Item-total Correlations Research Articles

Correlation of a single-item measure of financial toxicity with overall score.

351 Background: Financial toxicity (FT) refers to the financial burden experienced by patients due to direct and indirect costs associated with their medical care. It has been linked to higher symptom burden, poorer clinical outcomes, quality of life, and psychological well-being and has been shown to extend beyond diagnosis and treatment. Despite the availability of validated tools to measure FT, no single-item screening measure has been validated yet. In the context where time constraints are the most cited reason for patients declining FT surveys, it is crucial to develop efficient tools that allow us to routinely screen patients for FT at different stages of their care. We, therefore, sought to establish item 12 (“My illness has been a financial hardship to my family and me”) of the Comprehensive Score for Financial Toxicity (COST) measure as a well-functioning screening item for FT. Methods: In this secondary analysis of 579 patients who completed a survey on financial toxicity screening preferences, items 1-11 were scored (including reversing 7 items per the version 2 scoring guidelines), with lower scores indicating worse FT. Analyses focused on establishing a correlation with the total score as well as examining item properties. Item 12 was also reverse scored, so lower scores mean greater hardship. Results: Item 12 had an item-total correlation of r = 0.63 (adjusted item-total correlation = .531). Similarly, a linear model with item 12 score as a predictor and total score as the outcome showed that increases of 1 point on item 12 is associated with around 3 total points on the full scale (b = 3.35, p < .001, adjusted R 2 = 0.28. Finally, item analysis with the graded-response item response theory (IRT) model showed very good discrimination (a = 2.10) for item 12, indicating that it can reliably distinguish between low and high FT in patients. IRT results also showed that the item functions as a nearly binary item with responses of “quite a bit” and “very much” corresponding to a high probability of high FT, while responses of “somewhat,” “a little bit,” and “not at all” corresponding to a high probability of low FT. Conclusions: This is the first validation of a single-item screening measure for RT. Overall, these results illustrate that item 12 is a good candidate for a single-item screener, with “quite a bit” and “very much” responses indicating a high likelihood of high FT.

Psychometric properties of the Turkish version of the universal mental health literacy scale for adolescents

PurposeWhile enhancing mental health literacy is a critical component of preventive mental health, there is currently no mental health literacy instrument specific to adolescents in Turkey. This study aimed to adapt the universal mental health literacy scale for adolescents (UMHL-A) to Turkish and determine its validity and reliability. MethodsThis methodological study utilized data collected from 268 adolescents aged 10 to 14 years, between April and June 2024. Data were obtained using a personal information form and the UMHL-A. The construct validity of the scale was evaluated using confirmatory factor analysis, and its reliability was assessed with internal consistency and test-retest reliability. ResultsThe scale consists of two parts: the Likert UMHL-A, a five-point scale to determine adolescents' attitudes, and the T/F UMHL-A, a true/false scale to measure their knowledge. In this study, it was shown that the Likert UMHL-A, which includes 8 items and two factors, namely help-seeking and stigma, and the T/F UMHL-A, which consists 9 items and two factors namely mental health knowledge and mental illness knowledge, had good fit indices. The Cronbach's alpha reliability coefficient was 0.934 for the Likert UMHL-A, and 0.862 for the T/F UMHL-A. The item-total score correlation coefficients of the Likert UMHL-A ranged between 0.582 and 0.856, whereas those of the T/F UMHL-A varied between 0.483 and 0.804. ConclusionThe Turkish version of the UMHL-A is a valid and reliable tool for assessing adolescents' mental health literacy. Implications for practiceHealth professionals can use this brief and easy-to-apply instrument in clinical practices or educational programs to identify and improve adolescents' mental health literacy.

Development and Validation of a Scale to Measure Violence against Women among Myanmar Migrant Women in Thailand

Introduction: Violence against women (VAW) is a serious human rights violation with significant implications for public health. VAW affects the well-being of women, children, and families. This study aims to develop and validate a scale specifically designed for identifying and assisting migrant women who have experienced violence. Methods: A cross-sectional survey using stratified sampling was conducted among 295 Myanmar migrant women in Thailand. Violence among these women was assessed using self-administered questionnaires with data collection taking 15–20 min per participant between September and December 2023. The construct validity of the Violence against Migrant Women Scale (VAMWS) was confirmed through exploratory factor analysis (EFA) estimated by weighted least squares means and variance with Geomin rotation in Mplus software. Results: The EFA revealed a 13-item scale with a four-factor structure that fit the data exceptionally well, as indicated by the high comparative fit index of 0.99 and low root mean square error of approximation value of 0.02. Communalities ranged from 0.58 to 0.99 and rotated factor correlations between 0.36 and 0.53. The four dimensions were as follows: F1 – physical (4 items, loadings 0.51–0.73), F2 – sexual (2 items, loadings 0.66–0.99), F3 – psychological (3 items, loadings 0.57–0.73), and F4 – economic (3 items, loadings 0.50–0.78). VAMWS had Cronbach’s alpha of 0.90 and corrected item–total correlation values from 0.53 to 0.74. Physical violence, experienced by 50% of respondents, was most common, primarily by spouses, then siblings, acquaintances, employers, parents, and friends. Conclusion: VAMWS is applicable for assessing violence prevalence across multiple sectors, including health care, social services, law enforcement, and future research endeavors.

The reliability and validity of in-person and remote behavioural screening tools for people with amyotrophic lateral sclerosis

ObjectiveThis study aimed to assess the psychometric properties of and relationships between total scores on different screening tools assessing behavioural change for people with amyotrophic lateral sclerosis (ALS), and whether administering the screens as online questionnaires (rather than on paper, in-person) influences total scores. MethodsThe behavioural component of the Edinburgh Cognitive and Behavioural ALS Screen (ECASb); the behavioural component of the ALS Cognitive Behavioural Screen (ALS-CBSb), the ALS-Frontotemporal Dementia Questionnaire (ALS-FTD-Q), the Beaumont Behavioural Inventory (BBI), and the Motor Neuron Disease Behavioural Instrument (MiND-B) were administered to 35 informants on paper. Online questionnaire versions of the behavioural screens were administered to 49 informants.Forward stepwise linear regressions were conducted to assess whether scores on behavioural screens were predicted by scores on the other behavioural screens and to assess whether total scores were predicted by the mode of administration (paper or online) of the screens. ResultsBehavioural screening tools, except the ECASb, had good internal consistency but mixed item-total correlations. All regression models assessing whether behavioural screen scores predict other behavioural screen scores were significant. The BBI performed best and the ECASb performed worst in terms of their predictive relationships with other screening tools. The administration mode of the questionnaires did not significantly affect total scores. ConclusionsThe psychometric properties of the scales varied. The scales predicted each other's scores, supporting convergent validity. Online and paper versions performed similarly, and demographics did not predict scores.

The Validity-Reliability Study of Turkish Version of Electronical Symptom Screening Tool (8-18) in SSPedi-Pediatric Patients with Cancer

Objective: The first step in symptom management is symptom screening which is necessary to keep the symptom under control. This study aimed to determine the validity and reliability of the Turkish version of the Electronic Symptom Screening Tool in Pediatrics for children aged 8-18 (SSPedi 8-18) with cancer. Methods: The research was conducted between September 2020 and June 2021. The sample in our study consists of 80 children (8-18 years) with cancer. For content validity, the scale was first translated into Turkish and then adapted using Davis’ correspondence analysis technique. The construct validity of the scale was assessed using the Barlett test and Kaiser-Mayer Olkin. For the scale’s reliability, Cronbach Alpha Reliability Coefficient, Equivalent Forms Method, bisection method and Item Total Score Correlation Coefficient correlation tests were analyzed. Before starting the study, ethics committee approval and written permits from institutions and individuals were obtained. Results: The content validity index was found between 0.93 and 1. The reliability of the scale of the equivalent form method was r:0.57, and bisection method was r:0.85 and the Cronbach internal consistency coefficient of scale=0.86. The correlation coefficient between the items and the total score was greater than r=0.20. The Kaiser-Meyer-Olkin coefficient was 0.82. The χ2 value (Bartlett test) was statistically significant (p= .001). Conclusion: The SSPedi 8-18 is a reliable and valid tool that can be used to assess the symptoms of Turkish children with cancer. Nurses’ use of the scale while providing nursing care to children diagnosed with cancer and their families will guide them in objectively determining symptoms, understanding the relationship between symptoms, and managing symptoms.

Turkish validity and reliability study of the Attitudes Toward Face Mask Use Scale.

This study validates the Turkish version of the Attitudes Toward Face Mask Use Scale (ATFMUS). This scale is crucial for understanding public attitudes toward mask usage in preventing the transmission of infectious diseases. The research was conducted between September 2023 and February 2024 with 530 students from a foundation university's health sciences faculty. The study assessed the scale's language equivalence, content validity, and factor structure through exploratory and confirmatory factor analyses. Reliability was examined via item-total correlations, Cronbach's alpha coefficient, and test-retest reliability, indicating satisfactory internal consistency and stability over time. The results confirm the Turkish ATFMUS's validity and reliability in measuring attitudes toward mask usage. This offers essential insights for formulating preventive initiatives within Turkish communities.

Initial development of a sleep health literacy scale

ObjectivesHealth literacy includes the skills necessary for effective communication with health professionals, understanding health instructions, and recognizing health needs. Our study aimed to create a novel measure of sleep health literacy—an individual's capacity to comprehend sleep-related information and navigate sleep-related healthcare services. MethodsThe Sleep Health Literacy scale consists of two subscales: “Sleep Health Communication” (11 Likert-scale items assessing access to resources and communication with healthcare providers) and “Sleep Health Knowledge” (46 true/false items assessing specific knowledge of sleep health). The Sleep Health Literacy scale was completed by 154 undergraduate students (mean age=20.96years; 79.87% female) in study 1. In study 2, an additional sample of 251 participants (mean age=20.23years; 79.87% female) completed the Sleep Health Literacy scale, along with measures of convergent and discriminant validity. ResultsExploratory factor analysis results in study 1 revealed a two-factor structure for the “Sleep Health Communication” subscale (“comprehension” and “critical application”). The subscale demonstrated good internal consistency (α = 0.81) and inter-item and item-total correlations. On the “Sleep Health Knowledge” subscale, participants answered 76.36% of items correctly. In study 2, the Sleep Health Literacy had good convergent validity with Sleep Beliefs Scale and the All Aspect of Health Literacy Scale. ConclusionsThe Sleep Health Literacy scale offers a standardized measure to assess sleep health literacy, an understudied domain that has important links to health. This measure may allow researchers and clinicians to better understand how to improve sleep health. Further validation of the Sleep Health Literacy scale is warranted in more diverse samples.

Development and validation of an infectious disease control competency scale for public health professionals

BackgroundInfectious diseases persistently pose global threats, and it is imperative to accelerate the professionalization of public health workforce. This study aimed to develop and validate the infectious disease control competency scale (IDCCS) for public health professionals to fill a theoretical gap and elevate practical capabilities by informing public health professionals’ development goals.MethodsThe initial item pool was generated through a literature review, and categorized into three dimensions (knowledge, practical skills, and leadership) based on the competency iceberg model and public health leadership framework. A two-round Delphi process was conducted to determine indicators within the scale. A pilot survey was utilized for item analysis and exploratory factor analysis (EFA). A formal survey was employed for confirmatory factor analysis (CFA). The weight value of each indicator was calculated using the analytic hierarchy process.ResultsAn initial scale with three primary items, 14 secondary items, and 81 tertiary items was generated. Twenty experts participated in the two rounds of the Delphi process. Authority coefficients exceeded 0.9 in both rounds. Kendall's W was 0.29 and 0.19, respectively (both P < 0.001). Item analysis presented a Cronbach's Alpha of 0.98, with corrected item-total correlation coefficients ranging from 0.33 to 0.78. EFA demonstrated that cumulative variance explanations for the four primary dimensions (knowledge, practical skills, leadership, and personal quality) were 77.463%, 73.976%, 81.174%, and 68.654%, respectively. CFA indicated that all composite reliability values and average variance extracted surpassed 0.8 and 0.5, respectively. The standardized factor loadings of the items ranged from 0.630 to 0.977. Among the seven model fit indices, each of the four dimensions satisfied at least five criteria. A final three-level scale comprising four primary items, 14 secondary items, and 64 tertiary items was constructed. The weight values for the four primary items were 0.4064, 0.2878, 0.2082, and 0.0981, respectively.ConclusionsThe IDCCS was established to evaluate the competencies of knowledge, practical skills, leadership, and personal quality for public health professionals in infectious disease control. This scale demonstrates good reliability and validity, and can be used for performance evaluation, recruitment processes, curriculum development, and individual self-assessment.

Breastfeeding health literacy scale for pregnant women: A scale development study.

Breastfeeding provides optimal nutrition for infants, and health literacy significantly influences breastfeeding rates. This study aimed to develop a tool to assess the breastfeeding health literacy levels of pregnant women. This methodologically structured study was conducted with 590 pregnant women who visited the pregnancy follow-up clinic between January and April 2024 and met the sampling criteria. Data were collected using a participant form and the Health Literacy Scale for Breastfeeding for Pregnant Women (BFHLS). To assess the BFHLS validity, the content validity index (CVI) and factor analysis were used, while the reliability was evaluated using the test-retest method, item-total score correlation, and Cronbach's alpha reliability coefficient. The BFHLS for pregnant women is structured into four dimensions, comprising 25 items. To assess the scale's stability, test-retest measurements were conducted with a minimum interval of 2 weeks, revealing no significant difference in mean scores (p > 0.05). The CVI for each item was 99%. The corrected item-total correlations ranged from 0.48 to 0.92, and Cronbach's alpha value was determined to be 0.96. The BFHLS developed for pregnant women is a valid and reliable tool. Higher scores on the scale indicate a greater level of breastfeeding health literacy in pregnant women. This scale can effectively be used to assess the breastfeeding health literacy levels of pregnant women.

Assessing the psychometric properties of Connor-Davidson Resilience Scale 25 (CD-RISC 25) in pharmacy students and academics in the Eastern Mediterranean Region

BackgroundResilience is a complex concept that is defined and influenced by the context of individuals, organisations, societies and cultures. The Connor-Davidson Resilience Scale (CD-RISC) is a widely used validated tool to evaluate psychological resilience. CD-RISC is a self-administered scale of twenty-five items, each rated by a 5-point Likert scale. The scale evaluates overall personal resilience through assessing five main resilience-related constructs; personal competence, trust in one's instincts, positive acceptance of change, control and spiritual influences. As per the scale's developers, higher scores reflecting greater level of resilience. This particular tool has not previously been tested with a pharmacy student or academic population sample. ObjectiveThis study aims to assess the factor structure, validity, and reliability of the CD-RISC-25 in a sample of pharmacy students and academics from faculties drawn across the Eastern Mediterranean Region (EMR). MethodsA cross-sectional study was carried out between October 2020 and January 2021 sampling pharmacy students and academics across the EMR who were invited to complete the self-administered CD-RISC 25 questionnaire. Confirmatory factor analysis using principal components analysis with oblique rotation was conducted on sample responses (n = 616). The internal consistency and reliability for each identified factor and from the CD-RISC scale was evaluated by using Cronbach's alpha coefficient. ResultsFive factors were isolated accounting for 51.5 % total cumulative model variance. Identification of factors showed high convergence with previous work on the CD-RISC resilience tool. The current study in our sample found a five–factor structure which differed from the original scale reliabilities. This study did identify a five-factor solution with differing item factor loadings. The reliability analysis on the CD-RISC-25 items in our study sample revealed an overall Cronbach Alpha value of 0.89; however, three items showed corrected Item-total correlations of <0.3. Our analysis, in this respondent sample, suggested a re-adjustment of the scale inclusions to improve overall scale stability and performance. ConclusionsThe current research findings propose a modified five-factor structure to resilience, with a 22-item unidimensional model of CD-RISC scale.

The Adoption of Holacracy in Higher Education: A Scale Development Study

This study aims to develop a valid, reliable, and convenient data collection tool to measure the level of faculty members’ adoption of the holacracy model in university administration. The data of this study were obtained from faculty members working in the faculties of education of state universities in Türkiye in the 2020-2021 academic year. Participation in the study was completely voluntary. The data were collected from a sample of 268 people. Within the scope of the research, the Higher Education Holacracy Scale (HEHS) was used as a data collection tool. The researcher developed the draft form of the HEHS in line with the literature on holacracy. The draft form was presented to 14 experts, one of whom was an expert in measurement and evaluation. Thus, the content validity of the research was ensured. As a result of the analyses, it was determined that the variance explained was 63.228%, the structure consisted of three components, and the fit index values were at a good level. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted for the validity of the scale, and Cronbach’s Alpha coefficient was calculated for reliability. Item-total correlations examined the discrimination of the scale items. After the analyses, it was determined that this 25-item scale, which is in harmony with its theoretical foundations, is a valid and reliable scale suitable for measuring faculty members’ opinions.

Validity and Reliability of the Turkish Version of the Self-Efficacy Regarding Vaginal Birth Scale: A Methodological Study

Aim: The aim of the study was to test validity and reliability of the Self-efficacy Regarding Vaginal Birth Scale in Turkish. Material and Methods: The methodological study was conducted in a university hospital with 165 pregnant women. The data were collected using "Personal Information Form", "Self-Efficacy Regarding Vaginal Birth Scale and "Childbirth Self-Efficacy Inventory - Short Form". Language validity, content validity, confirmatory factor analyse and criterion-dependence validity and were performed to test the validity of the scale. The scale’s reliability was assessed using the item-total correlation, Cronbach’s alpha, split-half test method and test-retest analysis. Results: The scale content validity index was found above 0.80. In the confirmatory factor analysis, all the goodness of fit indexes had acceptable values. Item-total correlations ranged between 0.167 and 0.809 for each item and were positively correlated with the scale total. In line with the recommendations of experts, no items were removed from the scale. It was determined that the scale was collected under one factor as 9 items. The correlation between the two halves of the scale is 0.76, the Spearman-Brown coefficient is 0.86, and the Gutmann Split-Half coefficient is 0.85. The Cronbach’s alpha coefficient calculated for the overall scale was 0.87. The total correlation of the items and the test-retest correlation showed high reliability with 0.924 (p

Reliability and validity of a Hindi version of the Oral Health Impact Profile (OHIP-EDENT-H) for edentulous subjects: A Cross-Sectional study

AimThe study aimed to translate the OHIP-EDENT into Hindi and assess its validity and reliability. MethodsThe study included 150 participants whose demographic information was collected using the Modified Kuppuswamy Socio-economic Scale. The Oral Health Impact Profile in Edentulous (OHIP-EDENT) was translated into Hindi using the standard forward-backward method. Test-retest reliability was assessed using the Intra-class Correlation Coefficient (ICC) and internal consistency using Cronbach's alpha. The Kaiser-Meyer-Olkin (KMO) test and Bartlett's test of sphericity coefficient were used to conduct Exploratory Factor Analysis (EFA) and confirm the Construct validity. To establish Convergent validity, the relationship between the global question and the OHIP-EDENT-H subscale scores was observed. ResultsThe data was analyzed with a confidence level of 95 %, and statistical significance was interpreted as a p-value of less than 0.05. The Cronbach's alpha score for OHIP-EDENT-H was 1.00, indicating high internal consistency. The corrected item-total correlations ranged from 0.665 to 0.923, and the total ICC score was 0.763, demonstrating good reliability. The subscales' intra-class correlation coefficient values ranged from 0.968 to 0.997, indicating high reliability. However, items 4, 6, 13, 17, 18, and 19 had factor loadings below the acceptable threshold of 0.40 in the factor analysis. Additionally, the total and subscale scores of the OHIP-EDENT-H showed significant correlations with global question, with correlation coefficients ranging from 0.665 to 0.923. ConclusionThe Hindi version of OHIP-EDENT is a reliable and valid tool for evaluating the OHRQoL of Hindi-speaking edentulous individuals.

The Enhancing of Nurses' and Midwives' Competence in Providing Spiritual Care through Innovative Education and Compassionate Care using the Spiritual Care Competency Self-Assessment Tool: Turkish Version.

Spiritual care is an important part of holistic care and is at the center of nursing/midwifery care. Nurses/midwives are expected to graduate by receiving adequate training in spiritual care and gaining spiritual care competence during their student days. It is important to evaluate the spiritual care competencies of nursing/midwifery students and to correct the deficiencies, if any. Therefore, a self-assessment tool is needed to increase awareness and knowledge and improve skills and attitudes in the field of spirituality and pastoral care. One of these tools is EPICC (Enhancing Nurses' and Midwives' Competence in Providing Spiritual Care through Innovative Education and Compassionate Care). This EPICC Spiritual Care Education Standard describes the spiritual care competencies expected from undergraduate nursing and midwifery students. For every competence, the learning outcomes are described in aspects of knowledge, skills, and attitudes. This research was conducted with a methodological design to ensure that the Turkish version of the EPICC Spiritual Care Competency Self-Assessment Tool can be used as a reliable and valid measurement tool in nursing research in Turkey. Methodological and cross-sectional research design was used in the research method. The research was carried out with 300 nursing and midwifery students in Turkey. Data were collected using the personal information form and the EPICC Spiritual Care Competency Self-Assessment Tool. The results of exploratory factor analysis and confirmatory factor analysis confirmed the four-factor structure of the scale. Cronbach's α, item-total correlation, test-retest analysis, and equivalent form analysis showed high reliability. EPICC Spiritual Care Competency Self-Assessment Tool For Student Nurses And Midwives: Turkish Validity And Reliability Study consists of 24 items on a five-point Likert-type scale. The Turkish version of the EPICC Spiritual Care Competency Self-Assessment Tool is a valid and reliable tool for assessing the Spiritual Care Competencies of nursing and midwifery students. Evaluating the Spiritual Care Competencies of nursing and midwifery students is an important issue, it is now possible in Turkey with this scale given its validity and reliability.

Fibromyalgia in patients with non-psychotic mental disorders: Prevalence, associated factors and validation of a brief screening instrument.

Fibromyalgia (FM) is a chronic pain syndrome associated with significant distress and numerous unpleasant consequences. Mental health problems in people with FM have been reported in many studies. People with mental disorders are thought to be at higher risk of FM than the general population, but the prevalence has not been established. We aimed to investigate the prevalence of FM in a representative sample of inpatients with non-psychotic mental disorders. Additionally, we aimed to assess the psychometric properties of the Fibromyalgia Rapid Screening Tool (FiRST) in the Russian-speaking population of people with mental disorders. Consecutive inpatients admitted to the Moscow Research and Clinical Center for Neuropsychiatry for treatment of non-psychotic mental disorders were evaluated for FM by a neurologist and completed the FiRST, Beck Depression Inventory (BDI), and State and Trait Anxiety Inventory (STAI). Of the 1168 patients evaluated 9.0% met the diagnostic criteria for FM. FM was associated with being female, having a diagnosis of unipolar depression, and having higher total scores on the BDI and STAI. The psychometric properties of the FiRST were good (McDonald's omega 0.79, corrected item-total correlation greater than 0.45). An optimal cut-off point with the highest Yuden's index (J = 0.75) was >3 (AUC of 0.89). FM is a common comorbidity in people with non-psychotic mental disorders, associated with being female, having a diagnosis of unipolar depression, and having more severe anxiety and depression. The FiRST can be used for the FM screening with its cut-off >3 in people with non-psychotic mental disorders. It is the first study to determine the prevalence of FM in people with non-psychotic spectrum mental disorders. The study design included a consecutive sample in a real-life setting to avoid bias. In addition, we evaluated the psychometric properties of the FM screening instrument in a population of people with mental disorders and established the cut-off. The specificity of this subpopulation is explained by both the high prevalence of pain symptoms and the overlap of some psychiatric and FM symptoms.

Turkish Validity and Reliability Study of the Digital Vaccine Literacy Scale

Objectives: This study aimed to assess the validity and reliability of the Turkish version of the Digital Vaccine Literacy (DVL) scale. Methods: This methodological study was conducted with 236 staff working at a foundation university hospital between September 2023 and April 2024. Data were collected using the Personal Information Form and DVL scale. The linguistic validity, content validity, exploratory factor analysis, and confirmatory factor analysis of the scale were conducted. Reliability was evaluated through item-total correlations, Cronbach's alpha coefficient, and test-retest reliability. Data were analyzed in SPSS 27.0 and AMOS 22.0 package programs. Results: The study revealed 3 dimensions comprising 7 items, with factor loadings ranging from 0.612 to 0.851, explaining 78.63% of the total variance. The fit measures were acceptable (χ2/df = 3.271; RMSEA = 0.072; CFI = 0.912; NFI = 0.875; GFI = 0.874; TLI = 0.889; IFI = 0.876; p &lt; 0.001) in confirmatory factor analysis. The overall Cronbach's alpha value of the scale was 0.730, while the sub-dimensions were 0.791, 0.891 and 0.781, respectively. The test-retest reliability correlation was positive, very strong and statistically significant (r=0.962, p

Psychometric analysis of the quiet quitting and quiet firing scale among Turkish healthcare professionals.

Due to the impact of the COVID-19 pandemic, the risk of quiet quitting among healthcare professionals is increasing. Individuals who engage in the quiet quitting process may also unknowingly become the target of quiet firing. The concepts of quiet quitting and quiet firing play a crucial role in promoting employee resilience and preventing organizational losses. This study aimed to conduct a validity and reliability analysis of the quiet quitting and quiet firing scale (QQ and QF scale) in Turkish. A methodological study was conducted with 445 healthcare professionals. The item-total score correlation values ranged between 0.37 and 0.76. The confirmatory factor analysis confirmed a 14-item, two-factor structure. Cronbach's ⍺ internal consistency coefficient was 0.89. The QQ and QF scale had a strong negative correlation with the person-organization fit scale and the happiness at work scale subscales of engagement, job satisfaction and affective organizational commitment. The results showed that the adapted version of the QQ and QF scale was valid and suitable for use in Turkey.

Development and preliminary validation of the South Wales Social Well-being Scale (SWSWBS)

BackgroundPhysical, mental and social components of well-being are known to be important to health. However, research on well-being often focuses on physical and mental well-being with little attention paid to social well-being. This research aims to develop and preliminarily validate the South Wales Social Well-being Scale (SWSWBS) to measure social well-being.MethodsA non-experimental and cross-sectional design was applied with two phases: scale development and preliminary validation. Initially, 24 items were drawn from a Group Concept Mapping study exploring the concept of social well-being. These items were reviewed and reduced to 14 for preliminary validation among 103 university students and staff in health and social care disciplines. Construct validity (exploratory factor analysis and convergent validity) were tested. Reliability was demonstrated by internal consistency. Floor and ceiling effects were also evaluated.ResultsA 3-factor structure was identified and explored, which highlight the most important features of the social world a person inhabits: “Safe and inclusive interaction with others” (6 items), “Learning, helping, and feeling useful” (4 items), and “Security, worthwhile activities, family and friends” (4 items). The SWSWBS was correlated to the Warwick Edinburgh Mental Well-being Scale and the Four measures of Personal Well-being Scale to some extent. The Cronbach alpha coefficient was 0.85 for the sum score and 0.83–0.86 for individual items. The item-total correlation coefficients ranged between 0.08 and 0.65. The split half reliability coefficient was 0.78. There is absence of a floor effect, but most items had a ceiling effect.ConclusionsPreliminary validation of the SWSWBS shows the scale has satisfactory psychometric properties with good validity, reliability, and reasonable variability. This study needs to be replicated with larger and representative populations to explore how the scale can be used alongside the Warwick Edinburgh Mental Well-being Scale to capture a holistic/multi-dimensional understanding of well-being.

Cross-cultural adaptation and validation to Brazilian Portuguese of the ‘knowledge of gestational diabetes (GDM)’ questionnaire for women with GDM

BackgroundGestational diabetes mellitus (GDM) is characterized by hyperglycemia during pregnancy. There are many diabetes-specific tools for collecting information validated in Brazilian Portuguese. However, there are no specific instruments to assess knowledge about GDM in Brazilian Portuguese. The aim of this study was to cross-culturally adapt and validate the Brazilian Portuguese version of the Knowledge of Gestational Diabetes Mellitus questionnaire (GDMKQ).MethodsThis study was conducted in southern Brazil from January to December 2023. Women with GDM or diabetes identified during pregnancy were considered eligible based on specific criteria. Clinical and demographic data were obtained through a medical records search. The GDMKQ underwent a multistep adaptation process, including translation, back-translation, content validity assessment, and cognitive interviews. After administration to participants, internal consistency, item-total correlation, and intraclass correlation were assessed. Confirmatory factor analysis was also conducted to ensure validity.ResultsA total of 155 pregnant women were recruited for the study. Most participants were aged 18–30 years, and hypertension was the main comorbidity (25.2%). Regarding education, most participants (58.7%) attended high school. The Brazilian Portuguese version of the GDMKQ consisted of 32 items. The intraclass correlation was established by two independent interviews with 57 participants, yielding a correlation coefficient of 0.79 (p < 0.01). Internal consistency (Cronbach’s alpha) was 0.81 overall but was less than 0.7 for each domain. Item-total correlations were calculated, and confirmatory factor analysis indicated a good model fit. The final Brazilian Portuguese version of the questionnaire consisted of 32 items.ConclusionsThe Brazilian Portuguese version of the GDMKQ yielded a reliable and valid tool for evaluating diabetes knowledge in pregnant women.

European Portuguese version of the Mini-BESTest: a cross-cultural adaptation and psychometric measurements in individuals with sensorimotor impairments

Purpose This study aimed to translate and cross-culturally adapt the Mini-BESTest into European Portuguese and to evaluate its psychometric properties in individuals with sensorimotor impairments. Material and Methods A cross-sectional cross-cultural adaptation and validation study was conducted according to the COSMIN guidelines and the STROBE statement. The study included 100 participants with sensorimotor impairments who were able to walk 6 m. Cronbach’s alpha and item-total correlations were used to assess internal consistency. Interpretability was assessed by examining floor and ceiling effects and skewness. To investigate construct validity, Spearman correlation coefficients and Bland-Altman analysis were performed to compare the Berg Balance Scale and the Mini-BESTest Inter- and intra-rater reliability were assessed by calculating the ICC, SEM and MDC based on video recordings of the participants during the Mini-BESTest assessments. Results The European Portuguese Mini-BESTest showed good internal consistency (Cronbach’s α = 0.892) and no significant floor or ceiling effects. Excellent inter- and intra-rater reliability (ICC = 0.97) were also demonstrated, with MDC of 2.58 and 2.57, respectively. Furthermore, this instrument showed a significant correlation with the BBS (r = 0.902). Bland-Altman analysis showed small absolute differences. Conclusion The European Portuguese Mini-BESTest is comparable to the original English version in terms of validity and reliability and is therefore highly recommended for use by Portuguese-speaking professionals to assess postural control.