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Exploratory bi-factor analysis (EBFA) is a very popular approach to estimate models where specific factors are concomitant to a single, general dimension. However, the models typically encountered in fields like personality, intelligence, and psychopathology involve more than one general factor. To address this circumstance, we developed an algorithm (GSLiD) based on partially specified targets to perform exploratory bi-factor analysis with multiple general factors (EBFA-MGF). In EBFA-MGF, researchers do not need to conduct independent bi-factor analyses anymore because several bi-factor models are estimated simultaneously in an exploratory manner, guarding against biased estimates and model misspecification errors due to unexpected cross-loadings and factor correlations. The results from an exhaustive Monte Carlo simulation manipulating nine variables of interest suggested that GSLiD outperforms the Schmid-Leiman approximation and is robust to challenging conditions involving cross-loadings and pure items of the general factors. Thereby, we supply an R package (bifactor) to make EBFA-MGF readily available for substantive research. Finally, we use GSLiD to assess the hierarchical structure of a reduced version of the Personality Inventory for DSM-5 Short Form (PID-5-SF).

The working alliance may be relevant in unguided smartphone-based interventions, but no validated measure exists. We evaluated the psychometric properties of the six-item Digital Working Alliance Inventory (DWAI) using a cross-sectional survey of meditation app users ( n = 290) and the intervention arm of a randomized trial testing a smartphone-based meditation app ( n = 314). Exploratory factor analysis suggested a single-factor solution which was replicated using longitudinal confirmatory factor analysis. The DWAI showed adequate internal consistency and test–retest reliability. Discriminant validity was supported by a lack of association with social desirability, psychological distress, and preference for a waitlist condition. Convergent validity was supported by positive associations with perceived app effectiveness and preference for an app condition. Supporting predictive validity, DWAI scores positively predicted self-reported and objective app utilization. When assessed at Weeks 3 or 4 of the intervention, but not earlier, DWAI scores predicted pre–post reductions in psychological distress.

Son yıllarda ikinci el otomobil piyasasında meydana gelen sert fiyat artışları, bir yandan bireylerin alım gücünü diğer yandan da piyasayı olumsuz etkilemektedir. Bu çalışma, ikinci el otomobil piyasasında fiyat artışına neden olan faktörlerin tespit edilmesini amaçlamaktadır. Bu doğrultuda Van ilinde faaliyet gösteren yetkili satıcı ve galericiler, anakütle olarak seçilmiş ve 226 kişiden oluşan örneklem kümesine anket uygulanmıştır. Anketlerden elde edilen veriler, başlıca açıklayıcı faktör analizi ve yapısal eşitlik modeli kapsamında değerlendirilmiştir. Çalışmada, ekonomi, strateji, pazar ve tedarik olmak üzere dört faktör tespit edilmiş ve bu faktörler, çalışmanın modeli ve hipotezleri bağlamında test edilmiştir. Sonuç olarak ikinci el otomobil fiyat artışına, ekonomi, strateji ve pazar gizil değişkenlerin oldukça güçlü ve pozitif yönde bir etkiye sahip olduğu bulgusuna ulaşılmıştır. Ayrıca tedarik gizil değişkenin de ikinci el otomobil fiyat artışına yüksek düzeyde bir ilişkisi olmasa da önemli bir düzeyde pozitif etkiye sahip olduğu sonucuna ulaşılmıştır., The sharp price increases in the used car market in recent years negatively affect the purchasing power of individuals on the one hand and the market on the other. This study aims to determine the factors that cause the price increase in the used car market. In this direction, authorised dealers and gallerists operating in the province of Van were chosen as the universe of this research, and a survey was applied to a sample set of 226 people. The data obtained from the surveys were evaluated within the scope of explanatory factor analysis and structural equation modelling, respectively. In the study, four factors, namely economy, strategy, market and supply, were identified, and these factors were tested in the context of the study’s model and hypotheses. As a result, it has been found that the latent variables of economy, strategy and market have a powerful and positive effect on the price increase of used cars. In addition, it has been concluded that the latent variable of supply also has a significant positive impact. However, it is not highly correlated with the price increase of used cars.

The paper provides a novel, empirically grounded map of innovation ‘clubs’ in the EU, based on a unique analysis of micro-aggregated, country-level data. Using exploratory factor analysis we articulate innovation variables in a taxonomy of four ‘latent’ innovation theories: Network-Innovation-System, Kaldorian, New-Growth-Theory, and Schumpeterian. We then characterise clusters of countries (‘clubs’), based on their performance against this taxonomy, and design a new map of EU innovation clubs. We identify an articulated map of EU innovation hierarchy beyond the rather well-known ‘core-periphery’ structure, and interpret how some of the peripheries are functional to the ‘consolidated core’ of innovative countries, raising an issue of long-term sustainability of such hierarchies. We also find that even the most innovative clusters show concerning weaknesses. The strongest cluster in terms of its innovation system does not seem to exploit its full potential and lags behind with respect to radical product innovations. Instead, the leading cluster in terms of radical product innovations is strongly dependent on external innovative activity, is focused on scale-intensive sectors, and has a fairly weak innovation system. The periphery of small countries that show a healthy network structure, do so because they mainly include supplier-dominated firms, reliant on innovation inputs from the core. We offer some reflections on innovation policy within a broader view of EU cohesion.

Item does not contain fulltext The purpose of this study was to describe the development and preliminary testing of a new scale assessing knowledge about melanoma risk factors and early detection/secondary prevention. Data was drawn from a longitudinal study assessing barriers and facilitators of skin self- examination among patients diagnosed with melanoma. For the current analysis, 191 patients who completed the new 9-item Knowledge About Melanoma Early Detection Scale and other study measures were included. Exploratory factor analysis with were conducted, which identified a robust scale comprised of 6 items with factor loadings ranging from .56 to .81. Higher scores on the Knowledge About Melanoma Early Detection Scale were associated with younger age and more positive attitudes about melanoma prevention, but not with biological sex, education, melanoma stage, or past self-administered and physician-provided skin checks. Further studies are needed to replicate these findings and to further establish the predictive validity of this scale and its usefulness for health research. 9 p.

Assessing the measurement model (MM) of self-report scales is crucial to obtain valid measurements of individuals' latent psychological constructs. This entails evaluating the number of measured constructs and determining which construct is measured by which item. Exploratory factor analysis (EFA) is the most-used method to evaluate these psychometric properties, where the number of measured constructs (i.e., factors) is assessed, and, afterward, rotational freedom is resolved to interpret these factors. This study assessed the effects of an acquiescence response style (ARS) on EFA for unidimensional and multidimensional (un)balanced scales. Specifically, we evaluated (a) whether ARS is captured as an additional factor, (b) the effect of different rotation approaches on the content and ARS factors recovery, and (c) the effect of extracting the additional ARS factor on the recovery of factor loadings. ARS was often captured as an additional factor in balanced scales when it was strong. For these scales, ignoring extracting this additional ARS factor, or rotating to simple structure when extracting it, harmed the recovery of the original MM by introducing bias in loadings and cross-loadings. These issues were avoided by using informed rotation approaches (i.e., target rotation), where (part of) the rotation target is specified according to a priori expectations on the MM. Not extracting the additional ARS factor did not affect the loading recovery in unbalanced scales. Researchers should consider the potential presence of ARS when assessing the psychometric properties of balanced scales and use informed rotation approaches when suspecting that an additional factor is an ARS factor. ispartof: EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT vol:83 issue:3 pages:433-472 ispartof: location:United States status: published

Loss of facial organs and subsequent rehabilitation affects a patient's psychological status. Understanding the perceived psychosocial aspects of quality of life among patients with missing organs and after prosthetic rehabilitation is essential, but studies that quantify this aspect are lacking.The purpose of this clinical study was to develop and validate a psychosocial perception scale and compare psychosocial perception before and after the prosthetic rehabilitation of a missing facial part.A psychosocial perception scale was developed to quantitatively measure the perceived psychosocial aspects of quality of life among patients with extraoral defects. The instrument was translated in the Hindi and Marathi Indian languages by using a forward and backward translation method. Depending on the responses obtained from the patients in the interview about the interpretation and ease of understanding, the questionnaire was modified and further pilot testing conducted. In the first phase, validation of the questionnaire was carried out with internal consistency, interdomain correlation, and intraclass correlation assessed by using the Cronbach α, Pearson correlation, and test retest reliability. Construct validity was established by the exploratory factor analysis. In the second phase, 32 participants were evaluated for their psychosocial response before and 3 months after prosthetic rehabilitation. Responsiveness and change in the domains scores of the psychosocial perception scale were studied by using the Wilcoxon signed-rank sum test (α=.05).The Cronbach α for internal consistency of overall psychosocial perception was .855 and .809 in the pretreatment and post-treatment visits consecutively. Most of the domains in the psychosocial perception scale had a Pearson correlation (r)0.40. The domain of esthetics had r=0.84(confidence interval: .43-0.95), indicating good intraclass correlation. The domains of esthetics (P.005), function (P.005), positive emotions (P.005), negative emotions (P=.011), and social and personal relationship P=.003) of the psychosocial perception scale showed statistically significant improvement in the scores after prosthetic intervention and had excellent (r0.90) intraclass correlation.The psychosocial perception scale was a reliable tool to assess the patient response toward the prosthetic rehabilitation of extraoral defects. Positive improvements in the domains score (esthetics, function, positive emotions, and social and personal relationship) contributed to better perception after prosthetic rehabilitation.

Massive open online courses (MOOCs) have emerged as an affordable way to distribute knowledge and democratize education. The examination of online courses calls for theoretical models and instruments that contemplate its particularities. The community of inquiry (CoI) framework has been used in several studies to analyze the effectiveness of online education and hybrid education, including MOOCs. This study aimed to translate and validate the Community of Inquiry Survey instrument (Arbaugh et al., 2008) into Brazilian Portuguese, and used a two-stage methodological design for translating and validating a questionnaire. In the first stage, we carried out translation, back-translation, and cross-cultural adaptation. We translated the 34 items while maintaining the survey’s original format. In the expert evaluation phase, all items were considered understandable and essential for inclusion in the Brazilian Portuguese version of the CoI instrument. In the second stage, a prospective cross-sectional study was conducted to validate the questionnaire, and data was collected from participants completing the Nursing Assessment MOOC available on the Lúmina platform. A total of 690 responses were gathered. The resulting instrument produced excellent results, and the three presences achieved high reliability indexes, clearly indicating their adequacy. Furthermore, this study proved the validation of the CoI instrument, maintaining the three-factor structure previously reported in the literature corresponding to the three presences: teaching, social, and cognitive presence. We recommend further studies to evaluate the need for excluding or altering cognitive presence items.

This study developed a measure of solidarity levels during pandemics, the Solidarity in Pandemics Scale (SPS). This was achieved using a study group of 842 individuals aged between 18 and 65 from different segments of society who had experienced the COVID-19 pandemic and differed in age, gender, and socioeconomic status. Exploratory factor analysis was used to establish the construct validity of the scale, producing a 15-item scale with a one-dimensional structure that explained 34.36% of the variance. Confirmatory factor analysis using a different study group revealed that all items have significant t-values, and the model established according to model fit indexes has meaningful and acceptable fit values. The internal consistency of the scale results was calculated using the Cronbach Alpha coefficient, and a reliability of .85 in terms of internal consistency was obtained. Test-retest reliability results as another indicator of reliability were found to be .85. Scores on the Altruism Scale were compared with those on the SPS to evaluate the scale’s criterion validity, and a significant relationship was found between the two scale scores. This analysis indicates that the Solidarity in Pandemics Scale is a valid and reliable psychometric tool.

The prevalence of allergic disorders has been increasing globally, and it may be useful to identify the modifiable factors associated with it. Diet has been identified as one possible lifestyle factor implicated in the pathogenesis of allergic diseases. The goal of this study was to evaluate the associations between dietary patterns and the presence of allergies in a group of young women in eastern Iran. In all, 181 female students were enrolled. Screening for presence of allergic diseases, including allergic rhinitis (AR), asthma and eczema, was performed by an expert allergist. Information about dietary intake was collected using a validated 65-item food frequency questionnaire. Exploratory factor analysis was used to evaluate the relationships between food/nutrition variables. Serum immunoglobulin (Ig)E levels were significantly higher in the group in the third tertile (highest adherence) for a Western dietary pattern compared to the group in the first tertile (lowest adherence). The multivariate odds ratio for presence of allergic rhinitis (AR) was 2.5 (95% CI:1.1-5.1) for the highest compared to lowest tertile of the Western dietary pattern score. However, no significant relationship was found between a traditional dietary pattern and AR, asthma or eczema. Our findings indicate a potential role in the development of AR of the Western dietary pattern, which is characterized by high intake of dairy products, snacks, nuts and sugar. Since diet is a modifiable factor, the relationship between AR and a Western dietary pattern may have clinical implications, particularly in subjects with other risk factors for developing AR.

Since the mandatory switch to online education due to the COVID-19 outbreak in 2020, technology has gained more importance for online teaching and learning environments. The Community of Inquiry (CoI) is one of the validated frameworks widely used to examine online learning. In this paper, we offer an extension to the CoI framework and survey, arguing that meaningful and appropriate use of technologies has become a requirement in today’s pandemic and post-pandemic educational contexts. With this goal, we propose adding three technology-related sub-dimensions that would fall under each main presence of the CoI framework: (a) technology for teaching, (b) technology for interaction, and (c) technology for learning. Based on exploratory and confirmatory factor analyses, we added 5 items for technology for teaching sub-dimension, 4 items for technology for interaction sub-dimension, and 5 items for technology for learning sub-dimension in the original CoI survey. Further research and practice implications are also discussed in this paper.

Recent conceptual and empirical advances have focused on interpersonal dimensions of emotion regulation and, more specifically, to the features of attempted support transactions that shape the outcomes of enacted support. We conducted 2 autobiographical recall studies to investigate receivers' evaluations of intrinsic interpersonal emotion regulation interactions, to ascertain the number of dimensions required to capture variation in those evaluations, and then to examine associations of those dimensions with perceived benefits of the interactions. To do so, we developed a new questionnaire, the Interpersonal Regulation Interaction Scale (IRIS). In Study 1 (n = 390), an exploratory factor analysis (EFA) of the IRIS yielded 4 dimensions, which we labeled responsiveness, hostility, cognitive support, and physical presence. Each dimension was uniquely associated with perceived benefits of receiving interpersonal emotion regulation. In Study 2, we collected multiple, diverse samples (ns = 199-895) and found support for the replicability and generalizability of key findings from Study 1, including the factor structure and associations with perceived benefits. In summary, across 2 studies and multiple, diverse samples, we identified 4 conceptually and practically important dimensions of receivers' evaluations of interpersonal emotion regulation interactions and developed a brief measure that taps interaction variability in these dimensions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Continued participation in music has been associated with well-being outcomes, yet many either fail to begin or cease musical participation after limited exposure. The current research examined why individuals cease participating, focusing on identifying barriers to participation and the support needed to reengage in musical activities. A sample of 190 Australian residents (Mage = 26.87; 75.80% female) who had ceased previous musical participation completed an online questionnaire in which they rated the degree to which 15 items reflected their reasons for ceasing musical participation and answered an open-ended question regarding their requirements for reengagement. An exploratory factor analysis of the quantitative responses identified 4 components relating to cessation: “access and opportunity,” “activity experience,” “obligations,” and “difficulty with practicing.” A grounded theory analysis concerning the support required for reengagement indicated 4 key themes: “personal investment,” “requirements of the musical activity,” “personal qualities,” and “no interest in reengagement.” Collectively, these results provide an in-depth understanding of factors external to music itself as influences on continued musical participation. With implications for facilitators and educators, these results suggest a need for collaboration and interaction between music facilitators and participants.

Background: One of the most widely used instruments for assessing agitation in dementia patients is the Cohen-Mansfield Agitation Inventory (CMAI), nevertheless no global score has been proposed. The aim of this study is: (a) to conduct a confirmatory (CFA) and exploratory factor analysis (EFA) of CMAI on people with dementia and Psychological and Behavioral Symptoms (BPSD), and (b) to propose an alternative structure, based on clinical criteria including all CMAI items. Methods: Confirmatory and exploratory factor analyses were carried out on the CMAI 29 items administered at baseline to 505 patients with dementia (PwD) and BPSD enrolled in the international observational RECage study. Results: The three-factor structure has not been confirmed by the CFA, whilst the EFA was carried out respectively on 25 items disregarding 4 items with a prevalence ≤5% and then on 20 items disregarding 9 items with a prevalence ≤10%. The four-factor structure explaining 56% of the variance comprised Physically Aggressive behavior, Verbally Aggressive behavior, Physically non-aggressive behavior, and Physically and verbally aggressive behavior. Conclusions: A new grouping of all items according to a clinical criterion is proposed, allowing for a more sensible evaluation of the symptoms leading to better differentiation.

Unatoč teorijskim sličnostima anksiozne, okolinske i osjetljivosti na potkrepljenja, izrazito je malen broj istraživanja koja su proučavala odnos različitih vrsta osjetljivosti. Stoga je cilj ovog diplomskog rada bio detaljnije ispitati međusobni odnos navedenih vrsta osjetljivosti. Provedena je eksploratorna faktorska analiza metodom glavnih komponenata nad česticama iz tri upitnika osjetljivosti: Ljestvice bihevioralne inhibicije i aktivacije (BIS/BAS ljestvica), Indeksa anksiozne osjetljivosti-3 (ASI-3) te Ljestvice osjetljivosti na okolinu za odrasle (HSP-12). Identificirano je sedam faktora prvog reda (neugodna pobuđenost, tjelesne brige, strah od nepovoljnih ishoda, osjetljivost na nagradu, nagon, traženje zabave i estetska osjetljivost) te tri faktora drugog reda (bihevioralni inhibicijski sustav (BIS), bihevioralni aktivacijski sustav (BAS) i osjetljivost na ugodu (OU)). Faktori neugodna pobuđenost, tjelesne brige i strah od nepovoljnih ishoda grupiraju se u nadređeni faktor BIS-a. Faktori osjetljivost na nagradu i estetska osjetljivost čine nadređeni faktor UO-a. Faktori nagon i traženje zabave čine nadređeni faktor BAS-a. Varijanca manifestnih varijabli objašnjena sa sedam faktora nižeg reda iznosi 51.6%, dok faktori drugog reda objašnjavaju 68% varijance identificiranih faktora što govori o važnosti faktora i prvog i drugog reda u objašnjenju varijabiliteta osjetljivosti. Despite theoretical similarities of the Anxiety, Environmental and Reinforcement Sensitivity, there is a very small amount of research studying the relationship between different types of sensitivity. Therefore, the aim of this graduation thesis was to examine in more detail the interrelationship between mentioned sensitivity types. An exploratory factor analysis using the principal components method was performed on 50 items from three sensitivity questionnaires: BIS/BAS scales, Anxiety Sensitivity Index - 3 (ASI-3) and short version of the Highly Sensitive Person Scale (HSP-12). Research identified seven first-order factors (Unpleasant Arousal, Physical Concerns, Fear of Negative Outcomes, Reward Sensitivity, Drive, Fun Seeking and Aesthetic Sensitivity) and three second-order factors (Behavioral Inhibition System (BIS), Behavioral Activation System (BAS) and Pleasant Sensitivity (PS)). The factors Unpleasant Arousal, Physical Concerns and Fear of Negative Outcomes grouped together into the second-order factor of BIS. The factors Reward Sensitivity and Aesthetic Sensitivity grouped into the second-order factor of PS. The factors Drive and Fun Seeking grouped into the second-order factor of BAS. Seven first-order factors explain 51.6% of variance, while second-order factors explain 68% of variance of identified factors, which speaks of the importance of both the first and the second-order factors in explaining the variability observed in the sensitivity data.

The purpose of this study was to adapt and validate the Spanish version of the Technostress Creators Scale (TCS). The scale was administered to 1.047 Chilean professionals. The internal structure of the scale was tested by conducting exploratory and confirmatory factor analyses. The average variance extracted (AVE) and the Fornell–Larcker criterion were used to examine convergent and discriminant validity, respectively. To investigate concurrent validity, we focused on the relation between the TCS scale and role stress, which is a distinct, albeit conceptually related construct. Our findings supported a five-factor model consisting of 23 items distributed in five factors: techno-overload, techno-invasion, techno-complexity, techno-insecurity and techno-uncertainty. The Spanish version of the TCS had a high level of internal consistency, which was similar to the original scale. Appropriate evidence of concurrent validity was also shown. In addition, we conducted an international comparison of the research results with other relevant adaptations of the instrument reported in different cultural contexts. The results confirmed that the Spanish translation of the TCS is a suitable instrument for measuring technostress and can contribute to an empirical examination of this phenomenon in Spanish-speaking countries. El propósito de esta investigación fue adaptar y validar al español el Inventario de Creadores de Tecnoestrés (ICT). La escala fue administrada a 1.047 trabajadores chilenos. Para analizar la estructura interna de la escala, se aplicaron análisis factoriales exploratorios y confirmatorios. La varianza media extraída (AVE) y el criterio de Fornell-Larcker fueron utilizados para examinar la validez convergente y discriminante, respectivamente. Para valorar la validez concurrente, se ha analizado la relación entre la escala ICT y el estrés del rol, que es un constructo distinto, aunque conceptualmente relacionado. Nuestros resultados respaldaron un modelo que consta de 23 elementos distribuidos en cinco factores: tecno-sobrecarga, tecno-invasión, tecno-complejidad, tecno-inseguridad y tecno-incertidumbre. La versión en español del instrumento ofrece un alto nivel de consistencia interna, que es similar a la escala original. También se obtuvieron evidencias de validez concurrente. Además, se ha realizado una comparación internacional de los resultados de la investigación con otras adaptaciones relevantes del instrumento reportadas en diferentes contextos culturales. Los resultados confirmaron que la traducción al español del ICT es un instrumento adecuado para medir el tecnoestrés y puede contribuir a un examen empírico de este fenómeno en los países de habla hispana.

Differences between military and civilian culture can impact a veteran's ability to effectively navigate the transition to the civilian setting after separating from military service. However, systems providing psychological services to veterans lack reliable and valid methods of identifying the extent to which the dissonance between military and civilian cultures is associated with postseparation adjustment (e.g., ability to integrate profound deployment experiences into civilian life) and psychological outcomes. Utilization of a theory-driven, acculturation framework to assess military and civilian cultural affiliation may address this gap. While several quantitative measures exist for evaluating acculturation in reference to different ethnocultural experiences and that evaluate military culture-related adjustment or reintegration, there are no existing validated measures rooted in cultural theory that explicitly assess military-related acculturation. The aim of the present study was to develop and examine the psychometric properties of theoretically grounded, military-related adaptations of validated acculturation measures. Data from 364 veterans were collected with an online survey including four military-related adaptations of acculturation measures. Results suggest that the proposed adaptation of the original ethnocultural measurement model was not a good fit to the data, χ² = 2396.99, p < .001, TLI = .73. An evaluation of localized areas of strain in the confirmatory model and results from an exploratory factor analysis suggest support for the continued development of a military-related model of acculturation after considering further measure restructuring and validation. Opportunities for future research and measure validation are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Total quality management (TQM) has been identified as a key driver of organizational performance in public and private organizations. Organizational culture, along with TQM and sustainability has been investigated to understand its contributions to organizational performance. TQM has become a crucial pillar for growth and development due to the growing expansion of manufacturing sectors of the world. TQM practices, which may differ in manufacturing firms, are said to be important for effective TQM adoption. However, it was found that organizational performance can be achieved if TQM practices in manufacturing businesses are well managed. Therefore, this study is carried out and the purpose of the study is to propose a conceptual model to investigate the relationship between TQM practices, sustainability, and organizational performance and to demonstrate the impact on organizational performance. The data underlying this study was collected by using a questionnaire survey in the manufacturing industries. The tool of analysis was used for the study through Factor analysis and confirmatory factor analysis (CFA). The findings of the study revealed that total quality management and sustainability are the most important approaches to the success of the performance of manufacturing industries. The results show that TQM and sustainability have a positive impact on organizational performance. In the radiance of these outcomes, a framework was created in view of relationship between significant practices of TQM, sustaibanility and organistaional performance. Generally, it is accepted that total quality management can produce a sustainable competitive benefits in organisational performance.

Introduction Constitutional symptoms and thrombohemorrhagic events are common in patients with myeloproliferative neoplasms (MPNs). Hence, the treatment’s primary goal is to control symptoms and improve the quality of life (QoL). In order to assess response to therapy, symptom burden, and QoL among patients with MPN, the “Myeloproliferative Neoplasm Symptom Assessment Form - Total Symptom Score (MPN-SAF TSS)” questionnaire was developed in the USA in 2012. Herein, we translated and validated the MPN-SAF TSS questionnaire to Brazilian Portuguese. Methods The ten-item questionnaire was translated from the English language and its psychometric properties (reliability, convergent and construct validities) were evaluated in 101 MPN patients. Results There were 41 patients with essential thrombocythemia, 39 with myelofibrosis and 21 with polycythemia vera. The median age of all patients at diagnosis was 68 years and 59% were female. The Cronbach's alpha coefficient for the overall questionnaire was 0.78, ranging from 0.73 to 0.79, if each item was deleted. Validity analyses showed that the strongest item-item correlation were between early satiety and abdominal discomfort. Strong correlations were also found between physician and patient perceptions of itching (r = 0.81) and fatigue (r = 0.70). The Pearson coefficient correlation between the MPN-SAF TSS global score and the EORTC QLQ-C30 functional scales ranged from 0.51 to 0.64. The exploratory factor analysis showed that seven of the ten symptoms loaded into one single factor. Conclusion The Brazilian Portuguese version of the MPN-SAF-TSS showed good psychometric properties and can be an available tool to assess symptom burden in this group of patients.

Short, valid and easy to use tools are needed to monitor non-invasive ventilation in clinical practice and for organization of home mechanical ventilation services. The aim of this study was to develop a professional translation and cultural adaptation of the Portuguese S3 non-invasive ventilation questionnaire. 234 stable patients (128 male patients, 53.8%) with a mean age of 69.3 years under long-term home non-invasive ventilation were recruited from a single-center outpatient clinic. The most frequent diagnostic groups were obesity hypoventilation syndrome, chronic obstructive pulmonary disease and restrictive chest wall disorders. The Portuguese version of the questionnaire was obtained using translation back-translation process with two professional translators. Internal consistency for the total score was good (Cronbach’s α coefficient of 0.76) as well as for the “respiratory symptoms” and the “sleep and side effects” domains (Cronbach’s α coefficient = 0.68 and Cronbach’s α coefficient = 0.72, respectively). An exploratory factor analysis was performed leading to an explained variance of 54.6%, and resulted in 3 components. The Portuguese version of the S3-NIV questionnaire is a simple and valid tool for the routine clinical assessment of patients receiving home NIV.

Social-emotional competencies have been increasingly recognized as crucial for child development. Extensive evidence in Western countries suggests that social-emotional competencies have positive impacts on students' outcomes. The evidence has influenced the research and educational practices in Eastern countries such as China. However, few studies have examined the universals and particulars of social-emotional development in different cultures. Responding to the need, this study takes a cross-cultural perspective to examine the structure and function of social-emotional competencies during the transition to early adolescence in Western China. More specially, the study tries to answer: (1) Does the structure of social-emotional competencies as defined by a widely used framework in Western countries replicate in a collectivistic culture? More specifically, is responsible decision-making, as defined in the framework, a valid factor in the construct of social-emotional competencies before adolescence? (2) Is the structure of social-emotional competencies stable during the transition to early adolescence? (3) Did participation in a SEL programme improve students’ academic performance on standardised tests in reading, math, and science? (4) Does teacher-student relationship mediate the association between social-emotional competencies and academic performance? It was found that responsible decision marking did not stand as a separate domain as described in the Western framework. Instead, social harmony that represents the effort and willingness to achieve collective benefits emerged as a separate factor. The structure of social-emotional competencies was stable during the transition to early adolescence. Participation in the investigated SEL programme improved students’ academic performance on standardised tests in reading and math, but not in science. Teacher-student relationship mediated the association between social-emotional competencies and reading performance but not math performance. The findings were interpreted based on the existing literature. The implications to future research and educational practices were discussed.

Although infants' sleep behaviors are shaped by their interactions with parents at bedtime, few tools exist to capture parents' sleep parenting practices. This study developed a Sleep Parenting Scale for Infants (SPS-I) and aimed to (1) explore and validate its factorial structure, (2) examine its measurement invariance across mothers and fathers, and (3) investigate its reliability and concurrent and convergent validity. SPS-I was developed via a combination of items modified from existing scales and the development of novel items. Participants included 188 mothers and 152 mother-father dyads resulting in 340 mothers and 152 fathers; about half were non-Hispanic white. Mothers and fathers completed a 14-item SPS-I for their 12-month-old infant. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to explore and validate SPS-I's underlying structure. Multigroup CFA was used to examine measurement invariance across mothers and fathers. Reliability was examined using Cronbach's alpha. Concurrent validity was assessed using linear regressions examining associations between SPS-I factors and parent-reported infants nighttime sleep duration. Convergent validity was assessed using paired-sample t-tests to test whether the SPS-I subscale scores were similar between mothers and fathers in the same household. EFA and CFA confirmed a 3-factor, 12-item model: sleep routines, sleep autonomy, and screen media in the sleep environment. SPS-I was invariant across mothers and fathers and was reliable. Concurrent and convergent validity were established. SPS-I has good psychometric properties, supporting its use for characterizing sleep routines, sleep autonomy, and screen media in the sleep environment by mothers and fathers.Supplemental data for this article is available online at https://doi.org/10.1080/08964289.2021.2002799 .

The prevalence of eating disorders (EDs) is growing, and early screening is important to prevent related health complications. The Eating Disorder Examination Questionnaire (EDE-Q) has been widely used as a diagnostic tool to identify cases of EDs; however, a validated Arabic version of the tool is needed to help in the screening process of EDs. The aim of this study was to validate the Arabic version of EDE-Q. A cross-sectional study included a sample of 549 adults, who were recruited mainly from the four major provinces in Saudi Arabia. A forward–backward translation method was conducted, and then the tool was validated using the confirmatory factor analysis (CFA). The dataset was split for further convergent analysis using exploratory factor analysis (EFA) and CFA. The results of CFA from the main dataset did not support the four-factor original EDE-Q. The results of EFA from the first data-split suggested a three-factor EDE-Q-14 Arabic version. This was supported by the results of CFA of the second data-split. A total of five items were allocated in each shape and weight concern, and restraint component, with correlations ranging from 0.969 and 0.462 and from 0.847 to 0.437, respectively. A total of four items were allocated in eating concern, with correlations ranging from 0.748 to 0.556. The internal consistency of the global and the three subscales were high, with Cronbach’s α ranging from 0.762 to 0.900. Findings of the current study suggest that the Arabic version of the EDE-Q-14 is a valid and reliable tool to screen for EDs among adults in Saudi Arabia.

Successful concepts are adopted throughout the phases of the building lifecycle to provide maximum comfort and benefits to occupiers without compromising the function of such a project. Although there is limited information on building information modeling (BIM) execution in developing countries, BIM drivers have received significant attention from different researchers, but with a limited investigation into the influence of BIM barriers on such building projects. Our goal with this research is to identify and remove any challenges that may stand in the way of using BIM in developing country construction projects. To this end, a comprehensive literature search uncovered impediments to BIM implementation. To assess the relative importance of the numerous challenges to BIM mentioned in the literature, a survey questionnaire was distributed to a sample of specialists in the construction industry. Exploratory factor analysis (EFA) was used to classify these challenges, and partial least square structural equation modeling (PLS-SEM) was created to bring attention to the most pressing ones in the context of BIM adoption. The results of this research will inform policymakers in underdeveloped nations interested in adopting BIM on the pitfalls they should avoid.

INTRODUCTION A higher degree of midwives’ empowerment is associated with greater job satisfaction and better midwifery care outcomes for women and their families. Empowered midwives are able to better empower women who in turn have a positive influence on the midwives’ empowerment. The aim of this study was the translation, cultural adaptation, and validation of the perceptions of empowerment in midwifery scale-revised (PEMS-R) in a group of Italian midwives. METHODS The World Health Organization (WHO) method was adopted to achieve the PEMS-R Italian version. This process involved five steps: 1) forward translation, 2) expert panel translation, 3) back-translation, 4) pre-testing and cognitive interviewing, and 5) final version. The test’s internal consistency and validity were assessed by following international guidelines. Internal consistency was examined through Cronbach’s alpha (α) coeflcient. RESULTS The PEMS-R-IT was administered to 147 Italian midwives from northern Italy. Factor analysis of the 19 items, extracted 4 factors that explained 74.96% of the variance. The Student’s t-test for independent samples was used to identify a possible correlation between a higher/lower perception of empowerment and: 1) the education level, and 2) the years of experience of recruited midwives. No statistically significant differences were obtained in either case. The PEMS-R-IT was found to have a good internal consistency for each of its 4 subscales. CONCLUSIONS The PEMS-R-IT is a valid and reliable tool, useful to assess midwives’ empowerment. It can be used in both clinical practice and research in order to investigate the level of empowerment of midwives within the Italian national context.

Psychopathic personality disorder (PPD) is a widely researched construct characterized by severe dysfunction in affective, interpersonal and behavioral domains. Inconsistencies across different theoretical formulations and operationalizations have major implications for research and practice. Two separate personality-based perspectives of psychopathy have been proposed, one anchored within the influential five factor model (FFM) of personality and the comprehensive assessment of psychopathic personality (CAPP) model, which was specifically designed as an inclusive concept map of PPD. The current study evaluated the empirical overlap between the CAPP and the FFM-based models of psychopathy to determine the convergences and divergences in providing a personality-based perspective on psychopathy. Participants were undergraduate students (n = 924) who completed the CAPP-Self-Report (CAPP-SR) and the Elemental Psychopathy Assessment-Short Form (EPA-SF). Results indicated significant convergent validity associations between CAPP-SR scales and conceptually relevant EPA-SF scales (range = .30-.74; median discriminant associations range = .10-.36). Furthermore, an exploratory factor analysis supported the conceptual overlap between the CAPP-SR and EPA-SF scales as representing personality-based models of psychopathy, yielding a 4-factor structure that reflected antagonism, disinhibition, emotional stability, and narcissism. Overall, the findings support the convergence of the CAPP and FFM-based PPD models, at both a basic trait and higher order level. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

In the current study, we aimed to develop a reliable and valid scale to address individual cognitive load types. Existing scale development studies involved limited number of items without adequate convergent, discriminant and criterion validity checks. Through a multistep correlational study, we proposed a three-factor scale with 13 items to address intrinsic, extraneous and germane cognitive load in computer-based learning environments. A thorough literature search of cognitive load indicators in the literature was followed by expert panels for content and construct validity. The initial item pool was administered to 236 undergraduate students who watched an instructional video on IP address classes. A multiple-choice achievement test was also implemented after the intervention. The exploratory factor analysis with maximum likelihood explained 58 percent of the variance with factor loads above .49, and internal consistency coefficients above .81. Convergent and discriminant validity indices were acceptable. Besides, achievement was related positively with the germane load and negatively with intrinsic and extraneous load. Fifteen percent of the achievement was explained by the three sources of the cognitive load. Then, the developed factor structure was validated with 193 undergraduate students immediately after they participated in online webinars, and with 99 undergraduate students after they participated in face to face classes. The proposed structure was confirmed in both settings so the scale was considered a reliable and valid indicator of cognitive load in both online and face-to-face learning environments.

One of the main pillars for improving road safety in any country is a good understanding of traffic safety culture and the driving behavior of local drivers. The primary aim of this study was to determine whether Egyptian drivers differ in traffic safety attitudes and level of acceptance of risky driving behavior. A questionnaire survey was conducted on the driving cognition of the participants. An exploratory factor analysis was used to assess the number of factors that differentiated the three types of drivers. Then a hierarchical cluster analysis was performed to group the drivers with similar patterns of scores on the factors into clusters. Three driver clusters emerged: The drivers in cluster 1 were “drivers who rigidly followed regulations” (51.7%). The drivers in cluster 2 were “drivers who violated safety precautions” (23.3%). The drivers in cluster 3 were “drivers who had a tendency to violate regulations” (25.0%). A similarity between the social norms and personal attitudes of drivers was found. This can be explained by the high social norm of violating traffic laws, which can lead to more drivers accepting violations. The majority of the older drivers and drivers with no violations or traffic accident on their record in the past 2 years were in cluster 1. Cluster 2 had the highest proportion of young drivers who wore their seat belts and used hands-free phones while driving. Cluster 3 drivers accepted very dangerous violations, such as texting while driving, driving while intoxicated, and driving at very high speeds. They reported significantly more traffic accidents, but no more violations than the other two clusters. The results of this study can be used to improve road safety programs for education and enforcement in Egypt. The authors would like to thank the International Association of Traffic and Safety Sciences for its support through Projects 1601A/1701B/1801C and the Global Research Alliance on Traffic and Safety.

The current mixed methods, exploratory study aimed to develop and determine the psychometrics of a scale to assess the spiritual needs of patients with coronavirus disease 2019 (COVID-19). The study was performed in two stages: qualitative and quantitative. Through 14 interviews with patients with COVID-19, three themes, including Composure , Meaning in Life , and Global Responsibility , were formed. In the quantitative stage, content validity was achieved through the comments of 10 experts and patients. A total of 330 participants completed the instrument to assess construct validity. Exploratory factor analysis with 29 items and four subscales was performed, indicating a 6-point Likert scale. Cronbach's alpha coefficients ranged from 0.82 for the whole scale and 0.85, 0.81, 0.79, and 0.72 for the Composure, Communication, Meaning in Life, and Global Responsibility subscales, respectively. Intraclass correlation coefficient (test–retest analysis) was 0.79 and showed acceptable stability for the scale. The “Spiritual Needs Assessment Scale for COVID-19 Patients” is a 29-item multi-dimensional scale with robust psychometric properties, which can measure various aspects regarding the spiritual needs of patients with COVID-19. [ Journal of Psychosocial Nursing and Mental Health Services, 60 (4), 47–54.]

Purpose The purpose of this study was to translate, adapt and conduct initial psychometric validation of the French version of the Nurses’ Attitudes and Perceptions of Pain Assessment in neonatal intensive care Questionnaire (NAPPAQ) developed by Polkki in 2010. Background Assessing nurses’ perceptions, attitudes and knowledge about pain management in preterm infants is important to improve neonatal practices. Methods A sample of French-speaking nurses (n = 147) from Quebec and France working in neonatal intensive care was selected to validate the 46-item questionnaire. A French translation of the NAPPAQ, which includes Part I and II, was undertaken prior to its administration. The FIPM questionnaire was added as a Part III. Internal consistency and instrument structure were examined using Cronbach's alphas, inter-item and inter-scale correlations and exploratory factor analysis. Results The NAPPAQ-FIPM is divided into three parts. Part I of the French version had a Cronbach's alpha of 0.64 and was composed of five factors. Part II had good total internal consistency (0.79) and adequate structure, established by inter-item correlations. Part III had good total internal consistency (0.76), and factor analysis findings suggested the presence of five factors. Conclusions The NAPPAQ-FIPM can be used for research purposes. Parts II and III obtained adequate psychometrics results. However, further refinement of Part I could improve its content and internal structure.

Emotion dysregulation (ED) is prevalent among youth with Attention-Deficit/Hyperactivity Disorder (ADHD) and significantly impacts functioning. Nuanced measurement of ED is central to understanding its role in this disorder and informing treatment approaches. The present study examined the factor structure of the Emotion Regulation Checklist (ERC) among children with ADHD with and without Oppositional Defiant Disorder (ODD). Exploratory factor analysis (EFA) conducted in a sample of 328 youth (mean age = 6.08) with ADHD indicated a four-factor solution, comprised of the following factors: Negative Emotion Lability, Positive Emotion Lability, Socially Appropriate Affect, and Socially Incongruent Affect. The Negative and Positive Emotion Lability subscales assess the reactivity of negatively and positively valenced emotions, respectively. The Socially Appropriate and Socially Incongruent Affect subscales provide an assessment of social-emotional functioning. All subscales discriminated between children with ADHD only and ADHD with co-morbid ODD, such that children with ODD had greater emotional lability and social-emotional difficulties. This revised factor structure of the ERC facilitates a uniquely brief, yet multifaceted and specific, assessment of emotional difficulties in children with ADHD that can inform treatment planning and operationalize emotional reactivity and social-emotional functioning in future research efforts.

City gas distribution (CGD) sector is influenced by several factors like policy, infrastructure, health, safety etc. In order to understand this sector, an exploratory factor analysis is conducted. The Exploratory Factor Analysis (EFA) survey meticulously simplifies interconnected steps and examines the possible causal factor structure of a series of measured variables without hitting a predetermined result model. In this paper, the factor analysis is performed in three broad categories namely: managerial level, technical level and site workers to understand the most influencing factor of the sector. 60 questionnaires were prepared to get feedback on parameters affecting CGD sector. The survey is performed by various means, like google form, email, phone calls, appointments with employees and personal meetings. It has been observed from the survey that the nine factors influences this sector and requires certain modifications for the development. Out of these nine factors, five were selected for the analysis which are infrastructure factor, policy factor, gas consumption factor, total energy demand factor and economy factor. The factor analysis has been performed in five major steps, namely factor analysis applicability, selection of factors, loading of factors, significance test of factors and factor loading matrix analysis. The results obtained from these exploratory factor analysis shows that variables like infrastructure, total energy demand and economy affects the CGD market most than the policy and gas consumption.

The Prevent Alcohol and Risk-related Trauma in Youth (P.A.R.T.Y.) program is an immersive hospital-based education program designed to reduce trauma in adolescents. The efficacy of the program in reducing risk-taking attitudes and preventing traumatic injuries has been proven through various methodologies. However, there is currently no study that has investigated the efficacy of the program using a validated, multi-domain questionnaire. This study outlines the design of the P.A.R.T.Y. Program Questionnaire (PPQ) and validates it through examining its construct and criterion validity as well as its internal consistency. Its capacity to risk-stratify participants was compared against the RT-18, a robust, 18-item risk-profiling instrument. The PPQ and the RT-18 were completed by New South Wales school students (N = 458) aged 15 to 18. The PPQ was designed in consultation with relevant field experts to optimise engagement and sensitivity. Examination of the construct validity of the PPQ was performed through exploratory factor analysis which demonstrated the presence of two underlying factors which aligned with the constructed two-scenario questionnaire format. The PPQ was shown to be internally consistent with a Cronbach's alpha of 0.77. Individual scenarios were shown to be internally consistent as well (α = 0.69, α = 0.66). The PPQ also identified high risk and low risk participants effectively as demonstrated by comparison against the risk stratification performed with the RT-18 (p-value0.001). This suggests the PPQ demonstrates criterion validity. Hence, the PPQ is an effective and valid tool for assessing risk-taking attitudes in adolescent populations.

Background The Pharmacists’ Patient Care Process (PPCP) was developed to describe a consistent process in which pharmacists in any setting provide patient care. Faculty at a midwestern university developed and refined an assessment tool which provides an indirect approach to measure student confidence in performing skills essential to the PPCP. The objective of this paper is to conduct a stepwise factor analysis to refine the PPCP survey. Methods Assessing appropriateness of survey response data led to an exploratory factor analysis (EFA) on student confidence data to refine the survey instrument and examine the underlying constructs that influence student responses. Post EFA, the results were presented to the research team that collaboratively reached consensus on inclusion or exclusion of items. Results EFA factor loadings identified a 4-factor solution suggesting elimination of 30 items from the original 53 item survey. Team discussions led to eliminating 29 items, combining two items and generation of 5 new items in order to retain important concepts. The outcome was a well-conceptualized and refined 29 item-survey model assessing 4 constructs. Conclusion To potentially improve patient outcomes, it is imperative to utilize comprehensive yet concise survey instruments, like the PPCP Skills Self-Efficacy Survey, to prepare students to translate PPCP skills to practice.

Previous studies on skill evaluation and scale construction using game performance data of soccer are based on the premise that the data reflect the skills required for soccer offense. However, no studies have verified whether Japanese professional level (J.League) game performance data reflects the skills required for soccer offense. Although Factor analysis can be used as a method to confirm this problem, there is a problem that it is difficult to properly use hyperparameters such as factor extraction method, rotation method, and number of factors in exploratory factor analysis. Therefore, in practice, inefficient analysis work is repeated. Against this background, in this study, we first developed a program (PAHFA: a Program that Analyzes all Hyperparameters in Factor Analysis) that is practically effective in exploratory factor analysis, and verified its practicality. Then, using the game performance big data (45 variables, 147,032 plays) of offense in J.League referenced to the previous research, the purpose was to elucidate the factor structure by exploratory factor analysis. As a result, it became clear that PAHFA has practicality. In addition, the game performance big data in offense of J.League was composed of 14 variables and 6 factors, and its content validity was confirmed. However, this factor structure is not a completely simple structure, and a task remains to elucidate a more robust factor structure.

Children born to mothers infected with the human immunodeficiency virus (HIV) during pregnancy experience increased risk of neurocognitive impairment. In Botswana, HIV infection is common among youth, but standardized cognitive screening is limited. The Penn Computerized Neurocognitive Battery (PennCNB), a tool that streamlines evaluation of neurocognitive functioning, was culturally adapted for use among youth in this high-burden, low-resource setting. The present study examined the structural validity of the culturally adapted PennCNB. A cohort of 7-17-year-old children living with HIV (HIV +) and HIV-exposed-uninfected (HEU) children were enrolled from the Botswana-Baylor Children's Clinical Centre of Excellence in Gaborone, Botswana. Confirmatory and exploratory factor analyses were performed on speed, accuracy, and efficiency measures for 13 PennCNB tests. Fit of the confirmatory factor analysis was acceptable, which supports the design of the battery measuring four neurocognitive domains: Executive functioning, episodic memory, complex cognition, and sensorimotor/processing speed. However, the model revealed high interfactor correlation. Exploratory factor analysis suggested that tests assessing executive functioning and sensorimotor/processing speed clustered together rather than forming differentiable factors. Overall, this research provides valuable insight into the structural validity of a neurocognitive battery adapted for use in a non-Western setting, suggesting that the PennCNB could serve as a useful tool for the assessment of neurocognitive function in Botswana and, potentially, other resource-limited settings. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Childbirth expectations during pregnancy are important factors related to birth satisfaction. The aim of this study is to validate the Childbirth Expectation Questionnaire (CEQ) in a sample of Spanish pregnant women; 231 women responded to the CEQ during their first trimester of pregnancy and 106 of them completed a re-test at the third trimester. Exploratory analyses with 1-to-6 factor solutions were carried out to investigate the internal structure of the CEQ. The three-factor solution (spousal support and control, medical support and environment, and labor pain and distress) showed the best properties in terms of model fit, number of items per factor, and item loadings. The internal consistency of scales was also good (.79 ≥ α ≤ .93). Test-retest analyses showed significant intercorrelations between expectations from the first to the third trimester of pregnancy. There is a need to assess childbirth expectations, and our results suggest that the CEQ is a valid and useful instrument to be used among Spanish pregnant women.

Context Although gastric cancer is one of the most common tumors worldwide, there is little knowledge about symptom clusters and quality of life (QoL) in this population. Objectives The objectives were to identify the symptom clusters in gastric cancer patients receiving chemotherapy, and explore their effects on QoL. Methods Gastric cancer patients receiving chemotherapy were recruited. Data were collected using the Memorial Symptom Assessment Scale Short Form, the Functional Assessment of Cancer Therapy-Gastric and the self-designed General Information Evaluation Form. The symptom clusters were extracted through the exploratory factor analysis. The influencing factors of symptom clusters and their effects on QoL were identified using multiple linear regression analysis. Results A total of 322 participants were enrolled from three medical centers. Five factors were identified in this exploratory factor analysis based on symptom prevalence, namely fatigue related symptom cluster, epithelial symptom cluster, neurologic symptom cluster, malnutrition related symptom cluster and psychological symptom cluster (χ2 = 31.470, P Conclusion Five symptom clusters were identified in gastric cancer patients receiving chemotherapy in mainland China. The symptom clusters negatively contributed to the variance in all aspects of QoL except social well being. Further studies should examine interventions for symptom clusters, their influencing factors, and their effects on improving QoL.

Background: The satisfaction with life and, in particular, with treatment in Parkinson’s disease (PD) is understudied. Objective: To explore a new 7-item rating tool assessing satisfaction with life and treatment (SLTS-7) in PD. Methods: In this cross-sectional, multi-center study, including patients screened for advanced therapies, psychometric characteristics of the SLTS-7 were analyzed. An exploratory factor analysis identified the underlying factorial structure of the SLTS-7. Results: 117 patients were included, and the data quality of the SLTS-7 was excellent (computable data 100%), and acceptability measures satisfied standard criteria. Besides the global assessment (item 1), the exploratory factor analysis produced item 2 (physical satisfaction) as an independent item and two factors among the remaining items: items 3–5 (psycho-social satisfaction), and items 6 and 7 (treatment satisfaction). Cronbach’s alpha was 0.89, indicative of high internal consistency. The SLTS-7 total score correlated moderately with motor symptoms and weakly with non-motor symptoms total scores. SLTS-7 showed the highest correlations with the European Quality of Life with 5 items (EQ-5D) visual analog scale (0.43–0.58, p

Measuring accounting teachers’ professional identity is significant to do as an alternative to measure the professionalism of accounting teachers in Indonesia based on their professional identity. This research was conducted in two stages of exploratory factor analysis involving 150 accounting teachers as sample in each stage. The data were collected in collaboration with an accounting teacher organization, comprising the Accounting Subject Teacher Deliberation (MGMP) in Central Java through a questionnaire. Data analysis was divided into several steps including face validity and content validity, inter-item correlation matrix, and exploratory factor analysis. The results showed that 23 question items encompassed five components of accounting teacher professional identity; Cultural Knowledge (pedagogical cultural identity), Blending (accommodating students' purposes for school in the learning objectives), Identity Experiencing (by the experience of working life in the past, present, and individual expectations in the future in accounting work setting), Inter-Personal Skill, and Active in Professional Communities. The scale development requires continuous development tailing various new findings in the teacher professional identity and accountant professional identity.

Aim To determine the psychometric properties of the Persian version of the MUSIC Inventory in nursing students. Design Cross‐sectional psychometric study. Methods Transcultural adaptation of the MUSIC Model of Academic Motivation Inventory was carried out using translation to Persian and back‐translation. Then, the qualitative and quantitative face and content validity of the inventory were evaluated. Construct validity was assessed by exploratory factor analysis. To perform construct validity and reliability, a convenience sample of 360 undergraduate nursing students was recruited. Cronbach's alpha was used to assess internal consistency reliability. Results Cronbach's alpha for all items of the MUSIC inventory was .94, and each factor was between .72–.93. Exploratory factor analysis supported the 5‐factor structure of the MUSIC inventory. These 5 factors explain 66.59% of the overall extracted variance. Three items of the MUSIC inventory, which were related to the empowerment component, were deleted. Conclusion Based on the findings of this study, the Persian version of the MUSIC Model of Academic Motivation Inventory is a valid and reliable tool for Persian language nursing students.

This study aims to investigate individuals’ travel choice behavior with the concept of image, which indicates an individual’s perceived reflection of an external object in his/her mind. To this end, college students’ choice of homecoming train trips during the Spring Festival travel rush in China was applied as a case study, in which college students’ perceived image toward high-speed rail was taken into consideration. Specifically, various dimensions of image toward high-speed rail, i.e., stability, safety, speed, comfort, punctuality, food, facility, and staff, were considered. In addition, a stated choice experiment was designed, in which four hypothetical train trips (two conventional and two high-speed train trips) consisted of a choice set. An online survey was carried out, where 2768 valid observations from 346 respondents were collected. Based on the collected data, exploratory factor analysis was first implemented to reduce the dimensionality of perceived image and also to define a set of latent image factors. Then a hybrid choice model was established and estimated. Besides college students’ preferences toward determinants involved in the experiment design, the results did confirm significant effect of perceived image in the travel choice behavior.

Background Nurses' clinical competence involves an integration of knowledge, skills, attitudes, thinking ability, and values, which strongly affects how deteriorating patients are managed. Objectives The aim of the study was to examine nurses' attitudes as part of clinical competence towards the rapid response system in two acute hospitals with different rapid response system models. Methods This is a comparative cross-sectional correlational study. A modified “Nurses' Attitudes Towards the Medical Emergency Team” tool was distributed among 388 medical and surgical registered nurses in one acute hospital in the UK and one in Finland. A total of 179 nurses responded. Statistical analyses, including exploratory factor analysis, Mann–Whitney U tests, Kruskal–Wallis tests, chi-square tests, and univariate and multivariate regression analyses, were used. Findings Generally, nurses had positive attitudes towards rapid response systems. British and Finnish nurses' attitudes towards rapid response system activation were divided when asked about facing a stable (normal vital signs) but worrisome patient. Finnish nurses relied more on intuition and were more likely to activate the rapid response system. Approximately half of the nurses perceived the physician's influence as a barrier to rapid response system activation. The only sociodemographic factor that was associated with nurses activating the rapid response system more freely was work experience ≥10 years. Conclusions The findings are beneficial in raising awareness of nurses' attitudes and identifying attitudes that could act as facilitators or barriers in rapid response system activation. The study suggests that nurses' attitudes towards physician influence and intuition need to be improved through continuing development of clinical competence. When the system model included “worrisome” as one of the defined parameters for activation, nurses were more likely to activate the rapid response system. Future rapid response system models may need to have clear evidence-based instructions for nurses when they manage stable (normal vital signs) but worrisome patients and should acknowledge nurses’ intuition and clinical judgement.

In-service training is a critical and frequently utilized implementation strategy to support the adoption and delivery of evidence-based practice (EBP) across service settings, but is characteristically ineffective in producing provider behavior changes, particularly when delivered in single exposure didactic events. EBP trainers are in a strategic position to leverage their trainee-perceived characteristics to influence trainees' attitudes, motivation, and intentions to implement, and ultimately increase the likelihood of successful uptake of skills. The purpose of this study was to extend research on the measure of effective attributes of trainers (MEAT) by examining its underlying factor structure and reliability in the context of in-service EBP training for teachers (i.e., structural validity). This study also examined the predictive validity of the MEAT by examining relationships with a measure of teacher intentions to implement EBPs following a standardized training experience (i.e., predictive validity). An exploratory factor analysis (EFA) was employed to determine the latent factors (i.e., subscales of characteristics) that underlie the data. Additionally, a forward selection, stepwise regression was conducted to determine the extent to which trainer attributes could explain variance in intentions to implement. Results indicated that the MEAT was a valid and reliable measure to examine trainer attributes in school settings. Moreover, findings suggested that trainer attributes, particularly those related to trainee perceptions of the trainers' welcoming disposition (i.e., related to trainers' warm, positive temperament and internal character traits), were significantly associated with trainees' intentions to implement the trained upon EBP.

The practice of routine outcome monitoring (ROM) has grown in popularity and become a fixture in feedback-supported clinical practice and research. However, if the interpretation of an ROM measure changes over time, treatment outcome scores may be inaccurate and produce erroneous or misguided interpretations of client progress and therapist efficacy. The current study examined whether factorial invariance held when using the Behavioral Health Measure (BHM-20) longitudinally in a clinical sample (n = 12,467). Using multidimensional item response theory-based models for the investigation of the BHM-20 factor structure, at a single time point and then longitudinally. Based on the original factor structure of the BHM-20 a unidimensional model, a three-factor orthogonal model, and a three-factor correlated model were fit to the data, indicating poor model fit with the proposed three-factor or unidimensional models. Next, using exploratory factor analysis and subsequent multidimensional item response theory procedures, a new 4-factor (General Distress, Life Functioning, Anxiety, and Alcohol/Drug Use) model was proposed with improved model-fit statistics. Finally, when testing the longitudinal invariance of the BHM-17 over 10 sessions of treatment, it was found to be fully consistent. The current study proposes the use of a 17-item, 4-factor model for a new understanding of the BHM-17. Implications for use in ROM and limitations are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Background During the COVID-19 pandemic, the management of hospital infection became even more crucial. Therefore, it is urgent to develop a competency model for the healthcare practitioners to adhere to combating public health emergencies. Aim This study was undertaken to determine the practitioners' competence in the hospital infection prevention and control measures that are significant for their competence development. Method Based on the literature review, the key informant interviews, the Delphi method, and the questionnaire survey, a theoretical framework was developed. These items were evaluated based on the response rate, maximum score, minimum score, and mean score. Factor analyses, both exploratory and confirmatory, were used to determine the structure of the competence model. Results The effective response rate on the questionnaires was 88.29%, and Cronbach's α-coefficient of the scale was 0.964. Factor analysis revealed a KMO of 0.945. The Bartlett's test gave an χ2 of 10523.439 (df = 435; p < 0.001). After exploratory factor analysis, the 5-factor model was retained, 4 items were deleted, and a 5-dimensional, 26-item scale was obtained. The new structure's confirmatory factor analysis revealed a high goodness of fit (CFI = 0.921; TLI = 0.911; SRMR = 0.053; and RMSEA = 0.044). Conclusion The proposed scale is a useful tool to assess the competence of hospital infection prevention and control practitioners, which can help hospitals to improve their work of infection prevention and control., HIPCPs: hospital infection prevention and control practitioners.

The research is done to identify the constructs which affect the performance of a healthcare firm. Specifically, a mediating variable has been utilized to establish a relationship between the latent and dependent variables. The proposed model consists of three latent variables: vendor cooperation, SC efficiency, and quality measurement practices on afirm's performance through a mediator SC innovation. This model was developed using exploratory factor analysis and validated utilizing structural equation modeling. Information was collected from 310 respondents from various healthcare centers. The output suggested the proposed constructs significantly affected the firm's performance and contributed towards the goodness of fit. The output also indicates that a firm performance can be improvised through continuous SC innovation and cooperation with vendors, resulting in the firm's performance. Data utilized in this research were collected from various healthcare centers of India. The generalization of the results may be limited to hospitals in developingcountries. This research provides valuable information on planning in the healthcare segment. The outputs suggested firm's performance improvement is attained through continuous SC innovation.