Eight-item Scale Research Articles

Validation of the Substance Abuse Scale of the Personal and Relationships Profile

Abstract There have been limited measurement studies of the substance abuse scale of the Personal and Relationships Profile (PRP) and the impact of social desirability on alcohol and drug use reporting. This study aimed to (a) model the factor structure of the eight-item substance abuse scale of the PRP and (b) examine the relationship of substance use factors with sociodemographic variables—race, income, age, marital status—and social desirability on substance use reporting among a sample of low-income fathers. The study included secondary data analysis of 665 fathers, who participated in a fatherhood program between 2011 and 2015. The two-factor model with the addition of two error covariances exhibited acceptable fit to the data. Sociodemographic characteristics were significantly associated with alcohol and drug use among the sample with social desirability being the strongest predictor of lower alcohol and drug use reporting. Findings suggest that alcohol and drugs are distinct constructs that should be assessed separately, despite being correlated. In social work practice and research, the influence of social desirability in reporting should be accounted for when assessing substance use.

Socioeconomic Status and Prosocial Behavior: The Mediating Roles of Community Identity and Perceived Control.

Background: Previous studies have examined the association between socioeconomic status and prosocial behavior, but the underlying mechanism between them is unclear. The present study aimed to examine the serially mediating roles of community identity and perceived control in this relationship. Methods: Using the convenient sampling technique, a total of 477 Chinese adults from Chinese communities, and ranging in age from 20 to 65 completed the questionnaires for objective socioeconomic status, the MacArthur scale of subjective socioeconomic status, an eight-item community identity scale, the perceived control scale, and a prosocial tendencies measure. Bivariate correlation analysis and regression analysis were used to examine the relationships among the major variables. Results: Socioeconomic status was positively associated with prosocial behavior. It was also found that community identity and perceived control played mediating roles between socioeconomic status and prosocial behavior, respectively. In addition, community identity and perceived control also had a serially mediating role in the relationship. Conclusions: Community identity and perceived control played a serially mediating role in the association between socioeconomic status and prosocial behavior. The findings in the present study contribute to understanding the underlying mechanism in the association between socioeconomic status and prosocial behavior among adults, and have important implications for interventions aimed at improving prosocial behavior in lower-status individuals.

Mapping the PHQ-8 to EQ-5D, HUI3 and SF6D in patients with depression

BackgroundThere is limited evidence of mapping clinical instruments to a generic preference-based instrument in Asian patient populations. The current study aims to map the eight-item Patient Health Questionnaire depression scale (PHQ-8) onto the EuroQol Five-Dimension (EQ-5D), the Health Utilities Index Mark 3 (HUI3) and the Short Form Six-Dimension (SF-6D) which helps to inform future cost-utility analyses of treatments for depression.MethodsA total of 249 participants who had completed PHQ-8, EQ-5D, SF-6D and HUI3 questionnaires were included in the analyses. A beta regression mixture model was used to map the utility scores as a function of PHQ-8 total scores, PHQ-squared, age and gender. The predictive accuracy of the models was examined using mean absolute error and root mean square error.ResultsThe results were compared against two common regression methods including Ordinary Least Square (OLS) and Tobit regression models. The mean age of the sample was 36.2 years (SD = 11.1). The mean EQ-5D-3L, EQ-5D-5L, HUI3 and SF-6D utility scores were 0.615, 0.709, 0.461 and 0.607, respectively. The EQ-5D-3L, EQ-5D-5L and SF-6D utility scores were best predicted by the beta mixture regression model consisting of PHQ-8 total sores, PHQ-squared, and covariates including age and gender. The HUI3 was best predicted by the OLS regression model.ConclusionsThe current study provides important evidence to clinicians and researchers about the mapping algorithms that can be used in economic evaluation among patients with depression.

Does the Complementarity Principle apply to inner speech? A mixed-methods study on multilingual Chinese university students in the UK

ABSTRACT This paper investigates how inner speech in English as a foreign language (LX) and Chinese first languages (L1s) of 425 multilingual Chinese university students in the UK is affected by their stay. An eight-item scale was developed to cover two different discourse domains for inner speech, namely the academic and the general domain. LX socialisation was operationalised as frequency of English use in daily life, sociocultural adaptation, previous immersion, and length of stay. Factor analysis of the quantitative data combined with participants’ reports show that English inner speech develops gradually in the academic domain and general domain, suggesting that the Complementarity Principle applies to inner speech as much as articulated speech (Grosjean, Bilingual: Life and reality. Harvard University Press, 2012). Frequency of academic English inner speech is linked to higher level of LX socialisation, namely frequent use of English in daily life, a higher level of sociocultural adaptation, and having had previous immersion. However, sociocultural adaptation had no effect on the frequency of general English inner speech.

Psychometric properties of the Eating Disorder Symptom List (EDSL), a brief questionnaire for weekly assessment of eating disorder symptoms.

Frequent assessment of eating disorder (ED) symptoms (e.g., on a weekly basis) may guide treatment planning in clinical services, and be an invaluable tool for improving clinical research. The aim of the present study was to evaluate the psychometric properties of a brief eight-item scale designed to assess ED behaviors during the preceding week (Eating Disorder Symptom List: EDSL). Cross-sectional data were collected in a non-clinical community sample (n=406) and cross-sectional and longitudinal data were gathered in a clinical ED sample before and after treatment with Enhanced Cognitive Behavior Therapy for eating disorders (n=47) and weekly during treatment with Radically Open Dialectical Behavior Therapy (n=13). The EDSL showed acceptable to good internal consistency (α=0.72-0.82) and test-retest reliability (r=0.88). Convergent and divergent validity was satisfactory. Also, the EDSL was sensitive to change and could detect changes between before and after treatment, as well as on a weekly basis. We conclude that the EDSL is a brief scale entailing little patient burden, and that initial analyses of the scale provide preliminary evidence of satisfactory psychometric properties. The scale can be used for repeated measures in ED treatment studies and clinics to assess change or absence of change during treatment.

Football: Exploring passion, grit and mindset in elite and junior players

The main goal of the study was to explore the relationship between passion, grit and mindset in a group of football players in Norway. The sample had 49 participants. In two different groups in relation to age and level. Sogndal elite team (N = 22) (Elite) and Sogndal Junior team (N = 27) (Junior). To assess the level of passion the passion scale was used, an eight-item scale. To measure grit the Grit-S scale was used. The scale has 8 items. Mindset was measured with the Theories of Intelligence Scale (TIS). The scale has 8-items. To measure harmonious and obsessive passion The Passion scale was used. The results show that the elite team did have the highest score in four out of five factors. Significant difference between elite and Junior was, however, not found. The results indicate significant correlations between the variables; passion - grit (r = 0.418, p < .01), passion - harmonious passion (r = 0.624, p < .01), grit-mindset (r = 0.309, p < .05) and grit - harmonious passion (r = 0.473, p < .01). Elite: a significant correlation for the variables passion - harmonious passion (r = 0.558, p < .01), grit and harmonious passion (r = 0.440, p < .05) and harmonious - obsessive passion (r = . 608, p < .01). Junior: a significant correlation for the variables passion - grit (r = 0.647, p < .01), passion - harmonious passion (r = . 702, p < .01), and grit - harmonious passion (r = 0.558, p < .01). Fischer r-to-z transformation indicate significant difference between elite and junior group for the correlation passion-grit (p = .04) and harmonious - obsessive passion (p = .01). The findings are discussed in relation to previous research exploring the relationships between passion, grit and mindset in achievement contexts. Consequently, the differences found in association between passion and grit, might imply that different personality traits may be characteristic for football players at different levels.

Psychometric performance of the perceived stigma of substance abuse scale (PSAS) among patients on methadone maintenance therapy in Vietnam

BackgroundPeople who inject drugs (PWID) and patients on methadone maintenance therapy (MMT) face severe stigma and discrimination. However, there are limited measures assessing stigma towards individuals with substance use disorders or MMT patients, particularly in Vietnam, and few studies have examined the psychometric properties of existing measures. This study aims to examine the performance of the eight-item Perceived Stigma of Substance Abuse Scale (PSAS), created in the United States, among a population of MMT patients in Vietnam. MethodsA cross-sectional survey was conducted among 400 adult patients enrolled in an urban MMT clinic. Substance use stigma was measured using the PSAS. We conducted confirmatory factor analysis (CFA) and assessed construct validity, reliability and known-group validity. ResultsThe original eight-item scale was unidimensional, but yielded mixed goodness-of-fit indicators. Ultimately, dropping two items and allowing the errors of the items related to childcare to correlate improved the goodness-of-fit indicators. (RMSEA = 0.025; CFI = 0.999; and SRMR = 0.018). The shortened scale demonstrated acceptable reliability (Cronbach’s α = 0.766). The mean stigma scores were significantly higher among individuals not working, but did not significantly vary by length of time in MMT, marital status, education attainment, HIV status, depression, concurrent injection drug use or missed methadone dose. ConclusionsThe shortened six-item scale demonstrated good construct validity and acceptability reliability, but it did not demonstrate many a priori hypothesized known-group validity associations. Further research should consider a mixed-methods validation approach.

Association of Depression and Anxiety With Expectations and Satisfaction in Foot and Ankle Surgery.

Mental health diagnoses involving depression or anxiety are common and can have a dramatic effect on patients with musculoskeletal pathologies. In orthopaedics, depression/anxiety (D/A) is associated with worse postoperative patient-reported outcomes. However, few studies have assessed the effect of D/A on expectations and satisfaction in foot and ankle patients. Adult patients undergoing elective foot and ankle surgery were prospectively enrolled. Preoperatively, patients completed the eight-item Patient Health Questionnaire Depression Scale, Generalized Anxiety Disorder Screener-7, Foot and Ankle Outcome Score (FAOS), and Expectations Survey. At 2 years postoperatively, surveys including satisfaction, improvement, and fulfillment of expectations were administered. Fulfillment of expectations (fulfillment proportion) and FAOS scores were compared between patients with D/A and non-D/A patients. Of 340 patients initially surveyed, 271 (80%) completed 2-year postoperative expectations surveys. One in five patients had D/A symptoms. Preoperatively, D/A patients had greater expectations of surgery (P = 0.015). After adjusting for measured confounders, the average 2-year postoperative fulfillment proportion was not significantly lower among D/A compared with non-D/A (0.86 versus 0.78, P = 0.2284). Although FAOS scores improved postoperatively for both groups, D/A patients had significantly lower preoperative and postoperative FAOS scores for domains of symptoms, activity, and quality of life (P < 0.05 for all). D/A patients reported less improvement (P = 0.036) and less satisfaction (P = 0.005) and were less likely willing to recommend surgery to others (P = 0.011). Patients with D/A symptoms had higher preoperative expectations of surgery. Although D/A patients had statistically similar rates of fulfillment of expectations compared with non-D/A patients, they had markedly lower FAOS scores for domains of symptoms, activity, and quality of life. D/A patients also perceived less improvement and were more often dissatisfied with their outcomes. These findings should not dissuade providers from treating these patients surgically but rather emphasize the importance of careful patient selection and preoperative expectation management. Level III; retrospective review of prospective cohort study.

Development and validation of the Cancer Knowledge Scale for the general population: An item response theory approach

ObjectiveTo develop and validate a new measure of cancer knowledge for members of the general population who have never been diagnosed with cancer. MethodsInitially, 20 items were generated to measure cancer knowledge. After expert refinement and cognitive interviews, 11 items remained and were completed by 1,076 adults with no history of cancer. Responses were assessed using an item response theory (IRT) approach and differential item functioning. ResultsItems were analyzed using a two-parameter logistic IRT model. Two items with tetrachoric correlation coefficients>0.8 and one item with a discrimination parameter>2.0 were excluded. The final eight items demonstrated a good range of discrimination (1.13 to 1.86) and difficulty (−1.11 to 0.85). No meaningful differential item functioning by participant attributes was detected for these eight items. ConclusionThe Cancer Knowledge Scale appears to be a reliable and valid measure for the general population. Practice ImplicationsThe eight-item scale could be used to assess the effects of psychoeducational programs, including those on cancer knowledge, for members of the general population with no cancer history

Continued professional development: A comparison of online vs. in-person workshops

IntroductionPharmacy practice continues to change and therefore requires lifelong health professions education. These practice changes require academics and leaders in pharmacy to identify how to best teach and train pharmacists to manage patient care services. This study assessed whether an online training module is as effective as an in-person workshop to train pharmacists to apply dosing and therapeutic monitoring of vancomycin. MethodsThe primary endpoint measured the difference in average assessment score change between pre- and post-training between intervention groups. All pharmacists completed: (1) a baseline pretest, (2) Session 1 online, (3) Session 2 (an online training module or in-person workshop), (4) a posttest, and (5) a voluntary survey of perceptions on training. ResultsA total of 56 pharmacists completed the training, 43% online and 57% in-person. The multiple linear regression included pretest, training method, and pharmacists' role on posttest (R2 = 0.1041 and P = .34). A voluntary anonymous survey about perceptions on the training was completed by 20 participants. On average, perceptions were agreeable on an eight-item Likert scale between groups (Cronbach's alpha = 0.77). The total scores for the Likert scale were 27 ± 3.3 vs. 23 ± 1.6, P = .001, in the online and in-person sessions, respectively. More participants in the online group agreed that they had enough time to comprehend and apply the material, 4 vs. 3 (on the Likert scale). ConclusionsAn online training module is as effective as an in-person workshop at training pharmacists to apply vancomycin dosing and monitoring.

The association between anxiety and academic performance in children with reading disorder: A longitudinal cohort study.

The purpose of this study was to examine the association between anxiety and overall academic performance (AP) in children with reading disorder (RD). This two-year longitudinal cohort study included 128 participants (aged 7-14 years) with RD. Anxiety symptoms were evaluated using the School Anxiety Scale - Teacher Report for the first year and the eight-item Spence Children's Anxiety Scale for the second year. AP was assessed by teacher ratings of progress in academic content areas, including reading, writing and math. Teachers completed evaluations every 3months. We standardized all scores (to z scores). Multivariate linear regression models (adjusting for age, sex and Attention-Deficit/Hyperactivity Disorder symptoms) assessed the association cross-sectionally at each timepoint of survey completion. Repeated measures analysis using mixed models assessed the relationship longitudinally. Results from both univariate and multivariate analyses showed anxiety being significantly negatively associated with AP in children with RD, both cross-sectionally and longitudinally. Importantly, increased anxiety was significantly associated with reduced AP over time within an individual (adjusted β=-0.22, p=.002). This lends support to screening for anxiety disorders in children with RD. Future research should examine the directionality of this relationship, potential mediators in the pathway and whether interventions to reduce anxiety increase AP.

RETRACTED ARTICLE: Improving the measurement of alexithymia in autistic adults: a psychometric investigation and refinement of the twenty-item Toronto Alexithymia Scale

BackgroundAlexithymia, a personality trait characterized by difficulties interpreting one’s own emotional states, is commonly elevated in autistic adults, and a growing body of literature suggests that this trait underlies a number of cognitive and emotional differences previously attributed to autism, such as difficulties in facial emotion recognition and reduced empathy. Although questionnaires such as the twenty-item Toronto Alexithymia Scale (TAS-20) are frequently used to measure alexithymia in the autistic population, few studies have attempted to determine the psychometric properties of these questionnaires in autistic adults, including whether differential item functioning (I-DIF) exists between autistic and general population adults.MethodsWe conducted an in-depth psychometric analysis of the TAS-20 in a large sample of 743 verbal autistic adults recruited from the Simons Foundation SPARK participant pool and 721 general population controls enrolled in a large international psychological study (the Human Penguin Project). The factor structure of the TAS-20 was examined using confirmatory factor analysis, and item response theory was used to further refine the scale based on local model misfit and I-DIF between the groups. Correlations between alexithymia and other clinical outcomes such as autistic traits, anxiety, and quality-of-life were used to assess the nomological validity of the revised alexithymia scale in the SPARK sample.ResultsThe TAS-20 did not exhibit adequate global model fit in either the autistic or general population samples. Empirically driven item reduction was undertaken, resulting in an eight-item unidimensional scale (TAS-8) with sound psychometric properties and practically ignorable I-DIF between diagnostic groups. Correlational analyses indicated that TAS-8 scores meaningfully predict autistic trait levels, anxiety and depression symptoms, and quality of life, even after controlling for trait neuroticism.LimitationsLimitations of the current study include a sample of autistic adults that was overwhelmingly female, later-diagnosed, and well-educated; clinical and control groups drawn from different studies with variable measures; and an inability to test several other important psychometric characteristics of the TAS-8, including sensitivity to change and I-DIF across multiple administrations.ConclusionsThese results indicate the potential of the TAS-8 as a psychometrically robust tool to measure alexithymia in both autistic and non-autistic adults. A free online score calculator has been created to facilitate the use of norm-referenced TAS-8 latent trait scores in research applications (available at http://asdmeasures.shinyapps.io/TAS8_Score).

The Effects of Carbon and Plastic Ankle-Foot Orthoses on Gait, Balance, and Mobility in Persons with Multiple Sclerosis: A Pilot Study

ABSTRACT Introduction Ankle-foot orthoses (AFOs) are commonly prescribed to improve gait in individuals with multiple sclerosis (MS). However, there is currently little research to support their use or guide clinicians in the prescription process in this population. The purpose of this pilot study was to compare the effects of carbon and plastic AFOs on measures of gait, balance, and mobility in persons with MS. Materials and Methods Ten individuals with MS who had not used an AFO previously had their gait, balance, mobility, and perception of benefit assessed under three different AFO conditions: no AFO, carbon AFO (C-AFO), and plastic AFO (P-AFO), on separate days. Gait was assessed using an instrumented 10-m walk, a 6-minute walk, the physiological cost index (PCI), and a visual analog fatigue rating scale. Static balance was assessed using posturography under different sensory conditions and dynamic balance using the limits of stability (LOS) test. Mobility was assessed using the timed up and go (TUG) test. The perceived benefit of using the AFO was measured with an eight-item Likert scale survey. Results No significant differences were identified between the C-AFO and P-AFO conditions for any of the gait, balance, and mobility measures. Both AFO types tended to improve static balance but negatively impacted dynamic balance and mobility when compared with no AFO. There was no significant difference in the perceived benefit between the AFO types. However, there were differences in the PCI and perception of benefit for individual subjects that could be clinically meaningful. Conclusions There were no differences in gait, balance, and mobility measures or perception of benefit between C-AFO and P-AFO in persons with MS. However, there were differences in individual performance that may warrant consideration when prescribing AFOs. Therefore, clinicians should consider using appropriate standardized assessment tools that measure various aspects of gait, balance, and mobility when evaluating individual responses to AFOs.

Development of the Cybercrime Rapid Identification Tool for Adolescents.

Two studies were conducted to support the development of an eight-item Cybercrime Rapid Identification Tool (CRIT) and evaluate the psychometric properties of the proposed scale on samples of secondary school and university students. The CRIT was developed and evaluated in two cross-sectional studies with 2044 respondents from Hong Kong and China. Study 1 recruited 1533 secondary school students from Hong Kong with a mean age of 14.91 (SD = 1.77) years, and Study 2 recruited 511 university students from mainland China with a mean age of 20.41 (SD = 2.49) years. A stepwise confirmatory factor analytical approach was taken with further verification by exploratory factor analysis based on different samples. Factorial validity was further verified using confirmatory factor analysis. The analyses supported an eight-item scale with a two-factor structure. The eight-item CRIT was found to possess good internal consistency and concurrent validity. The studies offer promising support for the CRIT. It has the potential to advance epistemological methods and clinical research related to cybercrime prevention.

Passion, grit and mindset in football players

The main aim of the study was to explore the relationship between passion, grit and mindset in a group of football players in Norway. The sample had 63 participants. In three different groups in relation to age and level. Sogndal elite team (N = 25) (Elite), Sogndal Junior team (N = 17) (Junior 18) and young talents in Sogn-og Fjordane (N = 21) (Junior 15).To assess the level of passion the passion scale was used, an eight-item scale. To measure grit the Grit-S scale was used. The scale has 8 items. Mindset was measured with the Theories of Intelligence Scale (TIS). The scale has 8-items. Trainers in each group ranked the players football competence. The results show that the elite team did have the highest score in all factors. Significant difference between elite and Junior 15 in the factor grit. The results indicate significant correlations between the variables; passion-grit (r = 0.576, p < .001) and grit-mindset (r = 0.271, p < .05. The correlation was not significant for passion-mindset (r = 0.121). Elite: a significant correlation for the variables passion-grit (r = 0.474, p < .001) only. The correlation passion-mindset (r = 0.049); grit-mindset (r = 0.215) and trainers ranking was not significant. However, it is interesting to note the moderate correlation between passion and trainers ranking (r = −0.326) and grit and trainers ranking (r = −0.268) in this group. Junior 18: a significant correlation for the variables passion-grit (r = 0.679, p < .001) only. The correlation between passion-mindset (r = 0.146); grit-mindset (r = 0.381) and trainers ranking was not significant. Junior 15: the results indicate a significant correlation for the variables passion-grit (r = 0.665, p < .001) and passion-trainers ranking (r = −0.545, p < .05; large correlation) only. The correlation between passion-mindset (r = 0.181); and grit-mindset (r = 0.227) was not significant. In sum, despite associations magnitudes between variables (grit, mindset, and passion) are different among groups, only significant differences between groups were found in grit.

A latent class analysis of changes in adolescent substance use between 1988 and 2011 in Sweden: associations with sex and psychosomatic problems.

To characterize changes in patterns of adolescent substance use in Sweden between 1988 and 2011, and to assess whether sex and psychosomatic problems were associated with substance use and whether these associations changed over time. Secondary analysis of repeated cross-sectional survey data. Survey data were collected eight times and analyzed as four cohorts (1988-91, 1995-98, 2002-05 and 2008-11). The sample included all 15-16-year-olds in Värmland County, Sweden (n=20 057). Binary-coded substance use measures included life-time use of alcohol and tobacco, getting drunk and past school year use of inhalants. An eight-item scale was used to assess psychosomatic problems. A three-class model fitted the data best (i.e. non/low use, mainly alcohol use and polysubstance use). The patterns of substance use were different among cohorts; most notably, adolescents in the last cohort had lower odds of being included in the alcohol and polysubstance use classes rather than the non/low use class than in the earlier cohorts (all Ps<0.001). Males had higher odds than females of being in the polysubstance use class rather than the non/low use class among the first three cohorts (all Ps<0.001) but not the last. Sex was not associated with inclusion in the alcohol use class rather than the non/low use class. Adolescents who reported more psychosomatic problems had higher odds of being included in the alcohol and polysubstance use classes rather than the non/low use class (all Ps<0.001). The associations of sex and psychosomatic problems with class inclusion did not change during the study period. Between 1988 and 2011, patterns of substance use among adolescents in Sweden shifted away from polysubstance use and alcohol use to non-use or low use. Associations between patterns of substance use and sex and psychosomatic problems remained largely consistent across the study period.

Determining the Prevalence of and the Factors Associated with Antihypertensive Medication Non-Adherence in the Gaza Strip.

BackgroundThis study aimed to estimate the prevalence of and determine the factors associated with antihypertensive medication (A-HTNM) non-adherence among hypertension care seekers attending primary health clinics in the Gaza Strip.MethodsA cross-sectional survey was conducted as the recruitment phase of a clustered randomized controlled trial including 538 participants. The participants were randomly selected from 10 primary health care centers by two-stage cluster random sampling. A structured questionnaire was used to collect data through face-to-face interview. The questionnaire was developed based on the World Health Organization determinants for medication non-adherence and the Health Belief Model. The main outcomes of this study were the prevalences of A-HTNM non-adherence and its associated factors. Adherence status was assessed using the eight-item Morisky Self-Report Medication Adherence Scale. Data were analyzed by STATA ver. 14.0 (Stata Corp., College Station, TX, USA) using a standard complex survey, accounting for unresponsiveness and the clustering sampling approach.ResultsThe overall prevalence of A-HTNM non-adherence was 65.8% (95% confidence interval [CI], 59.2–71.8). Among all studied predictors, only self-efficacy of participants (odds ratio [OR], 3.8; 95% CI, 1.79–2.84) and social support (OR, 2.26; 95% CI, 2.82–5.11) remained significantly associated with A-HTNM non-adherence after adjusting for age, education level, number and frequency of A-HTNM doses per day, and comorbidities.ConclusionThe high prevalence of non-adherence highlights the need for serious intervention to enhance the adherence rate among hypertension patients. The associated factors can be considered when developing appropriate interventions.

Effect of training provided to patients with chronic obstructive pulmonary disease on drug management.

Wrong use of an inhaler arising from a lack of knowledge can negatively affect treatment management. Therefore, this study was performed with the aim of determining the effects on treatment management of inhaler training carried out under the leadership of a nurse in individuals with medium and advanced stage chronic obstructive pulmonary disease (COPD). This was an experimentally designed pre-test post-test study with a control group. Participants were interviewed four times in 1 year. The experimental group performed inhaler training. A Patient Description and Follow-Up Form, an Inhaler Drug Use Skill Chart, the Morisky eight-item Medication Adherence Scale, the COPD Assessment Test, and the St. George Respiration Questionnaire were used to collect data. Data analysis was performed by SPSS, using nonparametric tests. Although there was no significant difference between the groups, a reduction in hospital visits and admissions because of attacks was seen in the experimental group (p = .239, p = .492). It was found there was a greater increase in the correct use of the inhaler in the experimental group than in the control group, and that correct use of the handihaler increased significantly (p = .008). Also, the increases in adherence to treatment (p = .006) and quality of life (p = .010) in the experimental group were significantly different from the control group. In the control group, the annual decline in forced expiratory volume in 1 s increased significantly (p = .016). It was seen that long-term inhaler training given by nurses at regular intervals made a significant contribution to treatment management.

Academic and clinical performance among nursing students: What's grit go to do with it?

BackgroundNursing is both a science and an art and requires students to develop sound scientific foundations for artful application. The at times binary nature of how the way in which the knowledge and skills of nursing are delivered in higher education can be difficult for students to comprehend initially and synchronise for practice and can lead to feelings of being overwhelmed, withdrawal or failure. Understanding what influences student performance in bachelor level nursing studies is imperative so educators can develop programs that straddle the art and science conundrum and lead to graduate success. Grit is a non-cognitive trait, a drive that keeps an individual on task through difficult circumstances for sustained periods of time. Grit might well represent a key factor in our understanding of why one student succeeds while another withdraws. ObjectivesTo examine measures of grit in the context of demographic characteristics of nursing students and their impact on student self-perceived academic and clinical performance. DesignA cross-sectional design. SettingA single School of Nursing at a multi-campus, regional, peri-urban Australian University. ParticipantsAll nursing students (n = 2349) studying a three-year bachelor of nursing degree were invited to participate. MethodsData were collected using a questionnaire that included several demographic items, questions relating to the student's perceived level of academic and clinical performance, and the eight-item Short Grit Scale (Grit-S) used to measure trait-level perseverance and passion for long-term goals. ResultsStudents, regardless of their year of study or any other demographic factor, showed grit was the only significant predictor of clinical and academic performance. ConclusionsThe strength between grit and perceived performance both academically and clinically, makes grit a valuable factor for development in students as a vehicle for success in nursing programs of study. This paper culminates in suggestions for creative approaches to grit development.

Muscle-strengthening exercise and depressive symptom severity among a nationally representative sample of 23,635 german adults.

Background: There is strong epidemiological evidence that physical activity is associated with lower likelihood of depression. Yet, most existing large population studies have investigated aerobic physical activity (e.g. walking/running), with few epidemiological studies examining the association between muscle-strengthening exercise (MSE; push ups, using weight machines) with depression. The aim of this study is to examine associations between MSE and depressive symptoms among a representative sample of German adults. Methods: Cross-sectional analyses were conducted on the 2014 German Health Update. Validated questionnaires were used to assess MSE and depression symptom severity (eight-item Personal Health Questionnaire Depression Scale). Generalized linear models with Poisson regression with a robust error variance were used to assess prevalence ratios of depression symptom severity (mild, moderate, moderately severe/severe) across weekly MSE frequency (None [reference]; 1, 2, 3–4 and ≥5), adjusting for potential cofounders (e.g. age, sex, socioeconomic status, self-rated health, smoking, hazardous alcohol consumption, aerobic exercise). Results: Data were available on 23,635 adults (≥18 years). When compared with those reporting no MSE, for all levels of depressive symptom severity, there were reduced prevalence ratios across all MSE frequencies. Compared to the higher MSE frequency groups (3-≥5 times/week), the prevalence ratios (range: 0.53–0.85) were similar among lower frequency groups (1–2 times/week) (range: 0.46–0.85). All associations remained after adjustment for sociodemographic, lifestyle characteristics and aerobic physical activity. Limitations: Findings may be biased by the self-reporting of MSE and depressive symptom severity. Conclusion: Any increase in MSE at the population-level may be beneficial for the prevention and treatment of depression