Search Results (29)

Background/Objectives: Oral anticoagulant therapy (OAT) has been prescribed for over seventy years to prevent thromboembolic complications associated with various conditions. The emergence of direct-acting oral anticoagulants (DOACs) has reduced the use of vitamin K antagonists (VKAs), but specific clinical scenarios still necessitate VKAs. Nurses play a crucial role in managing OAT, and their self-efficacy is essential for optimal patient outcomes. This study aims to validate and adapt the Nursing Self-Efficacy for Oral Anticoagulant Therapy Management (SE-OAM) questionnaire to Spanish (SE-OAM-SV) to assess nurses’ self-efficacy in managing OAT. Methods: A methodological design was employed to develop the validity and reliability of the SE-OAM-SV. The process included translation and back-translation, expert review, and a pilot study. Content validity was analyzed using the content validity index (CVI), modified kappa coefficient, and Aiken’s V. A descriptive cross-sectional study was conducted with 100 nurses across Spain to test the SE-OAM-SV and identify comprehension issues. Internal consistency was assessed via Cronbach’s alpha. Results: The translation process highlighted some items requiring clarification, which were resolved through expert consultation. The SE-OAM-SV demonstrated adequate content validity with a global CVI of 0.86. The pilot study revealed an average participant age of 41.3 years and 17.3 years of professional experience. The SE-OAM-SV showed high internal consistency with a Cronbach’s alpha of 0.96. The average score of participants on the SE-OAM-SV was 56.8 points, indicating room for improvement in all aspects of the scale. Conclusion: The SE-OAM-SV is a reliable and valid tool for measuring nurses’ self-efficacy in managing OAT in Spanish-speaking communities. This tool can facilitate the development of educational programs and public policies to enhance nurses’ self-efficacy and improve patient outcomes. The availability of the SE-OAM-SV supports larger-scale studies and validation in other Spanish-speaking countries. Full article

Emotional exhaustion in schoolteachers is a critical issue due to its detrimental effects on teachers’ mental health and its potential negative impact on students’ academic outcomes. This study aimed to develop and validate the Teachers’ Emotional Exhaustion Scale (TEES). The research was conducted in three phases. First, the scale items were developed and evaluated by expert judges using Aiken’s V for content validation. Second, an exploratory factor analysis (EFA) was performed on a sample of 153 teachers to identify the scale’s factor structure. Finally, a confirmatory factor analysis (CFA) was conducted with a sample of 473 Chilean teachers to validate the factor structure. The EFA revealed a two-factor structure comprising Emotional Fatigue (EF) and Emotional Hopelessness (EH), which was subsequently confirmed in the CFA. The model demonstrated a satisfactory fit to the data: χ²(32) = 142.383, p < 0.001; CMIN/DF = 1.651. The goodness-of-fit indices were robust (GFI = 0.933, NFI = 0.952, IFI = 0.981, TLI = 0.974, CFI = 0.980), and the RMSEA was 0.065, indicating an acceptable model fit. The TEES is a valid and reliable instrument for assessing emotional exhaustion in teachers. These findings are particularly relevant in the Chilean educational context, where teachers’ mental health and its implications for the education system are of increasing concern. The TEES can serve as a valuable tool for the early identification of emotional exhaustion, ultimately contributing to teacher retention and the improvement of educational quality. Full article

Return to play (RTP) decision making in professional soccer is crucial for minimising re-injury risk, reducing financial burdens on clubs, and optimising player performance. Despite its significance, there is a lack of objective criteria and consensus on RTP for adductor longus injuries, one of the most common muscle injuries in soccer. The aim of the present consensus was to validate an RTP protocol based on clinical, functional, and performance criteria through expert evaluation. This study hypothesises that a validated RTP protocol for adductor longus injuries will enhance decision making, reduce re-injury rates, and improve player performance upon return. An observational survey was designed to validate an RTP protocol through an expert panel. A total of 63 injury-management professionals (strength and conditioning coaches, physiotherapists, doctors, and rehabilitation fitness coaches) with an average experience of 12.02 ± 6.87 years participated in validating a 20-criteria RTP protocol. The protocol, divided into clinical, functional, and performance criteria, was assessed using a 5-point Likert scale. Aiken’s V coefficient was calculated for content validity, with criteria validated if Aiken’s V ≥ 0.75. Out of 20 initial RTP criteria, 14 were validated by the expert panel, with Aiken’s V ranging from 0.77 to 0.94 (overall range: 0.61–0.98). Key validated criteria included pain on palpation, flexibility, imaging, athlete feedback, strength assessments, movement quality, pre-injury GPS data, and performance under simulated match conditions. Criteria such as the Copenhagen adduction exercise and specific agility tests were not validated. The expert-validated RTP protocol for adductor longus injuries provides a structured approach to decision making, potentially reducing re-injury risk, improving rehabilitation strategies, and enhancing player performance. These findings could be integrated into clinical sports-medicine practices to enhance rehabilitation effectiveness and RTP decisions in professional soccer. Full article

Background/Objectives: Fear of recurrence is one of the main issues affecting cancer patients after the completion of treatment. Despite the development of various assessment tools at the international level, there is a lack of validated questionnaires in Spanish. For this reason, the aim of this study is to conduct a transcultural adaptation and evaluate the psychometric properties of the Spanish version of the Fear of Cancer Recurrence (FCR7) questionnaire. Methods: We carried out translation and transcultural adaptation of the FCR7 scale, content validity through expert review, and face validity with a pilot test in the first phase. In the second phase, construct validity was evaluated through confirmatory factor analysis and Rasch analysis, along with reliability (internal consistency), convergent–divergent validation, and known-groups validation in a sample of 315 individuals with a history of cancer. Descriptive and inferential analysis was performed using JAMOVI© v.2.3.24., confirmatory factor analysis with FACTOR© v.12.02.01x64 bits, and Rasch analysis with JMetrik© v.2.0. Results: Aiken’s coefficient exceeded 0.75 for all items, indicating acceptable face validity for the instrument. Two unidimensional models were obtained for the instrument, FCR7-SP and FCR6-SP, both showing acceptable fit values and adequate reliability (omega coefficient = 0.933 [95% CI: 0.922–0.944] and 0.942 [95% CI: 0.931–0.951], respectively). Conclusions: The Spanish version of the FCR7 is valid and reliable for assessing fear of cancer recurrence in the Spanish population, with two models available for its application (FCR7-SP and FCR6-SP). The availability of this tool will enable the evaluation of this phenomenon in clinical practice and a more effective approach to addressing its consequences. Full article

This study proposes a holistic maturity model to evaluate and optimize the performance of Peruvian universities. It addresses key dimensions such as favorable governance, university talent (including students, faculty, and administrators), substantial resources, and results. It is based on the Design Science Research methodology and the Mettler framework. On the other hand, the Delphi method was selected for its ability to consolidate expert opinion. Aiken’s V coefficient was used to determine content validity, evaluating criteria such as clarity, relevance, and coherence, to ensure the reliability of the instrument. This model defines concrete practices for each maturity level, facilitating the progressive implementation of improvements in different university contexts. It contributes to Education 4.0 through the IT strategic alignment practices of the enabling governance dimension, promoting the implementation of personalized teaching methods and hybrid learning models. Regarding the Society 5.0 approach, the model prioritizes social impact and environmental sustainability through university social responsibility, ensuring that universities contribute to human and technological development. Finally, this proposal will support decision making in university management and educational policies in Peru and in international contexts. Full article

Objectives: The aim was to assess the content validity of a new field test on general and soccer-specific motor skills before return to play. Methods: The RONDO-TEST was assessed by a Delphi panel for its content validity. It included a survey to evaluate 16 items related to the test consisting of four 10 m lines which cross over at their mid-point, resulting in eight 5 m sectors that include locomotor skills (speeding, moving sideways, side cutting, and jumping) and soccer-specific technical skills (dribbling, slalom course, and kicking/passing). The content validity was calculated with the Aiken’s V coefficient of acceptance at 0.69 and 95% of confidence interval. Results: Eight experts participated in the Delphi and agreed on the administration procedures after three rounds of suggestions. Major changes included the order of execution and the descriptions of the sectors. The results showed consensus (V = 1, maximum acceptance) for the clarity of instructions, the relevance of the skills to be evaluated, the order of execution, the materials and the relevance of measuring total and partial sector times. Conclusions: The RONDO-TEST may be feasible and simple to administer and evaluate technical functional skills (actions) and condition-related abilities (e.g., the ability to repeat the test, fatigue curve, etc.), which are relevant aspects for return to play under optimum conditions. Full article

Background/Objectives: Research indicates that children with autism spectrum disorder (ASD) exhibit a deficiency in skills and initiative when it comes to adhering to daily oral hygiene routines. This, in turn, increases the likelihood of oral pathologies, thereby placing a significant emotional strain on their parents. In addition to the typical stress they already experience, parents of children with ASD are also burdened with pediatric oral health issues. However, a review of the literature reveals a lack of studies measuring stress in parents of children whose oral health affects their autistic condition. This research aimed to design and to validate a stress scale for parents of autistic children with poor oral hygiene. Methods: The study used an exploratory, non-experimental design to validate and determine the reliability of the scale. Scale reliability was assessed through a cross-sectional pilot test to evaluate internal scale consistency, with a focus on item similarity. We used Aiken’s V to estimate the validity of the scale, and Cronbach’s α for calculating scale reliability. Calculations, estimations, and statistical analysis were conducted using SPSS. Results: Expert validation, a pilot test, and a cross-sectional, non-experimental design established the reliability of the scale. Conclusions: We conclude that the 20-item scale exhibits validity (0.95) and reliability (0.965), ensuring its applicability in future research. Full article

The purpose of this study was to design and validate a guide to strategic principles in padel (SPP), offering practical recommendations for both players and coaches. Once the first version of the guide was developed by six relevant researchers in padel, 11 padel experts (all with a federation title as coaches and with experience as a coach and player) conducted a qualitative and quantitative assessment of the guide. Aiken’s V coefficient and confidence intervals were used to calculate content validity, and Cronbach’s α coefficient to analyze reliability. The adequacy and wording of the 15 principles initially designed were evaluated. One principle was eliminated for obtaining values < 0.91 in Aiken’s V coefficient regarding adequacy. The wording of the remaining principles was modified according to the qualitative assessments of the experts. The reliability of the instrument was acceptable, (α = 0.90). This guide provides a foundational list of strategic principles for padel, offering practical recommendations for players and coaches. It could also serve as a useful resource for federations to incorporate into coach education programs, supporting the development of tactical knowledge in padel. Full article

Background/Objectives: Resources to cope with maternity and women’s participation are essential modulators of maternal well-being. Therefore, it is relevant that the psychosocial factors of woman be monitored during maternity to promote adequate healthcare. This study involved the design and the validation of two new tools that identify women’s knowledge of healthcare rights (MatCODE) and perception of resource scarcity (MatER) during pregnancy, labor and early postpartum; Methods: The content validity was carried out using the Aiken’s V coefficient and the content validity index (CVI-i) based on five experts. In addition, for the face validity, the pilot cohort was considered the INFLESZ scale. Finally, the questionnaires were applied to 185 women, which allowed to assess the construct validation by factorial and Rasch analysis. The divergent validity was also studied with validated psychological questionnaires; Results: MatCODE and MatER questionnaires received CVI-i and Aiken’s V > 0.80 values, and the INFLESZ demonstrated acceptable semantic understanding. The analysis confirms the unidimensionality of the questionnaires, with fit values for MatCODE of RMSEA = 0.113 [0.105; 0.122] and for MatER of RMSEA = 0.067 [0.063; 0.072]. The divergent validity showed significant and consistent correlations with the constructs assessed. For MatCODE, ω = 0.95 and α = 0.94, and for MatER, ω = 0.79 and α = 0.78; Conclusions: MatCODE and MatER are useful new tools for monitoring maternal healthcare, with adequate psychometric characteristics in the Spanish context. Full article

The fulfillment of rights to maternal healthcare is a key factor for the wellbeing of women. However, there is a lack of an instrument to ascertain the experience of women during maternity to enable adequate monitoring. The aim of this study was to validate a new instrument to measure women’s perception of the fulfillment of rights during healthcare in pregnancy and childbirth and immediately postpartum. The initial version of the instrument consists of 50 items and was validated using exploratory factor analysis. Additionally, the final version of the instrument consists of 29 items and was validated by confirmatory factor analysis and known-group validity. The instrument was applied to 185 Spanish women. The global Aiken’s V of the initial instrument proposal was 0.89. The process resulted in an instrument with five factors (information, privacy, consent, support, and participation) that explained the 60% of the total variance. The score of the instrument was correlated with resilience, maternity beliefs, and positive and negative affect. External validation showed relations with age, gravida, and the number of times a woman has been in labor. Additionally, the Cronbach’s α reliability was 0.93 [0.91; 0.94]. In conclusion, the instrument developed is consistent and has appropriate psychometric properties for assessing the fulfillment rights of maternity healthcare. Full article

Computational thinking (CT) has garnered significant interest in both computer science and education sciences as it delineates a set of skills that emerge during the problem-solving process. Consequently, numerous assessment instruments aimed at measuring CT have been developed in the recent years. However, a scarce part of the existing CT measurement instruments has been dedicated to early school ages, and few have undergone rigorous validation or reliability testing. Therefore, this work introduces a new instrument for measuring CT in the early grades of elementary education: the Computational Thinking Test for Children (CTTC). To this end, in this work, we provide the design and validation of the CTTC, which is constructed around spatial, sequential, and logical thinking and encompasses abstraction, decomposition, pattern recognition, and coding items organized in five question blocks. The validation and standardization process employs the Kuder–Richardson statistic (KR-20) and expert judgment using V-Aiken for consistency. Additionally, item difficulty indices were utilized to gauge the difficulty level of each question in the CTTC. The study concludes that the CTTC demonstrates consistency and suitability for children in the first cycle of primary education (encompassing the first to third grades). Full article

The Internet of Things (IoT) is an emerging paradigm, even though it does not receive enough attention in many academic plans. In order to introduce our students to IoT, in this paper we present the overall results of a seminar dedicated to encourage them to design basic IoT projects on a software application called Packet Tracer v8.2.1. Such projects were carried out in groups, whereas the evaluation process was performed by means of filling in a peer review construct after the presentation was made by each team. This construct was previously validated by a panel of five experts by applying the Aiken’s V test, where an overall value of 0.907 was obtained. There were nine items within that construct, which were grouped into three dimensions, such as the quality of the prototypes presented, the communication skills during the presentations of the prototypes, and the alignment of the prototypes with SDGs. The average results obtained for all dimensions were all above 8 out of 10, whilst the medians were all 9 and the coefficient of variations were around 0.2. Those results showed high ratings with moderate variation among them. Furthermore, the reliability of the data collected in the evaluation process was assessed by applying the Cronbach’s alpha, accounting for values above 0.9 for each dimension and overall, which means an excellent internal consistency of such data. Likewise, the level of engagement during the activity was also measured by the means of the ISA engagement scale, resulting in an overall value around 6.5, with a median of 7, which proved a high engagement among students. Full article

Chemsex is understood as “the intentional use of stimulant drugs to have sex for an extended time among gay, bisexual, and other men who have sex with men”. It is a public health problem because of the increased incidence of cases and because of the consequences on the physical and mental health of those who practice it. Aim: This study aimed to analyze, with the help of the Delphi method, the content validity of a new instrument to assess the risk of behaviors associated with the chemsex phenomenon. Method: First, a bank of items identified from the literature was elaborated. Secondly, 50 experts with knowledge of the chemsex phenomenon at the national level were contacted. A Delphi group was formed with them to carry out two rounds of item evaluation. The linguistic evaluation (comprehension and appropriateness) was assessed using a Likert scale from 1 to 5 for each item. Items that did not reach a mean score of 4 were eliminated. Content assessment was calculated using each item’s content validity index (CVI) and Aiken’s V (VdA). A minimum CVI and VdA value of 0.6 was established to include the items in the questionnaire. Results: A total of 114 items were identified in the literature. In the first round of Delphi evaluation, 36 experts evaluated the items. A total of 58 items were eliminated for obtaining a CVI or VdA of less than 0.6, leaving 56 items. In a second Delphi round, 30 experts re-evaluated the 56 selected items, where 4 items were eliminated for being similar, and 10 items were also eliminated for not being relevant to the topic even though they had values higher than 0.6, leaving the scale finally composed of 52 items. Conclusion: A questionnaire has been designed to assess the risk of behaviors associated with the chemsex phenomenon. The items that make up the questionnaire have shown adequate content and linguistic validity. The Delphi method proved to be a helpful technique for the proposed objective. Full article

Obstetric violence refers to dehumanized or derogative treatment of women in their pregnancy, childbirth or postpartum periods and may be manifested in different ways. Currently, there is no tool validated in Spain to measure women’s perception of obstetric violence. The objective of this study was to carry out the cultural adaptation and validation of an existing 14-item obstetric violence scale in the Spanish context and to evaluate its psychometric properties. The research was conducted in two phases: first, a methodological study designed to evaluate content validity, through assessments by eight experts (calculating the Aiken V coefficient) and face validity in a sample of 20 women; second, a cross-sectional study to evaluate construct validity (through confirmatory factor analysis and Rasch analysis), divergent validity against a scale of birth satisfaction, known-groups validity and, finally, reliability. In Phase 1, Aiken V values higher than 0.71 were obtained for all items. Phase 2 was conducted on a sample of 256 women and the fit values for the unidimensional model were RMSEA: 0.070 (95% CI: 0.059–0.105) and GFI: 0.982 (95% CI: 0.823–0.990). The Rasch analysis indicated poor performance of item 2, which was removed. The Omega and Cronbach’s Alpha coefficients were 0.863 and 0.860, respectively. A final 13-item version of the Obstetric Violence Scale was produced, with a total score ranging from 0 (no obstetric violence perception) to 52 (maximum obstetric violence perception). The Obstetric Violence Scale is a reliable and useful tool to measure women’s perception of obstetric violence. This study was not registered. Full article

Lifestyle, a major determinant of health status, comprises a number of habits and behaviours that form a part of daily life. People with healthy lifestyles have a better quality of life, suffer less disease, and have a longer life expectancy. This work reports the design and content validation of a questionnaire—the ‘PONTE A 100’ questionnaire—assessing the lifestyle of adults. This collects information across five dimensions—‘Eating Habits’, ‘Physical Activity’, ‘Smoking and use of Alcohol and other Drugs’, ‘Emotional Wellbeing’, and ‘Safety and Non-intentional Injuries’—via the answering of a total 33 items. Psychometric validation of the instrument’s content was obtained via expert opinions. This was performed by two rounds of assessment and involved 34 experts representing different health science disciplines (mean experience, 27.4 ± 9.4 years). At the end of each round, adjustments were made according to their recommendations. Agreement between the experts was examined using the Aiken V test. A final V value of 0.95 (95% CI, 0.90–1.00) was obtained for the questionnaire as a whole, highlighting the validity of its content. The questionnaire would therefore appear to be an appropriate instrument for assessing the lifestyle of adults. Full article