Adaptation of the disease-related apathy scale in adults with epilepsy into Turkish: A methodological study.

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This study was conducted to culturally adapt the Epilepsy-Related Apathy Scale in Adults with Epilepsy (E-RAS) to Turkish and to assess its psychometric properties in adult epilepsy patients. A total of 172 epilepsy patients receiving care at the Neurology clinic and outpatient clinic of Fırat University Hospital from February to July 2023 were included in this methodological investigation. The E-RAS was translated into Turkish, and its content and construct validity were thoroughly examined. Construct validity was assessed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was evaluated through item analyses, internal consistency analysis, composite reliability coefficient, and mean explained variance analysis. The factor loadings of the scale items ranged from 0.66 to 0.89. The fit index values of the scale were X2 = 467.09, df = 245 (p <0.05), X2/df = 1.9, RMSEA = 0.073, CFI = 0.97, RMR = 0.046, SRMR = 0.057, TLI = 0.97, and AIC = 557.09. The Cronbach's alpha coefficients of the sub-dimensions of the scale ranged from 0.880 to 0.992, and the total Cronbach's alpha coefficient was 0.928. The total McDonald's omega coefficient was 0.916, and the McDonald's omega coefficients of the sub-dimensions ranged from 0.880 to 0.947. The Turkish form of the 24-item and 4-sub-dimensional scale was validated without any changes to the original scale form. The Turkish adaptation of E-RAS is a valid and reliable instrument for measuring apathy in adult epilepsy patients. Its use in clinical practice is strongly recommended. The E-RAS scale can be used to assess apathy in adults with epilepsy. The was determined that the adapted Turkish form had a similar structure to the original scale. It was determined that the E-RAS scale is valid and reliable in Turkish culture. The fact that the Turkish adaptation of the scale is similar to the original structure and other adapted cultures is a factor that facilitates its use and acceptance in international comparisons. The scale can be used to assess apathy in adults with epilepsy.

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  • International journal of nursing practice
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  • 10.1007/s00431-024-05589-1
Transcultural adaptation to Spain of the CDPQOL questionnaire specific for coeliac children.
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  • European journal of pediatrics
  • Josefa Barrio-Torres + 7 more

This study aimed to translate, cross-culturally adapt, and validate the CDPQOL questionnaire, a coeliac disease (CD)-specific paediatric health-related quality of life (HRQoL) instrument (CDPQOL), in Spanish children with CD. The CDPQOL questionnaire has two versions for children aged 8-12 and 13-18. Translation and linguistic validation were performed following an international consensus process. Internal consistency was calculated using Cronbach's alpha and McDonald's omega coefficients, and convergent validity was assessed with average variance extracted (AVE). Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA), when necessary, were carried out to assess the construct validity. A total of 235 children were included. In the 8-12 age group, a change in the distribution of items to a new structure of three dimensions (negative emotions, food feelings and social interaction) was required. In this new model, CFA supported the fit of the model (χ2/gl = 1.79, RMSEA = 0.077 (IC 95% 0.05-0.100), CFI = 0.969, TLI 0.960, SRMR = 0.081) and Cronbach's alpha and McDonald's omega coefficients were > 0.7 in all three dimensions. In the 13-18 age group, CFA showed that all fit indexes were acceptable (χ2/gl = 1.702, RMSEA = 0.102 (IC 95% 0.077-0.127), p < 0.001, CFI = 0.956, TLI = 0.947, SRMR = 0.103) and Cronbach's alpha and McDonald's omega coefficients were > 0.7 in all three dimensions, except for uncertainty dimension. Conclusions: The Spanish version of the CDPQOL questionnaire is a useful instrument to assess quality of life in coeliac children whose native language was Spanish spoken in Spain, with changes in item distribution in the younger age group questionnaire. What is Known: • The first specific questionnaire for coeliac children, Dutch Coeliac Disease Questionnaire (CDDUX), which focuses on diet, was translated into Spanish and validated allowing to evaluate the HRQoL of Spanish coeliac children. • Spanish Children and parents feel the disease had no substantial negative impacts on patient HRQoL using this questionnaire, similar to that observed with other countries. What is New: • The age specific for CD children (CDPQOL) was elaborated in the USA and focuses on other aspects not evaluated by CDDUX such as emotional and social issues related to living with CD. • The CDPQOL was translated into Spanish and validated allowing it to be used to assess Spanish coeliac children's QoL.

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BackgroundMastectomy as a surgical treatment in women with breast cancer causes a change in their body image due to the loss of femininity and body integrity, decreased sense of sexual attractiveness, and dissatisfaction with the presence of surgical scars. The present study was conducted to evaluate the psychometric properties of the Farsi version of the body image scale for breast cancer survivors.MethodsThis cross-sectional study was conducted on 204 women with a mastectomy referred to Kermanshah's surgery and oncology office in 2021. Face and content validity were evaluated qualitatively. Construct validity was evaluated by exploratory factor analysis (with maximum likelihood and Promax rotation) and confirmatory factor analysis. Cronbach’s alpha and McDonald’s omega coefficients were used to verify internal consistency.ResultsThe mean age of the participants was 46.57 (SD = 9.47). One factor was extracted that explained 46.56% of the total variance of body image. The factor load of the items varied between 0.561 and 0.801. The results of CFA also showed that the final model has a perfect fit: CMIN = 20.931; DF = 13; CMIN/FD = 1.610; p = 0.074; GFI = 0.972; AGFI = 0.939; IFI = 0.985; CFI = 0.985; TLI = 0.975; PNFI = 0.595; PCFI = 0.610; RMSEA = 0.055. internal consistency based on Cronbach's alpha and McDonald's omega coefficients was 0.856 and 0.861, respectively.ConclusionThe Farsi version of the body image scale for breast cancer survivors has good construct validity and may be used in various studies in clinical and research settings.

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  • The Journal of practical nursing
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Objective The purpose of the research was to draw up the questionnaire of the integrated services demand for medicine, pension, rehabilitation and care of community elderly and to provide elderly people with a effective tool for evaluating the needs of medicine, pension, rehabilitation and care. Methods The theoretical framework of the questionnaire was based on the qualitative interview results of 12 community elderly and community health care workers. A preliminary draft was formed through two rounds of expert consultation and a preliminary survey of 102 elderly people in 3 communities in Taian. Construct validity was used to evaluate the validity of the questionnaire, and Cronbach's alpha coefficient and split half reliability were used to evaluate the reliability of the questionnaire. Results Sixteen experts were invited to conduct two rounds of consultation on 61 items of the questionnaire. The authoritative coefficient of experts was 0.881, and the positive coefficient of experts was 100%. In the first round, items I-CVI, S-CVI/UA and S-CVI/Ave were 0.68-1.00, 0.72 and 0.83, respectively. Seven items were modified, six items were deleted and three items were added. In the second round, one item was deleted and one item was added, and a questionnaire consisting of seven dimensions and 58 items was formed.7 common factors were extracted from exploratory factor analysis, and the cumulative contribution rate was 63.078%. Finally, 7 dimensions and 51 item questionnaires were formed. Each dimension is the community public health service and general services, health education, pension services, rehabilitation services, family beds, service charges The total Cronbach's alpha coefficient was 0.919, the Cronbach' s alpha coefficient of each dimension was 0.615-0.808, the retest reliability coefficient of the total questionnaire was 0.862.and the Guttman half coefficient is 0.865. The total questionnaire CVI was 0.85 and the item CVI was 0.80-1.00. Item analysis showed that the correlation coefficients of the 7 items were lower than 0.3, and the rest were all between 0.3~0.7, and were significantly correlated at P<0.05 level. Conclusion The questionnaire of the integrated services demand for medicine, pension, rehabilitation and care of community elderly had good reliability and validity, and it could be used to evaluate the needs of medicine, pension, rehabilitation and care in the elderly. Key words: The elderly; Combination of medicine and pension care; Service needs; Reliability; Validity; Measurement tools

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Validity and reliability of the Brazilian version of the Work Ability Index - WAI: a re-evaluation.
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  • Maria Carmen Martinez + 2 more

The aim is to reevaluate the measurement properties of the Portuguese version of the Work Ability Index (WAI). A cross-sectional study was conducted with 3,051 nurses in the state of São Paulo. Participants answered a questionnaire on individual characteristics, working conditions, and WAI. Validity was assessed through discriminative analysis of known groups and exploratory factor analysis (EFA) with parallel analysis (PA). Reliability was assessed using Cronbach's alpha and McDonald's omega coefficients. In the analysis of known groups, all investigated individual and work variables showed statistically significant associations with WAI (p < 0.005). EFA revealed a unidimensional structure, which was confirmed by PA. The model proved to be appropriate (root mean square error of approximation = 0.125; Tucker-Lewis Index = 0.900), although the Comparative Fit Index = 0.882 was slightly lower than expected. Reliability was satisfactory (Cronbach's alpha coefficient = 0.787 and McDonald's omega = 0.819). The WAI continues to be a valid and reliable measure to evaluate work ability in the current context of Brazilian work.

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Psychometric evaluation of the Farsi version of the electroconvulsive therapy related anxiety questionnaire.
  • Jul 29, 2025
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  • Seyedmohammad Mirhosseini + 7 more

This study aimed to assess the psychometric properties of the Farsi version of the Electroconvulsive Therapy-Related Anxiety Questionnaire (ERAQ). This methodological study was conducted among patients undergoing or with a history of Electro Convulsive Therapy (ECT) in Mashhad, Iran, during 2024-2025. Data were collected using a demographic profile form and the ERAQ. The questionnaire was translated into Farsi using the forward-backward translation method, and its face and content validity were assessed both qualitatively and quantitatively. To evaluate construct validity, exploratory factor analysis (n = 150) and confirmatory factor analysis (n = 150) were performed. Convergent validity was examined using Composite Reliability and Average Variance Extracted values, while discriminant validity was assessed through the Heterotrait-Monotrait ratio. Reliability was determined by estimating internal consistency through Cronbach's alpha and McDonald's omega coefficients. During exploratory factor analysis, item 9 was removed because its factor loading was less than 0.30, and the remaining 16 items were distributed across three factors: life disruption, socio-physical disruption, and memory disruption, which collectively explained 45% of the total variance. Confirmatory factor analysis demonstrated a good fit for the proposed model. All composite reliability, maximum reliability, and heterotrait-monotrait ratios supported the convergent and discriminant validity of the ERAQ. Additionally, Cronbach's alpha and McDonald's omega coefficients confirmed the acceptable internal consistency of the Farsi version of the ERAQ. Based on the findings of this study, the Farsi version of the ERAQ demonstrates sufficient validity and reliability to assess anxiety symptoms associated with ECT in the Iranian population.

  • Research Article
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Predicting Entrepreneurial Intention Based on Job Self-Efficacy with the Mediating Role of Spiritual Intelligence among Upper Secondary School Students
  • Jan 1, 2024
  • Journal of Cognition, Behavior, Learning
  • Akram Maarefvand + 2 more

The present study aimed to predict entrepreneurial intention based on job self-efficacy, considering the mediating role of spiritual intelligence among upper secondary school students. In terms of purpose, the research was applied; regarding data type, it was quantitative; and in terms of design (nature), it was descriptive-analytical with a correlational approach. The statistical population included all upper secondary school students in Qom city during the 2023–2024 academic year. A sample of 500 respondents was selected using the minimum sample size calculation in structural equation modeling and a multistage cluster random sampling method. Data collection utilized standardized questionnaires: the Entrepreneurial Intention Questionnaire by Liñán and Chen (2009), the Job Self-Efficacy Scale by Riggs and Knight (1994), and the Spiritual Intelligence Self-Report Inventory (SISRI-24) by King (2008). To assess validity, content validity (Lawshe's method) and construct validity, including convergent validity (AVE &gt; 0.5) and discriminant validity (MSV &lt; AVE, ASV &lt; AVE, HTMT &lt; 0.85), were employed. Internal consistency reliability was evaluated using Cronbach's alpha, composite reliability, and McDonald's omega coefficients (α, CR, ω &gt; 0.7). Findings indicated that the research instruments possessed acceptable validity and reliability. Data analysis was conducted using Pearson correlation and structural equation modeling. The results demonstrated that the direct effect of job self-efficacy (β = 0.64, p &lt; 0.001) on entrepreneurial intention was significant. Additionally, spiritual intelligence played a significant mediating role in the relationship between job self-efficacy (β = 0.53, p &lt; 0.001) and entrepreneurial intention. The research model exhibited a good fit (RMSEA = 0.03, SRMR = 0.05, p &gt; 0.05), explaining 73% of the variance in entrepreneurial intention. Based on these findings, it is recommended to utilize the results of this study to enhance entrepreneurial intention among upper secondary school students. Furthermore, the outcomes can assist educational policymakers in designing comprehensive and effective programs to foster entrepreneurship in the younger generation.

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