Face Validity Testing Research Articles

Psychometric Properties and The Best Form of the Revised Short-form Mc-Gill Pain Questionnaire in Iranian Burn Patients.

Pain is the most important factor that forces patients to seek help from health care systems. Burn injuries are associated with severe pain and the assessment and interventions are a focus of nursing care. The aim of this study was to evaluate the psychometric properties of the revised short-form McGill Pain Questionnaire in burn patients. The present study is a methodological study in which 153 burn patients were included by convenience sampling. To evaluate the psychometric properties of the 22-item revised McGill Pain Questionnaire, face validity, construct validity (exploratory factor analysis) and reliability were determined by Cronbach's Alpha coefficient and split-half method. Data analysis was performed using SPSS22.0 software. During the quantitative face validity test, 4 items were removed from the instrument due to the impact score of less than 1.5 by burn patients. The results of exploratory factor analysis showed 5 factors (emotional, neuropathic, continuous, stimulatory, and shooting), which explained 72.32% of the total variance. The overall Cronbach's instrument was 0.836 and the coefficient obtained by the split-half method was 0.81. According to the validity and reliability, the 18-item McGill Pain Questionnaire obtained in the present study can be used to assess pain in Persian-speaking adult burn patients.

Knowledge gaps of medical and pharmacy students with respect to performance enhancing drugs in sport: a pilot study.

Central to the work of medical and pharmacy practitioners is the provision of pharmaceutical support for patients, who may also be competitive athletes. This study aimed to assess the knowledge gaps of medical and pharmacy students at the University of Malta regarding World Anti-Doping Code and the Prohibited List. All medical and pharmacy students studying at the University of Malta were invited to participate in an online questionnaire devised by the research team. This questionnaire assessed knowledge regarding the prohibited status of 19 substances, as well as knowledge regarding therapeutic use exemptions. The questionnaire was prepiloted with local experts in the sports doping field to test face validity, and then tested for content clarity and easy of use by 20 medical and pharmacy students. Total scores were used to compare medical student vs. pharmacy student and athlete vs. non-athlete using the Mann-Whitney U Test. A total of 242 students answered the questionnaire, 58% of which were female. 86% of respondents were medical students. From of the cohort of respondents, 22% identified themselves as athletes as per definition provided in the questionnaire. A number of substances, such as diuretics, morphine, cocaine and ecstasy, were incorrectly classified by the majority of participants. Paracetamol, caffeine, vitamins, NSAIDs, and antihistamines were mostly correctly classified. Pharmacy students had better knowledge when compared to medical students (U value =2734.5, P value =0.034). Student athletes did not have more knowledge than non-athletes (U value =4810.5, P value =0.659). Medical and Pharmacy students have significant knowledge gaps when it comes to performance enhancing drugs in sport. Sports pharmacy should be included as part of the undergraduate curriculum for both medicine and pharmacy, but especially for medical students who will be future prescribers.

Initial psychometric properties of the provider-co-management index-RN to scale registered nurse-physician co-management: Implications for burnout, job satisfaction, and intention to leave current position

ABSTRACT Team-based care has become a cornerstone of care delivery to meet the demands of high-quality patient care. Yet, there is a lack of valid and reliable instruments to measure the effectiveness of co-management between clinician dyads, particularly physicians and registered nurses (RNs). The purpose of this study was to adapt an existing instrument, Provider Co-Management Index (PCMI), previously used among primary care providers into a new version to scale RN-physician co-management (called PCMI-RN). We also aimed to explore preliminary associations between RN-physician co-management and burnout, job satisfaction, and intention to leave current job. Face, cognitive, and content validity testing, using mixed methods approaches, were preceded by initial pilot testing (n = 122 physicians and nurses) in an acute care facility. The internal consistency reliability (α=.83) was high. One-quarter of participants reported burnout, 27% were dissatisfied with their job, and 20% reported intention to leave their job. There was a weak significant correlation between co-management and burnout (p = .010), and co-management and job satisfaction (p = .009), but not intention to leave current position. Construct validity testing is recommended. Future research using PCMI-RN may help to isolate factors that support or inhibit effective physician-nurse co-management.

A Danish version of the MISSCARE survey: Translation and validation.

Measuring missed nursing care in clinical settings may serve as an important indicator for improving patient safety and nursing staff retention. Internationally, several tools exist, with the MISSCARE Survey being the most frequently used and validated; however, no tools are available in the Danish language. This study aimed at translating the MISSCARE Survey from US English to Danish and evaluate its psychometric properties. The translation followed the recommended method, that is forward-and-backward translation, involving clinical experts and a professional, native English-speaking translator. The final version was approved by the survey's original developer. Face validity was tested among 10 nurses and 1 practical nurse. Nursing staff from 34 selected departments at Aarhus University Hospital's (n=1241) were invited to participate in a pilot test in November 2020. The survey consisted of a demographic section, a section of 'nursing elements' (Part A) and section of 'reasons' (Part B). Acceptability was assessed on Part A and B. Reliability was tested by Cronbach's alpha, and psychometric properties were investigated using Confirmatory Factor Analysis (Part B). The face-validity test resulted in minor contextual changes and the addition of a 'not applicable' response option in Part A. The pilot test had a 42.6% response rate (n=529). Acceptability was good, with 1-10 missing responses per item in Part A and 0-20 missing responses in Part B. The numbers of 'not applicable' responses ranged from 0 to 81. The overall Cronbach's alpha was 0.81. Factor-loading ranges were 0.62-0.48 for 'communication', 0.79-0.39 for 'materials and resources', and 0.50-0.35 for 'labour', suggesting an acceptable fit with the theoretical model. The MISSCARE Survey was successfully translated into Danish. The psychometric properties confirmed the questionnaire as a valid and reliable tool for measuring missed nursing care in Danish hospital settings.

Factor structure of the Self-Regulation Questionnaire among adult learners from Poland, Serbia, Slovakia, and the Czech Republic

BackgroundOne of the most significant human qualities is the ability to develop, implement, and flexibly maintain planned behaviour in order to achieve one’s goals. Self-regulation has become a relatively well-researched area in the field of psychology and pedagogy. However, empirically valid and reliable instrument is still missing across European context. The primary goal of this research was to analyze the psychometric properties of the Czech version of the Self-Regulation Questionnaire (SRQ-CZ) among adult learners from Poland, Serbia, Slovakia, and the Czech Republic.ObjectiveThe aim of the present study was to examine the factor structure and psychometric properties of the SRQ-CZ validated in the Czech educational context in a multi-cultural sample.MethodsA total of 1711 adult learners from European countries including Poland, Serbia, Slovakia, and the Czech Republic completed the SRQ-CZ. The first step to reviewing the validity of the SRQ-CZ included testing face validity. Furthermore, exploratory factor analysis (EFA) was performed on half the sample and confirmatory factor analysis (CFA) on the other half. Measurement invariance was conducted across gender, age, and country followed by the evaluation of the reliability of the final instrument.ResultsEFA showed that a three-factor structure best fit the data. The originally proposed Impulse Control and Self-Direction are merged into one distinct factor, while Decision Making and Goal Orientation comprise the other two. Goodness-of-fit statistics yielded from CFA showed a good fit for the model, introducing a reliable and measurement invariant instrument.ConclusionThe present study used a diverse multi-cultural sample to explore the factorial structure and psychometric properties of the SRQ-CZ. A three-factor model was obtained as the result of the exploratory and confirmatory factor analyses. Further analysis aiming at measurement invariance, comparing the sample according to gender, age, and country, led to satisfactory results. The only exception was a lack of model fit in the case of Serbia. Although further psychometric evaluation of the SRQ-CZ is still needed, the presented results constitute significant findings, confirming instrument validity and utility as a measure of generalized self-regulation capacity across adult learners in European educational context.

TRANSLATION AND CULTURAL ADAPTATION OF THE PREFERENCES FOR EVERYDAY LIVING INVENTORY INTO KOREAN

Abstract Valid and reliable measures are necessary to provide person-centered care tailored to the individual. However, there are no such measures in Korean nursing home settings. Therefore, the purpose of this study was to translate and culturally adapt the Preferences for Everyday Living Inventory (PELI); test face validity; and finalize a Korean version of PELI (PELI-K). The translation and cultural adaptation were done according to guidelines of the International Society for Pharmacoeconomics and Outcomes. After translating, cognitively capable Korean older adults (n=10) reviewed the PELI items and completed a questionnaire. Face validity was assessed by three questions regarding grammar and wording, understandability, and cultural relevance using a 4-point Likert scale: 1 (strongly disagree) to 4 (strongly agree). Higher scores indicate better validity. The mean (±SD) age of participants was 67 (±2.50) years. The mean score of appropriateness for grammar and wording was 2.70 (±.82); understandability was 3.70 (±.48); and cultural relevance was 3.70 (±.67). Participants found the Korean version of PELI easy to understand and interpret, and culturally relevant. However, some translations have room for improvement in rephrasing sentences and using alternative wording. Based on cognitive debriefing results and several suggestions from participants, necessary changes were made before creating a final version of PELI-K. These findings suggest that PELI was successfully translated and culturally adapted to Korean. Implementing PELI-K in Korean nursing home settings will help with eliciting individual preferences and incorporating them into care delivery. Next steps can evaluate care quality improvement and increased residents’ satisfaction.

Information Communication Technology Devices for Agricultural Information Dissemination among Smallholder Farmers in Uganda (Rubanda, Mayuge Districts, and Mbarara City)

Agriculture continues to be the main source of livelihood in developing countries and smallholder farming is the most common type of agriculture practice supporting more than 70% of the population. On the other hand, information and communication technology (ICT) is quickly growing as its helping to connect easier and faster; thus, a dire need to harness it in promoting the agricultural sector. This study investigated the Information Communication Technology Devices for Agricultural Information Dissemination among Smallholder Farmers in Uganda (Rubanda, Mayuge Districts, And Mbarara City). The study adopted a cross-sectional research design that comprised a mixed methods approach of quantitative and qualitative. The instrument for this study consisted of structured questionnaires and interviews. More so, available reports and records were explored. The questionnaire was subjected to face and content validity and reliability test. Data collected were analysed using descriptive statistics of frequency counts and percentages. Findings show that the leading types of ICT devices for agricultural information dissemination in Rubanda District, Mayuge District, and Mbarara City were mobile phones and radios. The study recommends that the most important information to farmers should always be disseminated via phone conversation, texting, and radio for broadcast agricultural-related programs in respective local languages

The use of User Experience Questionnaire Plus (UEQ+) for cross-cultural UX research: evaluating Zoom and Learn Quran Tajwid as online learning tools

This paper aims to adapt and validate the User Experience Questionnaire Plus (UEQ+) in the Indonesian context. The UEQ+ is a modular extension of the User Experience Questionnaire (UEQ), which has been adapted to the Indonesian context and used in many studies. The UEQ+ was originally developed in German and English. As a modular extension, the UEQ+ has more user experience (UX) scales compared to the UEQ and can be used to evaluate products in special scenarios. Several steps were carried out to adapt and validate the UEQ+: translating the questionnaire into Bahasa by involving UX practitioners, evaluating the translation results by involving a UX expert and practitioners, and conducting face validity and reliability testing through two case studies (Zoom and Learn Quran Tajwid as online learning tools). The results showed that the findings from the open-ended questionnaire were consistent with the results of the six scales. Future work is needed to investigate whether the UEQ+ can capture some of the UX-related themes identified from the two case studies.

The validation of culturally appropriate scales to assess the family health climate in a multi-ethnic Asian population.

BackgroundThe Family Health Climate (FHC) is a family environment attribute postulated to influence the health behaviors of family members. It can be measured by domain scales for physical activity (FHC-PA) and nutrition (FHC-NU), which have been validated and used to identify health climate patterns in families in Western populations. To extend the use of the scales to Asian settings, this study aimed to adapt and validate the instruments for use in the multi-ethnic population of Singapore, accounting for language and cultural differences.MethodsIn Part A (n = 40) to adapt the scales for the Singapore population, we performed cognitive interviews, face validity testing and pre-testing of the instruments (n = 40). Besides English, the scales were translated into Chinese and Malay. In Part B (n = 400), we performed exploratory and confirmatory factor analyses respectively on two random samples. We also tested for item discriminant validity, internal consistency reliability, construct validity, and measurement invariance.ResultsThe findings from the cognitive interviews in Part A led to scale adaptations to accommodate cultural and linguistic factors. In Part B, EFA on Sample I resulted in a three-factor model for the PA scale (accounting for 71.2% variance) and a four-factor model for the NU scale (accounting for 72.8% variance). CFA on Sample II indicated acceptable model fits: FHC-PA: χ2 = 192.29, df = 101, p < 0.001, χ2/df = 1.90; SRMR = 0.049; RMSEA = 0.067; CFI = 0.969; TLI = 0.963; FHC-NU: χ2 = 170.46, df = 98, p < 0.001, χ2/df = 1.74; SRMR = 0.036; RMSEA = 0.061; CFI = 0.967; TLI = 0.960. The scores of family members demonstrated significant agreement on the FHC-PA (Sg) [ICC(2, 2) = 0.77] and FHC-NU (Sg) [ICC(2, 2) = 0.75] scales. Findings suggest good evidence for item discriminant validity, internal consistency reliability, construct validity, and measurement invariance. Short versions of the scales were also developed.ConclusionWe adapted, translated and validated the scales for assessing the health climate of families in Singapore, including the development of short versions. The results showed good psychometric properties and the constructs had significant relationships with health behaviors and routines. Improving our understanding of family influences on individual health behavior will be important in developing multi-level strategies for health promotion and chronic disease prevention.

Development of a Planning for Aging and Frailty Questionnaire.

There is a gap in understanding adults' readiness to plan for adaptions across the aging trajectory. The purpose of the current psychometric project was to develop and test the Planning for Aging and Frailty Questionnaire. Clinical experience and extant literature formed the basis for creating items measuring planning for aging. Content validity was established with gerontology and health service research experts. Face validity testing was conducted through two cognitive interviewing and debriefing sessions at a senior center. All survey questions resulted in a content validity index ≥0.80 from experts. Face validity testing involved successful completion of the survey by 12 adults followed by cognitive interviewing/debriefing, resulting in minor changes. The 21-item Planning for Aging and Frailty Questionnaire demonstrates good initial validity and can be used to measure readiness in planning for aging and personal experiences and experiences with others. Further testing with additional usage is warranted. [Research in Gerontological Nursing, 15(5), 239-244.].

Development of LsPQM-12 Instrument to Measure Leisure Specific Psychological Well-being and Quality of Life of Mothers of Children with Autism Spectrum Disorder

Purpose: The purpose of this study was to develop a comprehensive tool to identify key components of leisure, thereby, examining the relationship between the prevalence of leisure (PLA) and psychological wellbeing (PWB); and its overall effect on the quality of life (QOL) of mothers of children with Autism-Spectrum-Disorder (ASD) with the demanding care of the child with autism. Design/Methodology/Approach: A cross-sectional design with interpretivism and an inductive approach a sample of 140 mothers of children with ASD, in India was used to develop this instrument. Structural equation modeling (SEM), partial least squares structural equation modelling (PL-SEM), and chi-square were used to analyze the scale items. Research data was interpreted by exploratory factor analysis and Confirmative factor analysis. Reliability was explored through split-half and internal consistency estimation using Cronbach's alpha. Finding/Result: The comprehensive outcome of quality of life (QOL) is measured as the result of engaging in the leisure of individual choice for self-replenishment, social connectedness, and happiness in life despite the demanding care of the child with autism. The overall unidimensional reliability with Cronbach’s alpha value of the scale is 0.656 having reasonably strong reliability. The construct-wise reliability demonstrated between 0.654 and 0.840 showing a high-reliability level. The validity of the instrument was established by face, content, construct, convergent, and discriminant validity tests. Most importantly the measurement model of the LsPQM-12 instrument has shown 0.935 CFI, 0.097 RMSEA, and 0.053 SRMR. Originality/Value: Leisure-specific quality of life of mothers of children with ASD as an outcome of acknowledgment of prevalence of leisure as well as the absence of leisure made possible by the development of this instrument. Thereby integrating daily leisure of short duration despite the demanding care of the child, towards the psychological wellbeing of the mother was the sequel of this study. Appraisal of time of mother’s leisure schedules in parallel with the child’s therapeutic interventions to raise overall QOL is the objective of the study. Paper Type: Case study-based analysis.

Building Soft-Employability Skills (SES-KIT): Reliability, Face Validity and Content Validity Testing

The aim of this paper is to design and validate a survey instrument known as Soft-Employability Skills Kit (SES-KIT) and to assess its reliability among Technical and Vocation Education Training (TVET) students. Through literature review, soft skills are found to be essential factors in employability among TVET graduates. The development of a contemporary instrument to measure students’ soft skills is necessary to promote awareness of the latest employability skills frameworks. SES-KIT was derived based on a mapping of eight employability skills frameworks and the top ten skills in the 21st century skills (World Economic Forum, 2020). Thirty-nine respondents from a TVET institution were included in this pilot study to measure reliability value and five experts were appointed to validate face and content validity. SES-KIT obtained a high reliability score of Cronbach alpha 0.961 and a good scale content validity index (S-CVI/Ave) value of 0.91. The next step of the research is to test this instrument to a larger scale of respondents.

Construction and Validation of Evaluation Instruments for Science Learning Programs Based on Context, Input, Process, And Product (CIPP) Models

This study aims to develop an evaluation instrument for science learning program in junior high schools based on the CIPP (Context, Input, Process, Product) evaluation model. This research uses the exploratory sequential mix method for instrument development. The qualitative stage was carried out through in-depth interviews with five principals and ten teachers. The qualitative stage aims to analyze needs in the field and explore the opinions of school principals and teachers regarding the evaluation of science learning programs. Researchers distributed instruments to 112 participants for the quantitative stage of the validation test. The instrument was validated in three stages. The first stage is the face validity test, the second stage is the Exploratory Factor Analysis (EFA) test, and the last stage is the Confirmatory Factor Analysis (CFA) test. The results of face validity conducted with two experts stated that each indicator developed had followed the flow of the Context, Input, Process, and Product (CIPP) model. Exploratory Factor Analysis Test Based on scree plot data, it was found that there was a fault after the four components, and the researcher decided to take four elements with a total variance of 50.95%. The confirmatory Factor Analysis (CFA) test showed that from 47 items, only 35 items were declared valid. This research has positive implications for the practice of integrated science learning at the junior high school level in Indonesia. Principals and teachers can use this CIPP-based evaluation instrument to evaluate the effectiveness of the integrated science learning process that has been carried out so far

Development of a factorial survey for use in an international study examining clinicians’ likelihood to support the decision to initiate invasive long-term ventilation for a child (the TechChild study)

BackgroundThe decision to initiate invasive long-term ventilation for a child with complex medical needs can be extremely challenging. TechChild is a research programme that aims to explore the liminal space between initial consideration of such technology dependence and the final decision. This paper presents a best practice example of the development of a unique use of the factorial survey method to identify the main influencing factors in this critical juncture in a child’s care.MethodsWe developed a within-subjects design factorial survey. In phase 1 (design) we defined the survey goal (dependent variable, mode and sample). We defined and constructed the factors and factor levels (independent variables) using previous qualitative research and existing scientific literature. We further refined these factors based on expert feedback from expert clinicians and a statistician. In phase two (pretesting), we subjected the survey tool to several iterations (cognitive interviewing, face validity testing, statistical review, usability testing). In phase three (piloting) testing focused on feasibility testing with members of the target population (n = 18). Ethical approval was obtained from the then host institution’s Health Sciences Ethics Committee.ResultsInitial refinement of factors was guided by literature and interviews with clinicians and grouped into four broad categories: Clinical, Child and Family, Organisational, and Professional characteristics. Extensive iterative consultations with clinical and statistical experts, including analysis of cognitive interviews, identified best practice in terms of appropriate: inclusion and order of clinical content; cognitive load and number of factors; as well as language used to suit an international audience. The pilot study confirmed feasibility of the survey. The final survey comprised a 43-item online tool including two age-based sets of clinical vignettes, eight of which were randomly presented to each participant from a total vignette population of 480.ConclusionsThis paper clearly explains the processes involved in the development of a factorial survey for the online environment that is internationally appropriate, relevant, and useful to research an increasingly important subject in modern healthcare. This paper provides a framework for researchers to apply a factorial survey approach in wider health research, making this underutilised approach more accessible to a wider audience.

Translation and psychometric validation of the Arabic version of Summary of the Diabetes Self-Care Activities (SDSCA) among pregnant women with gestational diabetes

Background and purposeThere is a lack of validated tools to assess adherence to gestational diabetes (GDM) management plan among women with GDM. This study aimed to translate the Summary of Diabetes Self-Care Activity (SDSCA) into Arabic, culturally adapt it, and test its psychometric properties among women with GDM.MethodsA multiphase study was used to translate and evaluate the psychometric properties of the Arabic version of SDSCA using the following steps: (1) cultural and linguistic validation; (2) content and face validity testing; (3) construct validity testing; and (4) internal validity testing. Nineghty pregnant women with GDM were recruited to meet the purpose of this study.ResultsThe Arabic version of the adapted SDSCA tool revealed adequate content validity, satisfactory internal consistency (Cronbach’s alpha = 0.74), and test-retest reliability (Pearson correlation coefficient = .67). Exploratory factor analysis revealed three factors that fit data satisfactory: diet, exercise, and blood glucose monitoring.ConclusionsThis study showed that the adapted Arabic SDSCA tool is an easy, valid, and reliable tool to assess pregnant women’s adherence to GDM management plan.

Assessing the quality of cardiac rehabilitation programs by measuring adherence to the Australian quality indicators.

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Australian National Health and Medical Research Council (NHMRC) Background Cardiac rehabilitation (CR) prevents recurrent cardiac events and supports patients’ return to an active and fulfilling lifestyle. Evidence on the efficacy of CR programs is well established, but variability of quality across programs may compromise patient outcomes. Core components, quality indicators (QIs) and accreditation of programs have been introduced internationally to increase program standardisation, quality and outcomes. (1) The Australian Cardiovascular Health and Rehabilitation Association (ACRA) and National Heart Foundation (NHF) recently published 10 QIs for CR, comprising process and outcome indicators that can guide delivery of evidence-based service content (Figure 1). (2) Purpose The aim was to assess the performance of CR programs in Australia through their adherence to the measurement of the Australian QIs. Methods A cross-sectional survey design with face validity testing was used to formulate questions to evaluate CR program performance based on adherence to 9 of the 10 Australian QIs. Between October 2020- December 2021, all 23 CR programs across country and metropolitan areas of South Australia (SA) participated. In addition, each QI was weighted by an expert group of clinician researchers and a service performance score was calculated out of 16. According to the score quartiles, programs could be categorised across 4 performance levels: Poor (0-4.5), Low (5-8.5), Medium (9-12.5) or High (13-16). Results Among the 23 participating CR programs, median wait time from discharge to enrolment (QI-2) was 27 days, (interquartile range 19.0-46.0) and completions of enrolled were 66% (n=1316 /1972). All QIs were measured, but not by all programs. Pre-program QI adherence was higher than post program for depression, medication adherence, health-related quality of life and comprehensive re-assessment (Figure 1). Health-related quality of life (HRQOL) was poorly measured pre and post program (21.7% versus 17.3%). For functional exercise capacity assessment, the six-minute walk test was used by 69.5% of programs. Mean performance score was 11.4 /16 (SD ±0.79). Most (74%) programs were ranked at a medium level of performance, whereas 13% were ranked at low and high levels and none as poor. Conclusions A survey of 23 CR programs showed gaps in adherence to measurement of the ACRA/NHF Quality indicators in SA, including re-assessment (QI9), HRQOL (QI-8), medication adherence (QI-6) and exercise capacity (QI-7). Service performance scores were lower than an Australian national audit for each category, with United Kingdom data showing more services in the high and less in the medium category than SA. These data give us a baseline from which to improve CR service quality and outcomes.

Validity of the Persian translation of the differentiation of self inventory (DSI) among Iranian adults

Because of the importance of self-differentiation in couple therapy and premarital counseling, it is essential to have a suitable tool to measure it. The present study investigates the validity of the Persian translation of Differentiation of Self Inventory (DSI) among Iranian adults. The participants involved 273 people who chose availability (202 males and 82 females). The DSI scale had good enough validity and satisfactory reliability according to face, content, and construct validity test. According to the results of confirmatory factor analysis, 26 items removed because their factor loadings did not meet the criteria and the DSI scale remained as a 17 items questionnaire. Due to the disintegration of factors, exploratory factor (EFA) analysis is used to determine the factors of DSI. The results of EFA supported the four-factor questionnaire, including emotional reactivity, emotional cutoff, I position, and fusion with others.

Short-term side effects of COVID-19 vaccines: A cross-sectional study in Jordan

ABSTRACT The rapid manufacturing of vaccines has increased hesitancy toward receiving the COVID-19 vaccines. Clarifying what to expect after vaccination and revealing the possible side effects will lower hesitancy toward receiving the COVID-19 vaccine and increase public awareness. This descriptive cross-sectional survey-based study was conducted in Jordan (August 2021) to collect data on the short-term side effects following the COVID-19 vaccines. An extensive literature review was conducted by the research team to assist in developing the first draft of the survey. The survey was tested for face and content validity and piloted test to improve readability and clarity. The survey was organized into two sections (demographics and perceived COVID-19 vaccines’ side effects). Data were analyzed using the Statistical Package for Social Science (SPSS). A total of 1,044 participants were enrolled in the study. The most received vaccine among the participants was Pfizer-BioNTech (51.1%). The most frequently reported side effects were sore arm at the injection site (84.65%), fatigue (84.48%), discomfort (65.43%), muscles/joint pain (61.38%), drowsiness (58.73%), and headache (58.38%). More side effects were significantly associated with being older (p = 0.046), having an allergy (p = 0.024) or rheumatoid arthritis (p = 0.023), and participants who take NSAIDs regularly (p = 0.029). Short-term side effects of COVID-19 vaccines seem to be mostly local or transient in nature. Older age and certain comorbidities may increase susceptibility to side effects.

Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability

BackgroundApproximately 60% of outpatients with advanced cancer experience pain; therefore, self-management of opioid use is important for appropriate pain relief. To date, no studies have clearly described the concept of opioid self-management or assessed the factors involved, including the improvement of self-management abilities. This study developed, and evaluated the validity and reliability of an opioid self-management scale for advanced cancer patients with pain (OSSA). Opioid self-management in advanced cancer patients with pain was defined as the management of opioid medication performed by patients with advanced cancer to relieve cancer pain on their own.MethodsThree phases were required for validation and reliability of the OSSA: 1) testing content validity, 2) testing face validity, and 3) testing construct validity, concurrent validity and reliability.ResultsAfter a three-phase process, the OSSA consisted of 33 items on six subscales. The structural equation modeling was such that the χ2 value was 709.8 (p < 0.001, df = 467), goodness-of-fit index was 0.78, adjusted goodness-of-fit index was 0.73, root mean squares of approximation was 0.063, and comparative fit index was 0.92. The Pearson correlation coefficients between the total OSSA score and the 24-hour average pain or pain relief over 24 hours were − 0.21 (p < 0.05) and 0.26 (p < 0.01), respectively. Cronbach’s α was 0.93. The intraclass correlation coefficient range was 0.59–0.90.ConclusionThe findings of this study show that the OSSA has acceptable validity and reliability, and that better self-management leads to greater pain relief. The OSSA can be considered effective for use in research, but shortened version should be prepared for realistic and practical clinical use.

Assessing the quality of cardiac rehabilitation programs by measuring adherence to the Australian quality indicators

BackgroundEvery year, over 65,000 Australians experience an acute coronary syndrome (ACS) and around one-third occur in people with prior coronary heart disease. Cardiac rehabilitation (CR) aims to prevent a repeat ACS by supporting patients’ return to an active and fulfilling lifestyle. CR programs are efficacious, but audits of clinical practice show variability of program delivery, which may compromise patient outcomes. Core components, quality indicators and accreditation of programs have been introduced internationally to increase program standardisation. With Australian quality indicators (QIs) for cardiac rehabilitation recently introduced, we aimed to conduct a survey in one state of Australia to assess the extent to which programs adhere to the measurement of QIs comparing country, metropolitan, telephone and face to face programs.MethodsA cross- sectional survey design with face validity testing was used to formulate questions to evaluate cardiac rehabilitation program and personnel characteristics and QI adherence. Between October 2020- December 2021, 23 cardiac rehabilitation programs across country and metropolitan areas were invited to participate. Quality improvement was defined as adherence to the Australian Quality Indicators, and we developed an objective score to calculate program performance categorised by quartiles. Significance of CR completion and time to enrolment between program type (telephone versus face to face) and location (country versus metropolitan were compared using Pearson’s Chi-square and Mann–Whitney U tests.ResultsAmong the 23 CR programs, 15 were country and 8 metropolitan-based and 22 were face to face and 1 telephone-based. Median wait time from discharge was 27.0 days, (interquartile range 19.3–46.0) across all programs and country completions of enrolled were 76.9% versus metropolitan 56.5%, p < 0.001 and telephone versus face to face 92.9% versus 59.6% p < 0.001. Pre-program QI adherence was higher than post program for depression, medication adherence, health-related quality of life and comprehensive re-assessment. Seventy four percent of programs were ranked at a medium level of performance (mean score: 11.4/16, SD ± 0.79).ConclusionsA survey of 23 cardiac rehabilitation programs, showed variability in adherence to measurement of the Australian Cardiovascular and Rehabilitation Association and Australian Heart Foundation Cardiac Rehabilitation Quality Indicators.Trial registrationAustralia New Zealand Clinical Trials Registry (ANZCTR), ACTRN12621000222842, registered 03/03/2021.