Version Of Scale Research Articles

Assessment of psychometric properties of the union physio-psycho-social assessment questionnaire (UPPSAQ-70) in a large sample of general hospital psychiatric outpatients

ObjectiveTo evaluate the psychometric properties of the Union Physio-Psycho-Social Assessment Questionnaire (UPPSAQ-70) among general hospital psychiatric outpatients. MethodsA total of 2000 participants responded to the survey. Factor analyses were used to test the construct validity of the scale. Convergent validity was evaluated by the correlation between UPPSAQ-70 and symptoms measured using the Chinese versions of Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Patient Health Questionnaire-15 (PHQ-15), Somatic Symptom Disorder - B Criteria Scale (SSD-12) and Pittsburgh Sleep Quality Index (PSQI). ResultsThe nine-factor model was supported (χ2 = 8816.395, df = 2309, χ2/df = 3.818, RMSEA = 0.053, CFI = 0.929). The UPPSAQ-70 showed significant correlation with the SAS (r = 0.396, P < .001), SDS (r = 0.451, P < .001), PHQ-15 (r = 0.381, P < .001), SSD-12 (r = 0.324, P < .001) and PSQI (r = 0.220, P < .001). UPPSAQ-70 and its subscales showed good internal consistency with Cronbach's alpha coefficients ranging from 0.79 to 0.96. ConclusionsThe UPPSAQ-70 was a rating scale with good construct validity and reliability, which can measure overall health in the biological, psychological, and social domains for Chinese psychiatric outpatients, but its convergent validity still requires further empirical research.

Translation and cultural adaptation of the COVID-19 Yorkshire Rehabilitation Scale into German.

Experts estimate that in up to 10% of the infected, SARS-CoV-2 would cause persistent symptoms, activity limitations and reduced quality of life. Referred to as long COVID, these conditions might, in the future, specifically impact German-speaking countries due to their higher rates of unvaccinated people compared to other Western countries. Accurate measurement of symptom burden and its consequences is needed to manage conditions such as long COVID, and several tools have been developed to do so. However, no patient-reported instrument existed in the German language at the time of writing. This study, therefore, aimed to develop a German version of the COVID-19 Yorkshire Rehabilitation Scale (C19-YRS). We conducted a translation and qualitative evaluation, including cultural adaptation, of the C19-YRS and assessed its face validity. After creating a preliminary version, 26 individuals (14 women [53%]) participated in cognitive interviews (January 2022 to March 2022). Using cognitive debriefing interviews, we ensured the content's comprehensibility. The matrix-framework method guided the qualitative data analysis. Compared to the original English version, adaptations were necessary, resulting in changes to the introductory text, while the items for recording persistent symptoms were hardly changed. The German version of the C19-YRS is expected to support standardized long COVID care.

Male breast cancer and sexual aspects research and analysis (MASARA study): preliminary results

PurposeTo evaluate the impact of male breast cancer and its treatment on patient’s sexual function, including changes in sexual desire, performance, and satisfaction. To investigate changes in the body image experienced by male breast cancer patients and their perception in accessing healthcare in hospital facilities.MethodsWe administered three online questionnaires using Google Forms (Google LLC) to male breast cancer patients treated at our Institution from 2015 to 2023. The surveys were provided in Italian and distributed from March 1st to April 1st, 2024. A panel of one breast radiologist, one oncologist and one clinical psychologist designed a 22-item tailored survey to investigate imaging follow-up routine, sexual habits before and after treatment and perceived male breast cancer stigma. The International Index of Erectile Function and Italian version of the Body Image Scale were also administered. Replies to the three questionnaires were analyzed using descriptive statistical analysis.ResultsAlmost half of the patients completed the three questionnaires (33/70, 47%). The median age was 62 (IR 56–72). Only 27.8% were aware of male breast cancer prior to diagnosis. 86.1% (31/36) underwent regular breast imaging follow-up, with sexual activity declining during treatment. Endocrine treatment was reported by 63.9%. Discomfort was experienced, notably during interactions and communication about their condition. Erectile dysfunction was prevalent, with 18.2% reporting severe dysfunction. The average body image score was 9.1.ConclusionsOur findings emphasize the importance of comprehensive care that attends to the full spectrum of emotional and social well-being beyond medical requirements in male breast cancer patients.

Communication barriers in caring for culturally diverse patients and the cultural competence of nursing staff

Introduction: The culturally different patient is still a new task for nursing staff. In order to realise competent and effective care for a patient from a different culture, the nurse must be able to recognise her own cultural filters, communication barriers, cultural differences, the sometimes different value system and its relevance to the patient's quality of life Objective of the study: The aim of this study is to illustrate the communication barriers in caring for a culturally different patient in a selected group of nursing staff and to contrast them with the cultural competences possessed by this group. Material and method: 127 nursing staff of one of the Podkarpackie hospitals were studied. A diagnostic survey with an author's survey questionnaire and the Polish version of the Cultural Competence Scale of Medical Personnel were used. Results: Individuals with higher cultural competence in behaviour were better able to cope with communication barriers in terms of language differences and non-verbal communication. Higher cultural competence in patient-centred communication was associated with better coping with barriers in terms of cultural differences and non-verbal communication. The higher the cultural competence in practice orientation, the lower the coping with excess emotions or information and the worse the coping with the patient's culture and values conflicting with the patient's own culture and value system. Those who scored higher on the self-assessment of cultural competence simultaneously coped better with barriers concerning language differences. Those who showed higher awareness and sensitivity with regard to cultural competence coped less well with emotional excess. Conclusions: Relatively good levels of problem solving related to communication barriers are not always accompanied by full cultural competence.

Relationship between childhood trauma and postpartum psychotic experiences: the role of postnatal anxiety and depression as mediators

BackgroundPostpartum psychosis (PP) is a psychological emergency requiring rapid intervention, hospitalization and psychiatric management. However, PP has been neglected in the postpartum literature. Understanding the detrimental consequences of childhood trauma across mother’s life span is crucial to prevent this serious condition. The study’s objectives were to demonstrate the relationship between childhood trauma and postpartum psychotic experiences (PPEs) and to look over the mediating role of postnatal depression (PD) and anxiety (PA) in this relationship.MethodsThis cross-sectional study, which enrolled 438 postpartum females 4–6 weeks after delivery (mean age: 31.23 ± 5.24 years), was carried out from September 2022 to June 2023. The Arabic validated versions of the Postpartum Psychotic Experiences Scale, the Edinburgh Postnatal Depression Scale, the Perinatal Anxiety Screening Scale, and the Child Abuse Self Report Scale were used.ResultsBoth PD and PA partially mediated the correlation between psychological abuse and PPEs, and fully mediated the association between neglect and PPEs. Higher psychological abuse and neglect were significantly associated with higher PD (Beta = 1.11) and PA (Beta = 3.94), higher PD (Beta = 0.84) and PA (Beta = 0.26) were significantly associated with higher PPEs in both models, whereas greater child psychological abuse (Beta = 1.37) (but not neglect) was directly and strongly correlated with higher PPEs in all models.ConclusionThe significant mediating effect of PA and PD on the association between childhood adversities and PPEs among postpartum females may offer additional therapeutic avenues to help attenuate various postpartum mental health issues and their potential serious risks on both mother and child.

Non-linear associations between night shifts and adverse events in nursing staff: a restricted cubic spline analysis

IntroductionExisting studies suggest that the number of night shifts may impact the occurrence of adverse events. However, while this relationship is well-documented, previous research has not thoroughly examined the non-linear associations between night shifts and adverse events among nursing staff, which remains a gap in our understanding.MethodsParticipants were 1,774 Chinese nurse staff. Psychosocial characteristics were screened by The Chinese version of the multidimensional scale of perceived social support (MSPSS) for social support, the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms, the Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms. Binary logistic regression and restricted cubic splines were applied to analyze the data. The statistical software used were R version 3.6.2 and SPSS version 22.0.ResultsOver the past year, 325 cases (18.3%) were classified as adverse events. Logistic regression unveiled that social support played a protective role against adverse events, with an OR of 0.991 (95% CI: 0.983, 0.999). Furthermore, night shifts continued to surface as a substantial risk factor for adverse events, with an OR to 1.300 (95% CI: 1.181, 1.431). The restricted cubic spline regression model highlights a nonlinear relationship between night shifts and adverse events (P for non-liner < 0.001). The probability of adverse events increases with the number of night shifts, but compared to individuals working 3–4 night shifts per month, those working 5–6 night shifts per month have a lower probability of adverse events.ConclusionOur findings indicate a non-linear relationship between the frequency of night shifts and adverse events, suggesting a complex interplay of factors. This highlights the need for nursing practice and policy to consider the intricacies of night shift scheduling and explore more reasonable rostering strategies to mitigate the probability of adverse events.

The combined effect of physical exercise, pranayama, and diet on fatigue in adult cancer patients undergoing chemotherapy: a randomized controlled trial.

Cancer patients undergoing chemotherapy continue to experience significant fatigue, which affects their quality of life. The present study aims to evaluate the combined effect of comprehensive physical exercise, pranayama (regulated breathing practices of yoga), and dietary support intervention on fatigue in cancer patients undergoing chemotherapy. Non-advanced adult cancer patients undergoing chemotherapy (N = 52) were randomized into the intervention group (N = 26) or control group (N = 26). Fatigue assessment was done using the Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale (version 4) at baseline and after 3 months. The intervention group participants practiced physical exercise, slow-paced pranayama and supplemented their diet with an intake of 100 g of millet protein powder (MPP), commonly known as "Sattu" in India. The control group received standard medical care. A total of 39 patients (N = 13 in the intervention and N = 26 in the control group) were included in the statistical analysis. Within the intervention group, a statistically significant reduction in fatigue (p = 0.002) with a large effect size (d = 2.1) was observed. There was no statistically significant reduction in fatigue within the control group (p = 0.36). The group comparison showed a statistically significant reduction in post-scores of fatigue (p < 0.0001) in the intervention group as compared to the control group with a moderate effect size (R = 0.1). No unintended adverse effects related to the intervention were observed. The results suggest the potential role of integrated physical exercise, pranayama, and dietary support in reducing fatigue in cancer patients undergoing chemotherapy. Further validation with a larger sample size is required. CTRI/2022/04/041717 [Registered prospectively on 07/04/2022].

The linguistic and construct validity of the Malay version of the Coping Self-Efficacy Scale (CSES-My): Evidence from a sample of Malaysian parents of children with leukemia or lymphoma.

Parents of children with hematological cancers such as leukemia and lymphoma need to cope with stress related to their child's diagnosis. The Coping Self-Efficacy Scale is a widely used and validated tool to measure an individual's confidence in dealing with stressful situations. Appropriate translation and validation are needed to produce a localized language version suitable for Malaysian contexts. The study aimed to examine the linguistic and construct validity of the Malay version of the Coping Self-Efficacy Scale (CSES-My) among parents of children with hematological cancer. The CSES-My was created through a sequential series of steps, starting with the translation of the original English version, followed by cultural adaptation, and then cognitive interviewing. The 26-item CSES-My was self-administered in a sample of parents of children with leukemia and lymphoma from October 2021 until February 2022. They were recruited via online or face-to-face methods. Exploratory factor analysis was performed to examine the construct validity of the CSES-My. A total of 165 complete responses were analyzed. The scale has two factors, including Personal Coping and Social Coping, accounting for 58.3% of the variance. Personal Coping (19 items, Cronbach's alpha = 0.958) represented the respondents' self-efficacy for independently executing coping strategies, whether through solving problems or changing the way they think about the situation. Social Coping (6 items, Cronbach's alpha = 0.867) represented their confidence in executing coping strategies, which involved using social resources such as seeking external support, distraction, and avoiding loneliness. The CSES-My had reliable and valid psychometric properties, providing evidence for its utility in evaluating coping self-efficacy among parents of children with leukemia or lymphoma in Malaysia. The CSES-My is a valuable tool for nurses and other healthcare professionals investigating coping self-efficacy in Malay-speaking populations, and it may also aid in the development of future coping interventions.

What does the public really know about dementia? A community-based cross-sectional survey in Turkiye.

Despite the increasing burden of dementia, there has been no evaluation of the level of dementia knowledge among the general public in Turkiye. Thus, this study aimed to evaluate the public's knowledge regarding dementia and the factors predicting this knowledge. This is a community-based cross-sectional study. A survey was conducted with 1106 participants between April and August 2023. The research tools were demographic characteristics form, a Turkish version of the dementia knowledge assessment scale (DKAS-T), and a form focusing on sociodemographic information and questions related to the degree of dementia knowledge. The data were analyzed using descriptive statistics, correlation, and multiple regression. The mean score on the DKAS-T was 12.32±6.05 (min: 0 points, max: 33 points) out of 34. The sample recorded an incorrect response for less than half of the items in the dementia knowledge scale. Adjusted R2 was used as explanatory power. Moreover, the results of the multiple regression analysis identified various factors that significantly predicted dementia knowledge scores: age, prior education about dementia, experience of caring for a PwD, interaction with a PwD, and self-reported risk of being diagnosed with dementia in the future. These variables accounted for 18.1% of the total variance of dementia knowledge. Dementia is not well known in the public. The finding underscores the need for targeted educational initiatives to enhance dementia knowledge in the Turkish population. Interventions should focus on addressing specific areas of deficiency identified in the DKAS-T.

Relationship between eHealth Literacy and Health Promoting behaviors among nursing students

Background: Utilizing health literacy is important in establishing knowledgeable health advancements and practices, which can become deterrents to promoting a healthy lifestyle. Technological advancements improve health information availability and accessibility that potentially affect the users’ proficiency and their capability in applying the accessed health information. However, accessing health information via IT for health promotion requires e-health literacy. Purpose: The objective of the study is to determine the relationship between eHealth literacy and health-promoting lifestyle behaviors among nursing students. Methods: Descriptive-correlational study was applied to 131 nursing students recruited through a purposive sampling method from a nursing school in Philippines. The researchers adopted original English version of the e-Health Literacy Scale and Health-Promoting Lifestyle Profile II (HPLP) to collect the data. The gathered data were analyzed using descriptive analysis; frequency, percentage, mean, standard deviation, and test the correlation using Pearson's r correlation. Results: A total of 131 nursing students were employed in the study with a mean age of 20.14 (±1.22). Participants were female (71.8%) and are Level 1 students (44.3%) The mean of the total sum score for eHealth literacy was 31.24 (±4.30) while the over-all item mean was 3.92 (±0.54). On the other hand, the health-promoting behavior has a mean score of 2.43 (±0.43) while its subscales have a mean score of 2.46 (±0.45) for nutrition, 2.45 (±0.62) for physical activity, and 2.39 (±0.47) for health responsibility. It was found that eHealth literacy had a significant relationship with the students’ health-promoting behavior (r=0.245, p=0.005). Hence, students who have a high level of eHealth literacy are more inclined to perform healthy behaviors. Conclusion: The results of this study showed that the development of strategies to improve the e-health literacy of nursing students may contribute to the maintenance of their health-promoting behaviors. Identified intervention strategies based on eHealth literacy are needed to encourage healthy practices, which may reduce risks of illnesses due to unhealthy lifestyle behaviors among nursing students.

Analysis of the moderator effect of overstimulation on the relationships between indicators of health-related quality of life, extraversion and maladaptive coping strategies in people with sensory processing sensitivity

People with sensory processing sensitivity (SPS), when overstimulated, feel overwhelmed, stressed, and in need of social withdrawal, rest, and reestablishing balance in the nervous system. This study focuses on analyzing the moderator effect of overstimulation on health-related quality of life (mental health, vitality, and body pain), extraversion, and maladaptive coping strategies in people with SPS. Participants (N = 10,520 adults) completed the Spanish versions of the High Sensitivity Person Scale (HSPS-S), Short Form Health Survey (SF-36), NEO Five-Factor Inventory (NEO-FFI) and Coping Strategies Inventory (CSI). Participants with high overstimulation levels were observed to have a worse quality of life related to health, greater introversion, and a tendency to use more maladaptive coping strategies. Furthermore, two of the health-related quality of life indicators, mental health and vitality, occupy a central position in the relationships between variables; there was a negative relationship between mental health and active maladaptive coping strategies, as well as between extraversion and nonactive maladaptive coping strategies. Lastly, the level of overstimulation was not identified as an indicator that differentially influences its relationship with the study variables. These findings demonstrate the need to use prevention and clinical intervention programs that address mental health and vitality, as well as introversion and the use of maladaptive coping strategies in people with high sensitivity.

Adding to global knowledge by leveraging mindfulness: revisiting the five facet mindfulness questionnaire in IT/ITES industry

Purpose This study aims to revisit the properties of 24-item version of mindfulness scale proposed by Bohlmeijer et al. (2011) in an Indian context to add to the existing global knowledge base on mindfulness. Design/methodology/approach A questionnaire was administered to 531 adult employees working in the IT/ITES sector in India. Their responses were analysed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and validity statistics to validate the Indian adaptation of the five-facet mindfulness questionnaire (FFMQ). Findings The findings confirmed that the Indian version of the 24-item short form of the FFMQ (denoted as FFMQ-SF) matches the findings of Bohlmeijer et al. (2011). It can, therefore, provide valuable insights to both employees and management on the benefits of mindfulness in the workplace. Research limitations/implications This paper also presents the limitations of this work along with scholarly and practical implications. It enhances the global understanding of mindfulness, with applications in education, health and well-being, workplaces, social justice, spirituality and personal growth. Originality/value This study justifies and presents a unique instrument for assessing employee mindfulness and is beneficial for both management and employees in navigating the evolving hybrid work environment. It promotes present-moment awareness in a non-judgemental manner, facilitating perspective shifts, improved self-regulation and experiential acceptance. Additionally, the study affirms the five-dimensional structure underlying the mindfulness construct.

Career Adapt-Abilities Scale: Reliability Generalization Meta-Analysis.

The concept of career adaptability emerged from the broader field of career development theory and has received increasing attention in the past two decades. To measure career adaptability, there are different scale development studies in the literature, but the most widely used and preferred one is the Career Adapt-abilities Scale developed by Savickas and Porfeli. Therefore, in the present study, the general reliability of the Career Adapt-abilities Scale was measured through meta-analysis. One hundred forty nine study (N = 82519) were included in the analyses. For the CAAS overall score, the average reliability coefficient among the 171 reliability estimations was high. However, reliability estimates in the studies included in the research show high heterogeneity. As a result of the moderator analysis, it was concluded that reliability estimates of these scores differ by item level, culture, language, category of items, different forms of CAAS, age, and SD. Regarding the application of the CAAS in research, the consequences of these findings are discussed in light of the relevant literature.

Validation of the Work-Related Quality of Life Scale in Rehabilitation Health Workers: A Cross-Sectional Study.

Work-related quality of life (WRQoL) is a multidimensional concept related to life satisfaction. Evaluating WRQoL is essential in healthcare settings since employee satisfaction affects patient service quality. Only a few studies have focused on the quality of life of rehabilitation health workers. We aimed to validate the Italian version of the WRQoL scale on a population of rehabilitation health professionals; the secondary objective was to investigate the work-related quality of life of professionals concerning the work settings in which they operate. Participants were recruited from January 2022 to December 2023 according to specific inclusion criteria. Questionnaires were administered through an online survey requiring also personal employment data, and together with the SF-12 questionnaire, a test-retest was performed on 30 therapists. Reliability was assessed with Cronbach's alpha, test-retest stability through intraclass correlation coefficient (ICC), and concurrent validity was calculated using Pearson's correlation. We enrolled 284 individuals. Internal consistency analysis showed statistically significant results: Cronbach's alpha was > 0.70; construct validity analyses revealed statistically significant data for total scores and subscales, compared to SF-12 scores. The WRQoL scale is a valid and reliable tool to assess the quality of working life of rehabilitation professionals.

Validity of the Physical activity scale for the elderly: results from the Neyshabur Longitudinal Study on Ageing

Background. Adequate physical activity is essential to healthy aging. This study aimed to examine the construct validity of the Persian version of the Physical Activity Scale for the Elderly (PASE) among community-dwelling adults, which would be used as a screening tool at the Neyshabur longitudinal study on the aging (NELSA) Center. Methods. This cross-sectional study was conducted in Neyshabur, Iran, as a pilot phase at the NELSA center between May and January 2019. The sampling method was a stratified random method. For explanatory factor analysis (EFA) and confirmatory factor analysis (CFA), 300 and 650 community-dwelling adults aged 50 and older were selected, respectively. EFA was used with the principal component extraction method, and Varimax rotation and CFA were performed with the maximum likelihood estimation method. Results. Of the 950 participants, 445 (46.8%) were male, and 505 (53.2%) were female. The mean age of participants was 63 ± 8.6 years. The mean physical activity score was 89.7 ± 70.7. According to the percentage of variance explained in EFA, all five extracted factors explained 62.7% of the total variance. The results of CFA showed that all item-scale relationships were significant (P &lt; 0.05), except for household activity (Q8) and leisure time activity (Q2) (P &gt; 0.05). The values of the fit indices showed that the model fits well with the data. Conclusion. The EFA and CFA confirmed the construct validity of the Persian version of PASE. This questionnaire is suitable for measuring the physical activity level of older Persian adults. Practical Implications. The Persian version of PASE is suitable for measuring the physical activity level of older Persian adults.

Cross-cultural adaptation of the Arabic version of the oral health values scale.

The study aimed to adapt the original English-language oral health values scale (OHVS) to the Arabic culture and to test its psychometric properties. The original OHVS was translated into Arabic language and pre-tested using cognitive interviewing. The psychometric properties of Arabic OHVS were examined in a sample comprising 416 Libyan adults aged 18-70 years, recruited from the main public and private dental clinics in Benghazi. The participants' demographic information, oral health behaviour, perceived oral health, the Arabic version of the OHVS (A-OHVS), dental neglect scale, oral health-related quality of life, oral health literacy, simplified oral hygiene index (OHI-S), and decayed, missing, and filled teeth index (DMFT) were collected. Psychometric properties were tested using content validity, construct validity, discriminating validity, internal consistency, test-retest reliability, and floor as well as ceiling effects were examined. The Arabic OHVS was successfully and smoothly developed. It showed an acceptable level of equivalence to the original version, The A-OHVS presented an overall Cronbach's Alpha of 0.74 and the average score was 40.02, ranging between 26 and 54. All hypotheses predefined to test construct validity were confirmed. The bivariate correlation between A-OHVS and other health indicators shows a significant positive correlation between A-OHVS and oral health literacy (p = 0.000). On the other hand, statistically significant negative correlations were observed between A-OHVS and dental neglect and quality of life (p≤ 0.001) as well as DMFT and OHI-S (p ≤ 0.001). Floor or ceiling effects were not observed. The A-OHVS was shown to be a valid and reliable tool for assessing oral health values in the Arabic-speaking population.

French validation of the tonic immobility scale in patients with post-traumatic stress disorder

Introduction: Tonic immobility (TI) in humans is characterized by muscle inhibition, hypertonia and analgesia that may occur during a traumatic event. TI is associated with an increased risk of severe and treatment-resistant post-traumatic stress disorder (PTSD). To date, there is no French validated scale for TI. Methods: We studied the face validity (qualitative study) and psychometric properties concerning a French version of the 10-item Tonic Immobility Scale (FR-TIS) in adult with PTSD. Results: Concerning face validity, six participants confirmed that the FR-TIS was simple, clear, and comprehensible, but has some limitations concerning the recall according to age of trauma, peritraumatic dissociation intensity, avoidance behaviors, the type and the context of the trauma. For psychometric properties, 120 patients completed a computerized version of the FR-TIS. FR-TIS showed good psychometric properties in a three-dimensional form with 8 items (Root Mean Square Error of Approximation (RMSEA) = 0.056) including 4 items for TI (Cronbach's α = 0.76), 2 items for fear (Cronbach's α = 0.63), 2 items for dissociation (Cronbach's α = 0.68). Conclusion: The FR-TIS is a potentially useful and easy-to-use tool in clinical practice, to help improving screening and assessment of TI

Turkish reliability and validity study of a modified version of the Mental Health Literacy Scale (MHLS)

Turkish reliability and validity study of a modified version of the Mental Health Literacy Scale (MHLS)

Study on the Relationship Between Parental Autonomy Support, Academic Self-Efficacy, and Career Adaptability of High School Students

This study investigates the relationship between parental autonomy support, academic self-efficacy, and career adaptability of high school students in the context of the new college entrance examination system. Using the Career Adaptability Scale, the Parental Autonomy Support Questionnaire, and the Academic Self-Efficacy Scale, this research tested 440 first-year high school students from four schools in Sichuan Province. The results reveal that (1) parental autonomy support significantly positively predicts career adaptability, indicating that more autonomy support from parents correlates with higher levels of career adaptability in students; (2) parental autonomy support not only directly predicts career adaptability but also affects it through the mediation of academic self-efficacy in students, which plays a partial mediating role.

Psychometric evaluation of the Arabic version of the heart failure-specific health literacy scale in a socio-politically challenged setting.

Low levels of formal education among Lebanese people with HF were reported. Additionally, limited discharge education is provided to this population. Therefore, it was necessary to evaluate the health literacy levels among this population following the translation of the heart failure-specific health literacy scale into Arabic and to evaluate its psychometric properties in the Lebanese setting. A cross-sectional design conducted on participants from the community with confirmed cases of heart failure. A research team was trained for data collection. Following securing participants' consents, baseline sociodemographic characteristics and the Arabic version of the heart failure-specific health literacy scale were administered. Data collection took place between June and December 2022. A pilot sample analysis was done to confirm homogeneity between the English and the Arabic versions. Exploratory and confirmatory factor analysis were performed to evaluate content and construct validity of the scale. Cronbach alpha was done to evaluate reliability. The pilot analysis confirmed homogeneity of the items of the Arabic and English versions of the scale. The final sample of 343 participants was randomly divided to two parts for each of the exploratory factor analysis and confirmatory factor analysis. The mean age was 64 years with the majority being male participants. In terms of exploratory factor analysis, the three subscales of the literacy scale explained 60% of the variance. The best acceptable fit was found on 11 items of the scale after dropping the 10th item from the analysis. The Cronbach alpha of the scale was 0.68. The Arabic version of the heart failure-specific health literacy scale was evaluated to be a valid and reliable tool. Further analysis should be done on the dropped item, and correlations should be done with significant variables such as self-care. STROBE checklist. No patient/public contribution. Participants with heart failure were shown to have low levels of literacy in Lebanon. Additionally, low literacy levels are also common among Lebanese older adults living in high income, Western Countries. Therefore, this valid and reliable scale can be used to evaluate health literacy among people with heart failure in Lebanon and among Lebanese and other Arabic-speaking older adults globally.