Alpha Scores Research Articles

Operational Management Practices of Resorts in Dinadiawan, Dipaculao, Aurora: A Basis for Strategic Plan

This study determined the prolife of the resorts and their practices in operating their business in Brgy. Dinadiawan Dipaculao, Aurora. Also, the study identified the opportunities and challenges faced by resort owners during their operation. The study was conducted during the School Year 2023-2024. The survey had 40 resort owners/managers. Pre-testing was carried out among resort owners and managers at Baler in Aurora Province, with a Cronbach alpha score of 92.8% indicating that the instrument was trustworthy. The survey employed the descriptive-correlation technique of research, and the data was evaluated using statistical tools such as frequency count, percentage, mean, and standard deviation. The operation practice of the resorts got an overall mean of 4.25 verbally described as agree. This denotes that resorts were able to perform their respective practices to satisfy and meet the demand of their clients. In addition, the opportunities experienced by the resort owners in their operation got an overall mean of 4.64 which verbally described as “Always”. This denotes that opportunities are evident and available among resorts owners and all they have to do is to maximize and utilize it effectively. Meanwhile, the challenges faced by the resort owners got an overall mean of 3.71 verbally described as “Occasionally”. This indicates that although the following challenges are not usually happening, still the management should efficiently manage it to be more productive . Lastly, the study proposed a strategic development plan to address challenges and maximize opportunities based on the results of the study that serves as a basis for action plan.

Family-Centered Care from the Point of View of Undergraduate Nursing Students Studying in Selected Public Universities: A Cross-Sectional Study

Background: The concept of family-centered care (FCC) is central to the care model and is an essential core principle of pediatric nursing. Objectives: This study aimed to assess undergraduate nursing students' perceptions of FCC in selected government universities and examine differences in nursing students' perceptions of FCC based on gender and academic level. Methods: A cross-sectional design was used, involving 124 eligible students. Data were collected using a validated Family-Centered Care Questionnaire (FCCQ), which had a Cronbach’s alpha score of 0.90. Statistical package for social sciences (SPSS) version 25 was employed for data analysis, specifically for calculating means, standard deviations (SDs), frequencies, percentages, and conducting independent t-tests. Results: The overall mean score of perceptions was 3.35 ± 0.76. The "Family is the constant" dimension had the highest score (3.45 ± 0.91), while the "Developmental needs" dimension had the lowest score (3.26 ± 0.95). There was a significant difference in perceptions of FCC between male and female students (t = -5.291, P < 0.001) and between third- and fourth-year students (t = 7.345, P < 0.001). Conclusions: It can be concluded that undergraduate nursing students had modest perceptions of FCC, and there was a significant difference in these perceptions based on gender and academic level. This study provides valuable insight into FCC, which can inform policy design and interventions in nursing education in Jordan. An educational program is recommended to improve undergraduate nursing students' perceptions of FCC.

Clinical performance of polyethylenefiber reinforced resin composite restorations in endodontically treated teeth: (a randomized controlled clinical trial)

AimThe purpose of this study was to evaluate the performance of polyethylene fiber reinforced resin composite fillings compared to bulk fill resin composite fillings in endodontically treated teeth over a two-year monitoring period.MethodA total of 240 individuals with endodontically treated lower molars and a moderate amount of tooth structure were divided into two equal groups of 120 each. One group received polyethylene fiber reinforced bulk fill resin composite restorations while the other group received only bulk fill resin composite restorations, both applied as per manufacturer guidelines. Two proficient experienced blinded assessors assessed the restorations using modified USPHS criteria at baseline, 6, 12, and 24 months.Statistical analysis usedData analysis involved the utilization of Mann-Whitney U, Friedman’s test, and Nemenyi post hoc test, with age data being displayed as mean and standard deviation. The significance level was established as p < 0.05, and R software was utilized for statistical analysis.ResultsThere were no notable distinctions in any parameters or scores between the intervention and comparator groups at various time points. Alpha scores were present for retention, gross fracture, and secondary caries at all follow up intervals.ConclusionBoth direct resin composite restorations reinforced with polyethylene fibers and direct bulk fill resin composite restorations placed in endodontically treated molars with moderate remaining tooth structure demonstrated satisfactory clinical outcomes during a 24-month follow-up period.Clinical relevanceBulk fill resin composites directly placed in endodontically treated molars with moderate remaining tooth structure showed promise as a treatment option over a two-year period.Clinical trial registration(06-01-2022) on https://ClinicalTrials.gov with the ID (NCT05180903).

24 Months clinical prospective of proximal restorations with repeated preheating bulk fill composite up to ten cycles: randomized controlled trial

This study aimed to clinically evaluate the performance of non-preheated bulk fill resin composite in class II cavities versus one, five and ten-time preheating cycles at 68 °C. Eighty-four recruited participants were randomly allocated into four groups (21 patients per group). One posterior Bulk-fill proximal restoration was performed for each participant according to the preheating cycles where in group I; teeth were restored with non-heated resin composite, group II: One preheating cycle of composite syringe was performed prior restoration, and group III: five preheating cycles while for group IV: Ten preheating cycles were performed. These restorations were clinically evaluated at 6, 12, 18 and 24 months. Statistical analysis was performed using one way ANOVA, with set p-value < 0.05. The results revealed that there was perfect agreement between both observers and observations WK (95% CI) [0.908 (0.780:1.000)] and [0.940 (0.824:1.000)], respectively. All restorations showed acceptable clinical performance with alpha and bravo scores. No replacement was required for any restoration. No statistically significant differences were detected between the control and intervention groups across all parameters during the various evaluation stages. It could be concluded that the clinical performance of ten cycles of repeated preheated bulk fill resin composite was equivalent to that of non-preheating resin composites after 24 months follow-up period, with great improvement in manipulation. Preheating of resin composite could be performed up to ten cycles prior to placement without any clinical adverse consequences on the performance of the restoration.

Verifying and Assessing the Reliability of the Learning Module of Positive Design and Innovative Technology in the Integration Approach of Spiritual Knowledge

This study was carried out to determine the validity and reliability of the learning module known as The Learning Module of Positive Design and Innovative Technology in The Integration Approach of Spiritual Knowledge (PRBTIFIIS). The PRBTIFIIS module has been built to develop the positive innovative thinking of Form 2 students through a knowledge integration approach with the application of the value of trust and obedience to God, human responsibility as a servant and caliph. The PRBTIFIIS module is built based on the Sidek Module construction model that uses the basic theory of Reverse Maslow's Theory, and Sidek's Learning Theory. A level of validation of the module content was carried out by five experts in the studied field. The content validity of the PRBTIFIIS Module is calculated using the Tuckmen and Waheed Level of Mastery Validity formula. The data obtained is 98.7%. The reliability of the module was obtained from 16 second-grade students who participated in the implementation of the pilot study. The Cronbach's Alpha score obtained for the reliability of the module was 0.97. The findings of the study show that the developed PRBTIFIIS Module has high validity and reliability and the PRBTIFIIS module is available to test its effectiveness.

Swedish Translation and Cultural Adaptation of the Head and Neck Patient Symptom Checklist: An Instrument to Screen for Nutrition Impact Symptoms in Clinical Practice and Research.

The Head and Neck Patient Symptom Checklist (HNSC) is a validated 2-part instrument used to ask patients with head and neck cancer about the nutrition impact symptoms they experience (part 1) and how these interfere with their eating (part 2). The purpose of this work was to translate and culturally adapt the HNSC into Swedish in accordance with the guidelines of the International Society for Health Economics and Outcomes Research (ISPOR). The ISPOR guidelines include 10 steps, and these were thoroughly followed. In step 7, 9 health care professionals from the field of head and neck cancer assessed the perceived relevance (content validity) of each item in the HNSC, as well as the full HNSC. A total of 522 participants with head and neck cancer were included and followed up on 7 occasions using the HNSC to assess internal consistency. The HNSC was translated from English into Swedish, ensuring accuracy through forward and backward translation and harmonization in the research team. Content validity for each part of the HNSC was rated excellent (scale content validity index 0.96). Internal consistency demonstrated a good Cronbach's alpha score (>0.8) across the 7 follow-up time points (from baseline [before the start of treatment] and up to 24 months posttreatment). The HNSC has been successfully translated and culturally adapted into Swedish. The HNSC can be used in both clinical practice and research to screen for nutrition impact symptoms and symptoms that interfere with eating in patients with head and neck cancer. ClinicalTrials.gov NCT03343236 (date of registration: November 17, 2017).

Psychometric properties of the Turkish version of Staff Attitude to Coercion Scale

BackgroundThe aim of this study was to provide the Turkish version of the Staff Attitude to Coercion Scale (SACS) and to determine its psychometric properties.MethodsThis is a descriptive and correlation design. The sample of this study consisted of 100 psychiatric staff members. The validity and reliability of the scale were assessed through translation procedures, content validity analysis, and confirmatory factor analysis (CFA). Reliability was further evaluated using Cronbach’s alpha and item-total score correlations.ResultsThe content validity index was found to be 0.93. The scale has a three-factor structure and the Cronbach’s alpha values of the subscales are 0.70 for offence, 0.87 for safety and 0.74 for treatment, respectively. The Cronbach alpha reliability coefficient of the total scale was found to be 0.86.ConclusionThe Turkish version of the SACS showed good reliability and validity, and confirmatory factor analysis revealed the same factor structure with three factors as in the original SACS.

Nursing perception towards the impact of JCI accreditation on the quality of care in a university hospital in Palestine: a cross-sectional study

BackgroundThis study investigates nursing staff perceptions regarding the impact of Joint Commission International (JCI) accreditation on the quality of care within a university hospital in Palestine. The research specifically examines how the accreditation process influences nursing practices, patient results, and overall healthcare quality in a challenging environment marked by unique operational and external pressures.MethodsThe study was conducted at An-Najah National University Hospital (NNUH), a university hospital in Palestine, using a cross-sectional survey design. The structured questionnaire employed in the study was based on the Donabedian model, which evaluates the process and outcome dimensions of healthcare quality influenced by JCI accreditation. The questionnaire consisted of 47 items, divided into ten main subsections. These subsections included participants’ demographical information (6 items), quality measurement and analysis (4 items), leadership, commitment and support (4 items), use of data (4 items), strategic quality planning (4 items), human resources education and training (4 items), quality management (4 items), quality results (4 items), staff involvement (5 items), and benefits of accreditation (8 items). The questionnaire was rigorously designed to assess both the quality processes and quality results. The eight subscales evaluated various aspects, such as leadership commitment, strategic planning, and staff involvement. To ensure reliability, the internal consistency of the survey was confirmed with a high Cronbach’s alpha score, demonstrating the tool’s robustness and reliability in capturing the intended data.ResultsThe study of 180 nurses overwhelmingly supported the positive impact of JCI accreditation on hospital quality improvement processes. More than 90% of respondents acknowledged the role of accreditation in improving resource utilization, meeting population needs, and promoting professional standards and values ​​among staff. Statistical analyses, including Pearson correlation and stepwise regression, highlighted strong positive associations between quality process variables and quality results. In particular, leadership commitment, strategic planning, and staff engagement were found to be significant predictors of improved quality results.ConclusionsThis study’s findings demonstrate that JCI accreditation significantly positively impacts nurses’ perceptions of care quality at NNUH. The study underscores the importance of international accreditation in driving quality improvements in healthcare, particularly in settings with unique challenges such as those faced in Palestine. These insights are crucial for policymakers and healthcare administrators aiming to enhance care standards through accreditation in similar environments.

Reliability and validity of a Hindi version of the Oral Health Impact Profile (OHIP-EDENT-H) for edentulous subjects: A Cross-Sectional study

AimThe study aimed to translate the OHIP-EDENT into Hindi and assess its validity and reliability. MethodsThe study included 150 participants whose demographic information was collected using the Modified Kuppuswamy Socio-economic Scale. The Oral Health Impact Profile in Edentulous (OHIP-EDENT) was translated into Hindi using the standard forward-backward method. Test-retest reliability was assessed using the Intra-class Correlation Coefficient (ICC) and internal consistency using Cronbach's alpha. The Kaiser-Meyer-Olkin (KMO) test and Bartlett's test of sphericity coefficient were used to conduct Exploratory Factor Analysis (EFA) and confirm the Construct validity. To establish Convergent validity, the relationship between the global question and the OHIP-EDENT-H subscale scores was observed. ResultsThe data was analyzed with a confidence level of 95 %, and statistical significance was interpreted as a p-value of less than 0.05. The Cronbach's alpha score for OHIP-EDENT-H was 1.00, indicating high internal consistency. The corrected item-total correlations ranged from 0.665 to 0.923, and the total ICC score was 0.763, demonstrating good reliability. The subscales' intra-class correlation coefficient values ranged from 0.968 to 0.997, indicating high reliability. However, items 4, 6, 13, 17, 18, and 19 had factor loadings below the acceptable threshold of 0.40 in the factor analysis. Additionally, the total and subscale scores of the OHIP-EDENT-H showed significant correlations with global question, with correlation coefficients ranging from 0.665 to 0.923. ConclusionThe Hindi version of OHIP-EDENT is a reliable and valid tool for evaluating the OHRQoL of Hindi-speaking edentulous individuals.

Development and Validation of the Isotretinoin Hesitancy Scale for Acne Vulgaris: A Preliminary Study.

Oral isotretinoin is the most effective systemic treatment for acne patients who fail to respond to other forms of therapies. However, hesitations and concerns regarding its side effect profile may detain the patients from treatment. This study aimed to develop and validate the Isotretinoin Hesitancy Scale (IHS) among acne patients. A cross-sectional study was conducted with 100 acne patients who had not used isotretinoin previously. A 22-item scale was created based on the related literature and expert opinions. The items of the scale related to beliefs and worries about isotretinoin were formatted with response options: agree, indecisive, and disagree. In this study, construct validity was tested with exploratory factor analysis, and reliability was tested with internal consistency and split-half reliability. The results of exploratory factor analysis indicated a three-factor solution with a total of 14 items, explaining 57% of the total variance. The first factor (Hesitancy Related to Reversible Adverse Effects: 6 items) accounted for 30% of the variance, the second factor (Hesitancy Related to Irreversible Adverse Effects: 4 items) accounted for 16% of the variance and the third factor (Isotretinoin-related Anxiety: 4 items) accounted 11% of the variance. The internal consistency of the three factors was calculated as 0.79, 0.78, and 0.72, respectively. The Cronbach's alpha score of the total scale was found to be 0.81, and split-half reliability was found to be 0.87. The IHS is the first scale that provides a valid and reliable assessment of isotretinoin hesitancy in acne patients. Eliminating isotretinoin hesitancy may reduce acne-related clinical and psychosocial consequences.

Psychometric analysis and validation of the SF-34 PREG: An adaptation of the SF-36 for assessing quality of life in pregnant women.

This study aims to perform a psychometric analysis of the 36-item short form health survey (SF-36) in a population of pregnant women and validate an adapted version of the instrument to measure health-related quality of life specific to pregnancy. A cross-sectional study design was carried out with data collection between 7 and 36 weeks of gestation, with a total sample of 547 pregnant women divided into two randomized subsamples. Data were collected between September 2021 and April 2023. An exploratory factor analysis was initially performed on one subsample, followed by a confirmatory factor analysis on the other. Internal consistency was assessed using Cronbach's alpha and McDonald's omega, and correlations between factors were analyzed. Results from the exploratory factor analysis proposed a seven-factor model explaining 56% of the variance. All proposed dimensions achieved Cronbach's alpha scores above 0.75, with a total test score of 0.92. Furthermore, all dimensions exhibited positive and statistically significant correlations. Bartlett's test of sphericity and the Kaiser-Meyer-Olkin test yielded values of 5599 (P < 0.001) and 0.871, respectively. The confirmatory factor analysis reaffirmed this model with good fit indices: χ2 792 (P < 0.001), comparative fit index (CFI) and Tucker-Lewis index (TLI) >0.90, and standardized root mean square residual (SRMR) and root mean square error of approximation (RMSEA) <0.06. This study developed and validated the "SF-34 PREG," an adapted version of the SF-36, specifically designed for pregnant women. The SF-34 PREG demonstrated high reliability and a robust factorial structure, making it a more precise and relevant tool for assessing health-related quality of life during pregnancy. Although it does not include the social functioning dimension of the original SF-36, the SF-34 PREG offers improved relevance and accuracy for this specific population. Further research and clinical use of the SF-34 PREG are recommended.

Moderating Effect of Strategic Linkages on Corporate Leadership and Organizational Performance in Kenya Agricultural and Livestock Research Organization (KALRO)

The urgency of securing safe, affordable, reliable, and nutritious food amid a growing global population and shrinking land productivity underscores the pivotal role of corporate leadership in fostering strategic partnerships and organizational performance. This is crucial for organizations like Kenya Agricultural and Livestock Research Organization (KALRO) to enhance performance and drive agricultural innovation that ensure achievement of national targets and mandate. Understanding the dynamics between leadership effectiveness, strategic alliances, and organizational performance is essential for addressing food security challenges and optimizing the impact of agricultural research institutions worldwide. The projected 27% increase in global population by 2050 emphasizes the need for strong corporate leadership and strategic partnerships to ensure balanced diets for over half a billion smallholder farmers. Despite Kenya&amp;apos;s higher productivity than East Africa and Africa averages, challenges remain in enhancing food security through effective leadership and strategic alliances, particularly within institutions like KALRO. The study explored the moderating influence of strategic linkages on the relationship between corporate leadership and the performance of KALRO. Rooted in organizational excellence, upper echelons, legitimacy, and stakeholder theories, the research employed a pragmatic philosophy, and mixed methods design to mitigate bias. The target population included 75 management organs, with 60 directors and 188 top leadership units as units of observation. Quantitative analysis, using a composite regression model and ANOVA, revealed a significant impact of strategic linkages on corporate leadership and KALRO&amp;apos;s performance. The study verified consistent variances and normality across variables, supporting parametric analyses. Autocorrelation analysis indicated no significant autocorrelation. Multicollinearity tests showed acceptable values, ensuring the reliability of the regression model. No outliers were detected. Cronbach&amp;apos;s alpha scores demonstrated strong internal reliability. Significant correlations confirmed associations between variables, aligning with previous research findings. Strategic linkages emerged as enhanced moderator, explaining 69.4% of the variance. In this case, the moderator variable amplified or strengthened the relationship between corporate leadership and organizational performance of KALRO. Rejecting the null hypothesis highlighted the positive impact of strategic linkages on performance. Conditional effects analysis revealed strong corporate leadership influence at low strategic linkages but diminishing at higher levels. Recommendations encompassed gender diversity, inclusive leadership development, regular performance appraisals, enhanced monitoring and evaluation system, and improved linkages. The findings provide valuable guidance for KALRO&amp;apos;s leadership amid competing priorities and budgetary constraints.

Assessment of the Need for Designing an Interactive Educational Tool on Exophytic Lesions of the Oral Mucosa.

Introduction This study sought to evaluate the necessity of creating an interactive educational resource for instructing dental students on oral exophytic lesions. It also aimed to determine the validity and reliability of a questionnaire designed to assess the quality of educational software tailored to these lesions. Materials and methods This descriptive cross-sectional study involved 102 dental students from Mashhad University of Medical Sciences, Iran, who had completed the theoretical course on oral exophytic lesions. A paper questionnaire, including 23 items, assessed their clinical knowledge, the efficacy and limitations of existing educational resources, and the need for interactive electronic courseware (e-courseware). The questionnaire's validity and reliability were evaluated through expert feedback and statistical measures (intraclass correlation coefficient (ICC) and Cronbach's alpha). Results Students' answers to the seven items about evaluating their clinical diagnosis knowledge of oral exophytic lesions were between four and five items correct on average. This finding indicated that students' overall skill in diagnosing exophytic lesions was poor to moderate.The study highlighted a moderate level of self-assessed clinical ability in diagnosing oral exophytic lesions among students (62.7%), with a preference for textbooks and color atlases as primary information sources. The disadvantages of existing electronic resources were noted, alongside a strong student consensus (88.23%) on the need for interactive e-courseware featuring comprehensive, visually engaging content for differential diagnosis education. The reliability and validity analyses of the questionnaire underscored its appropriateness for assessing educational needs. In this regard, ICC for the usability of scientific context, training ability, and interaction was 0.92, 0.73, and 0.82, respectively. Also, Cronbach's alpha score was at 0.90. Conclusion The research underscores a significant gap in dental students' knowledge and diagnostic skills regarding oral exophytic lesions. It emphasizes the critical need for an innovative, interactive educational tool that aligns with contemporary students' digital learning preferences. The envisioned e-courseware would facilitate self-learning and address current resources' limitations, potentially transforming dental education by enhancing clinical diagnostic skills through accessible, effective, and engaging digital content.

Cross-cultural validation of the genetic counseling outcome scale in Korea.

The Genetic Counseling Outcome Scale (GCOS-24) was developed to measure patient-reported outcomes to evaluate the effectiveness of genetic counseling and testing services. In the current study, the Korean version of GCOS (K-GCOS) was developed to reflect the sociocultural characteristics of Korea, and its clinical applicability was assessed. Overall, 231 Koreans, including patients with genetic diseases and their family members, participated and completed the K-GCOS, Hospital Anxiety and Depression Scale (HADS), Multidimensional Health Locus of Control (MHLC) scale, and Satisfaction with Life Scale (SWLS). Validity was examined by assessing the correlations between K-GCOS scores and other relevant scale scores. Reliability was confirmed using Cronbach's alpha and test-retest scores, measured over 2 weeks. We performed exploratory factor analysis of the five structures of GCOS-24. For K-GCOS, four-factor structures were identified: "cognitive-behavioral control," "uncertainty about control," "hope," and "emotional regulation." Four original GCOS-24 items were removed because of low factor loadings and small inter-item correlations. K-GCOS-20 scores were positively correlated with SWLS (r = 0.456) and MHLC-internal (r = 0.213) scores but negatively correlated with HADS (anxiety r = -0.428, depression r = -0.469) and MHLC-internal (r = -0.278) scores. These findings demonstrate that K-GCOS-20 is a reliable and valid tool for evaluating genetic counseling services in Korea.

Development of the Turkish Author Recognition Task (TART) and the Turkish Vocabulary Size Test (TurVoST)

This article reports the development of two novel research tools for Turkish, the Turkish Author Recognition Task (TART) and the Turkish Vocabulary Size Test (TurVoST). Such tools have been readily available for English, Spanish, Korean, Dutch and Chinese but not for Turkish. These tools help researchers to identify the print exposure levels of L1 speakers and an approximation of L1 speakers’ receptive vocabulary knowledge, respectively. Measuring print exposure is important as it is an important driver of L1 development from a usage-based perspective (e.g., Dąbrowska in Cognition 178:222–235, 2018), which influences vocabulary, grammar, and collocation knowledge. The findings show that the TART and TurVoST are significantly correlated at 0.47 and the TART accounts for almost 18% of the variance in vocabulary knowledge. Reliability (Cronbach’s alpha) scores were found to be 0.99 and 0.74 for two tests respectively. In light of similar previous studies of various ARTs and vocabulary size tests, the TART and the TurVoST are found to be reliable research instruments with correlations and reliability scores within the range of what has been reported in the literature. Potential uses of these two instruments are discussed. All data, R codes, and research instruments are publicly available at https://osf.io/u6t8m/?view_only=63cf706c381a4214950984dae5470df6.

A scale for seventh and eighth grade students’ attitudes towards skill-based mathematics questions

The aim of this study is to develop a theoretically sound, valid, and reliable scale to examine seventh and eighth grade students’ attitudes towards so-called skill-based mathematics questions (SBMQ). The sample of the study was 820 seventh and eighth grade students at three different middle schools in Etimesgut District of Ankara Province. A draft item pool was crafted after a detailed literature review and the scale was finalized for the implementation after receiving expert opinions. This version of scale was administered shortly before the national examination which included skill-based questions in the 2022-2023 academic year. Exploratory and confirmatory factor analysis methods were used to examine the construct validity of the scale. The analysis resulted in 16 items in three factors (affective, cognitive, and motivational) which explained 46% of the total variance. Cronbach’s alpha and composite reliability scores were above .70 for each factor and whole scale. The results indicated that the Attitudes Towards SBMQ Scale developed for seventh and eighth grade students is valid and reliable.

Analisis Tipe Rumah Tinggal Terhadap Ancaman Bahaya Tsunami Di Kota Banda Aceh

People who lived on the Banda Aceh City shoreline lost their houses in the 2004 tsunami tragedy. The likelihood of a tsunami tragedy in the future might rise if homes are rebuilt in the original location. The goal of this study was to determine the most common building types and the degree of susceptibility of residential structures to the tsunami catastrophe in the districts of Kuta Alam and Syiah Kuala. Through a sample approach, a questionnaire was given out to the community in the districts of Kuta Alam and Syiah Kuala, with a total of 105 responses. To gather representative home building types at the research site, a survey was undertaken. data processing with the use of the validity and reliability tests in SPSS. The questionnaire was deemed legitimate as a result of the validity test, which produced average R count values of 0.1918 and higher than the value of r table. The reliability test findings were dependable since they had a Cronbach Alpha score of 0.671, which is higher than 0.6. The predominant home types in the Kuta Alam and Syiah Kuala subdistricts are type B (good) and type C (poor) dwellings. Low, medium, and high levels of vulnerability were used to determine how vulnerable residential buildings were to the tsunami tragedy in the Kuta Alam District. The Syiah Kuala District, meanwhile, had high and moderate degrees of vulnerability. According to the physical state of the environment in the districts of Kuta Alam and Syiah Kuala, 19% of the coastal regions are still in their original state, and 81% of the territory is made up of grib stones and mangroves. In the Kuta Alam sub-district, there are 11 villages overall, with the percentage of vulnerable structures falling into one of three categories: low (45.45%), medium (45.45%), or high (9.09%). In the Syiah Kuala District, however, the degree of vulnerability of residential structures was determined from a total of 10 villages, and it was divided into two classes: medium, with a percentage of 40%, and high, with a percentage of 60%. As a result, it's important to upgrade the design of communal housing in coastal locations, such as by constructing homes with two or more levels.

Towards a Blockchain Hybrid Platform for Gamification of Healthy Habits: Implementation and Usability Validation

(1) Background: In developed countries, public health faces a number of problems, including sedentary lifestyles and poor diets, which collectively contribute to the occurrence of preventable diseases. Noncommunicable diseases represent the leading cause of global mortality. Despite the promotion of healthy living, compliance remains a significant challenge. The integration of gamification into health apps has been demonstrated to facilitate behavioral change. Blockchain technology enhances the effectiveness of gamification by providing data trustability and support for auditable incentives. This feature is possible and easy due to the inherent characteristics of blockchain automating processes through Smart Contracts, rewarding participants and creating leaderboards in a transparent and reliable manner. The use of smart contracts and events enhances the traceability and reliability of decentralized applications, including healthcare. Interoperability in blockchain tools facilitates the deployment of complex environments. The aim of this research is the deployment of a tool for the implementation and testing of a gamification platform based on blockchain technology. (2) Methods: Pre-experimental research was carried out to assess the usability of the decentralized application developed. (3) Results: A decentralized application was developed with the objective of gamifying healthy habits. The application was evaluated using the System Usability Scale, obtaining a score of 80.49, and the Cronbach’s Alpha score, which was found to be 0.75. (4) Conclusions: A prototype of a decentralized application connected with a blockchain network to reward challenge fulfilment was deployed. Despite being in early development, it demonstrated high usability. Employing blockchain technology guarantees transparency and traceability while remaining in compliance with legal requirements like the General Data Protection Regulation.

Translation, Cross-Cultural Adaptation, and Validation of Indonesian Version of Australian Pelvic Floor Questionnaire: An Interviewer-Administered Female Pelvic Floor Questionnaire

AimTo adapt and determine the validity and reliability of the Indonesian version of the Australian Pelvic Floor Questionnaire (APFQ). MethodsThe original APFQ was translated and validated to obtain an Indonesian, physician-administered version on 41 urogynecology patients and 41 age-matched women without pelvic floor dysfunction. ResultsMissing answers never exceeded 2%. The questionnaire can significantly discriminate between pelvic floor dysfunction patients and those without dysfunctions. The results of each domain of the questionnaire correlated with clinical examinations and another questionnaire. Cronbach’s alpha scores of all domains were 0.859 for bladder function, 0.829 for bowel function, 0.892 for prolapse symptoms, and 0.766 for sexual function. ConclusionThe Indonesian version of the Australian Pelvic Floor Questionnaire (APFQ) is a valid and reliable questionnaire for assessing pelvic floor symptoms among women in Indonesia.

Psychometric Features of the Arabic Version of the Children's Communication Checklist (CCC2).

The Children's Communication Checklist-Second Edition (CCC-2) uniquely assesses overlooked communication elements such as pragmatics and context use, which are rarely addressed by conventional language assessments. This study focuses on the psychometric assessment of the CCC-2's Arabic version, tailored to evaluate communication challenges in Arabic-speaking children. This study aims to validate the Arabic version of CCC-2 by testing its reliability and validity specifically for three higher-order constructs: Specific Language Impairment (SLI), Social Communication Disorder (SCD), and Impaired Behaviour within the Arabic-speaking population. A total of 121 participants in Saudi Arabia, showcasing diverse age and gender distributions, participated in the validation process. The study employed a Reflective-Reflective Higher-Order Construct (R-R HOC) model using partial least squares-structural equation modeling (PLS-SEM) to ensure content validity and cross-cultural adaptation of the translated items. Metrics such as Cronbach's alpha for reliability and Average Variance Extracted (AVE) for convergent validity were specifically examined. The study confirmed the reliability and validity of the Arabic CCC-2, demonstrating robust psychometric properties, with Cronbach's alpha and AVE scores indicating satisfactory reliability and convergent validity across constructs. Structural model evaluation further supported the strong interrelations among the constructs of SLI, SCD, and Impaired Behaviour. The results substantiate the Arabic CCC-2 as a reliable and valid tool for assessing communication challenges in Arabic-speaking children, particularly for diagnosing SLI, SCD, and Impaired Behaviour. The validated Arabic CCC-2 has significant potential for application in clinical and educational settings and suggests directions for future research to explore its utility further in diverse clinical populations.