Introducing the Validated Healthcare Professionals’ Infodemic Management Capacity Scale (HPsIMCS)

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.

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.

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.

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.

Introduction: Suicidal ideation is an understudied issue during the gestational period, requiring valid and reliable instruments for timely measurement and to provide support in perinatal mental health. However, there are limited scales available to assess suicidal ideation in pregnant women in Colombia.Objective: To explore the dimensionality and internal consistency of the Roberts’ scale for suicidal ideation in pregnant women from Santa Marta, Colombia.Methods: 172 pregnant women between 18 and 44 years of age (M=24.7; SD=5.49) completed the Roberts suicidal ideation scale. An exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were carried out to determine dimensionality and Cronbach's alpha and McDonald's omega coefficients were calculated to establish internal consistency.Results: In the CFA the Roberts’ scale indicated a unidimensional internal structure explaining 50.5% of the variance and with adequate goodness-of-fit indicators (X2=5.85, gl=2, p&lt;0.054; RMSEA=0.104 (CI90%=0.000-0.210); SRMR=0.025; CFI=0.981; TLI=0.944). Cronbach's alpha coefficient was 0.781 and McDonald's omega coefficient was 0.801, showing acceptable internal consistency.Conclusions: Roberts’ scale is a brief, reliable measure with strong validity evidence for assessing suicidal ideation in pregnant women. Further instrumental studies with a larger sample size are recommended to corroborate the psychometric performance of the instrument in the Colombian population.

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.

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.

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.

Identifying the training needs of critical care nurses is crucial for enhancing their performance and optimizing patient outcomes. This process requires a comprehensive understanding of their specific knowledge gaps and skill deficiencies. Therefore, a reliable and validated tool is necessary to assess these needs effectively. This study aimed to assess the psychometric properties of the Persian version of the Training Needs of Critical Care Nurses Scale (TNCCNS) in Iran. This cross-sectional methodological study evaluated the Persian version of the TNCCNS using a convenience sample of 676 intensive care unit nurses from hospitals in Kermanshah, Hamadan, and Tabriz. The study was conducted in two phases: translation and cultural adaptation, followed by an assessment of the psychometric properties of the Persian version. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to examine the construct validity of the instrument. Additionally, internal consistency reliability was assessed using Cronbach's alpha and McDonald's omega coefficients, while test-retest reliability was evaluated using the Intraclass Correlation Coefficient (ICC). Data analysis was conducted using SPSS (version 27) and LISREL (version 8). Statistical significance for all analyses was set at p < 0.05. The results of the EFA and CFA confirmed the thirteen-factor structure with 66 items, explaining 62.337% of the total variance. CFA indicated a good model fit (RMSEA = 0.056, CFI = 0.92, NNFI / TLI = 0.94, GFI = 0.98, SRMR = 0.046, χ²/df = 2.25). Pearson correlation analysis revealed significant positive relationships between each subscale score and the overall scale score. The scale demonstrated high reliability (Cronbach's alpha = 0.912, McDonald's omega = 0.902) and strong stability (ICC = 0.912, 95% CI: 0.900-0.924). The Persian TNCCNS has demonstrated robust validity and reliability, establishing itself as a valuable tool for assessing the training needs of ICU nurses in Iran. Its validation carries significant implications for both research and practice, offering a robust framework for evaluating the educational requirements of Iranian critical care nurses and the effectiveness of existing training programs. Furthermore, these findings provide essential guidance for educational administrators and policymakers in designing targeted interventions that enhance nursing competencies and improve patient care outcomes in ICU settings. Not applicable.

Validation of the Thai translation of the attitudes toward euthanasia scale

The current study tested the one-dimensionality of the Center for Epidemiological Studies Depression Scale for Suicidal Ideation (CES-D-SI) and its reliability among high school students in Santa Marta, Colombia. A total of 1,462 tenth and eleventh-grade students from public and private schools completed the CES-D-SI. The students were between 13 and 17 years (M = 16.0, SD = 0.8), 60.3% were female, and 55.3% were in the tenth grade. A confirmatory factor analysis (CFA) was conducted, and the chi-square, root mean square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), and standardized root mean square residual (SRMR) statistics were calculated. The internal consistency of the dimension was calculated using Cronbach's alpha and McDonald's omega coefficients. The results of the CFA were as follows: chi-square = 26.51, df =2, p = .001; RMSEA = .092; 90% confidence interval = .063-.124; CFI = .983; TLI = .950; and SRMR = .019. Cronbach's alpha coefficient was .75, and McDonald's omega coefficient was .77. As conclusions, the scale exhibited a unidimensional structure similar to that in other studies and presented good reliability values. Hence, its use is recommended to screen suicidal ideation in school-aged adolescents in Santa Marta, Colombia.

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

BackgroundMeasuring quality of primary care has attracted much attention around the world. Our team has developed and validated an Assessment Survey of Primary Care (ASPC) for evaluating quality of primary care in China. To facilitate the daily use of ASPC, this study aimed to develop and validate a rapid assessment version of ASPC (RA-ASPC) in China.MethodsThis is a multi-phase study on 21 experts and 1,184 patients from 12 primary care facilities in 10 cities in China. Importance, representativeness, easy understanding, and general applicability of each item in ASPC scale were rated to select the top two ranked items for constituting RA-ASPC. Reliability of RA-ASPC was tested by calculating both Cronbach's alpha and McDonald's omega coefficients. Structural validity was assessed by exploratory and confirmatory factor analysis (EFA and CFA). Concurrent validity was performed by analyzing the relationship between RA-ASPC and patient satisfaction. Discriminant validity was tested by assessing the difference of RA-ASPC scores between patients with or without family doctors.ResultsTen items were selected for RA-ASPC. Both Cronbach's alpha (0.732) and McDonald's omega (0.729) suggested satisfactory internal consistency. In EFA, explained variance of RA-ASPC (72.6%) indicated its ability to measure quality of primary care in China. CFA indicators showed convincing goodness-of-fit (GFI = 0.996, AGFI = 0.992, CFI = 1.000, NFI = 0.980, RMR = 0.022, and the RMSEA = 0.000) for RA-ASPC. Positive association between RA-ASPC and patient satisfaction supported the concurrent validity of RA-ASPC. Patients with family doctors perceived higher quality of primary care than those without family doctors, indicating good discriminant validity of RA-ASPC.ConclusionThe theoretical framework of RA-ASPC was in line with internationally recognized core functions of primary care. Good psychometric properties of RA-ASPC proved its appropriateness in assessing quality of primary care from patients' perspectives in China.

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.

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.