Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
5.4
Journals
IJERPH
Special Issues
Instruments for Measuring Health
ijerph-logo
Submit to IJERPH Review for IJERPH Propose a Special Issue

Journal Menu

► Journal Menu

Journal Browser

► Journal Browser
share announcement

Instruments for Measuring Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (30 June 2022) | Viewed by 83989

Special Issue Editors

Dr. Desirée Valera-Gran

E-Mail Website
Guest Editor
Department of Surgery and Pathology, Occupational Therapy, Miguel Hernandez University, 03550 Alicante, Spain
Interests: development, adaptation and validadtion of assessment tools; evidence-based healthcare practice; health determinants; occupation-based health promotion; occupation based epidemiology
Special Issues, Collections and Topics in MDPI journals
Dr. Eva Maria Navarrete-Munoz

E-Mail Website
Assistant Guest Editor
Department of Surgery and Pathology, Occupational Therapy, Miguel Hernandez University, 03550 Alicante, Spain
Interests: child and adolescent health; neuropsychology development; community health; sensory reactivity; obesity; psychometrics; occupational therapy; environmental factors; daily activity living; nutritional epidemiology; social factors
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

One of the most important aspects in the assessment of health is to guarantee the quality of the measurements. Ideally, the use of accurate instruments for measuring health should positively contribute to improve the health of populations and increase the opportunities for comparability. In this sense, it is becoming increasingly obvious that more valid, comprehensive, transparent, and standardized ways of measuring and reporting on population health are necessary in clinical practice and research. For these purposes, it is essential that measurement instruments should be subjected to a process of validation to ensure and verify their accuracy.

This Special Issue will focus on describing the development and/or process of validation of instruments used for measuring health status, including general health measures, measures of physical function, pain measures, social health measures, psychological measures, quality of life measures, and specific disease measures, among others. We welcome different types of manuscript submissions, including original research articles and up-to-date reviews (systematic reviews and meta-analyses).

Dr. Desirée Valera-Gran
Dr. Eva Maria Navarrete-Munoz
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Health measurements 
  • Assessment tools 
  • Validation 
  • Normative values 
  • Instrument development 
  • Accuracy 
  • Reproducibility 
  • Reliability 
  • Psychometric assessment 
  • Questionnaires 
  • Survey 
  • Tests 
  • Scales 
  • Translation 
  • Adaptation

Published Papers (29 papers)

Download All Papers
Order results
Result details
Show export options expand_more Show export options expand_less
Select all
Export citation of selected articles as:

Research

Jump to: Review, Other

21 pages, 460 KiB  
Article
Reliability and Usability Analysis of an Embedded System Capable of Evaluating Balance in Elderly Populations Based on a Modified Wii Balance Board
by Ángel Gabriel Estévez-Pedraza, Enrique Hernandez-Laredo, María Elena Millan-Guadarrama, Rigoberto Martínez-Méndez, María Fernanda Carrillo-Vega and Lorena Parra-Rodríguez
Int. J. Environ. Res. Public Health 2022, 19(17), 11026; https://doi.org/10.3390/ijerph191711026 - 03 Sep 2022
Cited by 1 | Viewed by 1835
Abstract
This paper analyzes the reliability and usability of a portable electronic instrument that measures balance and balance impairment in older adults. The center of pressure (CoP) metrics are measured with a modified Wii Balance Board (mWBB) platform. In the intra- and inter-rater testing, [...] Read more.
This paper analyzes the reliability and usability of a portable electronic instrument that measures balance and balance impairment in older adults. The center of pressure (CoP) metrics are measured with a modified Wii Balance Board (mWBB) platform. In the intra- and inter-rater testing, 16 and 43 volunteers (mean 75.66 and standard deviation (SD) of 7.86 years and 72.61 (SD 7.86) years, respectively) collaborated. Five volunteer raters (5.1 (SD 3.69) years of experience) answered the System Usability Scale (SUS). The most reliable CoP index in the intra-examiner tests was the 95% power frequency in the medial-lateral displacement of the CoP with closed-eyes. It had excellent reliability with an intraclass correlation coefficient ICC = 0.948 (C.I. 0.862–0.982) and a Pearson’s correlation coefficient PCC = 0.966 (p < 0.001). The best index for the inter-rater reliability was the centroidal frequency in the anterior-posterior direction closed-eyes, which had an ICC (2,1) = 0.825. The mWBB also obtained a high usability score. These results support the mWBB as a reliable complementary tool for measuring balance in older adults. Additionally, it does not have the limitations of laboratory-grade systems and clinical screening instruments. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
13 pages, 352 KiB  
Article
Assessing the Content Validity of the Revised Health of the Nation Outcome Scales (HoNOS 2018)
by Meredith G. Harris, Caley Tapp, Urska Arnautovska, Tim Coombs, Rosemary Dickson, Mick James, Jon Painter, Mark Smith, Angela Jury, Jennifer Lai and Philip M. Burgess
Int. J. Environ. Res. Public Health 2022, 19(16), 9895; https://doi.org/10.3390/ijerph19169895 - 11 Aug 2022
Cited by 2 | Viewed by 1991
Abstract
The Health of the Nation Outcome Scales (HoNOS) comprises 12 scales that cover the kinds of problems that may be experienced by working-age adults in contact with specialised mental health services. Drawing on 20 years’ experience in clinical practice, a collaborative, international review [...] Read more.
The Health of the Nation Outcome Scales (HoNOS) comprises 12 scales that cover the kinds of problems that may be experienced by working-age adults in contact with specialised mental health services. Drawing on 20 years’ experience in clinical practice, a collaborative, international review of the HoNOS was undertaken and a revised measure (known as the HoNOS 2018) was published. In this study, 32 experts from Australia, England and New Zealand completed an anonymous web-based survey to assess the relevance, comprehensiveness and comprehensibility (aspects of content validity) of the HoNOS 2018. The experts rated 11 of the 12 HoNOS 2018 scales as ‘important’ or ‘very important’ for determining the overall clinical severity (item-level content validity index or I-CVI ≥ 0.75). Evaluations of the scales’ ability to capture change, comprehensiveness and comprehensibility were more variable, but generally positive. Experts’ comments provided further insights into this variability; for example, they noted that some scales combine multiple phenomena, which can result in ambiguity in item wording and assessment challenges. Results from this study suggest that the revisions have not altered the importance of the scales. Given the measure’s breadth of content, training remains important for ensuring rating fidelity. Inter-rater reliability and utility testing are indicated. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
10 pages, 800 KiB  
Article
Validation of a Parent-Reported Physical Activity Questionnaire by Accelerometry in European Children Aged from 6 to 12 Years Old
by Daniel Prieto-Botella, Desirée Valera-Gran, Loreto Santa-Marina, Izaro Babarro, Mikel Subiza-Pérez, Maribel Casas, Mónica Guxens, Gabriela Cárdenas-Fuentes, Barbara Heude, Jonathan Y. Bernard, Rosemary R. C. McEachan, Judith García-Aymerich, Martine Vrijheid and Eva-María Navarrete-Muñoz
Int. J. Environ. Res. Public Health 2022, 19(15), 9178; https://doi.org/10.3390/ijerph19159178 - 27 Jul 2022
Viewed by 2123
Abstract
Validated physical activity (PA) questionnaires are crucial for collecting information in large epidemiological studies during childhood. Thus, this study analyzed the validity of a parent-reported PA questionnaire based on the Children’s Leisure Activities Study Survey by accelerometry in European children aged from 6 [...] Read more.
Validated physical activity (PA) questionnaires are crucial for collecting information in large epidemiological studies during childhood. Thus, this study analyzed the validity of a parent-reported PA questionnaire based on the Children’s Leisure Activities Study Survey by accelerometry in European children aged from 6 to 12 years old. We used data from 230 children of the Human Early-Life Exposome and Infancia y Medio Ambiente projects. Mean differences between moderate-to-vigorous PA (MVPA) reported by the questionnaire and the accelerometer were calculated (min/day), and its associated factors were explored by multiple robust linear regression. The agreement between methods was examined using a Bland–Altman plot. The concurrent validity of assessing MVPA was analyzed by cohort-adjusted Spearman’s partial correlations. ROC curve analysis was also used to explore the questionnaire’s capability to identify active children based on the World Health Organization guidelines. A moderate correlation was found between parent-reported and accelerometer MVPA (rho = 0.41, p < 0.001). The child’s sex (girl) was statistically associated with the mean MVPA difference between methods. However, this questionnaire accurately identified physically active children (area under the curve = 83.8% and 82.7% for boys and girls, cut-points = 68.6 and 45.4 min/day in MVPA, respectively). Consequently, this questionnaire is suitable for classifying active children in order to monitor public health interventions regarding PA. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

12 pages, 356 KiB  
Article
Comparing the Psychometric Properties among Three Versions of the UCLA Loneliness Scale in Individuals with Schizophrenia or Schizoaffective Disorder
by Chung-Ying Lin, Ching-Shu Tsai, Cian-Ruei Jian, Shu-Ru Chao, Peng-Wei Wang, Huang-Chi Lin, Mei-Feng Huang, Yi-Chun Yeh, Tai-Ling Liu, Cheng-Sheng Chen, Ya-Ping Lin, Shu-Ying Lee, Ching-Hua Chen, Yun-Chi Wang, Yu-Ping Chang, Yu-Min Chen and Cheng-Fang Yen
Int. J. Environ. Res. Public Health 2022, 19(14), 8443; https://doi.org/10.3390/ijerph19148443 - 11 Jul 2022
Cited by 12 | Viewed by 2947
Abstract
The UCLA Loneliness Scale (Version 3; UCLA-LSV3) is widely used for assessing loneliness. Nevertheless, the validity of this scale for assessing loneliness in individuals with schizophrenia or schizoaffective disorder has not been determined. Additionally, studies validating the eight-item and three-item versions of UCLA-LSV3 [...] Read more.
The UCLA Loneliness Scale (Version 3; UCLA-LSV3) is widely used for assessing loneliness. Nevertheless, the validity of this scale for assessing loneliness in individuals with schizophrenia or schizoaffective disorder has not been determined. Additionally, studies validating the eight-item and three-item versions of UCLA-LSV3 have not included individuals with severe mental illness; therefore, whether the short versions are comparable to the full 20-item version of UCLA-LSV3 for this population is unclear. The present study examined the unidimensional structure, internal consistency, concurrent validity, and test–retest reliability of the Chinese versions of UCLA-LSV3 (i.e., 20-item, 8-item, and 3-item versions) to determine which version is most appropriate for assessing loneliness in individuals with schizophrenia or schizoaffective disorder in Taiwan. A total of 300 participants (267 with schizophrenia and 33 with schizoaffective disorder) completed the scales, comprising UCLA-LSV3, the Center for Epidemiological Studies Depression Scale (CES-D), the suicidality module of the Kiddie Schedule for Affective Disorders and Schizophrenia–Epidemiological Version (K-SADS-E), and the family and peer Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) index. Construct validity was evaluated through confirmatory factor analysis. The three versions of UCLA-LSV3 were compared with the CES-D, the suicidality module of the K-SADS-E, and the family and peer APGAR index to establish concurrent validity. The results indicated that all three versions of UCLA-LSV3 exhibited acceptable to satisfactory psychometric properties in terms of unidimensional constructs, concurrent validity, and test–retest reliability. The full version of UCLA-LSV3 had the best performance, followed by the eight-item version and the three-item version. Moreover, the three versions had relatively strong associations with each other. Therefore, when deliberating which version of UCLA-LSV3 is the best choice for assessing loneliness in individuals with schizophrenia or schizoaffective disorder, healthcare providers and therapists should consider time availability and practicality. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
14 pages, 359 KiB  
Article
Reliability and Validity of the Polish Version of the Esophageal-Atresia-Quality-of-Life Questionnaires to Assess Condition-Specific Quality of Life in Children and Adolescents Born with Esophageal Atresia
by Anna Rozensztrauch, Robert Śmigiel, Dariusz Patkowski, Sylwester Gerus, Magdalena Kłaniewska, Julia Hannah Quitmann and Michaela Dellenmark-Blom
Int. J. Environ. Res. Public Health 2022, 19(13), 8047; https://doi.org/10.3390/ijerph19138047 - 30 Jun 2022
Cited by 8 | Viewed by 1484
Abstract
Aim: This study reports the reliability and validity of the Polish version of the Esophageal Atresia Quality of Life (EA-QOL) questionnaires, which were originally developed in Sweden and Germany. Methods: A total of 50 families of children (23 aged 2 to 7, and [...] Read more.
Aim: This study reports the reliability and validity of the Polish version of the Esophageal Atresia Quality of Life (EA-QOL) questionnaires, which were originally developed in Sweden and Germany. Methods: A total of 50 families of children (23 aged 2 to 7, and 27 aged 8 to 17) with EA/TEF (esophageal atresia/tracheoesophageal fistula) participated in the study. The development and validation of the Polish version of the EA-QOL involved forward-backward translation of the survey items following the guidelines for cross-cultural translation, cognitive debriefing and evaluation of psychometric properties, including assessment of internal and retest reliability, linguistic validity, content validity, known-group validity and convergent validity. The medical records of patients and standardized questionnaires were used to obtain clinical data. The level of significance was p < 0.05. Results: The Polish versions of the EA-QOL questionnaires demonstrated strong linguistic and content validity, are slightly discriminative for esophageal and respiratory problems, but do not show convergent validity with the PedsQL 4.0 generic core scales. In terms of reliability, the internal consistency of the subscale and total scale of Polish versions as measured by Cronbach’s alpha is good, and retest reliability is excellent. Conclusions: The Polish versions of the EA-QOL questionnaires meet most psychometric criteria that confirm the EA-QOL questionnaires’ reliability and validity. This study enables application of these questionnaires in future research among children with EA in Poland and participation in international multicenter studies focusing on advancing knowledge of condition-specific QOL in this population. Future cross-cultural research using larger sample sizes is still needed to better address the relationship between condition-specific and generic QOL, as well as the discriminative ability of the EA-QOL questionnaires. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
21 pages, 3603 KiB  
Article
Validation of PARADISE 24 and Development of PARADISE-EDEN 36 in Patients with Dementia
by Francesco Talarico, Carolina Fellinghauer, Giuseppe Andrea De Biase, Pietro Gareri, Sebastiano Capurso, Paolo Moneti, Angela Caruso, Valentina Chiatante, Emanuela Gentile, Monica Malerba, Laura Marsico, Maria Mauro, Maria Magro, Andrea Melendugno, Fabio Pirrotta, Luana Putrino, Carla Putrino, Anna Propati, Vincenzo Rotondaro, Fausto Spadea, Angela Villella and Alba Malaraadd Show full author list remove Hide full author list
Int. J. Environ. Res. Public Health 2022, 19(11), 6949; https://doi.org/10.3390/ijerph19116949 - 06 Jun 2022
Cited by 1 | Viewed by 1769
Abstract
Dementia was one of the conditions focused on in an EU (European Union) project called “PARADISE” (Psychosocial fActors Relevant to brAin DISorders in Europe) that later produced a measure called PARADISE 24, developed within the biopsychosocial model proposed in the International Classification of [...] Read more.
Dementia was one of the conditions focused on in an EU (European Union) project called “PARADISE” (Psychosocial fActors Relevant to brAin DISorders in Europe) that later produced a measure called PARADISE 24, developed within the biopsychosocial model proposed in the International Classification of Functioning Disability and Health (ICF). The aims of this study are to validate PARADISE 24 on a wider sample of patients with mild to moderate dementia to expand PARADISE 24 by defining a more specific scale for dementia, by adding 18 questions specifically selected for dementia, which eventually should be reduced to 12. We enrolled 123 persons with dementia, recruited between July 2017 and July 2019 in home care and long-term care facilities, in Italy, and 80 participants were recruited in Warsaw between January and July 2012 as part of a previous cross-sectional study. The interviews with the patient and/or family were conducted by health professionals alone or as a team by using the Paradise data collection protocol. The psychometric analysis with the Rasch analysis has shown that PARADISE 24 and the selection of 18 additional condition-specific items can be expected to have good measurement properties to assess the functional state in persons with dementia. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

10 pages, 366 KiB  
Article
Validation of the Therapeutic Self-Care Scale-European Portuguese Version in Primary Care Type 2 Diabetes Adults
by Ana Filipa Cardoso, Paulo Queirós, António Salgueiro Amaral, Carlos Fontes-Ribeiro, Amorim Rosa, Rui Cruz, Matilde Agostinho Neto, Helena Felizardo and Souraya Sidani
Int. J. Environ. Res. Public Health 2022, 19(7), 3750; https://doi.org/10.3390/ijerph19073750 - 22 Mar 2022
Cited by 2 | Viewed by 1539
Abstract
Self-care is an important nursing-sensitive outcome. Reliable and valid measures are needed for therapeutic self-care assessment that may inform the development and evaluation of individualized nursing interventions co-created with type 2 diabetes mellitus (T2DM) adults. The therapeutic self-care scale European Portuguese version (TSCS-EPV) [...] Read more.
Self-care is an important nursing-sensitive outcome. Reliable and valid measures are needed for therapeutic self-care assessment that may inform the development and evaluation of individualized nursing interventions co-created with type 2 diabetes mellitus (T2DM) adults. The therapeutic self-care scale European Portuguese version (TSCS-EPV) is a validated generic measure that may be used to assess self-care in T2DM adults. Aim: To examine the psychometric properties of the TSCS-EP version in T2DM adults, in primary health care. Methods: A cross-sectional pilot study in a convenience sample of 80 adults with T2DM from two primary health care centers in Portugal was conducted. Individuals completed the Portuguese version of the TSC scale. Results: A three-factor solution emerged from the principal component analysis: “Recognizing and managing signs and symptoms”; “Managing changes in health condition” and “Managing medication”, explaining 75% of the total variance. Total scale Cronbach’s alpha was 0.884 and for the three factors ranged from 0.808 to 0.954. Conclusion: the therapeutic self-care scale European Portuguese version is a promising scale for assessing therapeutic self-care abilities in adults with T2DM in primary care settings. More consistent results on its validity and reliability are needed for it to be used in the country. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
10 pages, 341 KiB  
Article
Psychometric Properties of the Treatment Satisfaction with Medicines Questionnaire (SATMED-Q) in Patients with Diabetes, Arterial Hypertension and Heart Failure
by Natalia Świątoniowska-Lonc, Aleksandra Kołtuniuk and Beata Jankowska-Polańska
Int. J. Environ. Res. Public Health 2022, 19(3), 1088; https://doi.org/10.3390/ijerph19031088 - 19 Jan 2022
Viewed by 1933
Abstract
Background: Satisfaction with medicines is crucial in indicating patient experiences with the treatment which impact medicine adherence and compliance. Aim: The aim of this research was to adopt a general measure of patients’ satisfaction with medicines, the Treatment Satisfaction with Medicines Questionnaire (SATMED-Q), [...] Read more.
Background: Satisfaction with medicines is crucial in indicating patient experiences with the treatment which impact medicine adherence and compliance. Aim: The aim of this research was to adopt a general measure of patients’ satisfaction with medicines, the Treatment Satisfaction with Medicines Questionnaire (SATMED-Q), to the Polish language (BMQ-PL). Materials and Methods: A total of 197 patients qualified for the research, with the following diagnoses: type 2 diabetes (n = 42), hypertension (n = 55) and heart failure (n = 100), aged 64.73 (SD = 13.27). The criterion-related validity was determined with the use of a Polish version of the Adherence to Refills and Medications Scale. Confirmatory and exploratory factor analyses were used. Results: The respondents’ mean score was 73.63 (SD = 18.42). Cronbach’s alpha for the entire instrument was 0.847. All items of the questionnaire were found to have a positive item–total correlation. A multifactorial linear regression model showed that a significant (p ˂ 0.05) independent variable increasing the SATMED-Q score for the whole group was educational level (vocational education R = 14.576; secondary education R = 14.055; higher education R = 19.372) and low adherence (R = −1.384) was a decreasing variable. Conclusions: The present findings indicate a high level of reliability and validity of the translated SATMED-Q questionnaire, fully comparable to that of the original. The questionnaire can be used for the assessment of satisfaction with medicines among Polish patients. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
9 pages, 628 KiB  
Article
Rasch Analysis of Self-Reported Adherence to Patient-Centered Physical Therapy Scale among Japanese Physical Therapists: Cross-Sectional Study
by Hiroshi Takasaki
Int. J. Environ. Res. Public Health 2021, 18(19), 10282; https://doi.org/10.3390/ijerph181910282 - 29 Sep 2021
Viewed by 1514
Abstract
This study primarily aimed to develop a shorter version of the self-reported adherence to patient-centered physical therapy (s-SAPCPTS) by using Rasch analysis and secondarily aimed to preliminarily investigate the relationship between the s-SAPCPTS scores and demographics (i.e., age, sex, final academic degree (non-postgraduate [...] Read more.
This study primarily aimed to develop a shorter version of the self-reported adherence to patient-centered physical therapy (s-SAPCPTS) by using Rasch analysis and secondarily aimed to preliminarily investigate the relationship between the s-SAPCPTS scores and demographics (i.e., age, sex, final academic degree (non-postgraduate degrees or postgraduate degrees), and practice environment). In an online anonymous survey, 110 Japanese physical therapists completed the self-reported adherence to patient-centered physical therapy and provided data on their demographics. Through the Rasch analysis, items were excluded in a stepwise manner, until certain pre-established criteria of the unidimensionality were satisfied. Subsequently, a conversion table for the Rasch score was developed. Furthermore, multiple regression analysis was conducted by using the independent variables age, sex, and final academic degree. Using the Kruskal–Wallis test, we compared the Rasch s-SAPCPTS scores among four practice environments. Consequently, the seven-item s-SAPCPTS was developed by excluding seven items through the Rasch analysis. Postgraduate degree was a statistically significant contributing factor for Rasch s-SAPCPTS scores (p = 0.038, β = 0.20). The Kruskal–Wallis test demonstrated statistically significant differences in the Rasch s-SAPCPTS scores among the four practice environments (p = 0.006). In conclusion, the seven-item s-SAPCPTS was developed with the preliminary evidence of construct validity. It was also found that the final academic degree and practice environment could be the contributing factors of s-SAPCPTS scores. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

12 pages, 527 KiB  
Article
Cultural Adaptation and Psychometric Properties of the Spanish Version of the Occupational Balance Questionnaire: An Instrument for Occupation-Based Research
by Paula Peral-Gómez, Sofía López-Roig, María Ángeles Pastor-Mira, Ester Abad-Navarro, Desirée Valera-Gran, Carita Håkansson and Petra Wagman
Int. J. Environ. Res. Public Health 2021, 18(14), 7506; https://doi.org/10.3390/ijerph18147506 - 14 Jul 2021
Cited by 13 | Viewed by 3332
Abstract
Occupational balance (OB) may be a major determinant of health outcomes due to its role in bringing a sense of purpose in the occupations that are personally experienced as a process of getting health and wellness. The Occupational Balance Questionnaire (OBQ) is a [...] Read more.
Occupational balance (OB) may be a major determinant of health outcomes due to its role in bringing a sense of purpose in the occupations that are personally experienced as a process of getting health and wellness. The Occupational Balance Questionnaire (OBQ) is a reliable instrument for measuring OB, although it has not been adapted and validated in Spain so far; therefore, this study had a double aim: (1) to translate and cross-culturally adapt the original OBQ version into Spanish (OBQ-E); (2) to analyze the psychometric properties for its use in the Spanish population. Standard procedures were used for the cross-adaptation process and pilot testing was carried out using three different samples to extend the applicability of the OBQ-E. Validation measures of the final version of the OBQ-E were conducted in a sample of 219 participants. The OBQ-E showed that items and instructions were culturally appropriate and written clearly. Psychometric testing showed excellent internal consistency (Cronbach’s alpha = 0.87; Guttman split-half coefficient = 0.85), good test–retest reliability (rs (Spearman rho) = 0.73), and acceptable convergent validity (overall status, rs = 0.37; Related Quality of Life, rs = 0.42; Satisfaction with Life Scale, rs = 0.54). The findings suggest that the OBQ-E may be a suitable instrument for assessing OB in the Spanish population; hence, it is a promising tool for epidemiological research that will significantly contribute to the understanding of OB as a health-related factor. Nevertheless, further investigation is also warranted to explore the potentiality of this instrument for clinical purposes. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

17 pages, 6924 KiB  
Article
Adaptation and Psychometric Properties of the Scale of Positive and Negative Experience (SPANE) in the General Colombian Population
by Marta Martín-Carbonell, Irene Checa, Martha Fernández-Daza, Yadid Paternina and Begoña Espejo
Int. J. Environ. Res. Public Health 2021, 18(12), 6449; https://doi.org/10.3390/ijerph18126449 - 15 Jun 2021
Cited by 5 | Viewed by 3685
Abstract
(1) Background: Diener’s Scale of Positive and Negative Experiences (SPANE) assesses the presence and intensity of positive and negative affects, since these are considered basic aspects of the study of well-being. This article studies its psychometric properties in the general Colombian population. (2) [...] Read more.
(1) Background: Diener’s Scale of Positive and Negative Experiences (SPANE) assesses the presence and intensity of positive and negative affects, since these are considered basic aspects of the study of well-being. This article studies its psychometric properties in the general Colombian population. (2) We conducted a cross-sectional study of a sample of 1255 Colombians and we used structural equation modeling to confirm the bifactor structure. Additionally, we studied invariance by gender, and convergent and concurrent validity. (3) We found acceptable fit indicators for the bifactor model (CFI = 0.889, RMSEA = 0.046, SRMR = 0.059) as well as for the convergent (CFI = 0.909, RMSEA = 0.050, SRMR = 0.063) and concurrent (CFI = 0.966, RMSEA = 0.036, SRMR = 0.041) validity models. We did not confirm total invariance across gender, although we found configural and metric invariance, so percentiles by sex were provided. (4) Conclusions: The SPANE is a valid and reliable measure to assess well-being among the Colombian population, although we alert researchers to the risk of comparing affectivity average scores between sexes. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

14 pages, 592 KiB  
Article
Validation and Test of Measurement Invariance of the Adapted Health Consciousness Scale (HCS-G)
by Matthias Marsall, Gerrit Engelmann, Eva-Maria Skoda, Martin Teufel and Alexander Bäuerle
Int. J. Environ. Res. Public Health 2021, 18(11), 6044; https://doi.org/10.3390/ijerph18116044 - 04 Jun 2021
Cited by 4 | Viewed by 3674
Abstract
The objective of this study was the translation and validation of a health consciousness scale in order to provide an economically and empirically confirmed measurement of health consciousness, which is associated with health-related behavior. We evaluated this translation on the basis of psychometric [...] Read more.
The objective of this study was the translation and validation of a health consciousness scale in order to provide an economically and empirically confirmed measurement of health consciousness, which is associated with health-related behavior. We evaluated this translation on the basis of psychometric testing in a German convenience sample. A cross-sectional online survey (n = 470) was carried out using a translated version of the health consciousness scale, oriented on the basis of international guidelines. As previous studies have not consistently confirmed the factorial structure of the health consciousness scale, we conducted a Confirmatory Factor Analysis to verify its factorial structure. Furthermore, we cross-validated the questionnaire with other scales in order to verify convergent and discriminant validity. The results indicated a two-factor solution for the Health Consciousness Scale-German (HCS-G). The criterion validity was confirmed on the basis of a significantly positive correlation between the HCS-G and health literacy. Furthermore, strict measurement invariance was able to be verified, indicating that the HCS-G is an applicable measurement, regardless of gender. In practical research, this questionnaire can help to assess health consciousness and its influence on health-related constructs. Future studies should consider possible mediating variables between health consciousness and health outcomes. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

14 pages, 320 KiB  
Article
Motivation for Physical Activity: Validation of the Dutch Version of the Physical Activity and Leisure Motivation Scale (PALMS)
by Wim van Lankveld, Fieke Linskens and Niki Stolwijk
Int. J. Environ. Res. Public Health 2021, 18(10), 5328; https://doi.org/10.3390/ijerph18105328 - 17 May 2021
Cited by 5 | Viewed by 3419
Abstract
Understanding motivation for exercise can be helpful in improving levels of physical activity. The Physical Activity and Leisure Motivation Scale (PALMS) measures distinct goal-oriented motivations. In this study selected measurement properties of the Dutch version (PALMS-D) are determined. Forward-backward translation was used for [...] Read more.
Understanding motivation for exercise can be helpful in improving levels of physical activity. The Physical Activity and Leisure Motivation Scale (PALMS) measures distinct goal-oriented motivations. In this study selected measurement properties of the Dutch version (PALMS-D) are determined. Forward-backward translation was used for cross-cultural adaptation. Construct validity of the PALMS-D was assessed in five subsamples completing the PALMS-D and the Behavioral Regulation in Exercise Questionnaire (BREQ-3). The study population consisted of five samples recruited from different populations; samples consisted of runners, hockey players, soccer players, participants in medical fitness, and a sedentary group of young adults with low activity. A total of 733 participants completed the questionnaire: 562 athletes and 171 non-athletes. Exploratory for Analysis confirmed the original eight factors. Internal consistency of the subscales was high, except for Others’ expectations. The a priori determined hypotheses related to differences between athletes participating in different sports were confirmed, as well as the hypothesis related to differences between amateur athletes, patients in medical fitness, and non-active participants. It was concluded that the Dutch version of the PALMS is an acceptable questionnaire with which to evaluate the individual motivation of athletes in the Netherlands, and discriminates between different leisure athletes, patients in medical fitness, and non-active youths. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
11 pages, 319 KiB  
Article
Measuring and Exploring Children’s Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15
by Marla T. H. Hahnraths, Monique Heijmans, Torsten M. Bollweg, Orkan Okan, Maartje Willeboordse and Jany Rademakers
Int. J. Environ. Res. Public Health 2021, 18(10), 5244; https://doi.org/10.3390/ijerph18105244 - 14 May 2021
Cited by 4 | Viewed by 2925
Abstract
As health literacy (HL) is hypothesized to develop throughout life, enhancement during childhood will improve HL and health during life. There are few valid, age-appropriate tools to assess children’s HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a [...] Read more.
As health literacy (HL) is hypothesized to develop throughout life, enhancement during childhood will improve HL and health during life. There are few valid, age-appropriate tools to assess children’s HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a self-report questionnaire adapted from the adult European Health Literacy Survey Questionnaire. This study aims to translate the HLS-Child-Q15 to Dutch and explore the sample’s HL distribution. The HLS-Child-Q15-DE was translated following WHO guidelines and administered digitally to 209 Dutch schoolchildren (eight-to-eleven-year-olds). Its psychometric properties were assessed and the sample’s HL distribution was explored by demographic characteristics. The HLS-Child-Q15-NL had high internal consistency (α = 0.860) and moderate to strong item-total correlations (mean = 0.499). For 6 of the 15 items, >10% of participants answered “do not know”, indicating comprehension problems. Higher HL scores were observed for ten-to-eleven-year-olds (compared with eight-to-nine-year-olds; p = 0.021) and fourth-grade students (compared with third-grade; p = 0.019). This supports the idea that HL evolves throughout life and the importance of schools in this process. With the HLS-Child-Q15-NL, a Dutch measurement instrument of children’s HL is available, although it needs further tailoring to the target group. More research is needed to decrease comprehension problems and to investigate retest reliability and construct validity. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
12 pages, 390 KiB  
Article
Adaptation and Measurement Invariance by Gender of the Flourishing Scale in a Colombian Sample
by Marta Martín-Carbonell, Begoña Espejo, Irene Checa and Martha Fernández-Daza
Int. J. Environ. Res. Public Health 2021, 18(5), 2664; https://doi.org/10.3390/ijerph18052664 - 06 Mar 2021
Cited by 14 | Viewed by 3567
Abstract
There is increasing interest in the study of flourishing as an indicator of subjective wellbeing. The objective herein was to adapt and study the psychometric properties of Diener’s Flourishing Scale (FS) among the Colombian population. Accordingly, a cross-sectional study was conducted with a [...] Read more.
There is increasing interest in the study of flourishing as an indicator of subjective wellbeing. The objective herein was to adapt and study the psychometric properties of Diener’s Flourishing Scale (FS) among the Colombian population. Accordingly, a cross-sectional study was conducted with a non-probability sample of 1255 Colombian adults. The scale’s structure, invariance by gender, and convergent and concurrent validity were studied from a confirmatory perspective using structural equation models. The confirmatory factor analysis showed excellent fit indicators for the one-dimensional structure (CFI = 0.985, RMSEA = 0.039, SRMR = 0.020) as well as for the convergent (CFI = 0.909, RMSEA = 0.050, SRMR = 0.063) and concurrent (CFI = 0.966, RMSEA = 0.036, SRMR = 0.041) validity models. The correlations calculated among flourishing with positive and negative effects (PANAS), satisfaction with life (SWL), and optimism and pessimism (LOT) were statistically significant and as expected. Configural, metric, and scalar invariance across gender was confirmed. Percentiles were provided for the total score. The FS scale was a valid and reliable measure to assess high levels of wellbeing among the Colombian population. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
10 pages, 378 KiB  
Article
Psychometric Properties of the Healthy Lifestyle Questionnaire for Ecuadorian University Students (EVS-EUE)
by Mario Alvarez-Alvarez, Ricardo de la Vega-Marcos, Ruth Jiménez-Castuera and Marta Leyton-Román
Int. J. Environ. Res. Public Health 2021, 18(3), 1087; https://doi.org/10.3390/ijerph18031087 - 26 Jan 2021
Cited by 4 | Viewed by 3672
Abstract
University students are considered a key population in promoting and establishing healthy lifestyles that will ensure a full life for the next generations. The purpose of this study was to do a cultural and linguistic adaptation of the healthy lifestyle questionnaire for Ecuadorian [...] Read more.
University students are considered a key population in promoting and establishing healthy lifestyles that will ensure a full life for the next generations. The purpose of this study was to do a cultural and linguistic adaptation of the healthy lifestyle questionnaire for Ecuadorian university students (EVS-EUE). Two thousand, one hundred and eight (2108) students from 17 to 19 years old (27%), 20 to 24 years old (57%), and over 24 years old (16%) participated (M = 21.81 years; SD = 3.04). A confirmatory factor analysis, internal consistency analysis, and concurrent validity were conducted. The results of the EVS-EUE Questionnaire presented adequate values (χ2/d.f = 9.02, Comparative Fit Index (CFI) = 0.96, Incremental Fit Index (IFI) = 0.96, McDonald Fit Index (MFI) = 0.91, Adjusted Goodness of Fit Index (AGFI) = 0.94, Root Mean Square Error of Approximation (RMSEA) = 0.06, Standardized Root Mean Square Residual (SRMR) = 0.03). The internal consistency showed values above 0.70, and analyzed its concurrent validity, reaching adequate values. This study has provided a valid and reliable questionnaire to evaluate healthy lifestyles in the Ecuadorian population. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
12 pages, 354 KiB  
Article
Cross-Cultural Adaptation, Validation and Reliability of the Spanish Satisfaction with Daily Occupations-Occupational Balance (SDO-OB): An Evaluation Tool for People with Mental Disorders
by Laura Vidaña-Moya, Mona Eklund, Jose Antonio Merchán-Baeza, Paula Peral-Gómez, Inmaculada Zango-Martín and Jenny Hultqvist
Int. J. Environ. Res. Public Health 2020, 17(23), 8906; https://doi.org/10.3390/ijerph17238906 - 30 Nov 2020
Cited by 5 | Viewed by 3039
Abstract
Occupation can be defined as all activities that occupy a person’s time. The Satisfaction with Daily Occupations and Occupational Balance instrument evaluates the perceived satisfaction with performance and the balance in time dedicated to different occupations. The main aim was to translate the [...] Read more.
Occupation can be defined as all activities that occupy a person’s time. The Satisfaction with Daily Occupations and Occupational Balance instrument evaluates the perceived satisfaction with performance and the balance in time dedicated to different occupations. The main aim was to translate the original instrument to Spanish and examine and establish the psychometric properties. This is a quantitative, cross-sectional study conducted in two stages: translation and cultural adaptation (forward translation, expert panel, back-translation, second expert panel and pre-testing and cognitive interviewing) and collecting data to evaluate psychometric properties (homogeneity, construct validity, known-groups validity, and floor/ceiling effects). One hundred participants took part in the study, adults with a diagnosis of a mental health disorder and adults without any known health problems. The Spanish version showed known-groups validity, acceptable internal consistency, and construct validity, although the relationships with some of the indicators of discriminant validity were somewhat higher than expected. The instrument shows promise as a useful screening tool for assessing activity level and satisfaction with daily occupations among a Spanish speaking population. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
13 pages, 351 KiB  
Article
Content Validation of an Instrument for the Assessment of School Teachers’ Levels of Knowledge of Diabetes through Expert Judgment
by Trinidad Luque-Vara, Marta Linares-Manrique, Elisabet Fernández-Gómez, Adelina Martín-Salvador, María Angustias Sánchez-Ojeda and Carmen Enrique-Mirón
Int. J. Environ. Res. Public Health 2020, 17(22), 8605; https://doi.org/10.3390/ijerph17228605 - 19 Nov 2020
Cited by 7 | Viewed by 4095
Abstract
The objective of this study was to describe the content validation, through expert judgment, of a questionnaire for determining the level of knowledge that school teachers have of diabetes in order to design relevant educational interventions to improve the health of school-aged children. [...] Read more.
The objective of this study was to describe the content validation, through expert judgment, of a questionnaire for determining the level of knowledge that school teachers have of diabetes in order to design relevant educational interventions to improve the health of school-aged children. This psychometric study involved 15 experts who assessed each of the items in the instrument. The results revealed that the strength of agreement shown by the questionnaire ranged from substantial to almost perfect in its four dimensions, with the characteristics of “sufficiency” and “relevance” having the highest scores (0.982 and 0.903, respectively) based on the judgments made by the participating experts. Regarding statistical significance, the characteristics “sufficiency”, with p < 0.001, and “relevance”, with p = 0.001, were particularly relevant. The overall degree of understandability for the new version of the instrument was high (91.54%). The psychometric results obtained from validation of the “grado de conocimientos sobre diabetes en docentes del ámbito escolar” (Spanish for “level of knowledge of diabetes in school teachers”)—GCDDaE questionnaire through expert judgment and the pre-test indicate that it is recommended for use as it is both relevant and quick and easy to administer. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
19 pages, 3039 KiB  
Article
Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals
by Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Elena Fernández-García, Regina Allande-Cussó, María Dolores Quiñoz-Gallardo and José Miguel Morales-Asencio
Int. J. Environ. Res. Public Health 2020, 17(22), 8511; https://doi.org/10.3390/ijerph17228511 - 17 Nov 2020
Cited by 3 | Viewed by 3015
Abstract
Background: The increasing dependence care in patients hospitalized in acute hospitals around the world entails classification systems heeding the wide range of care dependency levels generated by the many different types of dependent patients. This article is a report of a study assessing [...] Read more.
Background: The increasing dependence care in patients hospitalized in acute hospitals around the world entails classification systems heeding the wide range of care dependency levels generated by the many different types of dependent patients. This article is a report of a study assessing the validity and reliability of a short-from version of the instrument (Inventario del NIvel de Cuidados mediante Indicadores de Resultados de Enfermería (INICIARE)) used to classify inpatients according to their care dependency level. Methods: The validation, carried out in a multicenter longitudinal study, included three different samples: the first sample of 1800 patients to evaluate the reliability and validity, a second of 762 patients for confirmatory factor analysis, and a third of 762 to test the short-form version. Patients over 16 years of age, admitted to medical or surgical units at 11 public hospitals, were included. Results: The final sample included 3605 patients. Patients had a mean age of 64.5 years, 60% were admitted to medical units, with severe dependency. The validation process yielded two versions of the instrument: a 40-item version, with eight factors with 83.6% of total variance explained and Cronbach’s alpha values between 0.98 and 0.92, and a short-form with 26 items, with five factors and Cronbach’s alpha values between 0.96 and 0.90. The Confirmatory Factor Analysis yielded a good fit model to the 40-item version (Chi Square on Degrees of Freedom CMIN/DF) = 1.335; Normed Fit Index (NFI); Tucker–Lewis Index (TLI); Comparative Fit Index (CFI) > 0.90; Standardized Residual Root Mean Square (RMSEA) = 0.02; and Standardized Residual Root Mean Square (SRMR) = 0.027) and 26-item version (Chi Square on Degrees of Freedom CMIN/DF = 1.385; NFI = 0.998; CFI = 0.999; RMSEA = 0.02; and SRMR 0.02). Both INICIARE versions obtained a high correlation between them (r = 0.96; p < 0.001). Conclusion: INICIARE has proved to be a valid and reliable instrument for the assessment of the level of care dependency of acutely hospitalized patients. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

13 pages, 1301 KiB  
Article
The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings
by Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Sara Bermúdez-García, Elena Fernández-García, Mercedes Bueno-Ferrán and Bárbara Badanta
Int. J. Environ. Res. Public Health 2020, 17(22), 8456; https://doi.org/10.3390/ijerph17228456 - 15 Nov 2020
Cited by 3 | Viewed by 4673
Abstract
Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess [...] Read more.
Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

14 pages, 2276 KiB  
Article
A Novel Method for Gait Analysis on Center of Pressure Excursion Based on a Pressure-Sensitive Mat
by Eun-tae Jeon and Hwi-young Cho
Int. J. Environ. Res. Public Health 2020, 17(21), 7845; https://doi.org/10.3390/ijerph17217845 - 26 Oct 2020
Cited by 11 | Viewed by 3051
Abstract
Center of pressure (COP) during gait is a useful measure for assessing gait ability and has been investigated using platform or insole systems. However, these systems have inherent restrictions in repeated measure design or in obtaining true vertical force. This study proposes a [...] Read more.
Center of pressure (COP) during gait is a useful measure for assessing gait ability and has been investigated using platform or insole systems. However, these systems have inherent restrictions in repeated measure design or in obtaining true vertical force. This study proposes a novel method based on a pressure-sensitive mat system for COP measurement and presents normal reference values for the system. To explore repeatability, this work also investigated relative and absolute intra-rater reliabilities and determined the number of footfalls required to obtain a reliable measurement. Ninety healthy young adults participated and performed barefoot walking on a force-sensitive mat at a comfortable and fast pace. The time points and subphase duration of the stance phase, displacement ranges, and mean locations of COP and velocity of COP excursion were parameterized. The results showed acceptable and consistent variabilities of the parameters. Seven footfalls were determined as the threshold for most parameters to show a good to reasonable level of reliability. In conclusion, the presented method can be used as a reliable measurement for COP excursion, and it is recommended that more than seven footfalls be collected to ensure a high level of reliability. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

12 pages, 716 KiB  
Article
Psychometric Properties of the CASP-12 Scale in Portugal: An Analysis Using SHARE Data
by Carmen Rodríguez-Blázquez, Oscar Ribeiro, Alba Ayala, Laetitia Teixeira, Lia Araújo and Maria João Forjaz
Int. J. Environ. Res. Public Health 2020, 17(18), 6610; https://doi.org/10.3390/ijerph17186610 - 11 Sep 2020
Cited by 10 | Viewed by 3265
Abstract
The purpose of this study is to assess the psychometric properties of the Portuguese version of the Control, Autonomy, Self-realization, and Pleasure (CASP)-12 scale used in the Survey of Health, Aging and Retirement in Europe (SHARE) project. Data were obtained from a representative [...] Read more.
The purpose of this study is to assess the psychometric properties of the Portuguese version of the Control, Autonomy, Self-realization, and Pleasure (CASP)-12 scale used in the Survey of Health, Aging and Retirement in Europe (SHARE) project. Data were obtained from a representative sample of 1666 people aged ≥50 years living in Portugal and participating in the SHARE wave 6. In addition to the CASP-12 scale, sociodemographic data and health status, activity limitation (GALI), depression (Euro-D) and satisfaction with life scores were collected. Data quality and acceptability, construct and structural validity and internal consistency of the CASP-12 scale were analyzed. A Rasch analysis was also performed. CASP-12 total score (mean: 33.3; standard deviation: 5.8, range: 12–48) correlated with Euro-D (−0.57) and with life satisfaction (0.52). Mean scores were significantly lower for women, people aged ≥75 years and those with activity limitations and worse health status (p < 0.001). The confirmatory factor analysis showed good fit to the 4-factor model (root mean squared error of approximation (RMSEA): 0.07; comparative fit index (CFI): 0.90, χ2 (48) = 444.59, p < 0.001), which was confirmed by Rasch analysis (χ2 (36) = 10.089, p = 0.745, person separation index (PSI) = 0.722 for the 4-factor model). For domains, person separation index ranged 0.31–0.79 and Cronbach’s alpha, 0.37–0.73. In conclusion, the Portuguese version of the CASP-12 scale presents some inadequacies in acceptability, internal consistency and structural validity. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

10 pages, 1472 KiB  
Article
Lack of Correlation between Accelerometers and Heart-Rate Monitorization during Exercise Session in Older Adults
by Laura Carbonell-Hernández, Diego Pastor, Alejandro Jiménez-Loaisa, Juan Arturo Ballester-Ferrer, Carlos Montero-Carretero and Eduardo Cervelló
Int. J. Environ. Res. Public Health 2020, 17(15), 5518; https://doi.org/10.3390/ijerph17155518 - 30 Jul 2020
Cited by 3 | Viewed by 1907
Abstract
Aging is increasing worldwide; hence, aging-related health is also more relevant. Well-programmed physical exercise is now an indispensable tool to achieve active aging and preserve older people’s health. Such “well-programmed” exercise requires efficient and useful tools to measure the activity. The objective of [...] Read more.
Aging is increasing worldwide; hence, aging-related health is also more relevant. Well-programmed physical exercise is now an indispensable tool to achieve active aging and preserve older people’s health. Such “well-programmed” exercise requires efficient and useful tools to measure the activity. The objective of this study is to evaluate the effectiveness of accelerometers to estimate two different intensities of physical exercise in older people. Thirty-eight subjects (64.5 ± 5.3 years) were measured during two different sessions of physical exercise: one moderate in intensity, the other of low intensity. Heart rate and accelerometry were recorded and analyzed. The results showed that the two variables in the physical exercise sessions were not highly correlated, and that accelerometry did not seem useful to assess low-intensity sessions not based on walking. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

13 pages, 1361 KiB  
Article
Assessment of Motor Activities of Daily Living: Spanish Cross-Cultural Adaptation, Reliability and Construct Validity of the DCDDaily-Q
by Laura Delgado-Lobete, Rebeca Montes-Montes, Berdien W. van der Linde and Marina M. Schoemaker
Int. J. Environ. Res. Public Health 2020, 17(13), 4802; https://doi.org/10.3390/ijerph17134802 - 03 Jul 2020
Cited by 4 | Viewed by 3592
Abstract
The DCDDaily-Q is an instrument that aims to comprehensively assess motor performance in a broad range of activities of daily living (ADL) and to identify risk of Developmental Coordination Disorder (DCD) in children. The aim of this study was to cross-culturally adapt the [...] Read more.
The DCDDaily-Q is an instrument that aims to comprehensively assess motor performance in a broad range of activities of daily living (ADL) and to identify risk of Developmental Coordination Disorder (DCD) in children. The aim of this study was to cross-culturally adapt the DCDDaily-Q into European Spanish (DCDDaily-Q-ES) and to test its psychometric properties in Spanish 5 to 10 year old children. The DCDDaily-Q was translated and cross-culturally adapted into Spanish following international guidelines. Two-hundred and seventy-six parents of typically developing Spanish children completed the final version of the DCDDaily-Q-ES (M = 7.5 years, SD = 1.7; girls = 50%). Confirmatory Factor Analysis (CFA), internal consistency, and corrected item-total correlations were conducted to test construct validity, internal consistency, and homogeneity of the DCDDaily-Q-ES. The DCDDaily-Q-ES achieved good semantic, conceptual, and cultural equivalence. CFA supported construct validity of the DCDDaily-Q-ES. Reliability values were also good (Cronbach’s alpha = 0.703–0.843; corrected item-total correlations = 0.262–0.567). This is the first study to cross-culturally adapt and examine the DCDDaily-Q outside the Netherlands. The findings suggest that the DCDDaily-Q-ES is a reliable and valid measure to assess learning, participation, and performance in a broad range of ADL. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

16 pages, 1195 KiB  
Article
Psychometric Validation and Reference Norms for the European Spanish Developmental Coordination Disorder Questionnaire: DCDQ-ES
by Rebeca Montes-Montes, Laura Delgado-Lobete, Javier Pereira, Sergio Santos-del-Riego and Thais Pousada
Int. J. Environ. Res. Public Health 2020, 17(7), 2425; https://doi.org/10.3390/ijerph17072425 - 02 Apr 2020
Cited by 8 | Viewed by 4173
Abstract
The Developmental Coordination Disorder Questionnaire (DCDQ) is a widely used and well-validated tool that contributes to the diagnosis of Developmental Coordination Disorder (DCD). The aim of this study was to further analyze the psychometric properties of the European Spanish cross-culturally adapted version of [...] Read more.
The Developmental Coordination Disorder Questionnaire (DCDQ) is a widely used and well-validated tool that contributes to the diagnosis of Developmental Coordination Disorder (DCD). The aim of this study was to further analyze the psychometric properties of the European Spanish cross-culturally adapted version of the Developmental Coordination Disorder Questionnaire (DCDQ-ES) in a sample of Spanish children aged 6–11 years and to establish reference norms with respect to age groups. Parents of 540 typically developing children completed the DCDQ-ES. A second sample of 30 children with probable DCD (pDCD) was used to test its discriminant validity. Confirmatory factor analysis supported the original three-factor structure and the internal consistency was excellent (Cronbach’s α = 0.907). Significant differences between age groups were found. The pDCD group scored significantly lower than the reference sample in the three subscales and DCDQ-ES total score (p < 0.001; AUC = 0.872). The DCDQ-ES is a reliable and valid tool for screening motor coordination difficulties in Spanish children and for identifying children with probable DCD. The findings of this research suggest that context-specific cut-off scores should be systematically utilized when using cross-cultural adaptations of the DCDQ. Age-specific cut-off scores for Spanish children are provided. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

Review

Jump to: Research, Other

16 pages, 3688 KiB  
Review
Bibliometric Analysis of Research on the Use of the Nine Hole Peg Test
by Gema Moreno-Morente, Miriam Hurtado-Pomares and M. Carmen Terol Cantero
Int. J. Environ. Res. Public Health 2022, 19(16), 10080; https://doi.org/10.3390/ijerph191610080 - 15 Aug 2022
Cited by 10 | Viewed by 2312
Abstract
Manual dexterity is essential for performing daily life tasks, becoming a primary means of interaction with the physical, social, and cultural environment. In this respect, the Nine Hole Peg Test (NHPT) is considered a gold standard for assessing manual dexterity. Bibliometrics is a [...] Read more.
Manual dexterity is essential for performing daily life tasks, becoming a primary means of interaction with the physical, social, and cultural environment. In this respect, the Nine Hole Peg Test (NHPT) is considered a gold standard for assessing manual dexterity. Bibliometrics is a discipline that focuses on analyzing publications to describe, evaluate, and predict the status and development trends in certain fields of scientific research. We performed a bibliometric analysis to track research results and identify global trends regarding the use of the NHPT. The bibliographic data were retrieved from the Web of Science database and then analyzed using the Bibliometrix R package, resulting in the retrieval of a total of 615 publications from 1988 to 2021. Among the 263 journals investigated, the most prolific were the Multiple Sclerosis Journal, Clinical Rehabilitation, and Multiple Sclerosis and Related Disorders. North America and Europe were the areas with the highest production of publications, with the United States (n = 104) ranking first in terms of the number of publications, followed by the United Kingdom (n = 62) and Italy (n = 62). The analysis of keywords revealed that there were two main lines of research, with one related to the study of recovery and disability of the upper limbs caused by certain diseases and another related to the study of reliability and validity. Structured information can be useful to understand the research trajectory and the uses of this tool. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

16 pages, 534 KiB  
Review
Nutritional Status Measurement Instruments for Diabetes: A Systematic Psychometric Review
by Pedro Montagut-Martínez, David Pérez-Cruzado and José Joaquín García-Arenas
Int. J. Environ. Res. Public Health 2020, 17(16), 5719; https://doi.org/10.3390/ijerph17165719 - 07 Aug 2020
Cited by 3 | Viewed by 3440
Abstract
Background: Diabetes is a serious chronic disease associated with a large number of complications and an increased risk of premature death. A dietary evaluation is of utmost importance for health promotion, disease prevention and individual treatment plans in patients with diabetes. Methods: An [...] Read more.
Background: Diabetes is a serious chronic disease associated with a large number of complications and an increased risk of premature death. A dietary evaluation is of utmost importance for health promotion, disease prevention and individual treatment plans in patients with diabetes. Methods: An exhaustive search was carried out in various databases—Medline, Web of Science, Open Gray Cochrane Library and Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN)—for systematic review of the measurement properties of instruments that evaluate the dietary intake of people with diabetes mellitus type 1 and/or 2 according to COSMIN standards. Results: Seven instruments were identified. There was no instrument measuring nutritional status for which all the psychometric properties were evaluated. The methodological quality for each of the psychometric properties evaluated was ‘inadequate’ or ‘doubtful’ for all instruments. The Food Frequency Questionnaire (FFQ) evaluated the most psychometric characteristics and with a better score in terms of quality of the evidence. Conclusions: Several instruments have been developed for the evaluation of dietary intake in people with diabetes. Evaluation of this construct is very useful, both in clinical practice and in research, requiring new knowledge in this area. The FFQ is the best instrument available to assess dietary intake in people with diabetes. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

Other

Jump to: Research, Review

10 pages, 551 KiB  
Brief Report
Adaptation and Validation of the Malay Version of the SAVE-9 Viral Epidemic Anxiety Scale for Healthcare Workers
by Fatin Syafiqah Wasimin, Sean Chern Choong Thum, Mathias Wen Leh Tseu, Assis Kamu, Chong Mun Ho, Nicholas Tze Ping Pang, Seockhoon Chung and Walton Wider
Int. J. Environ. Res. Public Health 2022, 19(17), 10673; https://doi.org/10.3390/ijerph191710673 - 27 Aug 2022
Cited by 1 | Viewed by 1444
Abstract
Viral epidemics have surfaced frequently over the past quarter-century, with multiple manifestations of psychological distress. This study sought to establish the psychometric properties of the Malay version of SAVE-9 among healthcare workers. A total of 203 healthcare workers across Malaysia participated in the [...] Read more.
Viral epidemics have surfaced frequently over the past quarter-century, with multiple manifestations of psychological distress. This study sought to establish the psychometric properties of the Malay version of SAVE-9 among healthcare workers. A total of 203 healthcare workers across Malaysia participated in the research. The Malay version of SAVE-9 was translated and back-translated using the WHO instrument validation protocols. Classical Test Theory (CTT) and Rasch analysis were used to assess the validity and reliability of the Malay version of the SAVE-9 scale. The analysis was run using IBM SPSS 26.0 and JAPS. Cronbach’s alpha was used to measure the internal consistency of SAVE-9, which was found to be satisfactory (Cronbach’s α = 0.795). The correlations between the SAVE-9 and other measured scales (GAD-7 and PHQ-9) were statistically significant. A score of 22 was defined as a cut-off point with good sensitivity (0.578) and specificity (0.165). The Malay version of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) scale is valid and reliable after testing among healthcare workers. It is psychometrically suitable to be used in assessing healthcare workers’ stress and anxiety specific to viral epidemics. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
►▼ Show Figures

Figure 1

10 pages, 323 KiB  
Brief Report
The Development and Validation of the Comprehensive Assessment of Acceptance and Commitment Therapy Processes (CompACT)—Malay Version
by Nurfarahin Musa, Nicholas Tze Ping Pang, Assis Kamu, Chong Mun Ho, Cerith Waters, Jennifer Berrett, Nima Moghaddam and Walton Wider
Int. J. Environ. Res. Public Health 2022, 19(15), 9624; https://doi.org/10.3390/ijerph19159624 - 05 Aug 2022
Cited by 2 | Viewed by 1491
Abstract
Objectives: psychological flexibility is a crucial construct highly correlated with psychological wellness. There is a need for a tool to measure psychological flexibility in order to accurately ascertain the effects of treatment. The existing industry standard, the Acceptance and Action Questionnaire-II (AAQ-II), has [...] Read more.
Objectives: psychological flexibility is a crucial construct highly correlated with psychological wellness. There is a need for a tool to measure psychological flexibility in order to accurately ascertain the effects of treatment. The existing industry standard, the Acceptance and Action Questionnaire-II (AAQ-II), has issues with conflating psychological flexibility with distress; moreover, it does not cover the hexaflexes. The 23-item CompACT was designed to surmount these limitations. Methods: the classical test theory (CTT) and Rasch measurement theory (RMT) were used to check the validity and reliability of the Malay version of the CompACT Scale. Cronbach’s α, McDonald’s Ω, and greatest lower bound were used to measure internal consistency. A Pearson’s correlation test was used to measure test–retest reliability of the Malay versus the original English version. For validity, convergent validity was established by using the Malay AAQ-7 Scale. The dimensionality of the Malay version of the CompACT Scale was explored using exploratory factor analysis. For the RMT, weighted fit statistics (infit) and outlier sensitive fit statistic (outfit) mean square (MnSq) values were used at the item level, while item and person separation reliability values and item and person separation indices were applied at the scale level. Results: the internal consistency measures, including Cronbach α and McDonald’s Ω, passed the suggested cutoff points. Convergent validity with the AAQ-II was 0.693. The quality of the Malay version of the CompACT Scale was also satisfactory, as all item and person reliability values and indices exceeded the suggested cut-off points. Conclusions: the Malay CompACT is a psychometrically sound instrument to assess psychological flexibility in both clinical and research settings. Full article
(This article belongs to the Special Issue Instruments for Measuring Health)
Show export options expand_more Show export options expand_less
Select all
Export citation of selected articles as:
 
Displaying articles 1-29
Back to TopTop