Escala de Percepção de Risco sobre Covid-19/Isolamento Social: Propriedades Psicométricas / Escala de Percepción de Riesgo sobre Covid-19 y Aislamiento Social: Propiedades Psicométricas / Psychometric Properties of Risk Perception Scale about Covid-19 and Social Isolation (RPSCI)

Risk perception is a concept related to the decision-making process and allows people to perceive the hazards surrounding the context and choose the best preventive methods to avoid them. The COVID-19 pandemic was a remarkable era in which people had to adopt protective methods, such as social isolation, to reduce the possibility of being contaminated by the virus. This study covers the development, psychometric properties, and norms of a scale to assess Risk Perception regarding COVID-19 and Social Isolation. The analysis suggested good expert agreement regarding the adequacy of the scale content and items and factor analysis suggested two factors, called the emotional and cognitive domains. The composite reliability suggested the internal consistency of the scale and its factors. All the results of this study suggest that this scale presents evidence of construct validity, constituting a reliable instrument. This new instrument may be used to evaluate risk perception related to COVID-19 and Social Isolation.

La percepción del riesgo es un concepto relacionado con el proceso de toma de decisiones y permite a las personas percibir los peligros en el contexto y elegir los mejores métodos de prevención para evitarlos. La pandemia de COVID-19 es una era notable en la que las personas deben adoptar métodos, como el aislamiento social, para reducir la posibilidad de ser contaminados por el virus. Este estudio proporciona el desarrollo, las propiedades psicométricas y las normas de una escala para evaluar Percepción de Riesgo sobre el COVID-19 y el Aislamiento Social. El análisis sugirió un buen acuerdo de expertos sobre el ajuste del contenido y la escala de ítems y el análisis factorial apuntó dos factores denominados dominios emocional y cognitivo. La confiabilidad compuesta sugirió consistencia interna de la escala y sus factores. Todos los resultados de este estudio proponen que esta escala presenta evidencia de validez de constructo y es un instrumento confiable. Este nuevo instrumento podrá ser utilizado para evaluar la percepción de riesgo sobre el COVID-19 y el aislamiento social.

A percepção de risco é um conceito relacionado ao processo de tomada de decisão e permite que as pessoas percebam os perigos em torno do contexto e escolham os melhores métodos de prevenção para evitá-los. A pandemia do COVID-19 é uma era marcante em que as pessoas devem adotar métodos de proteção, como o isolamento social, para reduzir a possibilidade de serem contaminados pelo vírus. Este estudo fornece o desenvolvimento, as propriedades psicométricas e normas de uma escala para avaliar Percepção de Risco sobre COVID-19 e Isolamento Social. A análise sugeriu boa concordância dos especialistas sobre o ajuste de conteúdo e itens da escala, e a análise fatorial sugeriu dois fatores denominados domínios emocionais e cognitivos. A confiabilidade composta sugeriu a consistência interna da escala e seus fatores. Todos os resultados deste estudo sugerem que esta escala apresenta evidências de validade de construto, sendo um instrumento confiável. Este novo instrumento poderá ser utilizado para avaliar a percepção de risco sobre a COVID-19 e o Isolamento Social.

Análisis de confiabilidad y de constructo del instrumento FANTASTIC MEX-A para medir el estilo de vida de adultos mexicanos. Estudio piloto bicéntrico en un cuartel general y una universidad privada / Reliability and construction analysis of the FANTASTIC MEX-A instrument to measure the lifestyle of mexican adults. Bicentric pilot study in a headquarters and a private university

Resumen Objetivo: Realizar un análisis de confiabilidad y de constructo del instrumento FANTASTIC MEX-A a través de alfa de Cronbach (α) y análisis factorial exploratorio (AFE) en dos instituciones mexicanas localizadas en el estado de Guerrero: un cuartel general y una universidad privada, como un estudio piloto para determinar la factibilidad de realizarse a gran escala en adultos mexicanos. Diseño: Cuantitativo, transversal, no experimental, descriptivo. Muestreo aleatorio simple. Recolección de datos desde febrero del 2021 a noviembre del 2022. Variables: Nivel de estilo de vida (dependiente); ocupación, género, escolaridad, estado civil, tipo de familia, edad e índice de masa corporal (atributivas). Resultados: N=493, n=242, participación del 49% (NC=95%, IC=4.5%), la muestra se constituyó por 204 militares y 38 docentes-administrativos universitarios. Alfa de Cronbach=0.869 (buena), por el método de dos mitades se obtuvo para ítems nones α=0.76 y para ítems pares α=0.762, correlación rho entre mitades de 0.903 (correlación fuerte). Media de puntaje obtenido de 134.8±17.7 puntos, equivalente al 72.5%. Resultaron nueve factores con asociación teórica, que explican el 42.64% de la varianza acumulada en el AFE, 1: La protección de la salud mental e integridad física, 2: El distrés, 3: Las relaciones interpersonales afectivas, 4: El consumo de alcohol y sustancias de abuso, 5: La actividad física y la asociatividad, 6: El consumo de tabaco, 7: El sueño y la alimentación, 8: El control de salud y 9: La apariencia física. Conclusiones: A través del estadístico de Alfa de Cronbach por método de dos mitades se concluyó que el instrumento FANTASTIC MEX-A es consistente para la muestra estudiada. El AFE determinó validez de constructo para nueve factores con asociación teórica. Limitaciones: El estudio se realizó en el estado de Guerrero, México, la validación del instrumento en adultos mexicanos requiere una muestra representativa que considere sujetos de diversas regiones del país. Originalidad: No existen publicaciones que homologuen las versiones disponibles del instrumento en español. Se aporta una versión única que implicó la revisión y reconstrucción de cada ítem con ilustraciones de apoyo.

Abstract Objective: To carry out a reliability and construct analysis of the FANTASTIC MEX-A instrument through Cronbach's alpha (α) and exploratory factor analysis (EFA) in two Mexican institutions located in the state of Guerrero: a general headquarters and a private university, such as a pilot study to determine the feasibility of performing it on a large scale in Mexican adults. Design: Quantitative, cross-sectional, non-experimental, descriptive. Simple random sampling. Data collection from February 2021 to November 2022. Variables: Lifestyle level (dependent); occupation, gender, education, marital status, type of family, age and body mass index (attributive). Results: N=493, n=242, 49% participation (NC=95%, CI=4.5%), the sample consisted of 204 military personnel and 38 university teachers/administrators. Cronbach's alpha=0.869 (good), using the two-half method, α=0.76 was obtained for odd items and α=0.762 for even items, rho correlation between halves of 0.903 (strong correlation). Mean score obtained of 134.8 ± 17.7 points, equivalent to 72.5%. Nine factors with theoretical association were found, that explain 42.64% of the accumulated variance in the Exploratory Factor Analysis (EFA), 1: The protection of mental health and physical integrity, 2: Distress, 3: Affective interpersonal relationships, 4: The consumption of alcohol and substances of abuse, 5: Physical activity and associativity, 6: Tobacco consumption, 7: Sleep and diet, 8: Health control and 9: Physical appearance. Conclusions: Through the Cronbach's Alpha statistic by the two-half method, it was concluded that the FANTASTIC MEX-A instrument is consistent for the sample studied. The AFE determined construct validity for nine factors with theoretical association. Limitations: The study was conducted in the state of Guerrero, México, the validation of the instrument in Mexican adults requires a representative sample that considers subjects from various regions of the country. Originality: There are no publications that standardize the available versions of the instrument in Spanish. A unique version is provided that involved the revision and reconstruction of each item with supporting illustrations.

Construcción de una escala para evaluar tipos de elogios otorgados por cuidadores primarios a infantes de 0 a 3 años / Construction of a scale to assess the types of praise given by primary caregivers to infants 0-3 years

Resumen Los elogios son definidos como devoluciones positivas otorgadas a personas sobre sus atributos, sobre la realización de una tarea o sobre los objetos o productos realizados. Los distintos tipos de elogios que los cuidadores primarios o padres utilicen con los infantes cuando ellos realicen una actividad impactarán en su desarrollo, en las creencias o percepción de sí mismos o de los modos de aprender, y en la motivación hacia esas tareas que la niña o el niño realice. Estos modos de elogiar no han sido estudiados en la Argentina y no existen instrumentos estandarizados psicométricos para evaluarlos. Por esto, el objetivo de este estudio fue la creación y validación de una técnica de auto-reporte para evaluar los elogios que otorgan los cuidadores a infantes de 0 a 3 años. Los participantes que conformaron la muestra (. = 128) fueron reclutados por medio de internet y completaron un cuestionario de escala Likert de aproximadamente cinco minutos de duración. A partir del análisis factorial exploratorio, se ajustó la técnica y se agruparon las preguntas del cuestionario en tres dimensiones: elogios de persona, proceso y producto. Esto permitiría hacer una evaluación breve y sencilla de los elogios utilizados, lo que en un futuro aportaría a intervenciones o estudios que pretendan favorecer elogios que beneficien un desarrollo adaptativo de los infantes. Sin embargo, aún es necesario un futuro estudio que indague cambios en la técnica con un mayor tamaño muestral para la realización de una validación más exhaustiva.

Abstract Praise is defined as positive feedback given to people about their attributes, their performance, the objects or products made by them. The different types of praise that primary caregivers or parents use with infants when they carry out an activity will impact on their development, beliefs or perception of themselves or types of learning, and motivation toward the tasks that the children perform. One type of praise is the praise directed towards an individual, which compliments their own attributes such as her intelligence. Another one is the product praise, which is directed towards the final objects or actions that the infant performs, such as a drawing or physical activities. Finally, a praise directed at the process aims to congratulate the infant during the task as a process, either for making an effort or for the strategies that they use to achieve something. This last kind of praise favors perseverance in the face of new tasks to a greater extent, while praise directed at the person could generate more frustration when the infant experiences failure. Therefore, the way caregivers interact with infants is relevant, since it modulates motivation and the development of different skills. For this reason, the main objective of this study was the creation and validation of a self-report technique to assess the praise that Argentinean caregivers give to infants from 0 to 3 years of age. The sample was made up of 128 primary caregivers (. = 128) who were recruited through the internet. They completed a Likert scale questionnaire of approximately 5 minutes of duration. The data was collected during preventive social isolation due to COVID-19. This could lead to changes in parental behavior, while it also provides ecological value for understanding the ways to praise in this context, where caregivers spend a lot of time with infants; however, it would be important to conduct future research outside of this context. An exploratory factor analysis was performed, which led to an adjustment in the technique by eliminating four items in order to improve the psychometric characteristics of the instrument. By this analysis, the formation of the three dimensions was justified by the types of praise: person, process, and product praise.The final instrument consisted of 13 phrases that represent possible compliments used by caregivers. Participants indicated how often they usually use those compliments on a scale from 1 (never) to 5 (very often). The items are divided by types of praise: six were assigned to the product dimension, three to the process dimension and four to the person dimension. The internal consistencies of the dimensions were process (α = .91), product (α = .74) and person (α = .73). This self-report technique for primary caregivers of infants would allow a short and simple evaluation of the praise used. In future research, this technique would allow an assessment of praise for the realization of studies that seek to expand the knowledge about how they affect child development. Likewise, it would contribute to the development of interventions with caregivers aimed to promote praise that benefits an adaptive development of infants. However, more studies are needed to investigate possible changes in the inventory, such as the inclusion of neutral praise or negative feedback. Furthermore, a larger sample size would be necessary to carry out a more exhaustive validation, performing a confirmatory factor analysis, convergent variance and factor invariance.

Evaluation of ICUs and weight of quality control indicators: an exploratory study based on Chinese ICU quality data from 2015 to 2020 / 医学前沿

This study aimed to explore key quality control factors that affected the prognosis of intensive care unit (ICU) patients in Chinese mainland over six years (2015-2020). The data for this study were from 31 provincial and municipal hospitals (3425 hospital ICUs) and included 2 110 685 ICU patients, for a total of 27 607 376 ICU hospitalization days. We found that 15 initially established quality control indicators were good predictors of patient prognosis, including percentage of ICU patients out of all inpatients (%), percentage of ICU bed occupancy of total inpatient bed occupancy (%), percentage of all ICU inpatients with an APACHE II score ⩾15 (%), three-hour (surviving sepsis campaign) SSC bundle compliance (%), six-hour SSC bundle compliance (%), rate of microbe detection before antibiotics (%), percentage of drug deep venous thrombosis (DVT) prophylaxis (%), percentage of unplanned endotracheal extubations (%), percentage of patients reintubated within 48 hours (%), unplanned transfers to the ICU (%), 48-h ICU readmission rate (%), ventilator associated pneumonia (VAP) (per 1000 ventilator days), catheter related blood stream infection (CRBSI) (per 1000 catheter days), catheter-associated urinary tract infections (CAUTI) (per 1000 catheter days), in-hospital mortality (%). When exploratory factor analysis was applied, the 15 indicators were divided into 6 core elements that varied in weight regarding quality evaluation: nosocomial infection management (21.35%), compliance with the Surviving Sepsis Campaign guidelines (17.97%), ICU resources (17.46%), airway management (15.53%), prevention of deep-vein thrombosis (14.07%), and severity of patient condition (13.61%). Based on the different weights of the core elements associated with the 15 indicators, we developed an integrated quality scoring system defined as F score=21.35%xnosocomial infection management + 17.97%xcompliance with SSC guidelines + 17.46%×ICU resources + 15.53%×airway management + 14.07%×DVT prevention + 13.61%×severity of patient condition. This evidence-based quality scoring system will help in assessing the key elements of quality management and establish a foundation for further optimization of the quality control indicator system.

Validation of the brazilian version of the Penn State College of Medicine Professionalism Questionnaire / Validação da versão brasileira do Questionário de Profissionalismo da Penn State College of Medicine

Abstract Introduction: Assessing professionalism represents a challenge for medical educators given the nature of its construct, which comprises diverse values, beliefs, and principles. Understanding this psychological phenomenon is fundamental for reaching the goals in medical education. Objective: This study aimed to translate into Brazilian Portuguese and to validate the Penn State College of Medicine Professionalism Questionnaire. Method: The questionnaire was translated, and cross-culturally adapted into Brazilian Portuguese using data from 249 medical students. An exploratory factor analysis was conducted, using a polychoric matrix and the Robust Diagonally Weighted Least Squares method of extraction. The following model adequacy indexes and criteria were used: Root Mean Square Error of Approximation (RMSEA) adjustment indexes <0.08, Comparative Fit Index (CFI) and Tucker-Lewis Index (TLI) >0.90. Result: The exploratory factor analysis obtained a KMO = 0.920, and a significant Bartlett's test of sphericity (2719.0, gl = 630; P <0.001). The parallel analysis yielded a three-factor solution, which showed adequate levels of reliability: Professional-Patient Relationship, Professional Development and Ethical Commitment. The three-factor solution was the best one found to represent the data. Conclusion: The questionnaire evidenced good psychometric properties and appropriateness to evaluate medical students' professionalism, contributing to reach more desirable ethical standards in medical education.

Resumo Introdução: Avaliar o profissionalismo representa um desafio para os educadores médicos dada a natureza de seu construto que compreende diversos valores, crenças e princípios. A compreensão desse fenômeno psicológico é fundamental para o alcance dos objetivos da educação médica. Objetivo: Este estudo teve como objetivos traduzir para o português brasileiro e validar o Questionário de Profissionalismo da Penn State College of Medicine. Método: O questionário foi traduzido e adaptado transculturalmente para o português brasileiro com dados de 249 estudantes de Medicina. Na condução da análise fatorial exploratória, utilizaram-se uma matriz policórica e o método de extração Robust Diagonally Weighted Least Squares. Os seguintes índices e critérios de adequação do modelo foram usados: índices de ajuste da raiz quadrada da média do erro de aproximação (RMSEA) < 0,08, índice de ajuste comparativo (CFI) e índice de Tucker-Lewis (TLI) > 0,90. Resultado: A análise fatorial exploratória obteve um KMO = 0,920 e um teste de esfericidade de Bartlett significativo (2719,0, gl = 630; P < 0,001). A análise paralela resultou em uma solução de três fatores que apresentou níveis adequados de confiabilidade: relacionamento profissional-paciente, desenvolvimento profissional e compromisso ético. A solução de três fatores foi considerada a melhor para representar os dados. Conclusão: O questionário evidenciou boas propriedades psicométricas e adequação para avaliar o profissionalismo dos estudantes de Medicina, contribuindo para o alcance de padrões éticos mais desejáveis na educação médica.

Atribuciones sobre las causas de la pobreza general e infantil en Argentina / Attributions on the causes of general and child poverty in Argentina

Resumen El estudio acerca de las causas de la pobreza ha sido influenciado por la teoría de la atribución, lo que permitió identificar los juicios predominantes que las personas establecen sobre tales causas. Los estudios locales sobre las atribuciones causales de la pobreza son escasos y no se ha identificado ninguno referido a las causas de la pobreza infantil, a pesar de las altas tasas de su incidencia en el país. Así, el presente estudio propone evaluar las atribuciones causales de la pobreza general e infantil por parte de adultos de Argentina, empleando dos cuestionarios (uno sobre las causas de la pobreza en general y el otro sobre la pobreza infantil en particular) implementados de manera virtual. La muestra incluyó a 1 659 participantes (17 a 90 años), quienes debieron indicar la importancia de cada ítem como causa de la pobreza en una escala tipo Likert de cinco puntos. En cuanto al cuestionario sobre las causas de la pobreza general, el análisis exploratorio permitió identificar una estructura de tres factores -similar a la identificada en otros estudios: individualista, estructurales y fatalistas-, la cual no fue verificada en el análisis confirmatorio. Con respecto al cuestionario sobre las causas de la pobreza infantil, se identificó y se confirmó un modelo de dos factores (que podrían estar relacionados con atribuciones estructurales y familiares) que representa una nueva evidencia en el campo. Los resultados sugieren diferencias en las atribuciones de las causas de pobreza general e infantil, cuyos posibles mecanismos (e. g., modulación por parte de factores individuales, contextuales y culturales) deberían explorarse en estudios futuros.

Abstract In the last decades, different studies have addressed the perspectives of people regarding the causes of poverty, as they could play a fundamental role in the development of individual and social attitudes, beliefs and expectations towards people living in such a condition, and in the strategies implemented to solve related problems and issues. In addition, many of those studies have investigated the causes of poverty using the theoretical model proposed by Feagin (1972), which suggests three broad explanations: (1) individualistic (i. e., causal attribution is placed on the poor themselves); (2) structural (i. e., poverty is due to external social and economic factors); and (3) fatalistic (i. e., poverty is attributed to factors such as bad luck). Most of those studies have been carried out considering the causes of poverty in general, which means that there is very little research aimed at studying specifically the causes of child poverty. Given the high incidence of poverty in Argentina the knowledge about such perspectives is of interest for multiple basic and applied purposes. In this sense, the present study proposed to evaluate the attributions of the causes of poverty in general and child poverty in particular, by adults from Argentina, through two virtual questionnaires (one asking for the causes of poverty in general, and the other for the causes of child poverty). The sample included responses from 1 659 citizens of Argentina from 17 to 90 years old (M = 45.72, SD = 16.94). The questionnaires included 32 items aimed at evaluating the attribution of causes of general poverty, and 30 items related to child poverty. Participants were asked to indicate the importance of each item as a cause of poverty on a five-point Likert-type scale (1 = does not matter; 5 = extremely important). Exploratory and confirmatory factor analyses were implemented (separately from the general and child questionnaires) and retained items with factor loadings at .40 or above. In addition, for the general questionnaire, a second approach was implemented to analyze if the factorial structure supported by different studies in the literature was confirmed in this sample. For such a purpose, confirmatory factor analyses were implemented. Regarding the questionnaire for the causes of general poverty, the exploratory analysis allowed identifying a three-factor structure (as in the case of other studies) (RMSEA = .071; CFI = .94; TLI = .93), which was not verified in the confirmatory analysis (RMSEA = .103; CFI = .88; TLI = .86). On the other hand, the results of the second approach suggest the confirmation of the two-factor model proposed in the literature (RMSEA = .083; CFI = .96; TLI = .95). This pattern of results suggests sensitivity to the inclusion of new items. In this sense, in future studies it would be important to invest efforts in determining new items from consultations with experts and other social actors. Regarding the questionnaire for the causes of poverty in children, two-factor model was identified and confirmed (RMSEA = .074; CFI = .94; TLI = .93), which is a new piece of evidence in the field, suggesting variability in the attribution of causes of poverty according to the considered age group, and whose potential mechanisms in comparison with the studies on adult poverty should be explored in future research (e. g., individual, contextual and cultural factors). Finally, this study confirms that having valid and reliable instruments to explore the causal attributions of general and child poverty would be important to advance in the understanding of poverty as a complex and multidimensional phenomenon.

Competency characters model of hospital young scientists: An exploratory factor analysis / 中华医学科研管理杂志

Objective:To explore the competence characters of hospital young scientists and build a competency model.Methods:The model characters were screened by literature review, behavioral event interview, expert consultation and questionnaire survey. The competency characters were extracted by exploratory factor analysis.Results:The competency characters model includes 5 factors and 34 characters: comprehensive accomplishment, practical ability, personal trait, professional skill and knowledge quality. The Cronbach's α coefficient of the model was 0.980 and the Cronbach's α coefficient of the 5 factors ranged from 0.832 to 0.964, with a split-half reliability of 0.922. The content validity index of the scale was 0.977, and the content validity index of each entry ranged from 0.857 to 1.000. The value of KMO was 0.944.Conclusions:The competency model of hospital young scientists has high stability, and provides reference for young scientists' ability and quality, which will provide the basis for optimizing the training system and training strategy of hospital scientists.

Construction of assessment index system on the capacity of clinical medical postgraduate tutor and analysis of its reliability and validity / 中华医学教育探索杂志

Objective:To establish an assessment index system on the capacity of clinical medical postgraduate tutor.Methods:On the basis of "literature optimization method", the index system was initially constructed by 14 experts with "Delphi method". Then, through the survey of 109 people, the reliability and validity were tested by Cronbach's α coefficient and exploratory factor analysis. And analytic hierarchy process was used to calculate the weight coefficient of each index. SPSS 26.0 and AMOS 26.0 were applied for statistical analysis. Results:The assessment index system consisted of 2 first-level indexes, 5 second-level indexes and 27 third-level indexes. The Cronbach's α coefficient of the total index system, first-level indexes and second-level indexes ranged from 0.833 to 0.931. Five common factors were extracted by exploratory factor analysis, and the connotation of factors were basically consistent with the theoretical structure. A confirmatory factor model was established with 5 second-level indexes as the first-order factors, what's more, the theoretical model fitted well with the actual data. The combined weight values of "teaching attitude of the tutor", "medical ethics of the tutor", "scientific research projects of the tutor", "dissertation quality of the graduate students", "the quality of the scientific research and training of the graduate students", "the quality of the clinical training of the graduate students", and "disposable scientific research funds of the tutor" ranked in the top 7 weights of third-level indexes. Conclusion:This assessment index system has good reliability and validity with reasonable connotation, which could be used as a reference for tutor evaluation.

Validez y confiabilidad del Inventario de orientación suicida ­ ISO-30 en una población colombiana / Validación de la escala de orientación al suicidio ISO-30 / Validity and reliability of the Inventory of suicide orientation ­ ISO-30 in a colombian population

El presente estudio instrumental evaluó las propiedades psicométricas del Inventario de Orientación Suicida ­ ISO-30 con 1922 adolescentes escolarizados de la ciudad de Bogotá. La validez de constructo del inventario se estableció a través de un análisis factorial confirmatorio, utilizándose el método de mínimos cuadrados generalizados (GLS), dando lugar un modelo factorial sustentable, compuesto por cinco factores, igual al inventario original. La confiabilidad del instrumento se estableció, a través del coeficiente Alfa de Cronbach, obteniéndose una confiabilidad excelente (α= .0915) y un coeficiente Omega (Ω=.742). El análisis de reactivos relativo al poder de discriminación del inventario obtuvo un 57% en las correlaciones ítem-escala total con un nivel de discriminación excelente. Se presenta evidencia respecto a la validez y confiabilidad del ISO-30 para evaluar la orientación al suicidio en adolescentes colombianos

The present instrumental study evaluated the psychometric properties of the Inventory of Suicide Orientation - ISO-30 with 1922 school adolescents from Bogotá. The construct validity of the inventory was established through confirmatory factor analysis, using the generalized least squares (GLS) technique, through which a sustainable factorial model was obtained, composed of five factors equal to the original inventory. The reliability of the instrument was established using Cronbach's Alpha coefficient with an excellent result (α= .915) and an omega coefficient (Ω=.742). The analysis of the items, relative to the discrimination power of the items, obtained 57% in item-total scale correlations with an excellent level of discrimination power. These findings prove ISO-30 to be a valid and reliable instrument for evaluating suicide orientation among Colombian adolescents.

Development and application of blood donor role identity scale (BDRIS) / 中国输血杂志

【Objective】 To further determine the relationship between blood donor role cognition and blood donation behavior, then prepare of blood donor role identity scale(BDRIS). 【Methods】 The preparation of the scale was divided into five stages. It includes literature retrieval, expert interview, construction of the basic framework of the scale, scale test and statistical index test. The study focused on items selection, dimensions identification, measurement reliability, content and structural validity. 【Results】 The blood donor role identity scale consisted of 35 items. Exploratory factor analysis divided the items into six common factors, including role identity, role expectation, current situation of blood collection and supply, role conflict, external reward and blood donation experience. The α of scale was 0.840. 【Conclusion】 The reliability and validity of the scale meet the basic measurement requirements, and the framework of the blood donor role scale is basically formed. It can be used as one of the means to explore the ways and mechanisms of the role identity of blood donors in blood donation behavior.

Propiedades Psicométricas de la Escala de Bienestar Psicológico para Adultos (BIEPS-A) en población Mexicana / Psychometric Properties of the Psychological Well-Being Scale for Adults (BIEPS-A) in a Mexican Sample

Resumen Introducción: El bienestar psicológico favorece el funcionamiento de la vida personal y social. Para su evaluación, es necesario contar con instrumentos válidos y confiables que permitan decidir y valorar las acciones necesarias para promoverlo. Objetivo: Evaluar las propiedades psicométricas de la Escala de Bienestar Psicológico para Adultos (BIEPS-A) en una muestra mexicana. Método: Se aplicó la escala BIEPS-A y la Escala de Autoestima de Rosenberg (EAR) a 188 estudiantes universitarios y 94 participantes de población general. Resultados: Un análisis paralelo detectó un factor único en la escala BIEPS-A, estructurado mediante análisis factorial exploratorio (componentes principales, rotación oblicua) que retuvo 9 reactivos y explicó el 54% de la varianza. La consistencia interna fue de aceptable (α de Cronbach = .78) a elevada (alfa ordinal = .90). El análisis de curva ROC identificó un punto de corte equivalente a la mediana (ABC = .72, p < .01) y otro al percentil 75 (ABC = .80, p < .01), y ser mujer, tener entre 18 y 25 años y bajo o leve nivel de autoestima como predictores de bajo nivel de bienestar psicológico. La escala BIEPS-A mostró validez concurrente (r = .57) y predictiva con la EAR (β = .63). Discusión y conclusiones: La escala BIEPS-A es un instrumento válido y confiable para evaluar el bienestar psicológico en población mexicana; sin embargo, las diferencias respecto a su estructura original indican la necesidad de una escala de bienestar psicológico diseñada específicamente para población mexicana.

Abstract Introduction: Psychological well-being favors the functioning of personal and social life. Valid and reliable instruments are necessary for its evaluation that allow deciding and assessing the actions necessary to promote it. Objective: To evaluate the psychometric properties of the Scale of Psychological Well-being for Adults (BIEPS-A) in a Mexican sample. Methods: The BIEPS-A scale and the Rosenberg Self-Esteem Scale (RSES) were administered to 188 university students and 94 participants from the general population. Results: A parallel analysis detected a single factor in the BIEPS-A scale, structured by exploratory factor analysis (main components, oblique rotation) that retained 9 items and explained 54% of the variance. Internal consistency ranged from acceptable (Cronbach's α = .78) to high (ordinal alpha = .90). ROC curve analysis identified a cut-off point equivalent to the median (AUC = .72, p <.01) and another to the 75th percentile (AUC = .80, p <.01). The latter identified as a woman, between 18 and 25 years old with a low or slight level of self-esteem as predictors of a low level of psychological well-being. The BIEPS-A scale showed concurrent (r = .57) and predictive (β = .63) validity with the EAR. Discussion and conclusions: The BIEPS-A scale is a valid and reliable instrument to assess psychological well-being in the Mexican population. However, the differences with respect to its original structure indicate the need for a psychological well-being scale designed specifically for the Mexican population.

Adaptação e propriedades psicométricas da versão brasileira da Escala de Frustração e Desconforto / Adaptación y propiedades psicométricas de la versión brasileña de la Escala de frustración y malestar / Adaptation and Psychometric Properties of the Brazilian Version of the Frustration Discomfort Scale

A Escala de Frustração e Desconforto (efd) avalia as crenças de intolerância à frustração. Este trabalho objeti-vou: adaptar esse instrumento para o contexto brasileiro; buscar evidências de validade de conteúdo, de estrutura interna e com base na relação com variáveis externas e, por fim, verificar a relação entre os níveis de intolerância à frustração com gênero e idade dos participantes. A amostra foi composta por 293 indivíduos, com idade média de 21.6 anos (dp= 3.57). Foram aplicados a efd, o Patient Health Questionnaire-4 (phq-4) e um questionário sociodemográfico. Os resultados da análise fatorial exploratória indicaram a pertinência de so-lução fatorial composta por duas dimensões. Quanto a consistência interna, foram verificados bons índices para ambos os fatores e para a escala. Observou-se associação positiva e estatisticamente significativa entre a efd e o phq-4, atestando a validade baseada na relação com variáveis externas. Não foram identificadas diferenças estatisticamente significativas nos níveis de intolerância à frustração em razão do gênero e idade. Baseado nes-ses achados, conclui-se que a versão adaptada da efdapresentou propriedades psicométricas satisfatórias, sendo adequada para investigação da intolerância à frustração, possibilitando que pesquisadores e profis-sionais investiguem como esse construto se manifesta na população brasileira e como ele se relaciona com variáveis associadas à saúde mental

La Escala de Frustración y Malestar (efm) evalúa las creencias de intolerancia a la frustración. Este trabajo tuvo como objetivo adaptar este instrumento al contexto brasileño; buscar evidencias de validez de contenido, de estructura interna, y en función de la relación con variables externas y, finalmente, verificar la relación entre los niveles de intolerancia a la frustración con el género y la edad de los participantes. La muestra estuvo formada por 293 individuos, con una edad promedio de 21.6 años (de = 3.57). Se aplicó el efm, el Patient Health Questionnaire-4 (phq-4) y un cuestionario sociodemográfico. Los resultados del análisis factorial exploratorio indicaron la relevancia de una solución factorial compuesta por dos dimensiones. En cuanto a la consistencia interna, se encontraron buenos índices para ambos factores y para la escala. Hubo asociación positiva y estadísticamente significativa entre el efmy el phq-4, lo que da fe de la validez en función de la relación con variables externas. No se identificaron diferencias estadísticamente significativas en los niveles de intolerancia a la frustración por género y edad. Con base en estos hallazgos, se concluye que la versión adaptada del efm tuvo propiedades psicométricas satisfactorias, apta para la investigación de la intolerancia a la frustración, permitiendo a investigadores y profesionales investigar cómo este constructo se manifiesta en la población brasileña y cómo se relaciona con las variables asociadas con la salud mental

The Frustration Discomfort Scale (fds) assesses beliefs about frustration intolerance. This study aimed at adap-ting this instrument to the Brazilian context, providing evidence for content validity of internal structure, and based on the relationship with external variables. In addition, we verified the relationship of the level of frustration intolerance with the gender and age of the participants. The sample consisted of 293 individuals, with an average age of 21.6 years(SD = 3.57). The fds, the Patient Health Questionnaire-4 (phq-4), and a so-ciodemographic questionnaire were applied. The explo-ratory factor analysis results indicated the best solution to be a structure with two dimensions. Good indexes of internal confidence were found for both factors and the whole scale. A positive and statistically significant association was observed between the fds and phG-4, which attests to the validity based on its relationship to external variables. No statistically significant differen-ces of frustration tolerance were identified for gender or age. Based on these findings, we conclude that the adapted version of the fds has satisfactory psychometric properties and is suitable for investigating intolerance to frustration, enabling researchers and professionals to investigate how this construct is manifested in the Brazilian population and how it relates to variables as-sociated with mental health

Factor structure and invariance analysis of the center for epidemiologic studies depression scale - revised (CESD-R) in a Brazilian population / Estrutura Fatorial e Análise de Invariância da Center for Epidemiologic Studies Depression Scale - Revised (CESD-R) em uma População Brasileira

Abstract Introduction: The Center for Epidemiologic Studies Depression Scale - Revised (CESD-R) was developed to provide an efficient screening scale for depression syndrome, mimicking the original CESD, one of the most widely used screening tools to measure depressive symptoms globally. This investigation examined the factor structure of the CESD-R with a non-clinical Brazilian population. Method: We performed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) of two adult samples, and also conducted invariance analysis by sex and place of residence of the participants. The full sample consisted of 1,427 adults, divided into two groups. The first sample (n = 400) was used for the EFA and the second sample (n = 1027) for the CFA. Results: The EFA indicated an internal structure composed of a single factor, which explained 53.2% of the variance. The CFA attested to the unidimensionality of the measure. Fit indices and reliability indicators showed values higher than expected, without modifications in the initial structure. The model was invariant in relation to the variables investigated at four different levels (configural, metric, scalar, and strict). Conclusions: Our findings support the utility of the CESD-R and suggest its validity for application to the Brazilian population in general.

Resumo Introdução: A Center for Epidemiologic Studies Depression Scale - Revised (CESD-R) foi elaborada para fornecer um eficiente diagnóstico de sintomas de depressão, seguindo a proposta original da CESD, que é uma das escalas para rastreamento da depressão mais utilizadas mundialmente. Esta pesquisa avaliou a estrutura fatorial da CESD-R em uma população não-clínica no Brasil. Método: Realizaram-se análises fatoriais exploratória (AFE) e confirmatória (AFC) com duas amostras compostas por adultos. Também foi verificada a invariância do modelo por sexo e local de residência do participante. A amostra total foi composta por 1427 adultos, tendo sido dividida em duas subamostras. A primeira subamostra (n = 400) foi utilizada para a AFE e a segunda (n = 1027) para a AFC. Resultados: A AFE indicou uma estrutura interna composta por um único fator, que explicou 53.2% de variância. A AFC atestou unidimensionalidade da medida. Os índices de ajuste e indicadores de confiabilidade apresentaram valores acima do esperado, sem modificações na estrutura inicial. O modelo foi invariante em relação às variáveis investigadas em quatro diferentes níveis (configural, métrico, escalar e estrito). Conclusões: Os presentes achados suportam a utilidade da CESD-R e sugerem sua validade para aplicação na população brasileira.

Estructura factorial de la Brief Self-Control Scale en español / Factor structure of the Brief Self-Control Scale in Spanish

Resumen El objetivo del estudio fue explorar la estructura factorial de la Brief Self-Control Scale (BSCS; Tangney, Baumeister y Boone, 2004) aplicada como autorreporte a una muestra de 151 participantes en Colombia (edad promedio de 8.2 años, 50.33 % niñas y 49.66 % niños) y 115 participantes en Chile (edad promedio de 7.3 años, 53.04 % niñas y 49.95 % niños). La escala también fue respondida a modo de heterorreporte por 80 madres de los participantes colombianos y las 115 madres de los participantes chilenos. El Análisis Factorial Exploratorio (AFE) arrojó soluciones bifactoriales en todas las muestras y reportó valores de consistencia interna aceptables, aunque la composición de los factores difirió notablemente entre países y entre madres e hijos(as). Los hallazgos se discuten en términos de las diferencias culturales, en la socialización del autocontrol y el desarrollo de la capacidad de autorregulación en los primeros años de la escuela primaria. Se concluye que la medición del autoncontrol en este grupo etáreo mediante la BSCS requiere ajustes.

Abstract The aim of this study was to explore the factor structure of the Brief Self-Control Scale (BSCS; Tangney, Baumeister and Boone, 2004) used as self-report with a sample of 151 participants in Colombia (mean age 8.2 years, 50.33 % girls and 49.66 % boys) and 115 participants in Chile (mean age 7.3 years, 53.04 % girls and 49.95 % boys). The scale was also answered as a hetero-report by 80 mothers of the Colombian participants and the 115 mothers of the Chilean participants. The Exploratory Factor Analysis (EFA) revealed bifactor solutions in all samples and reported acceptable internal consistency values, although the composition of the factors differed markedly between countries and between mothers and children. The findings are discussed in terms of cultural differences, in the socialization self-control and development of self-regulation skills in the early elementary school years. According to these findings, the measurement of self-control in this age group using the BSCS requires adjustments.

Development and Validation of a Questionnaire to Predict Intention to Comply to Iron Supplement during Pregnancy

@#Introduction The World Health Organisation (WHO) has recommended iron supplementation to overcome anaemia in pregnancy. In Malaysia, half of pregnant women with anaemia do not comply to iron supplement. The purpose of this study is to develop, assess psychometric properties (via Exploratory Factor Analysis) and validation (via Confirmatory Factor Analysis) of a questionnaire that evaluates attitude towards adherence to iron supplement based on Theory of Planned Behaviour (TPB). Methods Based on the guidelines for construction of the TPB based questionnaire, 18 items were created initially by using the findings from a semi-quantitative survey, literature reviews and experts’ opinion. From content validity by 3 experts, 15 items with content validity ratio (CVR) of ≥0.99 were retained. From a pilot test for exploratory factor analysis (EFA), total of 12 items were retained, and classified into 3 components and termed as “Attitude”, “Subjective Norms” and “Perceived Behaviour Control”. Results Cronbach Alpha for the 12 items was 0.814, and for each component were 0.844, 0.813 and 0.901 respectively, which indicates acceptable internal consistency. During the Confirmatory Factor Analysis (CFA), a final 10 items were retained. Conclusions The construct validity was good where the Fitness Index have achieved the threshold (p-value >0.05, RMSEA <0.08, CFI >0.90 and the ChiSq/df ratio <3.00). The convergent validity and composite reliability were good i.e. Average Variance Extracted (AVE) ≥0.50, and Composite Reliability (CR) ≥0.60 respectively. As a conclusion, this newly developed questionnaire was validated and potentially reliable in assessing attitude and predicting adherence to iron supplement among pregnant women specifically in Malaysia.

Structural validity of the Brazilian version of the Western Ontario and McMaster Universities Osteoarthritis Index among patients with knee osteoarthritis

BACKGROUND: The original structure of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been contested in several languages. OBJECTIVE: To assess the structural validity of the Brazilian version of WOMAC among patients with knee osteoarthritis. DESIGN AND SETTING: Structural validity study conducted at physiotherapy clinics and primary healthcare units. METHODS: The study included males and females aged 40 to 80 years who were all native Brazilian Portuguese speakers, with knee pain in the previous six months and a diagnosis of knee osteoarthritis. We used exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA) with implementation of a polychoric matrix and the robust diagonally weighted least squares (RDWLS) extraction method. The adequacy of the model was assessed using the following fit indices: root mean square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), standardized root mean square residual (SRMR) and chi-square/degree of freedom (DF). RESULTS: 203 patients with knee osteoarthritis were included. The model proposed in this study with two factors, i.e. "pain" (items 1, 2, 3 and 4) and "physical function" (items 10, 11, 16, 17, 18, 19, 21 and 22), showed adequate fit indices in CFA: chi-square/DF = 1.30; CFI = 0.976; TLI = 0.970; RMSEA = 0.039; and SRMR = 0.070. The factorial loads ranged from 0.68 to 0.76 for the "pain" domain and 0.44 to 0.62 for the "physical function" domain. CONCLUSION: The Brazilian version of WOMAC with two domains, i.e. "pain" (four items) and "physical function" (eight items), presents the best structure.

An Assessment of Eating Disorder among Adolescents and Young Adults

Young males and females are highly concerned about their body image and physical appearance. They refrain themselves from eating that effect the physical and social well-being. This study aims at identifying the presence of eating disorder and to explore as well as confirm four factor solution of eating disorder among adolescents and adults. The study is conducted obtaining data from a sample of 600 adolescents and young adults studying in private and public educational institutions using EDE-Q questionnaire. Chi-square test has revealed the relationship between age and eating concern scores. Pearson correlation test suggested that age is related with global score whereas all the eating disorder scores are inter-related. No gender-wise difference between shape concern and global score is found whereas the global scores and shape concern scores are significantly different with respect to type of institution. Global score and shape concern scores are same for adolescents and young adults. Mean ranks are higher for males compared to females whereas there is significant difference among restraint scores gender-wise however shape concern, weight concern and restraint scores were significantly different in private and public institutions. Mean ranks for young adults are higher for restraint, shape concern, weight concern and eating concern scores compared to adolescents whereas the significant difference was observed between young adults and adolescents for restraint scores. EFA has identified four-factor solution for the EDE-Q subscales whereas CFA has also confirmed it. The four factor solution is weight and shape concern, fear of gaining weight, restraint and eating concern.

Validation and dimensional analysis of the eating behaviour pattern questionnaire among Malaysian university students

@#Introduction: Eating behaviour pattern is among the key behavioural factors that contribute to eating disorders. Hence, to evaluate the psychometric characteristics of the Eating Behaviour Pattern Questionnaire (EBPQ) that is used in epidemiological studies to measure the relationship between health outcomes and eating behaviour patterns, this study aimed to validate the adopted version of the EBPQ and to check the validity and reliability of this tool in University of Malaya, Malaysia. Methods: Exploratory factor analysis (EFA) was used to determine the most appropriate factor structure of EBPQ. Moreover, structural equation modelling (SEM) and confirmatory factor analysis (CFA) were applied to examine the convergent and discriminant validity of EBPQ. As for the participants of the study, multi-stage random sampling was used and 200 students (109 females and 91 males) from University of Malaya were chosen. Results: The EFA yielded nine components of EBPQ including emotional eating, eating outside, cultural habit, low-fat eating, meal skipping, snacking, healthy eating, planning for food and sweets, which explained 67.7% of the total variance. Furthermore, the Cronbach’s α was about 0.8 for all components, which exhibited a high internal consistency among the obtained components. The results showed that the questionnaire had sufficient convergent and discriminant validity. Conclusion: The EBPQ was proven to be a reliable tool to measure the eating behaviour patterns in Malaysian university students. The presence of adequate validity and reliability supports this instrument’s psychometric properties for future studies.

Escala de Perfil Criativo: construção de instrumento e estudos psicométricos / Creative Profile Scale: test construction and psychometrics studies / Escala de Perfil Creativo: construcción de instrumento y estudios psicométricos

A criatividade é um construto que envolve aspectos cognitivos, pessoais e sociais. O objetivo deste estudo foi construir a Escala de Perfil Criativo (EPC) e verificar evidências de sua validade. As evidências baseadas no conteúdo foram realizadas por meio da análise de juízes, tendo o percentual de concordância utilizado de 80%, sendo eliminados três itens. As evidências de validade da EPC pela estrutura interna foram estudadas por meio da Análise Fatorial Exploratória (AFE), que indicou a retenção de sete fatores. O instrumento foi aplicado em 442 sujeitos (F = 78,3%) entre 18 e 75 anos (M = 38,17; DP = 13,31). A análise de precisão pelo alfa de Cronbach indicou confiabilidade adequada para cada fator (α = 0,60 a 0,75). Concluiu-se que a EPC possui evidências de validade e pode auxiliar na avaliação da criatividade. (AU)

Creativity is a construct involving cognitive, personality and social aspects. The aim of this study was to construct the Escala de Perfil Criativo (EPC - Creative Profile Scale) and verify its validity. The validity based on its content was analyzed through blind judges, with an agreement rate of 80%, eliminating three items. Evidence of validity for the internal structure of the EPC was investigated through Exploratory Factor Analysis (EFA), which indicated seven factors. The scale was administered with 442 participants (78.3% females), with ages ranging from 18-75 years (M= 38.17; SD= 13.31). The reliability through the Cronbach's Alpha produced adequate values for each factor (α=.60 to .75). In conclusion, the validity evidence for the EPC suggests that it can be used to assess creativity. (AU)

La creatividad es un constructo que involucra aspectos cognitivos, personales y sociales. El objetivo de este estudio fue construir la Escala de Perfil Creativo (EPC) y verificar las evidencias de su validez. Las evidencias basadas en el contenido de la EPC se realizó mediante el análisis de jueces, cuyo el menor porcentaje de acuerdo fue de 80%, eliminando así tres ítems. Las evidencias de validez de la EPC por la estructura interna fueron estudiadas a través del Análisis Factorial Exploratorio (AFE) en 442 sujetos (F = 78,3%) entre 18 y 75 años (M = 38,17, DS = 13,31). El análisis de precisión por el alfa de Cronbach indicó una confiabilidad adecuada para cada factor (α entre 0,60 y 0,75). Los resultados apuntaron que la EPC tiene evidencias de validez y podrá ayudar en la evaluación de la creatividad. (AU)

Psychometric properties of the Resilience Questionnaire for children and adolescents in Mexican high school students / Propriedades psicométricas do Questionário de Resiliência para Crianças e Adolescentes em estudantes mexicanos do Ensino Médio / Propiedades psicométricas del Cuestionario de Resiliencia para Niños y Adolescentes en estudiantes mexicanos de bachillerato

Abstract Resilience implies a process of positive adjustment to adverse conditions. The growing interest in their study demands the need for valid and reliable measurement instruments that allow assessments with scientific rigor in different types of populations. The aim of the present research was to analyze the psychometric properties of the Resilience Questionnaire for Children and Adolescents. 512 students from a high school of the University of Guadalajara, Mexico, participated. Exploratory factor analysis yielded a four-dimensional composition with 18 items than explain 61.18% of the variance, with an excellent level of reliability (a = .90). Through confirmatory factor analysis, the model was corroborated, presenting adequate levels of adjustment. Convergent validity was assessed using Rosenberg's Self-esteem Scale, obtaining significant positive correlations with the dimensions of resilience. The divergent validity was assessed through the Depression Scale of the Epidemiological Studies Center - Revised, showing significant negative correlations. Results and practical implications are discussed.

Resumo O estudo da resiliência, capacidade que implica um processo de adaptação positiva às condições de adversidade, passou por um crescente interesse nos últimos anos que demanda a necessidade de contar com instrumentos de medição válidos e confiáveis que permitam realizar avaliações com rigor científico em diferentes tipos de população. Por esse motivo, a presente pesquisa teve como objetivo analisar as propriedades psicométricas do Questionário de Resiliência para Crianças e Adolescentes com uma amostra de 512 estudantes do Ensino Médio preparatório da Universidade de Guadalajara, no México. Inicialmente, realizou-se uma análise fatorial exploratória que resultou em uma composição de quatro dimensões com 18 itens que explicam 61,18% da variância, com um nível de confiabilidade alto (a = .90), e uma análise fatorial confirmatória com a qual se corroborou o modelo, com níveis adequados de ajuste. Posteriormente, avaliou-se a validade convergente do instrumento com a Escala de Autoestima de Rosenberg, com a qual foram obtidas correlações positivas significativas com as dimensões da resiliência. E, por último, aplicou-se a validade divergente com a Escala de Depressão do Centro de Estudos Epidemiológicos (Revisada), com a qual foram encontradas correlações negativas significativas. Por fim, discutem-se os resultados e as implicações práticas.

Resumen El estudio de la resiliencia, capacidad que implica un proceso de adaptación positiva a condiciones de adversidad, ha tenido un creciente interés en los últimos años que demanda la necesidad de contar con instrumentos de medición válidos y confiables que permitan hacer evaluaciones con rigor científico en diferentes tipos de poblaciones. Por esta razón, la presente investigación tuvo como objetivo analizar las propiedades psicométricas del Cuestionario de Resiliencia para Niños y Adolescentes con una muestra de 512 estudiantes de una preparatoria de la Universidad de Guadalajara, México. Inicialmente, se realizó un análisis factorial exploratorio que arrojó una composición de cuatro dimensiones con 18 ítems que explican 61.18% de la varianza, con un nivel de confiabilidad alto (a = .90); y un análisis factorial confirmatorio con el que se corroboró el modelo, con niveles adecuados de ajuste. Posteriormente, se evaluó la validez convergente del instrumento con la Escala de Autoestima de Rosenberg, donde se obtuvieron correlaciones positivas significativas con las dimensiones de la resiliencia. Y, por último, se valoró la validez divergente con la Escala de Depresión del Centro de Estudios Epidemiológicos (Revisada), donde se encontraron correlaciones significativas negativas. Al final se discuten los resultados y las implicaciones prácticas.