Item Content Research Articles

Development and Validation of the Dementia Caregiver Burden Scale: A Tool for Community-Dwelling Dementia Caregiver.

The number of patients with dementia increases rapidly in aging populations. Dementia is an irreversible disease that causes a patient to be dependent on others' care and also causes family caregivers to experience difficulties in multiple domains. In this study, a dementia caregiver's burden scale that addresses family caregivers' characteristics and caring environments was developed and validated. In-depth interviews with nine caregivers were conducted to identify the attributes of perceived burden and establish preliminary questions. Content validity was confirmed by seven experts using the item content validity index and scale content validity index/average. Construct validity, criterion-related validity, and reliability were verified using data from 205 primary caregivers of patients with dementia. Exploratory factor analysis revealed that five factors, including physical health deterioration, responsibility and role of caregiver, emotional distress, medical expense concerns, and family conflict, and 24 items explained 68.6% of the total variance. The calculated Cronbach's α for the overall scale was .96. The scale developed in this study may be used to measure the burden perceived by family caregivers of patients with dementia in the physical, emotional, social, financial, and situational domains. Also, the scale may be used to guide the development of tailored interventions that take into consideration different family caregiver and caring situation-related characteristics.

외국인 한국어 학습자를 위한 한국 역사 영상 콘텐츠 문법 연구

This study proposes an approach to engaging foreign learners of Korean with Korean history, which can be somewhat heavy and challenging, by treating it as 'history consumption.' To provide learning materials that aid foreign learners of Korean in watching Korean historical video content, the study compiled a corpus of dialogues from a total of 44 Korean historical video works available on Netflix. The study pointed out that existing history textbooks for foreigners are not suitable for foreign learners of Korean and highlighted the issue that it increases the burden on instructors to thoroughly teach both Korean culture and history in actual Korean language learning settings. As an alternative, the study proposed the use of Korean historical video content and, based on previous research showing that watching videos with subtitles in the target language enhances learning effectiveness, organized frequently occurring grammar items in Korean historical video content by frequency, usage by social status, and usage by gender to assist learning.

Development and assessment of a knowledge, attitude, and practice (KAP) questionnaire for genetic counselees with preimplantation genetic testing (PGT) indications

BackgroundPreimplantation genetic testing (PGT) can reduce the risk of familial genetic diseases, chromosome abnormalities, and recurrent abortions. It is unclear whether genetic counselees with PGT indications understand and accept the implications of PGT. A well-developed and validated tool is needed to evaluate the knowledge, attitude, and practice (KAP) levels of genetic counselees with PGT indications. The purpose of this study was to develop and validate a PGT KAP questionnaire (PGT-KAP-Q) for genetic counselees with PGT indications. MethodsFirst, we established an item pool based on a literature review and qualitative interviews. Second, we developed the PGT-KAP-Q using the Delphi method. Third, we evaluated the quality of the questionnaire using item analysis and psychometric evaluation. The item analysis included extreme value comparison, application of the correlation and Cronbach's alpha (α) coefficient methods, and factor analysis. We also evaluated the content and structural validity of the questionnaire, as well as the internal consistency, test–retest reliability, and split-half reliability. FindingsAfter the literature review and interviews, and based on three rounds of expert consultations, we formed a 43-item questionnaire. In the validity analysis, the item's content validity index (I-CVI) and the average scale level CVI (S-CVI/Ave) values (>0.78 and >0.95, respectively) confirmed the questionnaire's content validity. Exploratory factor analysis showed that all 43 items had strong factor loadings (>0.4), and the three factors of the PGT-KAP-Q explained 51.97 % of the total variance. The Cronbach's α coefficient for the questionnaire was 0.95 (p < 0.05), the split-half reliability was 0.76 (p < 0.05) and the test–retest reliability coefficient was 0.78 (p < 0.05). InterpretationThe 43-item PGT-KAP-Q for genetic counselees with PGT indications is reliable and valid. It contains a moderate number of items, is easy for patients to understand and accept, and can be used for clinical research and applications.

Conducting cross-cultural, multi-lingual or multi-country scale development and validation in health care research: A 10-step framework based on a scoping review.

Valid, reliable and cross-cultural equivalent scales and measurement instruments that enable comparisons across diverse populations in different countries are important for global health research and practice. We developed a 10-step framework through a scoping review of the common strategies and techniques used for scale development and validation in a cross-cultural, multi-lingual, or multi-country setting, especially in health care research. We searched MEDLINE, Embase, and PsycINFO for peer-reviewed studies that collected data from two or more countries or in two or more languages at any stages of scale development or validation and published between 2010-22. We categorised the techniques into three commonly used scale development and validation stages (item generation, scale development, and scale evaluation) as well as during the translation stage. We described the most commonly used techniques at each stage. We identified 141 studies that were included in the analysis. We summarised 14 common techniques and strategies, including focus groups or interviews with diverse target populations, and involvement of measurement experts and linguists for item content validity expert panel at the item generation stage; back-and-forth translation, collaborative team approach for the translation stage; cognitive interviews and different recruitment strategies and incentives in different settings for scale development stage; and three approaches for measurement invariance (multigroup confirmatory factor analysis, differential item functioning and multiple indicator multiple causes) for scale evaluation stage. We provided a 10-step framework for cross-cultural, multi-lingual or multi-country scale development and validation based on these techniques and strategies. More research and synthesis are needed to make scale development more culturally competent and enable scale application to better meet local health and development needs.

Evaluating Item Response Format and Content Using Partial Credit Trees in Scale Development

Abstract The type of response options selected for items on a survey, along with how many response options to include and whether to allow neutral midpoints, impacts data obtained from survey collections and the interpretations made using the results. Further, if subgroups within a population (e.g., racial/ethnic, gender, age) interpret response options differently, this variance can artificially inflate non-significant differences or mask true differences between groups. In this study, we apply two recursive partitioning procedures for investigating differential item functioning (DIF) in an experiment evaluating seven item response formats (five levels of an agree–disagree [AD] format and two levels of an item-specific [IS] format). Partial credit tree procedures allow for the evaluation of multiple covariates without prespecifying subgroups to be compared. We applied the procedures to items measuring adults’ attitudes toward legal abortion and all response formats functioned without DIF for age, gender, race, education, and religion when evaluated using global DIF screening approaches. Item-focused analyses indicated that odd-numbered response formats were less susceptible to content-based DIF. The combination of psychometric properties indicated that five-point AD and IS formats may be preferable for abortion attitude measurement based on the screening procedures conducted in this study.

Development of a long-term care service integration self-assessment tool

ABSTRACT The World Health Organization emphasizes the importance of providing integrated care for older people. Taiwan is the fastest aging country in the world. In 2016, Taiwan implemented the Long-Term Care Plan 2.0 (TLTCP 2.0), aimed at providing integrated long-term care (LTC) services in communities. However, LTC service agencies have not been able to evaluate the level of integrated care they provide due to the lack of an effective assessment tool. To address this need, this study sets out to develop an integration assessment tool, namely the Self-Assessment for Service Integration in Long-Term Care (SASI-LTC), which will allow LTC agencies to self-evaluate their current level of integration from multiple perspectives. The SASI-LTC was developed based on Evashwick’s framework, underwent two rounds of Delphi panels with twenty-six experts, and a pilot test with 243 valid questionnaires from administrators of Tier A agencies who are responsible for integrating LTC. The Delphi experts assessed the content with high levels of agreement using medians, the scale content validity index (SCVI) and item content validity index (ICVI). The SASI-LTC included four domains (inter-entity organization and management, integrated care coordination, integrated resources, and integrated information systems) with thirty items. The SASI-LTC showed good reliability (Cronbach’s α = 0.94) and good validity, and a confirmatory factor analysis showed a good model fit index [χ2/df = 1.38; RMSEA = 0.040; CFI = 0.963; SRMR = 0.049] in pilot testing. While the SASI-LTC is a useful and feasible tool for Taiwan’s LTC service agencies to evaluate their level of integration in providing LTC services, it could also be used in other countries with minor adjustments to localization of items related to financial integration.

AI showdown: info accuracy on protein quality content in foods from ChatGPT 3.5, ChatGPT 4, bard AI and bing chat

PurposeThis study aims to assess the effectiveness of different AI models in accurately aggregating information about the protein quality (PQ) content of food items using four artificial intelligence (AI) models -– ChatGPT 3.5, ChatGPT 4, Bard AI and Bing Chat.Design/methodology/approachA total of 22 food items, curated from the Food and Agriculture Organisation (FAO) of the United Nations (UN) report, were input into each model. These items were characterised by their PQ content according to the Digestible Indispensable Amino Acid Score (DIAAS).FindingsBing Chat was the most accurate AI assistant with a mean accuracy rate of 63.6% for all analyses, followed by ChatGPT 4 with 60.6%. ChatGPT 4 (Cohen’s kappa: 0.718, p < 0.001) and ChatGPT 3.5 (Cohen’s kappa: 0.636, p: 0.002) showed substantial agreement between baseline and 2nd analysis, whereas they showed a moderate agreement between baseline and 3rd analysis (Cohen’s kappa: 0.538, p: 0.011 for ChatGPT 4 and Cohen’s kappa: 0.455, p: 0.030 for ChatGPT 3.5).Originality/valueThis study provides an initial insight into how emerging AI models assess and classify nutrient content pertinent to nutritional knowledge. Further research into the real-world implementation of AI for nutritional advice is essential as the technology develops.

P-458 Development and validation of the fertility lifestyle assessment scale

Abstract Study question Can the development of the “Fertility Lifestyle Assessment Scale” contribute to the evaluation of person lifestyle habits related to fertility? Summary answer The development of the Fertility Healthy Lifestyle Assessment Scale will contribute to the evaluation of person lifestyle habits related to fertility. What is known already Healthy lifestyle habits are important for preparing the body and reproductive hormones for the demands of conception. Malnutrition, overeating, smoking, sedentary life, stress, sleep deprivation etc., situations all represent unhealthy lifestyles. The individuals may also preserve and increase fertility potential by modifying their lifestyles. Despite wide evidence about the benefits of healthy lifestyle for individuals with fertility problems, lifestyle is not systematically evaluated in generally fertility clinics. Current in study aimed to develop a valid and reliable measurement tool in order to determine risky lifestyle behaviors that may contribute to the development of fertility problems of individuals. Study design, size, duration A methodological study was conducted between July 2020- December 2021. An item pool (123 items) was prepared by reviewing the literature and the opinions of researchers and fertility experts. A multidisciplinary team of doctor, nurses and patient collaborated to asses suitability of each item of Fertility Lifestyle Assesment Scale. The Item Content Validity Index varied between .80 and 1.00. As a result a final 46-item Fertility Lifestyle Assessment Scale was developed. Participants/materials, setting, methods Participants (a) who can speak, read and write Turkish; (b) 18 years of age or older; married/single women or men, (c) who have not yet had children, and (d) who are considering having children in the future were included. The sample of this study consisted of 526 participants who met the inclusion criteria and agreed to be a part of the present study. Main results and the role of chance In the exploratory factor analysis (EFA), the Kaiser-Meyer-Olkin (KMO) coefficient of 46 items was .865 and the result of Bartlett’s sphericity test was χ2 = 15265.707, p &amp;lt; .001. As a result of EFA, it was determined that the scale consisted of seven subscale. Also, seven subscales were exposed to explanatory analysis: “emotional well-being”, “physical activity”, “sleep quality”, “nutrition”, “clothing/hygiene”, “use of technology”, “spiritual dimension”. These seven subscales explained 71.25% of the total variance, which shows the power of the factor structure of the scale. The total Cronbach’s alpha was .87. The item-total score correlation coefficients ranged between .19 and .57. The Pearson correlation coefficients between subscale scores and scale total scores were between .21 and .98. The Cronbach’s alpha coefficients of the subscales ranged from .60 to .98. According to the Spearman–Brown analysis, the split-half correlation coefficient was .898. Item scores were different from each other (Hotelling’s T2 = 1189.347, p= .000). This scale is valid and reliable for measuring the healthy lifestyle for improving fertility of women and man who unmaried. Limitations, reasons for caution The limitation of the study was that only 3/1 of the sample to which the scale was applied was composed of men. Wider implications of the findings This scale can be used to evaluate fertility-related lifestyle factors in individuals who are considering getting pregnant starting from the preconceptional period or who have fertility problems and apply for treatment. The scale may be easily performed by healthcare professionals and may contribute to improve fertility. Trial registration number Not applicable

Perancangan Instrumen Go-Green Movement Inventory dalam Konteks Gerakan Go-Green

The purpose of this research was to examine the content validity, inter-rater reliability, item validity, and item reliability of the Go-Green Movement Inventory (GGMI) instrument developed for high school students. The instrument development process utilized the Research &amp; Development (R&amp;D) method by Borg and Gall in Sugiyono (2019), up to the fourth stage. Prior to testing the instrument with 148 high school students, validation was conducted by 5 experts comprising two university lecturers and three high school teachers. The research findings indicate that the content validity analysis of the Go-Green Movement Inventory (GGMI) instrument for high school students is valid, as evidenced by Vhitung &gt; Vtabel, specifically 0.89 &gt; 0.87. Inter-rater reliability analysis yielded a score of 0.79, categorized as moderate. Item validity analysis revealed that out of 30 statement items, 2 items were rejected: item number 13 and 30, while the rest were accepted. Item reliability analysis showed a person reliability value of 0.80, indicating good consistency in student responses, and an item reliability of 0.96, indicating excellent quality of individual items. The Cronbach's Alpha coefficient was 0.83, indicating good overall interaction between respondents and item statements.

“Are Journalists Traitors of the State, Really?”—Self-Censorship Development during the Russian–Ukrainian War: The Case of Latvian PSM

Media self-censorship related to war and military conflict is usually analysed by evaluating the journalistic practices of the countries involved in the war. The objective of this study is to explore how the self-censorship of Latvian public service media (Latvian Radio and Latvian Television) employees developed in response to changes in the internal socio-political discourse after Russia’s full-scale invasion in Ukraine, because of which the Latvian PSM found themselves in the crossfire of long-term criticism and attacks by politicians and audience representatives. Employing semi-structured interviews and qualitative content analysis, this study analyses the perception of self-censorship at all levels (journalists, producers, programme hosts, editors) (15 informants), factors that influence the development of self-censorship, informants’ coping strategies, and the impact of self-censorship on PSM content (78 items of content on various channels and platforms). The conceptual framework of this study is based on Bourdieu’s field theory and Spiral of Silence Theory, exploring how self-censorship affects journalists’ professional habitus, social capital, and agency. The results of this study show that, although Latvia is not involved in the nearby war, politician- and audience member-driven self-censorship affects PSM platforms’ daily agenda, source selection, and editorial line, reducing the diversity and pluralism of PSM content.

Development and psychometric testing of a questionnaire for the Korea Youth risk behavior survey to assess physical activity behaviors

BackgroundPhysical activity is essential for physical, mental, and cognitive health. Providing evidence to develop better public health policies to encourage increased physical activity is crucial. Therefore, we developed an in-depth survey as part of the Korea Youth Risk Behavior Survey to assess the current status and determinants of physical activity among Korean adolescents.MethodsWe developed an initial version of the questionnaire based on a review of validated questionnaires, recent trends and emerging issues related to adolescent physical activity, and the national public health agenda pertaining to health promotion. Content validity was confirmed by a panel of 10 experts. Face validity was confirmed through focus group interviews with 12 first-year middle school students. The test-retest reliability of the questionnaire was evaluated by administering it twice, approximately two weeks apart, to a sample of 360 middle and high school students. Additionally, the frequency or average number of responses was analyzed in a sample of 600 students who participated in the initial test-retest reliability evaluation of the questionnaire developed in this study.ResultsThrough item pool generation and content and face validity test, the final 15 questionnaire items were developed across five themes: levels of physical activity, school sports club activities, transportation-related physical activity, physical activity-promoting environments, and factors mediating physical activity. The test-retest reliability ranged from fair to substantial. Results from the newly developed survey reveal that only a minority of adolescents engage in sufficient physical activity, with only 17.2% and 21.5% participating in vigorous and moderate-intensity activities, respectively, for at least five days per week. Among school-based activities, 44.3% of students do not participate in school sports clubs due to reasons including absence of clubs and disinterest in exercise. The major motivators for physical activity are personal enjoyment and health benefits, whereas preferences for other leisure activities and academic pressures are the predominant barriers.ConclusionsThis study developed valid and reliable in-depth survey items to assess physical activity among Korean youths. It will hopefully enhance our understanding of adolescent physical activity, offering essential preliminary evidence to inform the development of public health strategies aimed at promoting adolescent health.

The Pathology of Imagination: Picturing the Worst

ABSTRACT Imagination, often celebrated for its role in creativity and development, also may be a feature in a range of personality pathology and psychopathology. This pre-registered study evaluates the relationship between imagination and maladaptive personality traits using the Four-Factor Imagination Scale and Personality Inventory for DSM-5. Large-scale, multinational, cross-sectional data (N = 114,559) were collected from the SAPA-Project using a planned-missingness design. Functional sample size (pairwise-n = 600) was derived from the mean number of pairwise-complete administrations of all items. Significant associations were found between imagination and PID-5 facets saturated with negative affect and psychoticism. Extreme groups analysis demonstrated participants with non-normative levels of PID-5 Depressivity and Anxiousness had elevated levels of emotionally negative imagination (mean d = 1.14, p < .001); non-normative Perceptual Dysregulation and Emotional Lability featured greater overall imaginative activity (mean d = 1.00, p < .001). Item-level analyses using machine learning revealed the content of PID-5 items predicted facet-level imagination scores, suggesting imagination features in some pathological traits. All statistical analyses are reproducible and publicly available in the Supplemental Materials file.

"I feel [so alone] nothing" - emotional vulnerability and detachment as transdiagnostic key characteristics of patients with chronic tinnitus: a schema mode model approach.

Gold-standard approaches for chronic tinnitus involve hearing amplification measures and psychological therapy, where applicable. Whilst schema therapy is accumulating evidence as a transdiagnostically useful treatment framework, its applicability for patients with chronic tinnitus has not yet been examined. The present study (a) explores latent dimensions of psychological distress in a sample of chronic tinnitus patients, and (b) examines whether the schema mode model might explain these dimensions - thus constituting a potentially helpful conceptualization and treatment framework. N = 696 patients with chronic tinnitus completed the Tinnitus Questionnaire, Tinnitus Handicap Inventory, Hospital Anxiety and Depression Scale, Perceived Stress Questionnaire and ICD-10 Symptom Rating. As criterion, patients further completed the Schema Mode Inventory (SMI-r) - which assesses psychological constructs linked to negative self-beliefs ("parent modes"), primary emotions resulting from unmet psychological needs ("child modes"), and secondary emotional or behavioral attempts to reinstate or maintain psychological equilibrium ("coping modes"). A varimax-rotated principal axis factor analysis grouped the primary item pool. Factor scale scores were then correlated with the SMI-r. A three-factor solution explained 37.4% of variance and represented 78% of the included items. Following item content examination, the factors represented (1) General emotional distress, (2) Tinnitus-attributed emotional distress, and (3) Socio-audiological impairment. Factors 1|2 correlated highly (r= 0.70), Factors 2|3 moderately (r = 0.62). Linked to the schema mode model, Factor 1 correlated highly with the "vulnerable child" (r = 0.78), and moderately with the "parent", "angry child", and "detached protector" modes (0.53 < r < 0.65). Factor 2 correlated moderately with the "vulnerable child" (r = 0.53). Factor 3 was largely uncorrelated with SMI-r scores - although a low correlation with the "detached protector" warrants further examination. "General" and "tinnitus-attributed" emotional distress correlate highly - warranting holistic (not symptom-specific) psychological case conceptualization and treatment planning. Viewed from a schema mode perspective, the "vulnerable child" explains substantial variance across both dimensions. Consequently, autobiographically anchored, unmet emotional needs and emotional detachment constitute key treatment targets. Social-audiological impairment should be multimodally conceptualised and treated with hearing aids and psychological support measures, as applicable.

How Virtual are We? Introducing the Team Perceived Virtuality Scale

AbstractWith the strong proliferation of virtual teams across various organizations and contexts, understanding how virtuality affects teamwork has become fundamental to team and organizational effectiveness. However, current conceptualizations of virtuality rely almost exclusively on more or less fixed, structural features, such as the degree of technology reliance. In this paper, we take a socio-constructivist perspective on team virtuality, focusing on individuals’ experience of team virtuality, which may vary across teams and time points with similar structural features. More specifically, we develop and validate a scale that captures the construct of Team Perceived Virtuality (Handke et al., 2021). Following a description of item development and content validity, we present the results of four different studies that demonstrate the construct’s structural, discriminant, and criterion validity with an overall number of 2,294 teams. The final instrument comprises 10 items that measure the two dimensions of Team Perceived Virtuality (collectively-experienced distance and collectively-experienced information deficits) with five items each. This final scale showed a very good fit to a two-dimensional structure both at individual and team levels and adequate psychometric properties including aggregation indices. We further provide evidence for conceptual and empirical distinctiveness of the two TPV dimensions based on related team constructs, and for criterion validity, showing the expected significant relationships with leader-rated interaction quality and team performance. Lastly, we generalize results from student project teams to an organizational team sample. Accordingly, this scale can enhance both research and practice as a validated instrument to address how team virtuality is experienced.

The reliability and validity of the Postpartum Partner Support Scale among Chinese women

BackgroundThe benefits of partner support have been well documented for maternal and child health and wellbeing. Chinese women who practice traditional postpartum rituals may lack support during the confinement and often rely heavily on their partners. Currently, there is no validated measure to assess postpartum partner support in China. AimTo translate the Postpartum Partner Support Scale (PPSS) into Chinese, evaluate its psychometric properties and assess postpartum support among Chinese women. MethodsThe PPSS was translated into Chinese using a validated process and administered to 428 postpartum women residing in the city of Quanzhou in the Fujian Province in China between September 2021 and July 2022. ResultsReliability analysis demonstrated a Cronbach's α coefficient of 0.97, a split-half coefficient of 0.93, and a retest correlation coefficient of 0.91 (p < 0.01). The item analysis and content validity results fell within the recommended range, with no items requiring deletion. Exploratory factor analysis revealed the extraction of a single common factor, which accounted for 74.05% of the cumulative variance. Confirmatory factor analysis yielded a χ2/df ratio of 1.48 and an RMSEA value of 0.05. Several demographic variables were associated with significantly lower levels of postnatal partner support including older maternal and paternal age, lower maternal education, higher household income, fair relationship with in-law family, female infant sex, and premature birth. ConclusionThe Chinese version of the PPSS exhibited good reliability and validity providing evidence that it may be suitable for evaluating partner support among postpartum women in China.

Development and validation of the parental health literacy scale for children with asthma (PHLSCA)

Objective This study aimed to develop and validate an instrument to assess the health literacy of parents of children with asthma in a Chinese context. Methods The preliminary Parental Health Literacy Scale for Children with Asthma (PHLSCA) was developed based on a literature review and refined to 45 items through two rounds of expert consultation using the Delphi method. A total of 481 parents of children with asthma were recruited from seven hospitals across four provinces in China between February and April 2019. Principal component analysis (PCA) and confirmatory factor analysis were conducted to evaluate the structural and construct validity of the scale. Results The development and validation processes led to a 38 items scale comprising three subscales, namely: Health Knowledge (11 items), Health Skills (19 items) and Health Behavior (8 items). The scale demonstrated good reliability, with an internal consistency of Cronbach’s α = 0.956 and a split-half reliability of r = 0.887 (p < 0.01). The Item Content Validity Index (I-CVI) ranged from 0.81 to 1.00, and the Scale-CVI was 0.842. The correlation coefficients and factor analysis results indicated good construct validity, with the factors explaining 59.33% to 62.90% of the variance in each subscale. Conclusions The final version of the questionnaire (PHLSCA) has been demonstrated to be a valid and reliable tool for assessing the health literacy of parents of Chinese children with asthma.

Development of a new examination for the Canadian Chiropractic Examining Board.

Since 1963 the Canadian Chiropractic Examining Board has conducted competency examinations for individuals seeking licensure to practice chiropractic in Canada. To maintain currency with changes in practice, examination content and methodology have been regularly updated since that time. This paper describes the process used by the Canadian Chiropractic Examining Board to restructure the examination to ensure it was current and to align it with the 2018 Federation of Canadian Chiropractic's Canadian Chiropractic Entry-to-Practice Competency Profile. A subject-matter-expert committee developed proposed candidate outcomes (indicators) for a new examination, derived from the competency profile. A national survey of practice was undertaken to determine the importance and frequency-of-use of the profile's enabling competencies. Survey results, together with other practice-based data and further subject-matter-expert input, were used to validate indicators and to create a new structure for the examination. The new examination is a combination of single-focus and case-based multiple-choice questions, and OSCE (objective, structured, clinical examination) methodology. Content mapping and item weighting were determined by a blueprinting committee and are provided. Administration of the new examination commenced in early 2024.

Assessing attitudes towards biostatistics education among medical students: adaptation and preliminary evaluation of the Chinese version survey of attitudes towards statistics (SATS-36)

BackgroundDespite the numerous advantages of mastering biostatistics, medical students generally perceive biostatistics as a difficult and challenging subject and even experience anxiety during the courses. Evidence for the correlation between students’ academic achievements and their attitudes, indicating that attitudes at the beginning of the biostatistics course may affect cognitive competence at the end of the course and subsequently influence student academic performance. However, there are current disagreements regarding the measurement and evaluation of attitudes related to statistics. Thus, there is a need for standard instruments to assess them. This study was conducted to develop a Chinese version of the Survey of Attitudes Toward Statistics (SATS-36) in order to acquire a valid instrument to measure medical students’ attitudes toward biostatistics under Chinese medical educational background.MethodsThe Chinese version SATS-36 was developed through translation and back-translation of the original scale, with subsequent revisions based on expert advice to ensure the most appropriate item content. The local adaption was performed with a cohort of 1709 Chinese-speaking medical undergraduate and graduate students enrolled in biostatistics courses. And then, the reliability, validity and discrimination of the questionnaires were evaluated through correlation coefficient calculation, factor analysis, parallel analysis and other methods.ResultsThe Chinese version SATS-36 consisted of 36 items and loaded a five-factor structure by factor analysis, which offered an alternative similar but not equal to that original six-factor structure. The cumulative variance contribution rate was 62.20%, the Cronbach’s α coefficient was 0.908, the Guttman split-half reliability coefficient was 0.905 and the test–retest reliability coefficient was 0.752. Discriminant analysis revealed small to large significant differences in the five attitude subscales.ConclusionsThe Chinese version SATS-36 with good validity and reliability in this study can be used to evaluate the learning framework of Chinese medical students.

Evaluation of Healthcare Workers Attitudes Toward Handling and Treating COVID-19 Patients in Diyala Governorate, Iraq

Background: In 2019, the World Health Organization (WHO) declared a global state of emergency due to the spread of the COVID-19 pandemic. Objective: This study aimed to determine the attitudes of healthcare workers in various Iraqi health institutions towards treating patients with COVID-19. Additionally, it aimed to identify the most important reasons behind preventing them from doing their job. Methods: Between Nov. 2021 to Dec. 2022, we conducted a self-administered cross-sectional survey of 207 healthcare worker participants. The data were collected using a questionnaire that included three parts. The first part included sociodemographic data, the second part aimed to assess the participants’ information concerning how they dealt with this pandemic, and the third part was designed to identify the participants’ attitudes. The statistic data were analysed by using (SPSS), 25.0/ IBM Crop., Armonk, NY. The scientific content of the questionnaire items was taken from the online literature as well as updated information on the WHO website. Results: The results study revealed that 135 (65.22\%) of the participants were willing to receive and treat COVID-19 patients in hospitals and private clinics. While 72 (34.78\%) of the study participants showed their unwillingness to treat infected patients. The most crucial reasons behind their reluctance were the fear of transmission of infection and the lack of protective equipment. Conclusion: The study concluded that the participants' willingness was good. This was indicated by their positive attitudes toward carrying out their medical duties and commitment to providing health care and treatment for COVID-19 patients. There is an urgent need to reduce psychological and physical stress as well as the pressures that health workers suffer from because they are facing large numbers of daily infections. This reduction is achieved via training, continuous education and equipping hospitals with the latest protective supplies to confront epidemics and pandemics.

Emergency department triage decision-making by registered nurses: An instrument development study.

To develop and psychometrically test the triage decision-making instrument, a tool to measure Emergency Department Registered Nurses decision-making. Five phases: (1) defining the concept, (2) item generation, (3) face validity, (4) content validity and (5) pilot testing. Concept definition informed by a grounded theory study from which four domains emerged. Items relevant to the four domains were generated and revised. Face validity was established using three focus groups. The target population upon which the reliability and validity of the triage decision-making instrument was explored were triage registered nurses in emergency departments. Three expert judges assessed 89 items for content and domain designation using a 4-point scale. Psychometric properties were assessed by exploratory factor analysis, following which the names of the four domains were modified. The triage decision-making instrument is a 22-item tool with four factors: clinical judgement, managing acuity, professional collaboration and creating space. Focus group data indicated support for the domains. Expert review resulted in 46 items with 100% agreement and 13 with 66% agreement. Fifty-nine items were distributed to a convenience sample of 204 triage nurses from six hospitals in 2019. The Kaiser-Meyer-Olkin measures indicated that the data were sufficient for exploratory factor analysis. Bartlett's test indicated patterned relationships among the items (X 2 (231) = 1156.69). An eigenvalue of >1.0 was used and four factors explained 48.64% of the variance. All factor loadings were ≥0.40. Internal consistency was demonstrated by Cronbach's alphas of .596 factor 1, .690 factor 2, .749 factor 3 and .822 for factor 4. The triage decision-making instrument meets the criteria for face validity, content validity and internal consistency. It is suitable for further testing and refinement. The instrument is a first step in quantifying triage decision-making in real-world clinical environments. The triage decision-making instrument can be used for targeted triage interventions aimed at improving throughput and staff education. Dr. Tak Fung who is a member of the research team is a statistician. Development, validation and assessment of instruments/scales. Descriptive statistics. STROBE cross-sectional checklist. The TDI makes the complexity of triage decision-making visible. Identifying the influence of decision-making factors in addition to acuity that affect triage decisions will enable nurse managers and educators to develop targeted interventions and staff development initiatives. By extension, this will enhance patient care and safety.