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PubMed2005

Construction and validation of a population-based bone densitometry database.

Utilization of dual-energy X-ray absorptiometry (DXA) for the initial diagnostic assessment of osteoporosis and in monitoring treatment has risen dramatically in recent years. Population-based studies of the impact of DXA and osteoporosis remain challenging because of incomplete and fragmented test data that exist in most regions. Our aim was to create and assess completeness of a database of all clinical DXA services and test results for the province of Manitoba, Canada and to present descriptive data resulting from testing. A regionally based bone density program for the province of Manitoba, Canada was established in 1997. Subsequent DXA services were prospectively captured in a program database. This database was retrospectively populated with earlier DXA results dating back to 1990 (the year that the first DXA scanner was installed) by integrating multiple data sources. A random chart audit was performed to assess completeness and accuracy of this dataset. For comparison, testing rates determined from the DXA database were compared with physician administrative claims data. There was a high level of completeness of this database (>99%) and accurate personal identifier information sufficient for linkage with other health care administrative data (>99%). This contrasted with physician billing data that were found to be markedly incomplete. Descriptive data provide a profile of individuals receiving DXA and their test results. In conclusion, the Manitoba bone density database has great potential as a resource for clinical and health policy research because it is population based with a high level of completeness and accuracy.

Absorptiometry, Photon↗
PubMed2005

Climacteric symptoms and quality of life: validity of women's health questionnaire.

OBJECTIVE: To evaluate the reliability and validity of the Portuguese version of the Women's Health Questionnaire. METHODS: In order to evaluate the Women's Health Questionnaire (WHQ), an analytical cross-sectional study was carried out at the women's menopause outpatient clinic of a university hospital in São Paulo, Brazil. There were studied 87 women in perimenopause or menopause, defined as experiencing at least one year's absence of menstrual flow. The following variables were collected: demographic data, clinical variables (Kupperman index and correlate numeric scale) and quality of life indexes (SF-36 and utility). RESULTS: The WHQ proved to be a questionnaire easily translated into Portuguese and well-adjusted to Brazilian women. The internal consistency of the overall WHQ was excellent (Cronbach alpha =0.83; 95% CI: 0.71-0.91). Test-retest reliability was also excellent (intraclass correlation coefficient [ICC]=0.92; 95% IC: 0.86-0.96) and had good absolute agreement (0.84; 95% CI: 0.71-0.92). A satisfactory clinical validity was observed. The construct validity was corroborated by clear associations with others scales. A good index of responsiveness after the intervention was reached. CONCLUSIONS: The Portuguese version of the WHQ is of easy and fast administration and understanding. Its measuring properties were related, allowing its use in the evaluation of Brazilian climacteric women's quality of life for various purposes.

Adult↗
PubMed2006

Evaluation of clinical research knowledge and interest among pharmacy residents: survey design and validation.

PURPOSE: The development and validation of a survey to describe the research knowledge, attitudes, and skills of pharmacy practice residents are described. SUMMARY: A survey was drafted to determine if pharmacy practice residency experience and the American Society of Health-System Pharmacists (ASHP)-required project improve the residents' objectively and subjectively assessed research knowledge, to determine if the residency experience and the ASHP-required project affect the residents' attitudes regarding research as a component of their future professional practice, and to subjectively assess the effect of the residency experience and the ASHP-required project on other essential skills, such as problem solving, critical thinking, and time management. An initial questionnaire was developed and underwent content validation testing by clinical pharmacists and faculty, residents, and research fellows. Following content validation, the questionnaire underwent construct validity testing (for discriminative validity and responsiveness) in students, residents, and clinical pharmacists and faculty. Reliability was tested in a subgroup of subjects who completed the questionnaire twice within two to four weeks. From the content validation phase, average scores for individual questions ranged from 1.00 to 2.00. Discriminative validity testing of the revised questionnaire demonstrated the instrument's ability to discriminate between groups expected to differ. Effect-size and mean-knowledge score differences indicated high levels of responsiveness, signifying the instrument's ability to detect change over time or after an intervention. CONCLUSION: A survey questionnaire developed to measure research knowledge and interest among pharmacy practice residents demonstrated its validity and reliability with significant sensitivity and responsiveness.

Data Collection↗
PubMed2005

Sources of stress among Greek team handball referees: construction and validation of the Handball Officials' Sources of Stress Survey.

Sports officials have recently received some attention in the academic literature. The aim of the present study was to examine sources of perceived psychological stress among certified Greek team handball referees. For this purpose, participants evaluated the intensity of 17 acutely stressful game situations on two occasions within a period of seven months. To explore the factor structure of the Handball Officials Sources of Stress Survey, 84 team handball officials completed the questionnaire. The analysis yielded a 4-factor structure (Evaluation, Fear of Physical Harm, Interpersonal Conflicts, and Fear of Appearing Incompetent), which accounted for 70% of the total variance. Age, education, rank, and years of experience as a handball player were unrelated to the referees' scores on the survey. To confirm the factor structure, 93 handball officials completed the survey seven months later. A confirmatory factor analysis supported the factorial structure of the scale. Sources and intensity of stress for handball referees are comparable to those identified in previous studies of referees' stress in other team sports.

Adaptation, Psychological↗
PubMed1990

Preliminary report on construction and validation of a pediatric sleep disturbance questionnaire.

A scale to assess sleep disturbance of children with developmental disabilities is reported. The scale has been used with a small sample of 14 children diagnosed as having Tourette Disorder, 36 physically handicapped children (cerebral palsy). Also, a group of 115 nonhandicapped Native American children were surveyed to assess whether the items might be appropriate for use with such children. The scale has 6 distinct factors and appears to have adequate reliability and validity.

Adolescent↗
PubMed1998

Construction of validity scales for the Multiple Affect Adjective Check List-Revised.

Three scales, the Fake Bad Scale, the Fake Good Scale, and the Fake Bad-Fake Good scales were developed and evaluated with respect to their capacity to detect response manipulation on the Multiple Affect Adjective Check List-Revised. Cutting scores for each scale were cross-validated in two samples consisting of three groups: (1) college students simulating either "fake good" or "fake bad," (2) college students under standard instructions, and (3) psychiatric patients. Cutting scores on the three scales were compared with cutting scores established for the MAACL-R Dysphoria and Positive Affect plus Sensation Seeking. Analysis indicated that these scales were more accurate than the Positive Affect plus Sensation Seeking and the Dysphoria scales in detecting response manipulation.

Adolescent↗
PubMed1991

A two-factor measure of jealous responses.

A two-factor measure of jealous reactions was created, based on previously proposed theories. The first scale measures the extent to which one reacts in partner-enhancing ways when faced with a jealously-evoking situation, and the second scale measures the extent to which one reacts in partner-attacking ways when faced with such situations. A validation study supports the construct validity of the scales.

Adult↗
PubMed1999

A psychometric analysis of the three gunas.

The Vedic Personality Inventory was devised to assess the validity of the Vedic concept of the three gunas or modes of nature as a psychological categorization system. The sample of 619 subjects included persons of varying ages and occupations from a middle-size city in southeastern United States, and also of subscribers to a magazine focusing on Eastern-style spirituality. The original 90-item inventory was shortened to 56 items on the basis of reliability and validity analyses. Cronbach alpha for the three subscales ranged from .93 to .94, and the corrected item-total correlation of every item score with its subscale score was greater than .50. Three measures of convergent validity and four measures of discriminant validity provide evidence for construct validity. The loading of every item on the scale is stronger for the intended subscale than for any other subscale. Although each subscale contains congeneric items, the factors are not independent. The nonorthogonality is consistent with Vedic theory. This inventory requires psychometric development and testing cross-culturally as well as to be experimentally implemented in group research and individual assessment.

Adolescent↗
PubMed2006

Construction and validation of the 4-item dynamic gait index.

BACKGROUND AND PURPOSE: People with balance disorders often have difficulty walking. The purpose of this study was to develop and test the psychometric properties of a short form of the Dynamic Gait Index (DGI) for the clinical measurement of walking function in people with balance and vestibular disorders. SUBJECTS: A total of 123 subjects with such disorders (test subjects) and 103 control subjects were included in this study. METHODS: Rasch and factor analyses were used to create a short form of the DGI. Internal consistency and discriminative validity for test subjects versus control subjects and for falling versus nonfalling test subjects were evaluated. RESULTS: Four items were selected for the shorter version of the test: gait on level surfaces, changes in gait speed, and horizontal and vertical head turns. DISCUSSION AND CONCLUSION: The clinical psychometric properties of the 4-item DGI were equivalent or superior to those of the 8-item test. The 4-item DGI can be used by clinicians to measure gait in people with balance and vestibular disorders without compromising important clinical measurement characteristics.

Adolescent↗
PubMed1999

Construction and validation of four childhood asthma self-management scales: parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy.

This study examined the psychometric properties of four new health belief measures for asthmatic children and their parents. A total of 110 asthmatic children (aged 7-15) and 129 parents (with asthmatic children aged 3-15) responded to a mail-out survey. Evidence for reliability (0.75-0.87) and validity was obtained for measures of Parent Barriers to Managing Asthma, Parent Asthma Self-Efficacy (subscales: attack prevention and attack management), Parent Treatment Efficacy, and Child Asthma Self-Efficacy (subscales: attack prevention and attack management). All measures were correlated in the hypothesized directions with health status, asthma symptoms, and impact of illness on the family.

Adolescent↗
PubMedDate not supplied

[Construction and validation of visual analogue scale for risk assessment].

This paper describes the factor structure and validity of a visual analogue scale designed to rate risk proneness: EVAR (EVAluation of Risk). Risk behaviors and sensation seeking are related, therefore we correlated EVAR (24 100 mm items) with Zuckerman Sensation Seeking Scale (SSS) (40 conventional items) in a population of 199 volunteers. Subjects had an age range of 18-68 years (mean age of 31), and 49 were females. Factor analysis using a principal component solution and an orthogonal rotation of the factor matrix were computed. Five factors were selected, accounting for 46 per cent of the total variation: F1 "self control", F2 "danger seeking", F3 "energy", F4 "impulsiveness", F5 "invincibility". F1, F2 and F3 from EVAR were correlated with SSS factors "general", "danger seeking", "experience seeking" and "boredom susceptibility". F4 was correlated with "general", "boredom susceptibility" and "disinhibition" whereas F5 was not correlated with any of SSS factors. This visual analogue scale is likely to reveal change in subjects, regarding risk proneness, when submitted to various stressors (sleep deprivation, fatigue...).

Adolescent↗
PubMed1999

Reliability and validity of the Food Pyramid Self Efficacy Scale: use in coronary artery bypass patients.

Inappropriate dietary intake is associated with 5 of the 10 leading causes of U.S. death; coronary artery disease (CAD) ranks highest regardless of gender in people over the age of 65. Of the modifiable risk factors for CAD, two of four pertain to food choices. Although lifestyle habits can enhance or impair health, people's beliefs that they can motivate and regulate their own behavior (self efficacy) plays a crucial role in whether they even consider changing detrimental health habits. The Food Pyramid Self Efficacy Scale (FPSES) is an instrument to measure an elder's confidence in his/her ability to choose healthy food items in a variety of situations. The purpose of this study was to determine the reliability and validity of the FPSES. Thirty postoperative CABG patients participated (mean age 70.4). FPSES test-retest (r = 0.78, p = 0.008); coefficient alpha = 0.92. Six content experts judged the FPSES (content validity index [CVI] = 0.85). Construct validity of the instrument was achieved through hypothesis testing, supporting the statement that the higher the nutritional risk, the greater the functional decline (r = 0.37, p = 0.05). As many of the health problems associated with the elderly are preventable or controllable through health promotion, it is vital that measures exist to determine a person's confidence that one believes in the capability to change to healthy eating behaviors.

Activities of Daily Living↗
PubMed2003

Development and psychometric evaluation of supportive leadership scales.

The purpose of this study was to develop and evaluate the psychometric properties of 2 supportive leadership scales, the Charge Nurse Support Scale and the Unit Manager Support Scale, designed for long-term-care environments. These 6-item self-report scales were administered to 70 nursing staff and their internal consistency reliability, test-retest reliability, content validity, factor structure, and construct validity investigated. Content validity was established with the assistance of experts. Both scales were deemed reliable. As hypothesized, a significant relationship was found between the measure of how nursing staff related to residents and measures of charge nurses' supportive behaviours (r = .42, p = .05). Reliable and valid measures of supportive leadership could be developed for use in identifying the quality of support provided to staff in long-term-care environments.

Adult↗
PubMed2006

Development of a Money Mismanagement Measure and cross-validation due to suspected range restriction.

A measure of the tendency to mismanage money was developed in an evaluation of a representative payee program for individuals with serious mental illnesses. A conceptual model was composed to guide item development, and items were tested, revised, added, and rejected in three waves of data collection. Rasch analyses were used to examine measurement properties. The resulting Money Mismanagement Measure (M3) consisted of 28 items with a Rasch person reliability at .72. Restriction of range was likely responsible for the low Rasch reliability. Validity analyses supported the construct validity of the M3. Subsequently, a cross-validation study was conducted on an untreated sample not as susceptible to range restriction. The M3 produced a Rasch person reliability = .85 with good validity. The M3 fills a gap that can facilitate research in the understudied area of money mismanagement.

Cross-Sectional Studies↗