Valid Measurement Tool Research Articles

Adaptation into Turkish of the Social-Emotional Assets and Resiliency Scale for Preschool

The aim in this study was to adapt the Parent and Teacher Form of the Social-Emotional Assets and Resiliency Scale for Preschool, developed by Ravitch (2013) to measure the resilience of preschool children, into Turkish and to test its validity and reliability. The validity and reliability of the Social-Emotional Assets and Resiliency Scale for Preschool were tested with 335 children observed by their parents and 276 children observed by their teachers, selected by random sampling from the population. Confirmatory factor analysis was performed with the software package LISREL v. 8.80. The analysis confirmed the three-factor structure of the scale. When the coherence indices of the scale were examined, it was seen that model data coherence was achieved. The internal consistency coefficient for the Self-Regulation/Social Competence subdimension was .86, for the Understanding/Expressing Emotions subdimension was .83, and for the Empathy/Responsibility subdimension was .83. The scale form consisting of three dimensions and 27 items was designed as a four-point Likert type. Based on the analyses performed, the Social-Emotional Assets and Resiliency Scale for Preschool is a valid and reliable measurement tool within the scope of parent and teacher evaluations of 60- to 72-month-old Turkish children with its three-dimensional and 27-item structure.

Turkish Adaptation of Stadium Atmosphere Scale: A Comparison of Football Spectators and Fans

This study aimed to test the Turkish adaptation of the Stadium Atmosphere Scale (STAS) and reveal its psychometric properties. We collected data from 324 football spectators and fans, which were selected using the convenience sampling method. We carried out four different tests for Turkish adaptation and psychometric properties of the scale after performing Turkish language co-validation. The CFA analysis with varying configurations of the model revealed that the construct of the STAS fit well in both the correlated factor model and the hierarchical model and best fit the data collected from the Turkish population. Additionally, we tested measurement and structural invariance to examine if the scale was also performed for spectators participating for different purposes in the same way and determined that the relevant scale preserved its basic structure in both football spectators and fans and that the scale could be used as an appropriate measurement tool. These results demonstrated that the STAS would be used as a valid and reliable measurement tool for the population in Turkey.

Development and validation of a photograph-based instrument to assess nutrition literacy: The NUTLY project

Most instruments measuring nutrition literacy evaluate theoretical knowledge, not necessarily reflecting skills relevant to food choices. We aimed to develop and validate a photograph-based instrument to assess nutrition literacy (NUTLY) among adults in Portugal. NUTLY assesses the ability to distinguish foods with different nutritional profiles; from each of several combinations of three photographs (two foods with similar contents and one with higher content) participants are asked to identify the food with the highest energy/sodium content. The NUTLY version with 79 combinations, obtained after experts/lay people evaluations, was applied to a sample representing different age, gender and education groups (n = 329). Dimensionality was evaluated through latent trait models. Combinations with negative or with positive small factor loadings were excluded after critical assessment. Internal consistency was measured using Cronbach's alpha and construct validity by comparing NUTLY scores with those obtained in the Medical Term Recognition Test and the Newest Vital Sign (NVS), and across education and training in nutrition/health groups. The cut-off to distinguish adequate/inadequate nutrition literacy was defined through ROC analysis using the Youden index criterion, after performing a Latent class analysis which identified a two-class model to have the best goodness of fit. Test-retest reliability was assessed after one month (n = 158). The final NUTLY scale was unidimensional and included 48 combinations (energy: 33; sodium: 15; α = 0.74). Mean scores (±standard deviation) were highest among nutritionists (39.9 ± 4.4), followed by health professionals (38.5 ± 4.1) and declined with decreasing education (p < 0.001). Those with adequate nutrition literacy according to NVS showed higher NUTLY scores (37.9 ± 4.3 vs. 33.9 ± 6.9, p < 0.001). Adequate nutrition literacy was defined as a NUTLY score≥35 (sensitivity: 89.3%; specificity: 93.7%). Test-retest reliability was high (ICC = 0.77). NUTLY is a valid and reliable nutrition literacy measurement tool.

Assessment of confidence in medical writing: Development and validation of the first trustworthy measurement tool.

The popularity of medical writing workshops highlights the need for a standard measurement tool to assess the impact of such workshops on participants' confidence in: 1- writing a standard article and 2- using optimal English language. Because such an instrument is not yet available, we undertook this study to devise and evaluate the first measurement tool to assess such confidence. We created an item pool of 50 items by searching Medline, Embase, and Clarivate Analytics to find related articles, using our prior experience, and approaching the key informants. We revised and edited the item pool, and redundant ones were excluded. Finally, the 36-item tool comprised two domains. We tested it in a group of workshop applicants for internal consistency and temporal reliability using Cronbach's α and Pearson correlations and for content and convergent validity using the content validity index and Pearson correlations. The participants had a mean age of 40.3 years, a female predominance (74.3%), and a majority of faculty members (51.4%). The internal consistency showed high reliability (> 0.95). Test-retest reliability showed very high correlations (r = 0.93). The CVI for domain 1 was 0.78, for domain 2 was 0.73, and for the entire instrument was 0.75. This unique, reliable, and valid measurement tool could accurately measure the level of confidence in writing a standard medical article and in using the appropriate English language for this purpose.

피지컬 리터러시(Physical Literacy) 측정 도구 PPLI(Perceived Physical Literacy Instrument)의 타당성 연구: 한국 중학생 대상

Objectives The purpose of this study was to investigate validation of the Korean PPLI questionnaire, which can measure an individual’s perceived Physical Literacy, for middle school students in South Korea.&#x0D; Methods The subjects consisted of 608 students (male: 317 and female: 291) from the 1st to 3rd grade at five public middle schools in D Metropolitan City of Korea. The Korean PPLI scale for this study was completed through translation, reverse translation, and content review by expert groups. For data analysis, descriptive statistics, confirmatory factor analysis, construct validity analysis were performed, using SPSS 26 and AMOS 27 statistical program.&#x0D; Results The results showed that first, the total score of the study participants ranged from 10 to 44 points, with a mean of 33.11 and male students had higher average scores than female one in all sub-factors. Second, the results of CFA, Chi-square (x2=146.233, df=24, p&lt;.001), RMSEA=0.092, RMR=0.51, GFI=0.948. IFI=0.947, TLI=0..921, CFI=0.947 showed acceptable model fit. And as a result of examining the factor structures, the three-factor model outperformed alternative models. Third, as a result of the convergent validity analysis, the factor loading (0.59-0.91) of all items meet the criterion (&gt;0.5), AVE value ranged from 0.361 to 0.651, and CR value ranged from 0.629 to 0.847. And as a result of the discriminant validity analysis, factor 1 and factor 3 were judged appropriate under the two discriminant conditions, but factor 2 was judged inappropriate due to the low AVE value in the first discrimination condition (AVE&gt;r 2).&#x0D; Conclusions Based on the results of this study, the Korean PPLI questionnaire scale was a valid and reliable measurement tool among Korean adolescents. Therefore, it is expected to be used as a useful tool for understanding the perceived Physical Literacy of Korean adolescents.&#x0D;

Psychometric properties of the German version of the Pre-loss Grief Questionnaire (PG-12-R)

This study aimed to develop a German version of the revised Pre-loss Grief Questionnaire (PG-12-R) and examine its factor structure, reliability and validity. The PG-12-R was assessed in a representative German sample (N = 2,515). Of these, 362 (14.4%) reported to have a loved one suffering from an incurable disease and 352 provided full data sets. Principal component factor analysis, scree-plot and parallel analysis were conducted. Results supported a one-factor model of PG-12-R with high internal consistency. Convergent validity was confirmed by negative correlations with psychological well-being and time since diagnosis and positive correlations with a more difficult perception of circumstances surrounding the illness and unpreparedness. The German version of the PG-12-R represents a reliable and valid measurement tool of pre-loss grief. It may be used as a screening measure for high levels of pre-loss grief to identify individuals who may need additional support.

Validity of the multidimensional assessment profile of disruptive behavior in autistic toddlers.

Early measurement of atypical disruptive behavior within autistic children is critical for later referrals to behavioral screenings, diagnoses, and services. Disruptive behavior in autistic toddlers is often measured using a categorical approach and identifies the presence or absence of behavior. In contrast, dimensional approaches evaluate behavior on a spectrum of typical to atypical by measuring the clinical salience of disruptive behavior. We sought to assess the validity of the Infant/Toddler version of the multidimensional assessment profile of disruptive behavior (MAP-DB-IT), a dimensional approach measurement tool, in a sample of autistic toddlers. Autistic toddlers (n=82, M age=33.2months, SD=6.28months) and their mothers received 8weeks of caregiver-mediated social communication intervention. Mothers completed the MAP-DB-IT and the Infant Toddler Social Emotional Assessment (ITSEA) across three timepoints: before intervention, immediately after intervention, and at 3months post-intervention follow-up. The MAP-DB-IT provided scores for three subdomains: temper loss, noncompliance, and aggression (generically or specifically with siblings). Ratings on the MAP-DB-IT were compared to the ITSEA using several analytic strategies such as evaluating (a) the internal consistency of the MAP-DB-IT domain scores; (b) the convergent validity between the two measures; and (c) its convergent change due to intervention and if this varied by child characteristics. The MAP-DB-IT demonstrated excellent internal consistency across all four subdomains. We evaluated convergent validity and found positive correlations between the (a) ITSEA externalizing and MAP-DB-IT aggression domain, (b) ITSEA externalizing and MAP-DB-IT aggression with siblings domain, and (c) ITSEA dysregulation and MAP-DB-IT temper loss domain. The MAP-DB-IT is a valid measurement tool for disruptive behavior in autistic toddlers. Clinicians should consider the use of the MAP-DB-IT for young autistic clients presenting with disruptive behavior to (a) discriminate between early developmentally appropriate tantrums from clinically salient dysregulation, and (b) refer to additional behavioral evaluations and services.

Psychometric properties and item response theory analysis of the Persian version of the social pain questionnaire.

Social pain is an emotional reaction which is triggered by social exclusion and has been extensively investigated in the literature. The Social Pain Questionnaire (SPQ) is a self-report instrument which is the only scale for measuring social pain as a dispositional factor. The current study aimed at examining the psychometric properties of the SPQ in an Iranian sample. A sample of participants (N = 400) was recruited in a cross-sectional validation study. Exploratory Factor Analysis (EFA) as well as Confirmatory Factor Analysis (CFA) were conducted. The Item Response Theory (IRT) model parameters were evaluated and item response category curves were presented. Convergent and divergent validities as well as the reliability (by using Cronbach's alpha coefficient) were also assessed. The SPQ's unidimensionality was affirmed (RMSEA = 0.078; CFI = 0.915; TLI = 0.99) and its internal consistency was robust (Cronbach's α = 0.94). The correlation between the SPQ and the following measures endorsed its divergent and convergent validity: Self-esteem (r = -0.424), Perceived Social Support (r = -0.161), and Interpersonal Sensitivity (r = 0.636). Finally, Item Response Theory Analysis emphasized the effectiveness of the SPQ items in discerning various levels of social pain. The theta level ranged between -1 and + 1.2 and the IRT-based marginal reliability was 0.92 for the total score. The Persian SPQ stands as a reliable and valid measure for evaluating social pain. This scale has the potential to stimulate further research in the field for both clinical and non-clinical settings. By employing Item Response Theory (IRT) analysis, we have transcended the theoretical psychometric evaluation of the SPQ scale and demonstrated that SPQ is a unidimensional, valid and reliable measurement tool.

Pelvic floor muscle training patient reported Outcome Measures (PROM) (PFMT-P): Turkish adaptation and its validity and relibiality

ObjectiveAlthough there are several patient reported outcome measures (PROM) regarding knowledge, source of knowledge and practice about pelvic floor muscle training (PFMT), there is a lack of a valid and reliable PROM that includes the practice component of PFMT along with knowledge and source of knowledge. There is no valid and reliable measurement tool in Turkish used for this purpose. In this context, the aim of our study is to evaluate the psychometric properties of Pelvic Floor Muscle Training Patient Reported Outcome Measures (PROM) (PFMT-P) and to test whether it is a valid and reliable measurement tool for Turkish women. Study designThis study has been carried out psychometric testing (validity and reliability) of a new assessment tool concerning PFMT-P. A total of 170 female healthcare professionals (midwives, nurses, doctors, physiotherapists) who were between the ages of 23 and 49 and who volunteered to participate were included in the study. SPSS 25.0 and LİSREL 8.80 statistical programs were used for the analysis of data. Descriptive statistics were evaluated with numbers, percentages and means. Content validity index and confirmatory factor analysis were used for validity. Cronbach Alpha value and test–retest were used for reliability. Level of significance was p < 0.05. ResultsContent validity index (CVI) was found to be 0.96 for the overall scale. Model fit indices were found as perfect and good matched. Cronbach’s alpha coefficient was found as 0.813 for the overall scale. Test-retest correlation was found as 0.658, it was 0.998 for practice component and 0.997 for source of knowledge component and a positive, significant and high correlation was found. ConclusionsIt has been determined that PFMT-P is a valid and reliable measurement tool suitable for Turkish culture. With this, it is a short, comprehensive and useful tool that can be used in both pregnancy and the postpartum period for women of reproductive age or menopause.

The Turkish version of nursing practice readiness scale: Cross-cultural adaptation and psychometric evaluation.

This study aims to adapt the "Nursing Practice Readiness Scale" to Turkish culture, and evaluate its psychometric properties. New graduates' nursing practice readiness can impact their work adaptation and performance. The research employed a methodological design. Data were collected between May and July 2022. The sample consisted of 436 newly graduated nurses. Content validity, construct validity and criterion validity were evaluated. Reliability was examined with adjusted item-total correlation, Cronbach's a coefficient, composite-reliability and split-half reliability. The Turkish version of Nursing Practice Readiness Scale was found to have good content and criterion validity. As a result of confirmatory factor analysis, the original five-factor structure of the scale was also confirmed for the Turkish version. The scale's overall Cronbach's α coefficient was determined to be 0.96, with subscale coefficients ranging from 0.73 to 0.94. The composite reliability values of the subscales were found between 0.75 and 0.94. In split-half reliability, the correlation coefficient between half was 0.952, with a Spearman-Brown Coefficient (Unequal Length) of 0.976. The Turkish version of Nursing Practice Readiness Scale is a valid and reliable measurement tool for evaluating the nursing practice readiness of newly graduated nurses.

Development and Psychometric Testing of the Fathers’ Self-Efficacy Scale for Newborn Care

PurposeFathers' involvement in newborn care positively affects both work sharing between parents, newborn quality of life and the relationship between father and newborn. However, there is no valid and reliable measurement tool to evaluate fathers' self-efficacy levels for newborn care. This study aimed to develop the fathers' self-efficacy scale for newborn care (FSSNC) and to examine its psychometric properties. MethodsThis study is an instrument development and validation study. After a comprehensive literature review, expert opinion, and pilot application stages, an item pool was developed. For validity and reliability analyses, data were collected between March and December 2022 from 442 individuals, including fathers with newborn babies and expectant fathers whose partners are pregnant. Validity assessments included content, exploratory and confirmatory factor analyses, and convergent validity. The scale was also evaluated for its internal consistency, and two-half-test reliability. In this study, the STROBE checklist was used as a guideline. ResultsThe final version of the scale consisted of three subdimensions (hygiene, safety, and nutrition). The total number of items is 17. Confirmatory factor analysis results confirm the results of exploratory factor analysis. There was a strong correlation between the scale score and the participants' self-assessment score. ConclusionsThe study demonstrates that the FSSNC was a valid, reliable, and user-friendly measurement tool used to evaluate fathers’ self-efficacy regarding hygiene, safety, and nutrition in newborn care.

Increasing food insecurity severity is associated with lower diet quality in Australian adults

Food insecurity, the inadequate or insecure access to food due to financial constraints, is a growing concern in high-income countries like Australia(1). Food insecure adults may have reduced diet quality due to constraints on food purchasing and consumption(2) but further research is needed to understand how the severity of food insecurity impacts diet quality in an Australian setting. This study aimed to examine the relationship between diet quality and increasing severity of household food insecurity using validated measurement tools. A cross-sectional, online survey of Australian adults (aged 18 years+) used the USDA Household Food Security Six-item Short Form to classify respondents as food secure or marginally, moderately, or severely food insecure. The Australian Recommended Food Score (ARFS; score between 0–73) determined diet quality (ARFS total) and sub-scale scores for eight food groups(3), with higher scores indicating higher diet quality. Diet quality score results are further categorised as “needs work” (&lt;33), “getting there” (33-38), “excellent” (39-46) or “outstanding” (47+). Survey-weighted linear regression (adjusted for age, sex, income, education, location, household composition) analyses indicate that 45% of participants were living in households that experienced food insecurity, comprising 7% marginally, 18% moderately and 20% severely food insecure households. The ARFS total survey-weighted mean score for the whole sample (n = 804) was 32.4 (SD = 9.8). As the severity of household food insecurity increased, ARFS scores decreased. Marginally food insecure respondents reported a mean ARFS score three points lower than food-secure adults (B=-2.7; 95%CI [−5.11, −0.34]; p = 0.03), and scores reduced by six points for moderately (B=-5.6; 95%CI [−7.26, −3.90]; p&lt;0.001) and twelve points for severely food insecure respondents (B=-11.5; 95%CI [−13.21, −9.78]; p&lt;0.001). Marginally food insecure respondents had significantly lower vegetable sub-scale scores, moderately food insecure respondents had significantly lower sub-scale scores for all food groups except dairy, severely food insecure respondents had significantly lower scores for all sub-scale scores. Poorer diet quality is evident in adults living with any food insecurity but gets progressively worse as the severity of food insecurity increases. Interventions to reduce food insecurity and increase diet quality are required to prevent adverse nutrition-related health outcomes in food-insecure populations in Australia and beyond.

Balance Problems in the Elderly with Diabetes Mellitus: A Literature Review.

Diabetes mellitus (DM) is a syndrome of chronic metabolic disease which leads to all kinds of complications. Elderly people with DM have significantly higher fear of falling and balance problem scores as compared to those who did not have DM. This literature review aims: (1) to determine the risk factors for balance disorders in the elderly population with DM, (2) to describe valid and reliable balance measurement tools in the elderly population with DM, and (3) to describe the nonpharmacological management in dealing with balance disorders in the elderly population with DM. Several risk factors that cause balance disorders in the elderly with DM are related to complications of the disease they suffer, such as diabetic peripheral neuropathy, decreased sensory abilities, decreased motor skills, and decreased cognitive condition of the elderly with DM. Measuring instruments that can be used in the elderly population with DM to assess balance include the Mini-Balance Evaluation Systems Test, the Berg Balance Scale, and computerized measuring instruments with center of pressure analysis. Several nonpharmacological interventions are suggested in overcoming balance problems in the elderly with DM, including a combination of balance exercise and gait training, strength or resistance training, aquatic exercise, tai chi, yoga, technology-based exercise, electrotherapy, use of insoles, and whole-body vibrations.

Characteristics of strong midwifery leaders and enablers of strong midwifery leadership: An international appreciative inquiry

ObjectivesThis research aimed to identify the characteristics of strong midwifery leaders and explore how strong midwifery leadership may be enabled from the perspective of midwives and nurse-midwives globally. DesignIn this appreciative inquiry, we collected qualitative and demographic data using a cross-sectional online survey between February and July 2022. SettingResponses were received from many countries (n = 76), predominantly the United Kingdom (UK), Australia, the United States of America (USA), Canada, Uganda, Saudi Arabia, Tanzania, Rwanda, India, and Kenya. ParticipantsAn international population (n = 429) of English-speaking, and ethnically diverse midwives (n = 211) and nurse-midwives (n = 218). MeasurementsReflexive thematic analysis was used to make sense of the qualitative data collected. Identified characteristics of strong midwifery leadership were subsequently deductively mapped to established leadership styles and leadership theories. Demographic data were analysed using descriptive statistics. FindingsParticipants identified strong midwifery leaders as being mediators, dedicated to the profession, evidence-based practitioners, effective decision makers, role models, advocates, visionaries, resilient, empathetic, and compassionate. These characteristics mapped to compassionate, transformational, servant, authentic, and situational leadership styles. To enable strong midwifery leadership, participants identified a need for investment in midwives’ clear professional identity, increased societal value placed upon the midwifery profession, ongoing research, professional development in leadership, interprofessional collaborations, succession planning and increased self-efficacy. Key conclusions and implications for practiceThis study contributes to understandings of trait, behavioural, situational, transformational and servant leadership theory in the context of midwifery. Investing in the development of strong midwifery leadership is essential as it has the potential to elevate the profession and improve perinatal outcomes worldwide. Findings may inform the development of both existing and new leadership models, frameworks, and validated measurement tools.

Factors of Self-Care Agency in Patients with Inflammatory Bowel Disease in Japan

Introduction: Currently, no self-care measurement tool specific to inflammatory bowel disease (IBD) exists in Japan. The Instrument for Diabetes Self-care Agency (IDSCA) is a reliable and valid self-care measurement tool for patients with diabetes. Factors affecting self-care ability assessed by IDSCA appear to meet the requirements for patients with IBD. Therefore, we created a self-care ability measurement tool adapted from IDSCA as an original draft for the Instrument for IBD Self-care Agency and extracted factors and items required to measure the self-care ability of patients with IBD. Methods: An anonymous questionnaire survey was distributed among 226 patients. Exploratory factor analysis examined the relationship of factors from multiple perspectives, identified factors based on their content, and confirmed their internal consistency. Statistical analyses were performed using JMP® 14.0.0. Results: Five factors with 23 items were extracted from the IDSCA, including ability to build a human support system, ability to acquire knowledge, ability to maintain self-care, ability to self-manage, and ability to self-assess. Cronbach’s alpha was 0.765–0.861 for each factor and 0.904 for the entire scale. Conclusion: We could identify the self-care agencies of patients with IBD, including 5 factors and 23 items. Focusing on these self-care factors may provide critical information to guide nurses’ self-care interventions.

Turkish validity and reliability of the Premenstrual Change Coping Inventory.

This study was conducted to investigate the validity and reliability of the Turkish version of the Premenstrual Change Coping Inventory (PMS-Cope). A total of 170 women who met the inclusion criteria were included in the methodological study. Data were collected between the dates of November 5, 2018 and May 5, 2019 with personal information form, PMS-Cope Turkish version, and Premenstrual Syndrome Scale. The PMS-Cope was obtained through the translation-back translation method and the content validity was obtained according to expert opinions. After the factor analysis, the Turkish version of the PMS-Cope consisted of three sub-dimensions as in the original scale. The factor loadings of the three-dimensional scale ranged from 0.46 to 0.84, and the explained variance (60.329%) was at the desired level. As a result of structural equation modeling; ×2/SD values of the scale were found to be 4.19, GFI 0.93, AGFI 0.91, CFI 0.95, RMSEA 0.079, and SRMR 0.082, and this scale was acceptable. The Cronbach alpha coefficient of the PMS-Cope was 0.86. It was determined that item-total score correlations were higher than 0.30 in all items of PMS-Cope and there was no need to remove items from the scale. When the mean scores of the lower 27% and upper 27% of the scale were compared, a statistically significant difference was found between the groups (p < 0.05). The PMS-Cope score was 41.04 ± 8.99. It was determined that the Turkish version of the PMS-Cope was a valid and reliable measurement tool.

The development and psychometric analysis of Uskudar family perception and attitudes scale

Today, the increasing use of digital media transforms relationships, family perceptions and attitudes. This situation poses a risk to the family institution and children. In this context, measurement tools aimed at determining family perceptions and attitudes should be reconsidered in current studies. The aim of this study was to develop a valid and reliable measurement tool that can measure family perceptions and attitudes dimensionally. The sample of the research consisted of 495 participants in Turkey. As a result of the study, 3-dimensional (Family concept, Fears affecting relationships, Individualization and freedom) and 20-item Uskudar Family Perception and Attitudes Scale (USFPAS) was developed. The scale explained 51.18% of the total variance. The Cronbach Alpha value of the scale was found to be .75. In the modeling and confirmatory factor analysis study, goodness of fit values was found to be in acceptable range. According to the results of psychometric analysis: (1) Women have higher fears that affect family relationships than men, (2) As daily social media use increases, the level of individualization and freedom increases, and family perception and attitude levels decrease, (3) Those who have children have higher fears that affect relationships than those who do not, and their perceptions of individualization and freedom are lower. The valid and reliable scale developed in this research will provide concrete data to the literature.

Measurement invairance and construct validity of the Turkish version of the learner autonomy scale in a sample of high and secondary school students

The goal of this research is to adapt the 24-item "Learner Autonomy Scale" developed by Sereti and Giossos (2018) in higher education samples into Turkish by examining the psychometric properties of high school and secondary school samples, and to determine whether these groups are equivalent in terms of measurement invariance. The scale was applied in high school (n = 475) and secondary school (n = 395) samples consisting of 870 students. Different from the original four-factor scale form, EFA applied to both groups revealed a two-factor (factor load range: .308-.775) and 21-item. Correlation values (r = .209-.392, p˂.001) indicate that the factors are not strongly related. The factors produced adequate internal consistency coefficients (α = .706-.866; ω = .708-.871) and were validated by meeting the fit indices accepted in the literature for CFA. Measurement invariance tests revealed strong invariance for the structural and metric tests and partial invariance for the scalar test in high school and secondary school samples. More research is needed to determine why the intersections of items 19, 20, and 21 are not invariant. The main contribution to "learner autonomy" in this study is the adaptation and justification of a valid and reliable measurement tool for determining autonomy in the adolescent age group. The use of the adapted scale in different educational environments and in the examination of "autonomy" by adapting it specific to the field (science, mathematics, etc.) will provide important implications for further theoretical studies.

A virtual reality environment for supporting mental wellbeing of students on remote clinical placement: A multi-methods evaluation

BackgroundNursing and Allied Health Profession (NAHP) students undertake clinical placements as part of their pre-registration training. The remote nature of some placement sites, shiftwork and the emotionally challenging nature of the workload has led to mental wellbeing issues in many students. AimThis project aimed to evaluate a novel 3D immersive virtual reality environment that supports mental wellbeing for NAHP students on clinical placement. It comprises a calming 3D tropical beach environment where students and tutors can meet for reflection and mutual support. DesignA multi-methods design gathered quantitative impact data with validated measurement tools and qualitative output related to the lived experience of students. Settings and participantsAll 600 pre-registration NAHP students within the institution undertaking clinical placements were invited to participate, irrespective of mental wellbeing status. Students were randomly assigned to either a VR or Conventional cohort; all participants received the control support mechanism in a subsequent placement. MethodsAll participants completed an initial demographic and Readiness for Therapy survey followed by weekly Beck Anxiety and Depression Inventories during placement. All participants were invited to a semi-structured interview. ResultsOverall, 32 participants engaged with the application; although the VR cohort demonstrated improved scores on both Beck inventories, these were not statistically significant. This is probably due to the low response rate for the control cohort. A total of 15 interviews were conducted and several themes emerged from the data in relation.to both experiential outcomes (escapism, anonymity and sense of community) and instrumental outcomes (calming, mindfulness and combatting loneliness). ConclusionsUser feedback indicates that a VR environment can provide a calming escape from the pressures and anxiety arising from clinical placement for healthcare students. The relaxing beach environment facilitated mindfulness meditation and the additional opportunities for pseudo-anonymous interactions with peers and tutors were wellreceived by students.

Perceived Physical Literacy Scale for Secondary School Students: A Study on Validity and Reliability

The purpose of this research is to develop a physical literacy scale for secondary school students. 650 students from 5th, 6th, 7th and 8th grades participated in the research. The draft form was prepared by reviewing the literature and taking expert opinions. Interviews were conducted with 40 students to test the comprehensibility of the items (the wording of 5 items was revised). As a result of the pilot reliability analysis and Bartlett's sphericity test, it was accepted that the correlation between the variables was sufficient, and the scale consisted of questions with a unique and homogeneous structure. Then, Kaiser-Meyer-Olkin, Bartlett and Cronbach Alpha values were checked, and they were determined to be suitable and sufficient for EFA. As a result of EFA, 20 items collected in 4 factors were obtained. The variance explained by these factors is 58.442%. As a result of the CFA conducted in SPSS AMOS 24 programme, 3 items that did not meet the model fit index criteria were removed. It was determined that the standardized item loadings of the 17 items that met the model fit conditions ranged between 0.654-0.895, R2 values ranged between 0.43-0.80 and standard errors ranged between 0.045-0.102. Regarding reliability, AVE, CR, and internal consistency coefficients were examined, and it was determined that they meet the specified criteria. The final version of the scale consists of four sub-dimensions ("Motivation", "Knowledge and Understanding", "Confidence" and "Physical Competence"). In conclusion, it was determined that the developed scale is a valid and reliable measurement tool for assessing students' perceptions of physical literacy.