Alpha For Subscales Research Articles

Development and validation of social issues advocacy scale 2-short form

ABSTRACT The Social Issues Advocacy Scale (SIAS) was published in 2011 as a tool to assess attitudes and behaviors associated with social justice advocacy. The scale was later revised to reflect updated theories and research, resulting in the 78-item scale, SIAS-2. Given the length of SIAS-2, this article reports on three studies with the aims to shorten the number of items and provide reliability and validity data. In Study 1, we developed SIAS-2 Short Form, consisting of 38 items and 8 subscales, measuring different aspects of social justice advocacy, replicating the scale structure of SAIS-2. In Study 2, we confirmed the scale structure, using confirmatory factor analysis, and examined construct validity. As expected, SIAS-2 SF was positively associated with political engagement, cultural openness, social justice self-efficacy, and engagement, and negatively associated with belief in a just world and cultural dominance. Total scale Cronbach’s alpha was .94 (subscale alphas: .74–.87). As in Study 3, we examined test–retest reliability, with a score of r = .84 for the total scale score. The results revealed a 38-item scale with 8 subscales that appears valid and presents with good to excellent internal reliability. Limitations and implications are addressed.

Development and preliminary psychometric properties of the Scale of Health Belief Model for Sleep

Abstract Background Sleep-related problems are a serious risk to physical and emotional health, academic success, and safety in adolescents. A measurement tool is needed to comprehensively evaluate adolescents’ sleep and plan the steps necessary for behavioral change. This study aimed to develop a scale based on the Health Belief Model that can reliably and validly evaluate adolescent individuals’ beliefs towards sleep. Methods This methodological study was conducted with 494 adolescents between September and October 2022 in Antalya, Turkey. Initially, 81 items about sleep were created according to the Health Belief Model. Validity was assessed as content and construct validity and reliability was assessed as internal consistency. Content validity was evaluated with ten expert views The scale was tested for construct validity with Exploratory Factor Analysis (EFA), after which the scale’s reliability was evaluated for item-total correlations using Pearson’s correlation analysis and for internal consistency with Cronbach’s Alpha. Results In the first EFA, sixteen factors with eigenvalues greater than 1 explained 63.80% of the total variance. Items with factor loadings of less than .30 and those that appeared in more than one factor with differences of less than %10 were removed from the scale one by one and the analysis was repeated. In the last EFA of the 46-item scale, six factors were found with an eigenvalue greater than 1 that explained 57.7 % of the total variance. The scale’s item-total correlations ranged between .26 - .79. Cronbach’s coefficient alpha of subscales was found .92 for perceived susceptibility, .90 for perceived severity, .90 for perceived benefits, .81 for self-efficacy, .79 for motivation and .69 for perceived barriers. Conclusions The validity and reliability properties of the scale of Health Belief Model for sleep have been found good levels in Adolescents. Its intercultural adaptation for use with adolescents in other countries is recommended. Key messages • The newly developed the scale of Health Belief Model for sleep was found to be valid and reliable. • It can be used to assess adolescents’ beliefs about sleep.

Urdu Translation & Validation of Executive Skills Questionnaire-Revised: A Self-Report Tool of Executive Functioning

Executive functions (EF) include skills such as working memory, inhibition and cognitive flexibility that are required for efficient functioning in all disciplines of life, be it personal, educational or professional. The assessment of EF skills using task-based instruments or self-report forms is a debatable topic in research arena. The current study focused on translation and psychometric analysis of a comprehensive yet short and freely available tool of EF skills; Executive Skills Questionnaire-Revised (Strait et al., 2019) in Urdu language. The study followed a rigorous tool translation procedure including forward and back translation. Data was collected from 294 undergraduate students; both boys (n=142) and girls (n=152) aged 18-21 years (M= 19.2, SD=0.98) enrolled in various public sector higher educational institutes of Lahore, Pakistan. Data collection was followed by analysis which included use of descriptive statistics to analyze demographic characteristics and calculation of Cronbach’s alpha of sub-scales to determine internal consistency. Item total correlation was then calculated. Analysis further included Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). Results revealed the internal consistency of all sub-scales in acceptable range having Cronbach alpha value ranging from 0.72-0.80. CFA confirmed the 5-factor structure of the translated tool similar to the original tool. All fit indices were found to be excellent. Results revealed the ESQ-R Urdu as a valid and reliable tool to assess EF skills in student population.

Validation, Reliability, and Clinical Significance of the Arabic Version of Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire.

Clinically relevant fatigue in rheumatoid arthritis (RA) patients significantly affects their quality of life. Almost all studies have assessed fatigue in this population using non-specific scales. The present multi-centric study aimed to assess the validity, reliability, and clinical significance of the Arabic version of the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire (BRAF-MDQ). The present cross-sectional multicentric study was conducted at Aswan, Mansoura, Port Said, and Al-Azhar University Hospitals over a 6-month duration. The study included 311 patients with RA diagnosed according to the 2010 criteria of the American College of Rheumatology. The Arabic version of BRAF-MDQ was developed to assess fatigue in these patients. All patients were subjected to careful history taking, thorough clinical assessment, and standard laboratory work-up. The obtained Arabic BRAF-MDQ was tested for construct validity, internal consistency, testretest reproducibility, and criterion validity. Construct validity was evaluated using factor analysis with the Kaiser Meyer Olkin tool of sampling adequacy and Bartlett's sphericity test. Internal consistency of subscales was assessed using Cronbach's alpha. Test-retest reproducibility was assessed after a 1-week interval using the intraclass correlation coefficient. Pearson's correlation coefficient was used to correlate numerical variables. Predictors of fatigue were identified using binary logistic regression analysis. The present study included 311 RA patients. Construct validity assessment showed a high loading of questionnaire items within the proposed construct subscales with a KMO measure of sphericity of 0.927 and Bartlett's test of sphericity p-value < 0.001. Internal consistency assessment showed adequate Cronbach's alpha of Arabic BRAF-MDQ subscales. Total Arabic BRAFMDQ had excellent criterion validity, as indicated by the high correlations with MAFS (r=0.95, p < 0.001) and SF-36 vitality subscale (r=-0.91, p < 0.001). Clinically significant fatigue was identified in 214 patients (68.8%). Multivariate logistic regression analysis revealed age (OR (95% CI): 1.07 (1.02-1.12), p < 0.001), disease duration (OR (95% CI): 1.82 (1.43-2.33), p < 0.001), DAS28CRP (OR (95% CI): 8.62 (4.63-16.02), p < 0.001), and mHAQ (OR (95% CI): 3.85 (1.07-13.9), p = 0 .039) as significant predictors of fatigue development in the studied patients. The Arabic version of the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire is a valid, consistent, and reliable tool for the assessment of fatigue in Egyptian rheumatoid arthritis patients. Clinically significant fatigue was identified in 214 patients (68.8%). Further, risk factors for fatigue included older age, longer disease duration, and higher disease activity.

What motivates students to pursue a career in gerontological nursing? The cultural adaptation and validation of the Spanish version of the CMGN questionnaire

BackgroundCareer motivation toward gerontological nursing (CMGN) has been studied by various authors. It is essential to identify the influencing factors and guarantee that undergraduate nursing degrees provide adequate social and healthcare responses to the current demand for gerontological care. Objective: In the absence of a validated instrument to measure students' career motivation in geriatric nursing in our sociocultural context, this study aimed to adapt and validate the original questionnaire Chinese CMGN. Methods: Cross-sectional data from 316 nursing students were collected in May 2021. The cultural and linguistic adaptation process was conducted in accordance with the recommendations of Ramada-Rodilla and Beaton. A committee of experts was established to assess content validity. The CMGN questionnaire consists of 20 items divided into 2 subscales: “Expectancy” (6 items) and “Values” (14 items). To determine the psychometric properties, the following analyses were carried out: content validity (Aiken's V coefficient and Pearson's coefficient of variation), internal consistency (Cronbach's α) and construct validity (confirmatory factor analysis and convergent and divergent validity). To verify the model once the parameters were estimated, we calculated the goodness-of-fit between the model and the data. Data analyses were performed using SPSS for Windows (IBM SPSS Statistics 25.0) and Analysis of Moment Structures (AMOS 27.0). ResultsA total of 316 nursing students were surveyed, of which 91.1% were women and the mean age was 21.61 ± 5.45 years (range: 18–56). The results indicate that the psychometric properties of the questionnaire were adequate in terms of content and construct validity. The internal consistency using Cronbach's alpha for both subscales was greater than 0.8. The AMOS results revealed that the final model fit statistics of CMIN/df (2.204), GFI (0.922), CFI (0.948) and RMSEA (0.062) indicated a satisfactory model fit. Finally, an original second-order model was obtained, resulting in the Spanish version of the CMGN (SV-CMGN) instrument. Conclusions: We developed a valid SV-CMGN questionnaire that is socially and culturally adapted to the Spanish context and is capable of measuring the motivation of nursing students toward a career in gerontological nursing, from the newest to the most experienced. This new version opens up the possibility of studying the phenomenon of motivation in other Spanish-speaking countries. Keywords: Gerontological nursing; Motivation; Students, nursing; Validation study; Surveys and questionnaires.

The Brief Evaluation of Adolescents and Children Online (BEACON): Psychometric development of a mental health screening measure for school students.

This paper describes the development and psychometric evaluation of a brief self-report measure (BEACON) to inform universal mental health screening in schools. Items assess symptoms and impairment associated with anxiety and attention/hyperactivity problems (grades 4-11) as well as depression and eating difficulties (grades 6-11), with optional items for suicidality and self-harm (grades 7-11). Initial item examination based on Item Response Theory (IRT) and classical test theory involved 3844 students in grades 4 through 11 (Study 1) and identified 18 items for grades 4-5 and 31 items for grades 6-11 that fulfilled pre-set criteria. Study 2 extended testing with 10,479 students in grades 4-11 and added an additional four items assessing impairment associated with eating difficulties for older students (grades 6-11) creating a total of 35 items for grades 6-11. All items, for both grade-level versions, met the pre-set criteria for IRT and classical test theory analysis supporting their strength in the measurement of the dimensions of concern. The measure showed good reliability (subscale alphas .87 to .95). Validity was also demonstrated against standard symptom measures, school grades, school absenteeism, and help-seeking. The BEACON appears to be a psychometrically sound measure to use in the first stage of school-based screening for mental health problems.

Psychometric properties of the COVID-19 Yorkshire Rehabilitation Scale: Post-Covid-19 syndrome in Iranian elderly population

BackgroundThis study aimed to assess the construct validity and reliability of the Iranian version of the COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) among the elderly population.MethodA cohort of 230 elderly individuals who tested positive for Covid-19 via PCR were administered a health and demographic information questionnaire along with the C19-YRS. Both exploratory and confirmatory factor analyses were conducted, and Cronbach’s alpha was calculated.ResultsFindings from the exploratory and confirmatory factor analyses of the C19-YRS revealed alterations compared to the original version, resulting in an adapted version with three factors achieved by redistributing the questions. These factors accounted for 57.46% of the total variance. Despite a relatively lower factor loading in the 6th question, it was retained due to its significance among the elderly. The Cronbach’s alpha for the C19-YRS subscales ranged from 0.730 to 0.890, indicating acceptable reliability.ConclusionThe validation results indicated a well-adjusted factor structure and internal consistency, affirming the utility of this tool among the elderly population. Consequently, the C19-YRS in Iran can serve as a valuable resource in healthcare settings, aiding in the assessment of chronic complications arising from Covid-19 in the elderly. It can be utilized as an initial screening or triage test and to evaluate the effectiveness of interventions.

Bridging language barriers in developing valid health policy research tools: insights from the translation and validation process of the SHEMESH questionnaire

BackgroundThe use of research tools developed and validated in one cultural and linguistic context to another often faces challenges. One major challenge is poor performance of the tool in the new context. This potentially impact the legitimacy of health policy research conducted with informal adaptations of existing tools which have not been subjected to formal validation. Best practices exist to guide researchers in adapting and validating research tools effectively. We present here, as an extended example, our validation of the SHEMESH questionnaire ('Organizational Readiness to Change Assessment'; In Hebrew: 'SHE'elon Muchanut Ergunit le'SHinuy'), a Hebrew-language version of the Organizational Readiness to Change Assessment (ORCA). SHEMESH is tailored to support implementation science projects, whose aim is to promote a more rapid and complete adoption of evidence-based health policies and practices.MethodsThe SHEMESH included originally eleven questions from the Evidence (item 1–4) and Context (items 5–11) domains. We validated SHEMESH through the following steps: 1. Professional translation to Hebrew and discussion of the translation by multidisciplinary committee; 2. Back-translation into English by a different translator to detect discrepancies; 3. Eleven cognitive interviews with psychiatric emergency department physicians and nurses; and 4. Pilot testing and psychometric analyses, including Cronbach’s alpha for subscales and factor analyses.ResultsFollowing translation and cognitive interviews, SHEMESH was administered to 222 psychiatrists and nurses. Pearson correlation showed significant and strong correlations of items 1–4 to the Evidence construct and items 6–11 to the Context construct. Item 5 did not correlate with the other items, and therefore was removed from the other psychometric procedures and eventually from the SHEMESH. Factor analysis with the remaining 10 items yielded two factors, which together explained a total of 69.7% of variance. Cronbach's Alpha scores for the two subscales were high (Evidence, 0.887, and Context, 0.852).ConclusionsThis multi-step validation process of the SHEMESH questionnaire may serve as a comprehensive guideline for others who are willing to adapt research tools that were developed in other languages. Practically, SHEMESH has been validated for use in implementation science research projects in Israel.

Psychometric Properties of the Piper Fatigue Scale-12.

Background and Purpose: The Piper Fatigue Scale (PFS)-12 is a recently shortened version of the original PFS that has 40 items. Psychometric evidence for PFS-12 from a small sample of individuals on hemodialysis is presented. Methods: The psychometric analysis with pilot data was done using a detailed item analysis, including Bland-Altman plots, exploratory factor analysis of pre- and post-item scores, and item change scores. Additional measures were used to investigate the validity including the Patient-Reported Outcomes Measurement Information System-Fatigue Scale and the 6-minute walk test. Results: The sample consisted of 86 hemodialysis individuals. The internal consistency reliability of the PFS-12 total scale was 0.91 (pre), 0.95 (post), and subscale alphas were 0.79-0.94. Convergent, concurrent, and predictive validity of PFS-12 were supported. Construct validity of PFS-12 was confirmed predialysis and partially supported in the change score analysis. Conclusion: The brief 12-item PFS is a good alternative to the longer version of this scale to reduce the respondent burden and measure the overall fatigue; further validation in test-retest situations and subscale validity is needed.

Prevalence and predictors of depression, anxiety, and stress among recovered COVID-19 patients in Vietnam.

During the COVID-19 pandemic, a high prevalence of mental health distress has been reported among people who have recovered from the disease. To assess the prevalence of depression, anxiety, and stress as well as identify predictors among recovered COVID-19 patients after more than six months of being discharged in Dong Thap Province, Vietnam. The cross-sectional study was conducted among 549 eligible participants recruited by stratified sampling. Data was collected using the depression, anxiety and stress scale - 21 items had Content Validity Index = 0.9, and Cronbach's alpha for depression, anxiety and stress sub-scales were 0.95, 0.81, and 0.86, respectively. Descriptive statistics were used to measure the prevalence levels and distribution of characteristics of the participant, while factors influencing depression, anxiety, and stress were predicted using binary logistic regression. The overall prevalence of depression, anxiety, and stress were 24.8% (95% CI: 21.2-28.6), 41.5% (95% CI: 37.4-45.8), and 25.3% (95% CI: 21.7-29.2), respectively. The predictors of depression were living in urban area (OR = 1.97; 95% CI: 1.27-3.08), holding a bachelor's degree (OR:3.51; 95% CI: 1.13-10.8), having a high monthly income (OR: 2.57; 95% CI: 1.03-6.38), diabetes (OR: 2.21; 95% CI: 1.04-4.68), heart disease (OR: 3.83; 95% CI: 1.79-8.17), respiratory disease (OR: 3.49; 95% CI: 1.24-9.84), and diarrhea (OR: 4.07; 95% CI: 1.06-15.6). Living in the urban area (OR: 1.57; 95% CI: 1.07-2.29), having sleep disturbance (OR: 2.32; 95% CI: 1.56-3.46), and fatigue (OR: 1.57; 95% CI: 1.03-2.39) were predictors for anxiety. Having respiratory disease (OR: 3.75; 95% CI: 1.47-9.60) or diarrhea (OR: 4.34; 95% CI: 1.18-15.9) were predictors of stress. People who have recovered from COVID-19 should be assessed for symptoms of depression, anxiety, and stress. Primary healthcare providers should develop interventions to support their recovery.

Exploratory Factor Analysis of the Romantic Relationship Stress Scale

Stress is inherent to romantic relationships. Current relationship scales measure individual stress, relationship conflict, and relationship happiness. However, no known empirically supported scale exists that comprehensively measures romantic relationship stress. We reviewed the extant theory, empirical findings, and measures within the broad category of relationship stress. Using this information, we created the Romantic Relationship Stress Scale (RRSS)—a three-part, 29-item measure. We administered the measure to married individuals ( N = 296) in either a proximal or long-distance relationship, in the context of a larger study. An exploratory factor analysis was performed on RRSS responses, using principal axis factoring with an oblique rotation. A three-factor solution was derived, representing the factors of relational negativity, stressful relationship events, and relational positivity. These factors explained 67.7% of the variance in RRSS responses, and were correlated in the expected directions. The overall scale alpha was 0.93, and subscale alphas ranged from 0.65–0.91. The RRSS demonstrated convergent validity; scores were positively correlated to scores on a widely used measure of individual stress. The RRSS discriminated between those in proximal versus long-distance relationships. Overall, the RRSS appears to be psychometrically sound, and can be considered for use in both research and clinical settings.

Menopause Rating Scale (MRS) in the Malay language-translation and validation in a multiethnic population of Selangor, Malaysia

BackgroundThe Menopause Rating Scale (MRS) is an internationally used tool to measure menopause-related symptoms and to date it is unavailable in the Malay language. We aimed to translate and validate the Malay language version of the MRS.MethodsTranslation of the English version of MRS into Malay was done by a bilingual expert and back translated. Translated version of MRS was reviewed by a panel to determine the face validity. A sample of 321 women aged 40–60 years residing in Klang, Selangor, Malaysia was selected by stratified random sampling method in a house-to-house survey. The Malay language version of MRS was self-administered. Reliability analyses, including test–retest reliability (on 30 women after a two-week interval) were conducted. To ascertain the construct validity, 11 items were analyzed confirmatory factor analysis was conducted to evaluate the structural model fit of the Malay language version of MRS.ResultsA total of 294 (91.6%) completed the survey and their mean age was 50.9 years (SD = 6.3). An overall Cronbach’s alpha for MRS was 0.904. Cronbach’s alpha for psychosomatic, urogenital, and somatovegetative subscales were 0.889, 0.846, and 0.776 respectively. The corrected item correlations were approximately 0.6 and inter-item correlations were between 0.3 and 0.9. On exploratory structural equation modelling, the chi-square test of goodness of fit yielded a significant value; χ2 = 78.4, df = 25, p < 0.001, (reported if N > 200). Additionally, the value of Tucker–Lewis Index (TLI) = 0.954showed a good fit to the model.ConclusionThe translated English version of the Menopause Rating Scale into the Malay language showed excellent reliability, test–retest reliability, and construct validity. The instrument can be used to assess menopause-related symptoms among Malaysian women.

Developing measures of immersion and motivation for learning technologies in healthcare simulation: a pilot study.

Introduction: Medical education has benefitted from the introduction of new technology within recent years. Immersive devices, such as, 360-degree films and virtual reality have become new ways of simulating clinical experiences. The aim of the study was to validate and test reliability of a new measure of engagement.Methods: A between-participants design of 2 groups viewing a clinical consultation on a 360-degree headset or 2D monitor was conducted following computer random allocation of 40 healthcare professionals recruited from scheduled teaching. Twenty-three were assigned to 360-degree and 17 to 2D Medias. Adapted Immersion Experience Questionnaire (AIEQ) and Abridged Intrinsic Motivation Inventory (AIMI) were modified to match factors relating to clinical encounters. AIEQ and AIMI were utilised as the data collection tool by each group following video viewing. Spearman’s rank correlation was used to assess relationship between immersion and motivation. Comparisons between 360-degree and 2D media responses were made using Wilcoxon’s signed ranks test. Internal reliability coefficients of adapted measures were calculated with Cronbach alpha scores.Results: Total immersion scores were statistically higher in those experiencing 360 (p<0.05), with a median difference of 14.50 (95% CI 6.50-22.00). A positive correlation existed between the total AIEQ and total score of the AIMI in both groups (rs =0.88, n=17, p<0.001). Internal consistency and reliability was demonstrated with a high Cronbach alpha score for the AIEQ (α= 0.91). AIMI subscale alpha value was also high at (α= 0.95) which shows the measures to be of high internal reliability.Conclusions: Adaptation and validation of existing measures for use in healthcare education can be used to quantify levels of immersion and motivation. Standardising measures for use in evaluating new Technology Enhanced Learning is a step to aid understanding on how we develop these tools in medical education and how we might learn from immersive technology.

Reliability and validity of depression anxiety stress scale (DASS)-21 in screening for common mental disorders among postpartum women in Malawi

BackgroundApproximately one in five women who have recently given birth suffer from common mental disorder (CMD), particularly depression and/or anxiety. Most available CMD screening tools in most low- and middle-income countries do not screen for more than one mental health problem. Having a screening tool that is free to use, short in assessment time, and used to screen for more than one CMD is appealing in a resource-constrained setting.MethodWe conducted a criterion validation study of the Chichewa translated and adapted DASS-21 instrument against gold standard diagnoses of depression and anxiety disorders using an independently administered Structured Clinical Interview for DSM-IV (SCID). We compared the performance of the DASS-depression subscale with the Edinburgh Postpartum Depression Scale (EPDS). Internal reliability was reported using both Cronbach’s alpha and ordinal alpha. The DASS-21 and EPDS ability to discriminate cases from non-cases was assessed by receiver operating characteristics (ROC) analysis. We selected cut-off points for DASS-21 and EPDS that maximise both sensitivity and specificity.ResultsOne hundred fifteen participants were administered all the measures. Approximately 11.3% and 14.8% had depression and anxiety diagnoses respectively using SCID. The overall Cronbach’s alpha for the DASS-21 scale was 0.74. The DASS-21 subscales had Cronbach’s alpha values of 0.66, 0.29 and 0.52 for depression (DASS-D), anxiety (DASS-A) and stress (DASS-S), respectively. The ordinal alpha for DASS-D, DASS-A and DASS-S subscales were 0.83, 0.74 and 0.87, respectively. The area under the ROC curve was 0.76 (95% CI: 0.61; 0.91) for DASS-D and 0.65 for DASS-A. At a cut-off point of one or more, the sensitivity and specificity for DASS-D were 69.2% and 75.5%, whilst DASS-A was 52.9% and 75.5%, respectively. Pearson correlation coefficient for the association between DASS-D and EPDS was r = 0.61, p < 0.001.ConclusionThe DASS-21 had good internal reliability (Cronbach’s alpha), and its ordinal alpha demonstrated good internal reliability for all its sub-scales. Regarding the criterion validation, only the DASS-D and EPDS demonstrated a satisfactory ability to discriminate cases from non-cases. Our findings suggest that health practitioners can use DASS-D as an alternative tool in screening depression as it has fewer questions than EPDS.

Translation, Cross-Cultural Adaptation, and Psychometric Validation of the Russian Coronary Artery Disease Education Questionnaire II (CADE-Q II) in chronic coronary syndrome patients

Aim. This study sought to translate, cross-culturally adapt, and psychometrically validate the Coronary Artery Disease Education Questionnaire II (CADE-Q II) in Russian.Material and methods. Independent translations and back-translations of the CADE-Q II were conducted by bilingual health professionals and certified translators, respectively. Experts met to consider cultural relevance of the items to Russian patients. The finalized version was then pilot tested in a group of patients to assess understanding and time to complete the tool. Following these steps, 303 patients with a diagnosis of stable coronary artery disease treated in the Outpatient Cardiology Department between April and November 2021 completed the CADE-Q II. The following psychometric properties were evaluated: confirmatory factor analysis, internal consistency (assessed by Cronbach's alpha), test-retest reliability (ICC), and criterion validity (assessed through the association with CADE-Q II and The Self Care of Coronary Heart Disease Inventory and SF-36 scores, among other characteristics from the participants including educational level).Results. After items were translated, revised, culturally adapted and finalized, 30 patients took 30 minutes to complete the CADE-Q II during pilot test and questionnaire was considered understandable by all. Factor analysis (Kaiser-Meyer-Olkin =0.692 and Bartlett's criterion of Sphericity &lt;0.05) revealed four factors, all internally consistent and aligned with the original version of the questionnaire. Cronbach's alpha of subscales ranged from 0.61 to 0.88 and ICC was 0.81. Criterion validity was confirmed by significant differences in total CADE-Q II scores by participants' educational level and correlations between CADE-Q II and The Self Care of Coronary Heart Disease Inventory scores (r=0.251, p&lt;0.05).Conclusion. The Russian CADE-Q II presented sufficient validity and reliability for use to assess disease-related knowledge of chronic coronary syndrome patients in Russia.

Validity, internal consistency, and responsiveness of the Turkish version of The Family Needs Questionnaire-Revised

ABSTRACT Objective The aim of this study is to conduct validity (language, content and confirmatory factor), internal consistency and responsiveness properties for Turkish version of the Family Needs Questionnaire-Revised (FNQ-R). Methods It was carried out with 185 family members who met study inclusion criteria and provided care for the patients with TBI. Sociodemographic characteristics form and the FNQ-R were used as data collection tools. Validity was assessed by language validity, content validity and confirmatory factor analysis. Internal consistency and item-total correlation were used for reliability analysis. Responsiveness analyses were evaluated with infit and outfit statistics, person–item maps and point biserial correlation. Results The language validity of FNQ-R was provided by translation-back translation. The content validity index values were above 0.80. Fit indices were at an acceptable level in confirmatory factor analysis. Cronbach alpha of subscales was found to be between 0.69 and 0.85 and Spearman–Brown split-half reliability was between 0.68 and 0.85. A positive and significant relationship was found between the subscales. The item fit statistics were at the acceptable level. Conclusion It has been determined that the FNQ-R is a valid and reliable measurement tool to identify the needs of the family members who provide care to patient with traumatic brain injury and can be used for Turkish population.

Psychometric Properties of the Behavioral Emotion Regulation Questionnaire

Background: This study was conducted in Tehran with the aim of investigating the psychometric properties of the Behavioral Emotion Regulation Questionnaire (BERQ). Method: The present study uses a cross-sectional design with a convenience sample of students in Tehran. Criteria for entering the study included ages 18 to 50, education with at least a diploma, and willingness to cooperate in this research. Participants completed the Behavioral Emotion Regulation Questionnaire (BERQ) and Cognitive Emotion Regulation Questionnaire (CERQ), Depression, Anxiety and Stress – 21 (DASS-21), and Symptom Check List – revised (SCL-90-R). Formal and content validity, test-retest reliability, and Cronbach’s alpha were determined. Results: The results of the present study confirm the formal and content validity of the BERQ. BERQ was strongly correlated with CERQ and the scale of behavioral inhibition / activation systems, indicating relatedness of the measured constructs. Standardized Cronbach’s alpha of BERQ subscales (Seeking distraction, Withdrawal, Actively approaching, Seeking social support, Ignoring) was .71, .92, .84, .80 and .86 respectively, which confirms the internal reliability of the scale. Conclusion: The Persian version of the Behavioral Emotion Regulation Questionnaire (BERQ) is a tool with appropriate validity and reliability in Iran. Key Words: Reliability, Validity, Behavioral Regulation Questionnaire, Emotion

An immersive virtual reality-based application for treating ADHD: A remote evaluation of acceptance and usability.

Virtual reality (VR) is a digital technology currently considered to implement rehabilitation programs for children with ADHD, a disorder characterised by inattention, overactivity and impulsiveness. This study presents the results of the acceptance and usability of a VR application developed for children with ADHD aiming to provide an environment capable of supporting the development of the different attentional components. Due to COVID-19 restrictions, this study had the secondary aim of assessing whether a remote evaluation was feasible and meaningful. A sample of 20 clinical experts (neuro and psychomotor therapists of the developmental age) was involved in assessing the proposed environment. Two different tools have been applied: the Technology Acceptance Model (TAM-3) questionnaire and a semi-structured interview were self-administered. Six sessions were planned in total, and each one lasted 30 min. With respect to the acceptance of the system, the mean of the answers given is for most of the constructs greater than 4, showing agreement among experts. Cronbach alpha and correlations of subscales seem to confirm the reliability of measures. According to results from the interviews, the developed application has shown versatility in being able to be applied to the heterogeneity of the disorder and it was also possible to obtain valuable insights on possible additional features and functionalities. Regarding the secondary aim, the collected outcomes were positive: all the participants were satisfied with what they could perceive about the application. The results of this work pave the way for a future validation study with children due to the active participation of clinicians and their unanimous positive judgement confirming that the application was considered user-friendly and well accepted.

Urdu translation and psychometric properties of WHO-Five Wellbeing Index among male patients with substance use disorders in Pakistan

ABSTRACT Objective The present study aims to translate and adapt the WHO-Five Wellbeing Index (WHO-5) into the Urdu language and then determine its psychometric properties. Method Male participants (N = 201) between 18 and 45 years old (M = 29.56 years, SD = 7.80) were recruited from substance use disorder treatment centers and hospitals in Karachi... Participants completed a Personal Information Form, The WHO-5, Self-Esteem Scale, and the Depression, Anxiety, and Stress Scale in Urdu. Results The Cronbach’s alpha for the WHO Wellbeing Index (Cronbach’s alpha = .80) is adequate. Similarly, both the Self Esteem (Cronbach’s alpha = .86) and the Depression, Anxiety and Stress Scale total (Cronbach’s alpha = .94) had adequate internal consistency. Further, Cronbach’s alpha for subscales (depression = .88, anxiety = .91, stress = .82) was also adequate. A higher level of well-being is significantly positively associated with self-esteem (r = .275, p < .001) and negatively associated with depression, anxiety, and stress (r = −.307, p < .001). Conclusion The Urdu version of WHO-5 has is a reliable measure for investigating well-being in male patients receiving treatment for substance use disorders in Pakistan who speak Urdu.

The Brazilian hip and groin outcome score (HAGOS-Br): cross-cultural adaptation and measurement properties

BackgroundHip and groin pain or symptoms is a recurrent musculoskeletal complaint among young and active individuals. It is important to objectively measure functional limitations using patient-related outcomes that have been validated in the language of the target population. ObjectivesTo perform a cross-cultural adaptation and to evaluate the measurement properties of the Hip and Groin Outcome Score (HAGOS) for the Brazilian population. MethodsWe adapted the HAGOS to Brazilian Portuguese and evaluated the following measurement properties: internal consistency, test–retest reliability, measurement error, and structural and construct validity. The sample recruited consisted of active individuals between 18 and 55 years of age with long standing hip and groin pain and individuals who participated in sports with high physical demand of the hip and groin region. ResultsA total of 103 athletes and physically active individuals of both sexes participated in this study. The HAGOS was successfully translated and culturally adapted to the Brazilian population. Factor analysis confirmed that the HAGOS consists of six subscales. The HAGOS-Br showed good internal consistency. The CFA revealed a Cronbach's alpha for the HAGOS subscales ranging from 0.86 to 0.96, test-retest reliability was substantial, with intraclass correlation coefficients ranging from 0.81 to 0.94 for the six subscales and an acceptable measurement error (standard error of measurement [SEM]=5.43–11.15 points; and smallest detectable chance [SDC]= 16.71–30.9 points). Good construct validity existed with more than 75% of the pre-defined hypotheses being confirmed. No ceiling or floor effects were observed. ConclusionThe HAGOS-Br showed to be equivalent to the original version with adequate validity and reliability properties.