Caregivers’ Barriers to Facilitating Medication Adherence in Adolescents/Young Adults With Solid Organ Transplants: Measure Development and Validation

2020 ◽  
Vol 45 (5) ◽  
pp. 498-508
Author(s):  
Grace K Cushman ◽  
Kristin Loiselle Rich ◽  
Kelly E Rea ◽  
Lauren F Quast ◽  
Mary Gray Stolz ◽  
...  

Abstract Objective To evaluate the factor structure, validity, and reliability of the Caregiver Medication Barriers to Adherence Scale (CMBAS), which assesses caregivers’ barriers to facilitating medication adherence in adolescent and young adults (AYAs) with solid organ transplants. Methods The sample included 93 caregivers of AYAs ages 12–22 years who received a liver, kidney, or heart transplant. Caregivers completed the CMBAS and surveys to assess its validity, including internalizing symptoms, personality traits (i.e., neuroticism, conscientiousness), and AYAs’ nonadherence to immunosuppressant medications. AYA nonadherence to tacrolimus was objectively assessed via the Medication Level Variability Index (MLVI). Results Confirmatory factor analyses of the CMBAS revealed a two-factor model: Caregiver Emotional Distress and Caregiver Cognitive Burden/Responsibility. Higher CMBAS scores were related to higher levels of caregiver internalizing symptoms (rs = .28 to .30), neuroticism (r = .27), and caregiver proxy-reported immunosuppressant nonadherence (r = .27), as well as lower levels of caregiver conscientiousness (rs = −.25 to −.26). The CMBAS was not associated with the MLVI (rs = −.13 to −.16). Conclusions The CMBAS demonstrated reliability and validity for caregivers of AYAs with solid organ transplants. Findings support the use of the CMBAS as a brief clinical screening tool to identify caregivers’ barriers to facilitating AYA medication adherence.

2019 ◽  
Vol 9 (9) ◽  
pp. 100
Author(s):  
Arzu Araz ◽  
Duygu Güngör ◽  
Eda Aşçı

Background: The present study investigates the reliability and validity of the Positive–Negative Relationship Quality (PN-RQ) scale in Turkey. This study aims to test different factorial models including orthogonal factors model, correlated factors model, one-factor model, and bifactor model. Methods: In order to determine the validity and reliability of the scale, two studies were performed. The first was carried out with emerging adults (university students) who were in a romantic relationship (148 females, 43 males, and 2 unknown) and had the main purpose to examine the structure validity of the measurement tool in the Turkish sample with an exploratory analysis. Study 2 was performed online with 513 married adults (359 females, 149 males, and 5 unknown); confirmatory findings and criterion validity studies were added. Results: Exploratory factor analyses revealed that relationship quality had a two-factor structure and that there was also a negative relationship between the factors. Confirmatory factor analyses on the married sample showed that the bi-factor model provided evidence for the multidimensional nature of the scale. Both studies demonstrated high internal consistency. Conclusion: There is evidence for reliability and validity in the Turkish version of the PN-RQ scale to measure both positive and negative aspects of the relationship. The PN-RQ scale will be highly functional for social and clinical psychologists who work on close relationship issues in Turkey.


Author(s):  
Arzu Araz ◽  
Duygu Güngör ◽  
Eda Aşçı

The present study investigates the reliability and validity of the Positive-Negative Relationship Quality (PN-RQ) scale in Turkey. In order to determine the validity and reliability of the scale, two studies were performed. The first was carried out with emerging adults (university students) who were in a romantic relationship (148 females, 43 males, and 2 unkown) and had the main purpose to examine the structure validity of the measurement tool in the Turkish sample with an exploratory analysis. Study 2 was performed online with 513 married adults (359 females, 149 males, and 5 unknown); confirmatory findings and criterion validity studies were added. Exploratory factor analyses revealed that relationship quality had a two-factor structure and that there was also a negative relationship between the factors. Confirmatory factor analyses on the married sample showed that the bi-factor model provided evidence for the multidimensional nature of the scale. Both studies demonstrated high internal consistency.


2016 ◽  
Vol 13 (3) ◽  
pp. 5351 ◽  
Author(s):  
Fatma Selda Öz Soysal ◽  
İrfan Yurdabakan ◽  
Aslı Uz Baş ◽  
Ferda Aysan

The purpose of this study was to explore validity and reliability of the Lifespan Sibling Relationship Scale (LSRS) which was developed by Riggio (2000)  in a sample of young adults. The research has been conducted on 510 (339 female, 171 male) university students who attended pedagogical formation training at Dokuz Eylül University and fourth grade students who attended various departments of Faculty of Education. The six factor structure of the LSRS was tested by means of confirmatory factor analysis method. The findings indicated that the six-factor model is supported by using the confirmatory factor analysis. The reliability of LSRS was examined with test-retest reliability and internal consistency methods. Results showed that the scale can be used for measuring sibling relationships in young adults. ÖzetBu araştırmanın amacı Riggio (2000) tarafından geliştirilen Yaşam Boyu Kardeş İlişkileri Ölçeği’nin (YBKİÖ) genç yetişkinlerden oluşan bir örneklemde geçerlik ve güvenirlik çalışmasını yapmaktır. Araştırma, Dokuz Eylül Üniversitesi’nde pedagojik formasyon eğitimi alan ve Eğitim Fakültesi’nin çeşitli bölümlerine devam eden dördüncü sınıf öğrencileri olan toplam 510 (339 kız, 171 erkek) öğrenci ile yürütülmüştür. YBKİÖ’nün altı faktörlü yapısı doğrulayıcı faktör analizi yöntemi ile test edilmiştir. Elde edilen sonuçlar, YBKİÖ’nün altı faktörlü yapısının doğrulandığını göstermiştir. Ölçeğin güvenirlik çalışması, test-tekrar test güvenirlik katsayısı ve iç tutarlılık katsayısı ile hesaplanmıştır. Elde edilen sonuçlar, YBKİÖ’nün genç yetişkinlerde kardeş ilişkilerinin değerlendirmek üzere geçerli ve güvenilir bir ölçme aracı olarak kullanılabileceğini göstermiştir.


Author(s):  
Aneta Przepiórka ◽  
Agata Błachnio ◽  
Tomasz Jankowski ◽  
Zena R. Mello ◽  
Frank C. Worrell

Abstract. In this paper, we examined the dimensionality, reliability, structural validity, and convergent validity of scores on the Adolescent and Adult Time Inventory – Time Attitude Scale (AATI-TA) in a sample of 989 Polish adolescents and young adults. Two studies were conducted. In Study 1, confirmatory factor analyses supported both the original 6-factor model (Past Positive, Past Negative, Positive Present, Negative Present, Future Positive, and Future Negative) and an alternative time-valence model with two factors related to valence (Positivity and Negativity) and three temporal factors (Past, Present, and Future). Study 1 results also provided evidence of invariance between adolescents and adults up to latent means. AATI-TA scores were also found to be invariant by gender and national context with scores from American adolescents. AATI-TA scores also yielded satisfactory reliability estimates. In Study 2, the incremental validity of AATI-TA scores over the contributions of ZTPI scores was assessed for and demonstrated with satisfaction with life and self-esteem. Overall, the results suggest that the Polish version of the AATI-TA yields psychometrically sound scores in Polish adolescents and adults.


1998 ◽  
Vol 6 (1) ◽  
pp. 19-33 ◽  
Author(s):  
Sasha A. Barab ◽  
Barbara K. Redman ◽  
Robin D. Froman

The Level of Institutionalization (Loin) scales were developed to assess the extent to which a health promotion program has become integrated into a health care organization. The instrument was designed specifically to measure the amount of routinization and niche saturation of four subsystems (production, maintenance, supportive, and managerial) believed to make up an organization. In this study, the Loin scales were completed for diabetes programs in 102 general hospitals and 30 home health agencies in Maryland and Pennsylvania. Reliability estimates across the four subsystems for routines (α = .61) and for niche saturation (α = .44) were substandard. Average correlation among the four subsystems for routines was .67, and among the four subsystems for niche saturation was .38, indicating moderate to large amounts of shared variance among subsystems and challenging claims of discriminant validity. Given these large correlations and a poor fit when testing the eight-factor model, higher-order confirmatory factor analyses were carried out. Results supported the existence of two second-order factors. When collapsed into two factors, the reliabilities were adequate (routines α= .90; niche saturation α = .80). Criterion-related validity also was found between length of program existence and the routine factor.


2018 ◽  
Vol 6 (s2) ◽  
pp. S189-S204 ◽  
Author(s):  
Nadia C. Valentini ◽  
Lisa M. Barnett ◽  
Paulo Felipe Ribeiro Bandeira ◽  
Glauber Carvalho Nobre ◽  
Larissa Wagner Zanella ◽  
...  

The pictorial scale of Perceived Movement Skill Competence (PMSC) was developed to assess young children’s perceptions of competence in fundamental motor skills (FMS) and in active play (AP). The objectives of the present study were to assess validity and reliability with Brazilian children. Nineteen health-related professionals and 331 children (4 to 8 years old) were enrolled in the study. Kappa concordance coefficient, intra-class correlation coefficient (ICC), polychoric correlations, and confirmatory factor analyses (CFA) were used. The back-reverse translation prevents the bias of a single translation. Experts and professionals confirmed the clarity and pertinence of the items with high agreement scores (values > .90). Test-retest reliability results showed strong ICC (values > .90). The Cronbach’s alpha coefficient showed good internal consistency (α values from .70–.85). The CFA showed appropriate fit indexes for a three-factor model (i.e., six object control, six locomotion, and six AP items) and a two-factor model (i.e., 12 FMS and six AP items). However, the two-factor model showed superior indexes (χ2/df = 3.1; Root Mean Square Error of Approximation = .06; Goodness-Of-Fit Index = .90; Comparative Fit Index = .91; Akaike Information Criterion = 485.8). The PMSC is a valid and reliable assessment to use in Brazil.


2018 ◽  
Vol 43 (7) ◽  
pp. 789-799 ◽  
Author(s):  
Cyd K Eaton ◽  
Ana M Gutierrez-Colina ◽  
Lauren F Quast ◽  
Rochelle Liverman ◽  
Jennifer L Lee ◽  
...  

Machiavvellianism is a personality trait which includes insincerity, callaousness and dishonesty. Although it was mainly studied by the literature of Psychopathology for a long time, Machiavvellianism is accepted as a trait which ordinary people has or must have, especially in competetive and extremely individualistic systems. Therefore this concept must also be studied in normal populations. Accordingly, the main aim of this research was to test the reliability and validity of Kiddie Mach (Christie, & Geis, 1970) in a Turkish speaking adolescent sample. A total of 471 adolescents (242 female, 225 male, 4 missing) were recruited for the study. The age range of the sample was 15-17 (Mean= 16.7, SD=.61). Exploratory and Confirmatory Factor Analyses indicated that scale had two dimensions. Two different analyzes were conducted to test the construct validity. First the extreme scores were compared for each subscale with t-test. The results showed that the mean differences between the upper and lower groups were significant. Second, Pearson Correlational Coefficients were analyzed between the Machiavvellianism total score which was formed as a sum of two subdimentions and narcissism, traditional ve cyberbullying, callaousness ve prosocial behaviors. All correlations were significant in expected directions. Allover results indicated that Machiavvellianism Scale was a reliable and valid measurement tool among Turkish speaking adolescents. Keywords: Machiavvellianism, Narcissism, Callaousness, Prosocial Behaviors, Adolescents


2017 ◽  
Vol 5 (1) ◽  
pp. 45-58 ◽  
Author(s):  
E. Kipling Webster ◽  
Dale A. Ulrich

With recent revisions, the evaluation of the reliability and validity of the Test of Gross Motor Development—3rd edition (TGMD-3) is necessary. The TGMD-3 was administered to 807 children (M age = 6.33 ± 2.09 years; 52.5% male). Reliability assessments found that correlations with age were moderate to large; ball skills had a higher correlation (r = .47) compared with locomotor skills (r = .39). Internal consistency was very high in each age group and remained excellent for all racial/ethnic groups and both sexes. Test-retest reliability had high ICC agreements for the locomotor (ICC = 0.97), ball skills (ICC = 0.95), and total TGMD-3 (ICC = 0.97). For validity measures, the TGMD-3 had above acceptable item difficulty (range = 0.43–0.91) and item discrimination values (range = 0.34–0.67). EFA supported a one-factor structure of gross motor skill competence for the TGMD-3 with 73.82% variance explained. CFA supported the one-factor model (χ2(65) = 327.61, p < .001, CFI = .95, TLI = .94, RMSEA = .10), showing acceptable construct validity for the TGMD-3. Preliminary results show the TGMD-3 exhibits high levels of validity and reliability, providing confidence for the usage and collection of new norms.


2018 ◽  
Vol 40 (3) ◽  
pp. 369-387
Author(s):  
Lisa M. Guntzviller ◽  
Ningxin Wang

The Short Acculturation Scale for Hispanics (SASH) is a popular acculturation measure. Although SASH has been validated, conflicting information has been published about the youth version (SASH-Y). We examined the psychometric properties (i.e., validity and reliability) of SASH-Y in low-income, Mexican-heritage youth (aged 8-18; n = 100) and SASH with their parents ( n = 100; total N = 200). Confirmatory factor analyses comparing the three published structural variations of the SASH-Y revealed the three-factor structure originally proposed for SASH-Y fit the data best, and the frequently used unidimensional structure did not fit. The adult SASH fit parent data well. For researchers interested in comparing parent and child scores (e.g., acculturation gap research), we examined the 10 identical parent and child items for invariance. Invariance was established for parent and child data with the traditional SASH structure. However, internal consistency was inadequate for the child data regardless of variable structure. Implications are discussed.


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