Questionnaire Items Research Articles

Patterns of ultra-processed foods consumption throughout childhood and trajectories of growth and adiposity

Background & aimsUltra-processed foods (UPF) consumption has been associated with unhealthy outcomes. However, the literature lacks robust longitudinal studies considering its cumulative effect, particularly in young populations. This study aimed to evaluate the relationship between UPF consumption patterns throughout childhood with growth and adiposity trajectories. MethodsGeneration XXI population-based birth cohort (Porto, Portugal) participants were included. Food frequency questionnaire items at 4, 7 and 10 years were classified according to the processing degree using NOVA. UPF consumption patterns based on total quantity were identified using a probabilistic Gaussian mixture model using participants with complete data and predicting for the total sample (n=8647). To assess whether the outcome trajectories from 4 to 13 years [body weight (kg), height (cm), body mass index (BMI) z-score, waist circumference (WC) (cm) and fat mass (FM) (%)] depend on UPF patterns, a mixed-effects model with linear and quadratic terms for age adjusted for confounders was used. Participants with at least 2 measurements at 4, 7, 10 or 13 years were included in this study (n range: 5885-6272). ResultsFour UPF consumption patterns were identified: constantly lower consumption (15.4%), constantly intermediate consumption (56.4%), transition from low to high consumption (11.2%), and constantly higher consumption (17.1%). Compared to the constantly lower UPF consumption, the constantly higher consumption pattern was associated with greater acceleration in body weight (β: 0.119; 95%CI: 0.027;0.212), BMI z-score (β: 0.014; 95%CI: 0.004;0.023), WC (β: 0.232; 95%CI: 0.144;0.319) and FM% (β: 0.200; 95%CI: 0.092;0.308) and with lower acceleration in height (β: -0.063; 95%CI: -0.111;-0.015). The constantly intermediate UPF consumption pattern was associated with greater acceleration in body weight (β: 0.123; 95%CI: 0.043;0.203), WC (β: 0.120; 95%CI: 0.045;0.195) and FM% (β: 0.146; 95%CI: 0.054;0.238). ConclusionConstantly higher and constantly intermediate UPF consumption throughout childhood were associated with worse growth and adiposity trajectories until adolescence.

Effect of mindfulness on exam anxiety among undergraduate dental students: A quasi-experimental study

Background: Exam anxiety is the primary factor preventing students from achieving their academic goals and is an unpleasant worry-based experience. Where in, Mindfulness helps to uphold consciousness, release oneself from a deeply held connection to ideas, emotions, or sensations, and cultivate a stronger sense of emotional equilibrium and wellbeing. Research indicates, mindfulness education intervention leads to significant reduction in anxiety levels. Hence, the present study aims to assess the effectiveness of mindfulness education intervention on anxiety among undergraduate students. Methods: A total of 130 Undergraduate students (3rd and 4th year) from the Vokkalighara Sangha Dental College was included in the study. A spielberger anxiety Test Scale (SATS) was used to assess the anxiety level. Mindfulness attention awareness scale (MAAS) was used to assess the stress among the participants Results: Descriptive statistics was performed to assess the frequencies of responses to the questionnaire items. Statistical analysis to find out the association between the effectiveness of mindfulness education intervention on anxiety. Comparison of change in mindfulness (MAAS) scores among study participants at baseline were 29.30±4.89 and after the intervention was 79.76±2.68 and self-evaluated anxiety (SATS) scores at baseline was 66.03±2.17 and after the intervention was 29.11±2.94, the mean difference in Anxiety scores and Mindfulness scores was statistically significant (p≤0.001) Conclusions: Findings prove that meditation has a positive result in reducing anxiety level among study participants and helps students to improve their concentration and memory power, but students fail to practice at regular intervals due to time constraints.

Nonresponse to an item assessing firearm ownership: Associations with suicide risk and emotional distress.

Firearms account for more than half of suicide deaths in the United States (US) and both ownership and access are associated with increased risk of intentional and unintentional injury. Despite evidence linking ownership and access to suicide risk, individuals may be reticent to answer questionnaire items assessing ownership. The current study examined characteristics of individuals who do not provide a response (nonresponders) to a firearm ownership item in a community sample. Data were collected from a cross-sectional online survey of 10,625 US adults. Univariate and multivariate analyses were conducted to examine demographic, emotional distress, and suicide risk differences across three groups (firearm owners, nonowners, and nonresponders). Nonresponders were significantly younger, more likely to be female and non-White than firearm owners and nonowners. Nonresponders were less likely to endorse recent suicidal ideation and probable PTSD than firearm owners, but more likely to endorse probable PTSD than nonowners. Firearm owners were significantly more likely to report several correlates of suicide risk than nonowners. Nonresponders may be a unique subgroup with distinct demographic, emotional distress, and suicide risk profiles compared to both firearm owners and nonowners. Implications of these findings for future directions are discussed.

Optimized Prescreen Survey Tool for Predicting Sleep Apnea Based on Deep Neural Network: Pilot Study

Obstructive sleep apnea (OSA) is one of the common sleep disorders related to breathing. It is important to identify an optimal set of questions among the existing questionnaires, using a data-driven approach, that can prescreen OSA with high sensitivity and specificity. The current study proposes reliable models that are based on machine learning techniques to predict the severity of OSA. A total of 66 participants consisted of 45 males and 21 females (average age = 52.4 years old; standard deviation ± 14.6). Participants were asked to fill out the questionnaire items. If the value of the Respiratory Disturbance Index (RDI) was more than 30, the participant was diagnosed with severe OSA. Several different modeling techniques were applied, including deep neural networks with a scaled principal component analysis (DNN-PCA), random forest (RF), Adaptive Boosting Classifier (ABC), Decision Tree Classifier (DTC), K-nearest neighbors classifier (KNC), and support vector machine classifier (SVMC). Among the participants, 27 participants were diagnosed with severe OSA (RDI > 30). The area under the receiver operating characteristic curve (AUROC) was used to evaluate the developed models. As a result, the AUROC values of DNN-PCA, RF, ABC, DTC, KNC, and SVMC models were 0.95, 0.62, 0.53, 0.53, 0.51, and 0.78, respectively. The highest AUROC value was found in the DNN-PCA model with a sensitivity of 0.95, a specificity of 0.75, a positive predictivity of 0.95, an F1 score of 0.95, and an accuracy of 0.95. The DNN-PCA model outperforms the existing screening questionnaires, scores, and other models.

Development and evaluation of the Capability, Opportunity, and Motivation to deliver Physical Activity in School Scale (COM-PASS)

BackgroundTeachers are recognized as ‘key agents’ for the delivery of physical activity programs and policies in schools. The aim of our study was to develop and evaluate a tool to assess teachers’ capability, opportunity, and motivation to deliver school-based physical activity interventions.MethodsThe development and evaluation of the Capability, Opportunity, and Motivation to deliver Physical Activity in School Scale (COM-PASS) involved three phases. In Phase 1, we invited academic experts to participate in a Delphi study to rate, provide recommendations, and achieve consensus on questionnaire items that were based on the Capability, Opportunity, and Motivation Behavior (COM-B) model. Each item was ranked on the degree to which it matched the content of the COM-B model, using a 5-point scale ranging from ‘1 = Poor match’ to ‘5 = Excellent match’. In Phase 2, we interviewed primary and secondary school teachers using a ‘think-aloud’ approach to assess their understanding of the items. In Phase 3, teachers (n = 196) completed the COM-PASS to assess structural validity using confirmatory factor analysis (CFA).ResultsThirty-eight academic experts from 14 countries completed three rounds of the Delphi study. In the first round, items had an average rating score of 4.04, in the second round 4.51, and in the third (final) round 4.78. The final tool included 14 items, which related to the six constructs of the COM-B model: physical capability, psychological capability, physical opportunity, social opportunity, reflective motivation, and automatic motivation. In Phase 2, ten teachers shared their interpretation of COM-PASS via a 20-min interview, which resulted in minor changes. In Phase 3, CFA of the 3-factor model (i.e., capability, opportunity, and motivation) revealed an adequate fit to the data (χ2 = 122.6, p < .001, CFI = .945, TLI = .924, RMSEA = .066). The internal consistencies of the three subscale scores were acceptable (i.e., capability: α = .75, opportunity: α = .75, motivation: α = .81).ConclusionCOM-PASS is a valid and reliable tool for assessing teachers’ capability, opportunity, and motivation to deliver physical activity interventions in schools. Further studies examining additional psychometric properties of the COM-PASS are warranted.

Evaluating the Correlation between Eyeglass-Type Wearable Device Measurements and Subjective Physical Activity Assessments.

Introduction Wearable trackers are instrumental in monitoring various health indicators, notably daily physical activity, which is crucial for managing chronic diseases and improving overall health. This study examined the relationship between physical activity levels measured using JINS MEME, an eyeglass-type wearable device equipped with motion sensors, and subjective activity assessments reported through the International Physical Activity Questionnaire (IPAQ). Methods Healthy volunteers aged 20-60 were recruited for an observational study. Participants wore the JINS MEME throughout the day for one week, and data on walking activity were collected and analyzed alongside IPAQ responses to evaluate subjective physical activity levels. The correlation between the two sets of data was evaluated using the nonparametric Spearman's rho (ρ) correlation coefficient for both the assessed metabolic equivalents (METs) score of the JINS MEME and the IPAQ. Similarly, the relationship between the IPAQ questionnaire items and the measurements from the JINS MEME. Results The study included 42 participants and revealed a strong correlation (R=0.719, P<0.01) between the metabolic equivalents (METs) calculated from the JINS MEME and IPAQ scores, especially for walking activities. Similarly, a significant association was found between the IPAQ data and walking speed (R=0.129, P=0.02). METs showed significant relationships with all physical activities, except sitting or reclining time. Conclusion This study validated the use of eyeglass-type wearable devices, such as the JINS MEME, to accurately assess physical activity levels, demonstrating a strong correlation with subjective assessments using the IPAQ. This highlights the potential of wearable devices in comprehensive health monitoring and management strategies.

Initial development of the Sugar-Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.

Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar-sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar-sweetened fruit drinks, and (b) describe behavior changes within a community-based intervention. Questionnaire development was conducted in three phases with Yup'ik Alaska Native caregivers in Southwest Alaska: (1) initial selection and adaptation of questionnaire items; (2) cognitive testing; and (3) data collection. The Sugar-Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally-tailored items across six areas: beliefs/values, environment/skills, knowledge, motivation, self-efficacy, and behaviors. Eighty-one percent of caregivers gave their children sugar-sweetened fruit drinks. Motivations included: what they grew up with (52%), few other options (46%), makes child happy (46%), healthier than soda (45%), and others in community drink them (42%). On average, 93% of caregivers believed drinking a lot of sugar-sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5-point scale, 5 = strongly agree) it is important to limit sugar-sweetened fruit drinks. Among a sub-sample of respondents (n = 20), we found low to moderate temporal stability in some SFDQ items over a 10-14 day period, indicating respondent ambivalence and/or uncertainty. Using community-based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self-efficacy, and behavior within a planned intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.

Construction and validation of academic burnout scale

This study constructs and validates a scale for measuring academic burnout among university students. Drawing from empirical evidence and systematic scale construction procedures, the questionnaire items were developed through literature review and focus group discussions. Data from 348 and 774 respondents respectively underwent exploratory factor analysis and confirmatory factor analysis. The resulting scale identifies six dimensions: parental/Guardian pressure, exhaustion, negative peer relations, subjective overload, academic inefficacy, and negative teacher-student relation. By providing a specialized tool for identifying academic burnout, this study aims to facilitate research efforts in higher education institutions. This scale addresses the lack of accurate assessment methods for academic burnout, offering insights into its components.

Validation of the dispositional adult hyperfocus questionnaire (AHQ-D)

Hyperfocus (HF), or intense, deep concentration on a task, has gained significant research attention in recent years, particularly in regard to clinical populations such as Attention-Deficit/Hyperactivity Disorder (ADHD). The present work aims to provide validation of the 12-item dispositional adult hyperfocus questionnaire (AHQ-D) as a quantitative metric of HF in adults. We preregistered the study design and hypotheses. We administered the AHQ-D and several additional questionnaires to 347 adults (mean ± SD age: 33 ± 11 years; 47% female). Exploratory factor analysis revealed high factor loadings (0.57–0.81) on a single HF factor; item response theory analysis suggested that the questionnaire items had high discrimination and covered a wide range of responses; and we report strong internal consistency metrics (Cronbach’s alpha 0.93, mean split-half reliability 0.93). Replicating our previous work, HF was positively correlated with Conners’ Adult ADHD Rating Scale (CAARS) scores (r(345) = 0.53), suggesting that HF may be related to ADHD traits (though in this sample we did not specifically recruit individuals with ADHD). The AHQ-D demonstrated the hypothesized convergent validity; HF on the AHQ-D was positively correlated with HF measured using a different HF scale (r(344) = 0.69), as well as flow (r(345) = 0.12) and mind wandering (r(345) = 0.39) scores. AHQ-D HF scores showed a weak negative correlation with grit (r(345) = − 0.29). Though there was a weak negative correlation between HF and social desirability response tendency (r(345) = − 0.24), suggesting that those who care more about what others think may report less HF, there was no relationship between HF and extrasensory perception beliefs (r(345) = 0.01), suggesting that participants were not simply biased in their response tendencies. Taken together, we demonstrate strong scale metrics for the AHQ-D, the expected convergent validity, and a general lack of response bias, in addition to replicating our previous association of HF with ADHD traits. We suggest that the AHQ-D can be confidently used in future work as a valid way to measure HF in adults.

Investigating Islamic Religious Education Teacher Beliefs Toward Multimedia Learning

&lt;p&gt;&lt;em&gt;Teachers' beliefs regarding multimedia learning are essential. This study aims to explore teachers' beliefs about multimedia learning in Islamic Religious Education (PAI) at Senior High School in Palangka Raya, Central Kalimantan, Indonesia. This research employed the mix-method QUAN-QUAL, the exploratory sequential design. Nine teachers were involved based on a purposive sampling technique. Twenty-three questionnaire items were constructed to collect the quantitative data. An interview guide was used to collect the qualitative data. The quantitative data was collected through a cross-sectional survey, and the qualitative data was collected through a semi-structured interview. The SPSS version 26 was utilized to analyze the quantitative. Moreover, thematic or coding analysis was used to analyze qualitative data. Multimedia learning was shown to have excellent potential to improve students' learning experiences. With proper implementation and adequate support, multimedia learning could effectively improve the quality of Islamic Religious Education. However, some challenges must be faced to achieve optimal learning outcomes. &lt;/em&gt;&lt;/p&gt;

'SNOMEDizing' Questionnaires for Standardizing Stroke Registry Data.

International interoperability of healthcare and research data requires a commitment to standards. To this end, SNOMED CT was evaluated for representing questionnaire items of the European Registry of Stroke Care Quality using a complex annotation protocol. The agreement between validators and annotators was 72.4%. At least 64% of the information could be represented by using SNOMED CT only, including complex post-coordinations. 9% of the information would require an information model, and 14% the addition of new content to SNOMED CT. Next steps will be the creation of an annotation guideline for questionnaires, a specific reference set, and the combination of both with an information model such as HL7 FHIR.

Consumer’s willingness to try new microalgae-based food in Indonesia

Microalgae has been an under-researched food ingredient that is high in protein. In Indonesian context, research on consumer's willingness to try microalgae as a food ingredient should be performed. This research was performed to examine the factors influencing consumers' willingness to try microalgae. Data were collected from 535 respondents using a structured questionnaire distributed via Google Form on social media which were then analyzed using Structural Equation Models-Partial Least Square, with initial tests of internal consistency and reliability of questionnaire items carried out using the Pearson Product Moment correlation analysis. The results showed that consumer willingness to try microalgae-based food was positively and significantly influenced by consumer lifestyles towards food and consumer behavior (knowledge, attitudes, involvement and subjective norms). This finding indicates that there is a fairly broad opportunity to develop microalgae as a food ingredient in Indonesia. The government is encouraged to support the promotion of microalgae as health food. Positive support from the government is expected to drive marine farmers, entrepreneurs, food processing industries, cultivators, distributors and food retailers to further enhance the microalgae businesses.

Development and psychometric validation of a patient safety assessment tool in German Radiation Oncology: the PaSaGeRO Study protocol

IntroductionEnsuring patient safety in radiation oncology is crucial for delivering high-quality healthcare. Patient safety indicators (PSIs) provide a mechanism for identifying, quantifying and evaluating risks and the effectiveness of safety...

Brazilian Portuguese Translation and Validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA revised.

Condition-specific sexual questionnaires are important patient-reported outcome measures. The aim of this study was to translate and validate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association Revised (PISQ-IR) into Brazilian Portuguese and to clinically validate it in a Brazilian Portuguese-speaking population. Translation and validation of the PISQ-IR was performed according to the International Urogynecological Association-recommended process and guidelines. For external validity, PISQ-IR subscales were compared with the clinical measures, Pelvic Organ Prolapse Quantification system (POP-Q) stage, pelvic floor muscle tone, and Oxford Grading Scale (Pearson correlations). Descriptive statistics, internal consistency (Cronbach's alpha coefficient), and test-retest reliability (interclass correlation coefficient) were calculated for all PISQ-IR subscales. A total of 120 sexually active and 106 not sexually active women were enrolled in the study between March 2015 and July 2019. Internal consistency was acceptable, with Cronbach's alpha values 0.60-0.80, except for the sexual arousal and orgasm, sexual arousal and partner-related issues, sexual arousal and condition-specific issues, global rating of sexual quality and condition impact subscales. PISQ-IR demonstrated good reliability (α > 0.6, CIC = 0.996). The agreement for each individual questionnaire item also individually presented substantial agreement between the assessments (κ 0.61-0.8). There was a correlation between PISQ-IR and POP, mixed, stress and fecal incontinence diagnosis and a positive correlation with pelvic floor muscle function according to the Oxford Scale in sexually active women. For sexually inactive women there was a correlation between PISQ-IR and mixed urinary symptoms. The Brazilian Portuguese version of PISQ-IR is a reliable and valid tool that can be easily used for the identification and assessment of sexual function in Brazilian Portuguese-speaking women with pelvic floor disorders.

Adaptation of the Adverse Childhood Experience Questionnaire for Adults Into Turkish: A Validity and Reliability Study.

Background and Purpose: Questioning the adverse childhood experiences of adults may facilitate their search for help for their physical, social, and psychological well-being. The aim of this study is to determine the validity and reliability of the Adverse Childhood Experience Questionnaire for Adults in Turkish. Methods: This methodological study was conducted with 290 participants. The data collection tools consisted of a personal information form, the Adverse Childhood Experience Questionnaire for Adults, and the Childhood Trauma Experiences Questionnaire Short Form. Results: The number of items in the original questionnaire was 29 and became 24 in the Turkish adaption, which showed content validity, construct validity, and internal consistency reliability (Cronbach's alpha (α) = 0.928). Conclusions: The Adverse Childhood Experience Questionnaire for Adults was found to be valid and reliable for the Turkish population.

The measurement of young children’s nocturnal sleep health and the development of the Perception of Infant and Toddler Sleep Scale (PoITSS) in Aotearoa New Zealand whānau (families)

ObjectivesTo modify an existing questionnaire Brief Infant Sleep Questionnaire – Revised (BISQ-R) to ensure that it is suitable to measure nocturnal sleep health in a diverse sample of young children from Aotearoa New Zealand whānau (families), and to develop a “Perception of Infant and Toddler Sleep Scale” (PoITSS) to use as a primary outcome measurement in an upcoming trial. MethodsItems from the BISQ-R were adapted for use among ethnically diverse whānau, and tested online with caregivers of 0-2 year old children. A PoITSS score was generated by scaling the responses from three of the questionnaire items to create a value between 0 (very poor) and 10 (very good). Caregivers provided qualitative feedback about the ease of interpreting and answering questionnaire items. ResultsCaregivers of 957 children (35% Māori, 12% Pacific) completed the questionnaire. Few differences in children’s nocturnal sleep were observed by demographic characteristics. The mean PoITSS score was 6.9 (SD 2.3) and was slightly higher among Māori children (mean difference 0.4, 95% CI 0.1, 0.7). Test-retest indicated good reliability (ICC=0.81). While the majority (86%) of caregivers did not find it difficult to answer any of the items which formed the PoITSS, qualitative feedback indicated that simple modifications to some items would help ensure that they would be well understood by most caregivers. ConclusionsItems from the BISQ-R were successfully adapted, and the PoITSS scale was shown to be appropriate, for use in ethnically diverse Aotearoa New Zealand whānau with young children.

Describing the status quo of person-centred dementia care in different types of care units in German nursing homes: A convergent mixed methods study

BackgroundThe policies and mission statements of nursing homes support the implementation of person-centred dementia care. The Dementia Policy Questionnaire assesses the content of person-centred dementia care in policies. To date, it is unknown whether these policies exist exclusively in dementia care units and whether the policies are consistent with the mission statements of nursing homes. ObjectiveWe aimed to (1) investigate nursing home care unit types regarding the existence of policies measured by the Dementia Policy Questionnaire, (2) explore whether these policies are addressed in the mission statements of the nursing homes, and (3) integrate both results. DesignThis is a convergent mixed methods study performed with a quantitative and qualitative dataset that was collected in the BeStaDem survey (2020). SettingThe BeStaDem survey included licensed nursing homes in Germany. ParticipantsA total of 134 nursing home administrators provided informed consent to participate in the BeStaDem survey. MethodsFor quantitative data, we performed Fisher's exact test to identify differences in the Dementia Policy Questionnaire item distribution of several types of care units (aim 1). To support the results of Fisher's exact test, we additionally applied logistic regression analysis. For qualitative data, we analyzed the mission statements deductively with the qualitative content analysis method (aim 2). For integration, we used a convergent triangulation approach (aim 3). ResultsThe quantitative data collected from 134 German nursing homes show significant associations among person-centred dementia care policies, such as behavior assessment, and nursing homes with dementia care units. Regarding the qualitative data, of the 60 mission statements in total, eight mission statements of nursing homes with dementia care units exclusively address aspects such as dementia-specific interventions. The convergent triangulation approach shows that the answers given by the nursing homes in the quantitative survey are not always consistent with what they address in their mission statements. ConclusionsNursing homes with dementia care units provide more person-centred dementia care policies than other care unit types do but mostly do not address these aspects in their mission statements. The implementation of person-centredness benefits from the existence of policies and mission statements if nursing homes clearly address what is meant by person-centred dementia care in their nursing home.

Effectiveness of the flipped classroom method using clinical scenarios and Educational Technology versus Subject-Based Lectures in a gastrointestinal physiology course for medical students

BackgroundMedical education is evolving towards more practical, active, effective, and student-centered approaches that address the limitations of traditional lecture methods. Recently, the flipped classroom method has been considered to support these reforms. However, research on the use of flipped classroom methods in medical education, particularly related to clinical scenarios and educational technology, is still in its early stages. This study aims to evaluate the effectiveness of the flipped classroom method using clinical scenarios and educational technology versus subject-based lectures in the course of gastrointestinal physiology for medical students.MethodsA total of 60 medical students participated in this study. The control group (n = 30) received traditional subject-based lectures and participated in question-and-answer sessions. The intervention group (n = 30) received non-attendance educational content and participated in small group discussions based on clinical scenarios. Course satisfaction was measured using an 18-item questionnaire, and learning outcomes were assessed with a 20-question multiple-choice test, corresponding to levels 1 and 2 of Kirkpatrick’s model. Data were analyzed using descriptive and analytical statistical tests with SPSS software version 24.ResultsThe findings indicated that the post-test scores in the intervention group were significantly higher compared to the control group. However, according to the student satisfaction questionnaire, satisfaction was significantly lower in the intervention group compared to the control group.ConclusionThis study demonstrated that the flipped classroom method, compared to traditional lectures, improved the learning and performance of medical students at Hamadan University of Medical Sciences in the course of gastrointestinal physiology.

Pengaruh Promosi Media Sosial, Kualitas Produk dan Store Atmosphere terhadap Keputusan Pembelian Produk Fashion

This research was conducted with the purpose of analyzing the significance of the influence of social media promotions, product quality and store atmosphere on purchasing decisions for Abvistore fashion products in Tanon District, Sragen. The population of this research is consumers of the Abvistore Shop in Tanon District, Sragen. The sample in this study was 137 people with the sampling technique used was accidental sampling. The data collection method in this research used a questionnaire. The data analysis techniques used are validity tests, reliability tests, classical assumption tests, multiple linear regression analysis, t-test, F-test and R Square test. The result of the analysis stated that all questionnaire items as research instruments were valid and reliable, and the classical assumption test, both multicolinearity test, autocorrelation test, heteroscedasticity test, and normality test of variables were declared to passed the classical assumption test. Multiple linear regression showed that all regression coefficients were positive, which means that variable X1 (social media promotion), X2 (product quality) and X3 (store atmosphere) had a positive effect on the decision purchasing in fashion product at Abvistore. Hypothesis testing showed that social media promotion had no significant effect on purchasing decisions for Abvistore fashion products in Tanon, Sragen. Product quality has a significant influence on purchasing decisions for Abvistore fashion products in Tanon, Sragen. Store atmosphere has a significant influence on purchasing decisions for Abvistore fashion products in Tanon, Sragen. The F-test stated that the research model of he influence of independent variables on the dependent variable was correct. The coefficient of determination test shows that social media promotion, product quality and store atmosphere was able to explain purchasing decisions by 53.2%.

Testing four cognition bolt-on items to the EQ-5D in a general Chinese population.

This study aimed to evaluate the psychometric properties of four candidate cognition bolt-on items and their combinations to the EQ-5D-5L. Four cognition items (concentration, memory, calculation, and learning) were developed as separate questionnaire items, and were administered with the standard EQ-5D-5L to 640 individuals in a general population survey in China. From the 4 items, 11 compound items were constructed, and the 'worse level counts' rule was used to calculate a compound item score. Psychometric performance of the cognition bolt-ons was assessed in terms of informativity, convergent validity, explanatory power, and discriminatory power. The tested four cognition bolt-on items improved the informativity, convergent validity, explanatory power, and discriminatory power of EQ-5D-5L, with calculation and learning yielding better psychometric performance. The compound bolt-on items that coverd a range of cognitive functions demonstrated superior psychometric performance compared to single-aspect bolt-on items, with those items covering calculation and learning resulting in better psychometric performance. This study confirmed the validity of the tested cognition bolt-ons in a general Chinese population. It supported the use of a compound bolt-on item covering a range of cognitive functions such as the ability to calculate and learn.