Exploratory Factor Analysis Research Articles

Non-modifiable and Modifiable Risk Factors in Vascular Ageing Extremes: The African-PREDICT Study

Abstract Background Cardiovascular risk factors accelerate vascular ageing beyond chronological age, hence early vascular ageing (EVA). Carotid to femoral pulse wave velocity (cfPWV) is a measure of vascular ageing and is used to identify EVA and supernormal vascular ageing (SUPERNOVA). Vascular ageing is not completely understood in African populations. Therefore, we aimed to phenotype young South African adults stratified by cfPWV extremes in terms of non-modifiable and modifiable risk factors. This study included 1133 young adults (mean age: 24.5 years). We measured cfPWV using applanation tonometry. Body composition measures, self-reported 24-h dietary intake, smoking and alcohol consumption were included. Fasting blood samples were analysed for biochemical risk factors. Three groups based on cfPWV percentiles were compared and included SUPERNOVA (≤ 10th percentile), average vascular ageing (AVA, between 10 to 90th percentile) and EVA (≥ 90th percentile). Results Chronological age, male sex, smoking, alcohol use, and blood pressure were incrementally higher across PWV groups (all p trend ≤ 0.007). Black ethnicity was higher (p = 0.038) in the SUPERNOVA group. In exploratory factor analysis, a factor pattern including mean arterial pressure and fasting glucose showed beneficial odds (OR 0.62, p = 0.002) for SUPERNOVA and higher likelihood (OR 2.10, p < 0.001) for EVA. Another factor pattern of socio-economic status and total dietary fat showed lower odds (OR 0.64, p = 0.003) for EVA. Conclusion Poor lifestyle behavioural risk factors seem detrimental in the EVA group conferring a possible higher risk of future CVD.

The Chinese version of the physical activity questionnaire for adolescents: a psychometric validity, reliability, and invariance study.

The Physical Activity Questionnaire for Adolescents (PAQ-A) is one of the most commonly used questionnaires for assessing adolescents' levels of moderate to vigorous physical activity (PA). Although a Chinese version of the PAQ-A (comprising nine items) exists, it has been assessed for only internal consistency coefficients, test-retest reliability, and correlations with the GT3X + accelerometer. Therefore, this study aimed to evaluate the psychometric properties of the Chinese version of the PAQ-A among Chinese adolescents. This study included three samples of 1,101 secondary school students (12-19years old). The first sample consisted of 518 participants (50.4% males, 49.6% females) for correlation tests and exploratory factor analysis (EFA). The second sample consisted of 227 participants (55.75% males, 44.24% females) for confirmatory factor analysis (CFA), convergent validity, and sample size invariance tests. The third sample consisted of 356 participants (54.50% male, 45.50% female) for the internal consistency reliability test, invariance test (cross sample size, education level and gender), and t-test. Pearson correlation analysis of the PAQ-A indicated that all the total-item correlations exceeded 0.2, indicating good consistency across the items. Subsequent EFA of the Chinese version of the PAQ-A revealed a two-factor structure. CFA subsequently validated this structure. One of the items exhibited a standardized loading below 0.4 and was excluded. The exclusion of this item resulted in increased standardized loadings for the remaining items, ranging from 0.40 to 0.82, which indicates improved fit indices. This adjustment underscores the questionnaire's satisfactory convergent validity and robust discriminant validity. The overall Cronbach's alpha was 0.821, with the values for the first and second factors being 0.757 and 0.716, respectively. The questionnaire demonstrated stable invariance across sample sizes and education levels and additionally showed partial scalar invariance across genders. A t-test revealed a significant difference between males and females, which aligns with previous findings. These findings supported the construct validity of the questionnaire. This study validated the Chinese version of the PAQ-A for assessing adolescent PA in China, with a two-factor structure improved by removing one item.

Educational Experiences of the B’laan Tribe: Identifying Culturally Responsive and Contextual Factors in Learning

The study sought to determine the current learning experiences and conditions of B’laan tribe and identify factors associated with human capital development for B’laan tribe. Qualitative approaches were utilized in the first phase of the study. Focus Group Discussions (FGDs) and Key Informant Interviews (KII) were conducted to selected participants coming from the B’laan tribal chieftain (Fulong), representative from Barangay Council, representative from the Non-Government Organizations, and ordinary B’laan people from the community. Moreover, quantitative approaches were also used in this study in order to determine the factors derived from the qualitative data. Exploratory factor analysis (EFA) was used to establish the factors. A confirmatory factor analysis (CFA) using latent curve analysis of structural equation modeling was also utilized to confirm the validity of these dimensions as determinants of human capital development framework for B’laan tribe. The analysis uncovered a robust framework for human capital development for the B’laan tribe in education, noted with good fit indices. Further, model trimming exposed that two significant factors persist, hence appreciating that certain types of education like contextualized education and eco-based education are quite critical, yet not all that the B’laan desire. Results revealed themes centering on the current learning experiences and conditions of B’laan tribe through the curriculum implemented by the Department of Education is not culture sensitive. Peace and security were one of the factors that impeded education. The EFA revealed dimensions linked to human capital development framework for B’laan tribe which included free education, community resource- based education, contextualize-based education, human security-based education, right-based education, voice-based education, culture-based education, indigenous knowledge-based education, eco-based education, and sustainable education. All these factors were confirmed by CFA to constitute a valid framework of human capital development for B’laan tribe in the context of education.

An integrative approach to assessing buyer-supplier relationships: scale development and validation

PurposeThe research investigated relations between factors used to evaluate the quality of buyer-supplier relationships (BSRs): perceived performance of the supplier, satisfaction with supplier, and trust in the supplier; and to develop an instrument to evaluate BSRs (a BSRs evaluation scale).Design/methodology/approachWe applied the psychometric testing of the BSRs measurement using exploratory factor analysis and confirmatory factor analysis. We applied structural equation modeling (SEM) to understand the interrelations of factors underlying BSRs.FindingsThe BSRs evaluation scale consists of three factors: perceived performance of the supplier, satisfaction with the supplier, and trust in the supplier. The results provide empirical evidence of the validity, reliability, and generalizability of the presented measurement.Originality/valueThe study developed a novel measurement instrument that integrates BSRs’ multidimensional constructs. It explains and confirms the significant roles of satisfaction with the supplier, trust in the supplier, and perceived performance of the supplier in shaping the BSRs’ quality. Furthermore, we provide evidence that in BSRs goodwill- and competence-based trust integrate into a single factor.

A Novel and Comprehensive Wellness Assessment for Lifestyle-Based Interventions.

While weight status and clinical laboratory measures are important in assessing obesity-related disease severity and chronic disease risk, including a broader range of emotional, psychosocial, and behavioral factors would provide greater context of an individual's overall state of wellness and could be used to better guide treatment decisions. The purpose of this research was to develop a comprehensive Lifestyle Wellness assessment for use in lifestyle-based wellness interventions and programs. A cross-sectional exploratory factor analysis (EFA) was conducted using baseline data from N=138 adults participating in behavioral weight loss trials. An unweighted least squares extraction method with oblique rotation was used. Twenty-one putative measures spanning constructs related to metabolic health, emotional health/wellbeing, body weight and composition, diet quality, and fitness were analyzed for retention. Mean body mass index (BMI) was 38.0±6.6kg/m2, mean age was 57.3±11.1years, and 77.5% of participants were female. The EFA produced a five-factor model with 13 items that explained 80.3% of the variance. The retained factors included: (1) Psychosocial State: mindfulness, resilience, quality of life, and happiness; (2) Blood Pressure State: systolic and diastolic blood pressure; (3) Lipid State: total cholesterol and LDL-cholesterol; (4) Fitness State: grip strength, jump height, and percent body fat; and (5) Body State: BMI and waist circumference. Lifestyle Wellness is a comprehensive assessment that enables innovative wellness-related research such as metabolically healthy obese phenotypes and weight-neutral interventions. Future research should include investigations in additional populations with greater age, sex/gender, and body size diversity.

Constructing General Human Agency Indicators (GHAIs) and a General Personal Agency Scale (GPAS)

AbstractDespite its importance for the social sciences, human agency remains an ambiguous and underoperationalized construct. After engaging prior research to articulate clear criteria for defining agency and synthesize a multidimensional conceptual framework for human agency, this study develops and validates preliminary General Human Agency Indicators (GHAIs) to measure subconstructs within that framework. Utilizing the Midlife in the United States (MIDUS) dataset, we aggregated a list of 30 survey items previously used in agency research and conducted an iterative process of exploratory factor analysis (EFA) and item elimination to reduce that list to a set of 9–13 items with a strong, consistent factorial structure. Using confirmatory factor analysis (CFA), we identified two bifactor models that demonstrated good fit: a nine-item General Personal Agency scale (GPAS) and a nine-item GHAIs tool combining six items from the GPAS with three measuring agency achievement. Initial evidence for the construct validity of the tools was produced through tests of internal consistency and correlational analysis, indicating that the proposed GPAS and GHAIs effectively measure personal agency, intrinsic agency, instrumental agency, and agency achievement.

Development and Validation of Determinants of Marriage Delay Scale for women

Abstract The study was designed to develop and validate the Determinants of Marriage Delay Scale for Women in Pakistan. In light of the Exploratory and Confirmatory Factor Analysis, four determinants identified were Family Responsibilities and Financial Dependency, Socioeconomic and Physical Conditions, Cultural Expectations, and Personal and Psychological Concerns. The instrument revealed a highly reliable and content valid scale with high factor loadings, showing appropriate representation on each component. The scale thus integrates qualitative and quantitative approaches to provide a comprehensive and culturally sensitive tool for understanding complex influences on delays in the timing of marriage among women. This study explored not only how family-related factors, but also economic, cultural, and personal factors interactively shape the timing of marriage and offered a base for further research and policy interventions. The scale addresses such determinants and supports the formulation of specific strategies that can help women make appropriate decisions about marriage, which would meet both self and societal expectations. Keywords: Determinants, Marriage Delay, Women, Scale Development, EFA, CFA

QOL-23. MEASURING BODY FUNCTIONALITY APPRECIATION IN PATIENTS WITH PRIMARY BRAIN TUMORS

Abstract BACKGROUND Body image is a multifaceted construct consisting of thoughts, feelings, and perceptions about one’s body and its functioning. Perception of one’s own physical functioning and capabilities may be an important consideration in neuro-oncology given the sequalae of brain tumors and associated treatment; however, it is understudied in this population. One brief measure of body image, the Functionality Appreciation Scale (FAS) is a comprehensive tool, focused on one’s perceived physical functioning and capabilities, rather than perceived appearance. We aimed to examine the psychometric properties of the recently developed Functionality Appreciation Scale (FAS) among patients with primary brain tumors. METHODS Adult patients with primary brain tumors (N=237) completed the FAS and other measures of psychological distress as well as medical and demographic characteristics. An exploratory variance factor analysis (EFA) using principal axis factoring and a Promax rotation was conducted. Convergent validity was examined via correlations to measures of psychological distress. RESULTS The EFA supported the single-factor structure, which accounted for 62.71% of the variance with all items loading significantly onto this factor. The FAS had good internal consistency (Cronbach’s a=.90). Convergent validity was demonstrated by negative associations (ps<.05) with symptoms of depression (r=-.30), generalized anxiety (r=-.21), and death anxiety (r=-.17). CONCLUSION Results confirmed the single factor structure of the FAS in primary brain tumor patients. Furthermore, the expected negative relationships with measures of psychological distress provide evidence of convergent validity. The FAS is valid and reliable in patients with primary brain tumors. Our findings suggest that body functionality and appreciation may be important to target in psychosocial interventions for those with primary brain tumors.

Measuring subjective cognitive complaints with covid-19 brain fog using the subjective scale to investigate cognition (SSTICS)

The term “brain fog” has emerged from the observations of neuropsychiatric conditions present in post-COVID-19 infections. This is characterized by concentration and memory problems, selective attention disorders and difficulties in executive functions, yet it is unclear how long these deficits may persist and which cognitive functions are most vulnerable. Therefore, there is a need to properly evaluate these cognitive complaints using an assessment tool that specifies their intensity and nature. Our primary objective was to explore subjective perceptions of cognitive functioning in COVID-19-associated with brain fog using a tool that was previously validated for assessing subjective cognitive complaints. A total of 68 participants were recruited and the Subjective Scale to Investigate Cognition (SSTICS) was used to assess cognitive complaints. This was the first time that the SSTICS was used for this purpose in subjects with COVID-19. In addition, participants were administered a questionnaire assessing for the presence of various symptoms, as well as COVID-19 clinical parameters. The neuropsychological basis for the construct of the SSTICS was related to the cognitive complaints expressed by participants. A reliability analysis of our sample indicated a high degree of internal consistency (Cronbach’s alpha= 0.951). Associations between various SSTICS scores and COVID-related symptomatology and the differences between group of participants who reported cognitive complaints (“complainers”) and those who did not were assessed. We performed an exploratory factorial analysis based on Principal Component Analysis (PCA). Based on their distribution, participants were grouped into: “good functioning” - scores 0-9 (35.3%); “medium functioning” - scores 14-23 (25%); and “poor functioning” - scores 26-71 (39.7%). The mean SSTICS score was 20.59 (SD 16.61) and correlated with the quarantine duration and loss of smell. Complainers differed significantly from non-complainers in the total number of symptoms, the quarantine duration and the presence/absence of specific symptoms, such as loss of smell, tiredness and aches/pains. Our study showed that >10% of patients reported subjective cognitive complaints following COVID-19, with most reporting mild or serious cognitive complaints, mostly within the domains of memory, attention, language, executive functioning or praxis.

Soil biological health assessment based on nematode communities under maize and peanut intercropping

Abstract Background Cereal/legume intercropping can enhance crop productivity and improve soil health in dryland farming. However, little is known about soil biological health under maize/peanut intercropping. The aim of this study was to assess soil biological health based on nematode communities in a maize/peanut intercropping system. Methods We conducted a field experiment with different planting patterns, including monoculture maize (M), monoculture peanut (P), and maize intercropped with peanut (IM, intercropped maize; IP, intercropped peanut) to determine the influence on soil biological health. We measured soil physicochemical properties and nematode communities, and employed exploratory factor analysis combined with cumulative normal distribution curve scoring to identify potential soil biological health traits. Results The intercropped maize gave the highest plant parasitic nematode abundance, trophic diversity index, evenness index, and structure index. The monoculture peanut gave the highest enrichment index and least plant parasitic nematode abundance, trophic diversity index, Shannon diversity index, evenness index, structure index, and channel index. We identified four soil biological health traits, including basic nutrients and biodiversity, food web complexity, slow energy channel, and fast energy channel, mainly represented by soil ammonium nitrogen and Shannon diversity index, structural index and omnivore-predator nematode abundance, fungivorous nematode abundance and plant parasitic nematode abundance, microbial biomass carbon and bacterivorous nematode abundance, respectively. The intercropping systems improved the comprehensive score of soil biological health, especially maize intercropping soil. Intercropping maize and intercropping peanut significantly improved oil biological health traits representing the food web complexity compared with the corresponding monoculture soils. Conclusions Our results indicate that soil nematode and physicochemical indicators reflect different soil biological health traits. Among those traits, the improvement of basic nutrients and biodiversity and the complexity of the food web were the main reasons for improving soil biological health through the intercropping system.

Unveiling the intersection of technology and pedagogy: a domain-specific exploration for developing religious moderation content with an exploratory and Rasch Perspective

ABSTRACT The primary aim of this study was to investigate the construct validity of a survey focussing on the use of technology and teaching techniques to promote religious moderation, employing exploratory factor analysis (EFA). A total of 116 educators, who teach character development courses, were recruited to participate in the study. The developed instrument is based on the Technology Pedagogical Content Knowledge (TPACK) framework and has been validated through expert and cognitive interviews with religious education lecturers. The study’s results demonstrate that participants were able to discern conceptual distinctions between TPACK domains. Four factors were identified: TPACK, Pedagogical Content Knowledge (PCK), Technological Knowledge (TK), and Pedagogical Knowledge (PK). TPACK encompasses both Technological Pedagogical Knowledge (TPK) and Technological Content Knowledge (TCK), while PCK includes Content Knowledge (CK). Additionally, Rasch statistical analysis was employed to determine that the instrument measures a single latent variable, namely religiously moderated TPACK, with high reliability based on the fit of the scale to the Rasch model. The statistical data from the EFA and Rasch analyses suggest that this survey can serve as a valuable tool for researchers and educators interested in exploring TPACK within the context of religious moderation.

Design and psychometrics of a tool for measuring social cognitive factors related to the preventive behaviors toward Covid-19 in the society.

With the emergence of new strains of Covid-19, the adoption of preventive behaviors is still considered a requirement to control this disease. Therefore, considering the importance of social cognitive factors in adopting various types of preventive behaviors, the present study was conducted to design and psychometrically measure the social cognitive factors related to Covid-19 preventive behaviors. A cross-sectional study was conducted on 526 people ages 18 and over with multi-stage stratified, cluster and random sampling in Isfahan, Iran in 2022. The questionnaire was validated and formulated in three stages: designing, creating and reducing items. After collecting information and creating a bank of items, qualitative and quantitative methods were used to calculate the tool's validity. Data analysis was done in SPSS23 software at a significance level of less than 0.05. In the present study, the average age score of the participants was 39.16 ± 11.48. The results related to the construct validity in the exploratory part show that the five factors (Outcome expectations, self-efficacy, social support, self-regulation and barrier self-efficacy) obtained have a specific value higher than one and range from 1.376 to 9.343. Correlation between factors shows that all factors have a relatively high relationship with each other (P < 0.05). According to the exploratory factor analysis, the final questionnaire contains 29 items and 5 constructs from socio-cognitive theory. The results showed that the thematically and technically designed tool has been prepared in an appropriate way for each of the structures and can accurately measure the structures of outcome expectations, self-efficacy, social support, self-regulation and barrier self-efficacy to explain the preventive behaviors of Covid-19 to evaluate.

Convergent Validity of Experimental Cognitive Tests in a Large Community Sample.

Experimental cognitive tests are designed to measure particular cognitive domains, although evidence supporting test validity is often limited. The Consortium for Neuropsychiatric Phenomics test battery administered 23 experimental and traditional neuropsychological tests to a large sample of community volunteers (n = 1,059) and patients with psychiatric diagnoses (n = 137), providing a unique opportunity to examine convergent validity with factor analysis. Traditional tests included subtests from the Wechsler and Delis-Kaplan batteries, while experimental tests included the Attention Networks Test, Balloon Analogue Risk Task, Delay Discounting Task, Remember-Know, Reversal Learning Task, Scene Recognition, Spatial and Verbal Capacity and Manipulation Tasks, Stop-Signal Task, and Task Switching. Several experimental cognitive measures were insufficiently related to other tests and were excluded from factor analyses. In the remaining 18 tests, exploratory factor analysis and subsequent multigroup confirmatory factor analysis supported a three-factor structure broadly corresponding to domains of verbal/working memory, inhibitory control, and memory. In sum, several experimental measures of inhibitory control had weak relationships with all other tests, while the convergent validity of most tests of working memory and memory was supported.

Development and validation of a questionnaire to measure educational agility: a psychometric assessment using exploratory factor analysis

BackgroundTo effectively navigate the growing complexities and rapid changes in today’s environment, universities must cultivate agility among their members. Over the past decade, students have encountered a variety of experiences related to E-Learning and the provision of educational services through electronic platforms. This study aimed to develop and validate a Questionnaire of Educational Agility (QEdu-Agility) to assess the capacity of educational institutions to adapt to these evolving demands.MethodThis survey research aimed to validate QEdu-Agility. The statistical sample consisted of 372 students from Shiraz University of Medical Sciences in Iran, who had completed at least one academic year online during the COVID-19 pandemic in 2022. Participants were selected using the Cochran formula. The initial questionnaire was based on three standard instruments related to organizational agility and adapted for educational contexts. After establishing face and content validity, the preliminary version was validated by a focus group of five educational experts, comprising 30 items across five dimensions: responsiveness, adequacy, flexibility, speed, and integrity, measured on a 5-point Likert scale. To confirm the construct validity, the questionnaire was randomly distributed to students via email. Data analysis was conducted using Exploratory Factor Analysis (EFA) with varimax rotation, employing SPSS 24 software.ResultsThe content validity was confirmed with Content Validity Ratio (CVR) = 0.847, Content Validity Index (CVI) = 0.877, and the reliability with internal consistency was confirmed with R = 0.944. The CVI sub-components for relevance, clarity, and simplicity were obtained as 0.867, 0.853, and 0.847, respectively. According to EFA, the sample adequacy was confirmed with Kaiser-Meyer-Olkin (KMO) index = 0.928 and significant Bartlett’s test (P < 0.001). The total variance explained of the QEdu-Agility was about 60%. The first component of responsiveness accounted for 38.79% of the variance, followed by adequacy (7.99%), flexibility (5.17%), speed (3.91%), and integrity (3.57%) in subsequent components.ConclusionThe findings of the construct validity indicated a good fit of the QEdu-Agility. Given that the concept of agility is highly contingent on the context, this tool could be retested for measuring educational agility in educational organizations, such as universities.

Sustainability or Technology - What Drives Consumer Purchase Behaviour in Digital Era?

Retail industry is undergoing transformation. Many changes are happening in this industry due to change in consumer behaviour. Every retailer is trying to understand, what drives the customers to select the retailer? It is technology, sustainability or both. Retailers are trying to identify the right technology for their business, which will delight customers and at the same trying to find out how to achieve sustainability in their business. The purpose of this paper is to find answers for these questions and help the retailers to invest their money wisely and satisfy their customers and remain relevant in the business. The outcomes of the study exhibit the shifting trend among customers which help the companies to cater the altering preferences of their customers. A well-structured questionnaire was developed and collected the primary data from 368 respondents adopting Convenient sampling method through online. Questionnaire was analysed by Factor extraction principal component analysis, Exploratory Factor Analysis, Eigen values and scree plot. The relation between the independent and dependent variables was established with multiple regression analysis. Each factor effect on sustainability and Advanced digitalisation independently was tested for its significance by adopting t – test statistic. The aggregate effect of all independent variables in each equation, in multiple regression are shown by the multiple correlation coefficient (R2). This multiple relation is also tested by adapting the F – test statistic.

Adaptation of the Five-by-Five Resilience Scale in Indonesian

Resilience is the ability of individuals to be able to adapt and rise from difficult conditions or situations. The Five-by-Five Resilience Scale is a measurement tool developed by DeSimone et al (2016) to measure individual resilience. There are five protective factors of resilience, namely adaptation, emotional regulation, optimism, self-efficacy and social support. This research aims to adapt the Five-by-Five Resilience Scale into Indonesian. This research was conducted because there has been no testing of the Indonesian version of the Five-by-Five Resilience Scale. The subjects involved in the study were 267 subjects with an age range of 18 - 25 years who were domiciled in Indonesia. Based on the results of psychometric testing through Exploratory Factor Analysis (EFA), 4 factors were obtained that build the Five-by-Five Resilience Scale. The results also show that the Five-by-Five Resilience Scale has a correlation with other measuring tools in convergence validity testing. The reliability test results show that the dimensions on the Five-by-Five Resilience Scale as a whole have a reliability &gt; 0.7.

Testing the associations between poverty stigma and mental health: The role of received stigma and perceived structural stigma.

Previous research has documented how people living on low incomes in the United Kingdom (UK) and internationally experience various forms of poverty stigma. The purpose of this study was to quantitatively examine how experiences of poverty stigma are associated with mental health outcomes. An online, cross-sectional survey was conducted with 1,000 adults living in predominantly low- and middle-income households in the UK. The survey included a questionnaire designed to measure participants' experiences of different forms of poverty stigma, as well as measures of anxiety, depression and mental well-being. Exploratory and confirmatory factor analyses of the poverty stigma questionnaire supported a two-factor solution. One factor reflected participants' experiences of being mistreated and judged unfairly by other people because they live on low income (received stigma) and the other factor reflected participants' perceptions of how people living in poverty are treated by media outlets, public services and politicians (perceived structural stigma). Both received and perceived structural stigma were independently associated with anxiety, depression and mental well-being and these relationships persisted after controlling for socioeconomic indicators. There was also evidence that received stigma and perceived structural stigma partially mediated the relationships between financial hardship and mental health outcomes. Experiences of received and perceived structural poverty stigma are both associated with mental health and well-being. This suggests that addressing interpersonal and structural forms of poverty stigma may help to narrow socioeconomic inequalities in mental health.

The Objectification of Others Scale: Confirmatory and Exploratory Factor Analysis in a Sample of Emerging Adults

The objectification of others is an important phenomenon in the cycle of objectification. However, few instruments measure the construct of other-objectification. This study examines the psychometric properties of Objectification of Others Scale using a sample of emerging adults (N = 1,584). Two random subsamples (n = 792) of the dataset were used to conduct exploratory and confirmatory factor analyses, resulting in a two-factor model that explained 72.37% of the variance. We address limitations of the instrument and make recommendations for future research.

Development of the Ward Nurses' Perspective-taking of the Staff Receiving Discharged Patients Scale: An observational study of ward nurses.

Discharge planning involves coordinating between different care settings. Failed coordination can lead to delayed care at the facilities receiving discharged patients. Nurses who implement discharge planning must consider the circumstances of the staff receiving the discharged patients. This study aims to develop a nurses' perspective-taking scale for measuring the cognitive process of imagining a staff's situation when receiving discharged patients. An online survey was conducted from September to November 2021 with nurses in Japanese acute care hospitals, using a 20-item questionnaire based on interviews and a literature review. Item reduction was conducted based on inter-item correlations, item-total correlations, and exploratory factor analysis. Confirmatory factor analysis was performed. For the exploratory and confirmatory factor analysis, the samples were randomly split in half and tested. Cronbach's alpha, intraclass correlation coefficients, and correlation coefficients were calculated using both self-developed and pre-existing measures. The questionnaire was distributed to 1,289 individuals, and 416 valid responses were obtained. Item reduction and exploratory factor analysis resulted in a 10-item scale with two subscales, "imagine-other" (six items), which is imagining the other person's situation, and "imagine-self" (four items), which is imagining oneself in the other person's situation. The goodness-of-fit indices were as follows: comparative fit index, 0.95; root mean square error of approximation, 0.08; and standardized root mean squared residual, 0.06. Correlation coefficients with existing scales were 0.38, 0.57, and -0.33. Cronbach's alpha was 0.89, and the intraclass correlation coefficient was 0.54. The newly developed scale proved to be reliable, valid, and suitable for use. This scale can measure the degree of perspective-taking by nurses, which can improve collaboration between facilities and the effectiveness of discharge planning.

Psychometric and network analysis of kinesiophobia in Iranian surgical patients

Kinesiophobia, the fear of movement, can significantly impede an individual’s ability to engage in daily activities. This fear often stems from past traumatic experiences or witnessing others in pain, leading to an increased fear of injury. This study aimed to evaluate the psychometric properties of the Persian version of the Tampa Scale for Kinesiophobia among Iranian post-surgery patients. A methodological study conducted in 2023 involved a sample of 400 post-surgery patients selected through convenience sampling. The translated scale underwent psychometric evaluation, including network analysis, exploratory and confirmatory factor analysis for construct validity, as well as assessments for convergent and discriminant validity. Internal consistency of the scale was also assessed. The mean age of the participants was 44.38 (SD = 13.49) years and the majority of them (77.8%) were women. Exploratory factor analysis with Promax rotation identified two factors explaining 60.28% of the variance, comprising 17 items. The final model was confirmed after necessary adjustments in confirmatory factor analysis. Both convergent and discriminant validity were established, and alpha and omega coefficients of the subscales were above 0.7. The Persian version of the Tampa Scale for Kinesiophobia showed robust psychometric properties among Iranian post-surgery patients, serving as a valuable tool for evaluating and addressing kinesiophobia in this population. These findings enhance the understanding and management of kinesiophobia within the Iranian healthcare context.