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BMC Oral Health Jun 2024To developed and evaluate the validity, reliability, and Arabic translation of a questionnaire for preadolescent perception to removable functional appliances.
OBJECTIVE
To developed and evaluate the validity, reliability, and Arabic translation of a questionnaire for preadolescent perception to removable functional appliances.
SUBJECTS AND METHODS
A new questionnaire was drafted based on previously used questionnaires. Twelve orthodontic experts were selected within content and face validity panel and twenty preadolescents wearing functional appliances were participated in the face validation of the questionnaire. Two rounds of content validity were performed with the same experts. The final form of the validated questionnaire was translated from English to Arabic language. The content validity index (CVI) was used for content validity and the Cronbach's alpha test was used to assess the internal consistency reliability of the questionnaire.
RESULTS
During the first round of content validity, 50 items were relevant to the underlying construct (Item-CVI ≥ 0.78), while four items were considered not valid (Item-CVI < 0.78) and the average scale-CVI was 0.93. In terms of face validation by experts, the percentage of agreement was adequate (96.4%). The questionnaire was modified by removing the non-valid items, adding/modifying items, and merging some categories. For second round of content validity, all items were found to be valid (I-CVI ≥ 0.78) and the overall questionnaire had adequate content validity (Scale-CVI/Ave = 0.94). The translated valid questionnaire also achieved a perfect agreement (100%) for face validity by patients. The internal consistency was appropriate (≥ 0.7).
CONCLUSIONS
A new valid, reliable, and translated questionnaire (English and Arabic versions) that cover the majority of aspects of patients' perception during treatment with removable functional appliances has been developed.
Topics: Humans; Surveys and Questionnaires; Child; Female; Male; Reproducibility of Results; Orthodontic Appliances, Functional; Translations
PubMed: 38851715
DOI: 10.1186/s12903-024-04421-4 -
PeerJ 2022The Mini Nutrition Assessment (MNA) is a widely used and valid tool for screening and assessment of malnutrition among the elderly population worldwide. However, MNA has...
BACKGROUND
The Mini Nutrition Assessment (MNA) is a widely used and valid tool for screening and assessment of malnutrition among the elderly population worldwide. However, MNA has not been validated among the Ethiopian elderly population and this study assessed the validity of the tool for the target population.
METHODS
Cross-sectional validation study design employed to validate MNA in Meki town, East Ethiopia. This study included 176 randomly selected elders living in the community, whereas amputated, bedridden, visible deformity, known liver and/or renal disorders were excluded. The original MNA questionnaires were translated to local language and administered to each participant after doing the pretest. The anthropometric, self-perception of nutritional status and serum albumin concentrations were measured. Reliability, validity, sensitivity, specificity, Positive Predictive Value (PPV), and Negative Predictive Value (NPV) were calculated. Receiver-operating characteristic (ROC) curve analysis was plotted to identify the area under the curve (AUC) and optimal cut-off value for the prediction of malnutrition.
RESULT
A total of one hundred and seventy-six elders participated in this study. Of the total participants, 78(44.3%) were males. The mean (SD) age of the participants was 67.6 (±5.8) years and ranged from 60 to 84 years. The prevalence of malnutrition based on the MNA criteria (MNA < 17 points) was 18.2%, and 13.1% based on serum albumin concentration (<3 g/dl).The MNA had an overall Internal consistency of Cronbach's alpha 0.61. The tool also demonstrated significant criterion-related validity (0.75, < 0.001) and concurrent validity (0.51, < 0.001) with serum albumin concentration and self-perception of nutritional status respectively. Using the original cut-off point, the sensitivity, specificity, PPV and NPV of the tool were 93.5%, 44.6%, 65.4% and 86.0%, respectively. By modifying, the cut-off point to a value of <20.5, the sensitivity and specificity of the tool increases to 97.6% and 82.8% respectively. The AUC (95%CI) showed an overall accuracy of 92.7% (88.5, 96.9).
CONCLUSION
The MNA tool can be used as a valid malnutrition screening tool for the Ethiopian elderly population by modifying the original cut-off point.
Topics: Male; Humans; Aged; Middle Aged; Aged, 80 and over; Female; Nutrition Assessment; Cross-Sectional Studies; Reproducibility of Results; Ethiopia; Malnutrition; Serum Albumin
PubMed: 36411835
DOI: 10.7717/peerj.14396 -
Pharmacy (Basel, Switzerland) Jul 2022Successful implementation of deprescribing requires exploring healthcare professionals’ opinions, preferences, and attitudes towards deprescribing. The aim of this...
Successful implementation of deprescribing requires exploring healthcare professionals’ opinions, preferences, and attitudes towards deprescribing. The aim of this study was to develop and validate the questionnaire exploring healthcare providers’ opinions preferences and attitudes towards deprescribing (CHOPPED questionnaire). This was a cross-sectional on-line survey. A comprehensive 58-item questionnaire, in two versions (for pharmacists and physicians), was developed through an extensive literature review and interviews with experts. The questionnaire was validated, and its reliability was assessed through data collected from 356 pharmacists and 109 physicians. Exploratory factor analysis was performed, and 37- and 35-item questionnaires were developed. Ten factors were identified: knowledge, awareness, patient barriers and facilitators, competencies barriers and facilitators, collaboration barriers and facilitators, and healthcare system barriers and facilitators. The CHOPPED tool has satisfactory face, content (CVR > 0.62) (content validity ratio), construct, and criterion validity. The reliability statistics of all factors in both versions was acceptable with Cronbach’s alpha > 0.6. Test−retest reliability analysis showed that gamma rank correlations of total factor scores were strong and very strong (between 0.519 and 0.938). The CHOPPED tool can be used as a valid and reliable tool to explore healthcare providers’ opinions and attitudes toward discontinuing medications in the primary care setting in Croatia.
PubMed: 35893715
DOI: 10.3390/pharmacy10040076 -
International Journal of Medical... Aug 2022Persuasive design principles are increasingly employed in mHealth apps for motivating users and promoting healthy behaviours among individuals. However, how the... (Review)
Review
BACKGROUND
Persuasive design principles are increasingly employed in mHealth apps for motivating users and promoting healthy behaviours among individuals. However, how the persuasive design principles are perceived by the mHealth app users remains unclear.
AIM
To develop and validate the content validity of an instrument designed to measure the user's perceptions of the persuasive design principles assimilated in a breastfeeding mHealth app.
METHODS
A critical review of the literature guided the development of the research instrument. The developed instrument was refined and validated through a two-round modified Delphi process. Ten experts drawn from academic and clinical settings evaluated the items through two content validity indicators, relevance, and clarity and provided narrative feedback. The content validity of the instrument was determined by calculating the Content Validity Index (CVI). Content validity indicators at the scale-level (S-CVI) and item-level (I-CVI) were calculated.
RESULTS
The results demonstrated high content validity index of individual items in the instrument. All items in the instrument reached an excellent I-CVI ≥ 0.78 for both relevance and clarity except one item. The overall content validity index of the instrument using the average approach was moderate to high (S-CVI/Ave was 0.89 and 0.92 for relevance and clarity, respectively). The developed research instrument is composed of 5 constructs representing 24 items: (1) primary task support, (2) dialogue support, (3) system credibility support, (4) social support and (5) perceived persuasiveness.
CONCLUSIONS
Using a modified Delphi approach, the development and validation of the research instrument demonstrated moderate to high content validity for measuring users' perceptions of the persuasive design principles assimilated in a breastfeeding mHealth app. The evidence from this study supports that the research instrument is valid, relevant, and clear.
Topics: Breast Feeding; Delphi Technique; Female; Humans; Mobile Applications; Perception; Reproducibility of Results; Surveys and Questionnaires; Telemedicine
PubMed: 35597101
DOI: 10.1016/j.ijmedinf.2022.104789 -
American Heart Journal Plus :... Nov 2023To develop and validate a sensitive tool for assessment of quality of life (QoL) in heart failure (HF) patients in Indian settings.
OBJECTIVE
To develop and validate a sensitive tool for assessment of quality of life (QoL) in heart failure (HF) patients in Indian settings.
METHODS
The authors conducted literature review, in depth interviews, clinical observations and designed the first draft of the QoL tool. The tool was validated using content and face validity by a panel of experts. For internal consistency reliability, the questionnaire was administered among 270 HF patients. Test-retest reliability was assessed in 20 HF patients. Principal component factor analysis with varimax rotation was employed to assess the dimensionality and to reduce the number of items. Cronbach's alpha, and Intra-class correlation coefficients (ICCs) were employed to investigate reliability of questionnaire. The responsiveness data were collected 6 months after the baseline data collection from 30 HF patients. IBM® SPSS® Statistics Version 21 was used for statistical analysis.
RESULTS
The principal component factor analysis revealed mainly 5 domains. The final tool included 25 items. Cronbach's alpha (α) for the overall tool was 0.915. Intra-class correlation coefficients (ICCs) based on test-retest was 0.734. The final tool showed good responsiveness to changes with a mean ± SD of the change in response of 46 ± 12.4 and a standardized mean response of 3.7 within six-months.
CONCLUSION
The HF specific QoL tool developed for Indian patients is a valid and reliable instrument and it can be applied in daily clinical practice, and research.
SHORT SUMMARY
We had developed and validated a quality-of-life tool for heart failure patients in India. This is the first ever attempt to develop a measure for heart failure patients in India. We had used a mixed methodology approach to identify all the domains in the tool. The newly developed tool is a valid, reliable, sensitive and responsive tool to measure quality of life in HF patients in India. This tool can be applied in daily clinical practice, research and health system for patients with HF in India.
PubMed: 38511185
DOI: 10.1016/j.ahjo.2023.100329 -
Journal of Patient-reported Outcomes Sep 2022This study aimed to translate and validate an Arabic version of the Functional Assessment of Cancer Therapy Head and Neck Scale (FACT-H&N, v-4) for use among Sudanese...
BACKGROUND
This study aimed to translate and validate an Arabic version of the Functional Assessment of Cancer Therapy Head and Neck Scale (FACT-H&N, v-4) for use among Sudanese oral cancer patients.
METHODS
The instrument underwent translation and validation following the standard FACT translation methodology. The translated instrument was pre-tested for face validity and content validity using semi-structured, in-depth interviews with ten oral cancer patients to assess acceptability. The questionnaire was pilot tested with 60 patients; reliability was tested for internal consistency with Cronbach's alpha while construct validity was tested using 'known-group validity'.
RESULTS
The pre-test study revealed no major issues, apart from a reluctance to answer questions on sexual satisfaction. The FACT-H&N demonstrated good internal consistency, it considered five particular constructs: PWB, SWB, EWB, FWB and FACT-H&N, their Cronbach's α values were positive and close to 1 with values of 0.85, 0.788, 0.86, 0.895 and 0.703 respectively, indicating that the questionnaire was valid and the responses consistent. Sixty patients were asked the global health-related quality of life item, 36.3% rated their QOL as very good or good (36.3%), while 41.7% rated it as average, and 21.7% as poor or very poor. Then FACT subscale mean scores were tabulated against three categories; patients with very poor/poor recorded significantly lower scores indicating construct validity. Some psychometric properties were consistent with other FACT-H&N translations such as the Chinese, French, Pakistani and Malaysian.
CONCLUSIONS
This study validates the Arabic version of the FACT-H&N. It is a reliable tool and, will assist further QoL research in other Arabic-speaking countries.
PubMed: 36114352
DOI: 10.1186/s41687-022-00507-1 -
Farmacia Hospitalaria : Organo Oficial... Feb 2024To identify validated questionnaires to assess medication adherence, and its associated factors, in adult patients with chronic pathologies. (Review)
Review
OBJECTIVE
To identify validated questionnaires to assess medication adherence, and its associated factors, in adult patients with chronic pathologies.
METHOD
A systematic review of scientific publications that describe validated medication adherence questionnaires in PubMed and Scopus was carried out during May 2022. The search strategy combined the MeSH Heading "Medication adherence" with the keywords: "Questionnaire" and "Validation"; adding "Spanish" to rescue questionnaires in our language. Systematic reviews, meta-analyses or scientific articles with full text available in Spanish or English were selected; published from January 2000 to April 2022; that present the application and validation of a medication adherence questionnaire in adults with chronic pathologies; and publications of the initial validation of a questionnaire, recovered through bibliographic citations of the previously identified publications, even if they are prior to the year 2000. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to represent the search process, inclusion and exclusion of the retrieved publications.
RESULTS
Ninety-seven records in PubMed and 3 adding "Spanish" were retrieved; in Scopus, 334 records were retrieved and 13 with "Spanish". One hundred-eighteen records were retrieved through bibliographic citations identification. From the analysis of the previous publications, 14 validated questionnaires were identified that assess medication adherence and are applied in English and/or Spanish in adult patients with chronic pathologies. For each questionnaire, the following characteristics were described: name, authors, year of publication, dimensions (barriers and facilitators factors), number and wording of the items, response scale, form of administration, language and pathologies of the initial validation. Of the subsequent validations, only those carried out in English and/or Spanish were presented. So far, 6 questionnaires were validated in Spanish and only for certain chronic pathologies.
CONCLUSIONS
14 validated questionnaires were identified, 6 of them were validated in Spanish. They are designed to evaluate medication adherence in a comprehensive manner, being useful to be applied in hospital and community pharmaceutical services. This review provides health professionals with tools to develop and validate their own questionnaire, adapting the wording to the local language and context of the health system.
PubMed: 38336552
DOI: 10.1016/j.farma.2024.01.001 -
BMC Health Services Research Apr 2021In recent years, health centers in the United States have embraced the opportunity to train the next generation of health professionals. The uniqueness of the health...
BACKGROUND
In recent years, health centers in the United States have embraced the opportunity to train the next generation of health professionals. The uniqueness of the health centers as teaching settings emphasizes the need to determine if health professions training programs align with health center priorities and the nature of any adjustments that would be needed to successfully implement a training program. We sought to address this need by developing and validating a new survey that measures organizational readiness constructs important for the implementation of health professions training programs at health centers where the primary role of the organizations and individuals is healthcare delivery.
METHODS
The study incorporated several methodological steps for developing and validating a measure for assessing health center readiness to engage with health professions programs. A conceptual framework was developed based on literature review and later validated by 20 experts in two focus groups. A survey-item pool was generated and mapped to the conceptual framework and further refined and validated by 13 experts in three modified Delphi rounds. The survey items were pilot-tested with 212 health center employees. The final survey structure was derived through exploratory factor analysis. The internal consistency reliability of the scale and subscales was evaluated using Chronbach's alpha.
RESULTS
The exploratory factor analysis revealed a 41-item, 7-subscale solution for the survey structure, with 72% of total variance explained. Cronbach's alphas (.79-.97) indicated high internal consistency reliability. The survey measures: readiness to engage, evidence strength and quality of the health professions training program, relative advantage of the program, financial resources, additional resources, implementation team, and implementation plan.
CONCLUSIONS
The final survey, the Readiness to Train Assessment Tool (RTAT), is theoretically-based, valid and reliable. It provides an opportunity to evaluate health centers' readiness to implement health professions programs. When followed with appropriate change strategies, the readiness evaluations could make the implementation of health professions training programs, and their spread across the United States, more efficient and cost-effective. While developed specifically for health centers, the survey may be useful to other healthcare organizations willing to assess their readiness to implement education and training programs.
Topics: Delivery of Health Care; Factor Analysis, Statistical; Health Personnel; Humans; Reproducibility of Results; Surveys and Questionnaires; United States
PubMed: 33910561
DOI: 10.1186/s12913-021-06406-3 -
International Journal of Occupational... Dec 2020This article reviews 60 studies examining safety climates related to manufacturing. The study identifies several conceptual and methodological limitations associated... (Meta-Analysis)
Meta-Analysis Review
This article reviews 60 studies examining safety climates related to manufacturing. The study identifies several conceptual and methodological limitations associated with developing safety climate measurements, such as lack of a rigorous validation process, problematic sample sizes and composition. Within the reviewed studies, several factors were used to measure safety climates. Management commitment to safety and associated training and procedures were most common, followed by workers' attitudes and commitment. The most frequently used factors should reflect the fact that prevention of work-related accidents and injuries depends on both the organization's and workers' actions. Most studies made no attempt to establish discriminate and convergent validities of the tools used. We recommend that rather than construct more questionnaires, researchers should correlate safety climate constructs with existing safety performance metrics to establish convergent and discriminate validities. The accident rate in manufacturing industries is sufficient to measure safety performance and assess the discriminate validity of these tools.
Topics: Attitude; Commerce; Humans; Manufacturing Industry; Organizational Culture; Safety; Safety Management; Surveys and Questionnaires
PubMed: 29856289
DOI: 10.1080/10803548.2018.1476203 -
Journal of Education and Health... 2021Ancient history mentions the dominance of men in nursing; however, now nursing has a feminine image, and globally more than 90% of nursing workforce is females....
BACKGROUND
Ancient history mentions the dominance of men in nursing; however, now nursing has a feminine image, and globally more than 90% of nursing workforce is females. Recently, more number of males are attracted to nursing, but there is a paucity of literature on the attitude of people about men in nursing may be because of a lack of measurement scales available for this purpose. The aim of this study was to develop and validate a new scale measuring attitude of people toward men in nursing.
MATERIALS AND METHODS
The present study was conducted at a tertiary care hospital and used an exploratory sequential design with an instrument development model. A total of 400 participants were selected using the simple random sampling technique. The reliability, content validity, face validity, and construct validity of this newly developed scale were computed. For data analyses SPSS AMOS version 23 was used for performing exploratory and confirmatory factor analyses.
RESULTS
The new scale "AMnQ" consists of 15 items under three factors: (I) nursing is feministic and professionally low, (II) higher suitability of male nurses in technical and challenging situations, and (III) synonymy of empathy and care with a female. The final model with 15 items of AMnQ scale was validated by confirmatory factor analysis and showed a good fit to data. The Cronbach's α for the overall scale was 0.87, and for Factors I, II, and III, it was 0.80, 0.88, and 0.89, respectively.
CONCLUSIONS
The "AMnQ" is a valid, reliable scale to assess the attitude of patients, nurses, physicians, and nursing students toward men in nursing. There is an assumption that nursing is a feminine profession; therefore, a valid and reliable scale to measure the attitude of people toward men in nursing will help to generate pieces of evidence on this subject, so that policymakers can make unbiased decisions on liberalizing entry of men in nursing.
PubMed: 34084801
DOI: 10.4103/jehp.jehp_530_20