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- New
- Research Article
- 10.56936/18290825-2026.20v.2-90
- May 14, 2026
- THE NEW ARMENIAN MEDICAL JOURNAL
- Parisa Shahrokhi-Fard + 2 more
Introduction: The COVID-19 pandemic has placed significant psychological and physical pressures on nurses, who are at the frontline of this crisis. This study aimed to investigate the effectiveness of Acceptance and Commitment Therapy group therapy on COVID-19 protection indicators, perceived stress, and physical disorder symptoms in nurses. Material and Methods: This study used a quasi-experimental, pretest-posttest design with a control group. The study’s statistical population consisted of nurses working in hospital wards caring for COVID-19 patients. From this population, 30 people were selected using convenience sampling and randomly assigned to two experimental groups (n=15) and a control group (n=15). The experimental group received the Acceptance and Commitment Therapy intervention in 8 90-minute sessions, while the control group received no intervention during this period. Data collection tools included the comprehensive health belief mModel questionnaire, the perceived stress scale, and the physical disorder symptoms checklist. The data obtained were analyzed using SPSS version 16 software and through the multivariate analysis of covariance test. Results: The results showed a statistically significant difference between the post-test scores of the experimental and control groups in the linear combination of dependent variables (P < 0.05). Acceptance and commitment group therapy led to a significant improvement in the total score of protective behaviors against COVID-19 (P < 0.001), a considerable reduction in perceived stress (P < 0.001), and a significant decrease in physical disorder symptoms (P < 0.001) in the experimental group. Conclusion: Based on the findings, acceptance and commitment therapy is an effective intervention for promoting preventive health behaviors, reducing stress, and alleviating psychosomatic symptoms in nurses during the COVID-19 pandemic. It is recommended that such psychological interventions be included in medical centers’ support programs
- New
- Research Article
- 10.1016/j.ejmp.2026.105775
- May 1, 2026
- Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)
- G Beldjoudi + 7 more
Current practices of measurement-based patient-specific QA for radiotherapy treatments in France-Asurvey by the SFPM PSQA working group.
- Research Article
- 10.3389/fpubh.2026.1793167
- Apr 13, 2026
- Frontiers in Public Health
- Sheng Li + 6 more
Objective To explore the influence paths and relationship effects of social support and psychological resilience on the comprehensive wellbeing status of healthcare workers. Methods The social support rating scale, psychological resilience scale and self-administered comprehensive wellbeing questionnaire were used to investigate 696 healthcare workers in a hospital. Structural equation modeling was constructed using Amos 26.0 software to analyse the influence paths. Results The total score of comprehensive wellbeing was positively correlated with the total score of the Social Support Rating Scale and the total score of the Psychological Resilience Scale, and the total score of the Psychological Resilience Scale was positively correlated with the total score of the Social Support Rating Scale. Psychological elasticity played a mediating role between social support and comprehensive wellbeing. Conclusion The overall general wellbeing of healthcare workers in this hospital is average, social support and psychological elasticity affect the general wellbeing of healthcare workers, and social support can indirectly affect an individual's general wellbeing through psychological elasticity.
- Research Article
- 10.31876/er.v10i57.911
- Apr 11, 2026
- Espirales Revista Multidisciplinaria de investigación
- Genny Maritza Reyes Pihuave + 3 more
Reading comprehension is a key competence for school learning and requires technically supported instruments for its assessment. The objective of the study was to determine the evidence of content validity and internal consistency of a reading comprehension questionnaire for students in the tenth year of higher basic education. A quantitative, instrumental and descriptive study was developed. The instrument consisted of 20 open questions organized into literal, inferential and critical levels, assessed through an analytical rubric. The validity of the content was established with five expert judges and the internal consistency was estimated in a pilot test with 30 students. In addition, the questionnaire was applied as a pre-test and post-test to 76 students. The results reported Aiken's V = 0.96, Cronbach's alpha = 0.906, and McDonald's omega = 0.911. It is concluded that the instrument presents favorable initial evidence to evaluate reading comprehension in the context studied.
- Research Article
- 10.1159/000551812
- Apr 10, 2026
- Complementary medicine research
- Tido Von Schoen-Angerer + 5 more
The World Health Organization recently issued new definitions of traditional medicine, complementary medicine and integrative medicine (TCIM), raising questions about their implementation in different languages. This paper explores the knowledge and perceptions of TCIM terms in the German public with the aim of identifying term(s) that could be the most useful in public and political dialogue on TCIM in Germany. This study is based on a cross-sectional survey of an online-representative sample of the German-speaking residential population aged 18-75 years (n=4,065), using a comprehensive questionnaire on TCIM use, attitudes and terms. Descriptive analyses were performed and decision trees calculated, using Exhaustive Chi-squared Automatic Interaction Detection (CHAID) to identify predictors of self-perceived TCIM benefit. The German term "Naturheilkunde" (literal translation from German: "knowledge of natural healing") was the most familiar term (55.3%), followed by alternative medicine (43.8%), complementary medicine (19.2%) and integrative medicine (15.6%). Conventional medicine generated the most positive attitude (63.1%), followed by NHK (52.0%), integrative medicine (41.1%), complementary medicine (35.0%) and alternative medicine (25.1%). The CHAID algorithm identified a positive attitude to "Naturheilkunde" as the most significant predictor (p<0.001) for experiencing benefit from TCIM. Attitudes towards complementary medicine or alternative medicine were no relevant predictors in this analysis. The historically rooted German term "Naturheilkunde" was the best known and positively connoted TCIM term in our study. Furthermore, a positive attitude towards Naturheilkunde was strongly associated with experiencing benefit from TCIM. While "integrative medicine" is yet unfamiliar within the German public, the positive connotations it evokes and its perceived benefits suggest it also has potential for public discourse. We recommend a national Delphi process with TCIM-experts and -stakeholders in Germany to clearly define, prioritize and align commonly used TCIM terms in Germany. The selection of terminology for public discourse should consider the insights from this study as well as appropriate communication expertise.
- Research Article
- 10.1080/17501229.2026.2655360
- Apr 9, 2026
- Innovation in Language Learning and Teaching
- Abdulmajeed Alghamdi
ABSTRACT In a quasi-experimental mixed-methods study, 112 native Arabic-speaking primary school students in Saudi Arabia learning English as a foreign language were assessed using various measures to determine the potential impact of speech-stream segmentation on their Arabic and English listening comprehension and linguistic self-confidence. Pre- and post-test listening comprehension tests, questionnaires, and interviews in both languages were employed in this study. From the initial sample, 56 Arabic language students were randomly divided into two groups: an experimental group, who used speech-stream segmentation strategies in all listening activities, and a comparison group, who were taught the same lessons using traditional methods. Similarly, 56 English language students were randomly selected from the same school and divided into two groups with the same instructional design. The results demonstrated statistical significance in the groups using speech-stream segmentation to enhance their listening comprehension and linguistic self-confidence in both first and foreign languages. The results further indicate that, among speech-stream segmentation strategies, the L1 group relies more on phonological knowledge, allophonic variation, and prosodic cues, whereas the EFL group places greater emphasis on segmenting the speech stream, recognizing distributional patterns, and identifying word boundaries. Several factors impacted the effectiveness of speech-stream segmentation in improving listening comprehension and linguistic self-confidence; however, these factors differed between the two languages. Key areas were outlined for future research on speech-stream segmentation and listening comprehension.
- Research Article
- 10.3390/healthcare14070960
- Apr 6, 2026
- Healthcare (Basel, Switzerland)
- Francisco Javier Roldán-Ramos + 3 more
Background/Objectives: Mental fatigue in adolescents is a growing concern in educational contexts, positioning physical education (PE) teachers as key agents in designing effective mitigation strategies. This study examined the perceptions of Spanish high school PE teachers regarding the causes, consequences, and potential countermeasures for students' mental fatigue. Methods: A total of 116 in-service teachers (81 males and 35 females; mean teaching experience 7.8 ± 5.3 years) from 12 autonomous communities throughout Spain completed a comprehensive 34-item electronic questionnaire. The instrument assessed the perceived existence, etiology, and outcomes of mental fatigue through multiple-choice, dichotomous (yes/no), and five-point Likert scale questions, with particular attention given to the role of physical activity (PA) in symptom alleviation. A quantitative frequency analysis was conducted to examine the data. Results: The main findings reveal a strong consensus among the teachers (77.6% to 87.9%) on the prevalence of mental fatigue, with its primary causes attributed to academic pressure and sedentarism. The consequences were identified as increased irritability and reduced cognitive performance. The teachers overwhelmingly endorsed moderate intensity PA as the most effective countermeasure. However, a significant gap was identified between this theoretical awareness and the systematic implementation of targeted strategies within schools. Conclusions: These results underscore the critical need for professional development programs and structural support to translate teacher knowledge into practical intervention, suggesting important directions for future research.
- Research Article
- 10.1186/s42494-026-00242-w
- Apr 1, 2026
- Acta Epileptologica
- Wenjie Xi + 4 more
BackgroundKetogenic diet therapy (KDT), characterized by a high-fat, low-carbohydrate composition with adequate protein and other nutrients for growth, has emerged as an effective therapeutic approach for drug-resistant epilepsy. This study was designed to investigate the existing challenges in KDT implementation and evaluate its current utilization status within the Chinese healthcare context.MethodsFrom August 27 to September 5, 2024, a comprehensive questionnaire was disseminated to 418 epilepsy centers throughout China via the Commission on Standardized Development of Epilepsy Centers and the Commission on KDT, which operate under the auspices of the China Association Against Epilepsy (CAAE). The distribution leveraged both email and WeChat platforms to ensure broad reach and accessibility. The survey instrument encompassed five key domains: (1) baseline characteristics of surveyed epilepsy centers, (2) clinical application of KDT, (3) the efficacy of KDT: perspectives from epilepsy centers, (4) the adverse effects of KDT, and (5) implementation challenges and recommendations for KDT adoption. All the collected data were analyzed using descriptive statistical methods.ResultsWe received 258 completed questionnaires, for a response rate of 62%. Among the responding epilepsy centers, the classic KDT (cKDT) was utilized by 63% of the centers, the modified Atkins diet (MAD) was utilized by 40% of the centers, the low-glycemic-index treatment (LGIT) was utilized by 20% of the centers, and the medium-chain triglyceride (MCT) diet was utilized by 25% of the centers. The most significant barrier to KDT implementation was identified as limited KDT-related expertise among clinical practitioners, reported by 83% of the respondents. Additionally, improving patient and family education programs on KDT management was the most frequently cited factor (93%) for increasing KDT utilization. The data revealed strong clinical need for promoting KDT implementation, particularly in the management of super-refractory status epilepticus and refractory status epilepticus. Among the 120 epilepsy centers that implemented KDT, 27 reported cases of gastrointestinal adverse reactions.ConclusionsThis study constitutes the first nationwide comprehensive investigation into the clinical application of KDT in China. The results reveal a notably limited adoption of KDT across epilepsy centers, despite its well-documented therapeutic efficacy and favorable safety profile. The current implementation remains limited to a select number of specialized centers and a relatively small patient population, primarily due to insufficient awareness and understanding among healthcare practitioners. These findings provide evidence-based insights that underscore the necessity for strategic initiatives to promote wider implementation of KDT in clinical practice.Supplementary InformationThe online version contains supplementary material available at 10.1186/s42494-026-00242-w.
- Research Article
- 10.1186/s12884-026-08972-y
- Mar 26, 2026
- BMC pregnancy and childbirth
- Emad Masuadi + 8 more
Child growth monitoring (CGM) is essential for the early detection and prevention of malnutrition and growth abnormalities. Despite its importance, there is a lack of validated instruments to assess mothers’ knowledge, perceptions, and practices related to CGM. This study aimed to develop and validate a comprehensive questionnaire to assess these domains among mothers of children under five years of age. The study was conducted in two stages. First, a theory-driven questionnaire was developed based on an extensive literature review, global and national guidelines, and expert consultation. Second, the questionnaire’s psychometric properties were evaluated using data from a cross-sectional survey of 436 mothers. An expert panel assessed content validity, internal consistency was examined using Cronbach’s alpha, and construct validity was evaluated using confirmatory factor analysis (CFA). The final questionnaire comprised 67 items across three domains: knowledge (27 items), perception (14 items), and practice (11 items). The instrument demonstrated good overall internal consistency (Cronbach’s alpha = 0.82), with strong reliability across main domains (α = 0.81–0.92). CFA supported the hypothesized three-domain structure, with good model fit indices for the full measurement model (CMIN/DF = 1.62; CFI = 0.93; TLI = 0.93; RMSEA = 0.038). This study presents a valid and reliable questionnaire for assessing mothers’ knowledge, perceptions, and practices regarding CGM. The tool can support research, inform maternal education strategies, and guide public health interventions to improve early childhood growth outcomes.
- Research Article
- 10.1371/journal.pone.0345463
- Mar 23, 2026
- PLOS One
- Xiaofang Ma
The effectiveness of online teaching has emerged as a critical concern during the COVID-19 pandemic, with a particular emphasis on fostering a sustained interest in online instruction among educators. This study employs fuzzy-set qualitative comparative analysis (fsQCA) to investigate the complex causal relationships that underpin the online teaching efficacy of elementary school teachers. A comprehensive questionnaire was administered to 171 elementary school teachers, capturing their perspectives across six key dimensions: the acceptability of online teaching, teachers’ Technological Pedagogical Content Knowledge (TPACK), students’ autonomous learning, teacher-student interaction, course design and implementation, and technological support for teaching. The findings reveal a multiplicity of configurations that contribute to enhanced online teaching effectiveness, with teachers’ acceptance of online teaching and their TPACK being identified as central conditions, pivotal for the improvement of online teaching effectiveness.
- Research Article
- 10.1007/s00737-026-01682-6
- Mar 19, 2026
- Archives of women's mental health
- Sara L Kornfield + 8 more
This longitudinal investigation examined the association between traumatic birth experiences (measured via self-report and clinician-report) and caregiving behaviors and attitudes and any race-related differences in these associations. Subjective childbirth trauma was measured via a three-item questionnaire at 12 weeks postpartum. Medical childbirth factors were extracted from the electronic health record. Maternal caregiving behaviors and attitudes were assessed via comprehensive questionnaires (i.e., mother-infant bonding and parenting stress) and observation ratings (i.e., positive parenting and mother-infant interactions) at 12 weeks, 12 months, and 24 months postpartum. Multiple linear regressions were run to analyze these relationships. A total of 255 mothers (106 Black and 149 White) who gave birth from April to December 2020 were examined. More traumatic childbirth experiences were significantly associated with higher-rated observed positive parenting scores (β = 0.21, pFDR<0.05) when controlling for demographic factors. There were no significant relationships at 12 weeks or 24 months postpartum. Additionally, there were no effects of race on the relationship between childbirth trauma and caregiving. Subjective reports of childbirth trauma were not significantly associated with poorer maternal caregiving behaviors and attitudes. This study adds to the literature by examining Black women, as they are underrepresented in this body of research and more at risk of experiencing traumatic childbirths. This study investigated the relationship between childbirth trauma and various maternal caregiving behaviors, measured at several timepoints during the postpartum period. The sample included Black and White women who gave birth early in the COVID-19 pandemic, a time of heightened stress for those delivering in a hospital setting. We found mostly nonsignificant relationships but one positive relationship between childbirth and caregiving behaviors when children were 12 months old: More traumatic birth experiences were related to better caregiving scores. This is the first study to focus on Black individuals’ childbirth experiences and its relation to caregiving behaviors. More research is needed on women of color, as they have a higher risk of experiencing a traumatic birth.
- Research Article
- 10.1080/09638288.2026.2644114
- Mar 18, 2026
- Disability and Rehabilitation
- Emma Finch + 15 more
Purpose To evaluate the efficacy of CanCommunicate for improving perceived communication disability and quality of life in people with brain tumour, compared to usual care. Materials & Methods A randomised trial with a waitlist control was used. Participants were randomised to CanCommunicate (immediate intervention) or a wait list (control). CanCommunicate involved a 7-week communication intervention guided by Goal Attainment Scaling with group and individualised sessions. Participants completed the Comprehensive Aphasia Test Disability Questionnaire (CAT DQ), Functional Assessment of Cancer Therapy - General (FACT-G), La Trobe Communication questionnaire (LCQ) and semi-structured interviews at baseline and post-intervention. Results 39 people participated (Immediate intervention n = 24, waitlist n = 15). There was a significant between-group difference on the CAT DQ over time (p = 0.04) in favour of the intervention group, but not for the LCQ (p = 0.58) or FACT-G (p = 0.80). When data were combined for all participants who completed CanCommunicate (n = 23), ratings were significantly improved on the CAT-DQ (p < 0.001) and LCQ (p = 0.04) at 6-week follow-up. Participants perceived CanCommunicate favourably and made suggestions for further optimisation. Conclusion The current study supports the benefits of communication intervention for people with brain tumour and reinforces the need for tailored, goal-based interventions.
- Research Article
- 10.1186/s12889-026-26969-2
- Mar 13, 2026
- BMC public health
- Gertrude G Zeinstra + 4 more
Food literacy refers to the individual’s capabilities to make informed food choices. While there are several conceptual frameworks for defining food literacy, food literacy questionnaires specifically designed for adolescents are scarce. This study aimed to develop and validate a comprehensive food literacy questionnaire for adolescents. The study consisted of three stages. First, a concept questionnaire was developed based on literature, expert sessions, and existing food literacy questionnaires. Secondly, a validation study was conducted among 673 Dutch secondary school adolescents aged 12–18 years. The questionnaire was evaluated and optimized based on the facility index, factor analyses, Cronbach’s alpha, and process evaluation questions. Thirdly, the optimized food literacy questionnaire was completed by 540 Dutch adolescents (grade 1–3) for further evaluation and validation. The concept questionnaire consisted of 63 items covering four main concepts: Knowledge, Skills, Social environment, and Physical environment. Based on the factor analyses results, the latter two concepts were reclassified into Self-control and Handling socio-cultural influences, which improved reliability. Based on the validation study results, ten knowledge questions (too easy or too difficult) and six statements were removed. This resulted in an optimized 47‑item questionnaire. The results from the third phase showed that this questionnaire was sufficiently reliable (Cronbach’s alpha between 0.72 and 0.83) and no longer contained knowledge questions that were too difficult or too easy. The questionnaire that was developed to assess adolescents’ food literacy contains a wide range of aspects related to being capable of making informed and conscious food choices. After testing in two validation studies, this questionnaire with 47 items was found to be sufficiently valid, reliable, and feasible to be administered in secondary schools. This food literacy questionnaire can be widely used in adolescent research and practice.
- Research Article
- 10.1093/sleep/zsag068
- Mar 9, 2026
- Sleep
- Katrina Y K Tse + 23 more
Our study introduced the 2023 UK Biobank sleep questionnaire and described variation in sleep health dimensions and prevalence of disordered sleep. A questionnaire comprising validated measures and bespoke items was developed to capture key self-reported domains of sleep health and symptoms of sleep disorders. We quantified cohort prevalence of operationally defined sleep disorders and assessed patterning of sleep health dimensions across key sociodemographic and clinically relevant variables. 183,704 individuals completed at least one module of the questionnaire after email invitation (representing 56% of those with an active email address), and an additional 1,352 individuals completed via the participant website. A total of 185,056 individuals were included in the analysis. Respondents were predominately from a White ethnic background (96.8%), had a mean age of 69.9 (SD, 7.5) years, 57.9% were female, and 25.5% were in employment. Compared to non-respondents, respondents were more likely to be female, tended to be better educated, healthier, and exhibit lower levels of socioeconomic deprivation, although baseline sleep variables were similar between respondents and non-respondents. Around 40% of respondents reported sleep duration less than 7 hours and 49% reported poor sleep quality (Pittsburgh Sleep Quality Index > 5). Approximately one-quarter (25.2%) met criteria for at least one operationally defined sleep disorder, with insomnia being the most common (14.4%) followed by obstructive sleep apnoea (8.0%), restless legs syndrome (4.1%), and frequent nightmares (3.7%). Sleep disorders were associated with higher levels of anxiety, depression, fatigue, and cognitive complaints. Poor sleep quality and operationally defined sleep disorders are common in the UK Biobank cohort. Sleep questionnaire data can now be integrated with a range of biomedical information to advance understanding of sleep. Statement of significance A comprehensive sleep questionnaire was introduced to the UK Biobank, with over 185,000 participants providing data. Overall, respondents reported relatively poor sleep quality; 40% reported sleep duration less than 7 hours, and 25% met criteria for at least one sleep disorder. Enhanced assessment of sleep in UK Biobank now enables integration with extensive biomedical data, including genetic, wearable, imaging, lifestyle, biomarker, and electronic health record data, offering opportunities to investigate the biological and environmental factors that influence sleep and circadian systems, and their impact on health.
- Research Article
- 10.47941/jgrs.3556
- Mar 9, 2026
- Journal of Gender Related Studies
- Rawia Alfadil Sharif Mahmoud
Purpose: The study aimed to investigate the causes of gender-based domestic violence, particularly focusing on how increased unemployment due to migration and displacement contributes to such violence. It also sought to understand the effects of this violence on the victims’ lives, emphasizing the need to address underlying gender dynamics within refugee communities. Methodology: The research was conducted among informal leaders of the Sudanese male community, who are UNHCR asylum seekers residing in Cairo’s Ard El Lewa neighborhood of Giza. Twelve individuals were selected for two focus group discussions; nine participants had been registered for periods ranging from three to thirteen years and spoke Arabic and other Sudanese languages. Data collection involved a comprehensive questionnaire and a qualitative approach to explore the unnoticed and unreported causes of domestic violence. Findings: The findings highlighted that excessive unemployment among refugee men significantly contributes to domestic violence, serving as a "trigger point" for violent situations at home. The study also identified an increase in violence due to reduced activity levels and psychological issues, which negatively affect emotional health. The results underscored the importance of understanding cultural and gender-specific factors influencing violence within this community. Unique Contribution to Theory, Practice and Policy: The study contributes to the theoretical understanding of gender-based violence by emphasizing the role of economic and psychological stressors in refugee contexts. Practically, it recommends establishing ongoing discussions within the male refugee community either in single sex groups or demographically sensitive formations to clarify concepts of violence and identify culturally appropriate support services. Policy wise, there is a need for broader awareness and intervention strategies that address the latent gender dimensions of violence, promoting culturally sensitive approaches to prevent and respond to GBV among refugee populations.
- Research Article
- 10.64719/pb.16575
- Mar 9, 2026
- Psychopharmacology bulletin
- Abdul Gani Soulissa + 5 more
To develop and validate a comprehensive questionnaire to assess academic stress, integrating academic anxiety and burnout. This study involved questionnaire development using existing instruments, namely DES, PSS, DASS-21, and MBI, and subsequent validation. Content validity was established with 7 experts, face validity with 50 students, and construct validity and reliability with 100 students. Data analysis employed I-CVI, S-CVI, I-FVI, S-FVI, and the Rasch model. The study included 50% students in the preclinical program and 50% students in the clinical program, and a mean age of 20.04 ± 1.79 years. Regarding context validity, only 3 out of 46 items scored below 1.00 but above 0.78. While the S-CVI scores showed that almost all domains had scores of 1.00, the face validity showed all items scored more than 0.80, and the S-CVI scores also more than 0.83. Person-map analysis demonstrated the questionnaire's ability to capture distinct stress dimensions, with preclinical students showing higher scores on social support (SS) and clinical students on personal aspects (PP), suggesting differences in perceived support and self-doubt, respectively. A Cronbach's Alpha of 0.94 across both preclinical and clinical programs shows that the questionnaire is reliable and that the interaction between respondents and items is of high quality. The questionnaire exhibited strong evidence of content, face, and construct validity, as well as high reliability. This validated questionnaire offers a practical and comprehensive approach for measuring academic stress, with the potential to support proactive interventions and improve dental students' well-being and educational outcomes.
- Research Article
- 10.1186/s13063-026-09582-x
- Mar 4, 2026
- Trials
- Saba Faisal + 6 more
Informed consent (IC) is essential for maintaining participant autonomy in clinical trials by ensuring participants are fully informed. However, inconsistent oversight of spoken information provision and participant comprehension of both written and spoken information can lead to significant gaps in participant understanding and recall of critical trial details. This systematic review (SR) evaluates existing tools or approaches that measure participant understanding during the IC process. It will further focus on the quality of data regarding the validity and reliability of these methods. Relevant primary studies were identified through searching electronic databases from inception to March 2023. Studies included adults who had undergone the IC process for research. Following screening, data extraction was performed using a customised Microsoft Excel template, focusing on characteristics including validity, reliability, and patient and public involvement in the development of tools/measures used to assess participant understanding. Narrative synthesis was used to descriptively organise and summarise findings across studies, including study characteristics, assessment timing, and types of tools or approaches used, while psychometric properties were evaluated using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) framework. Of the 6526 records screened, 261 studies were retrieved for full-text screening and a total of 148 studies were included in the review. Among these studies, 103 were quantitative, 24 were mixed methods, and 20 were qualitative studies. This SR identified variability across tools/measures and approaches used in clinical trials to measure participant understanding of IC. Only three tools demonstrated high-quality psychometric properties, i.e. the Digitised Informed Consent Comprehension Questionnaire (DICCQ), the Participatory and Informed Consent (PIC) tool, and the Process and Quality of Informed Consent (P-QIC). Notably, the most frequently used tool across studies, the Quality of Informed Consent (QuIC) questionnaire, demonstrated relatively low methodological quality in its reported psychometric properties. In addition, patient and public involvement in the development of these tools was infrequently reported and often limited in scope. This review highlights a disconnect between psychometric rigour and common practice. It also emphasises the need to strengthen the validation and standardisation of assessment approaches, alongside more consistent and meaningful integration of patient and public perspectives in their development and validation. PROSPERO ID: CRD42023407715.Version 1.1, published 14 Aug 2025.Version 1.0, published 22 Mar 2023.
- Research Article
- 10.1186/s12889-026-26802-w
- Mar 3, 2026
- BMC public health
- Simon Coulombe + 8 more
To meet the demands of Canada’s economy, the number of temporary migrant workers (TMWs) has significantly increased since 2000. However, TMWs are disproportionately represented in jobs characterized by poor working and living conditions. Such exploitation severely impacts their well-being. Addressing this critical issue requires a deeper understanding of the specific effects of employment and immigration status precariousness on the evolution of different dimensions of TMWs’ wellbeing. There is currently a significant lack of robust empirical data on well-being determinants that consider the diverse trajectories of this heterogeneous and vulnerable population. This limits the identification of specific intervention points for various subgroups of TMWs, particularly those experiencing intersectional discrimination. This study addresses these gaps by adopting an intersectional and life-course perspective to examine well-being trajectories among TMWs in Québec. The quantitative component involves a diverse cohort of 1,000 adult TMWs employed in Québec, Canada, who will complete comprehensive questionnaires at three key measurement points over a 24-month period. These questionnaires will capture detailed measures of well-being and factors related to personal, employment/work and social resource losses or gains influencing well-being trajectories. Latent trajectories analysis will be conducted. Additionally, 40 participants who best represent the various identified latent trajectories will engage in qualitative interviews. Thematic analysis of these qualitative data will be integrated with the quantitative findings to provide an in-depth understanding of how social and structural forces shape TMWs’ well-being trajectories. An advisory committee comprising representatives from community organizations, employers, and TMWs will regularly meet to provide professional and personal insights to enhance study methods, materials, and result interpretation. This study will generate novel data to address employment, working, and living condition issues among TMWs, ultimately aiming to enhance their well-being. By integrating theoretical perspectives from many disciplines, the project will significantly contribute to the scientific literature at the intersection of well-being, employment, immigration, and precariousness. Study findings will inform the development of practical tools for employers and for professionals in migration- and well-being-related fields to mitigate risk factors affecting TMWs. A policy brief will also be prepared to communicate findings to policymakers for improving social policies.
- Research Article
- 10.1016/j.jhepr.2026.101813
- Mar 1, 2026
- JHEP reports : innovation in hepatology
- Sara A Abosabie + 15 more
Deep Learning-Based Generation of Synthetic Multiphasic MRI In Hepatocellular Carcinoma and Cirrhosis.
- Research Article
- 10.22271/maths.2026.v11.i3a.2274
- Mar 1, 2026
- International Journal of Statistics and Applied Mathematics
- Saurabh Das + 2 more
In any business, varying consumer preferences are a huge challenge to sustainable growth. In the dynamic landscape of the automotive industry, understanding the factors influencing repurchase intention has become vital for manufacturers and marketers. This research employs logistic regression to predict consumers repurchase intention, focusing on pivotal satisfaction variables. The research leverages machine learning algorithms to find patterns and relationships within the satisfaction variables and their impact on repurchase intention. These provide actionable insights for automotive manufacturers and marketers, offering strategies to enhance customer satisfaction, build brand loyalty and drive repurchase behavior. Using a comprehensive questionnaire and combining traditional survey methodologies with machine learning techniques, this study contributes to the evolving field of consumer preference research and serves as a valuable guide for businesses seeking to thrive in the competitive automotive landscape.