Reliability Of Persian Version Research Articles

Translation, validity and reliability of the persian version of the rapid assessment of physical activity questionnaire

PurposeThe purpose of this study was to produce a valid and reliable Persian version of the Rapid Assessment of Physical Activity (RAPA) questionnaire, which previously has been shown to be valid and reliable for assessing physical activity among older adults.MethodsPermission was obtained from the scale developer, who provided a copy of the the Linguistic Validation of the RAPA Qestionnaire, which utilizes a forward-backward translation methodology. Content validity, face validity, and construct validity of the questionnaire were then determined. Comparison of known groups (older adults with more or less than 50% balance confidence) was used to assess construct validity and the Leiden-Padua (LEIPAD) quality of life questionnaire were used to assess convergent validity. Three hundred older adults, who were members of the Qom retirement centers, participated in the study. Thirty participants completed the RAPA twice with a one-week interval to determine test–retest reliability.ResultsResults of comparisons of known groups showed that the mean RAPA score of the older people with greater balance confidence was significantly higher. Significant correlations between most of the scores obtained from both RAPA and the LEIPAD questionnaires confirmed the convergent validity of the questionnaire. Intraclass Correlation Coefficient (ICC) was as high as 0.94 showing that the test–retest reliability was good.ConclusionThis study showed the Persian RAPA is a reliable and valid instrument for measuring physical activity among older individuals in both research and clinical contexts.

Effect of ginseng on fatigue related to neuromyelitis optica spectrum disorder: A double-blinded randomized controlled clinical trial.

The effects of ginseng on fatigue have been proven in patients with multiple sclerosis (MS), which have several similar manifestations to neuromyelitis optica spectrum disorder (NMOSD) patients. This study was designed to evaluate the effects of ginseng on fatigue in NMOSD patients. In this double-blinded randomized controlled clinical trial, 64 patients were recruited and were allocated into two study groups (ginseng or placebo) via block randomization. The participants received either 250-mg ginseng or placebo twice daily for a 3-month period. Also, the measurement of outcome was performed using the valid and reliable Persian version of fatigue severity scale (FSS) questionnaire, which was filled by patients once after enrollment in the study and once at the end of the study post-intervention. In total, 58 patients finished the study with no major side effects. There were no significant differences in demographic, clinical, as well as FSS between two study groups (p>0.05). Ginseng supplementation significantly reduced fatigue (40.21±13.51 vs. 28.97±14.18; p˂0.01), while patients in the placebo group showed significantly higher fatigue score after 3 months post-intervention (35.03±13.51 vs. 38.79±12.27; P: 0.02). The extent of changes in the fatigue score in the ginseng group was significantly greater than in the placebo group (p ˂0.01). This study revealed positive effects of ginseng on reducing fatigue in NMOSD patients with no major side effects. In this regard, further studies are warranted to evaluate and clarify the effects of ginseng on fatigue in NMOSD.

Effectiveness of Gamification in Enhancing Learning and Attitudes: A Study of Statistics Education for Health School Students.

Gamification is the use of game design elements in non-game contexts. It is considered a student-centered instructional design to motivate student learning and academic behavior. In this study, the effects of gamification on learning statistics (hypothesis testing issue) and attitude toward statistics in comparison with the common e-learning approach were investigated. The students' experience and critical elements of gamification on learning statistics were assessed, too. In a before and after trial, in a census manner, 64 health faculty students of Guilan University of Medical Sciences, Rasht, Iran, non-randomly were assigned to the intervention (n=42) and control (n=22) groups. Learning activities were gamified in the intervention group, while the control group received traditional problem-solving in the learning management system. Narrative, avatar, level, point, progress bar, scoreboard, challenge and feedback elements were used in the game experience. The implementation of gamification was applied based on Landers' theory of gamified content. Valid and reliable Persian version of the Survey Attitude toward Statistics questionnaire measured the students' attitude before and after the intervention. The EGameFlow questionnaire and a valid and reliable researcher-made exam measured the users' experience of gamified content and learning hypothesis testing after the intervention. The independent samples T-test, analysis of covariance and the partial eta-squared effect size were calculated by SPSS software, version 26. Compared to the control group, the intervention group had a more positive attitude toward learning difficulty (moderate partial eta-squared 0.099), value and cognitive competency (weak partial eta-squared=0.01 and 0.05). Learning between the two groups was not different (P=0.522). There was a significant correlation between learning and the students' perceived experience with feedback (r=0.583, P<0.001), concentration (r=0.509, P=0.005), and challenge (r=0.421, P=0.023) of the gamified content. It suggests using gamification on learning statistics while optimizing the design with more focus on the feedback, challenge and concentration elements.

The Effects of Type of Fitting, Technology and User Experience on Satisfaction with Hearing Aid Assessed by Persian Version of the MarkeTrak Survey

Background and Aim: Satisfaction with hearing aids is very important for continued use of the device and improving hearing status and quality of lives of people with hearing loss. MarkeTrak survey has been used for many years to track factors influencing satisfaction with hearing aids. This study aimed to make a valid and reliable Persian version of the MarkeTrak survey to measure the effects of type of fitting, experience and technology on hearing aid satisfaction. Methods: After confirmation of validity and reliability of the Persian MarkeTrak, 71 people participate in the study. The effects of bilateral versus unilateral hearing aids (type of fitting), experience and wireless versus non-wireless technology were tested. Results: Bilateral hearing aid users has significantly higher satisfaction rate than unilateral users (65.6±7.2 versus 59.9±17.7). The effects of experience with using hearing aids and type of technology did not reach statistical significance. Conclusion: Higher satisfaction with bilateral hearing aids might result from better sound quality in diverse listening conditions, spatial hearing and directionality with two ears rather than one ear. Keywords: Persian MarkeTrak; bilateral hearing aids; wireless; experience; satisfaction

Investigating the status of health literacy and its predictive factors in women with breast cancer referring to university teaching hospitals and Javadalameh Clinic in Kerman, 2021

Introduction:Health literacy is among the most critical factors affecting breast cancer survival. This study was designed and implemented with the aim of determining the level of health literacy and its predictors in women with breast cancer referring to university teaching hospitals and Javadolaeme Clinic in Kerman in 2021.&#x0D; Methods: This cross-sectional study was conducted on women with breast cancer referred to university teaching hospitals and Javadolaeme Clinic in Kerman city in 2021. To collect data, a self-administered questionnaire including the demographic profile of the patients, and the valid and reliable Persian version of the health literacy of Iranian women with breast cancer (HELBA: Health Literacy of Breast Cancer for Adults) was used. The questionnaire was entered into SPSS version 20 software and analyzed.&#x0D; Results: In this study, nearly 15.3% of participants had low health literacy. According to the univariate logistic regression model, the health literacy level of the study participants had a significant relationship with all the demographic variables included in the study except the age of the spouse (P&lt;0.05). In the multivariate logistic regression model, only the spouse's education level had a significant relationship with the health literacy of the participants in the study. The chance of having health literacy was 4.33 times and 5.87 times (more likely in participants with spouses with a diploma level of education and participants with spouses with a university education than in participants with spouses with education below a diploma.&#x0D; Conclusion: The results of this study showed that the level of health literacy in many women with breast cancer is sufficient, however, educational planning should be done to improve the level of literacy in this group, especially emphasizing the health literacy of the spouses.

Psychometric properties of the Persian version of emotions and attitudes towards MRI" (MRI-EMA).

Patients with multiple sclerosis (MS) should have magnetic resonance imaging evaluation regularly. They will experience anxiety before this examination. We conducted this study to evaluate the validity and reliability of emotions and attitudes towards MRI" (MRI-EMA). One hundred-nine patients with MS were asked to fill the valid and reliable Persian version of Beck Anxiety Inventory (BAI), and MRI-EMA, questionnaires. Two weeks later, twenty cases were asked to fill the questionnaire again to assess reliability. The intra-class correlation coefficient (ICC) and Cronbach's alpha analysis were used. The correlation coefficient between BAI and MRI-EMA was calculated. Five neurologists assessed content validity by content validity ratio (CVR) and content validity index (CVI). The mean age was 37.2±1.2 years and 77% were females. CVI and CVR for all questions were 100%. The correlation coefficient between BAI and MRI-EMA was r=0.1, P=0.1 and only fear of MRI subscale was significantly correlated with BAI. The ICC of all questions was between 0.79 and 0.98. Patients with MS have to be routinely screened with MRI which provides anxiety for them. Considering MRI related anxiety is crucial for these cases. The Persian version of the MRI-EMA questionnaire is a valid and reliable instrument for measuring MRI related anxiety in patients with multiple sclerosis.

Validity and reliability of Persian version of the workplace cognitive failures scale and its relationship with personality traits.

In nursing practice, cognitive failures can be evaluated as an essential indicator of the cognitive capacity of individuals. This study aimed to determine the validity and reliability of the Persian version of the Workplace Cognitive Failures Scale (P-WCFS) among Iranian nurses and its relationship with personality traits. Data collection had two phases: 1) The P-WCFS prepared through a standard translation process. Then the content validity was evaluated by a panel of specialists. Reliability Cronbach's coefficient alpha obtained 0.91 from a pilot study. 2) For measuring neuroticism and conscientiousness used the Goldberg Personality Questionnaire. Exploratory and confirmatory factors analyzed in two separate parts of the sample (n = 351). SPSS (v 18) and STATA 14 performed for Statistical analysis. Spearman correlation and Pearson correlation coefficient used to measuring the convergence and examine the relationship between the subscales of the questionnaire. Cronbach's alpha was 0.92, which showed a high level of reliability for this questionnaire. The three-factor model of WCFS was well-fitted. The reliability of all three sub-scales was a reasonable level. Cognitive failures and its subscales had negative and strong relationships with conscientiousness and neuroticism. The highest internal consistency was related to memory subscale, and all scales had a success rate of 100%. This study showed the P-WCFS has high reliability and validity and can be used in nursing society.

Psychometric Properties of the Persian Version of the Multiple Sclerosis Work Difficulties Questionnaire (MSWDQ) Questionnaire.

Background:Patients with multiple sclerosis (MS) suffer from a wide range of psychological and physical problems. Employment status is a crucial issue for patients with MS as unemployment while it is not completely evaluated in patients with MS.Objectives:To assess psychometrical properties of the Persian version of the Multiple Sclerosis Work Difficulties Questionnaire (MSWDQ).Methods:One hundred and sixty patients were enrolled. They were asked to fill valid and reliable Persian version of the Fatigue Severity Scale (FSS), social support scale, and Short Form Health Survey (SF-36) and translated version of the MSWDQ questionnaire. Twenty cases filed the questionnaire two weeks later to assess reliability. The intra-class correlation coefficient (ICC), Cronbach's alpha, correlation coefficients were used.Results:Mean age and mean duration of the disease were 36.8 ± 9.1, and 7.5 ± 5.1, respectively. The Cronbach alpha for psychological/cognitive barriers subscale was 0.87, for Physical barriers was 0.83 and for external barriers was 0.86. The Cronbach α for the whole questionnaire was 0.89. There was a significant positive correlation between FSS and MSWDQ score, and a significant correlation with SF-36 and social support. The ICCs of all questions were acceptable.Conclusions:Persian version of MSWDQ questionnaire is a valid and reliable instrument for evaluating work-related problems in patients with MS.

Reliability and Validity of the Tampa Scale of Kinesiophobia Questionnaire in Individuals with Non-specific Low Back Pain

Background: The Tampa Scale of Kinesiophobia (TSK) is considered a valid and reliable tool to assess the fear-avoidance behavior in patients. There is a valid and reliable Persian version of the TSK-17. Objectives: The present study aimed to assess the internal consistency as a measurement for the test reliability and factor (domain) validity of the Persian version of the TSK-17 to determine whether a modified form can be proposed. Methods: This study analyzed the data of 295 individuals with non-specific low back pain (NSLBP). Cronbach’s alpha was used to assess internal consistency (reliability). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were applied to evaluate factor validity which is an aspect of the construct validity. The Chi-square divided by the degrees of freedom, the goodness of fit index (GFI), the confirmatory fit index (CFI), and the root mean square error of approximation (RMSEA) indices were utilized as the goodness-of-fit criteria. Data analysis was performed using SPSS software (version 18), AMOS software (version 20), and EQS software (version 6.2). Results: Two factors were extracted for the TSK-17 questionnaire using EFA, and then the structure was confirmed with CFA. Cronbach’s alpha as an internal consistency index was 0.949 for the entire questionnaire, 0.931 for the 11-item fear-of-movement factor, and 0.971 for the 6-item belief factor. The evaluation of the inappropriate items demonstrated that no items were selected for the deletion; therefore, a modified version of the TSK was not presented. The goodness-of-fit indices were reported as GFI = 0.882, RMSEA=0.066 (90% CI: 0.055-0.076), CFI = 0.983, and minimum discrepancy per degree of freedom = 2.27. Conclusions: The Persian version of the TSK-17 can be considered a valid and reliable tool to assess the fear of movement and avoidance behavior in individuals with NSLBP.

The validity and reliability of Persian version of smartphone addiction questionnaire in Iran

BackgroundSmartphone addiction is one of the most important forms of technology addiction that has attracted the attention of all countries around the world. Many studies have been conducted in Iran on cellphone addiction among different groups. There is a necessity to have a native scale for measuring smartphone addiction in particular. Therefore, this study aimed to localize the smartphone addiction questionnaire in Iran (in the Persian language).MethodsTo assess the validity and reliability of the Persian version of the smartphone addiction scale (SAS), the questionnaire was first provided based on the standard back-translation method. Next, content validity ratio (CVR), content validity index (CVI), and face validity was evaluated for translated questionnaire. After making the necessary changes, the questionnaire was given to the community samples and was then reviewed using confirmatory factor analysis of questions grouping. Finally, the reliability of the questionnaire was investigated by the test-retest method.ResultsThe CVR and CVI values of all questions were within the acceptable range. Only some of the questions in the original SAS version titled Twitter and Facebook were changed to Instagram and telegram according to experts. Internal consistency and concurrent validity of the questionnaire were confirmed by Cronbach’s alpha of 0.951. The mean correlation coefficient between the responses of the subjects, who received the questionnaire twice, was 0.946 (0.938–0.954). The grouping of questions in the subscales was changed from the original SAS version because the fitting indexes, obtained from the confirmatory factor analysis test (for example CMIN/DF greater than 5 units and RMSEA of approximately 0.07), were not acceptable.ConclusionThe results showed that the Iranian version of the cellphone addiction questionnaire can be used as a valid, with minimal modification, tool for determining the level of smartphone addiction among Persian speakers.

Public Intention to Prepare for Earthquakes: Psychometric Properties of Persian Version.

Background:People are still not prepared for earthquakes in vulnerable areas although preparedness considered an effective way of reducing the disastrous consequences. A proper tool was needed to assess the predicting factors of mitigation behaviors in a large vulnerable community who speak Persian. This study aimed to introduce the valid and reliable Persian version of public intention to prepare against earthquakes.Methods:Translation, validation and reliability checking articulated according to the standard methodology for Forward-Backward translation and psychometric evaluation. Totally, 369 Tehran households were selected through stratified random sampling from Oct 2016 to Jun 2017. Exploratory Factor Analysis used to check the construct validity of all scales.Results:Face, content and construct validity of all scales confirmed (S-CVR: .65) and (S-CVI/Universal: .98). The finalized Persian version (69 items in 8 scales) showed good reliability over time in test-retest (ICC: .92) and high internal consistency both in the pilot (α: .94) and main studies (α: .94). No significant floor and ceiling effects were found in any of scales.Conclusion:Persian version of Earthquake Public Intention to Prepare is applicable as a valid and reliable instrument for research regarding disaster preparedness in Persian speaking communities.

Fear of relapse, social support, and psychological well-being (depression, anxiety, and stress level) of patients with multiple sclerosis (MS) during the COVID-19 pandemic stage.

BackgroundPsychological well-being assessment during the COVID-19 pandemic is essential for patients with multiple sclerosis (MS). The goal of this study is to evaluate fear of relapse, social support, and psychological well-being (depression, anxiety, and stress level) of Iranian patients with MS during the COVID-19 pandemic stage.MethodsOne hundred and sixty-five patients were enrolled. We asked all cases to fill valid and reliable Persian version of depression, anxiety, and stress scale (DASS-21), perceived social support, and fear of relapse scale questionnaires.ResultsOne hundred and sixty-five patients were enrolled. Female to male ratio was (F/M) = 4.6. Mean age and mean duration of disease were 35.3±8.6 and 7.1±5 years, respectively. Mean scores of social support, DASS, and FoR questionnaires were 63.1±16.8, 16.4±13.4, and 51.4±17.3, respectively. There was a significant negative correlation between social support and FoR scores and also significant positive correlations between components of DASS and FoR. Linear regression analysis by considering FoR as dependent variable and age, sex, marital status, duration of the disease, and EDSS as dependent variables showed that sex was an independent predictor of FoR score.ConclusionPsychological well-being as well as fear of relapse should be considered in patients with MS during the COVID-19 pandemic stage.

Psychometric Properties of the Persian Version of the PARADISE-24 Questionnaire.

Background:Patients with multiple sclerosis (MS) suffer from a wide range of psychological problems. Application of a valid and reliable tool for psychosocial assessment is required for Iranian patients. The aim of this study is to determine the psychometric properties of the Persian version of the PARADISE-24 questionnaire in Iranian patients with multiple sclerosis.Methods:One hundred and thirteen multiple sclerosis cases were enrolled in this study. Participants were asked to answer the valid and reliable Persian version of the fatigue severity scale, social support scale, Pittsburg sleep quality index, and hospital anxiety and depression scale and translated version of the PARADISE-24 questionnaire. Twenty cases filed the questionnaire 2 weeks later to assess reliability. The intraclass correlation coefficient, Cronbach's alpha, correlation coefficients, and multiple regression analysis were used.Results:Mean age and mean duration of the disease were 35.8 ± 9.9 and 8.7 ± 5.6 years, respectively. The intraclass correlation coefficients ranged from 0.8 to 0.94 and Cronbach's alpha values (Cronbach's alpha was calculated as 0.91 for the whole questionnaire) were also significant. There were significant correlations between PARADISE-24 score and expanded disability status scale (r = 0.42, P < 0.001), fatigue severity scale (r = 0.62, P < 0.001), anxiety (r = 0.43, P < 0.001) and Pittsburg sleep quality index scores (r = 0.46, P < 0.001). Regression analysis by considering PARADISE-24 as dependent and other variables as independent showed that expanded disability status scale, fatigue severity scale, anxiety score, and Pittsburg sleep quality index were positive predictors of PARADISE-24 score.Conclusions:Persian version of PARADISE-24 questionnaire is a valid and reliable instrument for evaluating psychosocial aspects in patients with multiple sclerosis.

Evaluation of psychometric properties of the maastricht upper extremity questionnaire (MUEQ) in iranian computer users.

BACKGROUND:Measurement of the essential risk factors for work-related musculoskeletal disorders is a fundamental step in predicting the problem and identifying high-risk individuals. In this regard, Maastricht upper extremity questionnaire (MUEQ) has not been validated in Iran. This study aimed to develop a valid and reliable Persian version of MUEQ.MATERIALS AND METHODS:In this descriptive study, the computer users employed in a governmental informatics administration in Tehran, Iran, were included during the end of 2018 and early 2019. Face and content validity of the MUEQ was conducted, and a six-part questionnaire was provided. The reliability of the questionnaire was obtained using Cronbach's α and test–retest. Concurrent validity was assessed with Nordic Musculoskeletal Questionnaire (NMQ). Exploratory and confirmatory factor analysis, comparison test of independent mean, internal consistency coefficient, test–retest, and Pearson correlation were carried out using the AMOS and SPSS 22 software.RESULTS:Participants consisted of 282 computer users (110 males) with a mean age of 35.17 ± 7.65 years. The mean duration of computer use in a working day was 6.68 ± 2.10 h with a range of 1–12 h. The most prevalent symptoms were existed in the neck (39.1%), back (31.0%), and lower back (30.3%) areas. KMO test and Bartlett's test of sphericity showed that a significant correlation existed among questions. Cronbach's alpha coefficient of the questionnaire varied from 0.61 to 0.83 and test–retest coefficient was higher than 0.7. Correlation coefficient was between NMQ and body posture (r = 0.23, P = 0.004) and between NMQ and work environment (r = 0.28, P = 0.000). Evaluations related to the construct validity and concurrent validity demonstrated that the questionnaire has acceptable construct validity. Six factors of the MUEQ in Root Mean Squared Error Approximation (RMSEA) index (0.062) were acceptable and satisfactory in Parsimony Comparative Fit Index (PCFI), Comparative Fit Index (CFI), Normed Fit Index (NFI), and Parsimony Goodness of Fit Index (PGFI) (0.732, 0.8000, 0.680, and 0.680, respectively).CONCLUSIONS:The Persian version of the MUEQ represented a satisfactory validity and reliability and was suitable for computer users in the assessment of their risk factors of musculoskeletal complaints.

Sleep Disorders and Fatigue among Health Care Providers Working at University Hospitals

Background and Objective: Sleep disorder and fatigue are common among health care workers (HCWs) and negative-ly affect their quality of life and caregiving to the patients. Early diagnosis and rapid modification of causative factors might prevent the potential disastrous results of these problems on personal and population health. This study aimed to evaluate the state of sleep and fatigue among HCWs of hospitals affiliated to Mazandaran University of Medical Sci-ences, Iran, and their related factors. Materials and Methods: This cross-sectional study was conducted from September 2014 to December 2014 among HCWs at hospitals of Mazandaran University of Medical Sciences. Demographic data, medical history, and occupation-al shift information were recorded. Sleep quality was assessed by the valid and reliable Persian versions of Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI). Fatigue was evaluated by valid and reliable Persian version of Fatigue Severity Scale (FSS). Statistical analysis was performed using SPSS software. Results: 595 HCWs participated in the study. According to ISI, 48.4% of HCWs experienced subthreshold insomnia, 25.4% were affected by moderate, and 5.0% by severe clinical insomnia. PSQI indicated poor sleep quality in 79.8% of the participants. 71.6% of HCWs had FSS of 4 or more, which was correlated to gender, age, and sleep quality. Correla-tion of sleep quality components with participants’ shift characteristics was also investigated. Conclusion: Sleep disorders and fatigue are common in HCWs of university hospitals. Correction of certain modifiable factors can reduce negative consequences of sleep disorders and fatigue in HCWs.

The Epidemiological Assessment of Lifestyle Impact on Childhood and Adolescence Psychiatric Disorders in Kohgiloyeh and Boyer-Ahmad Province, Iran

Background: Children and adolescents are potentially at risk of different psychiatric disorders, and it is important to consider their health, especially their mental health. Objectives: We aimed to design a cross-sectional study to investigate the association between lifestyle-related components with the psychiatric disorders in children and adolescents in Kohgiloyeh and Boyer-Ahmad province (Iran) and to determine its association with different lifestyle-related variables. Methods: In this study, about 1000 children and adolescents aged 6 to 18 years in Kohgiloyeh and Boyer-Ahmad province were selected using stratified cluster random sampling. The reliable Persian version of Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) and the Life Style Questionnaire (LSQ) were instructed using interviewing with participants by our clinical psychologists or, if they were under 14 years, with their parents. Besides, demographic data (i.e., gender, age, location, race, nation, and religion) of participants were also collected. Results: The results showed that, except for the physical activity and well-being, other remaining factors have a significant correlation with psychiatric disorders (P &lt; 0.05). The exact p-value for each factor was as follow: physical health (P = 0.007), sports and well-being (P = 0.057), weight control and nutrition (P = 0.001), prevention of diseases (P = 0.04), mental health-cognitive (P = 0.05), spiritual health (P = 0.008), social health (P = 0.05), drug avoidance (P = 0.001), accident prevention (P = 0.02), and environmental health (P = 0.001). Also, we found that the overall effect of lifestyle was significantly associated with children and adolescent mental disorders (P &lt; 0.05). Conclusions: Our findings show a significant role for lifestyle in the children and adolescents psychiatric disorders. So it should be considered in more detail in future studies.

Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors

IntroductionAnxiety and depression are significant concerns in breast cancer patients, and it may remain for a long term after primary treatments. The hospital anxiety and depression scale (HADS) is widely used to measure depressive and anxiety symptoms in clinical practices. The purpose of this study was to assess the psychometric properties of the Persian version of this scale in Iranian breast cancer survivors.MethodsA total of 305 patients with breast cancer, refered to Cancer Hospital in northen Iran and completed the primary treatments were enrolled in. All patients responded to a 14-item HADS. We performed confirmatory factor analysis (CFA) to examine the factor structure of HADS and the item-scale analysis in order to estimate the item reliability and consider the Cronbach’s alpha as a measure of internal consistency.ResultsWith a threshold of ≥8, the prevalence of anxiety and depression symptoms (moderate/severe) was 78.9 and 66.9%, respectively. The Cronbach’s alpha coefficients for anxiety and depression were 0.81 and 0.78, respectively. The CFA confirmed the two-factor structure model for HADS, indicating a good fitting summary indexes (χ2/df = 2.83, NFI = 0.88, RFI = 0.82, IFI = 0.92, CFI = 0.92, and RMSEA = 0.078).ConclusionThe CFA and item reliability analysis have indicated an excellent psychometric property of the Persian version of HADS to measure depressive and anxiety symptoms in breast cancer survivors. Thus, HADS is a useful screening tool to identify post-breast cancer anxiety and depressive disorders.

Bladder Dysfunction in Iranian Patients with Multiple Sclerosis.

BackgroundBladder dysfunction is one of the most disabling problems in multiple sclerosis patients, associated with lower quality-of-life and social isolation. There have been few studies regarding bladder dysfunction in Iranian patients with multiple sclerosis. Therefore, this study was designed to assess bladder dysfunction in Iranian patients with multiple sclerosis.MethodsThis cross-sectional study was conducted in the MS Clinic of Sina Hospital (affiliated to Tehran University of Medical Sciences) between January 2019 and January 2020. Patients were asked to fill the valid and reliable Persian version of the 8-item Actionable Bladder Symptom Screening Tool (ABSST) questionnaire. Demographic data and accompanying symptoms such as fatigue, depression, anxiety, bowel dysfunction, urinary problems and walking status were recorded.ResultsTwo hundred and twenty-eight cases were enrolled. One hundred and eighty-three were female (80.3%) and 45 (19.7%) were male (F/M ratio=4). The mean ABSST score was 6.8±5.7. Based on the cut-off value of eight, 83 (28.8%) had actionable bladder symptoms (36.4%). The mean age and duration of the disease were significantly higher in the group with ABSST≥8. The number of patients with urinary retention, dribbling, and incontinence was significantly higher in the second group, while the number of individuals who could walk without help was significantly higher in the first group (ABSST<8). Logistic regression analysis by considering an ABSST score of less or more than 8 as dependent and age, sex, duration of the disease, marital status, education level, and BMI as independent variables showed that age, education level, and duration of the disease are independent predictors.ConclusionAccording to these results, nearly one-third of Iranian patients with MS suffer from an overactive bladder, which should be considered by physicians.

Reliability and validity of Persian version of Brief Self-Control Scale (BSCS) in motorcyclists

Objective: The present study aimed to investigate the validity and reliability of the Persian version of brief self-control scale (BSCS) in Iranian motorcyclists.Methods: The original English questionnaire of BSCS has been translated into Persian using the direct-reverse approach. A total of 130 motorcyclists aged 18–65 years old in Iran–Kashan completed the questionnaire. Validity was determined by content validity methods, structural validity through factor analysis, and also the convergence and divergence validity using Spearman correlation coefficient. The intra class correlation coefficient (ICC) was calculated to estimate the reliability of the self-control tool. Reliability was calculated using Cronbach's alpha.Results: The mean and standard deviation of the age at the time of study was 38.5 ± 13.5 years old and all of the subjects were male. Cronbach's alpha coefficient of the whole questionnaire (BSCS) was 0.81, which was good in this regard. The ICC coefficient was 0.88 with confidence interval of (0.8–0.93), which confirmed the repeatability of this tool. Exploratory factor analysis (EFA) yielded a two-factor solution accounted for 42% of the observed variance.Conclusion: This study showed that Persian version of BSCS has a good reliability and validity for self-control in the Persian language community.Key pointsThe Brief Self-Control Scale (BSCS) has good internal consistency.The Brief Self-Control Scale (BSCS) has acceptable reliability.Brief Self-control Scale (BSCS) has acceptable validity and reliability in the population studies.

Validity and Reliability of Persian Version of the Patient-Doctor Relationship Questionnaire among Iranian Population in Primary Care

Validity and Reliability of Persian Version of the Patient-Doctor Relationship Questionnaire among Iranian Population in Primary Care