Flourishing in Education: Psychometric Properties of the Flourishing Scale in a Sample of Romanian Teachers.

The Flourishing Scale (FS) is one of the most well-known tools for assessing psychological flourishing. However, its psychometric properties have been little analyzed in the case of teachers. This study aimed to examine the validity of the scale in the case of a sample of Romanian teachers and to analyze the latter's level of flourishing. In this regard, 323 Romanian teachers from the pre-university education system were recruited. Confirmatory factor analysis (CFA) was used to assess the construct validity of the scale, and Cronbach's α and McDonald's ω indices were used to assess internal consistency. The convergent validity was assessed by associating the FS with other instruments related to well-being: the Mental Health Continuum-Short Form and the Scale of Positive and Negative Experience. Network analysis was performed to examine the items that are particularly influential in the scale. As a result of the CFA, the one-factor structure of the scale was certified (χ2/df = 1.39; CFI = 0.99; RMSEA = 0.035). The internal consistency is excellent (both α and ω = 0.89). The FS correlates with both of the scales which operationalize components of well-being. The teachers' flourishing level is above average. The network approach showed that the items related to self-acceptance, optimism, and respect had the highest indicators of centrality, and the item related to supportive social relationships was the least informative in the network. For the male subsample, flourishing means optimism about the future and respect for others, and for the female respondents, it is related to self-acceptance and respect. The results provide support for using the scale in assessing flourishing among teachers.

The Reliability and Validity of Dental Indifference Scale among Romanian Young Adults.

The study aimed at examining the reliability and the validity of the Dental Indifference Scale (DIS), which measures the significant undervaluing attitude towards the state of one's oral health. The study has a cross-sectional design in which 660 young Romanian adults (Meanage = 30.69; 30.30% males) completed an online survey in which the Dental Indifference Scale was included alongside five items related to one's behavior towards oral health. The reliability was calculated by means of internal consistency and test-retest after two or three weeks. The DIS scores were associated with the questions regarding oral health habits. Although DIS is discriminatory regarding the behavior towards oral hygiene (brushing, flossing) and diet, the reliability of the scale is low (α = 0.37; ω = 0.39; Intraclass correlation coefficienttest-retest = 0.60). In comparison with prior research, no gender differences were found. In exchange, the scores for dental indifference (DI) are significantly different when it comes to comparing people with secondary education and people who are university graduates. The study shows that DIS needs to be used with caution and only with other instruments that evaluate attitudes and behaviors related to oral health which passed the test of validation in various cultural models, the Romanian one included.

Measurement of the main factors involved in teleworking: Validation of the E-Work Life Scale among Romanian teleworkers.

BACKGROUND: Since most global organizations adopted teleworking since the COVID-19 pandemic, measuring teleworking-related concepts and its implications have become vital. OBJECTIVE: The aim of the study consisted in the validation and the examination of the psychometric properties of the E-Work Life Scale (EWLS) which measures the relevant teleworking-related aspects: work-life interference, productivity, organizational trust, and flexibility. METHODS: To this aim, a group of teleworkers (N = 357; Mage = 38.90) completed the set of scales on which the study was based. The construct validity of the scale was examined by means of the confirmatory factor analysis (CFA) and the internal consistency by using Cronbach's α, McDonald's ω, and composite reliability (CR). Associations between the EWLS and the measures of life satisfaction, positive and negative affect and subjective well-being were also considered. A structural equation model is conducted to analyze the relationship between EWLS factors and life satisfaction. RESULTS: The findings obtained through CFA support the construct validity of the EWLS that is identical with the original version of the scale, which contains the four factors (χ2/df = 2.61; CFI = 0.93; RMSEA = 0.069; SRMR = 0.067). The internal consistency is good for the four factors, as well as for the total score of the scale (αs > 0.69; ωs > 0.75; CRs > 0.78). Work-life interference is the factor that is most associated with subjective well-being. The dimensions of the EWLS determine the life satisfaction. CONCLUSIONS: The results lead us to believe that EWLS is a promising instrument for the assessment of the factors involved in teleworking.

Gender Differences in Oral Health: Self-Reported Attitudes, Values, Behaviours and Literacy among Romanian Adults.

A topic that has been less researched on, especially in Romania, is the identification of gender differences in oral health. The present scientific research used an online survey to assess the attitudes (dental beliefs survey-R/R-DBS), the values (oral health values scale/OHVS), the behaviours (dental neglect scale/DNS), and the literacy (oral health literacy scale/OHLS) related to oral health and to dental professional services in the case of a sample of 600 Romanian adults (Meanage = 30.84). The relation between the level of knowledge as a predictor of attitudes and values related to oral health was analysed by the means of a structural equation based on the partial least square method (PLS-SEM). The results show that women have more positive attitudes towards dental medical services, higher oral health values, better self-care behaviours, and higher oral health literacy than men. In the case of men, attitudes and behaviours related to self-care are influenced by their oral health literacy and level of education; in the case of women, the latter are influenced only by their level of oral health literacy. The impact that knowledge in oral health has on attitudes, values, and behaviours was highlighted. The differences in attitudes and values related to oral health between the two genders can be accounted for by the differences in formal and informal education (studies and oral health literacy, respectively).

The Multidimensional Vaccine Hesitancy Scale: A Validation Study.

Vaccination hesitancy (VH) is a phenomenon which increases the occurrence of vaccine-preventable diseases. The study tests the validity of the Multidimensional Vaccine Hesitancy Scale (MVHS) in the case of a sample of Romanian adults (n = 528; Meanage = 30.57). The latter filled in an online cross-sectional survey. The construct validity of MVHS was assessed by using confirmatory factor analysis (CFA), the reliability was calculated by using the internal consistency, and the convergent and discriminant validity was assessed by using the composite reliability (CR), and average variance extracted (AVE). The obtained model was invariant across gender. The structural equation model was designed for predictive validity by using the partial least square method (PLS-SEM) which analyses the relation between the MVHS dimensions and the vaccination willingness. The results show support for the 8-factor structure of the scale (χ2/df = 2.48; CFI = 0.95; RMSEA = 0.053). The Cronbach's coefficients α > 0.70; McDonald's ω > 0.70 and CR > 0.80 have very good values. The structural equation model shows that there are more dimensions of the scale which predict vaccination hesitancy in various types of vaccines­the main predictors remain the dimensions of health risk and healthy condition. The study's conclusion led to the idea that the MVHS is suitable for medical practice and for research on the analysis of vaccination behaviours and intentions.

Validity and Reliability of the Dental Neglect Scale among Romanian Adults.

The Dental Neglect Scale (DNS) is a well-known measure for assessing behaviours and attitudes related to oral health. However, the factor inconsistency revealed by the literature involves further investigations. The study focuses on the validation of the DNS in the case of a sample of the adult population from Romania. In this regard, data were collected online from 872 adults (616 females and 256 males). DNS reliability was examined from the perspective of internal consistency. Convergent validity was performed by associating DNS with different scales from the oral health field. In order to examine and confirm the factorial structure, the sample was broken down into two subsamples which made the subject of the exploratory factorial analysis (EFA) and confirmatory factorial analysis (CFA), respectively. DNS-RO is positively associated with the scale which measures the values related to oral health (OHVS) and negatively with those that assess the impact of the oral health on life quality (OHIP-14), the distrust of the benefits of oral health services (R-DBS), and reduced need for oral care (DIS). The Cronbach's α = 0.70, McDonald's ω = 0.70 and CR = 0.77 are acceptable. Both EFA and CFA (χ2/df = 1.13; CFI = 0.99; RMSEA = 0.017; SRMR = 0.059) support the unifactorial structure of the scale. The gender differences show that females evince greater care for oral health than male subjects. The study shows that the DNS-RO can be used to assess the behaviours and attitudes towards oral health in the case of the Romanian adult population in epidemiological studies and health promotion programs through health education.

Romanian Version of the Oral Health Values Scale: Adaptation and Validation.

Background and Objectives: Oral health values are an indicator of how people decide their priorities for oral health-an integral part of general health. The purpose of the study was the validation of the Oral Health Values Scale (OHVS), which measures the extent to which individuals invest in their oral health and which includes four factors: Professional dental care, Appearance, Flossing, and Retention of teeth. Materials and Methods: A cross-sectional study was conducted on a sample of adults (n = 869; Mean age = 32.98) who completed the online questionnaire set. The OHVS was translated into Romanian through the forward-backward translation procedure. The construct validity was assessed through a confirmatory factor analysis (CFA) based on the maximum likelihood estimation method. The convergent validity was assessed by associating the OHVS with scales that evaluate the oral health quality of life (OHIP-14), the attitude towards one's dentist (R-DBS), oral self-care (DNS), and general health literacy (GHL). The internal consistency was examined using Cronbach's α and McDonald's ω. Results: The CFA supports the four-factor model of the scale. The OHVS total score and its subscales are negatively associated with the impact of oral health on the quality of life (except for the Appearance subscale) and with a distrust in the dentist's treatments; they are positively associated with oral self-care and general health literacy. The gender difference shows females have higher scores on all four subscales. The internal consistency is good for Appearance, Flossing, and the OHVS total score, but weak for Professional dental care and Retention. Conclusions: OHVS is a valid instrument in the Romanian context that can enrich the set of tools that contribute to oral health research, especially in epidemiological studies.

New psychometric evidences on the Dental Environment Stress questionnaire among Romanian students.

BACKGROUND: The academic environment is a challenge for dental students due to the multiple sources of stress they face. For this reason, the present study analyzes the psychometric properties of the Dental Environment Stress (DES) questionnaire. The secondary objective was to identify the specific sources of stress perceived by dental students related to gender and years of study. MATERIALS AND METHODS: A cross-sectional study was conducted among dental students (n = 340; Mage= 22.45) from the Romanian University of Medicine and Pharmacy in October- December 2019. The factorial structure of the questionnaire was performed by means of the confirmatory factor analysis (CFA) and the multi group-CFA. The convergent and divergent validities were measured by associating DES with scales that measure depression, anxiety, and tension/stress (Depression Anxiety Stress Scale-21-R), perceived stress (Perceived Stress Scale-14), and life satisfaction (Satisfaction with Life Scale). RESULTS: New measure obtained supported a five-factor and thirty-item structure, which is gender invariant. All the factors within DES have a significant positive correlation with depression, anxiety, tension/stress, and perceived stress and a negative correlation with life satisfaction. The Cronbach's α coefficients are acceptable (range: 0.67-0.89). The female students perceive aspects related to performance, the relations with the faculty, clinical responsibilities, and personal life to be more stressful than males. Senior students perceive more stressed aspects related to personal life, while freshmen have higher scores on stress associated with clinical responsibilities. CONCLUSIONS: The present results show that DES has psychometric properties which are adequate for the assessment of dental stress in the case of Romanian students; nevertheless, it is necessary to extend the use of DES to students attending other universities and to dental practitioners.