Transcultural adaptation to Spain of the CDPQOL questionnaire specific for coeliac children.
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.
- Research Article
- 10.56294/mw2025458
- Jun 4, 2025
- Seminars in Medical Writing and Education
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<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.
- Research Article
5
- 10.1177/0033294120971771
- Nov 3, 2020
- Psychological Reports
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.
- Research Article
- 10.31744/einstein_journal/2024ao0685
- Sep 9, 2024
- Einstein (Sao Paulo, Brazil)
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.
- Research Article
- 10.5604/01.3001.0054.3355
- Apr 9, 2024
- Otolaryngologia Polska
<b><br>Introduction:</b> The COMQ-12 questionnaire is a tool to assess the quality of life in patients with chronic otitis media in many countries. The questionnaire consists of 12 questions: seven relating to the severity of symptoms, two regarding the impact of the disease on lifestyle and work, two concerning the impact on the need for healthcare, and one is a general question. Each question is rated on a scale from 0 to 5.</br> <b><br>Aim:</b> To present the validation process and the final version of the Polish version of the COMQ-12 questionnaire.</br> <b><br>Material and methods:</b> The Polish version of the COMQ-12 questionnaire was prepared based on an independent translation of the English version by three physicians (two otolaryngology specialists and one physician in the process of specialization in otolaryngology). The questionnaire was validated in a study including 60 participants: 30 patients with chronic otitis media and 30 volunteers without a history of middle ear diseases or hearing disorders. Each participant was asked to complete the COMQ-12 questionnaire twice at an interval of 4 weeks apart. The internal consistency, reliability, and construct validity of the questionnaire were analyzed using Cronbach's alpha and McDonald's omega coefficients, Spearman's rho correlation coefficient, and the Mann-Whitney test, respectively.</br> <b><br>Results:</b> High internal consistency, reliability, and construct validity of the Polish version of the COMQ-12 questionnaire were shown in the course of statistical analysis. The overall internal consistency was 0.95 and 0.97 as assessed by Cronbach's alpha and McDonald's omega coefficients, respectively. Spearman's rho correlation coefficient was above 0.89 for each question. Statistically significant differences in the COMQ-12 total scores were obtained between patients with chronic otitis media and the control group.</br> <b><br>Conclusions:</b> The Polish version of the COMQ-12 questionnaire can be a valuable clinical tool for the assessment of the quality of life in patients suffering from chronic otitis media.</br>.
- Research Article
- 10.54535/rep.1666895
- Jun 24, 2025
- Research on Education and Psychology
In this research, it was aimed to develop a valid and reliable measurement tool to determine the brain rot levels of individuals. The research study group was formed by selecting among the Alpha generation individuals who are accepted to use social media more intensively. In the scale development process, draft scale development, EFA, CFA, test-retest, and known group validity methods were used. Cronbach's Alpha and McDonald's Omega coefficients were calculated for the reliability analyses of the scale. According to the findings obtained as a result of the analyses, the scale consists of four dimensions and 18 items. The scale dimensions are cognitive load, cognitive fatigue, emulation, and depersonalization. The fit indices of the structure obtained with CFA are acceptable and good fit level. Cronbach's Alpha and McDonald's Omega coefficients calculated for the reliability of the scale are above 0.70. According to the methods of test-retest and known group validity methods, the developed scale makes measurements that are stable and can distinguish different groups. As a result of all analyses, it was determined that the developed brain rot scale is a valid and reliable measurement tool.
- Research Article
- 10.1186/s12888-025-07169-5
- Jul 29, 2025
- BMC psychiatry
This study aimed to assess the psychometric properties of the Farsi version of the Electroconvulsive Therapy-Related Anxiety Questionnaire (ERAQ). This methodological study was conducted among patients undergoing or with a history of Electro Convulsive Therapy (ECT) in Mashhad, Iran, during 2024-2025. Data were collected using a demographic profile form and the ERAQ. The questionnaire was translated into Farsi using the forward-backward translation method, and its face and content validity were assessed both qualitatively and quantitatively. To evaluate construct validity, exploratory factor analysis (n = 150) and confirmatory factor analysis (n = 150) were performed. Convergent validity was examined using Composite Reliability and Average Variance Extracted values, while discriminant validity was assessed through the Heterotrait-Monotrait ratio. Reliability was determined by estimating internal consistency through Cronbach's alpha and McDonald's omega coefficients. During exploratory factor analysis, item 9 was removed because its factor loading was less than 0.30, and the remaining 16 items were distributed across three factors: life disruption, socio-physical disruption, and memory disruption, which collectively explained 45% of the total variance. Confirmatory factor analysis demonstrated a good fit for the proposed model. All composite reliability, maximum reliability, and heterotrait-monotrait ratios supported the convergent and discriminant validity of the ERAQ. Additionally, Cronbach's alpha and McDonald's omega coefficients confirmed the acceptable internal consistency of the Farsi version of the ERAQ. Based on the findings of this study, the Farsi version of the ERAQ demonstrates sufficient validity and reliability to assess anxiety symptoms associated with ECT in the Iranian population.
- Research Article
- 10.1093/eurpub/ckaf161.856
- Oct 1, 2025
- European Journal of Public Health
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.
- Research Article
1
- 10.1186/s12884-024-06817-0
- Oct 18, 2024
- BMC Pregnancy and Childbirth
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.
- Research Article
- 10.1590/1413-81232025309.07832024
- Jan 1, 2025
- Ciencia & saude coletiva
The aim is to reevaluate the measurement properties of the Portuguese version of the Work Ability Index (WAI). A cross-sectional study was conducted with 3,051 nurses in the state of São Paulo. Participants answered a questionnaire on individual characteristics, working conditions, and WAI. Validity was assessed through discriminative analysis of known groups and exploratory factor analysis (EFA) with parallel analysis (PA). Reliability was assessed using Cronbach's alpha and McDonald's omega coefficients. In the analysis of known groups, all investigated individual and work variables showed statistically significant associations with WAI (p < 0.005). EFA revealed a unidimensional structure, which was confirmed by PA. The model proved to be appropriate (root mean square error of approximation = 0.125; Tucker-Lewis Index = 0.900), although the Comparative Fit Index = 0.882 was slightly lower than expected. Reliability was satisfactory (Cronbach's alpha coefficient = 0.787 and McDonald's omega = 0.819). The WAI continues to be a valid and reliable measure to evaluate work ability in the current context of Brazilian work.
- Research Article
2
- 10.1016/j.ajp.2023.103771
- Nov 1, 2023
- Asian Journal of Psychiatry
Validation of the mild cognitive impairment health literacy assessment scale (MCI-HLA scale) in middle-aged and older adults.
- Research Article
3
- 10.1007/s40944-022-00680-7
- Nov 27, 2022
- Indian Journal of Gynecologic Oncology
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.
- Research Article
- 10.1111/ijn.70003
- Feb 1, 2025
- International journal of nursing practice
This study was conducted to examine the validity and reliability of the Turkish version of the Public Stigma of Stroke Scale (PSSS). The stigma perceived by patients who have had stroke affects the quality of life as well as many health-related factors. Therefore, it is necessary to determine the society's stigmatization of the stroke patient and to reveal the differences related to stroke in different cultures. This study is methodological research. This study was conducted with 410 individuals aged 18 and over. The data were collected by using descriptive information form and PSSS. The data were evaluated by using exploratory and confirmatory factor analysis, Cronbach's alpha, McDonald's Omega reliability, composite reliability, mean variance extracted and test-retest analysis. Factor load values of the scale items were found to vary between 0.585 and 0.904. The fit index values in the scale were found as X2/df = 2.42, < 0.001, CFI = 0.934, TLI = 0.928, SRMR = 0.042 and RMSEA = 0.059. It was found that Cronbach's alpha coefficients of the factors of the scale ranged between 0.916 and 0.946, and the total Cronbach's alpha coefficient was 0.897. Total McDonald's omega coefficient was found to be 0.897, and McDonald's omega coefficients of the factors were found to be between 0.921 and 0.951. Total composite reliability was found to be 0.981, and total mean variance extracted was found to be 0.740. It was found that the Turkish version of the 33-item and four-factor scales was confirmed without any changes in the original scale form. Turkish version of PSSS is a valid and reliable measurement tool for the evaluation of the stigmatization of stroke patients by the public and for use in clinical practice.
- Research Article
- 10.3389/fpsyt.2024.1388447
- Sep 3, 2024
- Frontiers in psychiatry
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.
- Research Article
2
- 10.3389/fpubh.2024.1359146
- Apr 17, 2024
- Frontiers in Public Health
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.
- Research Article
- 10.1371/journal.pone.0320807
- Apr 1, 2025
- PloS one
Employed households experience time poverty, which refers to feeling overwhelmed because of the struggle to balance work and life. Time poverty is subjectively perceived as a lack of personal free time. In Japan, long working hours and societal expectations regarding the division of work and family roles may influence the perception of time poverty. This issue is of significant concern, as it can impact individuals' rest time and work productivity. However, there is currently no standardized measurement method to assess time poverty appropriately in the Japanese context. The lack of such a method challenges establishing a foundation for developing effective support strategies. Given this background, this study aimed to quantify time poverty among employed households by developing a Japanese version of the Perceived Time Poverty Scale and examining its reliability and validity. In developing the Japanese version of the Perceived Time Poverty Scale, cultural adaptations were made in addition to the standard translation and back-translation procedures. Through discussions with researchers and translation experts, terms with differing scopes of interpretation in the Japanese context were revised, and expressions were adjusted to reflect the intended concepts better. The data for this study were collected through Wave 2 of the longitudinal survey, the Hama Study, conducted over a five-year period from 2022 to 2027. This survey randomly selected 10,000 employed households residing in Yokohama, Japan. Participants completed the Japanese version of the Perceived Time Poverty Scale developed in this study, along with the well-being scale, the Kessler Screening Scale for Psychological Distress, and the Japanese Short-Form UCLA Loneliness Scale. Exploratory and confirmatory factor analyses were conducted to evaluate the scale structure. Internal consistency was assessed using Cronbach's alpha and McDonald's omega coefficients. Furthermore, correlations between the Japanese version of the Perceived Time Poverty Scale and the other scales were examined to evaluate the structural validity of the scale. Data from 1,979 respondents who participated in the Wave 2 online survey were analyzed. The scale demonstrated high reliability, with a Cronbach's alpha coefficient 0.90 (95% CI: 0.89-0.91). Exploratory factor analysis confirmed a single-factor structure and confirmatory factor analysis supported this structure with fit indexes (CFI = 0.957, TLI = 0.929, RMSEA = 0.136, SRMR = 0.035). Perceived time poverty was negatively correlated with sleep time and leisure time, and positively correlated with childcare time. Furthermore, perceived time poverty showed significant correlations with well-being, psychological distress, social isolation, and job satisfaction, confirming the validity of the developed scale. The Japanese version of the Perceived Time Poverty Scale is a reliable tool with a certain degree of validity for assessing time poverty in Japan. This scale enables individuals and households to recognize time poverty as a modern form of poverty. Furthermore, businesses and local governments can utilize it as an indicator in practical settings, such as improving work environments, implementing childcare support programs, and promoting community health. Future longitudinal studies are needed to further validate the scale, including addressing issues related to model fit.
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