-
Asian Nursing Research Aug 2022The aim of this paper is to develop a scale for measuring the perinatal bereavement care competence of midwives and assess its psychometric properties. (Review)
Review
PURPOSE
The aim of this paper is to develop a scale for measuring the perinatal bereavement care competence of midwives and assess its psychometric properties.
METHODS
The Perinatal Bereavement Care Competence Scale was developed in four phases. (1) Item generation: 75 items were formulated based on a literature review and interviews with midwives. (2) Delphi expert consultation: 15 experts evaluated whether the items were clear/appropriate/relevant to the questionnaire dimensions, and the items were optimized. (3) Pilot test: The comprehensibility, acceptability, and time required to complete the questionnaire by midwives were assessed. (4) Evaluation of reliability and validity: The scale was validated by initial item analysis, exploratory and confirmatory factor analyses, and internal consistency reliability and test-retest reliability.
RESULTS
The final scale consisted of six dimensions and 25 items: maintaining belief (three items), knowing (four items), being with (six items), preserving dignity (four items), enabling (five items), and self-adjustment (three items). Exploratory factor analysis yielded a six-factor structure that was consistent with the theoretical framework and explained 70.8% of the total variance. Confirmatory factor analysis indicated a good fit for the six-factor model. Cronbach's α for the scale was 0.931, and the test-retest reliability coefficient was 0.968.
CONCLUSION
The Perinatal Bereavement Care Competence Scale is a valid and reliable instrument for measuring the competence of midwives in caring for bereaved parents who have experienced perinatal loss.
Topics: Bereavement; Factor Analysis, Statistical; Female; Grief; Humans; Midwifery; Perinatal Death; Pregnancy; Professional Competence; Psychometrics; Reproducibility of Results; Surveys and Questionnaires
PubMed: 35716897
DOI: 10.1016/j.anr.2022.06.002 -
Disability and Rehabilitation Mar 2022Parental illness or disability has wide ranging impacts on offspring. Due to the lack of an Italian contextually sensitive measure of youth caregiving, this study...
PURPOSE
Parental illness or disability has wide ranging impacts on offspring. Due to the lack of an Italian contextually sensitive measure of youth caregiving, this study explored the factor structure, reliability, and validity of the Italian version of the Young Carer of Parents Inventory-Revised (YCOPI-R).
MATERIALS AND METHODS
Seven hundred and seventy-four youth aged 11-24 (386 young carers and 388 young non-carers) completed a questionnaire regarding youth caregiving, parental illness, caregiving context variables, and youth adjustment.
RESULTS
The Italian YCOPI-R demonstrated good psychometric properties. Part A factor structure was replicated while two new factors emerged for Part B: Caregiving Stigma and Caregiving Resentment. Discriminant and convergent validity were evinced by differentiation between young carers and non-carers and associations between YCOPI-R factors and measures of caregiving activities and caregiving context. Predictive validity was supported as most Italian YCOPI-R factors were related to poorer youth adjustment, while Caregiving Confidence and Worry about Parents predicted higher levels of health-related quality of life.
CONCLUSIONS
The Italian YCOPI-R is a psychometrically sound measure of caregiving experiences in Italian youth. Findings confirm the multidimensional nature of youth caregiving, the mix of costs and rewards associated with it, and the link between youth caregiving and diverse adjustment outcomes.Implications for rehabilitationGiven the global rise in the number of youth caring for an ill or disabled family member and the association between youth caregiving and greater risks for mental and physical health problems, elevated youth caregiving is a significant public health issue.The Italian version of the YCOPI-R is a valid and reliable measure of youth caregiving experiences in the Italian context.The Italian YCOPI-R offers a promising tool for better identifying young carers who are at risk for adverse psychosocial outcomes and in evaluating young carer support services and preventive interventions.
Topics: Adolescent; Adult; Caregivers; Child; Humans; Parents; Psychometrics; Quality of Life; Reproducibility of Results; Surveys and Questionnaires; Young Adult
PubMed: 32567411
DOI: 10.1080/09638288.2020.1780478 -
Brain and Behavior Jul 2023Family members of patient in the intensive care unit (ICU) experience a set of problems which are entitled Family Intensive Care Units Syndrome (FICUS). (Review)
Review
BACKGROUND
Family members of patient in the intensive care unit (ICU) experience a set of problems which are entitled Family Intensive Care Units Syndrome (FICUS).
OBJECTIVES
The aim of this study was to develop and psychometrically evaluate the FICUS Inventory (FICUSI) in Iran.
METHODS
This sequential exploratory mixed method study was conducted in 2020 in two main phases. In the first phase, FICUSI was developed based on the results of an integrative review and a qualitative study. In the second phase, the psychometric properties of FICUSI, namely, face, content, and construct validity, reliability, responsiveness, interpretability, and scoring, were evaluated. The sample for the construct validity evaluation consisted of 283 ICU family members.
RESULTS
The primary item pool of FICUSI had 144 items and was reduced to 65 items or omitting overlapping and similar items. The scale-level content validity index of FICUSI was 0.89. In the construct validity evaluation through exploratory factor analysis, 31 items with factor loading values more than 0.3 were loaded on two factors (namely psychological symptoms and nonpsychological symptoms) which explained 68.45% of the total variance. The Cronbach's alpha and the test-retest intraclass correlation coefficient of FICUSI were 0.95 and 0.97, respectively.
CONCLUSION
FICUSI is a valid and reliable instrument which can be used in clinical settings and studies for FICUS assessment. Further studies for the cross-cultural adaptation of FICUSI in other contexts are recommended.
RELEVANCE TO CLINICAL PRACTICE
Health care providers in clinical settings can use FICUSI to assess FICUS among the family caregivers of patients in ICU. Health care providers' better understanding of FICUS helps them understand the quality of their own services for the family members of patients in ICU.
Topics: Humans; Psychometrics; Reproducibility of Results; Intensive Care Units; Caregivers; Family; Surveys and Questionnaires
PubMed: 37279159
DOI: 10.1002/brb3.3101 -
Current Opinion in Psychology Aug 2019The development and implementation of psychometrically sound behavioral measures of mindfulness are important to advancing the science of mindfulness. To help organize,... (Review)
Review
The development and implementation of psychometrically sound behavioral measures of mindfulness are important to advancing the science of mindfulness. To help organize, conceptualize, and guide the development of behavioral measures of mindfulness, we propose defining features, and a four-domain framework, of the behavioral assessment of mindfulness. The framework domains include measurement of (I) objects of mindful awareness, (II) time-course of mindful awareness, (III) sensitivity of mindful awareness, and (IV) attitudes toward present moment experience. We describe mindfulness processes in each domain, and review extant behavioral method(s) and specific behavioral measure(s) of mindfulness processes per domain. Four of the 12 reviewed measures demonstrate acceptable reliabilities and preliminary evidence of construct validity as measures of mindfulness processes.
Topics: Awareness; Humans; Mindfulness; Psychometrics
PubMed: 30959378
DOI: 10.1016/j.copsyc.2019.01.008 -
Journal of Obstetric, Gynecologic, and... Mar 2020To develop and assess the reliability and validity of a new instrument used during the third trimester of pregnancy to measure women's confidence in their ability to...
OBJECTIVE
To develop and assess the reliability and validity of a new instrument used during the third trimester of pregnancy to measure women's confidence in their ability to achieve physiologic birth, the Preparation for Labor and Birth (P-LAB) instrument.
DESIGN
Two-phase instrument development study that consisted of item generation and a prospective field test.
SETTING
Field testing occurred in five midwestern U.S. prenatal clinics.
PARTICIPANTS
Participants in the field test were 203 nulliparous and parous pregnant women who intended to give birth vaginally.
METHODS
Psychometric testing consisted of test-retest reliability testing and assessments of content validity, face validity, and construct validity. We measured construct validity using exploratory factor analysis and correlation with the Sense of Coherence Scale.
RESULTS
The 22-item P-LAB showed good content validity, good internal consistency, and stability over time. All items had content validity index scores greater than or equal to 0.8, and the total instrument content validity index was 0.95. We identified four factors related to women's confidence in their ability to achieve physiologic birth: Planned Use of Pain Medication, Relationship With Care Provider and Supportive Birth Environment, Beliefs About Labor, and Labor Support (social and professional). Cronbach's alpha coefficient for the four extracted factors were .93, .76, .73 and .74, respectively. Intraclass correlation [95% confidence interval] for the total questionnaire was .92 [.88, .94]. We found no linear association between total P-LAB scores and sense of coherence.
CONCLUSION
Our findings demonstrate acceptable initial psychometric properties for the P-LAB instrument. Additional testing is required to evaluate the instrument's construct, convergent, and divergent validity.
Topics: Female; Health Planning Guidelines; Humans; Labor, Obstetric; Minnesota; Pregnancy; Pregnant Women; Prospective Studies; Psychometrics; Reproducibility of Results; Surveys and Questionnaires; Wisconsin
PubMed: 32035974
DOI: 10.1016/j.jogn.2019.12.006 -
European Journal of Psychotraumatology 2022There is no therapeutic competence and adherence scale for grief-focused cognitive behavioural therapy (grief-focused CBT). However, given the growing body of evidence... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
There is no therapeutic competence and adherence scale for grief-focused cognitive behavioural therapy (grief-focused CBT). However, given the growing body of evidence for the efficacy of grief-focused CBT, such a scale is needed both to ensure the internal validity of clinical trials and to facilitate psychotherapy process research.
OBJECTIVE
To develop and undertake a psychometric evaluation of a therapeutic adherence and competence scale for grief-focused CBT.
METHOD
The scale was developed in two steps. (I) Five experts on the treatment of prolonged grief disorder provided feedback on the relevance and appropriateness of the items. The scale was revised to reflect their feedback. The final therapeutic adherence and competence scale for grief (TACs-G) consisted of 15 adherence and 16 competence items. (II) Psychometric evaluation of the TACs-G was based on the rating of 48 randomly selected PG-CBT sessions by two independent raters. The videos were recorded in the context of a randomized controlled trial (RCT; DRKS00012317.) ICC was used to calculate inter-rater reliability and TACs-G stability over time (re-evaluation of 10 sessions after 12 months).
RESULTS
The five experts confirmed the relevance and appropriateness of the items. Interrater reliability was found to be high for the total adherence and competence scores (ICC = 0.889 and 0.782, respectively) and moderate to excellent for individual items (ICC = 0.509-1.00). The TACs-G stability over time was found to be strong for both adherence (ICC = 0.970) and competence total scores (ICC = 0.965).
CONCLUSIONS
The TACs-G for CBT is a reliable instrument that can be used not only to ensure internal validity but is also suited for psychotherapy process studies. Additionally, it provides a valuable database for targeted feedback in training settings.
HIGHLIGHTS
This is the first study to report on the development and psychometrical evaluation of a grief-focused adherence and competence scale.Although an increasing number of clinical trials do report the efficacy of grief-focused cognitive-behavioural therapy, none of these studies used a standardized adherence and competence scale to control internal validity.In the present study, we introduced a therapeutic adherence and competence scale for grief (TACs-G) that can be applied efficiently across different research settings (e.g. manipulation check, dissemination), and report results of good to excellent psychometric properties.The scale itself could prove useful beyond the research setting as it could possibly serve as a basis for feedback in training settings.
Topics: Cognitive Behavioral Therapy; Grief; Psychometrics; Reproducibility of Results; Treatment Adherence and Compliance
PubMed: 35759325
DOI: 10.1080/20008198.2022.2079873 -
Prehospital and Disaster Medicine Aug 2022There is no widely-recommended standardized and valid measurement tool for evaluating the disaster preparedness of nurses. This study aims to assess the psychometric... (Review)
Review
INTRODUCTION
There is no widely-recommended standardized and valid measurement tool for evaluating the disaster preparedness of nurses. This study aims to assess the psychometric properties of scales developed or adapted to evaluate the sudden-impact natural disaster preparedness of nurses.
METHODS
This study is a systematic literature review for the psychometric properties of disaster preparedness tools. Studies published from 2010 through June 2021 were identified from a systematic search of five databases, including Web of Science, PubMed, CINAHL, Scopus, and ProQuest. The Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist was used for the systematic review and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline for reporting. The World Health Organization's (WHO) report on the Development of a Disaster Preparedness Tool Kit for Nursing and Midwifery was used to evaluate scale contents.
RESULTS
Six articles were identified that met the inclusion criteria. The scales generally had a multi-dimensional structure and used Likert scoring with internal consistency coefficients ranging from 0.785 to 0.97. All scales were rated sufficient in content validity, structural validity, and cross-cultural validity. One scale was rated sufficient in criterion validity while the others were rated indeterminate. One scale was rated insufficient in reliability and internal consistency while the others were rated sufficient.
CONCLUSION
The findings suggest improving the psychometric properties of scales of nurses' disaster preparedness according to COSMIN, expanding their content scope, and developing new scales. The study will provide beneficial data to users and researchers regarding the need for a comprehensive assessment tool in determining the disaster preparedness of nurses.
Topics: Checklist; Disasters; Humans; Psychometrics; Reproducibility of Results
PubMed: 35770477
DOI: 10.1017/S1049023X22000930 -
OTJR : Occupation, Participation and... Apr 2022The profession's foundational construct, occupation, is therapeutically effective, but there remains inconsistent use as a therapeutic medium. A psychometrically strong...
The profession's foundational construct, occupation, is therapeutically effective, but there remains inconsistent use as a therapeutic medium. A psychometrically strong tool can measure and maximize the use of occupation. This study establishes preliminary psychometric properties of the Occupation-Based Practice Assessment (OBPA). This methodological study tested inter-rater reliability using simulated video cases to examine the OBPA. Overall reliability was acceptable at .868. All subsections were acceptable including (.871), (.819), and (.807). Two items, (.946) and (.981), demonstrated excellent reliability; while three items, (.747), (.799), and (.735), fell slightly below the acceptable level. Preliminary investigation of the OBPA reveals acceptable inter-rater reliability and suggests potential for use following additional in-vivo testing to measure therapeutic interactions to enhance student learning, optimize clinical practice, facilitate professional development, evaluate programs, and quantify occupation-based practice in research.
Topics: Humans; Occupations; Psychometrics; Reproducibility of Results
PubMed: 34736349
DOI: 10.1177/15394492211050633 -
Journal of Nursing Measurement Sep 2022: To psychometrically evaluate a new investigator-developed 14-item Addiction Self-Efficacy Scale (ASES). : One hundred seventy-one subjects (114 male and 57 female)...
: To psychometrically evaluate a new investigator-developed 14-item Addiction Self-Efficacy Scale (ASES). : One hundred seventy-one subjects (114 male and 57 female) were recruited from an in-house rehabilitation program. Subjects were given the 14-item ASES between days 25 and 30 of the treatment program. : The item means ranged from 7.19 to 9.34. There was a ceiling effect on all 14 items. The ASES was found to be multidimensional with two factors accounting for 64% of the total variance explained. Reliability of subscale 1 with nine items was .92 whereas, subscale 2 with five items had a reliability of .86. : The ASES has evidence of reliability, face validity, and content validity.
Topics: Female; Humans; Male; Psychometrics; Reproducibility of Results; Self Efficacy
PubMed: 36127151
DOI: 10.1891/JNM-D-21-00004 -
Journal of Patient-reported Outcomes Mar 2023The EuroQol Group has developed an extended version of the EQ-5D-Y-3L with five response levels for each of its five dimensions (EQ-5D-Y-5L). The psychometric...
OBJECTIVES
The EuroQol Group has developed an extended version of the EQ-5D-Y-3L with five response levels for each of its five dimensions (EQ-5D-Y-5L). The psychometric performance has been reported in several studies for the EQ-5D-Y-3L but not for the EQ-5D-Y-5L. This study aimed to psychometrically evaluate the EQ-5D-Y-3L and EQ-5D-Y-5L Chichewa (Malawi) versions.
METHODS
The EQ-5D-Y-3L, EQ-5D-Y-5L and PedsQL™ 4.0 Chichewa versions were administered to children and adolescents aged 8-17 years in Blantyre, Malawi. Both of the EQ-5D-Y versions were evaluated for missing data, floor/ceiling effects, and validity (convergent, discriminant, known-group and empirical).
RESULTS
A total of 289 participants (95 healthy, and 194 chronic and acute) self-completed the questionnaires. There was little problem with missing data (< 5%) except in children aged 8-12 years particularly for the EQ-5D-Y-5L. Ceiling effects was generally reduced in moving from the EQ-5D-Y-3L to the EQ-5D-Y-5L. For both EQ-5D-Y-3L and EQ-5D-Y-5L, convergent validity tested with PedsQL™ 4.0 was found to be satisfactory (correlation ≥ 0.4) at scale level but mixed at dimension /sub-scale level. There was evidence of discriminant validity (p > 0.05) with respect to gender and age, but not for school grade (p < 0.05). For empirical validity, the EQ-5D-Y-5L was 31-91% less efficient than the EQ-5D-Y-3L at detecting differences in health status using external measures.
CONCLUSIONS
Both versions of the EQ-5D-Y-3L and EQ-5D-Y-5L had issues with missing data in younger children. Convergent validity, discriminant validity with respect to gender and age, and known-group validity of either measures were also met for use among children and adolescents in this population, although with some limitations (discriminant validity by grade and empirical validity). The EQ-5D-Y-3L seems particularly suited for use in younger children (8-12 years) and the EQ-5D-Y-5L in adolescents (13-17 years). However, further psychometric testing is required for test re-test reliability and responsiveness that could not be carried out in this study due to COVID-19 restrictions.
Topics: Humans; Adolescent; Child; Quality of Life; Psychometrics; Malawi; Reproducibility of Results; COVID-19; Health Status
PubMed: 36892714
DOI: 10.1186/s41687-023-00560-4