Evaluation of the psychometric properties of the health care providers' pain and impairment relationship scale (HC-PAIRS) in health professionals and university students from Chile and Colombia.

Background: Chronic back pain is a frequent and disabling health problem. There is evidence that ignorance and erroneous beliefs about chronic low back pain among health professionals interfere in the treatment of people who suffer from it. The Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) has been one of the most used scale to assess these misbeliefs, but no studies have been reported in Latin America. Method: We studied the factorial structure of the HC-PAIRS in health personnel and health sciences university students in two Latin American countries: Colombia (n = 930) and Chile (n = 190). Spain's data was taken of the original study of the Spanish version of the HC-PAIRS (171 Physiotherapy students). Additionally, the measurement invariance of this scale among Chile, Colombia and Spain was evaluated by calculating three nested models: configural, metric and scalar. We used a Confirmatory Factor Analysis (CFA) in both Latin American samples, with Maximum Likelihood Robust (MLR) estimation to estimate the parameters. For the final model in each sample, reliability was assessed with the Composite Reliability (CR) index, and to obtain the proportion of variance explained by the scale the Average Variance Extracted (AVE) was calculated. Results: The one-factor solution shows an acceptable fit in both countries after deleting items 1, 6, and 14. For the resulting scale, the CR value is adequate, but the AVE is low. There is scalar invariance between Chile and Colombia, but not between these two countries and Spain. Conclusions: HC-PAIRS is useful for detecting misconceptions about the relationship between chronic low back pain that would cause health personnel to give wrong recommendations to patients. However, it has psychometric weaknesses, and it is advisable to obtain other evidence of validity.

Development of a brief core set for knee dysfunction based on the International Classification of Functioning, Disability and Health: assessing construct validity and measurement potential.

BACKGROUND: The comprehensive core set for knee dysfunction was developed to classify the functioning of people with any knee dysfunction. To be used as a clinical instrument to measure the functioning of people with knee dysfunction, the construct validity of the core set still needs to be assessed. The purpose of this study was to analyze the construct validity of the comprehensive core set for knee dysfunction as an instrument to measure functioning. METHODS: A cross-sectional study with 200 participants with knee dysfunction with or without clinical diagnosis of knee pathology, with or without complaint of pain, with or without instability, and/or with or without knee movement restriction of any type. Participants were assessed using the comprehensive core set for knee dysfunction with 25 categories, the subjective form from the International Knee Documentation Committee scale, and measures of self-perceived general health and functioning. The construct validity of the core set was assessed by Rasch analysis, and the external construct validity was assessed by correlation between the score of the brief core set for knee dysfunction with the subjective form from the International Knee Documentation Committee scale, and scores of self-perception of health and functioning. RESULTS: Twelve categories were consistent with a unidimensional construct, with no difference in the response pattern for age, sex, educational level, and time of complaint. These categories were included in the brief core set for knee dysfunction. The mean score of the brief core set was 37 ± 21 points, a value classified as moderate impairment regarding functioning. Correlations with the subjective form from the International Knee Documentation Committee scale and scores of self-perception were adequate (p < 0.01; r > 0.5). CONCLUSION: The brief core set for knee dysfunction, a set with 12 categories, can be used as a clinical instrument to measure and score the functioning of people with knee dysfunction, aged between 18 and 89 years, with adequate construct validity.

Bridging Validity Frameworks in Assessment: Beyond Traditional Approaches in Health Professions Education.

Construct: High-stakes assessments measure several constructs, such as knowledge, competencies, and skills. In this case, validity evidence for test scores' uses and interpretations is of utmost importance, because of the consequences for everyone involved in their development and implementation. Background: Educational assessment requires an appropriate understanding and use of validity frameworks; however, health professions educators still struggle with the conceptual challenges of validity, and frequently validity analyses have a narrow focus. Important obstacles are the plurality of validity frameworks and the difficulty of grounding these abstract concepts in practice. Approach: We reviewed the validity frameworks literature to identify the main elements of frequently used models (Messick and Kane's) and proposed linking frameworks including Russell's recent overarching proposal. Examples are provided with commonly used assessment instruments in health professions education. Findings: Several elements in these frameworks can be integrated into a common approach, matching and aligning Messick's sources of validity with Kane's four inference types. Conclusions: This proposal to contribute evidence for assessment inferences may provide guidance to understanding the use of validity evidence in applied settings. The evolving field of validity research provides opportunities for its integration and practical use in health professions education.

Translation, reliability, and validity of the Brazilian-Portuguese version of the Brachial Plexus Outcome Measure scale (BPOM-Br).

PURPOSE: To translate and investigate inter-rater reliability, internal consistency, content validity, and construct validity of the Brazilian-Portuguese Version of the Brachial Plexus Outcome Measure Scale (BPOM-Br). MATERIAL AND METHODS: The translation followed international guidelines. Inter-rater reliability was tested with 51 individuals with Neonatal Brachial Plexus Palsy (NBPP), aged between 4 to 16 years old. To determine concurrent construct validity, children were also assessed with the Mallet Scale. Statistical analysis included Bland-Altman, Intraclass Correlation Coefficient (ICC), Floor and Ceiling and effect, and Pearson correlation. RESULTS: The majority of the sample consisted of children with upper NBPP (75.2%), mean age of 8.9 years old. BPOM-Br showed appropriate content validity (comprehensiveness) according to rehabilitation professionals. It also showed excellent inter-rater reliability (ICC = 0.90) and internal consistency (α = 0.91). Bland-Altman analysis showed bias close to zero. Finally, BPOM-Br showed overall significant positive correlations with the Mallet scale items (rs= 0.31 to 0.78 p < 0.05), indicating adequate concurrent validity. CONCLUSIONS: BPOM-Br is a consistent, reliable, and valid instrument to assess activity of school-aged children with NBPP.IMPLICATIONS FOR REHABILITATIONThe Brazilian-Portuguese Version of the Brachial Plexus Outcome Measure Scale (BPOM-Br) presents understandable items and no ceiling and floor effects.The BPOM-Br provides a valid and reliable version for use in Brazilian school-aged children with neonatal brachial plexus palsy.It is important to promote its use both in clinical practice and in research as a specific evaluation of activity domain.

Implementation of a Canine Ergonomic Abdominal Simulator for Training Basic Laparoscopic Skills in Veterinarians.

The validity of the CALMA Veterinary Lap-trainer simulator (CVLTS) for training basic veterinary laparoscopic skills was assessed and compared to a simple collapsible mobile box trainer. Ten veterinarian surgeons with no experience in laparoscopic surgery and four experts with at least two years of experience in minimally invasive surgery (MIS) were included. The training curriculum included object transfer, non-woven gauze cutting with curved scissors, and interrupted and continuous intracorporeal sutures, which were practiced on the CVLTS. The initial and final assessments were carried out in both the CVLTS and in a collapsible mobile simulator. These were video-recorded and evaluated by external experts using the Objective Structured Assessment of Technical Skills (OSATS) and a specific scale evaluation in a double-blinded schedule. The time, angular displacement, number, and movement smoothness were recorded using a hands movement assessment system (HMAS). Through a survey, the face validity and content were evaluated. The data were analyzed by a Pearson's proportions comparison or Mann Whitney U test and a bilateral Student's t-test. The experimental group OSATS, specific scores, and HMAS values, with the exception of the smoothness of movements, significantly improved after training, with no statistically significant differences compared to the expert group. No differences were found between the two simulators. The experts' and experimental participants' CVLTS mean score was 4.8. Our data support the CVLTS validations for laparoscopic surgery basic skills training.

Validation of the Cognitive Fusion Scale in Cuban adults with anxiety symptoms / Validación de la Escala de Fusión Cognitiva en adultos cubanos con síntomas de ansiedad

ABSTRACT Background: Cognitive Fusion (CF) is a psychological problem that is a fundamental concept within Acceptance and Commitment Therapy. The Cognitive Fusion Scale (CFS), which is used to measure this concept, has not been adapted or validated in Cuba. Objective: To evaluate the psychometric properties of the CFA in adults with anxiety symptoms. Method: Qualitative and quantitative techniques were combined: Expert interview, correlation and concordance coefficients and factor analysis. Result: The CFQ was adapted from a linguistic and cultural perspective. Nine experts were consulted and consensus was assessed using the content validity coefficient of appropriateness (0.97). During piloting with 35 people, the test achieved a Cronbach's α coefficient (0.927). When the adapted test was applied to 106 adults with anxiety symptoms, a Cronbach's α coefficient (0.869) was achieved, demonstrating the homogeneity of the test. The exploratory factor analysis (KMO = 0.820, X2 (338) = 21, p < 0.001) showed item ambiguities of less than 0.6 and factor loadings of more than 0.3. The confirmatory factor analysis showed a good model fit (X2 (14) = 45.1, p < 0.001). A low and statistically significant correlation (Rho = 0.216, p < 0.05) was found in relation to IDARE (state). Conclusion: The adapted CFQ was valid in terms of content, showed high reliability values and its one-dimensionality was verified. The adapted instrument shows a correlation between FC and anxiety symptoms. An instrument like this could improve the diagnosis of CF, as well as increase the quality of care for the patient.

RESUMEN Introducción: La Fusión Cognitiva (FC) es un problema psicológico que constituye un concepto fundamental dentro de la Terapia de Aceptación y Compromiso. La Escala de Fusión Cognitiva (EFC) utilizada para medir este concepto no ha sido adaptada ni validada en Cuba. Objetivo: Evaluar las propiedades psicométricas de la EFC en personas adultas con síntomas de ansiedad. Método: Se combinaron técnicas cualitativas y cuantitativas: consulta a expertos, coeficientes de correlación y concordancia y análisis factorial. Resultados: Se adaptó la EFC desde una perspectiva lingüística y cultural. Se consultaron a 9 expertos y se evaluó el consenso mediante el coeficiente de validez de contenido sobre la suficiencia (0,97). Durante el pilotaje con 35 personas, el test alcanzó un coeficiente α de Cronbach (0,927). Al aplicar el test adaptado en 106 adultos con síntomas de ansiedad se obtuvo un coeficiente α de Cronbach (0,869), lo que evidencia la homogeneidad del test. El Análisis Factorial Exploratorio (KMO = 0,820, X2(338) = 21, p < 0,001) alcanzó unicidades de los ítems menores que 0,6 y cargas factoriales mayores que 0,3. El Análisis Factorial Confirmatorio mostró un buen ajuste del modelo (X2(14) = 45,1, p < 0,001). Se encontró una correlación baja y estadísticamente significativa (Rho = 0,216, p < 0,05) respecto al IDARE (estado). Conclusión: La EFC adaptada fue válida en tanto contenido, mostró altos valores de fiabilidad y se verificó su unidimensionalidad. El instrumento adaptado muestra una correlación entre la FC y los síntomas de ansiedad. Contar con un instrumento como este podría mejorar el diagnóstico de la FC, así como incrementar la calidad del tratamiento que se le brinda al paciente.

Face, Content, and Construct Validity Evaluation of Simulation Models in General Surgery Laparoscopic Training and Education: A Systematic Review.

BACKGROUND: Laparoscopic technical surgical skills (LTS) are considered a fundamental competence for General Surgery residents. Several simulation tools (ST) have been explored to develop LTS. Although a plethora of systematic reviews evaluate the translation of LTS developed in simulation to real surgery, there is a lack of evidence that clarifies effectiveness of different validated ST in acquisition of LTS in surgical residents. The aim of this systematic review (SR) is to summarize published evidence on ST validation used for surgery education and training. METHODS: A protocol was published in PROSPERO. A SR was carried out following PRISMA guidelines. Complete published articles in English or Spanish that validate either content or construct, plus another form of validation of ST to acquire LTS in general surgery were included. Articles that used only one validation or did not validate an ST were excluded. RESULTS: 1052 publications were initially identified across all searched databases. Title review identified 204 studies eligible for full text screening. 10 studies were included for final review. Two studies assessed both face and content, 4 face and construct, and 4 face, content and construct validity. None of the studies presented comparable outcomes due to metrics variation and scores used for the validation strategies. CONCLUSIONS: This study assessed validated laparoscopic simulation models, particularly in content and construct validity. Articles reported an increased use of simulation models in laparoscopic training with positive feedback from trainees, but few studies reported validation of training model. Validation strategies are not standardized, limiting comparability between them.

Understanding food addiction in Post-Bariatric patients.

This study delves into the construct validity of Food Addiction (FA) as evaluated by the modified Yale Food Addiction Scale 2.0 (mYFAS 2.0) within the context of post-bariatric surgery patients in Brazil. Understanding the prevalence, characteristics, and construct validity of FA among individuals who have undergone bariatric surgery is crucial for enhancing patient care and advancing research in this field. Our findings are based on a convenience-based sample of 100 individuals who had undergone bariatric surgery at Hospital Estadual Mário Covas (HEMC) in Brazil. Using mYFAS 2.0, we found that 51% of the participants met the criteria for FA, with 31% classified as severely affected. In our investigation of construct validity, we confirmed a one-dimensional model, in line with prior research using the YFAS and its modified versions. Item Response Theory (IRT) analyses further confirmed the appropriateness of the mYFAS 2.0 items, with all criteria contributing to the latent structure, most exhibiting discrimination values exceeding 0.5, and the majority having values greater than 2. These results provide substantial support for the construct validity of mYFAS 2.0 in our Brazilian subpopulation of post-bariatric surgery patients. Comparative analyses with previous studies revealed a notably higher prevalence of FA in our population, suggesting potential differences between pre- and post-bariatric surgery groups. This study contributes unique insights into the assessment of FA among post-surgery patients and highlights the importance of early detection and intervention in this population. While this study advances our understanding of FA in post-bariatric surgery patients, certain limitations, such as the relatively small sample size and cross-sectional design, warrant consideration. Nevertheless, our findings hold valuable implications for healthcare providers, researchers, and patients in the field of bariatric surgery and FA management. Future research can build upon these foundations to explore long-term FA effects post-surgery and potential interventions to address this issue effectively.

Scale of Sexual Prejudice Against Bisexuals: evidence of validity / Escala de Preconceito Sexual Contra Bissexuais: evidências de validade / Escala de Prejuicio Sexual Contra Bisexuales: evidencia de validez

Sexual prejudice against bisexuals is widespread in society. However, little research has been done on this phenomenon because it is difficult to measure. The aim of the current study was to validate a short version of the Biphobia Scale for the Brazilian context (EPSB-br). In the first study, the EPSB-br showed unifactorial structure and convergent validity with scales measuring beliefs and stereotypes about bisexuality. Study 2 showed the EPSB-br's convergent-discriminant validity with scales measuring religiosity, right-wing authoritarianism, social dominance orientation, and sleepiness. Finally, Study 3 demonstrated the criterion-related validity of the EPSB-br through an experimental manipulation in which participants watched a video of a pretend teacher and assigned a salary to it. Taken together, these results showed evidence of validity and reliability of the EPSB-br, which introduced a measure of prejudice against bisexual people in Brazil. (AU)

O preconceito sexual contra bissexuais é fortemente presente na sociedade. Entretanto, este fenômeno ainda é pouco estudado, dada a dificuldade em sua mensuração. O presente trabalho teve o objetivo de validar uma versão reduzida da Biphobia Scale para o contexto brasileiro. No primeiro estudo, a Escala de Preconceito Sexual contra Bissexuais (EPSB-br) apresentou uma estrutura unifatorial e uma validade convergente com escalas que mensuram crenças e estereótipos sobre a bissexualidade. O Estudo 2 evidenciou a validade concorrente-discriminante da EPSB-br com a religiosidade, escalas de autoritarismo de direita, orientação à dominância social e sonolência. Por fim, o Estudo 3 demonstrou a validade de critério da EPSB-br a partir de uma manipulação experimental, na qual os participantes assistiram a um vídeo sobre um professor e atribuíram-lhe um salário. A síntese dos resultados mostrou evidências de validade e confiabilidade da EPSB-br, introduzindo uma medida de preconceito contra pessoas bissexuais no Brasil. (AU)

Lo Prejuicio Sexual contra Bisexuales está muy presente en la sociedad. Sin embargo, es un fenómeno poco estudiado, dada la dificultad de medirlo. Este trabajo buscó validar una versión reducida de la Biphobia Scale para el contexto brasileño. En el primer estudio, la EPSB-br presentó una estructura unifactorial y validez convergente con escalas que miden creencias y estereotipos sobre la bisexualidad. El estudio 2 evidenció la validez concurrente-discriminante de la EPSB-br con escalas de religiosidad, autoritarismo de derecha, orientación al dominio social y somnolencia. Finalmente, el Estudio 3 demostró la validez de criterio de la EPSB-br a través de una manipulación experimental, donde los participantes vieron un video sobre un maestro y le asignaron un salario. La síntesis de los resultados mostró evidencia de validez y confiabilidad de la EPSB-br, introduciendo una medida de prejuicio contra las personas bisexuales en Brasil. (AU)

Validación de dominios y competencias por grupos focales y juicio de expertos / Validation of domains and competencies by focus groups and expert judgment

Resumen El Consejo Mexicano de Ginecología y Obstetricia certifica a los especialistas para ejercer su especialidad y brindar una atención de alta calidad a las pacientes. En la actualidad, el Consejo está rediseñando el examen de Certificación en Ginecología y Obstetricia orientado a la evaluación de competencias profesionales a partir de las actividades profesionales confiables que permitan identificar los dominios de la competencia médica en un especialista. La competencia es una variedad de habilidades ejercidas a través de múltiples dominios o aspectos del desempeño profesional; sus descriptores requieren que contengan habilidades relevantes, contexto y la etapa o nivel de evaluación. Por su parte, los dominios son un conjunto de competencias clave. Este informe incluye los resultados de la primera validación en México de dominios y competencias para la evaluación de los ginecoobstetras a partir de una metodología cualitativa que comprende una revisión de la bibliografía, grupos focales, análisis de trabajos colegiados y validación por juicio de expertos. Los resultados se presentan divididos por los ocho dominios en los que se trabajó, se mencionan los comentarios más relevantes a discutir por los cuatro grupos focales. Éstos y la validación por expertos permitió reunir comentarios valiosos, coherentes y funcionales para el sistema de evaluación que quiere llevar a cabo el Consejo. Este ejercicio permitirá el posterior desarrollo de la tabla de especificaciones, reactivos o nuevos instrumentos de evaluación coherentes con un sistema de dominios, competencias y actividades profesionales confiables.

Abstract The Mexican Council of Gynecology and Obstetrics certifies specialists to practice their specialty and provide high-quality healthcare to patients. Currently, the Council is redesigning the Gynecology and Obstetrics Certification exam, oriented to the evaluation of professional competencies based on reliable professional activities that allow the identification of domains of a specialist's medical competencies. Competency can be defined as a variety of skills across multiple domains or aspects of professional performance. Its descriptors require to contain relevant skills, context, and the stage or level of assessment. Domains can be described as a set of competencies that are considered essential. This report includes the results of the first validation done in Mexico. The validation of domains and competencies for the evaluation of physicians in the area of Obstetrics and Gynecology is based on a qualitative methodology that includes a literature review, focus groups, analysis of collegiate works, and validation through expert judgment. The obtained results are divided into eight domains that mention the most relevant observations that were discussed by the four focus groups. The focus groups and the validation through expert judgment made it possible to gather valuable, coherent, and functional feedback for the evaluation system that the Council wants to carry out. This method will allow the subsequent development of the table of specifications, items, or new evaluation instruments congruent with a system of domains, competencies, and reliable professional activities.

Validez de constructo de una escala de percepción de la calidad de atención en consulta externa, primer nivel de atención del sistema público, municipios de La Paz y El Alto: Enfoque intercultural / Construct Validity of a Perception Scale of the Quality of Outpatient Care, First Level of Care of the Public System, La Paz and El Alto Municipalities. Intercultural Approach

Objetivo: determinar la validez de constructo de una escala de percepción de la calidad de atención en consulta externa en el primer nivel de atención del sistema público. Método: se trata de un estudio de tipo cuantitativo, diseño de validación de instrumento documental, realizado durante diciembre 2022 y enero 2023, en 2 municipio el Alto y La Paz, se contó con la participación de 205 personas mayores de 18 años de ambos sexos participantes por de muestro accidental, por sujetos disponibles. La aplicación del instrumento se realizó en los ambientes de los Centros de Salud. Se evaluó la consistencia interna con alfa de Cronbach y Omega. Se realizó el análisis factorial confirmatorio con un método de factorización de ejes principales, se calcularon los índices de ajuste para el modelo, medidas de ajuste absoluto, de ajuste incremental y las medidas de ajuste de Parsimonia. Se realizó todos los procedimientos estadísticos con ayuda del programa SPSSv26, AMOS v24 y JASP v16. Resultados: se evidenció que tamaño muestral pertinente y que la matriz de covariaciones soporta el análisis factorial KMO de 0,904 Bartlett 0,001, que indica un l. Se procedió, entonces, a realizarse dicho análisis con el método de extracción de factorización de ejes principales y rotación varimax logrando dos dimensiones y 10 items, 6 para el primer factor y 4 para el segundo. La fiabilidad del instrumento por dimensión fue aceptable y bueno (>0,6). Se lograron dos modelos para realizar el ajuste, las medidas de ajuste con chi2 significativo y el RMSEA mayor a 0,05. Las medidas de ajuste incremental óptimos CFI = 0,95; NFI = 0,92, y TLI (NNFI)= 0,93. las medidas de ajuste de Parsimonia aceptables. Conclusiones: las evidencias de validez del instrumento con 2 factores resultaron con un buen ajuste y parsimonia, presentando índices de confiabilidad aceptables y consistentes con los reportados por otros estudios tiene validez de contenido adecuado con una fiabilidad aceptable

Objective: to determine the construct validity of a scale of perception of the quality of outpatient care at the first level of care in the public system. Method: this is a quantitative study, documentary instrument validation design, conducted during December 2022 and January 2023, in 2 municipalities of El Alto and La Paz, with the participation of 205 people over 18 years of age of both sexes participating by accidental sampling, by available subjects. The application of the instrument was carried out in the environments of the Health Centers. The internal consistency was evaluated with Cronbach's alpha and Omega. The confirmatory factor analysis was performed with a principal axis factorization method, the fit indexes for the model, measures of absolute fit, incremental fit and measures of Parsimony fit were calculated. All statistical procedures were performed using SPSSv26, AMOS v24 and JASP v16. Results: it was evidenced that the sample size was relevant and that the covariance matrix supports the KMO factor analysis of 0.904 Bartlett 0.001, which indicates a l. We proceeded, then, to perform this analysis with the extraction method of factorization of principal axes and varimax rotation, achieving two dimensions and 10 items, 6 for the first factor and 4 for the second. The reliability of the instrument per dimension was acceptable and good (>0.6). Two models were achieved to perform the adjustment, the adjustment measures with significant chi2 and RMSEA greater than 0.05. The optimal incremental fit measures CFI = 0.95; NFI = 0.92, and TLI (NNFI)= 0.93. Parsimony fit measures were acceptable. Conclusions: The evidence of validity of the instrument with 2 factors resulted in a good fit and parsimony, presenting acceptable reliability indices and consistent with those reported by other studies. It has adequate content validity with acceptable reliability

Psychometric Study of the Cognitive Flexibility Inventory in a Colombian Sample.

Introduction: A cross-sectional descriptive study was conducted to evaluate the factor structure of Spanish translation and adaptation of the Cognitive Flexibility Inventory (CFI) in a sample of Colombian adults. Method: The sample of the study was n = 968. Respondents were aged between 18 and 52 years old (Mage=22.81, SD=4.42). Descriptive analyses, confirmatory factor analysis, and Cronbach's Alpha calculation were carried out. Results: Internal consistency for the global scale was high (α=.89). Likewise, the coefficients of the Alternative factor and the Control factor were similar (α=.90, 95% CI=.89-.90 and α=.83, 95% CI=.81-.85, respectively). A two-factor structure performed best according to the results of model selection criteria. This model suggested the existence of two correlated factors, with correlated items within factors (Item19 Item20 and Item8 Item10). Conclusions: Overall, the results suggest that the CFI scale exhibits construct validity and adequate reliability, both for the general scale and the subscales in the Colombian sample, enabling their use in contexts such as clinical or research.

Introducción: Se realizó un estudio descriptivo transversal para evaluar la estructura factorial de la traducción al español y adaptación del Inventario de Flexibilidad Cognitiva (Cognitive Flexibility Inventory CFI) en una muestra de adultos colombianos. Método: La muestra del estudio fue de n = 968. La edad de los participantes osciló entre los 18 y 52 años (Medad=22.81, SD=4.42). Se llevaron a cabo análisis descriptivos, además del análisis factorial confirmatorio y el cálculo de Alpha de Cronbach. Resultados: Los resultados mostraron que la consistencia interna para la escala global fue alta (α=.89). Asimismo, los coeficientes del factor Alternativas y del factor Control fueron similares (α=.90, IC del 95%=.89-.90 y α=.83, IC del 95%=.81-.85, respectivamente). Una estructura de dos factores presentó un buen ajuste de los datos, de acuerdo con los valores de los criterios de selección del modelo. Este modelo sugirió la existencia de dos factores, con elementos correlacionados dentro de estos (Item19 Item20 e Item8 Item10). Conclusiones: En general, los resultados sugieren que el inventario CFI muestra una fiabilidad adecuada, tanto para la escala general como para las subescalas y validez de constructo en la muestra colombiana, permitiendo su uso en posibles contextos como el clínico o la investigación.

Metrics of sexual behavior stigma among cisgender men who have sex with men in Mexico: exploratory and confirmatory factor analyses.

Cisgender gay, bisexual, and other men who have sex with men (MSM) in Mexico experience disparities in sexual health outcomes, perhaps most notably in HIV prevalence, HIV testing and status awareness, and condom use. Sexual behavior stigma, underpinned by socio-structural factors specific to Mexico (e.g., machismo), uniquely shapes these sexual health disparities. However, few reliable, valid measures are available to document, track, and ultimately mitigate sexual behavior stigma in this context. Exploratory and confirmatory factor analyses were performed on responses to a 13-item sexual behavior stigma scale from 15,681 MSM recruited online across Mexico. Associations with extracted factors were tested to assess construct validity. Three subscales were identified in exploratory factor analysis and validated in confirmatory factor analysis: "stigma from family and friends" (α = 0.65), "anticipated healthcare stigma" (α = 0.84), and "general social stigma" (α = 0.70). External construct validity was indicated through each subscale's strong association (all p < 0.001) with perceived community intolerance of MSM and perceived community discrimination toward people living with HIV. These subscales show promise as reliable, valid measures for assessing sexual behavior stigma among MSM in Mexico, and as tools for documenting and tracking sexual behavior stigma trends, comparing regional burdens of sexual behavior stigma, and tracking the progress of stigma-mitigation interventions among MSM in Mexico. Future research is needed to understand the extent to which each subscale is differentially associated with sexual (and other) health outcomes, which can inform the development and implementation of uniquely tailored stigma-mitigation, HIV-prevention, HIV-care, and other needed interventions for MSM in Mexico.

Discrimination, reliability, sensitivity, and specificity of metric-based assessment of an unstable pertrochanteric 31A2 intramedullary nailing procedure performed by experienced and novice surgeons.

INTRODUCTION: Identifying objective performance metrics for surgical training in orthopedic surgery is imperative for effective training and patient safety. The objective of this study was to determine if an internationally agreed, metric-based objective assessment of video recordings of an unstable pertrochanteric 31A2 intramedullary nailing procedure distinguished between the performance of experienced and novice orthopedic surgeons. MATERIALS AND METHODS: Previously agreed procedure metrics (i.e., 15 phases of the procedure, 75 steps, 88 errors, and 28 sentinel errors) for a closed reduction and standard cephalomedullary nail fixation with a single cephalic element of an unstable pertrochanteric 31A2 fracture. Experienced surgeons trained to assess the performance metrics with an interrater reliability (IRR) > 0.8 assessed 14 videos from 10 novice surgeons (orthopaedic residents/trainees) and 20 videos from 14 experienced surgeons (orthopaedic surgeons) blinded to group and procedure order. RESULTS: The mean IRR of procedure assessments was 0.97. No statistically significant differences were observed between the two groups for Procedure Steps, Errors, Sentinel Errors, and Total Errors. A small number of Experienced surgeons made a similar number of Total Errors as the weakest performing Novices. When the scores of each group were divided at the median Total Error score, large differences were observed between the Experienced surgeons who made the fewest errors and the Novices making the most errors (p < 0.001). Experienced surgeons who made the most errors made significantly more than their Experienced peers (p < 0.003) and the best performing Novices (p < 0.001). Error metrics assessed with Area Under the Curve demonstrated good to excellent Sensitivity and Specificity (0.807-0.907). DISCUSSION: Binary performance metrics previously agreed by an international Delphi meeting discriminated between the objectively assessed video-recorded performance of Experienced and Novice orthopedic surgeons when group scores were sub-divided at the median for Total Errors. Error metrics discriminated best and also demonstrated good to excellent Sensitivity and Specificity. Some very experienced surgeons performed similar to the Novice group surgeons that made most errors. CONCLUSIONS: The procedure metrics used in this study reliably distinguish Novice and Experienced orthopaedic surgeons' performance and will underpin quality-assured novice training.

Are the Harris Hip Score and the Hip Outcome Score valid patient-reported outcome measures for femoroacetabular impingement syndrome?

BACKGROUND: The International Hip Outcome Tool (iHOT-33) is a reference instrument among the Patient-Reported Outcome Measures (PROMs) to assess people with hip disorders, including femoroacetabular impingement (FAI) syndrome. Older questionnaires such as the Harris Hip Score, or its modified version (mHHS), and the Hip Outcome Score (HOS), through the full version or its subscales (Activities of Daily Living-ADL; and Sports) are still used in the clinical setting and their construct validity is so far underexplored. OBJECTIVE: To assess the construct validity of mHHS and HOS-ADL compared with iHOT-33 by hypothesis testing in a large sample of patients with FAI syndrome. METHODS: This retrospective study was conducted with data records from patients with FAI syndrome seeking care at a private physical therapy clinic between 2013 and 2018. All participants completed the three questionnaires (mHHS, HOS-ADL, and iHOT-33) during the physical therapy initial assessment. RESULTS: From the 523 patients with FAI syndrome found in the clinic's database, 373 were eligible for this study. An acceptable agreement (r>0.70) was found between HOS-ADL and iHOT-33 (r = 0.77, 95%CI: 0.73, 0.81), but not between mHHS and iHOT-33 (r = 0.68, 95%CI: 0.62, 0.73). HOS-ADL score presented an acceptable agreement with iHOT-Symptoms subscale score (r = 0.78, 95%CI: 0.73, 0.81), while mHHS score did not (r = 0.68, 95%CI: 0.62, 0.73). Neither HOS-ADL or mHHS presented an acceptable agreement with iHOT-Sport, iHOT-Job, or iHOT-Social scores. CONCLUSION: The HOS-ADL score, but not mHSS score, is an acceptable measure of health-related quality of life in patients with FAI syndrome.

Hooper visual organization test: Psychometric properties and regression-based norms for the Venezuelan population.

The Hooper Visual Organization Test (HVOT) is used to assess visual organization and visual synthesis. Psychometric studies reveal cultural biases and associations between demographic variables and test performance capable of compromising the test's clinical utility. The present study aimed to adapt the HVOT, explore the psychometric properties of this test, and develop regression-based norms for the Venezuelan population. Using a cross-sectional design, the HVOT was administered to a stratified sample of 351 healthy adults (20-85 years of age and 0-23 years of education) from the Metropolitan Area of Caracas. The results revealed good levels of internal consistency and reliability. Confirmatory Factor Analysis suggests that the HVOT is unidimensional. Item difficulty, types and rate of errors and inappropriateness of some items indicated a potential cultural bias in our Venezuelan sample. Spearman's Correlation and Wilcoxon Rank test analysis (p<.001) showed a significant association between HVOT total score and age, education, and gender, but not with socioeconomic status. We present regression-norms stratified by age, years of education, and gender. Cultural biases were noted, which highlights the need for a revision of items in terms of inclusion, scoring, and order of presentation. Future studies of concurrent and predictive validity are needed.

Validez de contenido de la escala de percepción de la calidad de atención en consulta externa, primer nivel de atención del sistema público, municipios de La Paz y El Alto, enfoque intercultural / Content validity of the perception scale of the quality of outpatient care, first level of care of the public system, municipalities of La Paz and El Alto, intercultural approach

OBJETIVO Determinar la validez de contenido para determinar los elementos que constituyen la escala de percepción de la calidad de atención en consulta externa en el primer nivel de atención del sistema público. MATERIAL Y METODO Se trata de un estudio de tipo cuantitativo, diseño de validación de instrumento documental, realizado durante septiembre y noviembre de la gestión 2022, en 2 municipio el Alto y La Paz, la validez de contenido contó con la participación de 4 expertos, y la prueba piloto con una muestra de 42 participantes. Para el juicio de expertos se utilizó el Coeficiente de validez de contenido de Hernández Nieto. En la prueba piloto se estimó el porcentaje de no respuesta, abandono y tiempo de llenado. Se realizó todos los procedimientos estadísticos con ayuda del programa SPSSv26. RESULTADOS La validez de contenido por juicio de expertos obtuvo un puntaje adecuado con validez y concordancia buenas (0,81), con adecuada coherencia, claridad, escala y relevancia. Como resultado de la prueba piloto la tasa de no respuesta fue de 4,7%. La tasa de no respuesta y la tasa de abandono por ítem fueron de 0. El promedio que tardaron los encuestados en completar el instrumento fue de 9,6 min. La fiabilidad del instrumento por dimensión fue aceptable y bueno (>0,6) para 3 de las 5 de las dimensiones teóricas. Mediante el análisis factorial exploratorio se evidenció la unidimensionalidad del constructo, con un total de 17 ítems en su estructura. CONCLUSION El instrumento tiene validez de contenido adecuado con una fiabilidad preliminar aceptable

OBJECTIVE To determine the content validity to determine the items that make up the scale of perception of the quality of outpatient care at the first level of care in the public system. MATERIAL AND METHOD This is a quantitative study, a documentary instrument validation design, carried out during September and November 2022, in 2 municipalities, El Alto and La Paz cities. The content validity was assessed with the participation of 4 experts, and the pilot test was carried out with a sample of 42 participants. For the expert judgment, the content validity coefficient of Hernández Nieto was used. The pilot test estimated the percentage of non-response, abandonment and completion time. All statistical procedures were performed with the help of the SPSSv26 program. RESULTS The content validity by expert judgment obtained an adequate score with good validity and concordance (0.81), with adequate coherence, clarity, scale and relevance. As a result of the pilot test, the non-response rate was 4.7%. The nonresponse rate and dropout rate per item were 0. The average time taken by respondents to complete the instrument was 9.6 min. The reliability of the instrument per dimension was acceptable and good (>0.6) for 3 of the 5 theoretical dimensions. The exploratory factor analysis showed the unidimensionality of the construct, with a total of 17 items in its structure. CONCLUSIONS The instrument has adequate content validity with acceptable preliminary reliability.

Evidence of Validity and Reliability of the Lasher and Faulkender Anxiety about Aging Scale in Mexican Older Adults.

Anxiety about aging is an important mediating factor in attitudes and behavior toward elderly individuals as well as a mediating factor in the adjustment to one's own aging processes. The aim of this study was to analyze the factor structure, internal consistency and factorial invariance by sex of the Lasher and Faulkender Anxiety about Aging Scale. The sample consisted of 601 Mexican older adults, 394 women and 207 men, with a mean age of 70.69 ± 8.10 years. The factor structure of the questionnaire was analyzed using confirmatory factor analysis. Analyses show that a four-factor structure is feasible and adequate. The four-factor structure (fear of the elderly, psychological concerns, physical appearance and fear of loss), according to statistical and substantive criteria, showed adequate reliability and validity indicators. However, the obtained model does not fully coincide with that proposed by the questionnaire authors, although it continues to support the multi-factor component of anxiety about aging. On the other hand, the factor structure, the factor loadings and the intercepts are considered invariant in the two populations (men and women); however, there are differences between populations on the means of the physical appearance and fear of loss factors.

Careless responses and construct validity of Wong-Law Emotional Intelligence Scale.

Careless response in the investigation of emotional intelligence has not been explicitly addressed. In a sample of 180 Spanish adults responding to the Wong-Law Emotional Intelligence Scale, a small prevalence (7.2%) was detected. The impact was small on the psychometric parameters, but they were less inflated, more realistic, and precise.

Questionário de Condições de Trabalho para Servidores Universitários / Working Conditions Questionnaire for public workers in the university / Cuestionario de Condiciones Laborales para Servidores Universitarios

Adotamos o conceito de condições de trabalho abrangendo aspectos do conteúdo e do entorno do trabalho. Entretanto, havia a demanda de explorar as suas especificidades para servidores de universidades federais, visando uma melhor aproximação da realidade e, simultaneamente, explorar sua variabilidade histórica como esperado teoricamente. A pesquisa, então, almejou desenvolver uma versão do Questionário das Condições de Trabalho (QCT) para os servidores da UFMG e aperfeiçoá-lo. Modificamos o QCT adaptando itens e introduzindo outros; exploramos as estruturas fatoriais e avaliamos seu aperfeiçoamento psicométrico. Aplicamos questionários estruturados em 1.060 participantes. Por meio de análise fatorial exploratória, encontramos uma estrutura empírica com fatores de segunda e primeira ordem. Os de segunda ordem divergem das categorias teóricas aplicadas em pesquisas anteriores. Esses fatores e os primários (p. ex., Processo Burocrático e Participação) refletiram a percepção dos servidores acerca da realidade vivencial. A nova versão do QCT pode ser útil em diagnósticos ocupacionais. (AU)

We adopted the concept of working conditions covering the content and surrounding aspects of work. However, there is a need to explore its specificities for public workers in federal universities with the intention of constructing a better approximation to reality, and, simultaneously, exploring their historical variability as theoretical expected. Accordingly, this study aimed to develop a version of the Working Conditions Questionnaires (WCQ) for UFMG's public workers and improve it. We changed the WCQ, adapting items and creating others; we explored the factorial structures; and evaluated their psychometric properties. We applied the structured questionnaire with 1,060 participants. Through exploratory factor analysis, we found an empirical structure with first and second order factors. The second order factors differed from the theoretical categories applied in previous studies. The factors found (e.g., Bureaucratic Process and Participation) reflected the public workers perception about the reality experienced. The new version of the WCQ can be useful in occupational diagnostics. (AU)

Adoptamos el concepto de condiciones laborales abarcando aspectos del contenido y del entorno del trabajo. Sin embargo, hubo una demanda de explorar sus especificidades para empleados de universidades federales, mirando una mejor aproximación de la realidad y, simultáneamente, explorar su variabilidad histórica como teóricamente se esperaba. La investigación, entonces, tuvo como objetivo desarrollar una versión del Cuestionario de Condiciones Laborales para los servidores de la UFMG, y mejorarla. Se modificó el QCT adaptando ítems y creando otros; se exploró las estructuras factoriales; y se evaluó su perfeccionamiento psicométrico. Los cuestionarios estructurados fueron contestados por 1.060 participantes. Por intermedio del análisis factorial exploratorio, se encontró una estructura empírica con factores de primer y segundo orden. Los de según orden difieren de las categorías teóricas de investigaciones previas. Estos factores y los primarios (por ejemplo, Procesos Burocráticos y Participación) reflejaron la percepción de los servidores acerca de la realidad vivencial. La nueva versión del QCT puede ser útil en diagnósticos ocupacionales. (AU)