The Health Sciences Evidence-Based Practice Questionnaire: Adaptation to Turkish Culture, Validity and Reliability Study in Physiotherapists.

IntroductionMost of the EBP measuring instruments available to date present limitations both in the operationalisation of the construct and also in the rigour of their psychometric development, as revealed in the literature review performed. The aim of this paper is to provide rigorous and adequate reliability and validity evidence of the scores of a new transdisciplinary psychometric tool, the Health Sciences Evidence-Based Practice (HS-EBP), for measuring the construct EBP in Health Sciences professionals.MethodsA pilot study and a subsequent two-stage validation test sample were conducted to progressively refine the instrument until a reduced 60-item version with a five-factor latent structure. Reliability was analysed through both Cronbach’s alpha coefficient and intraclass correlations (ICC). Latent structure was contrasted using confirmatory factor analysis (CFA) following a model comparison aproach. Evidence of criterion validity of the scores obtained was achieved by considering attitudinal resistance to change, burnout, and quality of professional life as criterion variables; while convergent validity was assessed using the Spanish version of the Evidence-Based Practice Questionnaire (EBPQ-19).ResultsAdequate evidence of both reliability and ICC was obtained for the five dimensions of the questionnaire. According to the CFA model comparison, the best fit corresponded to the five-factor model (RMSEA = 0.049; CI 90% RMSEA = [0.047; 0.050]; CFI = 0.99). Adequate criterion and convergent validity evidence was also provided. Finally, the HS-EBP showed the capability to find differences between EBP training levels as an important evidence of decision validity.ConclusionsReliability and validity evidence obtained regarding the HS-EBP confirm the adequate operationalisation of the EBP construct as a process put into practice to respond to every clinical situation arising in the daily practice of professionals in health sciences (transprofessional). The tool could be useful for EBP individual assessment and for evaluating the impact of specific interventions to improve EBP.

Background: Previous survey tools operationalising knowledge, attitudes or beliefs about evidence-based practice (EBP) have shortcomings in content, psychometric properties and target audience.Aims: This study developed and psychometrically assessed a self-report trans-professional questionnaire to describe an EBP profile.Methods: Sixty-six items were collated from existing EBP questionnaires and administered to 526 academics and students from health and non-health backgrounds. Principal component factor analysis revealed the presence of five factors (Relevance, Terminology, Confidence, Practice and Sympathy). Following expert panel review and pilot testing, the 58-item final questionnaire was disseminated to 105 subjects on two occasions. Test–retest and internal reliability were quantified using intra-class correlation coefficients (ICCs) and Cronbach's alpha, convergent validity against a commonly used EBP questionnaire by Pearson's correlation coefficient and discriminative validity via analysis of variance (ANOVA) based on exposure to EBP training.Results: The final questionnaire demonstrated acceptable internal consistency (Cronbach's alpha 0.96), test–retest reliability (ICCs range 0.77–0.94) and convergent validity (Practice 0.66, Confidence 0.80 and Sympathy 0.54). Three factors (Relevance, Terminology and Confidence) distinguished EBP exposure groups (ANOVA p < 0.001–0.004).Conclusion: The evidence-based practice profile (EBP2) questionnaire is a reliable instrument with the ability to discriminate for three factors, between respondents with differing EBP exposures.

Fostering a culture of clinical effectiveness among healthcare professionals (HCPs) is crucial to achieving optimal patient health outcomes. To our knowledge, there is a lack of robust evidence-based practice (EBP) tools to assess the competence of HCPs in EBP in the Eastern Mediterranean Region (EMR). This study aims to comprehensively investigate the construct validity and internal reliability of the evidence-based practice questionnaire (EBPQ) among HCPs in the EMR. This multinational and multi-disciplinary cross-sectional study was conducted between 27 April and 11 May 2023. Convenience and snowball sampling methods were used to recruit a sample of HCPs (physicians, nurses, physiotherapists, dentists, and pharmacists) using an electronic survey questionnaire for data capture. To assess the reliability of the instrument, Cronbach's alpha, inter-item reliability, and split-half reliability analyses were conducted. Furthermore, the convergent and discriminant validity of the questionnaire was ensured by calculating the average variance extracted (AVE) and the correlation coefficient between the different constructs, respectively. Factor loadings and cross-loadings of different indicators within each construct were calculated by performing both exploratory and confirmatory factor analyses. A total of 1536 HCPs from 18 countries in the EMR (response rate = 96.786%) with a median age of 28 years participated; 47% were female, and 55% had Arabic as their first language. English was the most common language for a bachelor's degree in science (54%). The construct validity of the EBPQ was investigated using exploratory factor analysis (EFA), which yielded four loaded factors. The confirmatory factor analysis (CFA) confirmed the four loaded factors. The CFA model showed that the root mean square error of approximation = 0.066, comparative fit index = 0.95, Tucker-Lewis's index = 0.94, standardized root mean square residual = 0.033, normal fit index = 0.94, goodness of fit = 0.91, and χ2 test statistic= 22,553, with p < 0.001. The AVE values of the four factors were close to 1 (knowledge = 0.6, practice = 0.6, attitude = 0.5, and sharing = 0.7), thus supporting the convergent validity of the EBPQ. The four domains had Cronbach's alpha coefficients and Omega ≥ 0.7 (knowledge = 0.9, practice = 0.9, attitude = 0.7, and sharing = 0.8), suggesting that the items within each domain had good internal consistency. These results support the discriminant validity of the EBPQ. The EBPQ is a robust questionnaire that can be completed in less than 10 min by EMR HCPs and can be used as a gold-standard questionnaire to collect valid data on the attitudes, knowledge, and proficiency of HCPs in making clinical decisions based on evidence. Future studies are recommended to investigate the retest reliability.

We aimed to assess the validity and reliability of the ten-item Connor-Davidson Resilience Scale (CD-RISC10) in patients with axial spondyloarthritis (axSpA) in Singapore. We used cross-sectional data from 108 patients with axSpA recruited from a dedicated axSpA clinic in a Singapore tertiary referral hospital from 2017 to 2018. Analyses were guided by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) framework. Face validity was assessed through cognitive debriefing interviews (CDIs). Internal consistency was assessed through Cronbach's alpha. Test-retest reliability was assessed through intraclass correlation (ICC). Measurement error was assessed through smallest detectable change (SDC). Construct validity was assessed through six a priori hypotheses through correlation of the CD-RISC10 score with other patient-reported outcome measures. Structural validity was assessed using confirmatory factor analysis (CFA). Fit indices evaluated were root-mean-square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TFI), and standardized root-mean-squared residual (SRMR). Ten patients completed the CDIs and face validity was supported. Among 108 patients (median age: 37(21-77), 81.5% males, 93.5% Chinese), the CD-RISC10 demonstrated good internal consistency (Cronbach's alpha = 0.94), and excellent test-retest reliability [ICC = 0.964 (95% CI 0.937-0.980)]. SDC was calculated as 1.88. Construct validity was established by meeting five out of the six a priori hypotheses. Structural validity was supported as CFA confirmed a one-factor model, with adequate fit statistics after adding three covariances (RMSEA = 0.077; CFI = 0.975; TLI = 0.964; SRMR = 0.036). This study supports the CD-RISC10 as a valid and reliable measure of resilience for use in patients with axSpA.

Purpose: The aim of the study was to find out what the Turkish orthotic prosthetic community thought about the use of evidence-based practices. Material and methods: Our study included 134 participants (59 females, 75 males) who have been working in the field of orthotics and prosthetics in hospitals, clinics and academic institutions in Turkey for at least six months. Study data were collected using the Evidence-Based Practice Questionnaire (DI-EBPQ), Health Sciences-Evidence-Based Practice Questionnaire (HS-EBP), and Information Literacy Self-Efficacy Scale (DTILSES) developed by the researcher. Data analysis was done using SPSS 26.0 program. Results: The total scores of HS-EBP and DTILSES were significantly higher in those with master's/doctorate degrees (p&amp;lt;0.001), those who received evidence-based practice training (p&amp;lt;0.001), those who believed positively in evidence-based practice (p=0.003), and those with advanced evidence-based practice knowledge (p&amp;lt;0.001). In addition, the total DTILSES score was higher in those working in university hospitals (p&amp;lt;0.001). A high positive correlation and significant relationship were found between HS-EBP sub-dimensions and DTILSES sub-dimensions (p&amp;lt;0.05). Conclusion: As a result, it was found that healthcare professionals working in the field of orthotics and prosthetics needed evidence-based practice training and their awareness of evidence-based practices was low.

To evaluate the measurement properties of the Brazilian version of the Copenhagen Neck Functional Disability Scale (CNFDS) in patients with chronic neck pain. One hundred and five patients were included in the study. The structural validity of the CNFDS was assessed by exploratory and confirmatory factor analysis with the following fit indices: chi-square divided by degrees of freedom (chi-square/df), root mean square error of approximation (RMSEA), comparative fit index (CFI), and Tucker-Lewis index (TLI). To test the construct validity, the CNFDS score was correlated with the Numerical Pain Rating Scale, the Tampa Scale of Kinesiophobia, the Pain-Related Catastrophizing Thoughts Scale, and Neck Disability Index (NDI). A subsample of 43 patients filled the CNFDS at two different times, and test-retest reliability was measured using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimum detectable change (MDC). The internal consistency of the CNFDS was analyzed by Cronbach's alpha. CNFDS presented a unidimensional structure, with goodness of fit indices: chi-square/df = 1.37, CFI = 0.94, TLI = 0.93, RMSEA = 0.059. The CNFDS showed satisfactory results of reliability (ICC = 0.93) and internal consistency (Cronbach's alpha = 0.84). The SEM was 1.72 and the MDC was 4.76. The CNFDS showed a high correlation with the NDI (rho = 0.718) and a low correlation with the other instruments. There were no floor and ceiling effects. The Brazilian version of the CNFDS with a one-dimensional structure and 15 items has adequate measurement properties.

- The aim of the study is to propose the Italian version of the multifactor resistance to change scale (RTC) developed by Oreg (2003), and to examine its psychometric properties. The research was conducted via self-administered questionnaires on a group of 324 adults, men and women, currently employed. Correlations were computed between RTC and measures of personality factors (Big Five), sensation seeking, need for cognitive closure, emotional control, cognitive abilities, and political orientation. Then, the correlation between RTC and social desirability was computed. Moreover, differences in RTC scores between sub-groups with a different amount of change experiences were analysed. Finally, via multiple regression analysis, the best predictors of RTC were identified. RTC factorial structure, made up of four first-order factors and a single second-order factor, was supported by confirmatory factor analysis results. The internal consistency was also acceptable. RTC measure was negatively correlated with extraversion, agreeableness, emotional stability and openness (Big Five), sensation seeking, and emotional control. The correlation between RTC and need for cognitive closure was high and positive. The correlation between RTC and social desirability was week and negative, and no correlations at all resulted between RTC, cognitive ability and political orientation. Participants with a high number of change experiences had a lower RTC scores when compared with those with a low number of change experiences. Finally, need for cognitive closure was the most important predictor of resistance to change score.

To translate and evaluate the psychometric properties of the Chinese-Cantonese version of the Adolescent Dysmenorrhic Self-Care Scale. Adolescent girls prefer engaging in self-care activities for dysmenorrhoea. The Adolescent Dysmenorrhic Self-Care Scale is a reliable and valid scale for measuring the self-care behaviour of adolescent girls with dysmenorrhoea. However, it has not been validated in Hong Kong population. A cross-sectional design. In phase one, the Adolescent Dysmenorrhic Self-Care Scale was translated into Chinese-Cantonese and was reviewed by an expert panel for the semantic equivalence and content validity. In phase two, the Chinese-Cantonese version of Adolescent Dysmenorrhic Self-Care Scale was administered to 396 girls with dysmenorrhoea. The construct validity was tested using confirmatory factor analysis and correlated with the Chinese version of the Generalized Self-Efficacy Scale. The reliability was assessed by Cronbach's alpha and test-retest reliability. Item 13 related to school nurses was deleted because of its poor relevance to the Hong Kong situation. Four items (items 26-29) related to the medical-orientated behaviours were considered by the expert panel as not relevant to the self-care construct in Hong Kong population. Therefore, confirmatory factor analyses were carried out to 39-item Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale (deletion of item 13) and the 35-item Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale (with further deletion of items 26-29). Confirmatory factor analysis did not confirm the 39-item Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale, but the results showed the goodness of fit in the 35-item of Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale (root-mean-square error of approximation = 0·075, standardised root-mean-square residual = 0·078, normed fit index = 0·95, non-normed fit index = 0·96, comparative fit index = 0·96). Significant correlations with Chinese version of the Generalized Self-Efficacy Scale (r = 0·46, p < 0·01) were identified. The Cronbach's alpha of 35-item Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale was 0·94. The intraclass correlation coefficient was 0·93. The 35-item Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale had satisfactory validity and reliability. Nurses may use the 35-item Chinese-Cantonese-Adolescent Dysmenorrhic Self-Care Scale in assessing the self-care behaviour of adolescent girls with dysmenorrhoea, so that girls with a low level of self-care behaviour can be identified and appropriate intervention can be provided.

This paper describes the development of the Evidence-Based practice Attitude and utilization SurvEy (EBASE), which was designed to measure complementary and alternative medicine (CAM) practitioner attitude to and utilization of evidence-based practice (EBP). The aim of this study was to evaluate the validity and reliability of the EBASE as a measure of CAM practitioner skill, attitude and use of EBP in order to adequately inform clinicians and researchers about this comprehensive survey tool. EBASE and the clinical effectiveness and EBP questionnaire (EBPQ) were distributed to nine experts in CAM education, research, questionnaire design and/or EBP. Responses to these questionnaires were used to evaluate the content validity, convergent validity, test-retest reliability and internal consistency of EBASE. EBASE has found to have good internal consistency (Cronbach's alpha = 0.84) and acceptable test-retest reliability (ICC = 0.578-0.986). The instrument also demonstrated good content validity (CVI = 0.899), and adequately measured practitioner skill and utilization of EBP when compared to the EBPQ. The current study supports the validity and reliability of EBASE as a measure of CAM practitioner skill, attitude, experience and training in, as well as barriers and facilitating factors of EBP.

Vietnamese Version of the Voice-Related Quality of Life Measure: Translation, Cultural Adaptation, and Test of Validity and Reliability.

BackgroundThinking that they are being stigmatized can negatively affect the mental health of healthcare workers, whose workload has already increased during the epidemic. The aim of the study was to develop the ‘Perception of Stigma due to COVID-19 in Physicians' (PSCP) and to conduct a validity and reliability study.MethodsA 5-point Likert-type 23-item question pool was created. In order to evaluate the content validity, CGI and CGO were calculated by taking expert opinions and 18 items were selected. It was tested with 303 physicians in Turkey to determine the psychometric properties. In order to evaluate the reliability of the scale, internal consistency (Cronbach's alpha) analyzes, item analysis and test-retest reliability analysis were performed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used for construct validity.ResultsOf the participants 59.1% were female. After analysis, the scale consisted of 10 items and 2 sub-dimensions. The Cronbach's alpha coefficient was 0.87 for the environmental stigmatization sub-dimension, 0.76 for the perception of personal stigmatization, and 0.88 for the whole scale. Scale items explained 61.56% of the total variance and factor loads varied between 0.66 and 0.85. Scale fit and fit index were found to be acceptable as a result of CFA. Pearson correlation coefficient calculated for test-retest reliability was 0.63, and intraclass correlation coefficient was 0.70 (95% CI 0.38-0.86, p: 0.001). In the final, the total score that can be taken from the scale was between 0-50. The mean total score obtained from the scale was 24.3 ± 7.9. Of the physicians 46.9% scored above the average. It was accepted that as the score obtained from the scale increased, the level of perception of stigma caused by COVID-19 increased in physicians.ConclusionsPSCP is a valid and reliable tool for assessing perception of COVID-19-induced stigma in healthcare workers.Key messages The scale developed is a tool that can be used in studies aimed at evaluating the stigma perceptions caused by COVID-19 in physicians.During the COVID-19 pandemic, physicians' level of stigma perception obtained with the PSCP scale was high.

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.

We aimed to assess the factor structure, internal consistency, test-retest reliability, and construct validity of the European Portuguese version of the Pittsburgh Sleep Quality Index (PSQI) in breast cancer patients. This study was based on a cohort of breast cancer patients, among whom the PSQI was used to measure sleep quality threeyears after cancer diagnosis (N=474). A sample of 62 participants underwent additional PSQI testing, wore a wrist actigraph for five consecutive days, and was reevaluated with the PSQI after onemonth. A confirmatory factor analysis, considering the components suggested by the principal component analysis (PCA), was performed to determine model fit. To evaluate internal consistency and test-retest reliability, Cronbach's alpha and intraclass correlation coefficient (ICC) were calculated, respectively. To assess construct validity, Spearman's correlation coefficients were computed between PSQI scores and actigraphy measures and other theoretical related constructs. PCA suggested one or two components. The latter showed better fit to the data, though the two factors were strongly correlated (r=0.76) and internal consistency was not satisfactory for one of the factors. Regarding the one-factor model, internal consistency (Cronbach's alpha=0.70) and test-retest reliability (ICC=0.76) were adequate. Sleep duration, habitual sleep efficiency, and sleep disturbance dimensions were significantly correlated with the corresponding actigraphy measures; the PSQI global score derived from the one-factor model was more strongly correlated with subjective sleep complaints (r≥0.60). The unidimensional construct of the European Portuguese version of the PSQI showed adequate reliability and validity among breast cancer patients.

Objective To assess the test–retest reliability, internal consistency, and construct validity of the 9-item Tampa Scale for Kinesiophobia in patients with chronic low back pain. Design Questionnaire validation study. Setting Study was conducted in an online environment. Participants We included people aged 18 to 50 years with self-reported low back pain lasting > three months and assessed the Pain-Related Catastrophizing Thoughts Scale and the 9-item Tampa Scale for Kinesiophobia. Main measures We used intraclass correlation coefficient, standard error of measurement, minimum detectable change, and Cronbach's alpha to assess the reliability and internal consistency of the 9-item Tampa Scale for Kinesiophobia. We tested correlations between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables to assess construct validity. Results A total of 174 participants with chronic low back pain were included in the analysis. No ceiling or floor effect was found. In terms of construct validity, there was a positive correlation between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables. In the reliability analysis, there was adequate test–retest reliability of the two domains of the 9-item Tampa Scale for Kinesiophobia: intraclass correlation coefficient = 0.99, standard error of measurement = 3.4%, and minimum detectable change = 9.6% for the activity avoidance domain; and intraclass correlation coefficient = 0.99, standard error of measurement = 3.5%, and minimum detectable change = 9.9% for the somatic focus domain. There was acceptable internal consistency (Cronbach's alpha ≥ 0.68) for both domains. Conclusion The 9-item Tampa Scale for Kinesiophobia has adequate measurement properties in patients with chronic low back pain.

Information Literacy Self-Efficacy Scale: Validating the translated version of the scale for use among Bangla-speaking population