health J ; 23(9): 1177-1186, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31218607

RESUMO

OBJECTIVES: Retrospective, cross-sectional estimates of pregnancy intention, as used in the Demographic Health Survey (DHS), are the global norm. The London Measure of Unplanned Pregnancy (LMUP) is a newer, psychometrically validated measure which may be more reliable. This paper assesses the reliability of the LMUP and the DHS question over the first postnatal year and explores the effects of maternal characteristics or pregnancy outcome on reported pregnancy intention. METHODS: We compared the test-retest reliability of the LMUP (using the AC coefficient) and DHS question (using the weighted Kappa) over the first postnatal year using data from Malawian women. We investigated the effect of maternal characteristics and pregnancy outcome using t-tests, Chi squared or Fisher's exact tests, and calculated odds ratios to estimate effect size. RESULTS: The DHS question was associated with a statistically significant decrease in the prevalence of unplanned pregnancies from 1-to-12 months postnatally; the LMUP was not. The LMUP had moderate to substantial reliability (0.51-0.66); the DHS had moderate reliability (0.56-0.58). The LMUP's stability was not related to any of the factors examined; the stability of the DHS varied by marital status (p = 0.033), number of children (p = 0.048) and postnatal depression (p < 0.001). Both underestimated unintended pregnancy postnatally vis-à-vis the LMUP in pregnancy. CONCLUSIONS FOR PRACTICE: The LMUP is a more reliable measure of pregnancy intention than the DHS in the first postnatal year and does not vary by maternal characteristics or pregnancy outcome. The LMUP should become the gold-standard for measuring pregnancy intention and should be collected in pregnancy or at the first postnatal opportunity.


Assuntos
Intenção , Mães/psicologia , Psicometria/normas , Adulto , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Humanos , Malaui , Mães/estatística & dados numéricos , Assistência Perinatal/métodos , Assistência Perinatal/normas , Gravidez , Resultado da Gravidez , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Estudos Retrospectivos , Inquéritos e Questionários
20.
Medicina (Kaunas) ; 55(6)2019 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-31213037

RESUMO

Background and objectives: Health systems all over the world are confronted with an alarming rise of cases in which individuals hesitate, delay, and even refuse vaccination, despite availability of quality vaccine services. In order to mitigate and combat this phenomenon, which are now defined by the World Health Organization (WHO) as vaccine hesitancy (VH), we must first understand the factors that lead to its occurrence in an era characterized by wide access to safe and effective vaccines. To achieve this, we conducted field testing of the Vaccine Hesitancy Scale (VHS), as it was developed by the Strategic Advisory Group of Experts Working Group (SAGE WG), in Cluj-Napoca city, Cluj County, Romania. The scale is designed to quantify VH prevalence in a population, establish which vaccines generate the highest percentage of hesitancy, and allow a qualitative assessment of the individual's reasons for hesitance. Materials and Methods: We conducted an observational cross-sectional survey, which was comprised of descriptive, analytical, and qualitative elements regarding VH. The necessary sample size was 452 individuals. The VHS and Matrix of Determinants (recommended by SAGE WG) for reasons people gave to justify their hesitance, was interpreted by qualitative thematic analysis (QTA) to ensure the validity and reliability in detecting hesitancy across various cultural settings and permit global comparisons. Results: We found a VH of 30.3% and 11.7% of parents reported refusing to vaccinate their child. Among the VH responders, the varicella vaccine generated 35% hesitancy, measles vaccine 27.7%, Human Papillomavirus (HPV) 24.1%, and mumps vaccine 23.4%, respectively. The QTA values for percent agreement ranged from 91% to 100%. Cohen's Kappa values ranged from 0.45 to 0.95. Contextual influences identified for VH were "media," "leaders and lobbies," and "perception of the pharmaceutical industry." Individual and group influences for VH were "beliefs," "knowledge," and "risk/benefits (perceived)." Vaccine and vaccination specific issues for VH were "risk/benefit (rational)" and "health care practitioners (trustworthiness, competence)." Conclusions: One-third of the investigated population had expressed VH, and a further one-third of these had refused a vaccine for their child. Chicken Pox, Measles, Mumps, Rubella (MMR), and HPV vaccines generated the most hesitation. Negative information from the media was the most frequently evoked reason for VH.


Assuntos
Psicometria/normas , Recusa de Vacinação/psicologia , Estudos Transversais , Humanos , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Pesquisa Qualitativa , Reprodutibilidade dos Testes , Romênia , Recusa de Vacinação/estatística & dados numéricos
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