Examining the Psychometric Properties of the Farsi Version of the Body Image Scale for Breast Cancer Survivors

Professional socialization is a critical process that influences hospital nurses' professional identity, competence, and ethical standards, ultimately impacting the quality of patient care. This study aimed to translate the Professional Socialization Scale (PSS) for Hospital Nurses into Persian and evaluate its psychometric properties among Iranian nurses. A cross-sectional methodological study was conducted in two phases: translation and psychometric evaluation. A stratified sample of 511 nurses from both public and private hospitals in Kermanshah City, Iran, participated in the study. The scale was translated into Persian using the Douglas and Craig model, and its content and face validity were assessed. Construct validity was evaluated through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The internal consistency of the scale was assessed using Cronbach's alpha and McDonald's omega coefficients, while test-retest reliability was evaluated using the intraclass correlation coefficient (ICC). The PSS scale maintained the meaning of the original English version and was clear and understandable for hospital nurses. In qualitative face validity, one item changed slightly and all items were retained in the quantitative face validity assessment. Each item's content validity ratio ranges from 0.71 to 1, the Item content validity index ranges from 0.79 to 1, while the Scale-level Content Validity Index was 0.89. The EFA and CFA confirmed a four-factor structure of the Persian version of the scale, with 21 items explaining 67.72% of the total variance. The model fit indices indicated excellent model fit. The scale demonstrated acceptable internal consistency (Cronbach's alpha = 0.908, McDonald's omega = 0.904) and test-retest reliability (ICC = 0.908). The Persian version of the PSS for Hospital Nurses is a valid and reliable instrument. Nursing managers should facilitate the professional socialization process for nurses. This scale can be used to assess the socialization of nurses and guide their career development.

BackgroundReasonable instruction and promotion of appropriate exercise are crucial to improving the exercise status of pregnant women and safeguarding the health of both mother and fetus. However, there is a lack of validated Pregnancy Exercise Attitude Scales with a complete evaluation system in China. This study aims to assess the validity and reliability of the Pregnancy Exercise Attitude Scale (C-PEAS) in Chinese to give medical professionals a reference for carrying out pregnancy care services and promoting the health of the mother and fetus.MethodsIn this study, the scale was translated, back-translated, and cross-culturally adapted using the Brislin translation model to form the C-PEAS. 528 pregnant women were conveniently selected for the questionnaire survey to evaluate the scale's reliability. The scale's content validity was assessed by the content validity index, while its structural validity was investigated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Cronbach's alpha coefficient, McDonald's omega coefficient, split-half reliability, and retest reliability were used to evaluate the scale's internal consistency.ResultsThe C-PEAS contains two dimensions with 37 entries. The EFA supports a two-factor structure with a cumulative variance contribution of 62.927%. The CFA model was well fitted (χ2/df = 1.597, RMSEA = 0.048, IFI = 0.955, TLI = 0.952, and CFI = 0.955). The C- PEAS' Cronbach's alpha coefficient was 0.973, and the range of Cronbach's alpha values for the dimensions was 0.976, 0.944. McDonald's omega coefficient was 0.971, the half-point reliability of the scale was 0.856, and the retest reliability was 0.966.ConclusionsThe Chinese version of C-PEAS has good psychometric properties. It can be used as an effective measurement tool to evaluate the attitude of pregnant women to exercise during pregnancy.

To design and validate a Brazilian version of the Animal Empathy Scale, based on the existing Portuguese version. Content validity assessment was performed by expert judges, and the adapted scale was administered to a sample of 386 participants. Exploratory and confirmatory factor analyses were performed. The bifactorial profile of the scale remained consistent, comprising Empathic Concern for Animals (Cronbach's alpha and McDonald's omega coefficients: 0.75) and Emotional Attachment with Animals (Cronbach's alpha and McDonald's omega coefficients: 0.79). Considering the One Health framework, collaborative, multidisciplinary, and intersectoral approaches are essential for achieving optimal health conditions for people, animals, and the environment given their intricate interconnections. Empathy plays a crucial role in promoting proximity between humans and animals, fostering positive connections that encourage biodiversity conservation. The 13 statements were retained, confirming the validity of the animal empathy scale for use in Brazil, and a Brazilian version of the Animal Empathy Scale was established.

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.

BackgroundEducational leadership plays a crucial role in the development of nursing students, significantly enhancing their clinical skills and preparing them to lead advancements in healthcare. This comprehensive educational approach ensures that nursing students are well-equipped to address contemporary healthcare challenges effectively.AimThis study aimed to translate the Educational Leadership Scale for Nursing Students into Persian and evaluate its psychometric properties among Iranian nursing students.MethodsThis cross-sectional methodological study was conducted in two phases: translation and cultural adaptation, followed by psychometric evaluation. After obtaining permission from the original scale developer, the scale was translated into Persian using the Pilot and Yang model. Face and content validity were assessed both qualitatively and quantitatively. Construct validity was evaluated through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). A convenience sample of 469 nursing students from nursing faculties in Kermanshah Province, Iran, completed the questionnaire. Internal consistency was evaluated using Cronbach's alpha and McDonald's omega coefficients. Test–retest reliability was assessed using the intraclass correlation coefficient (ICC) in a subsample of 47 nursing students.ResultsExploratory and confirmatory factor analyses confirmed the three-factor structure of the Persian version of the instrument, with 19 items accounting for 63.80% of the total variance. The model fit was excellent, as shown by the CFI, GFI, TLI, RMSEA, and SRMR values. The scale demonstrated acceptable internal consistency reliability, with Cronbach's alpha at 0.924 and McDonald's omega at 0.923. The ICC for the total score was 0.924 (95% CI: 0.910–0.936).ConclusionThe results of the present study indicate that the Persian version of the Educational Leadership Scale for Nursing Students possesses acceptable psychometric properties. The results of face, content, and construct validity, along with reliability indices (including internal consistency and test–retest reliability), indicate that this instrument is an effective tool for evaluating educational leadership characteristics among Iranian nursing students. However, to further confirm the validity and reliability of this scale, future studies with larger and more diverse samples of nursing students, including those in clinical settings, are recommended. Furthermore, examining the criterion validity and discriminant validity of this instrument could contribute to a better understanding of its psychometric characteristics.

Validation of the mild cognitive impairment health literacy assessment scale (MCI-HLA scale) in middle-aged and older adults.

Loneliness has a significant impact on mental and physical health across different stages of development, with particularly evident effects during adolescence. During this period, young individuals undergo substantial social and emotional transformations, making loneliness a global concern. This study aimed to analyze the psychometric properties of the UCLA-R Loneliness Scale in Ecuadorian adolescents through exploratory and confirmatory factor analysis, assess its internal consistency, and examine factorial invariance across genders. The sample consisted of 718 school-aged adolescents (288 males and 430 females) aged 14-17 years (M = 15.72, SD = 0.747), selected through probabilistic sampling. A sociodemographic ad hoc questionnaire and the Spanish version of the 20-item UCLA-R Loneliness Scale were administered. The sample was randomly divided into two equivalent subsamples (n = 359) to separately perform an Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA). The EFA was conducted using principal axis factoring, oblique rotation, and polychoric correlations. The CFA evaluated one-factor, two-factor, and three-factor models, employing fit indices such as CFI, TLI, RMSEA, and SRMR. Internal consistency was estimated using Cronbach's alpha and McDonald's omega coefficients. Additionally, factorial invariance analyses by gender were performed, along with a univariate ANOVA to examine potential gender differences. The exploratory factor analysis (EFA) results indicated the presence of two factors, whose structure explains 40.8% of the total variance, with 19 items. The confirmatory factor analysis (CFA) confirmed that the bifactor model with 19 items exhibited a superior fit compared to the unidimensional and three-factor models with 20 items, with fit indices falling within acceptable to excellent ranges (CFI = .936, TLI = .927, RMSEA = .050, SRMR = .048). Additionally, the bifactor model demonstrated measurement invariance across genders. Regarding internal consistency, the scale demonstrated a Cronbach's alpha of.876 and an omega coefficient of.83, confirming its reliability. It is concluded that the 19-item UCLA-R Loneliness Scale is a valid and reliable instrument for assessing perceived loneliness in Ecuadorian adolescents, regardless of gender. Future research could replicate these findings in other regions and cultural contexts to validate its use on a larger scale.

The prevalence of depression in the community is high. Therefore, it is necessary to examine the information needs on depression in the community. This cross-sectional study aimed to translate and evaluate the psychometric properties of the Depression Information Needs Scale (DINS) among the general population. The translation and assessment of the validity and reliability of the DINS were conducted from February 2022 to May 2023 in Gonabad, Iran. The inclusion criteria in this study were individuals 18 years or older, those living in Gonabad for 1 year or more, and participants who provided written informed consent. Sample sizes of 546 and 629 were used for the exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), respectively. The reliability of the DINS was examined using three methods: McDonald's omega coefficient, test-retest reliability, and Cronbach's alpha coefficient. Most participants were women, had a bachelor's degree, and were married. The values of 0.959 for scale content validity index averaging (S-CVI/Ave) and 0.817 for content validity ratio (CVR) were calculated. In the EFA section, four factors with eigenvalues greater than 1 were extracted and explained 63.861% of the variance. Only two items were not placed in related or acceptable factors and were deleted. Finally, based on the results of the goodness-of-fit indexes (e.g., RMSEA = 0.074, CFI = 0.944, NFI = 0.930, and GFI = 0.911), the scale was approved with 18 items and 4 factors: lived experience (4 items), general (facts about depression) (6 items), research and policies (4 items), and specific treatments (4 items). For all the DINS items, the McDonald's omega coefficient, Cronbach's alpha coefficient, and Intraclass Correlation Coefficient (ICC) were 0.953, 0.950, and 0.957, respectively. The Persian version of the DINS was validated with 18 items and 4 factors, and this scale can be used to assess depression information needs in the general public and specific groups.

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.

Cross cultural adaptation and psychometric evaluation of the Indonesian version of the depression anxiety stress scales for youth (IDASS-Y)

BackgroundSocial media has become an indispensable part of contemporary young people's lives, and the influence of social media on college students' eating and other health-related behaviors has become increasingly prominent. However, there is no assessment tool to determine the effects of social media on Chinese college students' eating behavior. This study aims to translate the Scale of Effects of Social Media on Eating Behaviour (SESMEB) into Chinese. Its applicability to Chinese college students was examined through reliability and validity indexes, and the influencing factors of SESMEB were explored.MethodsThe questionnaire survey included 2374 Chinese college students. The Brislin translation model was used to translate the original scale into Chinese. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to test the construct validity of the scale, and the content validity of the scale was assessed through the content validity index. The internal consistency of the scale was assessed by calculating Cronbach's alpha coefficient, McDonald's Omega coefficient, split-half reliability, and test–retest reliability. Multiple stepwise linear regression analysis was performed to identify potential influences on the effects of social media on eating behavior.ResultsEFA supported the one-factor structure, and the factor loadings of each item on this dimension were higher than 0.40. CFA showed good model fitness indexes. The content validity index of the scale was 0.94. The Cronbach's alpha coefficient and McDonald's Omega coefficient for the scale were 0.964, the split-half reliability coefficient was 0.953, and the test–retest reliability was 0.849. Gender, education, major, frequency of social media use, online sexual objectification experiences, fear of negative evaluations, and physical appearance perfectionism explained 73.8% of the variance in the effects of social media on eating behavior.ConclusionsThe Chinese version of the SESMEB has good psychometric properties and is a valid measurement tool for assessing the effects of social media on college students' eating behavior. Subjects who were female, highly educated, non-medical, had frequent social media use, online sexual objectification experiences, fear of negative evaluations, and physical appearance perfectionism used social media to have a higher impact on eating behavior.

Background Validated instruments are limited in the literature to assess the infodemic management capacity of the healthcare professionals. This methodological study aimed to develop and validate a scale for measuring the infodemic management capacity of the healthcare professionals. Methods The study was conducted between September 2024 and April 2025 with a total of 495 healthcare professionals working at a university hospital in Ankara, Türkiye. The participants were divided into two groups for Exploratory Factor Analysis (EFA) (n = 250) and Confirmatory Factor Analysis (CFA) (n = 245). Expert opinions were obtained to evaluate the content validity of the scale. Construct validity was assessed through EFA and CFA. Reliability was examined using Cronbach's alpha and McDonald's omega coefficients. The discriminatory power of the items was examined via corrected item-total correlations. Comparisons between the upper and lower 27% groups were conducted. The study was approved by the university's research ethics committee. Results Of the participants, 71.7% were female. Physicians comprised 65% of the sample, followed by nurses (23%) and other healthcare professionals (12%). EFA revealed a four-factor structure with 20 items, explaining 54% of the total variance. The factors were labeled as follows: Listening to the Community (3 items), Supporting Communication (5 items), Building Resilience (6 items), and Engaging and Empowering Communities (6 items). Both first- and second-order CFA supported this structure, indicating acceptable model fit. Cronbach's alpha and McDonald's omega coefficients for each factor exceeded .70 (range: .71-.92). All items demonstrated adequate discriminatory power, with corrected item-total correlations above .30. Additional analysis confirmed measurement invariance across genders. Conclusions The scale is an instrument that produces valid and reliable measures and that can be used to determine health professionals’ infodemic management capacity. Key messages • Assessing the infodemic management capacity of the health professionals is a need. • The scale provides valid and reliable measures, making it a valuable tool for assessing health professionals’ infodemic management capacity.

Objective: to construct and validate an instrument to assess talent retention in nurses. Methods: methodological study whose stages were as follows: construction of the instrument by integrative literature review; content validation; and agreement by experts. To establish psychometric properties, it was applied to 290 nurses for construct validity through exploratory factor analysis, principal components method and Promax rotation. Evaluation of the internal consistency of the constructs by Cronbach's Alpha coefficient and McDonald's omega coefficient. Results: content validation by 10 experts obtained a degree of agreement &gt;80% and second-order agreement coefficient (AC2 Gwet) between 0.83 and 0.89. After factor analysis, we obtained: instrument with 25 items, high degree of reliability and internal consistency; Kaiser-Meyer-Olkin test = 0.947; Bartlett p&lt;0.001; and α from 0.87 to 0.92 with the formation of four factors explaining 74% of the variance. Conclusion: the instrument showed evidence of content and construct validity and adequate internal consistency. Contributions to practice: this innovative instrument for Nursing science enables managers to identify their teams' own talent retention factors, directing assertive measures for retaining nurses according to the predominant motivators.

Anxiety disorder is one of the most common mental disorders. This cross-sectional research aimed to determine anxiety literacy (A-Lit) psychometric properties among the Iranian population in 2022. This research was conducted on 690 people in Iran in 2022. In this study, people were selected by proportional stratified sampling, and the validity and reliability of the A-Lit designed by Griffiths were assessed. Validity of A-Lit was assessed by face validity, content validity, and confirmatory factor analysis. Reliability of A-Lit was evaluated by the McDonald's omega coefficient, Cronbach's alpha coefficient, and test- retest. In analytical sections, the tests of One-way ANOVA, Chi-squared test, and independent samples t-test were used. The rates of S-CVI/Ave and CVR for A-Lit were 0.922 and 0.774, respectively. In confirmatory factor analysis, three items were deleted because the factor loading was less than 0.4, and goodness-of-fit indexes (Some of goodness-of-fit indexes: χ2/df = 4.175, GFI: 0.909, RMSEA = 0.068, PCFI = 0.745, AGFI = 0.883) were confirmed as the final model with 19 items. For all items, the Cronbach's alpha coefficient was 0.832, the McDonald's omega coefficient was 0.835, and the intraclass correlation coefficient was 0.874. According to the results of this study, 1.3% (n = 9) did not answer any questions correctly and 8.4% (n = 58) were able to answer 1-6 questions correctly. Approximately 72% (n = 495) were able to answer 7-12 questions, and eventually only 18.6% (n = 128) were able to answer 13 questions and more. There was a significant relationship between sex, age group, occupation status, marital status, and get information related to mental illness with A-Lit level (p < 0.05). The Persian version of A-Lit was confirmed with 19 items, and this scale is a reliable tool for measuring A-Lit in the general population. The results also showed that a few people have a higher level of anxiety literacy and that educational and intervention programs need to be designed and implemented for the public population.

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.