Psychometric Properties Of Italian Version Research Articles

Second Victim Experience and Support Tool: An Assessment of Psychometric Properties of Italian Version.

Second victim syndrome is a hidden pitfall inside health care organizations. The impact of a patient safety incident on health and safety of health care workers (HCWs) is still a matter with limited evidence in terms of prevalence, etiology, and effects. The aims of this study were to validate the Italian version of the Second Victim Experience and Support Tool (I-SVEST) and determine its psychometric properties in a group of HCWs exposed to patient safety incidents. An observational cross-sectional study was conducted using an online survey. Construct validity for the total score and for each of the 7 subscales was assessed using principal component analysis and internal consistency using Cronbach α coefficient. The prevalence of second victims in our sample was 35.4% (85/240). The component SVEST was positively associated with turnover intentions but not directly related to absenteeism and sociodemographic characteristics. Absenteeism and sociodemographic characteristics components were positively associated with turnover intentions. Factor analysis confirmed that the questionnaire has 7 dimensions: psychological distress, physical distress, colleague support, supervisor support, institutional support, non-work-related support, and professional self-efficacy. Cronbach α for the Italian version was strong at α = 0.855. Cronbach α ranged from 0.613 for colleague support to 0.882 for supervisor support. The Italian version of the SVEST has excellent psychometric properties and can be used to detect prevalence in different contexts, to support studies and preventive interventions for Italian HCWs. The SVEST provides a robust model to describe the concept of second victim and to conduct comparisons with cross-sectional and longitudinal studies.

Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Psychometric properties of the Italian version

The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) assesses mental health and social functioning of people <18 years. We explored the psychometric properties of the HoNOSCA Italian version. Dimensionality was assessed by Exploratory Factor Analysis and validated using Confirmatory Factor Analysis. Internal consistency and reliability of the factorial structure were evaluated. One hundred thirty-four subjects were assessed by HoNOSCA, Clinical Global Impression and Strengths and Difficulties Questionnaire for concurrent validity. Intraclass correlation was computed to evaluate inter-rater reliability using eight vignettes assessed by 35 professionals.Exploratory Factor Analysis identified two correlated subscales and Confirmatory Factor Analysis showed good fit to data. Cronbach's alpha was 0.65. HoNOSCA subscale scores increased with Clinical Global Impression severity and correlated positively with Strengths and Difficulties Questionnaire. Predictive power to discriminate between two Clinical Global Impression groups was good. The minimal difference in total score corresponding to a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure. Intraclass correlation coefficient was 0.71 for the total score. The need for a comprehensive assessment for child mental health and behaviour in Italian services can be met by the HoNOSCA if used as cumulative bivariate subscales.

Psychometric Properties of the Italian Version of the Psychological Capital Questionnaire

Two studies were conducted in order to investigate the psychometric properties of Italian version of the Psychological Capital Questionnaire (PCQ). Results from Study 1 (N = 401) provided support of the factorial validity of its four facets (self‐efficacy, optimism, hope, and resilience), as well as of its composite factor measure. Results from Study 2 (N = 465) attested the measurement invariance of the PCQ across one year. Study 2 also explored the relationship between psychological capital, job satisfaction, work engagement, and job performance. Limitations and practical implications are discussed in the article.

Validation of the Italian version of the American Speech-Language and Hearing Association—Functional Assessment of Communication Skills for adults (I-ASHA-FACS)

Background: Impairment of communicative-linguistic and cognitive functions is common after stroke and traumatic brain injury (TBI). While assessment of language function is usually performed in clinical practice, standardised assessment of pragmatic, functional, and communicative competences is less common, even though suggested by many recent national and international guidelines. The “American Speech-Language and Hearing Association—Functional Assessment of Communication Skills for adults” (ASHA-FACS) is a measure of communication disability that investigates functional communication. It has been translated and adapted into Italian in 2001, but psychometric properties of Italian version of ASHA-FACS (I-ASHA-FACS) have not yet been investigated.Aims: To investigate psychometric properties of the I-ASHA-FACS scale and provide normative data.Methods & Procedures: Participants included 100 healthy adult persons without neurological disorders nor communicative-cognitive deficits and 80 post-acute outpatients with aphasia following stroke (n = 60) or TBI (n = 20). Mini Mental State Examination (MMSE) was used to exclude control participants with cognitive decline (MMSE > 24). I-ASHA-FACS was completed for all participants. All patients were also assessed with Functional Independent Measure (FIM) and either Aachener Aphasie Test (AAT) for persons with aphasia due to stroke or Levels of Cognitive Functions scale (LCF) for TBI persons. I-ASHA-FACS internal consistency, inter- and intra-rater reliability and construct validity were calculated; normative data were also calculated for healthy controls stratified by age and education. Cronbach’s alpha was used for internal consistency analysis. Spearman’s test was used to correlate I-ASHA-FACS and FIM, AAT, and LCF scores.Outcomes & Results: I-ASHA-FACS showed good internal consistency (α > .84) and strong intra- and inter-rater reliability (r > .97 and >.89). All healthy persons showed very high level of functional communication abilities in all domains of communication independence (higher than 6, on a 7-point scale) and all qualitative dimensions scores (higher than 4, on a 5-point scale). Correlations between I-ASHA-FACS scores and FIM were strong in aphasic persons, particularly in problem solving (r > .71) and comprehension (r > .73) subscales. Correlations between I-ASHA-FACS and AAT were generally from moderate to strong (r values ranging from r = .31 to r = .81), and particularly strong in spontaneous speech subtest (r > .70). Correlations between I-ASHA-FACS and LCF did not reach statistical significance.Conclusions: I-ASHA-FACS shows good internal consistency, strong intra- and inter-rater reliability and satisfactory validity. The application of I-ASHA-FACS to the Italian population of patients with communicative deficits due to aphasia or TBI is recommended.

An Assessment of the Psychometric Properties of Italian Version of CPGI

The aim of this study was to adapt to the Italian context a very commonly used international instrument to detect problem gambling, the canadian problem gambling index (CPGI), and assess its psychometric properties. Cross-cultural adaptation of CPGI was performed in several steps and the questionnaire was administered as a survey among Italian general population (n = 5,292). Cronbach's alpha reliability coefficient was 0.87 and can be considered to be highly reliable. Construct validity was assessed first by means of a principal component analysis and then by means of confirmatory factor analysis, showing that only one factor, problem gambling, was extracted from the CPGI questionnaire (an eigenvalues of 4,684 with percentage of variance 52 %). As far as convergent validity is concerned, CPGI was compared with Lie/Bet questionnaire, a two-item screening tool for detecting problem gamblers, and with both depression and stress scales. A short form DSM-IV CIDI questionnaire was used for depression and VRS scale, a rating scale, was used for rapid stress evaluation. A strong convergent validity with these instruments was found and these findings are consistent with past research on problem gambling, where another way to confirm the validity is to determine the extent to which it correlates with other qualities or measures known to be directly related to problem gambling. In sum, despite the lack of a direct comparison with a classic gold-standard such as DSM-IV, the Italian version of CPGI exhibits good psychometric properties and can be used among the Italian general population to identify at-risk problem gamblers.