Unidimensional Construct Research Articles

Assessing the Construct Validity of the Adult ADHD Self-report Scale for DSM-5 and Prevalence of ADHD in a Danish Population Sample.

This study examines the validity of the ASRS-5 as a new screening tool for ADHD and evaluates its proposed screening cut-off in a general population context. A nationally representative sample of 2,002 individuals aged 18 to 80 years was surveyed using the ASRS-5, with complete data obtained from 714 participants. Psychometric analysis evaluated fit to the Rasch model, response categories, dimensionality, differential item functioning, local dependency, and reliability. A cut-off score of 14, based on a simple additive scale, was applied. The ASRS-5 generally conformed to the expectations of the Rasch model. However, disordered response categories were observed for item 6, and gender-related differential item functioning was noted in items 3, 4, and 6. The ASRS-5 demonstrated a unidimensional construct, and a cut-off score of 14 identified 6.0% of the sample as potential ADHD cases. Although the ASRS-5 aligns well with the Rasch model, certain measurement challenges exist. The recommended cut-off score effectively identifies an ADHD prevalence consistent with the 6.5% reported in the original ASRS-5 study.

A dimensionalised privacy behaviour model: an empirical test of a conceptual proposition

ABSTRACT Privacy research struggles with modelling how individuals value and enact privacy, and faces challenges in explaining apparent contradictions such as the privacy paradox and manifestations of privacy-related disempowerment. Such uncertainties arise from the use of unidimensional privacy constructs or through assumptions that privacy-related decisions are rational or intentional. Addressing these lacunae, we present and empirically test the Dimensionalised Privacy Behaviour (DPB) model, which simultaneously examines the relationships between privacy concerns and privacy-protecting behaviours (PPB) along privacy’s horizontal and vertical orientations, and introduces online privacy literacy and privacy self-efficacy as additional explanatory mechanisms in PPB modelling. Using data from a representative sample of 618 US social media users, we demonstrate that the privacy concerns/privacy behaviours dynamic is better understood along its vertically – and horizontally-oriented dimensions, and that each dimension interacts differently with explanatory elements. Furthermore, while affirming the established logic between privacy concerns and PPB, these results highlight privacy self-efficacy as a significant factor for explaining PPB, with differing effects in each dimension.

Psychometric properties of the health literacy questionnaire tested in Vietnamese adults with chronic diseases.

The Health Literacy Questionnaire (HLQ) is an increasingly used health literacy instrument that has been translated into many languages. The HLQ has 44 items and comprises 9 scales assessing the multidimensional construct of health literacy. This study reports the HLQ reliability and construct validity tested in people with chronic diseases living in Vietnam. Adults (n = 600) hospitalized with chronic disease in Vietnam completed the HLQ. Floor and ceiling effects, item, and scale difficulty levels were assessed. Generalized linear models with backward modeling techniques were performed to test key variables associated with each HL domain. Confirmatory factor analyses (CFA) testing nine one-factor models were fitted to test the structure of each scale, and a nine-factor model tested the hypothesized structure of the HLQ, followed by the calculation of scale reliability using Cronbach's alpha. No item had floor effects, and only eight items showed ceiling effects. Two scales that had the most difficult tasks to complete (highest difficulty level) were 8 "Ability to find good information" and 9 "Understanding enough to know what to do". Variables associated with health literacy were education, income, age, residential area, main support persons and comorbidity index (associated with 7, 7, 4, 3, 2 and 2 out of 9 scales, respectively). Each HLQ scale demonstrated a robust unidimensional construct with all CFI ≥ 0.95, RMSEA varied from 0 to 0.07. The nine-factor CFA model demonstrated satisfactory fit indices: X2 = 5537.4, 866 df, p < 0.001, CFI = 0.98, NFI = 0.98, RMSEA = 0.09, 90% CI (0.093, 0.097), PCLOSE < 0.001. The highest scores were rated on scales 4 "Social support for health" and 6 "Ability to engage with healthcare providers". The reliability of all nine scales ranged from 0.81 to 0.89. The Vietnamese version of the HLQ demonstrated psychometrically robust properties with high reliability and satisfactory construct validity indexes. This instrument will enable researchers, clinicians, and policymakers to assess health literacy abilities in Vietnam which could inform improvements in healthcare services and clinician practice.

Life satisfaction around the world: Measurement invariance of the Satisfaction With Life Scale (SWLS) across 65 nations, 40 languages, gender identities, and age groups.

The Satisfaction With Life Scale (SWLS) is a widely used self-report measure of subjective well-being, but studies of its measurement invariance across a large number of nations remain limited. Here, we utilised the Body Image in Nature (BINS) dataset-with data collected between 2020 and 2022 -to assess measurement invariance of the SWLS across 65 nations, 40 languages, gender identities, and age groups (N = 56,968). All participants completed the SWLS under largely uniform conditions. Multi-group confirmatory factor analysis indicated that configural and metric invariance was upheld across all nations, languages, gender identities, and age groups, suggesting that the unidimensional SWLS model has universal applicability. Full scalar invariance was achieved across gender identities and age groups. Based on alignment optimisation methods, partial scalar invariance was achieved across all but three national groups and across all languages represented in the BINS. There were large differences in latent SWLS means across nations and languages, but negligible-to-small differences across gender identities and age groups. Across nations, greater life satisfaction was significantly associated with greater financial security and being in a committed relationship or married. The results of this study suggest that the SWLS largely assesses a common unidimensional construct of life satisfaction irrespective of respondent characteristics (i.e., national group, gender identities, and age group) or survey presentation (i.e., survey language). This has important implications for the assessment of life satisfaction across nations and provides information that will be useful for practitioners aiming to promote subjective well-being internationally.

Innovation potential scale (IPS): construction and validity evidence of a measure for the work context

PurposeThis article aims to develop a measure that assesses and maps the behaviors and traits of an individual with potential for innovation in the work context. To do so, it gathers evidence of factor validity and internal consistency.Design/methodology/approachIn the work context, innovation is often linked with the idea of intrapreneurship. Some experts have pointed out that intrapreneurial activities are essential for promoting innovation. However, it is not just about the activities – the key is to create an environment that supports innovation, fostering a culture where new ideas can thrive. To achieve the objectives of this research, we conducted two studies. The first study involved the construction of the innovation potential scale (IPS). In a theoretical, empirical way, the second study involved the administration of the IPS and a sociodemographic questionnaire to a sample of 621 Brazilians from 25 different occupations.FindingsThe results introduce a nine-item measure for the innovative behavior assessment, along with its validity and psychometric properties. Furthermore, the results suggest that innovation potential is a unidimensional construct. Moreover, the study highlights the role of intrapreneurship as an explanatory axiom. This concept helps to understand the entrepreneurial behavior of various professionals and managers within their work context.Practical implicationsThis study contribute with as instrument that serves as a new powerful tool for understanding of the mechanisms that lead to innovation in the work context and stimulate the innovative potential of professionals and organizations.Originality/valueThis study helps fill gaps in the literature on self-report assessment of innovative behavior. The traits linked with the construct have a contingent nature and are only potential.

Psychometric Evaluation of Perceived Internship PUA Scale: Using Rasch Analysis

ABSTRACTIn response to the prevalence of perceived internship Pick‐up Artist(PUA) behaviours and the lack of appropriate measurement tools, the purpose of this study was to develop and validate a new self‐designed questionnaire, the Perceived Internship PUA Scale (PIPUAS), to assess college student interns' perceptions of internship PUA behaviours. The scale was developed based on interviews with college student interns. A sample of 340 college student interns from a provincial university in Hebei Province, China, participated in the study. Rasch analysis was used to examine the psychometric properties of the scale, including unidimensionality, monotonicity, item fit statistics, item polarity, item‐ and person‐level reliability and separation, item hierarchy and measurement invariance across gender and birthplace. The results indicated that the PIPUAS is a unidimensional construct with good psychometric properties, although some issues need to be addressed to further improve the scale. The study's limitations and directions for future research were discussed.

Experience of Service Questionnaire (ESQ) in children and adolescents: factor structure, reliability, validity, item parameters and interpretability of the parent version for practical use in Greece

BackgroundHealth systems need tools to assess patient’s experience of service, but existing tools lack reliability and validity assessment. Our aim is to investigate the factor structure, reliability, validity, item parameters and interpretability of the parent version of the Experience of Service Questionnaire (ESQ) for practical use in Greece.MethodsA total of 265 caregivers that were using mental health services in Greece participated in this study as part of the Nationwide cross-sectional survey from the Child and Adolescent Mental Health Initiative (CAMHI). Confirmatory Factor Analysis was used to test factor structure. Reliability of all models were measured with omega coefficients. Tobit regression analysis was used to test for convergent and discriminant validity with specifically designed questions. Item parameters were assessed via Item Response Theory. Interpretability was assessed by means of IRT-based scores.ResultsWe found that ESQ is best represented and scored as a unidimensional construct, given potential subscales would not have enough reliability apart from a general factor. Convergent and discriminant validity was demonstrated, as caregivers who perceived that their child benefited from the received mental health care had 6.50 higher summed scores (SMD = 1.14, p < 0.001); while those who believed that their child needed additional help had 5.08 lower summed scores on the ESQ (SMD = −0.89, p < 0.001). Average z-scores provided five meaningful categories of services, in terms of user satisfaction, compared to the national average.ConclusionsOur study presents evidence for the reliability and validity of the ESQ and provides recommendations for its practical use in Greece. ESQ can be used to measure experience of service and might help drive improvements in service delivery in the Greek mental health sector.

Psychometric Testing of the Cross-Culturally Adapted Thai Version of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale in Caregivers of Patients With Chronic Illnesses.

To evaluate the psychometric properties of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). The CSE-CSC scale was developed congruently with the Caregiver Contribution to Self-Care of Patient with Chronic Illness Inventory (CC-SC-CII) to assess caregiver self-efficacy (CSE), the motivation factor of caregiving. Its applicability in Asian populations, including Thailand, was limited. Psychometric tests were guided by COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) principles. This included translating the English version into Thai, following the principles of good practice for the translation and cultural adaptation process for patient-reported outcome (PRO) measures. Nine nursing experts evaluated the content validity. The analysis included caregivers of patients with chronic conditions from 16 primary care centres in Thailand. We tested the structural validity using exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and concurrent validity for CC-SC-CII-v2. We tested the scale's reliability with methods for multidimensional and unidimensional constructs, the intraclass correlation coefficients (ICCs) and measurement error variance. Kappa coefficient (k = 1.00) indicated the scale's excellent content validity. The final analysis included a total of 407 samples. The EFA with the first split-half subsample (n = 194) extracted a two-dimensional structure. One reflected CSE in Maintenance and Monitoring behaviour and another captured CSE in Management behaviour. CFA with the second split-half subsample (n = 213) and the overall sample (n = 407) supported the scale's bidimensional model with high factor loadings. Each dimension and the overall CSE-CSC scale positively correlated with each scale and the overall CC-SC-CII-v2. McDonald's ω and Cronbach's α (both ranged from 0.91-0.94) indicated excellent internal reliability. Test-retest reliability showed ICCs between 0.95 and 0.96. Measurement error yielded satisfactory results. Testing of the Thai CSE-CSC scale supported validity and reliability, indicating that the scale can apply to Thai caregivers. This scale can be used in clinical practice and research to evaluate CSE in contribution to patient self-care.

Psychometric properties of the Dutch translation of the Child Self-Report Playfulness questionnaire

Playfulness represents the disposition to play and has important mental health benefits. Children’s playfulness is mainly rated by parents, teachers or trained assessors but playfulness is not always reflected in overt behavior. Fortunately, even young children are able to provide a perspective on their playfulness, as illustrated by research with the Child Self-Report Playfulness questionnaire (CSRP). This study aimed to examine the psychometric properties of the Dutch translation of the CSRP. We included 332 children (M age = 5.43 years). Internal consistency of the Dutch version of the CSRP was suboptimal at first administration and acceptable during retest. Test–retest reliability (with an interval of 8 weeks) was adequate. Confirmatory factor analyses demonstrated that a one-factor model fits the CSRP, which supports the idea that playfulness in young children is a unidimensional construct. Scores on the CSRP were not significantly correlated with scores on a parent-rated questionnaire and an observation tool measuring playfulness. Further research to discover how informant and administration discrepancies affect playfulness scores is warranted given this lack of convergence. Children’s self-perception of playfulness may complement more traditional measures such as parent reports in future research.

Latent class analysis reveals a novel phenotype of heart failure that spans the left ventricular ejection fraction range

Abstract Background It is increasingly evident that heart failure (HF) represents a heterogenous syndrome rather than a single clinical entity. The elusiveness of effective therapies for heart failure with preserved ejection fraction (HFpEF) has led to a consensus that our current, unidimensional construct of HF using only left ventricular ejection fraction (LVEF) does not adequately capture the multiplicity of the disease states. The ability to harmonize echocardiographic data from multiple sources has enabled use of unsupervised cluster-based analysis to identify multidimensional cardiac structural phenotypes. Purpose To identify cardiac structural phenotypes of HF across the LVEF spectrum. Methods We harmonized echocardiographic data from eight randomized clinical HF trials (ESCAPE, EXACT-HF, FIGHT, I-PRESERVE, NEAT-HFpEF, RELAX, STICH and TOPCAT), which included both HFrEF and HFpEF populations (total n=4223 echocardiograms). These studies collectively spanned the years 2000 through 2015 and represent a balanced LVEF distribution. Latent class analysis (LCA) was performed iteratively to identify predominant structural phenotypes using LVEF, RV function, LV end diastolic volume, LV mass index, eccentricity, mitral valve deceleration time, and lateral E/e’ ratio. Results LCA identified 4 echocardiographic phenotypes. Three phenotypes skewed toward either high or low EF, but one phenotype demonstrated a relatively even distribution of patients with HFrEF, heart failure with mildly reduced ejection fraction (HFmrEF) and HFpEF (36.0%, 21.4% and 42.7%, respectively). Patients in this phenotype had preserved RV function and left ventricular hypertrophy (97%), of which 56.8% had concentric and 43.2% eccentric LVH. E/e’ was normal in 63% of subjects. A vast majority (91%) of patients had recent-onset HF (diagnosed within the past year). There were no remarkable distinguishing comorbidities. Notable differences in biomarker profile included higher levels of troponin I, cyclic GMP and lower levels of neurohormones (aldosterone, endothelin-1, dopamine, and norepinephrine) than the other phenotypes. Conclusions This is the first cluster-based analysis to identify a quantitative structural HF phenotype of HF that is not distinguished by LVEF. While the underlying pathophysiology is unclear, most patients have recent onset HF and biomarker profiles with relatively low neurohormone activity. These features may reflect a distinct pathophysiology that could indicate a specific, targeted intervention.

The Nexus Between Green HRM Practices And Organizational Sustainability Performance

Green Human Resource Management (GHRM) is an management approach that pursues to integrate environmental perspective into conventional human resource activities. This approach is characterized by a systematic and scheduled synchronization with the organization’s environmental priorities, which is viewed as providing a balanced perspective that aligns employees with the organization’s environmental policy. Introducing, enforcing, and embracing systemic changes among employees is one of the most important GHRM objectives, as green-based activities are frequently difficult to implement. GHRM practices serve a crucial role in the context of organizational sustainable development in achieving sustainability objectives. Prior research has evaluated GHRM as a unidimensional or second-order construct consisting of three or four dimensions. However, the current study extends previous research by identifying six categories of GHRM practices and empirically evaluating the impact of each of these elements on corporate sustainability. The study collected data from 347 HR directors working in Indonesian organizations and analyzed the data using SmartPLS 3.2.8. The findings revealed that three out of the six GHRM activities were significantly related to organizational sustainability performance. The study offers theoretical and practical implications for potential researchers and HR managers, particularly in the Indonesian context.

The impact of emotional perceived value on hotel guests’ satisfaction, affective commitment and loyalty

Purpose This study aims to investigate the impact of emotional perceived value on hotel guests’ satisfaction, affective commitment and loyalty. Design/methodology/approach Data were collected from 348 respondents living in the United Arab Emirates, and hypotheses were tested using AMOS 28 and structural equation modeling. Findings This study’s unique contribution lies in its revelation that emotional perceived value directly impacts guests’ satisfaction, affective commitment and loyalty. Furthermore, it uncovers that emotional-perceived value indirectly influences loyalty through satisfaction and affective commitment. Practical implications This research underscores the importance of hotel managers prioritizing guests’ emotional perceived value in their offerings. Managers can significantly enhance guests’ satisfaction, affective commitment and loyalty by highlighting self-gratification, aesthetics, prestige, transaction and hedonics. Originality/value This study brings a fresh perspective to understanding customer perceived value (CPV). It argues that the mere emphasis on the functional aspect of CPV would likely fall short of fully comprehending specific outcomes of their experience (e.g. satisfaction-dissatisfaction, loyalty, etc.). Assessing the emotional aspect of CPV, known as emotional customer perceived value (ECPV), adds further explanations and sheds light on the understanding of the CPV concept and its impacts on consumers’ experience. Furthermore, this study emphasizes that emotional perceived value is better comprehended as a multidimensional rather than a unidimensional construct. It adds that the concept of customer value as a multidimensional concept is context-specific (i.e. dimensions vary from one service sector to another), providing a unique and valuable perspective for the luxury hotel industry.

Individual preferences in multiple goal pursuit: Reconsidering the conceptualization and dimensionality of polychronicity

AbstractWith increasing demands in work and life, successful self‐regulation of multiple goals becomes critical to the well‐being and performance of individuals and organizations. When pursuing multiple goals, individuals may use different strategies and have divergent preferences toward these strategies. Polychronicity, or the preference for multitasking over sequential tasking, has long been considered a unidimensional construct with two opposing ends. To empirically test this assumption, we reconstructed existing polychronicity items to explore a new scale that measures preferences separately and synthesizes different operationalizations of multitasking (i.e., concurrent tasking and task switching) (study 1). We found that multitasking and sequential preferences, while related, have distinct components and can co‐occur within individuals, challenging the traditional bipolar assumption (study 2). Finally, we used a behavioral task‐switching paradigm to simulate a multitasking environment. We found that consistent with past research, the preferences were not associated with behavioral performance but were associated with subjective experience (study 3). Our findings suggest that assuming multitasking and sequential preferences are completely antithetical can be an oversimplification. This research opens opportunities for future research on multiple goals.

Genetic Risk for Alcohol Use Disorder in Relation to Individual Symptom Criteria: Do Polygenic Indices Provide Unique Information for Understanding Severity and Heterogeneity?

Alcohol Use Disorder (AUD) is a heterogenous category with many unique configurations of symptoms. Previous investigations of AUD heterogeneity using molecular genetics methods studied the association between genetic liability and individual AUD symptoms at the latent level or focusing on a small number of genetic variants. Notably, these studies did not investigate potential severity differences between symptoms in their genetic analyses. Therefore, the current study aimed to examine the genetic risk for individual AUD symptom criteria by using a polygenic risk score (PRS) approach to assess the relative severity of each AUD symptom and test for associates with AUD symptoms above and beyond a unidimensional AUD construct. An AUD PRS was created using summary statistics obtained from published genome-wide association studies (GWAS), and Multiple Indicators Multiple Causes (MIMIC) models were employed to examine the effect of the PRS on overall AUD severity as well as on individual symptoms after accounting for this overall effect. The phenotypic severity of AUD symptoms was highly correlated with the genetic severity of AUD symptoms (r = 0.78). Results of MIMIC models indicated that the AUD PRS significantly predicted the AUD factor. Regression paths testing the unique, direct effects of the PRS on individual AUD symptoms, independent of the latent AUD factor, were not significant. These results imply that PRSs derived from GWAS of AUD influence symptom expression through a single genetic factor that is highly correlated with the relative severity of individual symptoms when measured at the phenotypic level. Item-level GWAS of AUD symptoms are needed to further parse heterogeneous symptom expression and allow for more nuanced tests of these conclusions.

A General Factor of Hypnotizability Revealed by Confirmatory Factor Analysis

ABSTRACT The objective of this study was to determine the model fit of a standardized hypnotizability measure in a targeted clinical sample. The Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C) was administered to 168 post-menopausal women aged 39 to 75 years. Confirmatory factor analysis was conducted, and comparative fit index (CFI) and root mean square error of approximation (RMSEA) were used to determine goodness of fit. Results indicated that the single-factor structure modeled with twelve indicators based on the individual items on the SHSS:C provided the best description of fit. Results of the present study demonstrate that the SHSS:C has a single-factor structure. These findings suggest that new scales of hypnotizability can be optimized by focusing on the use of items that correlate highly with the overall score representing the unidimensional construct of hypnotizability. The findings should be interpreted with caution due to the small sample size, and further research is needed with other populations to clarify generalizability.

Technophobia Mediates the Associations Between Age, Education Level, and Readiness to Adopt New (Health) Technology Among Aging Adults.

Current research on technophobia and readiness to adopt new technology in the aging population is often limited to the context of specific technologies and treats technophobia as a unidimensional construct. In this study, we investigate the role of demographic variables and various aspects of technophobia in determining Slovenian aging adults' readiness to adopt new technology. Partial least squares structural equation modeling revealed that age and educational level generally significantly predicted technophobia and indirectly contributed to readiness to adopt new technology via the human versus machine ambiguity dimension of technophobia. Moreover, age and human versus machine ambiguity were significant direct negative predictors of readiness to adopt new technology. Findings obtained specifically in the health sub-domain were similar. Our results have important implications for addressing the low adoption of new technology among aging adults as they provide guidance on whom should be targeted with interventions and which aspects need to be addressed.

Interactivity and identity impact learners' sense of agency in virtual reality field trips

AbstractAgency, or the capacity to take intentional actions, is considered one of the primary affordances of virtual reality (VR) for learning. VR is expected to increase learners' agency because it allows for full‐body interactivity from a first‐person perspective, giving them novel ways of interacting with the digital environment. Yet, agency in immersive learning has not been well‐studied relative to other affordances like presence, and more evidence is needed to understand how varied media and designs heighten or diminish agency. This mixed‐method study addressed this need by developing and validating measures of sense of agency with 30 high school students who used VR field trips in their engineering class over four lessons. By comparing immersive videos to video game‐like interactive graphical environments, the study illustrates some of the complexities of agency in VR. The findings indicate agency is not a unidimensional construct nor is it equivalent to full‐body interactivity in VR as learners felt some types of agency when using immersive videos. Furthermore, learners' identities moderated associations between the type of VR media and their sense of agency, and agency did not change over time as the novelty of VR waned. These results suggest VR designers should consider varied ways of interacting in VR that are beneficial for learning. They also support the use of immersive videos when the educator's goal is to increase agency over learning or focus, and provide measures and direction for future research to assess the relationship between varied types of agency, features of VR experiences and learning outcomes. Practitioner notesWhat is already known about this topic Virtual reality (VR) can enhance learning by giving learners a strong sense of presence in the virtual environment and giving them agency over their learning through novel forms of interactivity. Many studies have looked at increasing the learner's presence in VR, but fewer have assessed learners' agency. Prior work found the impact of increased interactivity on learning was mixed: sometimes it increased learning outcomes and motivation, other times it did not. What this paper adds This study develops and validates measures of learners' sense of agency within VR learning environments. This study finds that more interactivity in VR increases how much agency learners feel over their actions but not necessarily their agency over learning and attention. This study also finds variation in students' experiences of agency based on their culturally defined sense of self‐construal. Implications for practice and/or policy Practitioners interested in immersive learning technologies should consider the design of the media used rather than focusing only on the device's capability. Immersive videos may be effective tools for enhancing student agency, depending on the aims of the learning experience. Designers and educators should consider learners' identities such as self‐construal, and understand student experiences may vary.

Assessing Autonomy, Competence, and Relatedness Briefly

Abstract: The satisfaction of the psychological needs for autonomy, competence, and relatedness have been established as central components of human well-being, predictive of various positive behavioral and psychological outcomes. However, in many contexts, they need to be assessed very briefly, sometimes with just one item. Recent research has shown that well-designed single-item scales of relatively unidimensional constructs can perform surprisingly well. Accordingly, this project aimed to create and validate single-item scales for the three needs. In Study 1 ( n = 353, UK), we generated new items based on careful examination of the construct definitions and tested them alongside established multi-item need satisfaction scales. In Study 2 ( n = 335, US), we replicated these results using a shorter time span (need satisfaction yesterday). Study 3 ( n = 327, UK) compared the performance to a few other brief need satisfaction scales. In all studies, the new single items loaded excellently on respective longer scales and correlated with criterion variables at near identical levels as the longer scales. Given that the performance of the single-item scales was comparable to the established multi-item scales, they are recommended as valid and useful measures of need satisfaction for research context requiring very brief measures.

Theory of consumption value: A lens to examine the use and continual use intention of online game subscription services

Using the theory of consumption value as the theoretical framework and online game subscription as the subject, this study considered the antecedents (game motivations, fear of missing out [FoMO], and variety preference) and consequences (use and continual use intention) of the values (playing games, social, enjoyment, price, and quality) offered by subscription services. Using the partial least squares method, an empirical analysis of 412 subscribers' and 265 non-subscribers’ views at the online game subscription service level revealed the limited consequences of game motivations for the use (continual use) of online game subscription services. Perceiving FoMO as a bidimensional construct (losing-out and interactive aspects) could provide more insights into how online game players perceive subscription services. FoMO's (interactive aspect) contribution to value is more evident among non-subscribers than subscribers. For both subscribers and non-subscribers, variety preference positively contributes to numerous value types. Three value types (playing games, enjoyment, and price) contribute to the use (continual use) intention. This study augments the rather limited subscription retail literature by focusing on online game subscription services. By viewing FoMO as bidimensional instead of the usual unidimensional construct, this study found that these two FoMO types behaved differently. Moreover, this study showed that studies at the game level cannot be applied to the subscription level in a lock, stock, and barrel manner.

Experience of Service Questionnaire (ESQ) in children and adolescents: factor structure, reliability, validity, item parameters and interpretability of the parent version for practical use in Greece.

Health systems need tools to assess patient's experience of service, but existing tools lack reliability and validity assessment. Our aim is to investigate the factor structure, reliability, validity, item parameters and interpretability of the parent version of the Experience of Service Questionnaire (ESQ) for practical use in Greece. A total of 265 caregivers that were using mental health services in Greece participated in this study as part of the Nationwide cross-sectional survey from the Child and Adolescent Mental Health Initiative (CAMHI). Confirmatory Factor Analysis was used to test factor structure. Reliability of all models were measured with omega coefficients. Tobit regression analysis was used to test for convergent and discriminant validity with specifically designed questions. Item parameters were assessed via Item Response Theory. Interpretability was assessed by means of IRT-based scores. We found that ESQ is best represented and scored as a unidimensional construct, given potential subscales would not have enough reliability apart from a general factor. Convergent and discriminant validity was demonstrated, as caregivers who perceived that their child benefited from the received mental health care had 6.50 higher summed scores (SMD=1.14, p<0.001); while those who believed that their child needed additional help had 5.08 lower summed scores on the ESQ (SMD=-0.89, p<0.001). Average z-scores provided five meaningful categories of services, in terms of user satisfaction, compared to the national average. Our study presents evidence for the reliability and validity of the ESQ and provides recommendations for its practical use in Greece. ESQ can be used to measure experience of service and might help drive improvements in service delivery in the Greek mental health sector.