Recovery Experience Questionnaire: validity evidence of the Brazilian-Portuguese version / Questionário de Experiência de Restauro: evidências de validade da versão em português brasileiro

Abstract The aim is to present validity evidence of the Brazilian-Portuguese Recovery Experience Questionnaire (REQ-PB) by applying a procedure to decentering cross-cultural scales translation and adaptation. First, we had a phase with bilingual experts, which assessed different criteria of translation quality. In sequence, we conducted the replication of the original research to achieve validity indicators in the Brazilian context. We carried out both Confirmatory Factor Analysis (to find structural validity indicators) and correlations with various external variables (to find convergent validity indicators). Step 1 showed promising results of decentering translation. In step 2 participated 164 workers and the CFA confirmed the four-factor model: psychological detachment from work, relaxation, mastery experience, and control over leisure time. The convergent validity showed a significant correlation with external variables. The REQ-PB showed adequate psychometric properties and may explain and compare empirical evidence of the recovery topic. We concluded that we have a good quality scale to be used in future research and integrated with other constructs to support interventions.

Resumo O objetivo é apresentar evidências da validade do Questionário de Experiência de Restauro em português brasileiro (REQ-PB) por meio da aplicação de um procedimento de descentralização para tradução e adaptação de escalas transculturais. Inicialmente, tivemos uma fase com especialistas bilíngues que avaliaram a qualidade da tradução utilizando diferentes critérios. Na sequência, realizamos a replicação da pesquisa original para alcançar os indicadores de validade no contexto brasileiro. Efetuamos tanto a análise fatorial confirmatória (para encontrar indicadores de validade estrutural) quanto correlações com variáveis externas (para encontrar indicadores de validade convergentes). O passo 1 mostrou resultados promissores na tradução descentralizada. No passo 2, participaram 164 trabalhadores e a análise fatorial confirmatória confirmou o modelo de quatro fatores: distanciamento psicológico do trabalho, relaxamento, experiência de domínio e controle do tempo livre. A validade convergente mostrou uma correlação significativa com variáveis externas. O REQ-PB mostrou propriedades psicométricas adequadas capazes de explicar e comparar evidências empíricas do tópico de restauro. Em resumo, a escala pode ser utilizada em pesquisas futuras e integrada aoutros construtos para orientar intervenções.

Construcción de una escala de autoeficacia para comunicación oral y escrita dentro de entornos laborales en futuros egresados / Construction of a self-efficacy scale for oral and written communication in work environments in future graduates

Resumen El mercado laboral requiere de futuros trabajadores con buen desarrollo de competencias transversales como la Comunicación Oral y Escrita para el trabajo. Relacionado con esto, la categoría de auto-eficacia es relevante, pues constituye un factor decisivo para que un individuo logre sus metas, siendo entonces necesario evaluarla para dicha competencia en futuros egresados. Con este fin se diseñó, validó y evaluó la confiabilidad de una escala (n=443). Para la de validez de contenido se utilizó el método CVI y para la consistencia interna el método de división por mitades así como el coeficiente alfa de Cronbach. Finalmente se aplicó un análisis factorial para la validez de constructo. Se obtuvieron niveles altos de CVI (0.87) y consistencia interna (R=0.97, α=0.95) así como cuatro factores que explican el 66 % de la varianza total. Concluyendo que el instrumento es válido y confiable para medir auto-eficacia para la comunicación oral y escrita en entornos laborales en futuros egresados.

Abstract The labor market needs future workers with adequate levels of transversal skills such as Oral and Written Communication for the job. In this regard, the category of self-efficacy becomes relevant, since it constitutes a decisive factor for an individual to achieve his goals, being then necessary to evaluate this competence in future graduates. To this end, a scale was designed, validated and evaluated for reliability (n=443). For content validity the CVI method was used and for internal consistency the method of division by halves was used as well as Cronbach's alpha coefficient. Finally, a factor analysis was applied for construct validity. High levels of CVI (0.87) and internal consistency (R=0.97, α=0.95) were obtained, as well as four factors that explain 66% of the total variance. We conclude that the instrument is valid and reliable to measure self-efficacy for oral and written communication in work environments in future graduates.

Desarrollo y validación del instrumento ENLASA-Enfermería para la evaluación de un entorno laboral saludable en el ámbito hospitalario / Development and validation of the ENLASA-Nursing instrument for the assessment of a healthy work environment in the hospital setting

El entorno laboral de los profesionales de enfermería es un área temática de gran interés para organizaciones internacionales en salud, organizaciones profesionales internacionales y locales, académicos, investigadores y directores o gerentes de enfermería, por la mediación o el impacto que estos entornos pueden tener en los resultados personales y profesionales de los enfermeros, en la calidad de la atención que se brinda a los pacientes y en los resultados de las organizaciones proveedoras de servicios de salud. Por lo anterior, existe el gran desafío de establecer entornos laborales saludables para mejorar la práctica de los enfermeros. Para promover la investigación empírica de los entornos laborales saludables de los enfermeros de práctica asistencial en el ámbito hospitalario, se desarrolló el instrumento ENLASA-Enfermería empleando un diseño de métodos mixtos secuencial exploratorio de tres fases. En la primera fase se adelantó la definición del concepto y la identificación de sus características, iniciando con una sub-fase de revisión teórica, continuando con una subfase de abordaje cualitativo con enfermeros y finalmente una sub-fase analítica para interconectar los hallazgos teóricos y cualitativos. En la segunda fase se generó un banco de ítems organizado en dos dimensiones (parte A: componentes estructurales organizacionales y parte B: dimensión de procesos organizacionales) que fue sometido a una revisión por expertos para estimar la validez facial y de contenido, y posteriormente se realizó una prueba piloto con una muestra de 22 enfermeros. Finalmente, en la tercera fase se aplicó el instrumento a una muestra de 307 enfermeros clínicos del ámbito hospitalario de diferentes municipios y ciudades de Colombia, con lo cual se realizó una evaluación de las propiedades métricas en términos de validez de constructo y confiabilidad. Los resultados obtenidos permitieron clasificar cada una de las partes de ENLASAEnfermería como satisfactorias en términos de validez facial y de contenido con índices globales superiores a 0,80 en las variables evaluadas por cada parte; con consistencia interna satisfactoria (Alfa de Cronbach parte A: 0,930 y parte B: 0,944) y con una estructura interna que permitió reconocer los elementos conceptuales de un entorno laboral saludable que respaldan su contenido. Se concluyó que ENLASA-Enfermería es un instrumento válido y confiable, prometedor para la investigación y la evaluación de los entornos laborales saludables de enfermeros clínicos en el ámbito hospitalario en Colombia.

The work environment of nursing professionals is a subject area of great interest to international health organizations, international and local professional organizations, academics, researchers and nursing directors or managers due to the mediation or the impact that these environments may have in the results of the professionals nursing, in the quality of care provided to patients and in the results of health service provider organizations. Therefore, there is the great challenge of establishing healthy work environments to improve the practice of professionals nursing. To promote empirical research on healthy work environments for nurses in care practice in the hospital setting, the ENLASA-Nursing instrument was developed using a three-phase exploratory sequential mixed methods design. In the first phase, the definition of the concept and the identification of its characteristics were advanced, starting with a sub-phase of theoretical review, continuing with a subphase of qualitative approach with nurses and finally an analytical sub-phase to interconnect the theoretical findings and qualitative. In the second phase, a bank of items organized in two dimensions (part A: organizational structural components and part B: organizational processes dimension) was generated, which was subjected to a review by experts to estimate facial and content validity and subsequently carried out a pilot test with a sample of 22 nurses. Finally, in the third phase, the instrument was applied to a sample of 307 clinical nurses from the hospital environment of different municipalities and cities in Colombia, with which an evaluation of the metric properties in terms of construct validity and reliability was carried out. The results obtained allowed classifying each of the parts of ENLASA-Nursing as satisfactory in terms of facial validity and content with indices global above 0.80 in the variables evaluated; with satisfactory internal consistency (Cronbach's Alpha part A: 0,930 and part B: 0,944) and with an internal structure that demonstrated relationships between items, subdimensions and dimensions, confirming the existence of the healthy work environment construct measured by the instrument. It was concluded that ENLASA-Nursing is a valid and reliable instrument, promising for the research, establishment and evaluation of healthy work environments of clinical nurses in the hospital setting in Colombia.

Validez y fiabilidad de un instrumento que mide el uso de las TIC en la Universidad de Ciencias Médicas de Matanzas / Validity and reliability of an instrument that measures the use of ICT at Matanzas University of Medical Sciences

RESUMEN Introducción: uno de los métodos más frecuentes utilizados por los investigadores para evaluar distintos aspectos relacionados con la docencia, es el uso de cuestionarios. Pero para garantizar la utilidad y significado de los resultados obtenidos, no basta con la simple creación de una lista de preguntas y respuestas separadas por ítems, sino que el instrumento utilizado debe poseer una alta consistencia interna, es decir debe estar bien diseñado según los criterios estándar de calidad. Objetivo: evaluar la validez y la fiabilidad de un instrumento que mide el uso de las TIC en la Universidad de Ciencias Médicas de Matanzas. Materiales y métodos: se realizó un estudio cuantitativo en la Universidad de Ciencias Médicas de Matanzas, en el período de enero -mayo del 2019, para evaluar la actitud, el nivel de conocimiento y uso que realizan de las TIC los profesores de la universidad. Resultados: los resultados muestran la alta consistencia interna de cada una de las secciones pertenecientes al instrumento lo que demostraron la validez y fiabilidad del mismo. Conclusiones: resultó ser un instrumento que responde a las necesidades de la investigación y debe aplicarse sin eliminar ninguno de sus ítems, pues todos demuestran su alto valor de consistencia interna y discriminación (AU).

ABSTRACT Introduction: the use of questionnaires is one of the most frequently methods used by researchers to assess different characteristics related to teaching. But to guarantee the usefulness and meaning of the results obtained, it is not enough the simple creation of a list of questions and answers separated by items, but the instrument used must have a high internal consistency that is, it must be well designed according to the standard quality criteria. Objective: to assess the validity and reliability of an instrument that measures the use of ICTs at Matanzas University of Medical Sciences. Materials and methods: a quantitative study was carried out at Matanzas University of Medical Sciences, in the period January-May 2019, to assess the aptitude, level of knowledge and use of ICTs made by the professors of the university. Results: the results show the high internal consistency of each of the sections belonging to the instrument, which shows its validity and reliability. Conclusions: without a doubt, it is an instrument answering the needs of the research and must be applied without eliminating any of its items, as all of them demonstrate their high value of internal consistency and discrimination (AU).

Consistencia interna y dimensionalidad del cuestionario breve para detectar intimidación escolar / Internal Consistency and Dimensionality in the Brief Questionnaire for Bullying Detection / Consistência interna e dimensionalidade do questionário breve para a detecção da intimidação escolar

Resumen Objetivo. Corroborar el desempeño psicométrico, la consistencia interna y la dimensionalidad del Cuestionario Breve de Detección de Intimidación Escolar (CBDIE). Método. Se diseñó un estudio de validación en el que participaron 350 estudiantes, entre los 10 y los 17 años (M= 13.3; DE= 1.8), 53.7% de género femenino. Se calcularon indicadores de consistencia interna (Kuder-Richardson, K-R, y omega de McDonald) para las tres subescalas del CBDIE. Resultados. La subescala de intimidación percibida mostró K-R de 0.55 y omega de McDonald de 0.58; la subescala de síntomas emocionales, 0.80 y 0.81; y la subescala de intimidación perpetrada, 0.41 y 0.33. No fue posible demostrar la dimensionalidad del instrumento. Conclusión. Solo la subescala de síntomas emocionales de CBDIE presenta alta consistencia interna. Se necesitan más investigaciones de la dimensionalidad del CBDIE, para dar cuenta de su estructura interna.

Abstract Objective. To corroborate the psychometric performance, internal consistency and dimensionality, of the Brief Questionnaire for Bullying Detection (BQBD). Method. A validation study was designed in which 350 students between 10 and 17 years of age (M = 13.3; SD = 1.8) participated, 53.7% of them female. Internal consistency indicators (Kuder-Richardson, K-R and McDonald's omega) were calculated for the three sub-scales of the BQBD. Results. The sub-scale of perceived intimidation showed K-R of 0.55 and McDonald's omega of 0.58; the sub-scale of emotional symptoms were 0.80 and 0.81, and the sub-scale of perpetrated intimidation were 0.41 and 0.33, respectively. It was impossible to demonstrate the proposed dimensionality. Conclusion. Only the sub-scale of emotional symptoms of the BQBD has high internal consistency. More research on the dimensionality of the BQBD is needed to explain its internal structure.

Resumo Escopo. Corroborar o desempenho psicométrico, a consistência interna e a dimensionalidade do Questionário Breve de Detecção de Intimidação Escolar (CBDIE). Metodologia. Foi desenhado um estudo de validação no que participaram 350 estudantes, entre os 10 e os 17 anos (M=13.3; DE=1.8); 53.7% de gênero feminino. Foram calculados indicadores de consistência interna (Kuder-Richardson, K-R, e ômega de McDonald) para as três sub-escadas do CBDIE. Resultados. A sub-escada de intimidação percebida mostrou K-R de 0.55 e ômega de McDonald de 0.58; a sub-escada de sintomas emocionais, 0.8 e 0.81; e a sub-escada de intimidação perpetrada, 0.41 e 0.33. Não foi possível demostrar a dimensionalidade do instrumento. Conclusão. Só a sub-escada de sintomas emocionais de CIBDE apresenta alta consistência interna. Foram necessitadas mais pesquisas da dimensionalidade do CIBDE, para dar conta da sua estrutura interna.

Adaptation, Validation and Reliability Testing of Sensory Processing Measure Home Form Malay version for Children with Autism (Adaptasi, Kesahan dan Kebolehpercayaan Borang Sensory Processing Measure Home Form versi Bahasa Melayu untuk Digunakan terhadap Kanak-kanak dengan Autisme) / Jurnal Sains Kesihatan Malaysia

@#Inappropriate responses towards sensory input received from the environment, also known as sensory processing difficulties (SPD) may affect daily living activities of the children with Autism Spectrum Disorder (ASD). Sensory Processing Measure Home Form (SPM Home Form) as a parent report measure for SPD is available in English and other foreign languages. To enhance the applicability and meaningfulness of SPM Home Form for the Malay speaking population, a study that focuses on translating, adapting, and validating the SPM Home Form into the Malay language was conducted. The development of the Malay version of the SPM Home Form (SPM-MV Home Form) involved three steps: 1) Item evaluation, 2) Forward and backward translation, and 3) Expert review and content validity. The process of translation and adaptation of the form was performed according to standard guidelines. No item was excluded from the original SPM Home Form as all the items were considered by the expert panel as appropriate and relevance to evaluate the activity and social participation among children in Malaysia. Content validity as measured by 10 experts in occupational therapy is high. The mean of sub-scales I-CVI is between 0.96 and 1.00. The total S-CVI of the form is 0.95 with sub-scales S-CVI range between 0.82 and 1.00. Cronbach’s alpha for internal consistency was reported at 0.80 and ICC for test-retest reliability ranged from 0.80 to 0.97. The SPM-MV Home Form has high potential to be used for assessing SPD among children ages 5-12 years in Malaysia.

Psychometric properties of the Iranian version of the Anxiety Sensitivity Index-3 (ASI-3) / Propriedades psicométricas da versão iraniana da Anxiety Sensitivity Index-3 (ASI-3)

Abstract Introduction: Anxiety sensitivity plays a prominent role in the etiology of anxiety disorders. This construct has attracted widespread interest from experts and researchers. The Anxiety Sensitivity Index (ASI-3) is the most common scale for measuring anxiety sensitivity. Objective: To analyze the psychometric properties and factor structure of the ASI-3 in Iranian student samples. Methods: 220 students (135 women, 85 men) from Kermanshah University of Medical Sciences were selected by the convenience sampling method to evaluate the psychometric properties and analyze the factor structure of the ASI-3. The subjects were also asked to complete the Acceptance and Action Questionnaire-II (AAQ-II), Whiteley Index, Intolerance of Uncertainty, and Neuroticism scales. LISREL and SPSS were used to analyze the data. Cronbach's alpha and correlation coefficients were calculated and confirmatory factor analysis was conducted. Results: The results of the confirmatory factor analysis revealed a three-factor structure with physical, cognitive, and social components (comparative fit index = 0.94; normed fit index = 0.91; root mean square error of approximation = 0.09). The ASI-3 had positive and significant correlations with health anxiety (0.59), intolerance of uncertainty (0.29), and neuroticism (0.51). Furthermore, the ASI-3 had a negative and significant correlation with the AAQII (-0.58). Cronbach's alpha coefficients for the whole scale and for the physical, cognitive, and social concerns factors were 0.90, 0.74, 0.79, and 0.78, respectively. The invariance of the index was significant compared to the original English version. Conclusion: In general, the results support the adequacy of the psychometric properties of the Persian version of the ASI-3. Theoretical and applied implications will be discussed.

Resumo Introdução: A sensibilidade à ansiedade desempenha um papel proeminente na etiologia dos transtornos de ansiedade. Esse construto tem atraído grande interesse entre especialistas e pesquisadores. O Anxiety Sensitivity Index (ASI-3; em português, Escala de Sensibilidade à Ansiedade) é a medida mais utilizada para medir sensibilidade à ansiedade. Objetivo: Analisar as propriedades psicométricas e a estrutura fatorial do ASI-3 em estudantes iranianos. Métodos: Para avaliar as propriedades psicométricas e analisar a estrutura fatorial do ASI-3, 220 estudantes (135 mulheres, 85 homens) da Kermanshah University of Medical Sciences, Irã, foram selecionados via amostragem por conveniência. Eles foram solicitados a completar os seguintes instrumentos: Acceptance and Action Questionnaire-II (AAQ-II), Whiteley Index, Intolerance of Uncertainty e Neuroticism. Os programas LISREL e SPSS foram utilizados para analisar os dados. Alfa de Cronbach e coeficientes de correlação foram calculados, e foi realizada análise fatorial confirmatória. Resultados: Os resultados da análise fatorial confirmatória revelaram uma estrutura de três fatores, incluindo componentes físicos, cognitivos e sociais [comparative fit index (CFI) = 0,94; normed fit index (NFI) = 0,91; root mean square error of approximation (RMSEA) = 0,09]. O ASI-3 demonstrou correlações positivas e significativas com ansiedade em relação à saúde (0,59), intolerância à incerteza (0,29) e neuroticismo (0,51). Além disso, o ASI-3 teve uma correlação negativa e significativa com o AAQII (-0,58). Os coeficientes alfa de Cronbach para toda a escala e para os fatores preocupação física, cognitiva e social foram 0,90, 0,74, 0,79 e 0,78, respectivamente. A invariância do índice foi significativa em relação à versão original. Conclusão: Em geral, os resultados sugerem que as propriedades psicométricas da versão persa do ASI-3 são adequadas. Implicações teóricas e práticas serão discutidas.

Development of a scale of use, comprehension and attitudes in relation to nutrition labels in Spanish / Desarrollo de una escala de actitudes, uso y comprensión de etiquetas nutricionales en español

Abstract: Objective: To describe the development of a reliable and valid measure of attitudes toward, and use and comprehension of nutritional labels in Spanish speaking countries. Materials and methods: The dimensions encompassed in this instrument are attitudes, comprehension and use, combining self-reports and objective measures of nutrition knowledge. Content validity, item analysis, repeat and internal reliability, and convergent and divergent validity were assessed in a pooled sample of 185 individuals. Results: Cronbach alpha coefficients (above 0.9) exhibit internal consistency. Exploratory and confirmatory factor analyses of the scale show good properties for convergent and divergent validity. Conclusion: The final 25-item scale is a valid and reliable measure of use, comprehension and attitude towards nutrition labels for Spanish speaking populations.

Resumen: Objetivo: Describir el desarrollo de una medida confiable y válida de las actitudes, uso y comprensión de etiquetas nutricionales en poblaciones de habla hispana. Material y métodos: Las dimensiones abarcadas en este instrumento son las actitudes, la comprensión y el uso, combinando medidas subjetivas y objetivas acerca del conocimiento sobre nutrición. Se evaluó la validez del contenido, el análisis de los ítems, la repetición y confiabilidad interna y la validez convergente y divergente en una muestra de 185 individuos. Resultados: Los coeficientes alfa de Cronbach (mayores a 0.9) presentan consistencia interna, mientras que el factor de análisis confirmatorio y exploratorio muestra que la escala tiene validez convergente y divergente. Conclusiones: El instrumento final de 25 ítems es una medida válida y confiable de uso, comprensión y actitud hacia las etiquetas nutricionales diseñada para las poblaciones de habla hispana.

Validity and Reliability of a Korean Version of Yale Food Addiction Scale for Children (YFAS-C) / 간호학회지

PURPOSE: This study evaluated the psychometric properties of the Korean version of Yale Food Addiction Scale for Children (YFAS-C). METHODS: Participants were 419 young adolescent students (11~15 years old). The content validity of the expert group was calculated as the content validity index (CVI) after the translation and reverse translation process of the 25 items of the YFAS-C. The multitrait-multimethod matrix (MTMM) method was used to verify the construct validity; the generalized linear model (GLM) was used to evaluate the concurrent and incremental validity. Reliability was calculated as Kuder-Richardson-20 (KR-20) and Spearman-Brown coefficients. RESULTS: The CVI of the 25 items was greater than the item-level CVI .80 and the scale-level CVI .90. The Korean version of YFAS-C had verified convergent validity in emotional eating and external eating and discriminant validity in restrained eating. In addition, it had verified concurrent validity in emotional eating and external eating. Finally the incremental validity of the Korean version of YFAS-C was statistically significant on BMI. Reliability was KR-20 α=.69 and the Spearman-Brown coefficient was .64. CONCLUSION: The Korean version of YFAS-C is a valid and reliable scale for measuring the severity of food addiction; it can be a useful scale for preventing obesity by predicting food addiction early.

Validity and Reliability of Chinese Physical Activity Questionnaire for Children Aged 10-17 Years / 生物医学与环境科学（英文）

OBJECTIVE@#This study is aimed to report the development, the reliability and validity of the Chinese Children Physical Activity Questionnaire (CCPAQ) which was designed for the assessment of physical activity pattern in young population in China.@*METHODS@#The CCPAQ was administered for two times in 119 children (mean age 13.1 ± 2.4 years; boys 47%) to examine reliability by using intraclass correlation coefficients. Validity was determined in 106 participants by agreement with the CCPAQ measures and the objective method, the ActiGraph accelerometer. Data on physical activity pattern including time spent on different intensities and total physical activity, sedentary behavior as well as physical activity energy expenditure were used to assess the validity with Spearman's correlation coefficient and the Bland-Altman plots.@*RESULTS@#The reliability coefficient of the CCPAQ ranged from 0.63-0.93 (Intra-class correlation coefficient). Spearman's correlation coefficient for validity of time spent on total physical activity and sedentary behavior were all 0.32 (P < 0.001), and for physical activity energy expenditure was 0.58 (P < 0.001). Time spent on moderate-to-vigorous physical activity and light physical activity showed a relatively low correlation with the accelerometer (rho = 0.20, P = 0.040; rho = 0.19, P = 0.054).@*CONCLUSION@#The CCPAQ appears to be a promising and feasible method to assess physical activity pattern in Chinese children.

Validez de una escala de resiliencia (RESI-M) en mujeres indígenas de México / Validity of a resilience scale (RESI-M) in indigenous women in Mexico / Validade de uma escala de resiliência (RESI-M) em mulheres indígenas do México

Resumen: La resiliencia engloba una serie de capacidades y habilidades, las cuales son adquiridas como resultado de la interacción del individuo con su contexto, logrando superar sus propios límites de resistencia, a través de la generación de mecanismos, procesos de defensa y protección más eficientes que antes, ante la exposición a eventos adversos. La medición de la resiliencia se hace a través de la medición de la adversidad, adaptación exitosa y el proceso, lo que ha generado en la actualidad una variedad de herramientas. En la literatura no existe un instrumento que contemple la resiliencia desde una perspectiva cultural indígena y en mujeres, por lo tanto, el objetivo de este estudio fue evaluar la validez y confiabilidad de las puntuaciones obtenidas con esta escala, al ser aplicada en mujeres indígenas. La muestra la integraron 180 participantes, pertenecientes a diversas localidades indígenas de México, a las cuales se les aplicó la Escala de Resiliencia Mexicana (RESI-M) de Palomar Lever & Gómez Valdez 2010. Se evaluó la consistencia interna mediante el coeficiente de fiabilidad alfa de Cronbach y se determinó la estructura interna de cada una de las dimensiones por medio de un análisis factorial de componentes principales con rotación Varimax. La edad media de las participantes fue de 33±9,4 años de edad. Tras los análisis de confiabilidad y validez estadística, se obtuvo una versión final del instrumento de 34 preguntas, de las 43 originales; con una confiabilidad aceptable de 0,942 (alfa de Cronbach) y con 6 factores que explican el 56,34% de la varianza total. La versión es válida y confiable, con una estructura que permite evaluar la resiliencia como un proceso en mujeres indígenas.

Abstract: Resilience encompasses a series of capacities and skills that individuals acquire through interaction with their context, thus succeeding in overcoming their own limits of resistance by generating more efficient defensive and protective mechanisms and processes than before when exposed to adverse events. Resilience is assessed by measuring the adverse situation, successful adaptation, and the process, which has led to the development of a variety of instruments. There is no instrument in the literature that contemplates resilience from the cultural perspective of indigenous women, so the aim of this study was to assess the validity and reliability of scores obtained with the scale in this population group. The sample included 180 participants from various indigenous communities in Mexico, who were submitted to the Mexican Resilience Scale (RESI-M) developed by Palomar Lever & Gómez Valdez 2010. Internal consistency was assessed with the Cronbach's alpha reliability coefficient, and the internal structure of each dimension was determined by principal components factor analysis with Varimax rotation. Mean age of participants was 33±9.4 years. Following analysis of the reliability and statistical validity, a final version of the instrument was obtained with 34 questions (from the original 43), with an acceptable reliability of 0.942 (Cronbach's alpha) and with 6 factors that explain 56.34% of total variance. The version is valid and reliable, with a structure that allows assessing resilience as a process in indigenous women.

Resumo: A resiliência inclui uma série de capacidades e habilidades, as quais são adquiridas como resultado da interação do individuo com seu contexto, conseguindo superar seus próprios limites de resistência, através da geração de mecanismos, processo de defesa e proteção mais eficientes do que antes, diante da exposição a eventos adversos. A medição da resiliência é feita por meio da medição da adversidade, adaptação exitosa e o processo, o que tem gerado na atualidade várias ferramentas. Na literatura não existe um instrumento que considere a resiliência desde uma perspectiva cultural indígena ao respeito das mulheres, portanto, este estudo teve como objetivo avaliar a validade e confiabilidade das pontuações obtidas com esta escala, a serem aplicadas em mulheres indígenas. A mostra foi integrada por 180 participantes, pertencentes a diversas municipalidades indígenas do México, onde foi aplicada a Escala de Resiliência Mexicana (RESI-M) de Palomar Lever & Gómez Valdez 2010. Foi avaliada a consistência interna por meio do coeficiente de confiabilidade alfa de Cronbach e foi determinada a estrutura interna de cada uma das dimensões por meio de uma análise fatorial de componentes principais com rotação Varimax. A idade media das participantes foi de 33±9,4 anos de idade. Depois das análises de confiabilidade e validade estatística, foi obtida uma versão final do instrumento com 34 perguntas, das 43 originais; com uma confiabilidade aceitável de 0,942 (alfa de Cronbach) e com 6 fatores que explicam o 56,34% da variância total. A versão é válida e confiável, com uma estrutura que permite avaliar a resiliência como um processo em mulheres indígenas.

Validity and Reliability of the Korean Version Scale of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale (CLES+T) / 간호학회지

PURPOSE: This study was conducted to evaluate the validity and reliability of the Korean version of the clinical learning environment, supervision and nurse teacher evaluation scale (CLES+T) that measures the clinical learning environment and the conditions associated with supervision and nurse teachers. METHODS: The English CLES+T was translated into Korean with forward and back translation. Survey data were collected from 434 nursing students who had more than four days of clinical practice in Korean hospitals. Internal consistency reliability and construct validity using confirmatory and exploratory factor analysis were conducted. SPSS 20.0 and AMOS 22.0 programs were used for data analysis. RESULTS: The exploratory factor analysis revealed seven factors for the thirty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities. The Cronbach's alpha for the overall scale was .94 and for the seven subscales ranged from .78 to .94. CONCLUSION: The findings suggest that the 33-items Korean CLES+T is an appropriate instrument to measure Korean nursing students'clinical learning environment with good validity and reliability.

Validity And Reliability Of Vicon Motion Capture Camera Over The Traditional Anthropometric Method

@#Anthropometric study is one of the oldest branches of study in ergonomics where it serves a purpose in study of proportion and size for human body. One of the common methods used in anthropometric measurement is traditional measurement or direct measurement. However, Malaysia is still left behind other countries in development of national anthropometric database. Researchers in Malaysia are still relying on the traditional anthropometric (TA) measurement. There are several important factors that contribute to problems in TA such as accuracy, time, posture, identification of landmarks, instrument positions and orientations, and pressure exerted due to measuring equipment. In view of the fact that the difficulties of obtaining human anthropometry, it becomes necessary to propose a method which has less contact executed to respondent. This study aims to propose a new anthropometric measurement method using motion capture camera (MCC) method, later to develop the database for youth male population. A pilot test was done in order to confirm the measuring procedure as well as the flow of the study. Next, the Minitab statistical software used to check the validity and reliability of data using the tests of a) Accuracy-Pearson/Spearman Correlation b) BiasPaired T-Test c) Test-Retest Reliability-Pearson/Spearman Correlation d) Precision-Mean Absolute Difference and Relative Error Measurement. Results showed that the validity and reliability of this motion camera has successfully obtained and the anthropometric data for youth male respondents has successfully constructed. These findings can be used and expended to the national anthropometric database to be utilised in ergonomics design.

Validity and Reliability of the Korean Version of the Families' Importance in Nursing Care-Pediatric Nurses' Attitudes Instrument

PURPOSE: This study aimed to test the validity and reliability of the Korean version of the Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) instrument developed by Saveman et al. METHODS: The 222 pediatric nurses' data were collected from 13 hospitals in South Korea and were analyzed using descriptive statistics, exploratory factor analysis, the Pearson correlation coefficient, and the Cronbach's α in SPSS software. The AMOS program was used to conduct confirmatory factor analysis of construct validity. RESULTS: Of the 26 initial items, 24 were ultimately selected after evaluating content validity, construct validity, and reliability. The following 6 factors were included in the Korean version of the Families' Importance in Nursing Care-Pediatric Nurses' Attitudes (KFINC-PNA): family as a ‘conversational partner’, ‘participant in care’, ‘supporter for the nurse’, ‘burden’, ‘recipient of empowerment’, and ‘its own resource’. CONCLUSION: The KFINC-PNA was partially modified to explain differences in language and culture, but its validity and reliability were verified. Pediatric nurses' attitudes can be assessed using the KFINC-PNA, and adjustments to the care of hospitalized children and their families can be made based on these items. We recommend developing and verifying intervention methods that will improve family-centered care for hospitalized children and their families.

Fiabilidad y validez de un instrumento que utiliza fotografías para medir la habilidad de diagnóstico diferencial de lesiones causadas por presión y/o por incontinencia / Reliability and validity of an instrument that uses photographs to measure the abilityfor differential diagnosis of injuries caused by pressure and/or incontinence

RESUMEN Objetivo: Evaluar la fiabilidad y validez de un instrumento que permite medir la habilidad visual para identificar y clasificar Dermatitis Asociada a Incontinencia (DAI), Ulceras por Presión (UPP) y lesiones mixtas, por parte de profesionales de enfermería. Material y método: Se aplicó un instrumento autoadministrado conformado por 14 fotografías a una muestra por conveniencia de 28 profesionales de enfermería, donde se debía identificar la lesión y luego clasificar su estado de avance. A modo exploratorio se calculó la fiabilidad anidada con Alpha de Cronbach y la validez con Análisis de Componentes Principales (ACP). Resultados: La fiabilidad inicial de las 14 fotografías (Alpha de Cronbach= 0,174) fue baja y tras eliminar 7 la fiabilidad fue aceptable (Alpha de Cronbach= 0,709). Se estableció la presencia de dos dimensiones: por un lado, la habilidad de diagnosticar DAI que explica un 35% de la varianza y, por otro, la habilidad de diagnosticar UPP, que explica el 22% de la varianza, ya sea que se encuentren separadas o juntas en un mismo paciente. Las lesiones DAI son diagnosticadas en mayor proporción que las lesiones mixtas. Conclusión: El estudio aportó 6 fotografías fiables y válidas que pueden ser utilizadas en futuros trabajos para construir un instrumento más robusto que pueda ser utilizado en Chile para la capacitación en el área. La muestra estudiada tiene fortalezas en el diagnóstico de DAI y dificultades en el diagnóstico de lesiones mixtas.

ABSTRACT Aim: To evaluate the reliability and validity of an instrument that allows to measure the visual ability to identify and classify Incontinence Associated Dermatitis (IAD), Pressure Ulcers (PU) and mixed lesions, by nursing professionals. Material and method: A self-administered instrument consisting of 14 photographs was applied to a convenience sample of 28 nurses. A set of 14 photographs were shown in which they were asked to identify and then classify the state of the lesion. In an exploratory manner, the nested reliability was calculated with Cronbach's Alpha and the validity with Principal Component Analysis (PCA). Results: The initial reliability of the 14 photographs was low (Cronbach Alpha = 0.174), after removing 7 photographs the reliability became acceptable (Cronbach Alpha = 0.709). The presence of two dimensions was established: on the one hand the ability to diagnose IAD, which explains 35% of the variance, and secondly, the ability to diagnose PU, which explains 22% of the variance, whether they are separated or together in the same patient. IAD is better diagnosed than mixed lesions. Conclusion: The study provided 6 reliable and valid photos that can be used in future work to build a more robust instrument that can be used in Chile for training in the area. The studied sample shows strengths when diagnosing IAD and difficulties when diagnosing mixed lesions.

Patient Concerns Inventory for head and neck cancer: Brazilian cultural adaptation / Inventário de Preocupações dos Pacientes com câncer de cabeça e pescoço: adaptação cultural brasileira

Summary Objective: The purpose of this study was to translate, culturally validate and evaluate the Patients Concerns Inventory - Head and Neck (PCI-H&N) in a consecutive series of Brazilian patients. Method: This study included adult patients treated for upper aerodigestive tract (UADT) cancer. The translation and cultural adaptation of the PCI-H&N followed internationally accepted guidelines and included a pretest sample of patients that completed the first Brazilian Portuguese version of the PCI. Use, feasibility and acceptability of the PCI were tested subsequently in a consecutive series of UADT cancer patients that completed the final Brazilian Portuguese version of the PCI and a Brazilian Portuguese version of the University of Washington Quality of Life Questionnaire (UW-QOL). Associations between physical and socio-emotional composite scores from the UW-QOL and the PCI were analyzed. Results: Twenty (20) patients participated in the pretest survey (translation and cultural adaptation process), and 84 patients were analyzed in the cultural validation study. Issues most selected were: fear of cancer returning, dry mouth, chewing/eating, speech/voice/being understood, swallowing, dental health/teeth, anxiety, fatigue/tiredness, taste, and fear of adverse events. The three specialists most selected by the patients for further consultation were speech therapist, dentist and psychologist. Statistically significant relationships between PCI and UW-QOL were found. Conclusion: The translation and cultural adaptation of the PCI into Brazilian Portuguese language was successful, and the results demonstrate its feasibility and usefulness, making this a valuable tool for use among the Brazilian head and neck cancer population.

Resumo Objetivo: O objetivo deste estudo foi traduzir, adaptar culturalmente e avaliar o Inventário de Preocupações dos Pacientes - Cabeça e Pescoço (IPP-CP) em uma série consecutiva de pacientes brasileiros. Método: Este estudo incluiu pacientes adultos tratados por câncer do trato aerodigestivo superior (TADS). A tradução e a adaptação cultural do IPP-CP seguiram diretrizes internacionalmente aceitas e incluíram uma amostra piloto de pacientes que completaram a primeira versão em português do IPP-CP. O uso, a viabilidade e a aceitabilidade do IPP-CP foram testados posteriormente, em uma série consecutiva de pacientes com câncer do TADS que completaram a versão final em português do PCI e uma versão em português do questionário de qualidade de vida da Universidade de Washington (UW-QOL). As associações entre os escores físicos e socioemocionais do UW-QOL e do IPP foram analisadas. Resultados: Vinte pacientes participaram da pesquisa piloto (processo de adaptação cultural e tradução), e 84 pacientes foram analisados no estudo de validação cultural. As questões mais selecionadas foram: medo de o câncer voltar, boca seca, mastigação/comer, fala/voz/ser compreendido, deglutição, saúde dental/dentes, ansiedade, fadiga/cansaço, paladar e medo de eventos adversos. Os três especialistas mais selecionados foram fonoaudiólogo, dentista e psicólogo. Relações estatisticamente significativas entre IPP e UW-QOL foram encontradas. Conclusão: A tradução e a adaptação cultural do IPP para o português foram bem-sucedidas, e os resultados demonstram a viabilidade e a utilidade da ferramenta, tornando-a valiosa para uso na população brasileira com câncer de CP.

Psychometric Properties of the Malay Version of the Dutch Eating Behaviour Questionnaire (DEBQ) in a Sample of Malaysian Adults Attending a Health Care Facility

Objective: This study aims to investigate the psychometric properties of the Malay version of the Dutch Eating Behaviour Questionnaire (DEBQ) among Malaysian adults. Method: The Malay version of the DEBQ instrument was administered to 398 outpatients (269 women and 129 men) at the University of Malaya Medical Centre (UMMC). Confirmatory Factor Analysis (CFA) was conducted to study the construct validity of the instrument. Composite reliability coefficient, Raykov's rho, was used to determine the internal consistency. Results: The proposed three-factor structure for the DEBQ instrument was appropriate, although three items (Items 21, 14 and 27) showed problematic loadings with inappropriate model fit and were removed. The modified version had an appropriate model fit χ2/df = 2.129, TLI = 0.908, CFI = 0.918, RMSEA = 0.053 (90%CI = 0.048–0.058), close-fit P-value = 0.136 and satisfactory internal consistency of 0.914 for emotional eating scale, 0.819 for external eating scale and 0.856 for restrained eating scale. Discussion: The Malay version of the DEBQ is a valid instrument to study eating behaviour traits among Malaysian adults. Further research is warranted to determine if Items 14 and 27 are appropriate for the Malaysian population.

Confirmatory Factor Analysis of the Malay Version of the Confusion, Hubbub and Order Scale (CHAOS-6) among Myocardial Infarction Survivors in a Malaysian Cardiac Healthcare Facility

Background: The six item Confusion, Hubbub and Order Scale (CHAOS-6) has been validated as a reliable tool to measure levels of household disorder. We aimed to investigate the goodness of fit and reliability of a new Malay version of the CHAOS-6. Methods: The original English version of the CHAOS-6 underwent forward-backward translation into the Malay language. The finalised Malay version was administered to 105 myocardial infarction survivors in a Malaysian cardiac health facility. We performed confirmatory factor analyses (CFAs) using structural equation modelling. A path diagram and fit statistics were yielded to determine the Malay version's validity. Composite reliability was tested to determine the scale's reliability. Results: All 105 myocardial infarction survivors participated in the study. The CFA yielded a six-item, one-factor model with excellent fit statistics. Composite reliability for the single factor CHAOS-6 was 0.65, confirming that the scale is reliable for Malay speakers. Conclusion: The Malay version of the CHAOS-6 was reliable and showed the best fit statistics for our study sample. We thus offer a simple, brief, validated, reliable and novel instrument to measure chaos, the Skala Kecelaruan, Keriuhan & Tertib Terubahsuai (CHAOS-6), for the Malaysian population.

Reliability and Validity of the Korean Version of the Cancer Stigma Scale

PURPOSE: In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated. METHODS: The KCSS was formed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247 men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity, known-group validity, and internal consistency reliability of the KCSS were evaluated. RESULTS: Exploratory factor analysis supported the construct validity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis (Q (χ2/df)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30 (global: r=-.44; functional: r=-.19; symptom: r=.42). The KCSS had known-group validity. Cronbach's alpha coefficient for the 24 items was .89. CONCLUSION: The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical research to assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.

Development of the Meaning in Life Scale for Older Adults

PURPOSE: The purpose of this study was to develop and test the psychometric properties of the newly developed instrument, Meaning in Life, for elderly Korean people. METHODS: Ten older adults participated in the qualitative research used to develop the initial items. Participants for the psychometric testing were 371 community-dwelling older adults. Validity and reliability analyses included content, construct, and criterion-related validities, internal consistency, and test-retest reliability. RESULTS: The Meaning in Life Scale consisted of 12 items with three distinct factors; value of life, source of life, and will to live, which explained 86.7% of the total variance. A three-factor structure was validated by confirmatory factor analysis. Criterion-related validity was supported by comparison with the Purpose in Life Test (r=.74). Reliabilities were secured with test-retest reliability of Intra-class Correlation Coefficient (ICC) .85 and the Cronbach's alpha coefficient .90. CONCLUSION: The results of this study indicate that this instrument is useful to measure meaning in life in Korean elders.