Cronbach's Alpha Coefficient Research Articles

Reliability and Validity of the Spanish Version of the Brief-BESTest in Stroke Patients.

Background: Balance disorders and postural control treatments play an important role in fall prevention. The Brief-BESTest is a short-scale employed to evaluate balance and fall risk in different populations. Balance assessment is a fundamental element in patients with Acquired Brain Injury rehabilitation since postural alteration is one of the most frequent sequelae. The objective was to validate the Spanish version of the Brief-BESTest questionnaire in the stroke population. Methods: Subjects of both sexes aged over 18 years with a diagnosis of acute/chronic stroke were included. The BESTest, Mini-BESTest, Brief-BESTest, Berg Balance Scale, and Timed Up & Go Test were used to assess balance. The scales were implemented once. Cronbach's alpha coefficient was used to assess the internal consistency and confirmatory factorial analysis was employed to assess validity. Results: A total of 44 patients with a mean age of 65.35 years (SD = 10.665) participated. Cronbach's alpha coefficient showed a high internal consistency with a value of 0.839. In the criterion validity, there was a high positive correlation between the Brief-BESTest and BESTest (r = 0.879), Mini-BESTest (r = 0.808), and Berg Balance Scale (r = 0.711). Conclusion: The Spanish version of the Brief-BESTest scale is valid and reliable, showing adequate psychometric properties for balance assessment in patients with acute or chronic stroke.

Developing a Toolkit to Measure the Impact of Programme Assessment Result on Improving the Teaching Quality

This study aimed to develop a valid and reliable toolkit to measure the impact of external assessment results and improve teaching activities in engineering majors at Vietnamese universities. The study comprised two stages: development and testing of the questionaire. In addition to desk research, expert interviews were conducted with six education quality assurance specialists to assess the content and construct validity of a several items intended to gauge the impact of external assessment results on improving teaching activities in the questionaire. Simultaneously, SPSS 26.0 software was employed to ensure the validity and reliability of the scale following the testing phase involving sample 439 lecturers teaching engineering majors. The research findings indicated that Cronbach's alpha coefficients were above 0.7, and 38 out of 40 questions exhibited a total variable correlation of over 0.03, thereby ensuring the reliability of the scale. Furthermore, the development of this scale is poised to furnish valuable data for improving teaching activities at the higher education institutions.

Translation, cross-cultural adaptation, and validation of the Duke Activity Status Index (DASI) to Sinhala language

BackgroundDuke Activity Status Index (DASI) is a widely used tool to assess functional capacity among patients, but there is no Sinhala version validated for patients in Sri Lanka. This study aimed to cross-culturally adapt and test the validity and reliability of the Sinhala version of DASI (DASI-S).MethodsThe translation and cross-cultural adaptation of the DASI questionnaire were conducted following the standard guidelines. It was pre-tested on ten pre-operative patients and further modified. The construct validity and reliability of DASI-S were evaluated by administering the modified final DASI-S, which comprised 12 items, along with the physical functioning sub-scale of the 36-item short-form health survey (SF-36), consisting of 10 items to eighty-one patients who were awaiting non-cardiac surgeries at university surgical wards, National Hospital of Sri Lanka (NHSL), and Colombo North Teaching Hospital (CNTH), Sri Lanka. Reliability was assessed through Cronbach alpha, while the validity was evaluated using factor analysis and Spearman’s correlation. The ethical approval was obtained from the Ethics Review Committee, Faculty of Medicine, University of Colombo, Sri Lanka.ResultsThe mean age of the participants was 46.2 (± 16.6) years and the majority were females (54.3%). The mean height, weight, and body mass index of the sample were 160.5 (± 9.6) cm, 60.3 (± 11.9) kg, and 23.4 (± 4.5) kgm−2 respectively. The Cronbach's alpha coefficient for the internal consistency of DASI-S was 0.861. The concurrent validity of DASI-S was substantiated by positively correlating (p < 0.01, rs = 0.466) with the physical sub-scale of SF-36. There was a significant difference (p < 0.01) in the total score of DASI-S between the two age groups.ConclusionsSinhala version of the DASI appears to be a valid, reliable and easy-to-administer tool to assess functional capacity among patients who are awaiting non-cardiac surgeries.

Investigating the Factor Structure and Validation of the Multidimensional Scale of Acceptance of Collective Violence Among Teenagers: An Exploratory and Confirmatory Factor Analysis

Background: Collective violence is a significant social issue that impacts individuals' and groups' mental and physical health, social relationships, and educational levels. However, there is currently no valid and reliable scale to measure the acceptance of collective violence among adolescents. Objectives: This study aimed to validate the Multidimensional Scale of Acceptance of Collective Violence (MSACV). Methods: A cross-sectional study design was used to validate the MSACV among teenagers in Tehran in 2022. The sample included 840 teenagers selected through random cluster sampling. Data were collected electronically using MSACV and the Aggression Scale (AS), with the questionnaire link sent to participants' mobile phones. Content validity, concurrent validity, and factor analysis methods were used to assess scale validity. Scale reliability was evaluated through internal consistency, test-retest reliability, and split-half reliability. Results: The content validity ratio (CVR) values ranged from 68% to 91%, and the Content Validity Index (CVI) values ranged from 70% to 94% for the relevant, clarity, and simplicity indices. Exploratory factor analysis (EFA) revealed that the MSACV questionnaire had 7 factors, explaining a total variance of 58.97%. Confirmatory factor analysis (CFA) also supported the 7-factor structure of the MSACV questionnaire. The concurrent validity of MSACV with AS was positive and significant (P &lt; 0.001). Cronbach's alpha coefficient for the overall scale was 0.91, and subscales ranged from 0.70 to 0.94. Test-retest reliability was 0.86, and split-half reliability was 0.74. Conclusions: This study's findings demonstrate that the MSACV is a valid and reliable scale for measuring the acceptance of collective violence among adolescents. This scale can assist researchers and interventionists in the prevention and treatment of collective violence.

Evaluation and application of a Chinese version symptom questionnaire for visual dysfunctions (CSQVD) in school-age children

ObjectiveTo develop and evaluate a Chinese version of the Symptom Questionnaire for Visual Dysfunctions (CSQVD) to quantify visual dysfunction symptoms in school-age children with various eye diseases, and to explore the relationship between ophthalmological disorders and visual dysfunction symptoms. MethodsFollowing standard scale adaptation procedures, the Symptom Questionnaire for Visual Dysfunctions (SQVD) was translated into Chinese (CSQVD). We employed random sampling to survey 198 outpatients aged 7–18 to assess the psychometric properties of the CSQVD. Using the reliable and validated questionnaire, we evaluated the determinants of visual dysfunction symptoms among 406 school-age patients at an eye center. The CSQVD scores were correlated with demographic and clinical variables, including gender, age, eye position, refractive power, and best-corrected visual acuity. Univariate analysis identified potential risk factors, followed by binary logistic regression and multiple linear regression analysis on factors with a P-value <0.05. ResultsThe CSQVD scale's critical ratio (CR) values ranged from 6.028 to 10.604. The Cronbach's Alpha coefficient was 0.779, and Spearman-Brown split-half reliability was also 0.779. The I-CVI varied from 0.83 to 1.000, the S-CVI/Ave was 0.857, and the KMO value was 0.821. Multifactorial regression analysis indicated that high myopia (OR ​= ​5.744, 95% CI [1.632, 20.218], P ​= ​0.006) and amblyopia (OR ​= ​9.302, 95% CI [1.878, 46.058], P ​= ​0.006) were significant predictors of CSQVD symptoms. Multiple linear regression analysis showed that BCVA of amblyopic eyes (B ​= ​−5.052, 95% CI [−7.779, 2.325], P ​= ​0.000) and SE power (B ​= ​−0.234, 95% CI [−0.375, 0.205], P ​= ​0.001) significantly affected the CSQVD scale scores. ConclusionsThe Chinese version of the SQVD scale (CSQVD) demonstrates good feasibility, discriminatory power, validity, and reliability in assessing Chinese school-aged children. Furthermore, those who have severe myopia and amblyopia reported more visual dysfunction symptoms.

Predicting Psychological Well-being based on Mindfulness with Mediating Role of Coping Styles

Aim: Paying attention to the level of health and psychological well-being of students as the most important future-makers of the country is of great importance. Therefore, the aim of this study was to investigate and present a predictive model of their psychological well-being based on mindfulness mediated by coping styles. Methods: The method of this study was descriptive-correlational which was done by structural equation modeling method. The statistical population of the study included undergraduate students of Shahid Beheshti University in Tehran (Iran), three hundred sixty five of whom participated in the study through cluster sampling. In order to collect data, mindfulness, coping styles and psychological well-being questionnaires were used. The reliability and validity of the instruments were confirmed using Cronbach's alpha coefficient and confirmatory factor analysis. To analyze the data, structural equation method was used with Amos software. Findings: The results of this study showed that the effect of mindfulness on problem-oriented style and psychological well-being is significantly positive, but its effect on emotion-oriented style and avoidance style is significantly negative. The effect of problem-oriented style on psychological well-being is positive and significant, but the effect of emotion-oriented style and avoidance style on psychological well-being is not significant. Also, the mediating role of problem-oriented coping style about the effect of mindfulness on psychological well-being is significant. Conclusion: The results showed that the predictive model presented has a good fit and the variables of mindfulness and problem-oriented coping style are effective in psychological well-being.

Psychometric properties of the spatial skills self-efficacy scale: A validity and reliability study

The aim of this study was to develop a valid and reliable spatial skills self-efficacy scale for middle school students. To this end, the study sampled 5th-, 6th-, 7th-, and 8-grade students in the spring term of the 2021–2022 academic year. The data were collected from 1369 students for the pilot study and the validity and reliability analysis to investigate the psychometric properties of the scale. Twenty-five subject matter experts were asked for opinions and Lawshe's content validity ratio (1975) was used to measure the content validity of the scale. The results of the exploratory factor analysis conducted for the construct validity yielded a four-factor structure consisting of seventeen items, which accounted for 41.37 % of the total variance. The factor loadings of the scale items ranged from 0.41 to 0.75. When the fit indices of the model were examined as a result of Confirmatory Factor Analysis, it was determined that the firstorder multifactor structure were within the excellent or acceptable value ranges. The Cronbach's alpha coefficient was found to be 0.77 for the total scale. The results of the independent samples t-test for the upper and lower 27 % groups showed a significant difference between the groups for all scale items. The correlation coefficients of the subscales with one another and with the total scale showed significant positive moderate and high correlations. The test–retest reliability coefficients also showed significant positive moderate and high correlations. These results indicate that the Spatial Skills Self-Efficacy Scale is a measurement tool that produces valid and reliable measurements and can be used to determine the spatial skills self-efficacy of middle school students.

Psychometric Properties of the Spanish Version of the Cognitive Problems and Strategies Assessment in Patients with Bipolar Disorder.

Cognitive deficits play an important role in Bipolar Disorder (BPD). The Cognitive Problems and Strategies Assessment (CPSA) is a measure that evaluates the patient's perception of cognitive difficulties, and the spontaneous use of compensatory strategies and could thus have potential utility for clinical practice in patients with BPD. Our aim was to determine the validity and reliability of the Cognitive Problems and Strategies Assessment (CPSA) in Bipolar Disorder (BPD). Ninety-three BPD outpatients and 90 controls completed the Assessment of Problems with Thinking and Memory (APTM) questionnaire and the Assessment of Memory and Thinking Strategies (AMTS) questionnaire which constitute the CPSA, the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA), as a measure of convergent validity, and general sociodemographic data. Cronbach's alpha coefficient, Spearman's correlation coefficient and independent sample t tests were used for Internal consistency, Convergent validity and Discriminant validity. The APTM had a Cronbach's alpha coefficient of 0.93 and the AMTS 0.90. The COBRA score and the APTM were significantly correlated. BPD patients exhibited higher scores on the APTM and lower scores on the AMTS than controls. The present instrument enriches the clinician's repertoire for rapid and inexpensive cognitive evaluation in BPD.

Translation and psychometric evaluation of the Chinese version of the Nursing Time Management Scale.

Reasonable and effective time allocation can promote the improvement of medical care service quality. This study aimed to translate, cross-culturally adapt and validate the Chinese Nursing Time Management Scale (NTMS). Using a cross-sectional survey, 345 clinical nurses were selected from June to September 2023 for a general information questionnaire and Nursing Time Management Scale (NTMS) study. Item analysis, exploratory factor analysis and validation factor analysis were used to verify the reliability and validity of the Chinese version of Nursing Time Management Scale. The Chinese version of the Nurses' Time Management Competency Scale includes 17 entries in 3 dimensions: planning activities and setting goals, coordinating activities and procedures, and organizing nursing activities. The Cronbach's alpha coefficient for the total scale was 0.966. Exploratory factor analysis showed that the cumulative variance contribution of the three male factors was 97.44%. The NTMS has acceptable validity and reliability and can be used to evaluate the nursing time management skills of Chinese clinical nurses.

Development of the Food Acceptance Questionnaire for Thai Partial and Complete Edentulism.

This study aimed to develop the Food Acceptance Questionnaire (FAQ) to assess the masticatory ability of Thai older adults (≥60 years). Fifty participants were interviewed using open-ended questions about food they regularly consumed and avoided due to difficulty chewing. From a list of 140 items, 100 were recruited for a trial version of the FAQ. A total of 154 participants responded to the 5-point Likert scale on their chewing perception of each food item (1, impossible to chew; 5, most easily eaten). The average response of each food item was used as the chewing index (CI). The 100 food items were ranked and divided into five grades based on their CIs. Masticatory performance (MP) was objectively assessed by a visual scoring method using gummy jelly (UHA Mikakuto). Two foods from each grade that demonstrated the highest correlation with MP were selected to form the final 10-item FAQ. The FAQ score was calculated by summarizing the responses of 10 items. MP correlated strongly with the FAQ score (r = 0.57, p < 0.001), indicating its predictive validity. Furthermore, the FAQ indicates strong internal consistency (Cronbach's alpha coefficient = 0.90), indicating high reliability. In conclusion, this newly developed 10-item FAQ is valid and reliable for assessing the masticatory ability of Thai older adults.

Reliability and validity of a novel attention assessment scale (broken ring enVision search test) in the Chinese population.

The correct assessment of attentional function is the key to cognitive research. A new attention assessment scale, the Broken Ring enVision Search Test (BReViS), has not been validated in China. The purpose of this study was to assess the reliability and validity of the BReViS in the Chinese population. From July to October 2023, 100 healthy residents of Changzhou were selected and subjected to the BReViS, Digital Cancelation Test (D-CAT), Symbol Digit Modalities Test (SDMT), and Digit Span Test (DST). Thirty individuals were randomly chosen to undergo the BReViS twice for test-retest reliability assessment. Correlation analysis was conducted between age, education level, gender, and various BReViS sub-tests including Selective Attention (SA), Orientation of Attention (OA), Focal Attention (FA), and Total Errors (Err). Intergroup comparisons and multiple linear regression analyses were performed. Additionally, correlation analyses between the BReViS sub-tests and with other attention tests were also analyzed. The correlation coefficients of the BReViS sub-tests (except for FA) between the two tests were greater than 0.600 (p < 0.001), indicating good test-retest reliability. The Cronbach's alpha coefficient was 0.874, suggesting high internal consistency reliability. SA showed a significant negative correlation with the net score of D-CAT (r = -0.405, p < 0.001), and a significant positive correlation with the error rate of D-CAT (r = 0.401, p < 0.001), demonstrating good criterion-related validity. The correlation analysis among the results of each sub-test showed that the correlation coefficient between SA and Err was 0.532 (p < 0.001), and between OA and Err was-0.229 (p < 0.05), whereas there was no significant correlation between SA, OA, and FA, which indicated that the scale had good informational content validity and structural validity. Both SA and Err were significantly correlated with age and years of education, while gender was significantly correlated with OA and Err. Multiple linear regression suggested that Err was mainly affected by age and gender. There were significant differences in the above indexes among different age, education level and gender groups. Correlation analysis with other attention tests revealed that SA negatively correlated with DST forward and backward scores and SDMT scores. Err positively correlated with D-CAT net scores and negatively with D-CAT error rate, DST forward and backward scores, and SDMT scores. OA and FA showed no significant correlation with other attention tests. The BReViS test, demonstrating good reliability and validity, assessing not only selective attention but also gauging capacities in immediate memory, information processing speed, visual scanning, and hand-eye coordination. The results are susceptible to demographic variables such as age, gender, and education level.

The disease recurrence perception scale for patients with inflammatory bowel disease: Instrument development and cross-sectional validation study.

Disease recurrence perception plays a key role in disease management and subsequent disease recurrence prevention. However, there are no specific tools for assessing disease recurrence perception in patients with inflammatory bowel disease (IBD) characterized by alternating remission and recurrence. To develop and validate an instrument for measuring disease recurrence perception of patients with IBD, the study was conducted in two steps: (1) instrument development and (2) psychometric tests. A total of 623 patients with IBD participated in the study. The common sense model of illness self-regulation (CSM) was used as a framework for instrument development. The administered version contained 48 items intended to be relevant to at least one of the six dimensions of the model. Based on preliminary analyzes, 12 items were deleted leaving 36 items for more detailed psychometric and factor analyzes. The Cronbach's alpha coefficient of the total 36-item instrument was 0.915. The content validity indexes at item and scale levels were satisfactory. The test-retest reliability of the total instrument was 0.870. Exploratory principal components analysis (n = 278) was used to identify six components congruent with intended CSM constructs that accounted for 62.6% of total item variance. Confirmatory factor analysis (n = 345) found acceptable fit for the six factor measurement model (χ2/df = 1.999, GFI = 0.846, NFI = 0.855, IFI = 0.922, TLI = 0.910, CFI = 0.921, RMSEA = 0.054). Overall, the DRPSIBD demonstrated satisfactory reliability and validity to warrant further development as a measure of disease recurrence perception of patients with IBD.

Developing a Scale in the junction of Religiousness and Moral Disapproval of Pornography

The development process and validity and reliability studies of the "Moral Disapproval of Pornography Scale" (MDSS) are described in this study. Moral disapproval of pornography use, one of the three components of the Anti-Pornography Problems Associated with Moral Inconsistency (APPM) model, refers to the psychological difficulties created by individuals' pornography use that contradicts their moral beliefs about pornography. This incongruence is shown to have a moderating role between individual’s self-perception of addiction and their psychological well-being. In studies conducted abroad, it is seen that the phenomenon in question is examined with instruments consisting of moral and religious oriented items. These items were reconstructed according to the conditions of our country and turned into a scale that people with different religious beliefs and practices can easily answer. The exploratory factor analysis of the obtained scale was conducted with 634 participants. Subsequently, a confirmatory factor analysis of the scale was performed with a second sample of 580 individuals. The Cronbach's alpha coefficient for internal consistency was calculated as .862, indicating good reliability. The exploratory factor analysis revealed that 71% of the total variance was explained and the items loaded onto a single factor. In the confirmatory factor analysis, acceptable fit indices [χ2 / df = 1.81, RMSEA = .005, AGFI = 0.97, CFI = 0.99, GFI = 0.98, RMR = 0.02] were obtained. In conclusion, the Pornography Moral Disapproval Scale (PMDS) was found to be a valid and reliable measure.

The reflective function questionnaire for youth: Hungarian adaptation and evaluation of associations with quality of life and psychopathology.

An important correlate of mental health problems is mentalizing capacity, which appears to be particularly influential during adolescence. However, quality of life has not been studied in relation to mentalizing capacity among adolescents. This study aimed to translate the Reflective Function Questionnaire for Youth (RFQY) into Hungarian, present its psychometric properties, and assess its relationship with demographic characteristics, psychopathology and quality of life. A community sample of 384 youths aged 12-18 years completed the RFQY, the Measure of Quality of Life for Children and Adolescents, and the Strengths and Difficulties Questionnaire. First, we conducted an exploratory factor analysis with direct oblimin rotation on the RFQY items. Next, we assessed the associations between the RFQY and demographics, quality of life, and psychopathology. The EFA resulted in four factors: Internal-self, Internal-other, Self-other, and Strong emotions. The Cronbach's alpha coefficients of the scales were .81, .82, .67, and .80, respectively. The subscales were uniquely associated with psychopathology and quality of life. Our study provides the first psychometric support for the Hungarian version of the RFQY and indicates that adolescents suffering from internalizing, externalizing symptoms or lower levels of quality of life could benefit from interventions aimed at enhancing mentalizing capacity.

Analysis of Teacher Inclusion in Decision-Making Processes in Public Basic Schools in the Ho West District

This study sought to analyze teacher inclusion in decision-making processes in public basic schools in the Ho West District of the Volta Region. Drawing on Charles et al.'s (1997) shared decision-making theory, the research employed a quantitative approach and utilized the descriptive survey design. The sample included 450 public school teachers selected through stratified random sampling. Data were collected using questionnaires with a Cronbach's Alpha coefficient of 0.85 and analyzed using mean, standard deviation, and independent samples t-test. Results indicated that teachers were actively involved in providing input on resources and participating in professional development, but their engagement was less prominent in areas such as staff hiring and decision- making related to school improvement initiatives. Factors influencing teacher inclusion included the school administration's recognition of teacher input, clarity in communication, time constraints, and leadership support. Based on these findings, recommendations were suggested to enhance communication channels, ensure transparency, and establish structured mechanisms for teacher involvement in decision-making.

International cooperation in radiology training: A multipronged approach

IntroductionMedical imaging has undergone significant technical advancements in recent years, posing a considerable challenge for radiologists to stay up-to-date with emerging modalities and their applications in daily practice. This challenge is even more daunting in developing countries with limited resources compared to the US and other developed nations with greater economic assets. The collaboration between the United States and other advanced nations with radiological institutions in Latin America has been a significant achievement in the pursuit of new opportunities for continuous medical education. The aim of this study was to evaluate the effectiveness of international collaborations among Spanish-speaking Latin American institutions and radiologists through a survey. Materials and MethodsA group of radiologists and institutions from various countries, including the USA, Spain, and Argentina, who have been working together for several years to improve Radiology education across Latin America, were selected. An online survey was conducted. The survey included questions about interest in the activities, participation, and impact of radiologic education during these educational efforts. ResultsThe survey received responses from 166 participants, all of whom reported knowledge of at least one type of educational activity. The most well-known activity was ALAT Webinars. The primary motivators for participation were the quality of the content and the opportunity to learn new information. Additionally, improving local education in radiology and receiving expert advice on radiology issues were identified as priorities for participation in international collaborations. The Cronbach alpha coefficient was calculated for individual and global Likert questions, resulting in a global score of 0.96. ConclusionThe study confirms the significance of a multifaceted approach to address gaps in radiology education. While traditional models have relied on hosting international visitors or sending US teachers abroad, the results suggest that using a variety of methods will have a greater impact than relying on a single technique for those who benefit most from collaborative efforts.

Designing and Psychometric Evaluation of a Questionnaire for Assessing Society's Perception of Flash Flood Risk

Background: Public perception of risks associated with natural disasters like flash floods significantly influences disaster management effectiveness. Flash floods pose a major threat to life and property, and a lack of tools to evaluate societal risk perception creates a critical gap. Objectives: This study aimed to design and evaluate the psychometric properties of a questionnaire specifically assessing society's perception of flash flood risk. Methods: A two-stage approach was employed. The first stage involved collecting questionnaire items through a systematic literature review and a qualitative study. In the second stage, a comprehensive psychometric evaluation was conducted, including assessments of face validity, content validity, and construct validity. Reliability was established using Cronbach's alpha. Confirmatory factor analysis was further conducted with data collected from 136 community members who had experienced flash floods. Data analysis was performed using SPSS version 20 and AMOS software. Results: A combination of qualitative data and systematic review findings facilitated the development of 36 initial questionnaire items. Applying quantitative and qualitative construct validity measures led to the refinement of the instrument, resulting in 29 final items categorized into three domains: Risk perception (12 items), awareness (10 items), and preparedness (7 items). The internal consistency of the instrument was confirmed by a Cronbach's alpha coefficient of 0.88. Factor analysis further supported the good fit of the hypothesized model to the data. Conclusions: This study successfully developed and rigorously evaluated a questionnaire to assess society's perception of flash flood risk. This instrument offers valuable insights for informed decision-making and identification of factors influencing risk perception, ultimately contributing to improved disaster preparedness and management.

Transcultural adaptation to Spain of the CDPQOL questionnaire specific for coeliac children.

This study aimed to translate, cross-culturally adapt, and validate the CDPQOL questionnaire, a coeliac disease (CD)-specific paediatric health-related quality of life (HRQoL) instrument (CDPQOL), in Spanish children with CD. The CDPQOL questionnaire has two versions for children aged 8-12 and 13-18. Translation and linguistic validation were performed following an international consensus process. Internal consistency was calculated using Cronbach's alpha and McDonald's omega coefficients, and convergent validity was assessed with average variance extracted (AVE). Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA), when necessary, were carried out to assess the construct validity. A total of 235 children were included. In the 8-12 age group, a change in the distribution of items to a new structure of three dimensions (negative emotions, food feelings and social interaction) was required. In this new model, CFA supported the fit of the model (χ2/gl = 1.79, RMSEA = 0.077 (IC 95% 0.05-0.100), CFI = 0.969, TLI 0.960, SRMR = 0.081) and Cronbach's alpha and McDonald's omega coefficients were > 0.7 in all three dimensions. In the 13-18 age group, CFA showed that all fit indexes were acceptable (χ2/gl = 1.702, RMSEA = 0.102 (IC 95% 0.077-0.127), p < 0.001, CFI = 0.956, TLI = 0.947, SRMR = 0.103) and Cronbach's alpha and McDonald's omega coefficients were > 0.7 in all three dimensions, except for uncertainty dimension. Conclusions: The Spanish version of the CDPQOL questionnaire is a useful instrument to assess quality of life in coeliac children whose native language was Spanish spoken in Spain, with changes in item distribution in the younger age group questionnaire. What is Known: • The first specific questionnaire for coeliac children, Dutch Coeliac Disease Questionnaire (CDDUX), which focuses on diet, was translated into Spanish and validated allowing to evaluate the HRQoL of Spanish coeliac children. • Spanish Children and parents feel the disease had no substantial negative impacts on patient HRQoL using this questionnaire, similar to that observed with other countries. What is New: • The age specific for CD children (CDPQOL) was elaborated in the USA and focuses on other aspects not evaluated by CDDUX such as emotional and social issues related to living with CD. • The CDPQOL was translated into Spanish and validated allowing it to be used to assess Spanish coeliac children's QoL.

AS SOFT SKILLS DESENVOLVIDAS PELOS ALUNOS DA FACULDADE DE TECNOLOGIA DE CATANDUVA POR MEIO DO ESTÁGIO SUPERVISIONADO

Changes in the business environment have led to a number of transformations which have contributed significantly to increased concern about employability. Another current concern is whether graduates have the skills required by employers. Data shows that soft skills are currently more important than hard skills. In view of this, the aim of this article is to identify whether soft skills and social competencies are developed by students at the Catanduva Faculty of Technology during their supervised internship. Soft skills are interpersonal skills that involve a set of competencies, including social competencies, related to individual interaction. Both are complementary and of great importance in improving professional performance. In this study, it was examined whether the skills developed through the internship are important for a professional career, as well as the benefits to academics and organizations. The research was of an applied nature, with a quantitative-qualitative approach, a case study with a descriptive objective. A semi-structured questionnaire was applied to 39 (50%) student interns from the Business Management, Information Technology Management and Industrial Automation courses. Cronbach's alpha coefficient was used to validate the instrument, with a value of 0.96. The results indicate that the students possess the competences analyzed, some of which are highlighted as essential by employers by 2025, according to information released by the World Economic Forum. Notably, the most developed skills were problem-solving and interpersonal relationships.

Abstract PO3-11-09: Cross-cultural adaptation and psychometric validation of lymphedema patient-reported outcome measurements in Chinese breast cancer patients

Abstract Background: Lymphedema is one of the most common complains reported by breast cancer survivors, which negatively affects the quality of life (QoL). Various internationally recognized patient-reported outcome measurements (PROMs), such as the Upper Limb Lymphedema 27 (ULL-27), Lymphoedema Functioning, Disability and Health questionnaire (Lymph-ICF), Lymphedema Quality of Life Questionnaire for upper limbs (LYMQOL-ARM), and Lymphedema Life Impact Scale Version 2 (LLIS), have been translated into different languages and widely used to assess QoL in patients with breast cancer-related lymphedema (BCRL). However, limited evidence has proved the efficiency of these tools in Chinese patients. In this study, we performed cross-cultural adaptation and psychometric validation of these four PROMs within the Chinese context. Additionally, we also compared the accuracy in detecting BCRL for early diagnosis. Methods: A process of forward–backward translation and cultural adaptation was conducted based on international standards. Content validity was assessed through patient interviews. Internal consistency was evaluated by Cronbach’s alpha coefficient. The correlation analysis of the MOS item short from health survey (SF-36) and each BCRL QoL questionnaires was utilized to indicate the convergent and divergent validity. Clinical validity was assessed by comparing scores among patients with different BCRL stages. Furthermore, questionnaires scores and the known group of lymphedema or not were compared to generate receiver operator characteristic (ROC) curves of these instruments. Results: A total of 204 female breast cancer patients were recruited in this study. Among them, 104 patients (61 with lymphedema and 43 without lymphedema) finished LYMQOL-ARM and ULL-27 questionnaire, while 100 patients (59 with lymphedema and 41 without lymphedema) were assessed by Lymph-ICF and LLIS. The internal consistency was high, with Cronbach's alpha coefficients above 0.9 for all subscales and global scales. The content validity was generally good, except for a few issues reported by the patients. Convergent and divergent validity confirmed the hypotheses of correlation between the tested questionnaire and SF-36 to varying degrees: 100% for ULL-27, 80% for Lymph-ICF, nearly 70% for LLIS, and only 50% for LYMQOL-ARM. LLIS and Lymph-ICF demonstrated strong clinical validity, with significant differences found in total and subscale scores among participants in different BCRL stages (P&amp;lt; 0.05). There were no significant differences between stages for the mood dimension (P=0.132) of LYMQOL-ARM, psychological dimension (P=0.506), social dimension (P=0.083), and total score (P=0.057) of ULL-27. Only the physical concerns and global scale of LLIS and the symptom subscale of Lymph-ICF exhibited acceptable AUC values near 0.7 (AUC 0.725, 95% CI 0.625-0.825, p&amp;lt; 0.029; AUC 0.680, 95% CI 0.573-0.787, p&amp;lt; 0.002; AUC 0.734, 95% CI 0.633-0.834, p&amp;lt; 0.001, respectively). In contrast, other subscales and questionnaires displayed lower AUC values. Conclusion: Lymphedema is a chronic disease that has a relatively low mortality risk but significantly affects the quality of life. Therefore, it is crucial to prioritize patient-reported outcomes in the assessment of lymphedema. Among the four PROMs, LLIS not only showed high internal consistency and content validity more suitable for Chinese patients, but also exhibited better performance in reflecting the presence and severity of lymphedema patients. Consequently, the validated and reliable Chinese version of LLIS is recommended for clinical and scientific practices in the assessment of BCRL, which will help to provide better interventions with a patient-centered focus. Citation Format: Yue Zhou, Bingqiu Xiu, Qi Zhang, Jiong Wu. Cross-cultural adaptation and psychometric validation of lymphedema patient-reported outcome measurements in Chinese breast cancer patients [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO3-11-09.