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Dentro de la práctica clínica, así como en la salud poblacional, es habitual utilizar cuestionarios que permiten evaluar condiciones o variables que no son directamente observables. No obstante, la construcción y validación de estos instrumentos o cuestionarios suele ser poco conocida. El objetivo de esta revisión narrativa es sintetizar de manera general el proceso de construcción y validación de estos cuestionarios, para así tener una mejor comprensión de este proceso, de los aspectos que se evalúan y de la mejor forma de utilizarlos. La validación de cuestionarios corresponde a un proceso de análisis de este, cuya finalidad es medir una variable latente o constructo, así como sus dimensiones, las que no pueden ser observadas directamente. Una variable latente puede ser inferida a través de un conjunto de atributos específicos que forman parte de ella, como los ítems de un cuestionario y que sí son observables. En este artículo se abordan de manera teórica los conceptos fundamentales de validación de cuestionarios o test, variables latentes o constructos, estudio de la confiabilidad y de la validez, así como los factores que afectan a estas dos últimas características, a través de una revisión narrativa. En el texto, se presentan ejemplos sobre estos conceptos.
In clinical practice and population health, it is common to use questionnaires to assess conditions or variables that are not directly observable. However, the construction and validation of these instruments or questionnaires are often poorly understood. This narrative review aims to summarize in a general way the process of construction and validation of these questionnaires in order to have a better understanding of this process, the aspects that are evaluated, and the best way to use them. The validation of questionnaires corresponds to a process of analysis of the questionnaire, aiming to measure a latent variable and its dimensions, which cannot be observed directly. A latent variable can be inferred through a set of specific attributes that are part of it, such as the items of a questionnaire, which are observable. Through a narrative review, this article addresses the fundamental concepts of questionnaire or test validation, latent variables or constructs, reliability and validity studies, and the factors that theoretically affect the latter two characteristics. Examples of these concepts are presented in the text.
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Introducción: El bienestar del adulto mayor constituye una prioridad del Sistema Sanitario, por lo que es necesario contar con instrumentos válidos y confiables para su evaluación. Objetivo: Validar la Escala de Bienestar Psicológico de Carol Ryff, en una muestra de adultos mayores con diagnóstico presuntivo de osteoartrosis de rodilla, de la provincia de Villa Clara, Cuba. Métodos: Se asumió el paradigma de investigación cuantitativo y un tipo de estudio instrumental. La selección muestral fue probabilística, conformada por 170 adultos mayores. Se aplicó el instrumento Escala de Bienestar Psicológico de Carol Ryff (42 aspectos); para el procesamiento de la información se emplearon las pruebas estadísticas: coeficiente alpha de Cronbach y el Análisis Factorial Exploratorio. Resultados: Se determinó una estructura coherente de 5 factores: autoaceptación, propósito en la vida, dominio del entorno, autonomía y relaciones positivas con los demás. Se apreció una elevada consistencia interna de la escala global y sus dimensiones, así como adecuadas correlaciones entre los diversos aspectos. Conclusión: El instrumento posee adecuadas propiedades psicométricas y permite evaluar el constructo en esta población.
Introduction: the well-being of the elderly is a priority of the health system, that is why valid and reliable instruments are necessary for its evaluation. Objective: to validate the Carol Ryff's Psychological Well-Being Scale in a sample of older adults from Villa Clara province, Cuba with a presumptive diagnosis of knee osteoarthritis. Methods: a quantitative and instrumental research was assumed. The sample selection was probabilistic, made up of 170 older adults with this condition. The Carol Ryff's Psychological Well-Being Scale was applied (42 items); statistical tests were used for information processing such as Cronbach's alpha coefficient and Exploratory Factor Analysis. Results: a coherent factorial structure of 5 factors was determined: self-acceptance, purpose in life, environmental mastery, autonomy, and positive relationships with others. A high internal consistency of the global scale and its dimensions were observed, as well as adequate inter-item correlations. Conclusion: the instrument has adequate psychometric properties and allows us to evaluate the construct in this population.
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Osteoarthritis , Personal Satisfaction , Aged , Reproducibility of ResultsABSTRACT
Objective:To develop the rehabilitation needs questionnaire for stroke patients, so as to provide a tool for medical staff to implement continuous rehabilitation services.Methods:Based on the conceptual framework of the International Classification of Function, Disability and Health, and on the basis of literature review and qualitative research, the questionnaire items were preliminatively established after two rounds of Delphi expert consultation, and 130 stroke patients admitted to the Department of Neurology and Rehabilitation of the First Hospital of Shanxi Medical University from April to December 2021 were selected to test the reliability and validity of the questionnaire. And 200 stroke patients were selected for confirmatory factor analysis to form a formal scale.Results:Exploratory factor analysis extracted a total of 4 common factors: physiological function rehabilitation needs, social rehabilitation environmental support needs, emotional/psychological support needs, rehabilitation knowledge/information needs. After project analysis and 3 exploratory factor analysis, a final questionnaire containing 16 items was formed.The Cronbach α of the questionnaire was 0.935, with a broken half reliability of 0.824. The fitting index of confirmatory factor analysis was within the standard range. The χ2/ df was 2.979, the incremental fitting index was 0.907, the comparative fitting index was 0.906, and the root mean square error of approximation was 0.100. Conclusions:The reliability and validity of the rehabilitation needs questionnaire for stroke patients are good, which can preliminarily assess the rehabilitation needs of stroke patients.
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OBJECTIVE To construct the evaluation index system for scientific research ability of hospital pharmacists， and provide reference for the improvement of hospital pharmacists’ scientific research ability and the formulation of relevant scientific research policies. METHODS The relevant indexes of scientific research evaluation of hospital pharmacists were extracted by literature analysis， and consultation questionnaire was designed according to Likert grade 5 scoring method. Delphi method was used to conduct two rounds of questionnaire consultation for 28 experts， and the weight of each index was determined by analytic hierarchy process. The reliability and validity of index system were analyzed by questionnaire survey. RESULTS After two rounds of expert correspondence， evaluation index system for scientific research ability of hospital pharmacists was finally determined from three core dimensions： basic scientific research ability， scientific research achievements and transformation ability， academic influence and personnel training （including 11 sub-dimensions and 34 measurement items）. The weight value of each dimension index was determined. The result of reliability and validity analysis confirmed the scientific rationality of the index system. CONCLUSIONS The established evaluation index system for scientific research ability of hospital pharmacists is innovative， comprehensive and scientific. The index system model can provide reference for the improvement of hospital pharmacists’ scientific research ability and the formulation of relevant scientific research policies.
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ObjectiveTo develop a self-assessment questionnaire for menstrual abnormalities and test its reliability and validity. To provide an assessment tool for self-identification of abnormal menstruation in young women and to investigate the health seeking situation of abnormal menstruation in the population. MethodsFifteen physicians with clinical experience were invited to participate in the Delphi expert consultations. Medical indications for menstrual abnormalities were constructed and questionnaires were formed based on domestic and international literature， expert meetings and 2 rounds of Delphi expert consultations. A whole-group sampling was used to select 923 female college students from a medical school in Shanghai for the survey， and 306 of them were retested. The internal consistency， retest correlation， researcher-investigator evaluation correlation， and structural and response validity of the questionnaire were examined. ResultsThe questionnaire formed 6 dimensions with 17 indications. The positive coefficients for the two rounds of consulting experts were >90%. The mean authority coefficient was 0.857. The Kendall W coordination coefficient was 0.465 and 0.455， respectively （P<0.001）. The questionnaire Cronbach's alpha coefficient was 0.622. The retest correlation coefficient was 0.459. The correlation coefficient between the researcher's score and the respondents' self-assessment was 0.562. The five common factors extracted by factor analysis were consistent with the structure of the questionnaire， and the cumulative contribution of variance was 54.4%. Total questionnaire scores were moderately to highly correlated with each dimension score （0.409 to 0.699）. There was low correlation between the dimensions （-0.002 to 0.203）. Girls who had sought medical care had higher scores on the total questionnaire， category A， category B， cycle dimension， menstrual dimension， and dysmenorrhea/PMS dimension than girls who had not sought medical care （P<0.01）， and the difference between the two groups in menstrual volume dimension scores was not statistically significant. ConclusionThe self-assessment questionnaire for menstrual abnormalities developed in this study has acceptable reliability， good structure validity and response validity. It can provide a self-examination tool and medical consultation guidance for young women with abnormal menstruation.
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Objetivo: Validar o conteúdo do instrumento de cuidado do enfermeiro ao paciente com cateter venoso central, internado na unidade de terapia intensiva. Métodos: Estudo quantitativo, conduzido em duas etapas: análise teórica por sete enfermeiros especialistas, dos itens do instrumento construído anteriormente e análise estatística a partir do Índice de Validade de Conteúdo e o coeficiente Alpha de Cronbach. Resultados: Após avaliação dos especialistas, o instrumento compôs- se por 36 itens e quatro domínios. Todos os itens apresentaram índice de validade de conteúdo superior a 0,78, com concordância de 0,85 a 1,00 nas avaliações. O índice de validade de conteúdo médio dos domínios e do instrumento foi maior que 0,90. Os itens dos domínios apresentaram consistência interna satisfatória. Conclusão: O instrumento de cuidado do enfermeiro apresentou conteúdo validado e confiável, sendo, portanto, seguro e de qualidade para cuidados com o paciente crítico com cateter venoso central.
Objective: To validate the content of the nurse's care instrument for patient with a central venous catheter in the intensive care unit. Methods: Quantitative study, conducted in two stages: theoretical analysis by seven specialist nurses of the instrument items previously developed and statistical analysis based on the Content Validity Index and Cronbach's Alpha coefficient. Results: After expert evaluation, the instrument consisted of 36 items and four domains. All items had a content validity index greater than 0.78, with an agreement between 0.85 and 1.00 in the evaluations. The mean content validity index of the domains and the instrument was greater than 0.90. The domain items showed satisfactory internal consistency. Conclusion: The nurse's care instrument presented validated and reliable content, being, therefore, safe and of quality for the care of critically ill patients with central venous catheters.
Objetivo: Validar el contenido del instrumento de atención de la enfermera al paciente con catéter venoso central, ingresado en la unidad de cuidados intensivos. Métodos: Estudio cuantitativo, conducido en dos etapas: análisis teórico por parte de siete enfermeros especialistas, de los ítems del instrumento construido anteriormente y análisis estadístico a partir del Índice de Validez de Conteúdo y el coeficiente Alpha de Cronbach. Resultados: Tras la evaluación de los expertos, el instrumento quedó compuesto por 36 ítems y cuatro dominios. Todos los ítems tuvieron un índice de validez de contenido superior a 0,78, con un acuerdo entre 0,85 y 1,00 en las evaluaciones. El índice medio de validez de contenido de los dominios y del instrumento fue superior a 0,90. Los ítems de los dominios mostraron una consistencia interna satisfactoria. Conclusión: El instrumento de cuidado del enfermero presentó un contenido validado y fiable, siendo, además, seguro y de calidad para el cuidado del paciente crítico con catéter venoso central.
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Critical Care , Validation Studies as Topic , Central Venous Catheters , Nursing Care , Research Personnel/education , Teaching/education , Reproducibility of Results , Database , Educational Measurement , Employee Performance Appraisal , Intensive Care Units , NursesABSTRACT
Introducción: la EPOC es altamente subdiagnosticada, por lo que aplicar escalas de predicción clínica como el COPD Diagnostic Questionnaire (CDQ) ayuda a abordar este problema. Sin embargo, se desconoce su rendimiento en nuestra población. Objetivo: evaluar la validez de criterio y reproducibilidad intraevaluador del CDQ en una población colombiana. Materiales y métodos: estudio de cohorte prospectivo. La reproducibilidad se valoró con el estadístico Kappa y el coeficiente de correlación intraclase (CCI). La validez se estableció con el puntaje obtenido del cuestionario CDQ y los valores espirométricos VEF1/CVF 16,5 y < 19,5 y probabilidad alta de EPOC CDQ ≥ 19,6. El ACOR fue de 0,68 (IC95%: 0,647-0,712) y se obtuvo una sensibilidad del 79% y una especificidad del 44% para un puntaje ≥ 16,5, con un VPP del 26% y un VPN del 86%. Conclusiones: el cuestionario CDQ tiene un rendimiento regular para el diagnóstico de la EPOC con una ACOR similar a otros cuestionarios, puede ser útil en pacientes subdiagnosticados y el punto de corte óptimo para esta población fue de 16,5.
Summary Background: COPD is highly underdiagnosed, thus applying clinical prediction scales such as the COPD Diagnostic Questionnaire (CDQ) helps to address this problem. Objective: To evaluate the criterion validity and intra-rater reproducibility of the questionnaire CDQ in a Colombian population. Materials and methods: A prospective cohort study. The reproducibility was assessed with the Kappa statistic and the intraclass correlation coefficient (ICC). Validity was established with the score obtained from the CDQ questionnaire and the spirometry values (FEV1/ FVC 16.5 and < 19.5, and high probability of CDQ COPD ≥ 19.6. The ACOR was 0.68 (95%CI: 0.647-0.712), a sensitivity of 79% and a specificity of 44% were obtained for a score ≥16.5, with a PPV of 26% and a NPV of 86%. Conclusions: The CDQ questionnaire has a regular performance for the diagnosis of COPD with an ACOR similar to other questionnaires, it can be useful in underdiagnosed patients. The optimal cut-off point for this population was 16.5.
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Resumen: Introducción: la medición precisa de la actividad física (AF) es clave para analizar su asociación con resultados de salud. Sin embargo, en Uruguay no existen estudios que comparen diferentes métodos para determinar la AF en adultos. El objetivo de este estudio fue analizar la confiabilidad del Cuestionario Internacional de Actividad Física (IPAQ) en estudiantes universitarios uruguayos y evaluar su validez concurrente en comparación con la AF basada en dispositivos. Método: 54 estudiantes universitarios de educación física completaron el IPAQ (versión larga) en dos ocasiones con 7 días de diferencia y utilizaron acelerómetros GeneActiv durante ese período. La confiabilidad se evaluó a través del Coeficiente de Correlación Intraclase (ICC) y se utilizó el análisis de Bland-Altman para determinar la validez concurrente. Resultados: todos los dominios de AF mostraron niveles moderados de ICC. El transporte (ICC = 0,64), el tiempo libre (ICC = 0,58), y la AF total (ICC = 0,53) fueron los dominios con niveles moderados más altos. El total de minutos de AF evaluados a través del IPAQ en las dos ocasiones reportó un promedio de 773 minutos de diferencia (IC 95% 362,88-1.184,01). La diferencia de minutos de AF entre la evaluación con el IPAQ y con los acelerómetros es de 752 minutos (IC 95% 418,05-1.087.16). Conclusiones: el IPAQ sobreestima la AF respecto al acelerómetro en estudiantes universitarios uruguayos, sin embargo fue más confiable al considerar dominios de transporte y tiempo libre para los participantes que reportaron realizar un promedio menor a 400 minutos de AF semanal.
Summary: Introduction: precise measurement of physical activity (PA) is key to analyze its association with health results. However, there are no studies in Uruguay comparing the different methods to determine PA in adults. The study aims to analyze the reliability of the International Physical Activity Questionnaire (IPAQ) in Uruguayan university students and to assess its validity by comparing it to device-based monitoring PA. Method: 54 Physical Education university students completed the IPAQ (long version) on 2 occasions with a 7 day difference using GeneActive accelerometers during that period. Reliability was assessed with the Intraclass Correlation Coefficient (ICC) and the Bland-Altman analysis was used to determine concurrent validity. Results: all PA domains evidenced moderate ICC levels. Transport (ICC= 0.64), free time (ICC= 0.58) and total PA (ICC= 0.53) were the domains with the highest moderate levels. The total number of minutes of PA assessed by IPAQ reported an average of a 773 minutes difference (CI 95%: 362.88; 1184.01). Difference of PA in minutes, considering the assessment with the IPAQ and the accelerometers is 752 minutes (CI 95%: 418.05; 1087.16). Conclusions: the IPAQ overestimates the PA when compared to the accelerometer in Uruguayan university students. However, it was more reliable when considering the transport and free time domains for participants who reported an average physical activity under 400 minutes per week.
Resumo: Introdução: a mensuração precisa da atividade física (AF) é fundamental para analisar sua associação com desfechos de saúde. No entanto, no Uruguai não existem estudos que comparem diferentes métodos para determinar a AF em adultos. Objetivo: analisar a confiabilidade do Questionário Internacional de Atividade Física (IPAQ) em estudantes universitários uruguaios e avaliar sua validade concorrente em comparação com a AF baseada em dispositivos. Método: 54 estudantes universitários de Educação Física preencheram o IPAQ (versão longa) em 2 ocasiões com 7 dias de intervalo e usaram acelerômetros GeneActiv durante esse período. A confiabilidade foi avaliada por meio do Coeficiente de Correlação Intraclasse (ICC) e a análise de Bland-Altman foi utilizada para determinar a validade concorrente. Resultados: todos os domínios da AF apresentaram níveis moderados de ICC. Transporte (ICC = 0,64), tempo livre (ICC = 0,58) e AF total (ICC = 0,53) foram os domínios com os níveis moderados mais altos. O total de minutos de AF avaliados pelo IPAQ em ambas as ocasiões apresentou diferença média de 773 minutos (IC 95%: 362,88; 1184,01). A diferença em minutos de AF entre a avaliação com o IPAQ e com os acelerômetros é de 752 minutos (IC 95%: 418,05; 1087,16). Conclusões: o IPAQ superestima a AF em relação ao acelerômetro em universitários uruguaios, porém, foi mais confiável ao considerar os domínios transporte e tempo livre para participantes que relataram realizar em média menos de 400 minutos de AF por semana.
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Exercise , Surveys and Questionnaires/statistics & numerical data , Evaluation StudyABSTRACT
RESUMEN Introducción: El uso de la mascarilla es indispensable para reducir la propagación de la COVID-19, pero, un porcentaje importante de personas se rehúsan a su uso. Es posible que las creencias jueguen un rol sustancial en la aceptación o rechazo de su uso. Sin embargo, se carece de una escala para evaluar las creencias sobre el uso de mascarillas para prevenir el contagio de la COVID-19. Objetivo: Traducir y determinar las evidencias de validez, de estructura interna y confiabilidad del autoinforme de creencias sobre el uso de las mascarillas. Métodos: El autoinforme de creencias sobre el uso de las mascarillas fue administrado a 1 218 personas de diferentes provincias del Perú (Medad = 27,4 años, DE = 12,6), elegidas de forma no probabilística. El instrumento fue sometido a un proceso de doble traducción del inglés al español y viceversa; además, mediante el programa Proyecto Jamovi versión 1.6, se determinó la estructura interna con análisis factorial (exploratorio y confirmatorio) y finalmente se estimó la confiabilidad. Resultados: El análisis factorial exploratorio identificó cuatro factores emergentes que explicaron el 53,7 % de la varianza. El modelo fue verificado y obtuvo índices de ajuste aceptables (χ² = 154 gl = 46; p < 0,01; CFI = 0,96; TLI = 0,942; RMSEA = 0,602). Además, se apreciaron cargas factoriales estandarizadas mayores a 0,30. Conclusión: La versión en español del autoinforme de creencias sobre el uso de las mascarillas muestra evidencias de validez, de estructura y confiabilidad por consistencia interna adecuadas.
ABSTRACT Introduction: The use of a mask is essential to reduce the spread of COVID-19, however, a significant percentage of people refuse to use it. Beliefs may play an important role in accepting or rejecting their use. Objective: To translate and determine the evidence of validity of internal structure and reliability of the self-report of beliefs about the use of masks. Methods: The self-report of beliefs about the use of masks was administered to 1218 people from different provinces of Peru (M age = 27,4 years, SD = 12,6), chosen in a non-probabilistic way. The instrument was subjected to a process of double translation from English to Spanish and vice versa; In addition, using the Jamovi Project version 1.6 program, the internal structure was determined with factor analysis (exploratory and confirmatory), and finally reliability was estimated. Results: The exploratory factor analysis identified four emerging factors that explained 53.7% of the variance. The model was verified and obtained acceptable fit indices (χ² = 154 gl = 46; p < 0,01; CFI = 0,96; TLI = 0,942; RMSEA = 0,602). In addition, standardized factor loadings greater than 0,30 were observed. Conclusions: The Spanish version of the self-report of beliefs about the use of masks shows evidence of validity of structure and reliability due to adequate internal consistency.
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Background: A quality of life (QoL) assessment tool needs to be translated and validated in the language of the participants to whom it is administered. Therefore, the oral health impact profile-14 (OHIP-14) scale, developed originally in English, has been translated into different languages like Hindi, Gujrati, etc. The Marathi version of OHIP-14 will be useful to assess in regions where the Marathi language is prominently spoken. Thus, the present study was carried out to translate and validate the Marathi version of the OHIP-14 instrument to measure the oral health-related quality of life. Aims & Objectives: To translate and validate the English Version of the OHIP-14 instrument in the Marathi Language. Materials and Methods: This was a descriptive cross-sectional study in which 128 participants were selected through a convenient sampling method. The English version of the OHIP-14 was translated using the forward-backward translation technique, and participants were given English and the Marathi versions of the OHIP-14 questionnaire. The filled questionnaires were subjected to statistical analysis. Result: The difference in mean scores was not statistically significant(p=0.828). Pearson’s correlation coefficient test was 0.999, suggesting that the translated Marathi version is highly correlated with the original English version. Conclusion: The Marathi version of OHIP-14 is a valid, and reliable instrument for assessing QoL among the population who speak Marathi.
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Introducción: Este estudio evalúa la dimensionalidad de la versión para padres de la Escala de Competencia Parental Percibida (ECPP-p). La muestra considera a padres (n = 227; M = 35.34, DE = 7.22) de Lima metropolitana. Método: El análisis estructural se realizó con el análisis factorial confirmatorio mediante el uso del estimador WLSMV acorde a la naturaleza ordinal de los ítems de la escala. Se confirmó la estructura original evaluada de cinco dimensiones correlacionadas: implicación escolar, dedicación personal, ocio compartido, asesoramiento y orientación y asunción rol de padre o madre. Resultados: Se obtuvo un ajuste adecuado al modelo de cinco factores, X 2 = 406.47, CFI =0.96, TLI = 0.95, RMSEA = 0.068. Los coeficientes de consistencia interna fueron adecuados para cada una de las dimensiones (( >0.80) ((α >0.70). Conclusión: Se concluye que la ECPP-p es un instrumento que presenta evidencias de estructura interna y confiabilidad en la muestra de estudio.
Background: This study examines the dimensionality of the parent version of the Scale of Sensed Parental Competencies (ECPP-p). The sample was composed of 227 parents (n = 227; M = 35.34, DE = 7.22) from Lima Metropolitan. Method: The structural analysis was conducted with confirmatory factor analysis using the estimator WLSMV according to the ordinal nature of the items on the scale. The original structure evaluated of five correlated dimensions: school involvement, personal dedication, shared leisure, counseling and guidance and assumption of the role of father or mother was confirmed. Results: An adequate fit was obtained to the model of five factors, X 2 = 406.47, CFI = .96, TLI =0.95, RMSEA =0.068. The internal consistency coefficients were adequate for each of the dimensions ((( >0.80) ((α >0.70). Conclusion: The ECPP-p is an instrument that presents evidence of internal structure and reliability in the study sample.
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Objective:To explore the construction of evaluation index system of core competence of imaging specialized nurses and analysis of reliability and validity test.Methods:Firstly, a research group was established to consult the relevant literature. After repeated discussion among the members of the research group, imaging specialized nurses were invited to discuss, modify and improve the framework of the evaluation index system, and an expert consultation questionnaire for the evaluation index system of the core competence of imaging specialized nurses was formulated. Through two rounds of expert consultation, the core competence evaluation index system of imaging specialized nurses was constructed, and a questionnaire was compiled based on the constructed index system. Questionnaire survey method was used to verify the rationality and scientificity of the core competence evaluation index system of imaging specialized nurses constructed in this study.Results:The evaluation index system of core competence of imaging specialized nurses included 3 first-level indexes, 20 second-level indexes and 48 third-level indexes. The overall Cronbach's α coefficient of the evaluation index system was 0.972. The Cronbach's α coefficients of the theoretical knowledge of imaging specialized nursing, nursing practice skills of imaging specialized nurses and related abilities were 0.915, 0.934 and 0.924 respectively. The overall content validity index (S-CVI) of the index system was 0.977, and the CVI of each item (I-CVI) was 0.812-1.000. The overall correlation coefficient of the first-level indexes and index system was 0.800-0.936 ( P < 0.05), the correlation coefficient of the secondary indexes and the corresponding primary indexes was 0.562-0.972 ( P<0.05), and the correlation coefficient of the third-level indexes and the corresponding first-level index was 0.362-0.914 ( P<0.05). Conclusion:The constructed questionnaire for evaluation index of core competence of imaging specializied nurses has good reliability and consistent internal structure, and has good feasibility, reliability, rationality and scientificity, which provides a theoretical basis and practical guide for the cultivation, assessment and evaluation of core competence of imaging specialized nurses.
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Objective:To develop a cultural competency assessment scale for geriatric clinical nurse specialists and test its reliability and validity.Methods:Through literature research, qualitative interviews, expert correspondence, and pretesting, the cultural competency assessment scale for geriatric clinical nurse specialists was developed. A total of 140 geriatric nurses from 8 tertiary hospitals in Beijing, Guizhou, Harbin, Shandong and Shaanxi from July to September 2021 were selected for the survey.Results:The final cultural competency assessment scale for geriatric clinical nurse specialists consisted of 4 dimensions of cultural knowledge, cultural awareness, cultural skills, and cultural interaction behaviors, with 31 entries, Cronbach α coefficient of 0.953 for the scale, Cronbach α coefficient of 0.875-0.974 for the 4 dimensions, and retest reliability of 0.925. I-CVI was 0.857-1.000, and the average S-CVI was 0.974. The cumulative contribution of the four common factors was 72.51%. Conclusions:The reliability and validity of the cultural competency assessment scale for geriatric clinical nurse specialists are good and can be used to evaluate the cultural competency of geriatric clinical nurse specialists.
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@#Introduction: The study’s objective was to validate a Malay language translated questionnaire on end-of-life care to be used among nurses practicing in critical care areas. Methods: The English language questionnaire underwent forward and backward translations by four experts. The translated Malay language questionnaire was pilot tested on 30 subjects and revised accordingly. The validation of the revised questionnaire was carried out on 250 nurses. The reliability of the translated questionnaire was checked. Cronbach alpha value of at least 0.70 suggests adequate internal consistency. The validity of the questionnaire was explored using Confirmatory Factor Analysis (CFA) and model fit tests were run to achieve fit test specific cut off values. The CFAs were run repeatedly with iterative item reductions until acceptable goodness of fit for the model was achieved. Results: All domains of the translated questionnaire showed reasonable to excellent reliability (Cronbach Alpha 0.687 to 0.922). Multiple CFAs were run and 13 out of 46 items were excluded, and the final model fit improved substantially with the indices were within the acceptable threshold of good or reasonably fit, cut off values are in brackets [Chi-Square statistics 1.635 (≤ 2.0), Root Mean Square Error of Approximation 0.050 (< 0.05), Standardised Root Mean Square Residual 0.059 (≤ 0.08), Comparative Fit Index 0.911 (0.90-0.94), Tucker Lewis Index 0.900 (0.90-0.94), Akaike Information Criteria 13024, Bayesian Information Criteria 13334]. Conclusion: The psychometric properties of the final model indicated the Malay language translated questionnaire is reliable and valid to investigate nurses’ perspective and involvement in end-of-life care.
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RESUMEN El objetivo de este estudio fue adaptar y validar la escala del modelo de creencias de salud para el cáncer y autoexploración testicular (AT) en estudiantes universitarios en México y determinar las variables sociodemográficas, clínicas y del modelo de creencias que influyen en efectuar la AT. Se realizó el proceso de traducción y retraducción de la cual se obtuvieron 72 ítems, que fueron revisados por expertos y se eligieron 39 ítems, los cuales fueron aplicados en un grupo de 30 estudiantes para revisar la comprensión y el tiempo de aplicación; por último, esta versión se aplicó en 803 estudiantes de una universidad pública. Se obtuvo una escala de 38 ítems divididos en 6 factores congruentes con el modelo de creencias de salud: susceptibilidad (α = 0,77), seriedad (α = 0,82), beneficios (α = 0,80), barreras (α = 0,83), autoeficacia (α = 0,88) y motivación para la salud (α = 0,71) que explican el 44% de la varianza y presentan una consistencia interna de adecuada a buena. La variable que más influye en la realización de la autoexploración testicular fue la autoeficacia. La versión en español de la escala del modelo de creencias de salud para el cáncer y la autoexploración testicular obtuvo evidencias de validez y confiabilidad en esta muestra de estudiantes universitarios.
ABSTRACT The objective of this study was to adapt and validate the health belief model scale for testicular cancer and testicular self-examination (TSE) in university students in Mexico and to determine the sociodemographic, clinical, and health belief model variables that influence TSE performance. Translation and back translation were conducted, and 72 items were obtained and reviewed by experts, following which 39 items were selected and applied to a group of 30 students to assess comprehension and application time. Finally, this version was applied to 803 students at a public university. A scale consisting of 38 items was obtained, and the items were divided across six factors consistent with the health belief model: susceptibility (α = 0.77), seriousness (α = 0.82), benefits (α = 0.80), barriers (α = 0.83), self-efficacy (α = 0.88), and health motivation (α = 0.71). These factors explain 44% of the variance and show an internal consistency ranging from acceptable to good. The variable that most strongly influenced the performance of testicular self-examination was self-efficacy. The Spanish-language version of the health belief model scale for testicular cancer and testicular self-examination yielded evidence of validity and reliability in this sample of university students.
RESUMO O objetivo deste estudo foi adaptar e validar a escala do modelo de crenças em saúde para o câncer e o autoexame testicular (AT) em estudantes universitários no México e determinar as variáveis sociodemográficas, clínicas e do modelo de crenças que influenciam a realização do AT. Realizou-se o processo de tradução e retrotradução, do qual foram obtidos 72 itens que foram revisados por especialistas. Posteriormente, foram escolhidos 39 itens que foram aplicados em um grupo de 30 estudantes para verificação da compreensão e do tempo de aplicação. Por último, esta versão foi aplicada a 803 alunos de uma universidade pública. Obteve-se uma escala de 38 itens, divididos em 6 fatores consistentes com o modelo de crenças em saúde: suscetibilidade (α = 0,77), seriedade (α = 0,82), benefícios (α = 0,80), barreiras (α = 0,83), autoeficácia (α = 0,88) e motivação para a saúde (α = 0,71), que explicam 44% da variância e apresentam consistência interna de adequada a boa. A variável que mais influenciou a realização do autoexame testicular foi a autoeficácia. A versão em espanhol da escala do modelo de crenças em saúde para câncer e autoexame testicular obteve evidências de validade e confiabilidade nesta amostra de estudantes universitários.
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INTRODUCCIÓN: Tomando en consideración el concepto de Susceptibilidad al Castigo de la teoría de Sensibilidad al Refuerzo de Gray y la actividad lingüística-verbal interna propia del ser humano, se propone el concepto Susceptibilidad al Castigo Anticipado (SCA) debido a que no existe ningún instrumento para evaluarlo. El Objetivo: es diseñar y estudiar la bondad de los ítems, la estructura interna y la confiabilidad la Escala de Susceptibilidad al Castigo Anticipado (ESCA). Además, se presentan datos descriptivos de la ESCA. MÉTODO: Primero se elaboraron los ítems en función de la definición del concepto, después fueron valorados por expertos. En la fase piloto se administró la versión inicial de la ESCA a 240 personas adultas con las que se realizó la depuración y primer estudio de la consistencia a partir de un Análisis Factorial Exploratorio. Posteriormente, se realizó un Análisis Factorial Confirmatorio con la versión final en una muestra de 960 estudiantes universitarios, se corroboró la bondad de los ítems y se estudió la confiabilidad de la ESCA. RESULTADOS: Todos los ítems de la versión final resultaron adecuados. Se observó y corroboró en la fase final una estructura interna de tres factores (y uno de segundo orden). Los factores y la escala total mostraron adecuados valores de consistencia interna. CONCLUSIONES: La ESCA, a pesar de las limitaciones derivadas en gran parte al tratarse de un nuevo constructo, es un instrumento adecuado para evaluar la susceptibilidad al castigo anticipado en población universitaria de Michoacán (México).
INTRODUCTION: Taking into consideration the concept of Susceptibility to Punishment of Gray's Reinforcement Sensitivity theory and the internal linguistic-verbal activity of the human being, the concept of Susceptibility to Early Punishment (SEP) is proposed, because there is no instrument to evaluate it. The Objective: To Design and study the goodness of the items, the internal structure and the reliability of the Susceptibility to Early Punishment Scale (SEPS). In addition, descriptive data from SEPS are presented. METHOD: The items were first elaborated based on the definition of the concept, and were valued by experts. In the pilot phase, the initial version of the SEPS was administered to 240 adult people where information was filtered and the first study of consistency was done based on an Exploratory Factor Analysis. Subsequently, a Confirmatory Factor Analysis was performed with the final versión of the scale, in a sample of 960 university students. The goodness of the items was corroborated, and the reliability of the SEPS was studied. RESULTS: All the items of the final version were adequate; an internal structure of three factors (and one of the second order) was observed and corroborated in the final phase. The factors and the full scale revealed adequate internal consistency values. CONCLUSIONS: The SEPS, despite the limitations derived largely from being a new construct, is an adequate instrument to assess the susceptibility to early punishment in the university population of Michoacan (Mexico).
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Humans , Male , Female , Adolescent , Adult , Young Adult , Psychometrics/methods , Punishment , Surveys and Questionnaires , Reproducibility of Results , Factor Analysis, Statistical , MexicoABSTRACT
RESUMEN Introducción: En el contexto colombiano, la escala APGAR familiar es de uso frecuente para evaluar la función familiar. Sin embargo, no se cuenta con un análisis factorial confirmatorio (AFC) que corrobore en estudiantes adolescentes colombianos la estructura unidimensional propuesta. Objetivo: Realizar un AFC a la escala APGAR familiar en estudiantes de media vocacional de Santa Marta, Colombia. Método: Un total de 1.462 estudiantes de décimo y undécimo grado de colegios oficiales y privados diligenció la escala APGAR familiar. Se incluyó a los estudiantes de 13 a 17 anos (media, 16,0 ± 0,8); el 60,3% eran mujeres y el 55,3%, estudiantes de décimo grado. En el AFC se estimaron los estadísticos x2, RMSEA, CFI, TLI y SMSR. Se calculó la consistencia interna de la dimensión con los coeficientes alfa de Cronbach y omega de McDonald. Resultados: En el AFC los estadísticos fueron: x2 = 9,11; gl = 5;p = 0,105; RMSEA = 0,024 (IC90%, 0,000-0,048); CFI = 0,998; TLI = 0,996 y SMRS = 0,009. El coeficiente alfa de Cronbach fue 0,819 y el omega de McDonald, 0,820. Conclusiones: Se confirma la estructura unidimensional de la escala APGAR familiar en estudiantes de media vocacional de Santa Marta, Colombia. Este cuestionario es confiable y válido para la medición de función familiar en adolescentes escolarizados.
ABSTRACT Introduction: In Colombia, the family APGAR questionnaire is often used to evaluate family function. However, there is no confirmatory factor analysis (CFA) to corroborate the proposed one-dimensional structure in Colombian adolescent students. Objective: To perform CFA on the APGAR family questionnaire in high-school students of Santa Marta, Colombia. Method: A total of 1462 students of tenth and eleventh grade of official and private schools completed the family APGAR questionnaire. Students between 13 and 17 years old (M=16.0, SD=0.8) were included, of which 60.3% were female, and 55.3% were tenth grade students. The x2, RMSEA, CFI, TLI and SMSR were estimated in the CFA. The internal consistency of the dimension was calculated with Cronbach alpha and McDonald omega coefficients. Results: In the CFA the indexes were x2=9.11, df=5, P=.105; RMSEA=.024 (CI90%, .000-.048), CFI=.998, TLI=.996, and SMSR=.009. Cronbach alpha coefficient was .819 and McDonald omega, .820. Conclusions: The one-dimensional structure of the APGAR family scale is confirmed in high-school students of Santa Marta, Colombia. This questionnaire is reliable and valid for the measurement of family function in school-aged adolescents.
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Resumen Introducción: la escala de conocimiento en salud mental (MAKS) y la escala de trastorno mental: actitudes de los médicos (MICA) son herramientas para explorar estigma-discriminación relacionado con los trastornos mentales. Las traducciones en español están disponibles; sin embargo, se desconoce la consistencia interna de estos instrumentos. Objetivo: explorar la consistencia interna y la correlación entre MAKS y MICA en estudiantes de medicina. Materiales y métodos: se diseñó un estudio psicométrico. Una muestra de 507 estudiantes, con edades comprendidas entre 18 y 39 años (M=21,0; DE =2,9), 56,5 % eran mujeres, 65,3 % estudiaban en una universidad privada y 50,1 % tomaban cursos básicos de medicina. Los participantes completaron el MAKS y el MICA, que son escalas de 12 y 16 ítems, respectivamente. Ambas escalas ofrecen opciones de respuesta tipo Likert, desde totalmente de acuerdo hasta totalmente en desacuerdo. Resultados: se calculó la consistencia interna (alfa de Cronbach y omega de McDonald) y la correlación entre MAKS y MICA. MAKS mostró alfa de Cronbach de 0,62 y omega de McDonald de 0,77 y MICA presentó alfa de Cronbach de 0,51 y omega de McDonald de 0,33. La reproducibilidad de la MICA r=0,44 y CCI de 0,61 y la de la MAKS r =0,44 y CCI de 0,60. Conclusión: se concluye que la MAKS presenta aceptable consistencia interna y reproducibilidad; sin embargo, la MICA muestra un pobre desempeño. Se recomienda utilizar MAKS para medir la discriminación de estigma relacionada con trastornos mentales entre estudiantes de medicina en Santa Marta, Colombia. Los ítems de la versión en español de la MICA necesitan una revisión sólida.
Abstract Introduction. Both Mental Health Knowledge Schedule (MAKS) and Mental Illness: Clinicians' Attitudes (MICA) are tools for exploring stigma-discrimination related to mental disorders. Spanish translations are now available; however, it is unknown their internal consistency. The research Objective. The research objective was to explore the internal consistency and correlation between MAKS and MICA in students of medicine at Santa Marta, Colombia. Materials and Methods. A psychometric study was designed. A sample of 507 students, aged between 18 and 39 years (M=21.0, SD=2.9), 56.5 % were females, 65.3 % studied in a private university, and 50.1 % were taking basic medicine courses. Participants completed the MAKS and MICA, which are 12- and 16-item scales, respectively. Both scales offer Likert-type options of answer from strongly agree to disagree strongly. Results. Internal consistency (Cronbach alpha and McDonald omega) and correlation between MAKS and MICA were computed. The MAKS showed Cronbach alpha of 0.62 and McDonald omega of 0.77, and the MICA presented Cronbach alpha of 0.51 and McDonald omega of 0.33. The reproducibility of the MICA was r=0.44 and ICC of 0.61, and the MAKS, r = 0.44 and ICC of 0.60. As Conclusions. The MAKS presents acceptable internal consistency and reproducibility; however, the MICA shows poor performance. It is recommended to use MAKS to measure stigma-discrimination related to mental disorders among medical students in Santa Marta, Colombia. MICA items need a strong review for the Spanish version.
Resumo Introdução. Tanto o Programa de Conhecimento em Saúde Mental (MAKS, in English) quanto a Doença Mental: Atitudes do Clínico (MICA, in English) são ferramentas para explorar o estigma-discriminação relacionado aos transtornos mentais. Já estão disponíveis traduções para o espanhol; no entanto, desconhece-se a sua consistência interna. Objetivo. O objetivo da pesquisa foi explorar a consistência interna e a correlação entre MAKS e MICA em estudantes de medicina de Santa Marta, Colômbia. Materiais e métodos. Um estudo psicométrico foi desenhado. Em uma amostra de 507 alunos, com idades entre 18 e 39 anos (M=21,0, DP=2,9), 56, 5% eram do sexo feminino, 65,3 % cursavam universidade privada e 50,1 % cursavam medicina básica. Os participantes preencheram o MAKS e o MICA, que são escalas de 12 e 16 itens, respectivamente. Ambas as escalas oferecem opções de resposta do tipo Likert de concordo totalmente a discordo totalmente. Resultados. A consistência interna (alfa de Cronbach e ômega de McDonald) e a correlação entre MAKS e MICA foram calculadas. O MAKS apresentou alfa de Cronbach de 0,62 e McDonald ômega de 0,77, e o MICA apresentou alfa de Cronbach de 0,51 e McDonald ômega de 0,33. A reprodutibilidade do MICA foi r=0,44 e ICC de 0,61, e do MAKS, rs=0,44 e ICC de 0,60. Conclusões. Como Conclusões, o MAKS apresenta consistência interna e reprodutibilidade aceitáveis; no entanto, o MICA mostra um desempenho ruim. Recomenda-se o uso do MAKS para medir o estigma-discriminação relacionado aos transtornos mentais entre estudantes de medicina em Santa Marta, Colômbia. Os itens do MICA precisam de uma revisão rigorosa para a versão em espanhol.
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ABSTRACT. The concept Awareness of Age-Related Change (AARC) is defined as a person's awareness that their behavior, level of physical, cognitive and social performance, and ways of experiencing life have changed as a consequence of having grown older, and not because of disease. Objective: A psychometric study investigating evidence of construct validity and internal consistency of the Portuguese version of the AARC Short Scale was carried out. Method: A convenience sample of 387 individuals aged≥60 years with no deficit suggestive of dementia were recruited at venues frequented by older persons and at households. Participants answered the Portuguese version of the scale, along with questionnaires collecting sociodemographic and frailty variables and self-rated health based on personal criteria and relative to peers. Results: Exploratory and confirmatory factorial analyses derived a structure with two orthogonal factors representing the latent variables gains and losses, invariant for age group, thus replicating the original scale. The factors explained a large proportion of item variability (58.6 to 51.8%) and exhibited high loadings (0.886 to 0.432) and good communality [0.787 for item 4 (better sense of what is important) and 0.369 for item 6 (less energy)]. The hypotheses of covariance between the new instrument and the parallel measures of frailty and self-rated health were confirmed. The levels of internal consistency were high (α>0.700). Conclusion: Evidence confirmed the factor and convergent (construct) validity and internal consistency of the new scale in Portuguese.
RESUMO. O reconhecimento de ganhos e perdas associados ao envelhecimento desempenha papel regulador em relação ao self e às atitudes sociais quanto à velhice. Objetivo: Investigar indicadores de validade de construto, consistência interna e validade convergente da Awareness of Age-Related Change Short Scale (AARC) traduzida para o português. Método: Um total de 387 indivíduos de 60 anos ou mais compuseram amostra de conveniência que respondeu à versão do estudo AARC Short Scale em português, e a medidas de fragilidade, autoavaliação de saúde e caracterização sociodemográfica. As explorações de validade de construto foram mediadas por análises fatoriais exploratórias (com rotação Varimax e oblíqua/Promax), e confirmatórias (método de equações estruturais para variáveis latentes); as de consistência interna, pelo teste de Cronbach e as de validade convergente, pelas correlações entre os itens da escala, fragilidade e saúde autorreferida. Resultados: A estrutura de dois fatores, ganhos e perdas, as cargas e a comunalidade dos itens da escala em português foram altas e similares nas análises fatoriais exploratórias e confirmatórias, e similares à versão original. Foi rejeitada a hipótese de correlação entre os fatores e confirmada a de invariância do construto às idades; consistência interna da escala e dos fatores indicada por índices α>0,700; fragilidade e saúde autorreferida correlacionaram-se negativamente com a pontuação na escala e em ganhos, e positivamente em perdas. Conclusões: Foram observadas evidências de validade de construto, consistência interna e validade convergente da versão do AARC Short Scale em português, para aplicação em amostras com características similares às desse estudo.
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Humans , Reproducibility of Results , Self Concept , Aged , AttitudeABSTRACT
Objective:To translate the health literate healthcare organization 10 item questionnaire(HLHO-10) into Chinese and examine its reliability and validity.Methods:The Chinese version of HLHO-10 questionnaire(HLHO-10-C) was developed by following the Brislin translation model of translation, back translation, cultural adaptation and questionnaire epistemological survey.Five experts and 1 071 medical staff from 24 healthcare organizations in Zhejiang province were selected to conduct the validity and reliability test of the HLHO-10-C.Results:The content validity indices at the item level and total questionnaire level of HLHO-10-C were from 0.8 to 1.0 and 0.96 respectively, and the results of the exploratory factor analysis showed good structural validity.Conclusions:HLHO-10-C proves adequate reliability and validity to serve as a tool for healthcare organizations in evaluating and becoming HLHO. It can also help the implementation of the Healthy China Initiative(2019—2030), which is a performance assessment mechanism for health education and promotion of healthcare providers and health care organizations.