scholarly journals A short scale for measuring attitudes towards the doctor-patient relationship: psychometric properties and measurement invariance of the German Patient-Practitioner-Orientation Scale (PPOS-D6)

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12604
Author(s):  
Roman Pauli ◽  
Saskia Wilhelmy
Keyword(s):  
Psychometric Properties ◽  
Measurement Invariance ◽  
Discriminant Validity ◽  
Short Version ◽  
Patient Centeredness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Experience ◽  
German Patient ◽  
Orientation Scale

Background The Patient-Practitioner Orientation Scale (PPOS) was originally developed to compare doctor’s and patient’s consensus regarding patient centeredness. Research assumed PPOS measurements to be comparable across different groups of participants, however, without assessing the actual validity of this assumption. In this study, we investigate the psychometric properties and measurement invariance of a short version of the German translation of the PPOS. Methods Based on a cross-sectional survey of N = 332 medical students, we present a short version of the German Patient-Practitioner-Orientation Scale (PPOS-D6) and examine its psychometric properties as well as measurement invariance across participants with varying levels of medical experience and gender using multigroup confirmatory factor analyses. Results Results indicate that PPOS-D6 provides valid and reliable measurements of patient-centeredness that are invariant across participants with different medical experience. Preliminary results also suggest invariance across gender. Conclusion PPOS-D6 is a suitable and efficient measure to compare group-specific attitudes towards the doctor-patient interaction. Additional research on convergent and discriminant validity and divergent study samples is advised.

scholarly journals Psychometric Properties of the Stress Control Mindset Measure in University Students from Australia and the UK

2019 ◽  
Author(s):  
Jacob J Keech ◽  
Sheina Orbell ◽  
Martin S Hagger ◽  
Frances O'Callaghan ◽  
Kyra Hamilton
Keyword(s):  
Psychometric Properties ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Performance Outcomes ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stress Control ◽  
Health And Wellbeing ◽  
And Performance

Introduction: Beliefs about the consequences of stress, stress mindsets, are associated with health and performance outcomes under stress. This article reports the development and examination of the psychometric properties of a measure of stress mindset: The Stress Control Mindset Measure (SCMM). The measure is consistent with theory on mindsets about self-attributes and conceptualizes stress mindset as the extent to which individuals endorse beliefs that stress can be enhancing. Methods: The study adopted a correlational cross-sectional survey design in two student samples. Undergraduate students from an Australian university (Sample 1, N = 218) and a UK university (Sample 2, N = 214) completed the SCMM and measures of health and wellbeing outcomes. Results: Confirmatory factor analyses supported a four-factor structure and strict measurement invariance across samples (ΔCFI < .01). Reliability, convergent validity, discriminant validity, and concurrent validity of the overall SCMM was supported in both samples. Incremental validity was supported for most outcomes, accounting for significantly more variance (between 2.2% and 5.9%) in health and wellbeing outcomes than an existing measure. Conclusions: Current data provide preliminary support for the SCMM as a reliable and valid measure with good psychometric properties and theoretically consistent relations with health outcomes under stress. Findings provide initial evidence supporting the potential utility of the SCMM in future research examining relations between stress mindsets and health and performance outcomes.

scholarly journals Psychometric properties of the Georgian version of the Safety Attitudes Questionnaire: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034863
Author(s):  
Nikoloz Gambashidze ◽  
Antje Hammer ◽  
Nicole Ernstmann ◽  
Tanja Manser
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Discriminant Validity ◽  
Factor Model ◽  
Model Fit ◽  
Short Version ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire

ObjectiveTo study the psychometric properties of the Georgian version of the Safety Attitudes Questionnaire short version.DesignCross-sectional study.SettingThree Georgian hospitals.ParticipantsPersonnel of participating hospitals (n=305 responses, estimated response rate 30%).InterventionsNone.Primary and secondary outcome measuresPsychometric properties (model fit, internal consistency, construct validity, convergent and discriminant validity) of the instrument, factor structure derived from the data.ResultsThe Georgian version of Safety Attitudes Questionnaire demonstrated acceptable construct validity and internal consistency (Cronbach’s alpha 0.61–0.91). Three factors, Teamwork Climate, Safety Climate and Working Conditions, had limited convergent and discriminant validity. Confirmatory factor analysis with the original six-factor model resulted in limited model fit (χ2/df=2.14, root mean square error of approximation (RMSEA)=0.06, goodness of fit index (GFI)=0.83, CFI=0.88, TLI=0.86). Exploratory factor analysis resulted in a modified four-factor model with satisfactory model fit (χ2/df=2.09, RMSEA=0.06, GFI=0.88, CFI=0.93, TLI=0.91).ConclusionsThe Georgian version of the Safety Attitudes Questionnaire (short version) demonstrated acceptable psychometric properties, with acceptable to good internal consistency and construct validity. While the whole model had limited fit to the data, a modified factor model resulted in good model fit. Our findings suggest the dimension Working Conditions has questionable psychometric properties and should be interpreted with caution. Other two correlated dimensions Teamwork Climate and Safety Climate share considerable variance and may be merged. Overall, the instrument can provide valuable information relevant for advancement of patient safety culture in Georgian hospitals.

Noncongruence between Audiologist and Patient Preferences for Patient-Centeredness

2017 ◽  
Vol 28 (07) ◽  
pp. 636-643 ◽  
Author(s):  
Vinaya Manchaiah ◽  
Ashley L. Dockens ◽  
Monica Bellon-Harn ◽  
Erin S. Burns
Keyword(s):  
Hearing Loss ◽  
Patient Preferences ◽  
Survey Design ◽  
Healthcare Providers ◽  
Patient Centeredness ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Study Results ◽  
Orientation Scale

AbstractTrends in preferences of both healthcare providers and patients to patient-centeredness have been emphasized in research. However, an understanding of the nature of preferences to patient-centeredness within the context of the audiologist–patient relationship is needed.The purpose of this study is to explore the congruence between audiologist and patient preferences for patient-centeredness.A cross-sectional survey design was used to gather data from audiologists and patients with hearing loss.Participants included 75 audiologists and 105 consecutive patients with hearing loss.Participants completed the modified Patient–Practitioner Orientation Scale (PPOS) and provided selected demographic information. Data were analyzed using an independent sample t test to evaluate the differences between audiologist and patient congruence. Regression analysis was performed to evaluate factors contributing to preferences for patient-centeredness.Patients had significantly lower scores in PPOS full scale when compared to the audiologists [t (170) = 0.78; p ≤ 0.001] with a very large effect size (Cohen’s d = 1.43). Patients also had significantly lower scores when compared to the audiologists on both the sharing [t (170) = 1.01; p ≤ 0.001] and caring [t (170) = 0.56; p ≤ 0.001] subscales. Statistically significant lower scores were noted for patients when compared to audiologists on 12 items on the PPOS. No relationship between any demographic factors and preferences for patient-centeredness were found.The current study results indicated noncongruence in preferences for patient-centeredness among audiologists and patients with hearing loss. Results point toward the need for more research considering the nature and impact of patient-centered audiology practice.

scholarly journals Psychometric properties of the Bulgarian version of Hospital Survey on Patient Safety Culture

2020 ◽  
Vol 32 (6) ◽  
pp. 396-404
Author(s):  
Donka Keskinova ◽  
Rositsa Dimova ◽  
Rumyana Stoyanova
Keyword(s):  
Patient Safety ◽  
Psychometric Properties ◽  
Safety Culture ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Global And Local

Abstract Objective To explore the psychometrics of the Bulgarian version of the Hospital Survey on Patient Safety Culture (B-HSOPSC) and its suitability for use in Bulgaria. Design A national web-based cross-sectional survey of the safety patient culture. Setting The hospitals’ staffs from 28 administrative areas in the country. Interventions Web-based self-administered questionnaire. Participants Physicians and non-physicians such as nurses, midwifes, etc., working at hospitals. Main Outcome Measures Confirmatory factor analysis (CFA) was performed to assess the psychometric properties of the original US structure. Assessment of construct validity included convergent validity, discriminant validity, and nomological validity of constructs. Results A total of 525 valid cases were included in the analysis. The results of CFA revealed acceptable values for absolute indices and lower for the incremental index, comparative fit index. Due to the very low convergence validity, the dimension ‘staffing’ was removed from the model. Additionally, one item was removed from another dimension. The B-HSOPSC included 11 dimensions and 37 items. Conclusions The B-HSOPSC had acceptable levels of global and local fits. Its safety culture dimensions were sufficiently distinguishable and correlated with outcome variables.

Abstract 17275: Evaluating the Convergent and Discriminant Validity of Four Frailty Instruments in Adults With Heart Failure: Results From the Frame-HF Study

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Julee McDonagh ◽  
Yenna Salamonson ◽  
Roslyn Prichard ◽  
Sunita R Jha ◽  
Caleb Ferguson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Discriminant Validity ◽  
Survey Design ◽  
Karnofsky Performance Scale ◽  
Cross Sectional Survey ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Frailty Status ◽  
Convergent And Discriminant Validity ◽  
Nyha Classification

Introduction: Frailty assessment has become increasingly common in those with heart failure. The most frequently used frailty instrument is the Frailty Phenotype (FP). The validity of this instrument in those with heart failure is yet to be determined. Aim: To examine the convergent and discriminant validity of four frailty instruments: i) the FP ii) a Questionnaire-only version of FP [q-FP]; iii) St. Vincent’s Frailty [SVF]; and iv) the Frailty Instrument for Primary Care of the Survey of Health, Ageing and Retirement in Europe [SHARE-FI] for assessing the frailty status of adults with heart failure. Methods: Using a cross-sectional survey design, individuals aged ≥ 18 years, diagnosed with heart failure were recruited from the inpatient cardiology ward and outpatient heart failure clinic of a metropolitan academic hospital. In addition to assessing all items of the frailty instruments, other data collected included: a) NYHA classification; b) quality of life and health status using the EQ-5D-5L; c) physical status using the Australian-modified Karnofsky Performance Scale (AKPS); and d) 10-item Depression in Medically Ill (DMI) measure. Results: A total of 131 participants were recruited and included in the analyses, there were wide variations in frailty status across the four frailty instruments (Figure 1). Inter-correlations were highest between SVF and SHARE-FI instruments ( r = 0.62). The NYHA classification were correlated with SVF ( r = 0.46) and SHARE-FI ( r = 0.42). Similarly, all EQ-5D-5L dimensions were correlated with both SVF and SHARE-FI but not with FP or q-FP. The SVF differentiated between high and low AKPS scores (χ 2 = 11.70, df : 2, p = 0.003) and DMI scores (χ 2 = 7.28, df : 2, p = 0.026). Similarly, the SHARE-FI also had good discriminant validity using AKPS scores (χ 2 = 9.25, df : 2, p = 0.010) and DMI scores (χ 2 = 14.32, df : 2, p = 0.001). Conclusions: The SVF and SHARE-FI demonstrated good convergent and discriminant validity. Both instruments provide a valid alternative to the FP for the assessment of frailty in those with heart failure. Figure 1: Classification of frailty categories: FP, Questionnaire-only FP, SVF and SHARE-FI

scholarly journals Audiologists’ preferences for patient-centredness: a cross-sectional questionnaire study of cross-cultural differences and similarities among professionals in Portugal, India and Iran

BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005915 ◽  
Author(s):  
Vinaya Manchaiah ◽  
Philip A Gomersall ◽  
David Tomé ◽  
Tayebeh Ahmadi ◽  
Rajalakshmi Krishna
Keyword(s):  
Outcome Measure ◽  
Survey Design ◽  
Health Service Delivery ◽  
Cross Cultural ◽  
Point Scale ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cross Cultural Differences ◽  
Orientation Scale ◽  
Patient Centredness

ObjectivePatient-centredness has become an important aspect of health service delivery; however, there are a limited number of studies that focus on this concept in the domain of hearing healthcare. The objective of this study was to examine and compare audiologists’ preferences for patient-centredness in Portugal, India and Iran.DesignThe study used a cross-sectional survey design with audiologists recruited from three different countries.ParticipantsA total of 191 fully-completed responses were included in the analysis (55 from Portugal, 78 from India and 58 from Iran).Main outcome measureThe Patient–Practitioner Orientation Scale (PPOS).ResultsPPOS mean scores suggest that audiologists have a preference for patient-centredness (ie, mean of 3.6 in a 5-point scale). However, marked differences were observed between specific PPOS items suggesting these preferences vary across clinical situations. A significant level of difference (p<0.001) was found between audiologists’ preferences for patient-centredness in three countries. Audiologists in Portugal had a greater preference for patient-centredness when compared to audiologists in India and Iran, although no significant differences were found in terms of age and duration of experience among these sample populations.ConclusionsThere are differences and similarities in audiologists’ preferences for patient-centredness among countries. These findings may have implications for the training of professionals and also for clinical practice in terms of optimising hearing healthcare across countries.

scholarly journals Burnout and job satisfaction of psychiatrists in China: a nationwide survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hao Yao ◽  
Peicheng Wang ◽  
Yi-Lang Tang ◽  
Yuanli Liu ◽  
Tingfang Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Psychiatric Hospitals ◽  
Maslach Burnout Inventory ◽  
Leadership Role ◽  
Job Dissatisfaction ◽  
High Rate ◽  
Short Version ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Occupational Characteristics

Abstract Background Despite a significant shortage of psychiatrists in China, an ever-increasing number of psychiatrists in China are experiencing burnout and job dissatisfaction and considering leaving their jobs. Yet, to our knowledge, there have been no nationwide studies to date that examined both burnout and job dissatisfaction of psychiatrists in China. Therefore, this study evaluated burnout and job dissatisfaction of psychiatrists in China, and identified relevant characteristics. Methods We conducted a nationwide, cross-sectional survey in March 2019. Psychiatrists from all tertiary psychiatric hospitals in China were invited to participate. The Maslach Burnout Inventory-Human Service Survey and the short version of the Minnesota Satisfaction Questionnaire were used to measure burnout and job satisfaction. Data on socio-demographic and occupational characteristics were collected. Multivariate logistic regression was conducted to identify socio-demographic and occupational characteristics associated with burnout and job satisfaction. Results In total, 4520 psychiatrists from tertiary psychiatric hospitals in China completed the questionnaire. Overall, 38.4% of respondents met the criteria for burnout and 35.6% were dissatisfied with their jobs. Being male, more years of practice, having no leadership role, and longer working hours per week were significantly associated with burnout and job dissatisfaction. Lower monthly pay was significantly associated with job dissatisfaction but not burnout. Moreover, burnout was significantly associated with job dissatisfaction. Conclusions Our data suggest a high rate of burnout and job dissatisfaction among psychiatrists in China. In order to preserve and strengthen the mental health workforce, proactive measures are urgently needed to mitigate burnout and job dissatisfaction among psychiatrists in China.

scholarly journals Can We Apply WHOQOL-AGE to Asian Population? Verifying Its Factor Structure and Psychometric Properties in a Convenience Sample From Taiwan

2020 ◽  
Vol 8 ◽  
Author(s):  
Chung-Ying Lin ◽  
Jung-Der Wang ◽  
Li-Fan Liu
Keyword(s):  
Older People ◽  
Psychometric Properties ◽  
Measurement Invariance ◽  
Factor Structure ◽  
Educational Level ◽  
Age Groups ◽  
Asian Population ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Convenience Sample

Objectives: To translate and validate a recently developed quality of life instrument (WHOQOL-AGE) on geriatric population into Chinese.Method: Using cross-sectional observational design, the WHOQOL-AGE was conducted among older people through interview. Confirmatory factor analysis (CFA) was used to examine the factor structure and multigroup CFA used to examine the measurement invariance.Results: Through convenience sampling, 522 older adults (mean age = 73.42) participated in the study. Among them, 194 were males, 213 had an educational level at primary school or below, 398 were residing in the community, and 307 were aged 70 years or above. A bifactor structure (items Q1–Q8 are embedded in the factor 1; items Q9–Q13 embedded in the factor 2; and all the items embedded in an additional construct of QoL) was confirmed by the CFA in both the entire sample (χ2 = 25.4; df = 51; p = 0.999) and the subgroup sample with age 70 years or above (χ2 = 25.28; df = 51; p = 1.000). Multigroup CFAs results supported the measurement invariance for the WHOQOL-AGE across genders, having different educational levels, living in different settings and age groups. It also shows good known-groups validity.Conclusions: The promising psychometric properties of the WHOQOL-AGE were found in our convenience sample of older Taiwanese. The supported measurement invariance indicates that the older people in different conditions of gender, educational level, and living setting interpret the WHOQOL-AGE similarly. However, our results should be interpreted with cautious because of the sample representativeness.

scholarly journals The psychometric properties of a short version of the General Self-Efficacy Scale: A Rasch analysis

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A M S Steigen ◽  
H S F Finbråten ◽  
A L K Kleppang
Keyword(s):  
Secondary Schools ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Self Efficacy ◽  
Measurement Theory ◽  
School Level ◽  
Short Version ◽  
Cross Sectional ◽  
Item Functioning ◽  
General Self Efficacy

Abstract Background Self-efficacy is important in adolescence and is found to affect adolescents’ physical activity, risk-taking behaviour and health decisions. Self-efficacy describes a person’s belief in own coping abilities. Having good measures of self-efficacy may contribute to more valid knowledge about the potential role of self-efficacy as a health promoting factor in adolescents lives. Several scales measuring self-efficacy exists. One of these is the General Self-Efficacy Scale comprising 10-items. However, there exists several short versions of the scale. In a large cross-sectional study among adolescents in secondary schools in Norway, five of the items from the General Self-Efficacy Scale are used. The aim of this study is to examine the psychometric properties of this short version of the General Self-Efficacy Scale applying Rasch measurement theory. Methods This study is based on cross-sectional data from the Youth Data Survey. The data collection was carried out in lower and upper secondary schools in Norway during 2018. In total, 6646 adolescents responded to a web-based questionnaire. The data were analysed using the partial credit parameterization of the unidimensional Rasch model. Results Preliminary results indicated that the short version had acceptable reliability (person separation index: 0.78). However, the targeting could have been better (mean person location: 1.441). All items had ordered thresholds. One under-discriminating item and three over-discriminating items were identified. Three items displayed differential item functioning with regard to gender and one item displayed differential item functioning for school level. Conclusions Based on our preliminary findings this short version of the General Self-Efficacy Scale has the potential to measure self-efficacy among adolescents, but there are room for improvements. The scale has some shortcomings related to targeting and differential item functioning that needs to be further explored. Key messages The short version of the General Self-Efficacy Scale has the potential to measure self-efficacy in adolescents. The scale has some shortcomings that needs to be further judged.

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