Evidence Of Divergent Validity Research Articles

Turkish Adaptation and Psychometric Properties of Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised

The aim of this study was to adapt the revised Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised (AAQW-R) into Turkish language and examine its psychometric properties in a nonoverweight sample. This cross-sectional study included predominantly female individuals (83.2%), and mean age of the sample was 21.5. Final sample size included 161 university students. AAQW-R was translated into Turkish and translated back into English. Internal consistency levels for the total AAQW-R score and its subscales (i.e., food as control, weight as barrier to living, and weight stigma) were obtained for reliability. Measures of general experiential avoidance (AAQ-II), body anxiety (SPAS), dysfunctional eating attitudes (EAT-26), anxiety symptoms (GAD-7) and subjective happiness (SHS) were examined for convergent and divergent validity. Confirmatory factor analysis was conducted to examine the factor structure of the scale. The three-factor structure model was a good fit to the data (χ2 [N = 161] = 81.27, p < .001, RMSEA = .098, 90% CI [.072, .124]). The Turkish version of AAQW-R and the subscales indicated a good level of internal consistency (α value ranging between .70 and .87). AAQW-R was found positively correlated with general experiential avoidance, dysfunctional eating attitudes and anxiety symptoms, indicating support for convergent validity. No relationship between AAQW-R and subjective happiness demonstrated evidence for divergent validity. Overall, the Turkish version of AAQW-R is valid and reliable tool to measure weight-related experiential avoidance in nonoverweight sample.

Italian adaptation of the Multidimensional Iowa Suggestibility Scale (MISS).

Suggestibility is a personality trait that reflects a general tendency to accept messages. The Multidimensional Iowa Suggestibility Scale (MISS) is a self-report scale developed to measure the degree of individuals' perceptions of their suggestibility. This study aimed to adapt the MISS in an Italian sample. We conducted two studies. In the first study, 345 subjects (270 females (78%), mean age = 36.21 years ± 14.06 SD) completed the translated Italian version of the MISS, composed of five subscales (consumer suggestibility; persuadability; sensation contagion; physiological reactivity; peer conformity). We investigated the structural validity of the scale through confirmatory factor analysis (CFA) testing four measurement models (unidimensional, four-factor, hierarchical four factors, and bifactor) and explored reliability in terms of internal consistency through the McDonald's omega. In the second study, we cross-validated the MISS on a new independent sample. We enrolled 277 participants (196 females (71%), mean age 30.56, SD = 12.58) who underwent the new version of the scale. We performed factor analyses to test structural validity and compared four measurement models. Then, we investigated reliability and conducted a latent variable analysis to explore divergent validity. The CFA in the first study revealed a bifactor solution of the MISS. This structure was interpretable and provided an adequate fit for the data. The final version of the scale was reduced to forty-six items with globally good indices of adaptation. The scale also demonstrated acceptable reliability in terms of internal consistency through the McDonald's Hierarchical Omega. In the second study, we found that the bifactor structure was confirmed. Factor loadings inspection revealed that there was no justification to report only the separate scores for the subscales. We also found that the scale showed good internal consistency, but mixed evidence for divergent validity. In the end, the Italian version of the MISS demonstrated good psychometric properties which will be discussed in detail below.

Validation of the Danish version of the knowledge and attitudes survey regarding pain.

Pain management is critical for nurses; therefore, knowledge assessment is also critical. The Knowledge and Attitudes Survey Regarding Pain (KASRP), designed for testing pain management knowledge among nurses, finds widespread use internationally; yet, key validity evidence according to American Psychological Association standards is missing. Therefore, this study aimed to translate and test the psychometric traits of KASRP based on an item response theory model. Cronbach's α was included to assess internal consistency, and the Kolmogorov-Smirnov test was included to assess the total score normal distribution goodness of fit. KASRP was tested using the Kaiser-Meyer-Olkin (KMO) test for sphericity to examine its suitability for factor analysis and exploratory factor analysis to examine construct evidence. The Kruskal-Wallis H test was used to assess discriminant evidence. The correlation between KASRP and the Brockopp-Warden Pain Knowledge Questionnaire (BWPKQ) was included as a measure of convergent validity evidence, and correlation with self-assessed knowledge was tested as a divergent validity measure. The questionnaire was translated using back-forth and parallel translation. The KMO test for sphericity was 0.49 for all items and 0.53 for the adjusted scale without items 30, 33, and 36, with factor analysis explaining 70.42% of the variation suggesting unacceptable construct validity evidence. Cronbach's α was 0.75, suggesting acceptable reliability evidence; the Kolmogorov-Smirnov test revealed an insignificant skewness of -0.195 and a kurtosis of 0.001, while the Kruskal-Wallis H test revealed a significance of p < 0.001. The correlation between KASRP and the BWPKQ was 0.69 (p = 0.0001), suggesting acceptable convergent validity evidence. A correlation between KASRP and self-assessed knowledge of -0.59 was also found, which suggests acceptable divergent validity evidence. The translated KASRP passed six out of seven tests based on the given sample.

Registered replication report of the construct validity of the error-related negativity (ERN): A multi-site study of task-specific ERN correlations with internalizing and externalizing symptoms.

Intact cognitive control is critical for goal-directed behavior and is widely studied using the error-related negativity (ERN). A common assumption in such studies is that ERNs recorded during different experimental paradigms reflect the same construct or functionally equivalent processes and that ERN is functionally distinct from other error-monitoring event-related brain potentials (ERPs; error positivity [Pe]), other neurophysiological indices of cognitive control (N2), and even other theoretically unrelated indices (visual N1). The present registered report represents a replication-plus-extension study of the psychometric validity of cognitive control ERPs and evaluated the convergent and divergent validity of ERN, Pe, N2, and visual N1 recorded during flanker, Stroop, and Go/no-go tasks. Data from 182 participants were collected from two study sites, and ERP psychometric reliability and validity were evaluated. Findings supported replication of convergent and divergent validity of ERN, Pe, and ΔPe (error minus correct)-these ERPs correlated more with themselves across tasks than with other ERPs measured during the same task. Convergent validity of ΔERN across tasks was not replicated, despite high internal consistency. ERN strongly correlated with N2 at levels similar or higher than those in support of convergent validity for other ERPs, and the present study failed to provide evidence of divergent validity for ERN and Pe from N2 or N1. ERN and ΔERN were unrelated to internalizing or externalizing symptoms. Findings underscore the importance of considering the psychometric validity of ERPs, as it provides a foundation for interpreting and comparing ERPs across tasks and studies.

Grading reflective essays: the construct validity and reliability of a newly developed Tool- GRE-9

BackgroundThe main objective of this study is to assess the construct validity and reliability of the Grading Reflective Essays-9 (GRE-9).MethodsThis study took place in a major tertiary academic medical center in Beirut, Lebanon. 104 reflective essays written by years 1–3 residents in the department of Family Medicine at the American University of Beirut Medical Center (AUBMC) were graded by 2 trained raters who independently scored the essays using GRE-9. GRE-9 scores were then correlated with scores on communication skills OSCE stations and in-training examinations to investigate, respectively, convergent and divergent validity. One of the 2 raters scored the essays twice one month apart to assess the reliability of the GRE-9 using intra rater reliability and internal consistency.ResultsThere was a weak, non-significant correlation between GRE-9 score and In training examination (ITE) score (r = − .213, p = .395). There was a moderate, non-significant correlation between GRE-9 scores and the Objective structured clinical examination (OSCE) communication station scores (r = − .412 p = .162). The correlation coefficient between trails 1 and 2 was significant (r = .832, p = .000). Intra class correlation coefficient (ICC) analysis demonstrated almost perfect intra-rater agreement (0.819; 95% CI: 0.741–0.875) of the test ratings over time.ConclusionsGRE-9, is a short, concise, easy-to-use reliable grading tool for reflective essays that has demonstrated moderate to substantial intra-rater reliability and evidence of divergent validity. The study found non-significant correlations between reflective writing scores OSCE communication scores demonstrating a lack of relationship between reflective writing and this measure of performance.

State-Trait Anxiety Inventory for Children – Parent-reported Trait-version; a psychometric analysis of the measure in children on the autism spectrum

BackgroundTrait anxiety, a person’s general tendency to experience anxiety, has been widely researched in neurotypical populations resulting in standardised measures being well established for reliability and validity. However, the psychometrics of these measures have rarely been explored for children on the autism spectrum. MethodThis study used an online questionnaire to investigate the item response profile and psychometric properties of the State-Trait Anxiety Inventory for Children – Parent reported Trait subscale (STAIC-P-T) in a sample of 105 parents of children with an autism diagnosis (mean age 10y5m; SD 2y10m). ResultsSTAIC-P-T items with the highest mean score related to the child’s feelings of worry or upset. Items related to physiological symptoms had the lowest mean score. The STAIC-P-T showed good internal consistency (α = 0.84), evidence of divergent validity through very weak correlation with a measure of autism characteristics (rs =.06, p = .58), and convergent validity through strong positive correlation with an established measure of anxiety (rs =.65, p < .001). However, confirmatory factor analysis did not support the unidimensional model of trait anxiety established in the studies with neurotypical participants. ConclusionsDespite evidence supporting the validity and reliability of the STAIC-P-T, factor analysis indicates the need for further research to explore the suitability of this measure to assess trait anxiety in autism.

Development of the Stressors among Parents in Youth Sport Survey (SPYSS)

ObjectivesParents of youth sport athletes report a variety of stressors associated with their child’s participation in youth sport settings. However, research examining associations between parents’ stressors and relevant outcomes is limited due to the lack of a comprehensive and validated measure of parents’ stressors in youth sport. Therefore, the purpose of this research was to develop and provide preliminary validation of the Stressors among Parents in Youth Sport Survey (SPYSS). MethodIn Study 1 we developed an initial version of the survey and tested the factor structure of the scale using exploratory and confirmatory factor analyses with a sample of 1187 Canadian parents of minor hockey athletes. In Study 2, we administered the SPYSS to an independent sample of 783 parents with children participating in multiple sports, who also completed measures of parent stress and well-being, as well as parent-athlete outcomes, to establish convergent and divergent validity evidence and test associations with relevant outcomes for youth sport parents. ResultsThe results from Study 1 supported the development of a 42-item survey of parental stressors in youth sport. Results from Study 2 provided further evidence for the factor structure and validity evidence of a measure assessing parental stressors in youth sport. ConclusionsThe SPYSS assesses the frequency and intensity of a variety of stressors relevant for parents of youth sport athletes. The measure may be a useful tool for researchers, sport organizations, and practitioners to assess, monitor, and target the stressors experienced by parents in youth sport settings.

Reliability and Validity of Noncognitive Ecological Momentary Assessment Survey Response Times as an Indicator of Cognitive Processing Speed in People's Natural Environment: Intensive Longitudinal Study.

Various populations with chronic conditions are at risk for decreased cognitive performance, making assessment of their cognition important. Formal mobile cognitive assessments measure cognitive performance with greater ecological validity than traditional laboratory-based testing but add to participant task demands. Given that responding to a survey is considered a cognitively demanding task itself, information that is passively collected as a by-product of ecological momentary assessment (EMA) may be a means through which people's cognitive performance in their natural environment can be estimated when formal ambulatory cognitive assessment is not feasible. We specifically examined whether the item response times (RTs) to EMA questions (eg, mood) can serve as approximations of cognitive processing speed. This study aims to investigate whether the RTs from noncognitive EMA surveys can serve as approximate indicators of between-person (BP) differences and momentary within-person (WP) variability in cognitive processing speed. Data from a 2-week EMA study investigating the relationships among glucose, emotion, and functioning in adults with type 1 diabetes were analyzed. Validated mobile cognitive tests assessing processing speed (Symbol Search task) and sustained attention (Go-No Go task) were administered together with noncognitive EMA surveys 5 to 6 times per day via smartphones. Multilevel modeling was used to examine the reliability of EMA RTs, their convergent validity with the Symbol Search task, and their divergent validity with the Go-No Go task. Other tests of the validity of EMA RTs included the examination of their associations with age, depression, fatigue, and the time of day. Overall, in BP analyses, evidence was found supporting the reliability and convergent validity of EMA question RTs from even a single repeatedly administered EMA item as a measure of average processing speed. BP correlations between the Symbol Search task and EMA RTs ranged from 0.43 to 0.58 (P<.001). EMA RTs had significant BP associations with age (P<.001), as expected, but not with depression (P=.20) or average fatigue (P=.18). In WP analyses, the RTs to 16 slider items and all 22 EMA items (including the 16 slider items) had acceptable (>0.70) WP reliability. After correcting for unreliability in multilevel models, EMA RTs from most combinations of items showed moderate WP correlations with the Symbol Search task (ranged from 0.29 to 0.58; P<.001) and demonstrated theoretically expected relationships with momentary fatigue and the time of day. The associations between EMA RTs and the Symbol Search task were greater than those between EMA RTs and the Go-No Go task at both the BP and WP levels, providing evidence of divergent validity. Assessing the RTs to EMA items (eg, mood) may be a method of approximating people's average levels of and momentary fluctuations in processing speed without adding tasks beyond the survey questions.

Playful sport design: A game changer?

The aim of this paper is twofold. First, the concept Playful Sport Design (PSD) is introduced, based on play and proactivity theories. PSD is defined as a proactive cognitive-behavioral orientation that makes athletes incorporate fun and self-oriented challenges into training sessions. Second, we develop and test an instrument to assess PSD. In phase 1 (N = 562), the PSD instrument is tested on its reliability, factorial validity, and construct validity. In phase 2 (N = 131), the test-retest reliability and predictive validity of the PSD instrument is considered. Additionally, the nomological network of PSD is expanded. In phase 3 (N = 212), the predictive validity of PSD is further assessed. As hypothesized, the results of factor analyses show that PSD is best represented by two dimensions: designing fun and designing competition. The psychometric properties of the scale were shown to be satisfactory. Providing evidence for convergent validity, PSD was positively related to playfulness, competitiveness, fantasy proneness, personal initiative, openness to experience, achievement striving, and fun seeking. Specifically, designing fun showed more robust relations with fun-focused personality traits, while designing competition showed stronger relations with competition-focused traits. Providing evidence for divergent validity, PSD did not share variance with negative affect, procrastination, and perfectionism. Finally, in support of predictive validity, athletes who playfully designed their training sessions reported better subjective and objective sports performance. Lay summary: We introduce the concept Playful Sport Design (PSD), which refers to athletes’ proactive addition of play elements to their sports training. We present a scale that reliably and validly measures PSD. Further, we show that PSD is positively associated with immersion in sports training and sports performance. IMPLICATIONS FOR PRACTICE Results of this paper could result in more awareness among adult athletes that play during sports training has beneficial sports outcomes. Athletes can use PSD to increase flow experiences during training sessions and enhance sports performance. The results of this paper open the door for practitioners to develop PSD interventions, through which athletes are taught how they can approach their training sessions in a more playful manner.

Validation of the Italian version of the DISCUS (DISC-Ultra Short), a brief standardized scale for assessing experienced discrimination among people with mental disorders.

To evaluate the psychometric properties of the DISCUS (DISC-Ultra Short), a measure which assesses experienced discrimination among persons with mental disorders. Data collected in the three Italian sites (Brescia, Napoli, and Verona) participating at the international project INDIGO-DISCUS. Each Italian site recruited a sample of 50 individuals. Participants were evaluated with the DISCUS. This study evaluated: (a) reliability (internal consistency), (b) validity (convergent and divergent), (c) precision, and (d) acceptability. Participants were also asked to complete three additional measures: Stigma Consciousness, Brief Stigma Coping/Stigma Stress, and Internalized Stigma of Mental Illness (ISMI-10). Overall, 149 people participated; 55% were males, with mean age of 48 (±12.4) years and on average participants had 12 (±3.4) years of education; only 23% were employed. Internal consistency was found to be good (Cronbach α=0.79). Convergent validity was confirmed (all correlations between DISCUS score and the other measures' scores were greater than 0.30). There was evidence of divergent validity, as the overall DISCUS score was not associated with the variable "sex". Precision showed a high correlation coefficient between the various items and the overall DISCUS score, with only one exception (discrimination when looking for housing), which showed a particularly high frequency of "not applicable" responses. Acceptability [measured with Maximum Endorsement Frequencies (MEF) and Aggregate adjacent Endorsement Frequencies (AEF)] was found to be fair (MEF violated in 2 items; AEF partially violated in 5 item). The Italian version of the DISCUS is a reliable, valid, precise, and acceptable measure of experienced discrimination to be used in large scale studies in the evaluation of anti-stigma initiatives in Italy.

Measuring Psychological capital in the Slovak language: Validation of the revised Compound PsyCap Scale (CPC-12R_SK)

Objective. Although Psychological capital has encountered increasing research interest in recent years, the scale for measuring PsyCap is absent in the Slovak language. In the present pre-registered study, the authors provide the initial results of the adaptation of the Revised Compound Psychological Capital Scale to the Slovak language. Method. A cross-sectional study with N = 262 people has been conducted. CPC-12R and measures of theoretically related constructs have been used. Results. With regards to evidence for factor validity, the authors found that the default higher-order model (PsyCap as a second-order factor &amp; four first-order dimensions – hope, optimism, self-efficacy, and resilience) provided an acceptable fit to the data. With regards to evidence for convergent and divergent validity, the authors found that, as hypothesized, CPC-12R was related to a set of variables covering: A) a more specific work-related domain, B) more general well-being, and also C) more stable personality traits. More specifically, the scale correlated with work satisfaction, staying intentions, and three aspects of engagement (namely vigor, absorption, and dedication). Furthermore, the scale correlated with subjectively perceived stress, life satisfaction, and emotional components of habitual well-being. The scale was also related to Big-five personality domains, such as extraversion, conscientiousness, and negative emotionality, but not to the aesthetic sensitivity facet (considered as evidence for divergent validity). With regard to evidence for concurrent validity, the authors found that CPC-12R was strongly related to PCQ12 and both scales were related to other variables of interest to a similar degree. Limitations. Cross-sectional design and convenience sampling.

Validation of a shortened version of the Eating Attitude Test (EAT-7) in the Arabic language

BackgroundEating disorders are quite common around the world, disabling, and potentially lethal; but they remain so far under-captured and subject to substantial delays in treatment. We propose through this study to develop and validate a shortened version of the Eating Attitude Test (EAT) in the Arabic language among non-clinical Arabic-speaking Lebanese participants from the general population.Methods1175 participants enrolled in this cross-sectional study, based on an online survey. The Eating Attitude Test-26 items, Drunkorexia Motives and Behaviors Scales and Lebanese Anxiety Scale were used to answer our objectives.ResultsOur results confirmed validity and reliability of the questionnaire. Exploratory Factor Analyses showed that all items converged over a one-factor solution, with an excellent Cronbach’s alpha (> 0.9). Confirmatory Factor Analyses found that the 7-item-version yielded excellent model fit. The instrument also revealed strong evidence of divergent validity, being highly correlated with measures of anxiety and drunkorexia motives and behaviors.DiscussionFindings provided evidence supporting that the Arabic seven-item one-factor structure of the scale (EAT-7) is valid, reliable, and can be used in clinical practice, preventive interventions and future eating disorders research in Arab settings.

Leading the charge in the education sector: development and validation of the School Implementation Leadership Scale (SILS)

BackgroundStrategic implementation leadership is a critical determinant of successful implementation, hypothesized to create a more supportive implementation climate conducive to the adoption and use of evidence-based practices. Implementation leadership behaviors may vary significantly across contexts, necessitating studies that examine the validity of established measurement tools in novel health service delivery sectors. The education sector is the most common site for delivering mental health services to children and adolescents in the USA, but research focused on implementation leadership in schools is in the early phases, and there is a need for adaptation and expansion of instruments in order to tailor to the school context. The current study adapted and validated the School Implementation Leadership Scale (SILS) (based on the Implementation Leadership Scale) in a sample of elementary school personnel from six school districts who were implementing one of two well-established prevention programs for supporting children’s mental health.MethodsParticipants were 441 public school teachers from 52 elementary schools in the Midwest and West Coast of the USA. Participants completed a survey that contained: (1) an adapted and expanded version of the SILS with additional items generated for four existing subscales as well as three new subscales (communication, vision/mission, and availability), and (2) additional tools to evaluate convergent and divergent validity (i.e., measures of general/molar leadership and teaching attitudes). Data underwent (1) examination of item characteristic curves to reduce items and ensure a pragmatic instrument, (2) confirmatory factor analyses to establish structural validity, and (3) evaluation of convergent and divergent validity.ResultsItem reduction analyses resulted in seven subscales of three items each. Results indicated acceptable fit for a seven-factor structural model (CFI = .995, TLI = .99, RMSEA = .07, SRMR = 0.02). Second-order factor loadings were high (λ = .89 to .96), suggesting that the SILS subscales comprise a higher-order implementation leadership factor. All subscales demonstrated good inter-item reliability (α = .91–.96). Convergent and divergent validity results were generally as hypothesized, with moderate to high correlations between SILS subscales and general leadership, moderate correlations with teaching attitudes, and low correlations with school demographics.ConclusionsOverall, results provided strong structural, convergent, and divergent validity evidence for the 21-item, 7-factor SILS instrument. Implications for the measurement of implementation leadership in schools are discussed, as well as strategies to support leaders to enhance their strategic behaviors related to the implementation of mental health prevention programs (e.g., adaptation of existing leadership-focused implementation strategies).

VALIDATION OF SELF-EFFICACY FOR SELF-REGULATION OF ACADEMIC WRITING SCALE: AN EFA AND CFA WITH MEASUREMENT INVARIANCE

Academic writing plays a vital role in academic success of students. Studies showed that self-efficacy is predictive of actual performance. Among several instruments of self-efficacy, an effort was made to develop an instrument specifically focusing on self-efficacy for self-regulation of academic writing (SSAW). Present study aimed to validate the SSAW scale (English version) to check its psychometric properties at higher education level in Pakistani context. A sample of 313 Pakistani university students responded to an online survey. The age of respondents ranges from 18 to 54 (M=25.02, SD=5.62). Exploratory factor analysis, confirmatory factor analysis and measurement invariance were conducted to check validity of the SSAW scale. The SSAW scale is positively correlated with a sub-scale of Writing Self-efficacy Scale and General Self-Efficacy Scale, thus showing evidence of convergent validity. It is also correlated positively, but weaker with Rosenberg self-esteem scale, thus showing evidence of divergent validity. The external validation is satisfactory while the findings for internal validation allow further examination of the factor structure. The measurement invariance revealed no substantial disagreements between the fully constrained and unconstrained models. Findings suggest that SSAW scale may provide an opportunity to methodically assess and streamline writing interventions to properly support students in one of their most difficult area/subjects.

Investigate the Validity, Reliability and Standardization of Family Executive Function Scale among Married People

Aim: The aim of this study was to evaluate the validity and reliability of the Family Executive Performance Scale among married people over 18 years of age in Isfahan. Therefore, the research was of contextualization and instrumentation. Method: This research was a survey and instrument making. The statistical population of this study consisted of all married men and women over 18 years of age in Isfahan. The statistical sample consisted of 400 men and women who were selected by convenience sampling. The research instruments included the Executive Performance Scale (GIOA, Squid, Guy and Converdie, 2000) and the Spouse Emotional Experience Questionnaire (Ghafarollahi, Yousefi, 1399). Data were analyzed in two parts: descriptive (mean and standard deviation) and inferential (Pearson correlation, Cronbach's alpha and exploratory factor analysis). Results: The results showed that internal consistency (α = 0.75), retest reliability (r = 0.450 and P &lt;0.01) and coordination of questions were appropriate. The frequency distribution for the whole scale and its dimensions was close to the normal distribution. Since a higher score in family executive performance indicates poorer executive performance, the evidence of divergent validity with a scale of negative emotional experience (r = 0.576 and P &lt;0.01) showed a positive and significant relationship with the spouse and the results Convergent validity showed a negative relationship between the total score of this scale and the positive emotional experience scale towards the spouse (r = -0.276 and P &lt;0.01) and family performance (r = -0.711 and P &lt;0.01). And there is a significant negative relationship between executive performance and family executive performance (r = -0.671 and P &lt;0.01), which confirms concurrent validity. The results of exploratory factor analysis showed that this scale consists of eight factors, which are: family organization, family planning, family pursuit and perseverance, family emotional control, family working memory, family inhibition, family supervision and family initiation. Also, the correlation of each factor with the total score was significant, which all confirm the validity of the structure of this scale. Conclusion: According to these findings, it can be concluded that the executive performance scale has desirable psychometric properties and can be used in the field of education, research and counseling.

Mental state of demoralisation across diverse clinical settings: A systematic review, meta-analysis and proposal for its use as a ‘specifier’ in mental illness

Demoralisation is a state of poor coping characterised by low morale, hopelessness, subjective incompetence, and loss of meaning and purpose in life. While studied extensively in oncology and palliative care, there has been recent exploration in broader medical and mental health settings. The aim was to investigate the prevalence of demoralisation and associated sociodemographic and psychological factors across these clinical settings. Six electronic databases were used to locate articles from January 2014 to March 2020. A pre-publication update of non-oncology populations was completed in September 2021. The review has been reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pooled prevalence of demoralisation was determined through % prevalence and mean demoralisation score; this was synthesised through meta-analysis of single means to determine pooled mean prevalence of Demoralisation Scale scores using the 'R' statistical software. Demoralisation has been examined in 52 studies (n = 11,670) and found to be prevalent in 24-35% of oncology and non-oncology, including mental health, populations. The mean score on the Demoralisation Scale was 24.3 (95% confidence interval, CI = [21.3, 27.3]). There was evidence of divergent validity in addition to significant comorbidity between depression, demoralisation and suicidal ideation. Burdensome physical symptoms, and psychological and demographic factors are strongly correlated with demoralisation. There remains a need to recognise demoralisation in various clinical and cultural settings and to strongly consider its inclusion as a 'specifier' within formal nosological systems for adjustment and depressive disorders. This is important to initiate targeted interventions and prevent significant morbidity.

The Scale of Online Course Anxiety: Assessing College Students’ Anxiety in Online Courses

The purpose of this study was to develop an instrument to measure student online course anxiety, a factor that detrimentally affects student learning in the online environment. Based on Keegan’s theoretical framework that identified fundamental differences between online education and traditional education, the instrument of Scale of Online Course Anxiety (SOCA) was developed and tested with a sample of 170 students from a 4-year higher educational institution. The total score and the four subscale scores show high reliability. Confirmatory Factor Analysis exhibited solid goodness of fit between SOCA items and the factor structure hypothesized in previous literature. Evidence of divergent validity shows SOCA differentiates the state anxiety and trait anxiety as expected. Limitations and possible topics for future research are also discussed.

Intuitive Eating Scale-2: psychometric properties and clinical norms among individuals seeking treatment for an eating disorder in private practice.

Intuitive Eating (IE) is an approach to eating designed to facilitate a positive relationship with food. Its use in clinical settings and in the community is rapidly growing in popularity. The Intuitive Eating Scale 2 (IES-2) is a widely used measure that indexes intuitive eating motivations and behaviour, however evidence of its validity in populations with clinical eating disorders remains scarce. The objective of the proposed study was thus to evaluate the factor structure of the IES-2 in a large sample of individuals seeking treatment for eating disorders in private practice. Data collected from 569 women and men aged 12-68years seeking treatment for an eating disorder in one of eight specialist private outpatient eating disorder clinics were examined using confirmatory factor analysis (CFA). Relationships between IES-2 scores and measures of psychopathology were also examined. Results were relatively consistent with the purported four-factor structure of the IES-2. The measure displayed strong construct validity and good internal consistency. Scores on the IES-2 were inversely associated with scores of depression, anxiety, and disordered eating, providing evidence for divergent validity of the measure. Clinical norms are provided for anorexia nervosa (AN) spectrum disorders and bulimia nervosa (BN) spectrum disorders, as well as for the clinical sample as a whole. Findings suggest that the IES-2 may be an appropriate measure for evaluating behaviours relating to IE in community outpatient eating disorder settings, and provide further evidence for the association between IE and positive health outcomes. III, evidence obtained from well-designed cohort or case-control analytic studies.

The School Interference Questionnaire: Examining a Novel Measure of Mental Health–Related Academic Functional Impairment in Youth

This article reports on the development and initial psychometric properties of the School Interference Questionnaire (SIQ), a questionnaire designed to assess both academic functional impairment related to mental health problems and the type and frequency of school refusal behavior. Participants were 110 youth ages 13 to 18 years ( M = 15.41 years, SD = 1.42) admitted to an adolescent partial hospitalization program. The majority of participants identified as female (57.3%), Caucasian (59.1%), and non-Latino (70.0%). Internal consistency of the 12 SIQ core interference items was excellent (Cronbach’s α = .91). The factor structure suggested that a single factor was appropriate for the 12 school interference items. Correlations between the SIQ and other measures in this study provided support for construct validity. The average SIQ core interference item score showed evidence of convergent validity via correlations with measures of school refusal, global disability, and internalizing symptoms. The SIQ also exhibited no significant association with timing of study enrollment, suggesting evidence for divergent validity. Results provide initial evidence supporting the psychometric properties of this novel measure.

Validity of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) who void or use indwelling catheters.

Descriptive Psychometrics Study OBJECTIVES: Neurogenic lower urinary tract dysfunction (NLUTD), or "neurogenic bladder" is a common and disruptive condition for individuals with spinal cord injury (SCI) and disease (including multiple sclerosis, MS). Our team has developed patient-centered instruments of urinary symptoms specific to patients with NLUTD, across bladder management methods. Validity evidence is needed to support the use of two new instruments, Urinary Symptom Questionnaires for people with Neurogenic Bladder (USQNB) for those who manage their bladder with indwelling catheters (IDC), or who void (V). Online surveys completed by individuals in the United States with NLUTD due to either SCI or MS who manage their bladder with indwelling catheters (SCI, n = 306; MS, n = 8), or by voiding (SCI, n = 103; MS, n = 383). A total of n = 381 USQNB-IDC respondents (five control groups), and 351 USQNB-V respondents (four control groups), contributed to our convergent and divergent validity evidence. Data were collected online to estimate key aspects of psychometric validity (content, reflection of the construct to be measured; face, recognizability of the contents as representing the construct to be measured; structural, the extent to which the instrument captures recognizable dimensions of the construct to be measured). Divergent and convergent validity evidence was derived from multiple control groups, while evidence of criterion validity was derived from attribution of each item to their experience "with a UTI". Evidence of face, content, criterion, convergent, and divergent validity was compiled for each instrument. The instruments demonstrate adequate, multi-dimensional, validity evidence to recommend their use for decision-making by patients, clinicians, and researchers.