Providing culturally responsible health care to Pacific Islander communities: The creation of a cultural competency training for healthcare professionals

Cultural competency is the ability to respectfully engage, understand, and communicate through conscientious interaction, enabling effective work and meaningful relationships in cross-cultural situations. Cultural competency recognizes the importance for organizations of participants' diverse social and cultural values, beliefs, and behaviors, and has gained attention because it can bridge health perspectives, understanding, and respect between health professionals and patients. There remains a need for cultural competency in healthcare as disparities persist across the U.S. in racial and ethnic minority groups who experience worse health outcomes and lower healthcare quality than the general public. Therefore, a cultural competency training curriculum was created using various resources to improve interactions between Pacific Islander patients and healthcare professionals. This training helps to reduce racial/ethnic disparities in healthcare by encouraging mutual understanding and improving patient satisfaction, adherence to medical instructions, and overall health outcomes by highlighting patient-centered care as a result of utilizing components of cultural competency. To improve patient experiences in Hawai'i, healthcare professionals need the tools to better interact with patients from different cultures, such as Pacific Islanders. This training provides healthcare professionals with culturally-based content for improving cultural competence techniques for interacting with Pacific Island patients. This training was pilot tested with key stakeholders from community organizations and Cancer Center faculty/staff. Local health clinics, providers, and practices will have the opportunity to participate in this training through a Zoombased electronic training format and be provided with three continuing medical education credits. The initial delivery of the training was intended for in-person sessions;however, a virtual format was adapted due to the COVID-19 pandemic and subsequent social distancing regulations. Healthcare providers are provided pre-training resources, a pre- and post-test, and a course evaluation to determine the validity of training objectives. To date, two Federally Qualified Health Centers have been provided the training, n=60, as well as one Cancer Health Equity Partnerships' Scientific Workshop, n=40. For attendees, the analysis of correct responses from the pretest to post-test showed a significant improvement on 6 of the 12 questions. Respondents also agreed that the training resources aligned with the course objectives. Improved patient interactions from this training can help support better patient outcomes, adherence to medical advice regarding cancer screenings, and many other aspects of improving health equity for Pacific Islanders.

Immersive Technologies - The future for tracheostomy education?

Introduction: The need for standardised education on tracheostomy care is well recognised.1 Staff frequently report a lack of confidence in caring for those with tracheostomies, as well as the management of adverse events as they occur.2 Over the past decade, healthcare providers have developed strategies to educate staff, however, the covid-19 pandemic has severely hampered the ability to provide this necessary training due to restrictions on access to training rooms, the need for social distancing and the significant clinical demands placed on both trainers and trainees.3 The potential for immersive technologies to augment healthcare training is gaining interest exponentially.4 However, its effectiveness is yet to be clearly understood and as such it is not yet common within healthcare education.5 Based on the above, we aimed to explore the potential of these immersive technologies to overcome the current challenges of tracheostomy education, and to develop future strategies to use immersive technology in healthcare education. Method(s): We received a 400,000 grant from Cardiff Capital Region (CCR) to undertake a rapid innovation project overseen by the SBRI centre of excellence. The project consisted of 3 main phases: 1) feasibility;2) development;and 3) testing. The project was officially launched in April 2021 and lasted 12 months. Project governance was provided via the SBRI for clinical excellence, a project board with representation from Welsh Government, Cardiff University and Cardiff and Vale UHB, and a project team with clinical expertise in both the delivery of tracheostomy education and the provision of simulation training in healthcare. Result(s): Phase 1: During phase one 4 industries were successful and received up to 30,000 to explore the feasibility of immersive technology to support tracheostomy education. The industries were Rescape, TruCorp, Aspire2Be and Nudge Reality. During the feasibility phase all industries focused on the emergency management process utilising existing NHS Wales tracheostomy education resources and the national tracheostomy safety programme. Phase 2: For phase 2, Rescape and Nudge Reality were chosen to develop the technology. These industries continued to work in conjunction with the project team to capture the core elements of tracheostomy care, including multi-user emergency management scenarios. Additional content was also added for bronchoscopy and insertion of intercostal drains. Phase 3: Testing of both solutions was undertaken over an 8-week period, across 6 Health Boards in NHS Wales. The results of the testing will be analysed and available for presentation in due course. Provision findings demonstrate good face and content validity with high levels of user satisfaction. Discussion / Conclusion(s): The provision of essential tracheostomy education has been severely affected by the covid-19 pandemic. Evolving immersive technologies have the potential to overcome these challenges and improve the effectiveness and efficiency of education packages in tracheostomy care and wider. Through this CCR grant, in conjunction with industry, we have developed two solutions with the potential for widescale procurement and future research on the use of immersive technologies within healthcare.

Reproduction of the Control Group in REMDACTA Trial Using the Millennial Medical Record, an Electric Health Record Database, in Japan

Objectives: Developing a control group of a clinical trial using real world data is desirable and ethically sound despite challenges pertaining to internal validity. To examine the internal validity, we reproduced the control group in a Randomized Controlled Trial (RCT) using Electric Health Record (EHR) data and evaluated the difference between the outcome of the original trial and that of the reproduced analysis. Method(s): We selected an RCT, REMDACTA trial, that was performed to evaluate the efficacy of tocilizumab plus remdesivir against placebo plus remdesivir in patients with severe COVID-19 pneumonia. We reproduced its control group (patients with severe COVID-19 pneumonia taking only remdesivir), using Japanese EHR data, Millennial Medical Record provided by Life Data Initiative. Target patients for the main analysis were those prescribed remdesivir within 2 days after admission and diagnosed with COVID-19 (defined by ICD-10 code, U07.1) and/or with COVID-19 pneumonia (defined by diagnosis name). Patients in the sub analysis included only those with COVID-19 pneumonia diagnosis. Among the target patients, those undergoing image inspection, oxygen administration, and not taking any medicines for pneumonia before the first remdesivir prescription were eligible for the analyses. Median length of stay was compared in the reproduced group and in REMDACTA trial. Result(s): The database included 676 and 110 target patients for the main and sub analyses, respectively. However, only 57 and 14 patients met the eligibility criteria for the main and sub analyses, respectively. The reduction in the number of patients is attributed to the criteria of image inspection and oxygen administration. Median length of stay in the reproduced group were 13 and 11 days in the main and sub analyses, respectively. In REMDACTA trial, 95% CI of median time was 11.0-16.0. Conclusion(s): We successfully reproduced the median time of the control group by EHR data.Copyright © 2023

The COVID-19 pandemic and the characteristic comparison of English achievement tests

Aim. The objectives of this research were to characterize and contrast the features of English language proficiency tests conducted before and during the COVID-19 pandemic. Methodology and research methods. Before coronavirus pandemic, there were 287 students;during pandemic, there were 288 pupils;there were also an English teacher and a forum for English teachers. Through documentation and interviews, the information was gathered from eighth-graders at SMP Negeri 2 Semarang in Central Java, Indonesia. Results. Some aspects of English accomplishment tests made before COVID-19 can be seen. First, the percentages of items in the Easy, Moderate, and Difficult categories are 55%, 37.5%, and 7.5%, respectively. The item discrimination percentages for the Poor, Fair, Good, and Very Good categories are 10%, 30%, 25%, and 35%, respectively. Third, the distractor's effectiveness as a percentage is 53.30% and 46.70%. (effective: ineffective). Finally, the test reliability value is 0.990. The English proficiency test created during COVID-19 exhibits some of the same traits. First, the percentages for Easy, Moderate, and Difficulty categories for item difficulty: 10%, 84%, and 6%. The item discrimination percentages for the Poor, Fair, Good, and Very Good categories are 2%, 4%, 14%, and 80%, respectively. Third, the distractor's percentage efficacy is 99.30%: 0.70% (effective: ineffective). Finally, the test reliability value is 0.960. The foundation of classical test theory (CTT) was the effectiveness of the distractor, item difficulty, and item discrimination. The exams administered during coronavirus pandemic were more normally distributed than the tests administered prior to pandemic based on item difficulty. The tests given during coronavirus pandemic fell more into the very good category than the tests given before pandemic, according to item discrimination. In comparison to tests conducted before to coronavirus pandemic, more tests during pandemic were classified as effective based on the distractor's effectiveness. Both tests were compared based on the data of the collected features. The English achievement exam created during the epidemic was determined to be superior to the test created prior to the outbreak based on CTT. However, the English performance exam created before the epidemic is superior than that created during the pandemic, according to Item Response Theory (IRT). IRT was based on item fit and dependability. Testing for dependability before COVID-19 is more accurate than during pandemic. Before COVID-19, item fit tests were more favorable than during pandemic. Conclusions. The English proficiency test that was created during the epidemic is superior to the test that was created prior to the pandemic based on CTT. But according to IRT, the English proficiency exam created before the pandemic is superior to that created during the pandemic. © 2023 LLC Ecological Help. All rights reserved.

VALIDITY AND RELIABILITY OF MEASUREMENT OF PERIPHERAL OXYGEN SATURATION DURING THE 6-MINUTE WALK TEST IN PATIENTS WITH SYSTEMIC SCLEROSIS

BackgroundThe 6-Minute Walk Test (6MWT) is a standardised method routinely used to screen for and monitor interstitiel lunge disease and/or pulmonary arterial hypertension in patients with systemic sclerosis (SSc). Studies shows that esaturations during the 6MWT are associated with severity of pulmonary manifestations in patients with SSc [1]. Digital sensors are commonly used to measure peripheral oxygen saturation (SpO2) during the 6MWT. However, digital-based sensors may have important limitations in patients with SSc due to disease-related microangiopathy, Raynaud's phenomenon, sclerodactyly and motion artifacts during the 6MWT [2]. Sensors located at more central body positions may therefore be more accurate as these as less prone to Raynaud attacks.ObjectivesTo determine the validity and re-test reliability of peripheral oxygen saturation measured at the finger, forehead, and ear during the 6MWT in patients with SSc.Methods82 patients with SSc had an arterial line placed while performing the 6MWT. Peripheral oxygen saturation was simultaneously measured by finger, forehead, and earlobe sensors and compared to the arterial oxygen saturation (SaO2) measured before and after the 6MWT. 40 patients repeated the 6MWT one week later. We used Bland-Altman plots to display the agreement between SpO2 and SaO2, and between the minimal SpO2 (minSpO2) one week apart. The intraclass correlation coefficient (ICC, 95% confidence interval 95% CI]) for repeated measurement of minSpO2 was calculated.ResultsThe mean difference (SpO2 - SaO2, ± standard deviation [SD]) after the 6MWT was –3.3% (±4.82), 0.15% (±1.55), and 1.36% (±1.93) for the finger, forehead, and earlobe, respectively (Table 1).The finger minSpO2 also demonstrated the poorest re-test reliability: The mean difference in minSpO2 (visit2-visit1, ±SD) was 1.28% (±5.3), 0.74% (±4.36) and –1.10% (±2.87),). The ICC (95% CI) showed good agreement using the ear and forehead probe (ICCear = 0.89 [0.80;0.94];ICCforehead = 0.88 [0.60;0.87]), while a modest reliability was found using the finger probe (ICCfinger = 0.65 [0.43;0.80]).ConclusionPeripheral oxygen saturation should be measured using either the earlobe or forehead during the 6MWT in patients with SSc.References[1]Villalba, W. O. et al. Six-minute walk test for the evaluation of pulmonary disease severity in scleroderma patients. Chest 131, 217–222 (2007).[2]Pathania, Y. S. Alternatives for erroneous finger probe pulse oximetry in systemic sclerosis patients during COVID-19 pandemic. Rheumatol. Int. 41, 2243–2244 (2021).Table 1.Validity and re-test reliability of peripheral oxygen during the 6MWT (n= 82)Finger probeForehead probeEar probeMean difference SpO2 - SaO2  Mean difference pre-test (+/-SD)–0.68% (±1.88)0.13% (±1.26)1.54% (±0.69)  Mean difference post--test (+/-SD)–3.30% (±4.82)0.15% (±1.55)1.36% (±1.93)Mean difference of the minSpO2 (visit2-visit1)  Mean difference (±SD)1.28% (±5.3)0.74% (±4.36)1.10% (±2.87)Abbreviations: SpO2, Peripheral oxygen saturation;SaO2, Arterial oxygen saturation;SD, Standard deviation.Acknowledgements:NIL.Disclosure of InterestsAmanda Lynggaard Riis: None declared, Esben Naeser Paid instructor for: Boehringer Ingelheim Denmark, Katja Thorup Aaen: None declared, Henrik Hovgaard: None declared, Peter Juhl-Olsen: None declared, Elisabeth Bendstrup Speakers bureau: Hoffman-la-Roche.Boehringer Ingelheim.Glaxo Smith Kleine.Daichii Sankyo, Klaus Soendergaard Speakers bureau: Boehringer Ingelheim, Consultant of: Boehringer Ingelheim, Grant/research support from: Boehringer Ingelheim.

Development of a behavioral measure of physical distancing: The o'sickey distancing test

Introduction: Covid-19 has swept the globe and has disproportionately affected the United States with over 600,000 deaths in just over one year. The Centers for Disease Control recommendations for reducing the spread of Covid-19 have focused on physical distancing (PD), the practice of maintaining a distance greater than 6 feet from individuals not in the same household. When employed, this health behavior has been found to reduce the incidence of Covid-19. A review of the measurement literature evaluating PD indicates that PD has been measured at the community level via GPS, using proxy measures of the behavior, or as a construct. These methods can be useful in some situations;however, PD is an observable health behavior and can be reported as such. This study sought to address the issues in measuring PD by creating a new measure of self-reported PD that was: 1) appropriate for individual level measurement, 2) based on participant's self-report of the behavior of PD, and 3) presented a less ambiguous representation of the self-reported behavior. Method: Fifty college students from the University of New Mexico were sampled at a single time-point to evaluate the convergent and concurrent validity of the O'Sickey Distancing Test (ODT). Analysis Plan: To establish convergent validity, individual violations of PD as measured by the ODT were correlated with the Social Distancing Measure (SDM) and participant steps per day using Spearman's rank correlations and by comparing the correlations between the ODT and the number of participant self-reported steps per day and a measure of social distancing and participant steps per day using Steiger's t-test of correlated correlations within a sample. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Construct Validity of Posttraumatic Growth Inventory in the Context of the COVID-19 Pandemic

Research that examines the construct validity of Posttraumatic Growth Inventory in the context of the COVID-19 pandemic has never been conducted. This study aimed to test the construct validity of Posttraumatic Growth Inventory (PTGI) on the five dimensions to see the consistency of the PTGI dimensionality structure. Data collection was carried out on 135 COVID-19 survivors, aged 18–40 in Indonesia. Analysis was carried out by confirmatory factor analysis (CFA) and measurement invariance (MI). The results of the analysis proved that PTGI is a measuring instrument that tends to be multidimensional and reliable to be used in Indonesia. All model fit indices met the parameters based on the values of SRMR (<.06), RMSEA (<.10), CFI (>.85), and TLI (>.85). Factor loadings ranged from 0.616 to 0.839 except for item 6 and item 9, which were below 0.6. These low loading factors in item 6 and item 9 were caused by the choice of translated words which tend to be less precise with the dimension being measured. Recommendations related to changes in translated words were explained further in the article as a follow-up to the adjustment of the item statement. Other factors such as personality characteristics, level of self-esteem, and social stigma were also found to be associated with the results of the analysis. MI testing showed that the PTGI model was not influenced by gender in the study sample group. © 2023, Syarif Hidayatullah State Islamic University (UIN) Jakarta. All rights reserved.

Validation of CES-D8 among Czech university students during COVID-19 pandemic

Objectives: Due to the rise of depressive symptomatology especially among vulnerable populations such as young adults during the COVID-19 outbreak, a reliable measuring tool is needed. Because of the lack of such studies, the authors decided to validate the 8-item Center for Epidemiologic Studies Depression Scale (CES-D 8) among Czech university students capturing the beginning of lockdown experience. Statistical analyses: Confirmatory factor analysis was conducted and structural equation modelling with diagonally weighted least squares estimation using lavaan was employed. Different hypotheses about the dimensionality of the CES-D 8 scale were tested. The authors assessed the measurement equivalence of the CES-D 8 scale according to gender using multigroup confirmatory factor analysis. The effect of socio-demographic and COVID-19 issues variables on depression was examined. Results: One dimensional model with correlated errors showed sufficient validity and therefore, the best fit. Multigroup confirmatory factor analysis results revealed that the factor structure is invariant across gender. Women and those who reported financial distress and academic stress showed a higher level of depressive symptomatology. On the other hand, relationships proved to have a protective effect. Limitations: The sample came from an online survey, respondents were self-selected. There was a gender imbalance in the sample that cannot be explained by a higher number of women in the Czech university environment. Conclusions: The CES-D 8 proved to be a useful instrument for measuring depressed mood that opens further possibilities for depression research in the university environment and during pandemic situations. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Czech) Cile: Vzhledem k narustu depresivni sympto-matologie behem pandemie covid-19 zejmena u zranitelnych skupin, jako jsou mladi dospeli, narostla potrebnost spolehliveho nastroje na mereni depresivity. Z duvodu chybejici validizace se autori rozhodli overit osmipolozkovou skalu Center for Epidemiologic Studies Depression Scale (CES-D 8) u ceskych vysokoskolskych studentu v dobe sameho pocatku pandemie. Statisticke analyzy: Byla provedena konfirmacni faktorova analyza za pouziti strukturniho modelovani metodou DWLS (diagonally weighted least squares) pomoci baliku laavan. Byly testovany ruzne hypotezy o dimenzionalite skaly CES-D 8. Pomoci MCFA (multigroup confirmatory factor analysis) autori posuzovali ekvivalenci mereni skaly CES-D 8 podle pohlavi. Byl zkouman vliv sociodemografickych promennych a promennych tykajicich se problematiky covid-19 na depresivni symptoma-tologii. Vysledky: Jednodimenzionalni model s korelo-vanymi rezidualnimi rozptyly u dvou polozek prokazal dostatecnou validitu a nejlepe odpovidal datum. Vysledky MCFA ukazaly, ze faktorova struktura zvoleneho modelu byla invariantni vzhledem k pohlavi. Zeny a osoby, ktere byly ve financni nouzi nebo prozivaly zvyseny stres ze studia, vykazovaly vyssi uroven depresivni symptomatologie. Naopak partnersky vztah se ukazal mit protektivni efekt. Limity prace: Vzorek pochazi z online pruzku-mu, respondenti byli vybrani samovyberem. Nadreprezentaci zen-studentek v datech nelze zduvodnit vyssim podilem zen na ceskych univerzitach. Zaver: CES-D 8 se ukazal byt uzitecnym nastro-jem pro mereni depresivity, jenz otevira dalsi moznosti pro vyzkum deprese v univerzitnim prostredi a behem pandemickych situaci. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Comparison of Methods of Assessment and Results of Traditional Osce with Electronic-Osce

Introduction: The onset and rise of COVID-19 and its sudden progression to a worldwide pandemic lead medical and dental institutes to change their way of teaching and conducting assessments to distance learning as compared to the previously applied conventional approaches. Teaching and assessment during this era have changed vastly, earlier it was solely traditional/live Objective Structured Clinical Examination (OSCE) but due to the current circumstances electronic/online OSCE (E-OSCE) method was introduced. In Pakistan also, Pakistan Medical Council (PMC) and the College of Physicians and Surgeons of Pakistan (CPSP) conducted online exams so that the scheduled exams do not get delayed. Aim(s): The main objective of this paper is to measure the reliability of an E-OSCE and to compare it with the traditional OSCE. Methodology: This was a cross-sectional study which got conducted at the Rawal Institute of Health Sciences, Islamabad. Traditional OSCEs and E-OSCEs were conducted with 71 participants including final year students and house officers. Each OSCEs had 10 stations, including one interactive station in traditional OSCE. Students' scores in both the OSCEs were collected and paired t-test was used to compare the mean scores at p<0.05. Result(s): Total number of house officers were 27 and final year students were 44. The scores of 71 participants were collected. The difference between mean scores of house officers' traditional OSCE and E-OSCE was statistically significant (p=0.000). The difference between final year students traditional OSCE and E-OSCE was also statistically significant (p=0.020). Finally, the overall difference between traditional OSCE and E-OSCE was also statistically significant (p=0.000) Practical implication: The main objective of this study was to assess the reliability of an E-OSCE and to compare whether the electronic method of conducting OSCE is more reliable than the traditional method of conducting OSCE. Conclusion(s): Despite limitations and the biases, the results of E-OSCE proved to be better than traditional OSCE. Further research needs to be conducted on E-OSCE to control the factors causing biases and limitations.Copyright © 2023 Lahore Medical And Dental College. All rights reserved.

Hospitality employees' technology adoption at the workplace: evidence from a meta-analysis

PurposeThis research aims to use meta-analytical structural equation modeling to look into how hospitality employees use technology at work. It further investigates if the relationship between the constructs of the technology acceptance model (TAM) is moderated by job level (supervisory versus non-supervisory) and different cultures (eastern versus western).Design/methodology/approachIn total, 140 relationships from 30 empirical studies (N = 6,728) were used in this study's data analysis in accordance with the preferred reporting items for systematic reviews and meta-analysis.FindingsThe findings demonstrated that perceived usefulness had a greater influence on "user attitudes” and "acceptance intention” than perceived ease of use. This study also identified that the effect sizes of relationships among TAM constructs appeared to be greater for supervisory employees or in eastern cultures than for those in non-supervisory roles or western cultures.Practical implicationsThe findings provide valuable information for practitioners to increase the adoption of employee technology. Practitioners need to focus on the identification of hospitality employee attitudes, social norms and perceived ease of use. Moreover, hospitality practitioners should be cautious when promoting the adoption of new technologies to employees, as those at different levels may respond differently.Originality/valueThis is the very first empirical investigation to meta-analyze the predictive power of the TAM in the context of hospitality staff technology adoption at the workplace. The findings also demonstrated differences in the predictive power of TAM constructs according to job level and cultural differences.

Combining information technology and human research efforts to lessen personnel burden and costs One success story

Objectives: Develop a coding system to extract EHR data and establish research validity to lessen need for manual data extraction Methods: As part of a data collection project for COVID + patients requiring ICU care, we established data elements able to be extracted from the Epic electronic health record (EHR). Collaboration between Information Technology (IT), research and clinical personnel established where data elements were located within the EHR and what data could be extracted with minimal manual assistance and uploaded to a research database. Coding was developed using Structured Query Language (SQL) with best practices (includes indexes, execution plans, optimized range keys, avoiding large reads inside read-write transactions as instructed by the Epic consultant). Accuracy of extracted data was evaluated by manual validation of data against Epic records via random selection of patient data within the cohort. Result(s): From July-December 2022, coding was developed which extracted over 130 fields of data from 3093 COVID patients across 5 INOVA ICU sites (demographic, physiologic, lab, interventions, outcome). Prior efforts at data extraction of these elements from research personnel (ZS) who previously performed this task noted an average of 4 hours/patient to complete coded fields. Coded data was also noted to be more accurate when accessed by the same personnel to manually extracted fields. Assuming 4 hrs/pt, manual extraction would require 12,372 hours, which equates to over 6 full time human research personnel. Data coding required 446 hours. Coded data extraction can be almost immediate once fields requested are established, decreasing personnel costs and effort significantly. Conclusion(s): Reduction in need for manual data collection using automated coding extraction can reduce costs, personnel time and enhance research efforts. Sharing coding mapping to other EPIC sites or use of similar methods may improve timeliness of ongoing data extraction and will be useful to develop earlywarning and patient-centered care algorithms to improve care.

Validating Social Service Robot Interaction Trust (SSRIT) Scale in Measuring Consumers' Trust Toward Interaction With Artificially Intelligent (AI) Social Robots With a Chinese Sample of Adults

Research on consumers' trust toward interaction with Artificially Intelligent (AI) social robots in service delivery has gained much more interest due to the outbreak of COVID-19 pandemic. However, this topic has not been widely invesgiated in China. To provide a psychometrically sound instrument in diverse cultural contexts, this study was to validate a scale of Social Service Robot Interaction Trust (SSRIT) that measures consumers' trust toward interaction with AI social robots in service delivery in a Chinese sample of adults. The results showed that the Chinese version of the SSRIT was validated with reliability and validity, suggesting that the Chinese version of the SSRIT could be used as an effective tool to assess trust in AI social robots in service delivery within the Chinese context. The implications of the findings were also discussed. [ FROM AUTHOR] Copyright of International Journal of Human-Computer Interaction is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Technology-driven proctoring: Validity, social justice and ethics in higher education

The COVID-19 pandemic has led to rapid change, unprecedented in higher education. One such change has been the almost complete shift to online assessment. The simultaneous employment of online assessment and proctoring has not enjoyed the rigorous academic debate and research traditionally associated with such shifts in academia. This engagement is essential and this article aims to discuss aspects of social justice, ethics and the validity of digital proctoring to the burgeoning debate. Digital proctoring is a lucrative industry (Coghlan Miller & Paterson, 2021), notwithstanding the admitted opportunities for cheating, irrespective of the intensity of overwatch. Digital proctoring is marketed and has become entangled with issues of institutional reputation and the legitimacy of qualifications. The student seems to be a secondary consideration compared to the technocratic digital proctoring arena. However, the introduction of online assessment, specifically with digital proctoring, impacts the assessment's validity by introducing intervening variables into the process. The drive to detect and prevent online cheating has led to algorithmic proliferation. This technologically driven approach has embedded social injustice and questionable ethics and validity into the assessment systems. This article examines the social justice, ethical and validity issues around technological proctoring under the grouped themes: Emotional factors;Racial and/or skin colour;Digital literacy and Technology;and Disability. However, the COVID-19 pandemicdriven shifts have provided the unprecedented opportunity to elevate assessment from recall to critical thinking and applicationbased assessment. An opportunity to ensure that our assessment is valid, assesses higher-order learning, and truly evaluates the concepts we wish to assess.

Investigating sense of belonging in Chinese international students

This study investigated Chinese international students' sense of belonging by exploring the cultural and cognitive validity of a commonly used sense of belonging instrument, namely the Hoffman et al.'s (2002) Sense of Belonging Scale. Cognitive interviewing procedures supplemented with open-ended questions were administered to 20 sophomore- and junior-level Chinese international students attending U.S. undergraduate institutions during the COVID-19 pandemic. The cognitive interview results indicated that participants understood most of the items, although some phrases were identified to be problematic given different meanings in Chinese. The qualitative aspects of the research showed that Chinese students were more likely to define belonging as connection to a social group or community. Participants also reported feeling lower levels of belonging because of the pandemic and limited institutional support. Ultimately, these findings could help to inform campus climate policies and practices related to supporting international students. Implications for developing culturally valid instruments of belonging are also discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Learning Strategies Assessment Scale for High School (EAVAP-EM) / Escala de Avaliação das Estratégias de Aprendizagem para o Ensino Médio (EAVAP-EM) / Escala de evaluación de estrategias de aprendizaje para el bachillerato (EAVAP-EM)

This study aimed to estimate validity evidence based on the internal structure and accuracy of the adapted version of the Learning Strategies Assessment Scale for High School (EAVAP-EM), using Confirmatory Factor Analysis (CFA). Participants were 701 first- to third-year high school students (M = 16.1; SD = 1.0), from public and private institutions in the states of Paraná and São Paulo. The CFA indicated the presence of the three factors of the EAVAP-EM, with adequate internal consistency. The instrument also showed good fit indices. There were positive and significant correlations between the factors, with magnitude ranging from medium to large. Moreover, students reported making more use of metacognitive strategies. The results evinced significant advances regarding measures with good psychometric parameters to assess learning strategies, considering their relevance to the psychoeducational context (AU).

Objetivou-se no presente estudo estimar indicadores de validade com base na estrutura interna e precisão da versão adaptada da Escala de Avaliação das Estratégias de Aprendizagem para o Ensino Médio (EAVAP-EM), por meio de uma análise fatorial confirmatória (AFC). Participaram 701 alunos do primeiro ao terceiro ano do Ensino Médio (M = 16,1; DP = 1,0), provenientes de instituições públicas e particulares dos estados do Paraná e de São Paulo. A AFC indicou a presença dos três fatores da EAVAP-EM, com consistência interna considerada adequada, sendo que o instrumento apresentou bons índices de ajuste. Houve correlações positivas e significativas entre os fatores, com magnitude variando de média a grande. Ainda, os estudantes reportaram fazer mais uso de estratégias metacognitivas. Os resultados evidenciam importantes avanços no que concerne a medidas com bons indicadores psicométricos para avaliação das estratégias de aprendizagem, considerando sua relevância ao contexto psicoeducacional (AU).

El objetivo del presente estudio fue estimar evidencias de validez a partir de la estructura interna y la precisión de la versión adaptada de la Escala de Evaluación de Estrategias de Aprendizaje para la Escuela Preparatoria (EAVAP-EM), mediante un Análisis Factorial Confirmatorio (AFC). Participaron 701 estudiantes de primero a tercer año de secundaria (M = 16.1; DS = 1.0), de instituciones públicas y privadas de las provincias de Paraná y São Paulo. El AFC indicó la presencia de los tres factores del EAVAP-EM, con consistencia interna considerada adecuada. El instrumento mostró índices de ajuste adecuados. Hubo correlaciones positivas y significativas entre los factores, cuya magnitud varió de moderada a alta. Además, los estudiantes informaron que hacen un mayor uso de las estrategias metacognitivas. Los resultados evidencian avances importantes en cuanto a medidas con buenos indicadores psicométricos para evaluar estrategias de aprendizaje, considerando su relevancia para el contexto psicoeducativo (AU).

The COVID Psychosocial Impacts Scale: A Reliable and Valid Tool to Examine the Psychosocial Impacts of the COVID-19 Pandemic.

This paper reports on the development and validation of the COVID Psychosocial Impacts Scale (CPIS), a self-report measure that comprehensively examines both positive and negative psychosocial impacts from the COVID-19 pandemic. This is the first part of the program of work in which the CPIS was administered and compared with a measure of psychological distress (Kessler Psychological Distress Scale, K-10) and wellbeing (World Health Organization Well-Being Index, WHO-5). The data were obtained online in 2020 and 2022 at two distinct time points to capture different exposures to the pandemic in the New Zealand population to a non-representative sample of 663 and 687 adults, respectively. Two hundred seventy-one participants took part in both surveys. Findings indicate a unidimensional structure within CPIS subscales and inter-relatedness among CPIS stress-related subscales. The scatter plots and correlation matrix indicate CPIS having a positive moderate correlation with K10 and a negative moderate correlation with WHO-5, indicative of construct validity. The paper outlines contextual factors surrounding CPIS development and makes suggestions for future iterations of CPIS. Further work will examine its psychometric properties across cultures.

Stigma Scale Adaptation and Validation for Measuring COVID-19 Stigma.

BACKGROUND: The current coronavirus disease 2019 (COVID-19) pandemic has been found to be associated with increased psychosocial problems such as depression, anxiety, stress, and stigma. Many health-related stigma instruments that have been developed are condition-specific; these should be adapted and validated for generic use, across different health conditions. This study was conducted to measure stigma, stress, anxiety, and depression using the COVID-19 Stigma Scale-Modified (CSS-M), a modified version of the HIV Stigma Scale, among the Indian population. METHODS: A weblink-based online survey was conducted using the adapted CSS-M, along with the Depression, Anxiety, and Stress Scale-21. Collected data were analyzed with correlation analysis, reliability analysis, exploratory factor analysis, and convergent and divergent validity. RESULTS: With a sample size of 375, the modified scale for COVID-19 stigma showed internal consistency and a good inter-item correlation (Cronbach's alpha 0.821). Principal axis factoring with varimax rotation along with alternative parallel analysis established the two factorial structure and had valid composite reliability, discriminate validity, and partial convergent validity. CONCLUSION: We found that COVID-19 Stigma Scale-Modified is a valid measure to assess COVID-19-related stigma. The scale was found to be internally consistent with a good inter-item correlation, composite reliability, valid discriminate validity, and partial convergent validity. Specific COVID-related validated scales for stigma should be developed in the future.

Discrepancies Between Self-reported and Objectively Measured Smartphone Screen Time: Before and During Lockdown.

Screen time shows higher health risks compared to other types of sedentary behaviors. A lockdown may simultaneously increase screen time, reduce physical activity (PA), and change time perception. Our goal was to compare self-reported against objectively measured smartphone screen time (SST) in a sample of active and inactive Portuguese adults before and during a social lockdown. This study was a cross-sectional analysis with 211 Portuguese adults (57.8% males), aged 25.2 ± 8.5 years, from two cohorts, one before the social lockdown and the other during the lockdown. SST was self-reported (SR-SST) and objectively measured using a smartphone (OM-SST). PA was self-reported. Linear regressions were performed to determine the association between SR-SST and OM-SST. A Bland and Altman analysis was used to assess agreement. Independent T-tests were performed for comparisons between cohorts and paired sample T-tests for comparisons within each cohort. The cohort assessed during the lockdown showed a higher SST than the cohort assessed before the lockdown (OM-SST; p < 0.001 and SR-SST; p = 0.009). Before the lockdown, there was no difference between SR-SST and OM-SST (p = 0.100). However, during the social lockdown, although the agreement between SR-SST and OM-SST was good (ICC = 0.72), participants systematically underestimated their SST by ~ 71 min/day (p < 0.001), and this underestimation was higher in inactive participants (~ 85 min/day) than in active individuals (~ 49 min/day). The general population needs to be aware of the benefits of limiting screen time, especially during periods of societal modifications, such as a generalized lockdown. There was a tendency to underestimate SST, meaning a lack of awareness of the actual time spent in this potentially deleterious behavior. This underestimation was more pronounced during the lockdown period and for the inactive participants, thus posing a greater health risk. The findings from this investigation entail relevant information for policy makers to delineate strategies for reducing population screen time from a preventive health perspective.

Development of the Malay Language of understanding, attitude, practice and health literacy questionnaire on COVID-19 (MUAPHQ C-19): content validity & face validity analysis.

OBJECTIVE: This study aimed to assess the content and face validity index of the development of the understanding, attitude, practice and health literacy questionnaire on COVID-19 (MUAPHQ C-19) in the Malay language. METHODS: The development of the MUAPHQ C-19 was conducted in two stages. Stage I resulted in the generation of the instrument's items (development), and stage II resulted in the performance of the instrument's items (judgement and quantification). Six-panel experts related to the study field and ten general public participated to evaluate the validity of the MUAPHQ C-19. The content validity index (CVI), content validity ratio (CVR) and face validity index (FVI) were analysed using Microsoft Excel. RESULTS: There were 54 items and four domains, namely the understanding, attitude, practice and health literacy towards COVID-19, identified in the MUAPHQ C-19 (Version 1.0). The scale-level CVI (S-CVI/Ave) for every domain was above 0.9, which is considered acceptable. The CVR for all items was above 0.7, except for one item in the health literacy domain. Ten items were revised to improve the item's clarity, and two items were deleted due to the low CVR value and redundancy, respectively. The I-FVI exceeded the cut-off value of 0.83 except for five items from the attitude domain and four from the practice domains. Thus, seven of these items were revised to increase the clarity of items, while another two were deleted due to low I-FVI scores. Otherwise, the S-FVI/Ave for every domain exceeded the cut-off point of 0.9, which is considered acceptable. Thus, 50-item MUAPHQ C-19 (Version 3.0) was generated following the content and face validity analysis. CONCLUSIONS: The questionnaire development, content validity, and face validity process are lengthy and iterative. The assessment of the instruments' items by the content experts and the respondents is essential to guarantee the instrument's validity. Our content and face validity study has finalised the MUAPHQ C-19 version that is ready for the next phase of questionnaire validation, using Exploratory and Confirmatory Factor Analysis.

Fear and Stigma of COVID-19 Reinfection Scale (FSoCOVID-19RS): New Scale Development and Validation.

BACKGROUND: The advent of COVID-19 and its impacts have prompted fear and stigma among people all across the world. Because of stigma, there was often a delay in diagnosis and treatment, which resulted in a poor prognosis. As a result, a reliable scale is required to measure the level of fear and stigma of COVID-19 reinfection. AIM: To develop and validate a scale for determining the level of fear and stigma of COVID-19 reinfection. METHODS: A cross-sectional study including 200 nursing-college students who had previously tested positive for COVID-19 was conducted. The scale's reliability was evaluated by external and internal consistency methods. Construct, convergent, and discriminant validity were evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). RESULTS: The scale's mean score was 24.85 ± 11.35, and no floor or ceiling effects were detected. The scale items' reliability, measured by Cronbach's alpha coefficient if an item was deleted, ranged from 0.76 to 0.95, with a total score value of 0.86. The range of convergent validity coefficients was between 0.37 and 0.64. Pearson's correlation coefficients for test-retest validity ranged from 0.71 to 0.93, with a total score of 0.82. The coefficient of split-half correlation was 0.87, while the coefficient of reliability was 0.93. According to the factor analysis, two components had latent roots larger than 1. The rotated component matrix of the two factors revealed that all items had R values over 0.30, indicating that none of them should be excluded. In addition, CFA results revealed that χ2 = 3524, df = 1283, χ2/df ratio = 2.74, p < 0.001, GFI = 0.86, CFI = 0.92, AGFI = 0.88, and RMSEA = 0.05. The scale's convergent and discriminant validity was confirmed. CONCLUSIONS: The 14-item, two-dimensional Fear and Stigma of COVID-19 Reinfection Scale (FSoCOVID-19 RS) was demonstrated to have reliable psychometric properties.