Psychometric Properties of the Turkish Version of the Climate and Health Tool (CHAT) for Health Professionals: A Validity and Reliability Study.

BackgroundDigital health competence is increasingly recognized as a core competence for health care professionals. A comprehensive evaluation of knowledge, skills, performance, values, and attitudes necessary to adapt to evolving digital health technologies is essential. DigiHealthCom (Digital Health Competence) is a well-established instrument designed to assess digital health competence across diverse health care professionals.ObjectiveThis study aimed to translate and culturally adapt DigiHealthCom into simplified Chinese (Mandarin) and verify its reliability and validity in assessing digital health competence of Chinese health care professionals.MethodsDigiHealthCom was translated into Chinese following the guideline proposed by its original developers. The cultural adaptation involved expert review and cognitive interviewing. Internal consistency, test-retest reliability, content validity, convergent validity, discriminant validity, and factor structure were examined. Item analysis tested item discrimination, item correlation, and item homogeneity. Internal consistency was assessed using Cronbach α, and test-retest reliability was measured using the intraclass correlation coefficient. Content validity was assessed through both item and scale content validity indices. Convergent validity was measured by the Average Variance Extracted and Composite Reliability, while discriminant validity was measured by the heterotrait-monotrait ratio. A five-dimension model of DigiHealthCom was confirmed using confirmatory factor analysis.ResultsThe finalized Chinese version of the DigiHealthCom was completed after addressing differences between the back-translations and the original version. No discrepancies affecting item clarity were reported during cognitive interviewing. The validation process involved 398 eligible health care professionals from 36 cities across 15 provinces in China, with 43 participants undergoing a retest after a 2-week interval. Critical ratio values (range 16.05‐23.77, P<.001), item-total correlation coefficients (range 0.69‐0.89), and Cronbach α if the item deleted (range 0.91‐0.96) indicated satisfactory item discrimination, item correlation, and item homogeneity. Cronbach α for dimensions and the scale ranged from 0.94 to 0.98, indicating good internal consistency. The intraclass correlation coefficient was 0.90 (95% CI 0.81‐0.95), indicating good test-retest reliability. Item content validity index ranged from 0.82 to 1.00, and the scale content validity index was 0.97, indicating satisfactory content validity. Convergent validity (average variance extracted: 0.60‐0.79; composite reliability: 0.94‐0.95) and divergent validity (heterotrait-monotrait ratio: 0.72‐0.89) were satisfactory. Confirmatory factor analysis confirmed a well-fit five-dimension model (robust chi-square to df ratio=3.10, comparative fit index=0.91, Tucker-Lewis index=0.90, incremental fit index=0.91, root-mean-square error of approximation=0.07, standardized root-mean-square residual=0.05), with each item having a factor loading exceeding 0.40.ConclusionsThe Chinese version of DigiHealthCom has been proved to be reliable and valid. It is now available for assessing digital health competence among Chinese health care professionals. This assessment can be used to guide health care policy makers and educators in designing comprehensive and implementable educational programs and interventions.

BackgroundOswestry Disability Index (ODI) is broadly used in clinical and research settings for assessing the disability level in patients with lumbar radiculopathy but it has not been translated into Urdu language according to the pre-established translation guidelines as well as the validity and reliability of ODI Urdu version has not been tested yet. The aim of this study was to translate ODI in native Urdu language (ODI-U) according to recommended guidelines and to measure its psychometric properties in Urdu speaking patients suffering from lumber radiculopathy.MethodsOut of 108 participants, 54 were healthy (who filled ODI-U) and 54 were patients of lumber radiculopathy. The patients were administered through ODI-U, visual analogue scales for disability (VAS disability), pain intensity (VAS pain) and SF-36 at baseline and after 3 days. Reliability was investigated through test-retest method, internal consistency, standard error of measurement (SEM) and smallest detectable change (SDC). ODI-U was assessed for exploratory factor analysis, construct (convergent and discriminative) validity and content validity. Alpha level < 0.05 was considered statistically significant and psychometric standards were evaluated contrary to priori hypothesis.ResultsODI-U revealed excellent test-retest reliability for total score (ICC2,1 = 0.95) and for all item (ICC2,1 = 0.72–0.98). Cronbach’s alpha of 0.89 showed excellent internal consistency and moderate correlation between ODI-U total score and each item through spearman’s correlation coefficient (r = 0.51–0.76). One factor structure was created, explaining 52.5% variance. There was no floor and ceiling effect of total ODI-U score. Content validity was assessed through conducting interviews with patients and incorporating expert’s opinions. The discriminative validity was measured by independent sample t-test, where significant difference between healthy and patients (P < 0.001) was observed. The convergent validity was evaluated through Pearson’s correlation showing moderate positive correlation of ODI-U with VAS pain (r = 0.49) and VAS disability (r = 0.51) but moderate negative correlation with all SF-36 domains (r = − 0.43to − 0.63).ConclusionODI-U showed adequate psychometric properties. ODI-U was found to be a reliable and a valid tool to measure the level of disability in Urdu-speaking patients with lumber radiculopathy.

Evaluation of the psychometric properties of a questionnaire. To assess the psychometric properties of the Spanish version of the Oswestry Disability Index (ODI) in a Spanish population with previous lumbar disc surgery. ODI is frequently used for measuring disability in spinal disorders. In 1995, ODI was translated and transculturally adapted into the Spanish context; its content and apparent validity, internal consistency and test-retest reliability were demonstrated for a Spanish population with lumbar pain. However, this score has not been tested in terms of discriminative capacity (floor and ceiling effects) and construct validity. Two hundred seventy-five patients who had previously undergone surgical treatment for disc lumbar herniation completed the ODI, Short-Form 36 (SF36), EuroQol-5D (EQ5D), and Numerical Rating Scale for Back Pain. Internal consistency, floor and ceiling effects and construct validity (convergent, divergent, and "known-groups" validities) were assessed. Spanish ODI showed a very good internal consistency: Cronbach-α coefficient for ODI score was 0.928; Cronbach-α coefficient, if the item was deleted, did not increase by more than 0.1 for each item; and Item-total correlations ranged from strong to very strong. There was floor effect for both ODI score and for all individual items. There was no ceiling effect. Spanish ODI showed very good construct validity because 88% (7/8) of the hypotheses about convergent, divergent and "known-groups" validities were supported. Concerning convergent validity, ODI was strongly correlated with the Numerical Rating Scale for Back Pain (0.717; P < 0.001), SF36-Utility (rho = -0.786; P < 0.001), Physical Component Summary score SF36 (rho = -0.787; P < 0.001), Mental Component Summary score SF36 (rho = -0.605; P < 0.001), EQ5D-Utility (rho = -0.833; P < 0.001) and some EQ5D physical components. Spanish ODI showed good psychometric properties (internal consistency and construct validity), similar to others validation studies. Spanish ODI is a valid instrument for the measurement of disability in Spanish patients with previous lumbar disc surgery, specifically in patients with moderate/intense disability. 4.

BackgroundThe Brief Pain Inventory (BPI) is a multidimensional pain assessment tool used to evaluate pain severity and pain interference. The BPI has been translated and validity estimated across multiple languages and patient populations for clinical and research settings. This study aimed to assess the reliability and validity of Amharic BPI test scores among patients with chronic primary musculoskeletal pain living in Ethiopia.MethodsThis study had two parts: cognitive interviews and psychometric testing. An expert committee reviewed the Amharic BPI, and fifteen participants participated in the cognitive interviews. The results from the cognitive interviews were evaluated, and the committee approved recommendations for the tool prior to psychometric testing. Two hundred and sixty-nine patients were recruited from three sites for the psychometric testing. The results were summarised using descriptive statistics. Cronbach’s alpha was calculated to estimate the internal consistency. To assess test-retest reliability, the intraclass coefficient was examined, and a Bland-Altman plot was created. Construct validity was determined using confirmatory factor analysis by testing BPI’s previously suggested two or three-factor dimensionalities. Convergent validity was assessed by estimating the correlation between the Amharic BPI and SF-36 subscales.ResultsThe Amharic BPI scores showed a good internal consistency using a 2-factor model with α = 0.89 for pain severity and α = 0.91 for pain interference. Good internal consistency was also observed in the 3-factor model, with α = 0.89 for pain severity, α = 0.84 for activity interference, and α = 0.86 for affective interference items. The test-retest reliability testing resulted in an ICC = 0.82 for pain severity and ICC = 0.90 for the pain interference. The severity scale had the highest correlation with bodily pain subscale of the SF-36 at r = − 0.44, and the interference scale with Physical functioning scale of SF-36 at r = − 0.63. Confirmatory factor analysis support rating Amharic BPI using a two-factor approach.ConclusionsOur findings showed that Amharic BPI scores demonstrate internal consistency, test-retest reliability, and construct validity among patients with chronic primary musculoskeletal pain in Ethiopia. Accordingly, the tool can be used in clinical practice or research in similar settings.

Apathy in Dementia: An Examination of the Psychometric Properties of the Apathy Evaluation Scale

The aim of the current study was to adapt the Adult Disorganized Attachment Scale (ADA) to Persian and to examine its psychometric properties. The study was conducted with 202 participants, including 124 female (61.4%), who were students at Kermanshah University of Medical Sciences, aged 17-36 years. The Experience in Close Relationships measure was used to assess convergent validity, while the Sadism Scale and Shutdown Dissociation Scale were used to evaluate criterion validity. The reliability using Cronbach's alpha coefficient, convergent validity, and construct validity using confirmatory factor analysis were examined. The collected data were analyzed in SPSS v.25 and LISREL 8.8 applications. The scale demonstrated strong reliability (α = 0.82) and good convergent validity, with positive correlations to Shutdown Dissociation, Anxious and Avoidant Attachment, and Sadism (p < 0.05). Confirmatory Factor Analysis supported its structural validity with excellent fit indexes (χ2/df = 1.44, RMSEA = 0.047, CFI = 0.98, GFI = 0.96). This Persian version of the ADA can be considered a valid and reliable scale, which is a short and practical tool that can be used in clinical and research settings in Iran.

Evaluation of low back pain (LBP) requires a condition specific disability questionnaire along with pain and satisfaction measure such as self-assessment pain scales. Dallas Pain Questionnaire (DPQ) is a 16-item visual analog scale, developed for evaluating patient's cognitions about the percentage that chronic pain affects four aspects of the subject's lives. It's easy to understand; can be answered in 3-5 min and can be scored in <1 min. This reliability and validation study offers health-care providers an opportunity to utilize this distinct questionnaire in Turkish population with back pain. The objectives are translation of Dallas questionnaire from English to Turkish language and to perform validation and reliability study. A total of 102 patients (79 women and 23 men) with mean age of 50.2 years and LBP for at least 3 months answered DPQ along with five other previously translated and validated questionnaires in Turkish language. Fifty-nine of these patients participated retest reliability after 7 days. Internal consistency and test-retest analyzes were conducted to determine the reliability and convergent validity was evaluated for the validation study. The questionnaire was noted to have high internal consistency. The test-retest analysis revealed an excellent correlation (ICC=0.969). Pearson correlation coefficient shows that all subscales (sections) of DPQ are significant and comparable with each of the other questionnaires included in this study proving that it has sufficient convergent validity (p<0.001). The Turkish version of DPQ is content, valid, and reliable. DPQ is sensitive to use in patients with LBP.

Objective Evaluate the internal consistency, inter-rater and test–retest reliability, convergent and divergent validity and clinical usability of the Cognition in Daily Life scale for patients with acquired brain injury. Design Validation study. Participants A total of 75 patients with acquired brain injury (mostly male [n = 47, 68%]; mean age 67 years) were recruited from inpatient care facilities. Sixty participants (81%) had sustained a stroke. Main measures Outcome measure: Cognition in Daily Life scale. Reference measures: Utrecht Scale for Rehabilitation-Cognition subscale, Montreal Cognitive Assessment, Barthel Index, Hospital Anxiety and Depression Scale and Fatigue Severity Scale. Results After removing redundant items, all subscales of the Cognition in Daily Life scale demonstrated satisfactory internal consistency. Test–retest reliability was good (intraclass correlation coefficient [ICC] = 0.847), and inter-rater reliability was moderate (ICC = 0.615). Convergent validity was confirmed through moderately strong correlations between most subscales of the Cognition in Daily Life Scale and other measures of cognition. Cognition in Daily Life subscales generally did not correlate with the Hospital Anxiety and Depression Scale and Fatigue Severity Scale, indicating divergent validity. Moderate correlations with the Barthel Index suggested related, but distinct constructs. Clinicians found the Cognition in Daily Life scale easy to administer and relevant for practice, though time-consuming. They suggested layout improvements for greater usability. Conclusion The Cognition in Daily Life scale is adequately valid, reliable and clinically usable for assessing cognition in daily life in patients with acquired brain injury in a clinical setting. Future research needs to evaluate the scale's sensitivity to change and its performance in other settings and populations.

BackgroundNomophobia is a situational phobia triggered by the inability to use a smartphone or the thought of being unable to use it. It is closely associated with problematic smartphone use, anxiety and depression. The Nomophobia Questionnaire Short-Form (NMPQ-SF) serves as an efficient and reliable instrument for measuring nomophobia. This study aimed to adapt the NMPQ-SF and validate its psychometric properties among Chinese adults.MethodThe Chinese version of NMPQ-SF (NMPQ-SFC) was culturally adapted via forward-backward translation, cognitive interviews, and expert panel review. A total of 919 participants (57.6% female, aged 18–63 years, Mage = 29.44) completed the online survey. Confirmatory factor analysis (CFA) tested the factorial structure, while measurement invariance was examined across gender groups using multi-group CFA. Convergent and discriminant validity were also assessed and nomological validity was examined via correlations between NMPQ-SFC scores and fear of missing out (FoMO), short-video addiction (SVA), and depression.ResultsCFA results showed that the second-order factor model better reflected the factor structure of the NMPQ-SFC and displayed excellent fit indices (RMSEA = 0.037, CFI = 0.993, TLI = 0.989, SRMR = 0.017). Measurement invariance analyses confirmed that the NMPQ-SFC functions equivalently across gender, enabling valid comparisons between males and females. Convergent validity (AVE = 0.55–0.68; second‑order AVE = 0.53) and discriminant validity (Pearson’s rs < 0.80) were established. Significant correlations with FoMO, SVA, and depression further provided evidence for its nomological validity.ConclusionOur findings confirm that NMPQ-SFC is a reliable and psychometrically valid tool for assessing nomophobia among Chinese adults, enhancing its practical applicability in the Chinese context.

The Cognitive Complaints Rating Scale in Bipolar Disorder (COBRA) is a brief self-report measure designed to capture Subjective Cognitive Complaints (SCC) experienced by patients with Bipolar Disorder (BD). This study aimed to translate the 16-item COBRA into Turkish (COBRA-TR) and comprehensively assess its psychometric properties. We recruited 160 participants, consisting of 80 BD patients in remission and 80 controls. The psychometric evaluation included confirmatory factor analysis (CFA), calculation of internal consistency, and examination of divergent and convergent validity through Pearson's correlations with related scales. Statistical analyses were performed using the SPSSv29 and the Jamovi software of R Statistical Package. The COBRA-TR showed excellent internal consistency (Cronbach α=0.898) and robust convergent validity, strongly correlating with the Cognitive Failures Questionnaire (r=0.784; p<0.001). It demonstrated moderate-to-high correlations with cognitive (r=0.574; p<0.001) and global functioning (r=0.624; p<0.001), as assessed by the Functioning Assessment Short Test. CFA provided strong support for a unidimensional factor structure. Furthermore, the COBRA-TR successfully differentiated patients from controls. Clinical variables minimally influenced the scale, though it showed weak correlations with subclinical depressive symptoms (r=0.325; p=0.003) and working memory performance (r=-0.250; p=0.002). Our findings highlight that the COBRA-TR is a highly reliable and valid tool, effectively capturing SCC among BD patients. Its brevity, ease of administration, and strong psychometric properties suggest its potential utility as a valuable instrument in both clinical practice and research settings.

Patient and parent oriented tools to assess health-related quality of life, activity of daily living and caregiver burden in SMA. Rome, 13 July 2019

BackgroundPatient-reported outcome measures (PROMs) are important for assessing premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) to effectively capture subjective symptom burden and evaluate treatment effectiveness in clinical and research settings. This systematic review evaluated the psychometric properties of PROMs used to assess PMS/PMDD in Japan.MethodologyA systematic literature search was conducted in the MEDLINE, CINAHL, Cochrane Library, and Ichushi-Web databases. The COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology was used to assess the methodological quality and measurement properties of the included PROMs.ResultsA total of 13 studies that evaluated 12 versions of 11 unique PROMs were included. PROMs were categorized as recall-based (n = 9, 69%) or daily recording scales (n = 4, 31%). The structural validity and internal consistency were relatively well evaluated for most scales. However, evidence was limited for other measurement properties such as reliability, criterion validity, and construct validity. None of the scales reported all psychometric properties outlined by COSMIN. The New Short-Form of the Premenstrual Symptoms Questionnaire and the Japanese version of the Daily Record of Severity of Problems demonstrated sufficient structural validity and internal consistency, although the quality of evidence for other properties was indeterminate.ConclusionsAlthough some PROMs demonstrated promising psychometric properties, further validation studies are required for most scales. The development of innovative scales with robust measurement properties is essential for advancing the assessment of PMS/PMDD in Japanese clinical and research settings. Careful consideration of the characteristics of each PROM is necessary when selecting instruments for specific purposes.

BackgroundUncomplicated urinary tract infections (UTIs) in women are among the most common bacterial infections in primary care. Given the health threats related to the overuse of antibiotics, alternative options are of increasing importance. Patient-reported outcome measures are valuable tools for including the patients’ perspective when evaluating the efficacy of these strategies. Aiming to identify a suitable instrument to measure the severity and bothersomeness of UTI symptoms in women, we performed a systematic review of the literature and identified the Holm and Cordoba Urinary Tract Infection Score (HCUTI), which measures the severity, bothersomeness, and impact of uncomplicated UTIs on daily activities. This instrument showed sufficient content validity but needs translation and further validation before it can be used in German research.ObjectiveFor use in the German setting, we aim (1) to perform translation and linguistic validation of the HCUTI and (2) to evaluate content validity and psychometric properties of the German version of the HCUTI in a population of women with uncomplicated UTIs.MethodsThe HCUTI will be translated and linguistically validated using the dual-panel method. This process involves a bilingual translation panel and a lay panel to check the comprehensibility of the translation. Content validity of the translated questionnaire will be assessed using cognitive interviews according to the criteria for good content validity as recommended by the COSMIN (Consensus-based Standards for the selection of health Measurement Instruments) group involving women with uncomplicated UTIs and health care professionals. Subsequent psychometric validation of the German version of the HCUTI in a population of women with uncomplicated UTIs will include the assessment of structural validity, internal consistency, test-retest reliability, construct validity, responsiveness, and interpretability.ResultsResults of the translation and linguistic validation process and the results of the content validity study were obtained in September 2023 and will be published separately. Data on the psychometric properties of the German version of the HCUTI are anticipated in mid-2024.ConclusionsWe expect that data from the content validity study will provide important suggestions for potential modifications of the HCUTI for use in the German setting. The final version of the questionnaire will be used for the assessment of its psychometric properties in a large population of women with uncomplicated UTIs.International Registered Report Identifier (IRRID)PRR1-10.2196/49903

Background: Managerial, collegial, and organizational influences have been recognized as critical factors for developing digital health competence among healthcare professionals, but there is currently a lack of validated Chinese instruments to evaluate these factors.Aims: To culturally adapt and validate the Chinese version of the DigiComInf (aspects associated with digital health competence) instrument among Chinese healthcare professionals.Method: The DigiComInf instrument was translated into Chinese following the established guidelines. The cultural adaptation involved expert review and cognitive interviews. A total of 311 healthcare professionals were sampled to test reliability and validity of the instrument, with 30 participants undergoing a retest after a 2-week interval. Item analysis, internal consistency, test-retest reliability, content validity, convergent validity, discriminant validity, and construct validity were examined.Results: Item analysis indicated satisfactory item discrimination (critical values range: 17.63–26.70), item correlation (corrected item-total correlation coefficient > 0.4), and item homogeneity. Internal consistency (Cronbach's α = 0.96) and test-retest reliability (Intraclass correlation coefficient = 0.96, 95% CI 0.91–0.98) were excellent. The scale content validity index was excellent (0.97). Principal component analysis extracted three common factors, explaining 80.54% of the cumulative variance. Confirmatory factor analysis confirmed a well-fit 3-factor model (χ2/df = 3.19, CFI = 0.94, NFI = 0.92, TLI = 0.93, IFI = 0.94, RMSEA = 0.10, and SRMSR = 0.04), with acceptable convergent and discriminant validity.Conclusion: The Chinese version of the DigiComInf is a reliable and valid instrument for assessing managerial, collegial, and organizational influences on the development of digital health competence among Chinese healthcare professionals.Implications for Nursing Management: This study presents a validated instrument to evaluate managerial, collegial, and organizational influences on healthcare professionals' digital health competence. Healthcare managers, healthcare providers, researchers, and policymakers can use it to accurately identify modifiable socio-organizational factors associated with digital health competence among various healthcare professionals in various settings, thereby informing targeted interventions to enhance their digital health competence.

To develop a parsimonious, shortened version of the Perceived Perioperative Competence Scale-Revised for perioperative nurses to complete as part of their specialty training while retaining good psychometric properties. A longitudinal online survey was adopted. A national sample of perioperative nurses from Australia completed an online survey at two different time points 6 months apart between February and October 2021. Confirmatory factor analysis was conducted for item reduction and construct validity, while criterion, convergent validity and internal consistency were examined. Usable data for psychometric assessment were obtained from 485 operating room nurses at time 1 and 164 nurses at time 2. The original 40-item revised scale was reduced to an 18-item measure, maintaining its six domains. Cronbach's alpha for the 18-item scale was .92 at time 1 and .90 at time 2. Scale validation demonstrated moderate to weak positive relationships in perceived competence scores relative to general self-efficacy, years of operating room experience, postgraduate education and recency of training. Results suggest the 18-item Perceived Perioperative Competence Scale-Revised Short Form has initial robust psychometric properties and may be implemented in clinical settings as part of perioperative transition-to-practice, orientation programs and yearly professional development reviews. This short-form scale can help prepare perioperative nurses to demonstrate clinical competence in a climate of increasing professional demands using a valid measure of competence required in clinical practice. Short and validated scales of perioperative competence are needed in clinical practice. Assessment of practising operating room nurses' perceived competence is essential in quality care provision, workforce planning and human resource management. This study provides an 18-item measure of the previously validated 40-item Perceived Perioperative Competence Scale-Revised. This scale can help provide an option for future testing of perioperative nurses' competence in clinical or research settings. Perioperative nurses were involved in the design of the study, particularly in the assessment of validation of the tools used in the study.