100 results on '"De Maria, Maddalena"'
Search Results
52. Supplemental Material - Validity and Reliability of Caregiver Contribution to Self-Care of Chronic Obstructive Pulmonary Disease Inventory and Caregiver Self-Efficacy in Contributing to Self-Care Scale
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Matarese, Maria, Pendoni, Roberta, Ausili, Davide, Vellone, Ercole, and De Maria, Maddalena
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111099 Nursing not elsewhere classified ,111708 Health and Community Services ,111799 Public Health and Health Services not elsewhere classified ,160807 Sociological Methodology and Research Methods ,FOS: Health sciences ,FOS: Sociology - Abstract
Supplementary Material for Validity and Reliability of Caregiver Contribution to Self-Care of Chronic Obstructive Pulmonary Disease Inventory and Caregiver Self-Efficacy in Contributing to Self-Care Scale by Maria Matarese, Roberta Pendoni, Davide Ausili, Ercole Vellone, and Maddalena De Maria in Evaluation & the Health Professions.
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- 2022
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53. Psychometric properties of the clei-19 scale to assess clinical learning environment in nursing students: a multicenter observational study [Proprietà psicometriche della scala CLEI-19 nella valutazione dell’apprendimento clinico degli studenti infermieri: studio osservazionale multicentrico]
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Leone, Marianna, De Maria, Maddalena, Alberio, Massimo, Colombo, Nadia Teresa, Ongaro, Carmela, Sala, Maurizio, Luciani, Michela, Ausili, Davide, Di Mauro, Stefania, Leone, M, De Maria, M, Alberio, M, Colombo, N, Ongaro, C, Sala, M, Luciani, M, Ausili, D, and Di Mauro, S
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education ,student ,nursing ,MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE ,Assessment ,Learning environment - Abstract
INTRODUZIONE: L’ambiente di apprendimento clinico è il contesto di sovrapposizione tra il sistema educativo e l'ambiente lavorativo in cui gli studenti applicano le conoscenze apprese durante gli insegnamenti teorici, apprendono abilità pratiche, relazionali e di caring. È fondamentale per la formazione infermieristica ed esistono numerosi strumenti finalizzati a valutarlo: la qualità degli studi che ne indagano le performance è eterogenea. La scala CLEI-19 è uno strumento conciso e facile da usare ma le sue performance non sono state testate nel contesto italiano. OBIETTIVI: Lo studio ha l’obiettivo di valutare le proprietà psicometriche dello strumento in termini di struttura fattoriale e affidabilità. METODI: È stato condotto uno studio osservazionale trasversale multicentrico in Italia, presso l’Università degli Studi di Milano-Bicocca. Sono stati impiegati due strumenti: un questionario di raccolta dati di contesto e la scala CLEI-19 italiana. Le variabili di contesto sono state analizzate tramite statistica descrittiva. La struttura fattoriale della scala è stata indagata attraverso i modelli esplorativi di equazione strutturale (ESEM). L’affidabilità della scala è stata valutata mediante i coefficienti Alpha e Omega. RISULTATI: Il campione è costituito da 1095 unità statistiche. Dall’analisi fattoriale emerge la presenza di due fattori latenti correlati che sono stati denominati “Assistente di Tirocinio” ed “Ambiente di Tirocinio”. Gli indici di fit confermano la solidità del modello a due fattori. La coerenza interna è risultata adeguata o più che adeguata sia per i singoli fattori che per lo strumento complessivo. CONCLUSIONI: La scala CLEI-19 è uno strumento affidabile, che indaga in modo esaustivo le due componenti cardine dell’ambiente di apprendimento clinico: l’Assistente di Tirocinio e l’Ambiente di Tirocinio nel complesso. L’impiego semplifica il processo di valutazione dell’ambiente di tirocinio, offre la possibilità di migliorarne la qualità, agevola il confronto tra realtà e valorizza la percezione degli studenti. INTRODUCTION: The clinical learning environment is the context of overlap between the educational system and the working environment. Here students apply the knowledge learned during theoretical teachings, acquire practical, relational and caring skills. It is fundamental for nursing training and there are several rating scales aimed at evaluating it: the presence and quality of the studies that investigate their performances are heterogeneous, so it is difficult to identify the best tool. The CLEI-19 scale is the most concise instrument and its performance has not been tested in the Italian context. OBJECTIVES: The study aims to evaluate the psychometric properties of the instrument in terms of factor structure and reliability. METHODS: A multicenter cross-sectional observational study was conducted in Italy, at the University of Milan-Bicocca. Two tools were used: a context data collection questionnaire and the Italian CLEI-19 scale. The data were analyzed through descriptive statistics, the scale's factorial structure was tested by Exploratory Structural Equation Modeling ESEM. The reliability of the scale was evaluated by Alpha and Omega coefficients. RESULTS: The sample consists of 1095 statistical units. The factor analysis shows the presence of two latent factors that have been called Internship Assistant and Internship Environment. They correlate significantly and the fit indices confirm the solidity of the two-factor model. Internal coherence was adequate or more than adequate for single factors and overall tool. CONCLUSIONS: The CLEI-19 scale is a reliable tool, which comprehensively investigates the two key components of the clinical learning environment: the Internship Assistant and the Environment. The employment simplifies the process of evaluating the internship environment, offers the possibility of improving its quality, facilitates the comparison between realities and enhances the perception of students.
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- 2022
54. Examining how congruence in and satisfaction with dyadic care type appraisal contribute to quality of life in heart failure care dyads.
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Irani, Elliane, Buck, Harleah G, Lyons, Karen S, Margevicius, Seunghee, Vellone, Ercole, Bugajski, Andrew, and De Maria, Maddalena
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HEART failure treatment ,COMPETENCY assessment (Law) ,STATISTICS ,CROSS-sectional method ,MULTIVARIATE analysis ,PATIENT satisfaction ,PHYSICAL activity ,T-test (Statistics) ,QUALITY of life ,PSYCHOLOGY of caregivers ,CHI-squared test ,DESCRIPTIVE statistics ,RESEARCH funding ,DATA analysis software ,DATA analysis ,DISEASE management ,SECONDARY analysis - Abstract
Aims: Given the complexity of heart failure (HF) management, persons with HF and their informal caregivers often engage in dyadic illness management. It is unknown how congruent appraisal of dyadic HF care type is associated with dyadic health. Our aim was to examine how congruence in and satisfaction with appraisal of dyadic HF care type contribute to quality of life (QOL) for dyads. Methods and results: This is a secondary analysis of cross-sectional data on 275 HF care dyads (patients 45.1% female, caregivers 70.5% female). Congruent appraisal and satisfaction were assessed using the Dyadic Symptom Management Type instrument. Quality of life was measured using the Short Form-12. Multilevel dyadic models were estimated to examine the contribution of congruence and satisfaction with dyadic care type to physical and mental QOL. Congruent appraisal of dyadic care type was positively associated with caregivers' mental QOL (B = 2.69, P = 0.026). Satisfaction with dyadic care type was positively associated with physical and mental QOL for persons with HF (B = 1.58, P = 0.011 and B = 2.09, P = 0.002, respectively) and informal caregivers (B = 1.70, P = 0.004 and B = 2.90, P < 0.001, respectively), while controlling for age, New York Heart Association class, daily hours spent together, relationship type, and congruence with dyadic care type. Conclusion: Satisfaction with dyadic care type appraisal was a stronger contributor to QOL for HF care dyads, compared with congruent appraisals. It is important to understand reasons for dissatisfaction within the dyad to assist dyad members in reaching shared appraisals while managing HF. Graphical Abstract [ABSTRACT FROM AUTHOR]
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- 2023
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55. Moral Distress Scale for Nursing Students--Italian Version
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Mazzota, Rocco, primary, De Maria, Maddalena, additional, Bove, Davide, additional, Badolamenti, Sondra, additional, Bordignon, Simonì Saraiva, additional, Silveira, Luana Claudia Jacoby, additional, Vellone, Ercole, additional, Alvaro, Rosaria, additional, and Bulfone, Giampiera, additional
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- 2022
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56. Development and psychometric testing of a new measure of the determinants that influence the adoption of WhatsApp in hospitals
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De Benedictis, Anna, primary, Lettieri, Emanuele, additional, Piredda, Michela, additional, Gualandi, Raffaella, additional, De Maria, Maddalena, additional, and Tartaglini, Daniela, additional
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- 2021
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57. Defining nursing workload predictors: A pilot study
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Ivziku, Dhurata, primary, Ferramosca, Federica Maria Pia, additional, Filomeno, Lucia, additional, Gualandi, Raffaella, additional, De Maria, Maddalena, additional, and Tartaglini, Daniela, additional
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- 2021
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58. The Care Dependency Scale: A cross validation study in inpatients with cancer
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Piredda, Michela, primary, Candela, Maria Luigia, additional, Marchetti, Anna, additional, Biagioli, Valentina, additional, De Maria, Maddalena, additional, Facchinetti, Gabriella, additional, Albanesi, Beatrice, additional, Iacorossi, Laura, additional, and De Marinis, Maria Grazia, additional
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- 2021
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59. Self‐care of patients with multiple chronic conditions and their caregivers during the COVID‐19 pandemic: A qualitative descriptive study
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De Maria, Maddalena, primary, Ferro, Federico, additional, Vellone, Ercole, additional, Ausili, Davide, additional, Luciani, Michela, additional, and Matarese, Maria, additional
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- 2021
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60. Moral distress in nursing students: Cultural adaptation and validation study
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Mazzotta, Rocco, primary, De Maria, Maddalena, additional, Bove, Davide, additional, Badolamenti, Sondra, additional, Saraiva Bordignon, Simonì, additional, Silveira, Luana Claudia Jacoby, additional, Vellone, Ercole, additional, Alvaro, Rosaria, additional, and Bulfone, Giampiera, additional
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- 2021
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61. Measuring self-care in the general adult population: development and psychometric testing of the Self-Care Inventory
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Luciani, Michela, De Maria, Maddalena, Dickson Page, Shayleigh, Barbaranelli, Claudio, Ausili, Davide, Riegel, Barbara, Luciani, M, De Maria, M, Page, S, Barbaranelli, C, Ausili, D, and Riegel, B
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Adult ,Public health ,Psychometrics ,General adult population ,MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE ,Public Health, Environmental and Occupational Health ,middle range theory of self-care of chronic illness ,Reproducibility of Results ,Self Care ,Cross-Sectional Studies ,Humans ,Self-care ,Middle range theory of self-care of chronic illne ,Factor Analysis, Statistical ,Psychometric - Abstract
Background Self-care is important at all stages of life and health status to promote well-being, prevent disease, and improve health outcomes. Currently, there is a need to better conceptualize self-care in the general adult population and provide an instrument to measure self-care in this group. Therefore, the aim of this study was to develop and evaluate the Self-Care Inventory (SCI), a theory-based instrument to measure self-care in the general adult population. Methods Based on the Middle Range Theory of Self-Care, the 20-item SCI was developed with three scales: Self-Care Maintenance (8 items), Self-Care Monitoring (6 items), and Self-Care Management (6 items). A cross sectional study with a US-based sample (n = 294) was conducted to test the SCI. Internal validity was assessed with Confirmatory Factor Analysis. Internal consistency reliability was assessed with Cronbach alpha for unidimensional scales or composite reliability and the global reliability index for multidimensional scales. Construct validity was investigated with Pearson correlation to test the relationship between general self-efficacy, positivity, stress, and self-care scores. Results The Self-Care Maintenance and Management scales were multidimensional and the Self-Care Monitoring scale was unidimensional. The global reliability index for multidimensional scales was 0.85 (self-care maintenance) and 0.88 (self-care management). Cronbach alpha coefficient of the self-care monitoring scale was 0.88. Test-retest reliability was 0.81 (self-care maintenance), 0.91 (self-care monitoring), and 0.76 (self-care management). The General Self-Efficacy Scale was positively related to all three self-care scale scores: self-care maintenance r = 0.46, p r = 0.31, p r = 0.32, p r = 0.42, p r = 0.29, p r = 0.34, p r = 0.20, p Conclusions The SCI is a theoretically based instrument designed to measure self-care in the general adult population. Preliminary evidence of validity and reliability supports its use in the general adult population.
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- 2021
62. Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes
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De Maria, Maddalena, primary, Fabrizi, Diletta, additional, Luciani, Michela, additional, Caruso, Rosario, additional, Di Mauro, Stefania, additional, Riegel, Barbara, additional, Barbaranelli, Claudio, additional, and Ausili, Davide, additional
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- 2021
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63. Psychometric properties of Pediatric Quality of Life multidimensional fatigue scale in Italian paediatric cancer patients: A multicentre cross‐sectional study
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Rostagno, Elena, primary, Marchetti, Anna, additional, De Maria, Maddalena, additional, Piazzalunga, Martina, additional, Scarponi, Dorella, additional, Zucchetti, Giulia, additional, De Marinis, Maria Grazia, additional, and Piredda, Michela, additional
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- 2021
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64. Characteristics of dyadic care types among patients living with multiple chronic conditions and their informal caregivers
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De Maria, Maddalena, primary, Ferro, Federico, additional, Ausili, Davide, additional, Buck, Harleah G., additional, Vellone, Ercole, additional, and Matarese, Maria, additional
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- 2021
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65. Psychometric properties of Pediatric Quality of Life multidimensional fatigue scale in Italian paediatric cancer patients: A multicentre cross-sectional study
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Rostagno, Elena, Marchetti, Anna, De Maria Maddalena, Piazzalunga, Martina, Scarponi, Dorella, Zucchetti, Giulia, De Marinis Maria Grazia, and Piredda, Michela
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- 2021
66. Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes.
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Maria, Maddalena De, Fabrizi, Diletta, Luciani, Michela, Caruso, Rosario, Mauro, Stefania Di, Riegel, Barbara, Barbaranelli, Claudio, Ausili, Davide, De Maria, Maddalena, and Di Mauro, Stefania
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Background: The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples.Purpose: This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM.Methods: This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy.Results: We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86).Conclusion: The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients' characteristics, our results support the generalizability of the self-care theory on which the instrument is based. [ABSTRACT FROM AUTHOR]- Published
- 2022
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67. Self‐care of patients with multiple chronic conditions and their caregivers during the COVID‐19 pandemic: A qualitative descriptive study.
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De Maria, Maddalena, Ferro, Federico, Vellone, Ercole, Ausili, Davide, Luciani, Michela, and Matarese, Maria
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CHRONIC diseases , *RESEARCH methodology , *TIME , *INTERVIEWING , *QUALITATIVE research , *PATIENT monitoring , *CONCEPTUAL structures , *PATIENTS' attitudes , *INFORMED consent (Medical law) , *PSYCHOLOGY of caregivers , *SOUND recordings , *STATISTICAL sampling , *JUDGMENT sampling , *SOCIODEMOGRAPHIC factors , *THEMATIC analysis , *DATA analysis software , *HEALTH self-care , *COMORBIDITY , *COVID-19 pandemic - Abstract
Aims: Explore the self‐care experiences of patients with multiple chronic conditions (MCCs) and caregivers' contributions to patient self‐care during COVID‐19 pandemic. Design: A descriptive qualitative design was used. The COREQ checklist was used for study reporting. Methods: Individual semi‐structured interviews were used to collect data from patients with MCCs and caregivers selected from the dataset of an ongoing longitudinal study. Data analysis was performed through deductive thematic analysis. The middle‐range theory of self‐care of chronic illness, which entails the three dimensions of self‐care maintenance, monitoring and management, was used as a theoretical framework to guide data collection and analysis. Results: A total of 16 patients and 25 caregivers were interviewed from May to June 2020. The participants were mainly women, with a mean age for patients of 76.25 years and caregivers of 45.76 years; the caregivers were mainly the patients' children (72%). During the pandemic, some patients reported remaining unchanged in their self‐care maintenance, monitoring and management behaviours, others intensified their behaviours, and others decreased them. Caregivers played an important role in protecting patients from the risk of contagion COVID‐19 and in ensuring patients' self‐care of chronic diseases through direct and indirect interventions. Conclusions: Critical events can modify the self‐care experiences of chronically ill patients and caregivers' contributions, leading to maintenance, increase or decrease of self‐care and contributions to self‐care behaviours. Impact: Patients with MCCs and their caregivers can react in different ways in their performances of self‐care and contribution to patients' self‐care behaviours when ordinary daily life is disrupted; therefore, nurses should assess such performances during critical events to identify the individuals at risk of reduced self‐care and promote the most suitable healthcare services (e.g. eHealth) to implement individualised interventions. [ABSTRACT FROM AUTHOR]
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- 2022
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68. Proprietà psicometriche della scala CLEI-19 nella valutazione dell'apprendimento clinico degli studenti infermieri: studio osservazionale multicentrico.
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Leone, Marianna, De Maria, Maddalena, Alberio, Massimo, Colombo, Nadia Teresa, Ongaro, Carmela, Sala, Maurizio, Luciani, Michela, Ausili, Davide, and Di Mauro, Stefania
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- 2022
69. Academic failure and its predictors in Baccalaureate nursing students: A longitudinal study
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Bulfone, Giampiera, primary, De MARIA, Maddalena, additional, Maurici, Massimo, additional, Macale, Loreana, additional, Sili, Alessandro, additional, Vellone, Ercole, additional, and Alvaro, Rosaria, additional
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- 2021
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70. The Association of Spirituality with Anxiety and Depression in Stroke Survivor–Caregiver Dyads
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Bolgeo, Tatiana, primary, De Maria, Maddalena, additional, Vellone, Ercole, additional, Ambrosca, Rossella, additional, Simeone, Silvio, additional, Alvaro, Rosaria, additional, and Pucciarelli, Gianluca, additional
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- 2021
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71. Self-Care Self-Efficacy Scale
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Yu, Doris Sau‐Fung, primary, De Maria, Maddalena, additional, Barbaranelli, Claudio, additional, Vellone, Ercole, additional, Matarese, Maria, additional, Ausili, Davide, additional, Rejane, Rabelo-Silva Eneida, additional, Osokpo, Onome Henry, additional, and Riegel, Barbara, additional
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- 2021
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72. Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale
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De Maria, Maddalena, primary, Iovino, Paolo, additional, Lorini, Silvia, additional, Ausili, Davide, additional, Matarese, Maria, additional, and Vellone, Ercole, additional
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- 2021
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73. Digital Innovation Adoption in Hospitals Questionnaire
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De Benedictis, Anna, primary, Lettieri, Emanuele, additional, Piredda, Michela, additional, Gualandi, Raffaella, additional, De Maria, Maddalena, additional, and Tartaglini, Daniela, additional
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- 2021
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74. European Heart Failure Self-Care Behaviour Scale for Caregivers
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Durante, Angela, primary, De Maria, Maddalena, additional, Boyne, Josiane, additional, Jaarsma, Tiny, additional, Juarez-Vela, Raul, additional, Strömberg, Anna, additional, and Vellone, Ercole, additional
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- 2021
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75. The Self-Care of Heart Failure Index version 7.2: Further psychometric testing
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Vellone, Ercole, De Maria, Maddalena, Iovino, Paolo, Barbaranelli, Claudio, Zeffiro, Valentina, Pucciarelli, Gianluca, Durante, Angela, Alvaro, Rosaria, Riegel, Barbara, 0000-0003-4673-7473, 0000-0001-5952-881X, and 0000-0002-0970-136X
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psychometrics ,Male ,validity ,Psychometrics ,heart failure ,Structural equation modeling ,03 medical and health sciences ,0302 clinical medicine ,Cronbach's alpha ,Quality of life ,self-care ,Medicine ,Humans ,030212 general & internal medicine ,General Nursing ,Reliability (statistics) ,Aged ,Heart Failure ,reliability ,030504 nursing ,business.industry ,Construct validity ,Reproducibility of Results ,Confirmatory factor analysis ,Self Care ,Settore MED/45 ,Cross-Sectional Studies ,Italy ,Scale (social sciences) ,Female ,0305 other medical science ,business ,Factor Analysis, Statistical ,Clinical psychology - Abstract
Clinicians and researchers need valid and reliable instruments to evaluate heart failure (HF) self-care. The Self-Care of Heart Failure Index (SCHFI) is a theoretically driven instrument developed for this purpose. The SCHFI measures self-care with three scales: self-care maintenance, measuring behaviors to maintain HF stability; symptom perception, measuring monitoring behaviors; and self-care management, assessing the response to symptoms. After the theory underpinning the SCHFI was updated, the instrument was updated to version 7.2 but it was only tested in the United States. In this study we tested the psychometric characteristics (structural and construct validity, internal consistency, and test-retest reliability) of the SCHFI v.7.2 in an Italian population of HF patients. We used a cross-sectional design to study 280 HF patients with additional data collected after 2 weeks for test-retest reliability. Adults with HF (mean age 75.6 (+/- 10.8); 70.8% in New York Heart Association [NYHA] classes II and III) were enrolled from six centers across Italy. Confirmatory factor analysis showed supportive structural validity in the three SCHFI v.7.2 scales (CFI from 0.94 to 0.95; RMSEA from 0.05 to 0.07). Internal consistency reliability estimated with Cronbach's alpha and composite reliability ranged between .73 and .88; test-retest reliability ranged between 0.73 and 0.92. Construct validity was supported with significant correlations between the SCHFI v.7.2 scale scores and quality of life, brain natriuretic peptide levels and NYHA class. This study further supports the psychometric characteristics of the SCHFI v.7.2, illustrating that it can be used in clinical practice and research also in an Italian population.
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- 2020
76. Psychometric characteristics of the caregiver contribution to self-care of chronic illness inventory
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Vellone, E, Lorini, S, Ausili, D, Alvaro, R, Di Mauro, S, De Marinis, M, Matarese, M, De Maria, M, Vellone, Ercole, Lorini, Silvia, Ausili, Davide, Alvaro, Rosaria, Di Mauro, Stefania, De Marinis, Maria Grazia, Matarese, Maria, De Maria, Maddalena, Vellone, E, Lorini, S, Ausili, D, Alvaro, R, Di Mauro, S, De Marinis, M, Matarese, M, De Maria, M, Vellone, Ercole, Lorini, Silvia, Ausili, Davide, Alvaro, Rosaria, Di Mauro, Stefania, De Marinis, Maria Grazia, Matarese, Maria, and De Maria, Maddalena
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Aim: The purpose of the this study was to test the factorial structure, internal consistency reliability and concurrent validity of the Caregiver Contribution to Self-Care Chronic Illness Inventory. Background: Existing measures of caregiver contribution to self-care are disease-specific or behavior-specific; no generic measures exist. Design: A cross-sectional study. Method: Between April 2017 - December 2018, we enrolled a convenience sample of 358 patients with chronic illnesses and their caregivers. Patients completed the Self-Care of Chronic Illness Inventory while caregivers completed the Caregiver Contribution to Self-Care of Chronic Illness Inventory, a modification of the Self-Care of Chronic Illness Inventory, which includes three scales: the Caregiver Contribution to Self-Care Maintenance, the Caregiver Contribution to Self-Care Monitoring and the Caregiver Contribution to Self-Care Management. Of each scale, we tested the factorial structure with confirmatory factor analysis and reliability with the factor score determinacy coefficient, the global reliability index for multidimensional scale and Cronbach's alpha. Also, we used Pearson's correlations for concurrent validity purposes. Results: Confirmatory factor analysis supported the two-factor structure of the Caregiver Contribution to Self-Care Maintenance and Management scales and the one-factor structure of the Caregiver Contribution to Self-Care Monitoring scale. A simultaneous confirmatory factor analysis on the combined set of items supported the more general model (Comparative Fit Index=0.933). Reliability estimates ranged between 0.701-0.961 across the three scales. Concurrent validity of Caregiver Contribution to Self-Care of Chronic Illness Inventory with the Self-Care of Chronic Illness Inventory was not sufficiently supported since weak correlations were found. Conclusion: The Caregiver Contribution to Self-Care of Chronic Illness Inventory is valid and reliable and can be used in clinical p
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- 2020
77. Depression and self-care in older adults with multiple chronic conditions: A multivariate analysis
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Iovino, P, De Maria, M, Matarese, M, Vellone, E, Ausili, D, Riegel, B, Iovino, Paolo, De Maria, Maddalena, Matarese, Maria, Vellone, Ercole, Ausili, Davide, Riegel, Barbara, Iovino, P, De Maria, M, Matarese, M, Vellone, E, Ausili, D, Riegel, B, Iovino, Paolo, De Maria, Maddalena, Matarese, Maria, Vellone, Ercole, Ausili, Davide, and Riegel, Barbara
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AIMS: To investigate the relationship between depression and self-care behaviors in older individuals with multimorbidity. DESIGN: Cross-sectional study. Data were collected between April 2017-June 2019. METHODS: Patients were enrolled from community and outpatient settings and included if they were ≥65 years, affected by heart failure, diabetes mellitus or chronic obstructive pulmonary disease and at least another chronic condition. They were excluded if they had dementia and/or cancer. Patient Health Questionnaire-9 was used to measure depression and Self-Care of Chronic Illness Inventory was used to measure self-care maintenance, monitoring and management. The relationship between depression and self-care was evaluated by performing two sets of univariate analyses, followed by multivariate and step-down analyses. The second set was performed to control for the number of chronic conditions, age and cognitive function. RESULTS: The sample (N=366) was mostly female (54.2%), with a mean age of 76.4 years. Most participants (65.6%) had mild to very severe depressive symptoms. Preliminary analysis indicated a significant negative association between depression and self-care maintenance and monitoring and a significant negative association between depression and multivariate self-care. Step-down analysis showed that self-care maintenance was the only dimension negatively associated with depression, even after controlling for the number of chronic conditions, age and cognitive function. CONCLUSION: In multimorbid populations, depression is more likely to be associated with self-care maintenance than the other self-care dimensions. Therefore, self-care maintenance behaviors (e.g. physical activity and medication adherence) should be prioritized in assessment and focused on when developing interventions targeting depressed older adults with multimorbidity. IMPACT: The results of this study may help guide clinical practice. In patients with depressive symptoms, self-care ma
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- 2020
78. Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study
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Yu, Doris Sau‐Fung, primary, De Maria, Maddalena, additional, Barbaranelli, Claudio, additional, Vellone, Ercole, additional, Matarese, Maria, additional, Ausili, Davide, additional, Rejane, Rabelo‐Silva Eneida, additional, Osokpo, Onome Henry, additional, and Riegel, Barbara, additional
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- 2020
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79. Development and Psychometric Testing of the Self-Care in COVID-19 (SCOVID) Scale, an Instrument for Measuring Self-Care in the COVID-19 Pandemic
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De Maria, Maddalena, primary, Ferro, Federico, additional, Ausili, Davide, additional, Alvaro, Rosaria, additional, De Marinis, Maria Grazia, additional, Di Mauro, Stefania, additional, Matarese, Maria, additional, and Vellone, Ercole, additional
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- 2020
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80. Moral distress in nursing students: Cultural adaptation and validation study.
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Mazzotta, Rocco, De Maria, Maddalena, Bove, Davide, Badolamenti, Sondra, Saraiva Bordignon, Simonì, Silveira, Luana Claudia Jacoby, Vellone, Ercole, Alvaro, Rosaria, and Bulfone, Giampiera
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TEACHING methods , *OFFENSIVE behavior , *RESEARCH methodology evaluation , *RESEARCH methodology , *CROSS-sectional method , *VOCATIONAL education , *PSYCHOLOGY of nursing students , *PSYCHOMETRICS , *ACADEMIC achievement , *INFORMED consent (Medical law) , *DESCRIPTIVE statistics , *PSYCHOLOGICAL distress , *EDUCATIONAL attainment ,RESEARCH evaluation - Abstract
Background: Moral distress, defined as moral suffering or a psychological imbalance, can affect nursing students. However, many new instruments or adaptations of other scales that are typically used to measure moral distress have not been used for nursing students. Aim: This study aimed to translate, culturally adapt and evaluate the psychometric properties of an Italian version of the Moral Distress Scale for Nursing Students (It-ESMEE) for use with delayed nursing students (students who could not graduate on time or failed the exams necessary to progress to the next level). Research design: The study used a cross-sectional research design. Participants and research context: Incidental sampling resulted in a sample of 282 delayed nursing students (mean age = 26.73 ± 4.43 years, 73% female) enrolled between May and August 2020 in a University of central Italy. Ethical considerations: The research protocol was approved by the internal review board of the university, and all participants provided their written informed consent. Results: The study confirmed a multidimensional second-order factorial structure for the It-ESMEE with five dimensions: improper institutional conditions to teach user care, authoritarian teaching practices, disrespect for the ethical dimension of vocational training, lack of competence of the teacher and commitment of ethical dimension of user care. The internal consistency was high (0.753–0.990 across the factors), and the standard error of measurement and smallest detectable change were adequate. Discussion: The It-ESMEE is able to assess moral distress in delayed nursing students with good validity and reliability. It can be used in research and to determine moral distress levels, helping teachers to monitor the condition in nursing students. Conclusion: This instrument can help in comprehending moral distress, enabling students to develop coping and intervention strategies to maintain their well-being, and to ensure the quality of nurse education. [ABSTRACT FROM AUTHOR]
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- 2022
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81. Defining nursing workload predictors: A pilot study.
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Ivziku, Dhurata, Ferramosca, Federica Maria Pia, Filomeno, Lucia, Gualandi, Raffaella, De Maria, Maddalena, and Tartaglini, Daniela
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PILOT projects ,MEDICAL quality control ,SHIFT systems ,WORK environment ,SOCIAL determinants of health ,CROSS-sectional method ,MULTIVARIATE analysis ,CLASSIFICATION ,MEDICAL care ,PATIENTS ,SYSTEMS theory ,REGRESSION analysis ,SURVEYS ,MEDICAL care use ,HOSPITAL admission & discharge ,DOCUMENTATION ,WORKFLOW ,EMPLOYEES' workload ,HOSPITAL nursing staff ,DESCRIPTIVE statistics ,STATISTICAL models ,WORKING hours ,ISOLATION (Hospital care) ,POLICY sciences ,DATA analysis software ,LONGITUDINAL method ,NURSE-patient ratio - Abstract
Aim: To explore predictors of perceived nursing workload in relation to patients, nurses and workflow. Background: Nursing workload is important to health care organisations. It determines nurses' well‐being and quality of care. Nevertheless, its predictors are barely studied. Methods: A cross‐sectional prospective design based on the complex adaptive systems theory was used. An online survey asked nurses to describe perceived workload at the end of every shift. Data were gathered from five medical‐surgical wards over three consecutive weeks. We received 205 completed surveys and tested multivariate regression models. Results: Patient acuity, staffing resources, patient transfers, documentation, patient isolation, unscheduled activities and patient specialties were significant in predicting perceived workload. Nurse‐to‐patient ratio proved not to be a predictor of workload. Conclusions: This study significantly contributed to literature by identifying some workload predictors. Complexity of patient care, staffing adequacy and some workflow aspects were prominent in determining the shift workload among nurses. Implications for nursing management: Our findings provide valuable information for top and middle hospital management, as well as for policymakers. Identification of predictors and measurement of workload are essential for optimizing staff resources, workflow processes and work environment. Future research should focus on the appraisal of more determinants. [ABSTRACT FROM AUTHOR]
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- 2022
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82. Psychometric characteristics of the caregiver contribution to self‐care of chronic illness inventory
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Vellone, Ercole, primary, Lorini, Silvia, additional, Ausili, Davide, additional, Alvaro, Rosaria, additional, Di Mauro, Stefania, additional, De Marinis, Maria Grazia, additional, Matarese, Maria, additional, and De Maria, Maddalena, additional
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- 2020
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83. Depression and self‐care in older adults with multiple chronic conditions: A multivariate analysis
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Iovino, Paolo, primary, De Maria, Maddalena, additional, Matarese, Maria, additional, Vellone, Ercole, additional, Ausili, Davide, additional, and Riegel, Barbara, additional
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- 2020
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84. Psychometric evaluation of the Multidimensional Scale of Perceived Social Support (MSPSS) in people with chronic diseases
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De Maria, Maddalena, Vellone, Ercole, Durante, Angela, Biagioli, Valentina, and Matarese, Maria
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Adult ,Aged, 80 and over ,Male ,Psychometrics ,Settore M-PSI/03 - Psicometria ,Reproducibility of Results ,Social Support ,Instrument ,Psychometric characteristics ,Middle Aged ,Assessment ,Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche ,Chronic disease ,Social support ,Young Adult ,Cross-Sectional Studies ,Italy ,Socioeconomic Factors ,Surveys and Questionnaires ,Chronic Disease ,Humans ,Female ,Aged - Abstract
This study aimed to evaluate the psychometric characteristics of the Multidimensional Scale of Perceived Social Support (MSPSS) in patients with chronic diseases.Patients (n = 236) with chronic diseases completed the MSPSS and the 36-item Short Form Health Survey (SF-36) questionnaire. The MSPSS factorial structure was analysed using confirmatory factor analysis (CFA), and internal consistency reliability was evaluated with Cronbach's alpha, the factor score determinacy coefficient and the model-based internal consistency index. Concurrent validity was performed to correlate the MSPSS scores with the SF-36 scores.CFA supported the three-factor structure of the MSPSS with optimal fit indexes. Cronbach's alpha, the factor score determinacy coefficient and the model-based internal consistency index were equal to or greater than 0.89. Concurrent validity supported the significant correlations between the MSPSS and SF-36 scores.The MSPSS has supportive validity and reliability and can be used to evaluate the perceived social support received by chronic patients.
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- 2018
85. Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study.
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Yu, Doris Sau‐Fung, De Maria, Maddalena, Barbaranelli, Claudio, Vellone, Ercole, Matarese, Maria, Ausili, Davide, Rejane, Rabelo‐Silva Eneida, Osokpo, Onome Henry, and Riegel, Barbara
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- *
ANALYSIS of variance , *CHRONIC diseases , *CONFIDENCE , *CONFIDENCE intervals , *STATISTICAL correlation , *TEST validity , *FACTOR analysis , *GOODNESS-of-fit tests , *RESEARCH methodology , *PSYCHOMETRICS , *RESEARCH funding , *HEALTH self-care , *SELF-efficacy , *RESEARCH methodology evaluation , *DATA analysis software , *PATIENTS' attitudes , *DESCRIPTIVE statistics ,RESEARCH evaluation - Abstract
Aim: The Self‐Care Self‐Efficacy Scale (SCSES) was newly developed as a self‐report measure for self‐care self‐efficacy for chronic illness. This study investigated its measurement equivalence (ME) in different cultural groups, including United States, China (Hong Kong), Italy, and Brazil. Design: A multi‐national study for cross‐cultural validation of the Scale. Methods: From January 2015 ‐ December 2018, investigators recruited 957 patients (United State: 200; Hong Kong: 300; Italy: 285; and Brazil: 142) with chronic illness from inpatient and outpatient settings. The SCSES was administered and clinical and demographic data were collected from participants. Based on the Meredith framework, multi‐group confirmatory factor analysis evaluated the configural, metric, scalar, and strict invariance of the scale across the four populations through a series of nested models, with evaluation of reliability and coherence of the factor solution. Results: The mean ages of the groups ranged from 65–77 years, 56.4% was male. The Cronbach's alpha coefficients of the single‐factor SCSES were 0.93, 0.89, 0.92, and 0.90 for the United States, China (Hong Kong), Italy, and Brazil, respectively. Three of the four levels of ME were partially or totally supported. The highest level achieved was partial scalar invariance level (χ2 [52] = 313.4, p < 0.001; RMSEA = 0.067; 95% CI = 0.056–0.077; CFI = 0.966; TLI = 0.960, SRMR = 0.080). Conclusion: Patients from the four countries shared the same philosophical orientation towards scale items, although some of the items contributed differently to represent the concept and participants shared the same schemata for score interpretation. Impact: Self‐efficacy is important in producing effective and sustainable self‐care behavioural changes. Cultural ideation shapes the ways individuals interpret and report their self‐care self‐efficacy. The study findings support cross‐cultural and cross‐national utility of the SCSES for research on self‐care across United States, China (Hong Kong), Italy, and Brazil. [ABSTRACT FROM AUTHOR]
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- 2021
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86. Psychometric Characteristics of the Caregiver Contribution to Self-care of Heart Failure Index in a South American Population.
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Wahast Ávila, Christiane, De Maria, Maddalena, Vellone, Ercole, Riegel, Barbara, Bernardes, Daniela, Silveira, Luana Jacoby, and Rabelo-Silva, Eneida Rejane
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FACTOR analysis ,HEART failure ,RESEARCH methodology ,PSYCHOMETRICS ,SCALE analysis (Psychology) ,HEALTH self-care ,SPOUSES ,CAREGIVER attitudes ,MULTITRAIT multimethod techniques ,CROSS-sectional method ,RESEARCH methodology evaluation ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Background: Caregivers can contribute enormously to the self-care of patients with heart failure (HF). The Caregiver Contribution to Self-care of Heart Failure Index (CC-SCHFI) measures these contributions across 3 scales: self-care maintenance, which evaluates caregiver contributions to symptom monitoring and treatment adherence; self-care management, which evaluates caregiver contributions in dealing with symptoms; and caregiver confidence, which assesses caregiver self-efficacy in managing all contributions to self-care. Although the CC-SCHFI has been used in several investigations, only 1 study has evaluated its psychometric characteristics. Objective: The aim of this study was to evaluate the psychometric properties of the CC-SCHFI in Brazil. Methods: A cross-sectional design was used in this study. Confirmatory factor analysis was used to assess construct validity, and factor score determinacy coefficients were computed to evaluate internal consistency reliability. Results: The sample comprised 99 caregivers of patientswith HF. Most were women (73%), with a mean age of 48 ± 14 years; 57% were patients' spouses. Confirmatory factor analysis confirmed the original factor structure of the instrument, with supportive fit indices for all 3 scales (comparative fit index, 0.95-1.00; root-mean-square error of approximation, 0.00--0.057). Reliability estimates were adequate for each CC-SCHFI scale (0.77--0.96). Conclusions: The CC-SCHFI is a valid and reliable scale to measure caregiver contributions to self-care maintenance, caregiver contributions to self-care management, and caregiver confidence in HF. [ABSTRACT FROM AUTHOR]
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- 2020
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87. Self‐care of patient and caregiver DyAds in multiple chronic conditions: A LongITudinal studY (SODALITY) protocol
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De Maria, Maddalena, primary, Vellone, Ercole, additional, Ausili, Davide, additional, Alvaro, Rosaria, additional, Di Mauro, Stefania, additional, Piredda, Michela, additional, De Marinis, Mariagrazia, additional, and Matarese, Maria, additional
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- 2018
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88. Case management: an up-to-date review of literature and a proposal of a county utilization
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Fabbri, Elisa, primary, De Maria, Maddalena, additional, and Bertolaccini, Luca, additional
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- 2017
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89. Self‐care of patient and caregiver DyAds in multiple chronic conditions: A LongITudinal studY (SODALITY) protocol.
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De Maria, Maddalena, Vellone, Ercole, Ausili, Davide, Alvaro, Rosaria, Di Mauro, Stefania, Piredda, Michela, De Marinis, Mariagrazia, and Matarese, Maria
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- *
PSYCHOLOGICAL adaptation , *CAREGIVERS , *CHRONIC diseases , *DIABETES , *HEALTH services accessibility , *HEART failure , *HOSPITAL admission & discharge , *OBSTRUCTIVE lung diseases , *MORTALITY , *PATIENTS , *QUALITY of life , *HEALTH self-care , *SOCIOECONOMIC factors - Abstract
Aim: To describe a research protocol for a study designed to examine self‐care in patient and caregiver dyads in coping with multiple chronic conditions, to evaluate the influence of dyad self‐care on: (a) patient mortality, quality of life, hospital admissions, and the unplanned access of care; and (b) the positive aspects of caregiving. The specific conceptual framework that we developed for this study considers the predictors of self‐care (at patient, caregiver, and dyadic levels), the process of self‐care and the outcomes of self‐care in patient and caregiver dyads with multiple chronic conditions. These elements in patient and caregiver dyads have not been well‐studied to date. Design: This is a multicentre longitudinal study with data collection at 0, 6, and 12 months. Methods: We will use generic and specific tools to assess the predictors of self‐care, the process of self‐care and the outcomes of self‐care in the dyads. The data will be analysed with descriptive and inferential statistics and multilevel modelling to control for the interdependent nature of dyadic data. The study was approved by an ethics committee and was funded by a grant from the Centre of Excellence for Nursing Scholarship Rome, in November 2015. Discussion: This study seeks to determine the predictors and outcomes of self‐care in patient and caregiver dyads within the context of multiple chronic conditions. Impact: The results of this study will inform clinical practice and research by identifying variables that are modifiable and therefore amenable to interventions. [ABSTRACT FROM AUTHOR]
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- 2019
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90. Development and Psychometric Validation of the Nursing Self-Efficacy Scale for Managing Cancer Treatment-Induced Cardiotoxicity: An Exploratory Mixed-Method Study.
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Magon, Arianna, Conte, Gianluca, Arrigoni, Cristina, Dellafiore, Federica, de Maria, Maddalena, Pittella, Francesco, Rocco, Gennaro, Stievano, Alessandro, Ghizzardi, Greta, and Caruso, Rosario
- Abstract
Assessing nursing self-efficacy could be strategic to sustain nursing competence. This study aimed to develop and validate the nursing self-efficacy scale for managing cancer treatment-induced cardiotoxicity (NSS-CTC). An exploratory mixed-method study was performed by including two main phases. The first comprised the developmental tasks to generate the initial pool of items, including a literature review and a consensus meeting based on a nominal group technique. The second phase initially involved an external panel of experts in assessing the content validity of the novel scale, followed by a cross-sectional data collection to perform exploratory factor analysis by employing a multicenter and convenience sampling approach. The most plausible psychometric structure derived from the exploratory factor analysis was tested with a confirmatory factor analysis using a second data collection round on another sample enrolled with a multicenter and convenience sampling approach. Internal consistency was assessed using Cronbach's alfa. The NSS-CTS is a novel 15-item self-report measure for assessing nurse self-efficacy in dealing with cancer treatment-related cardiotoxicity. Its two plausible domains were labeled knowledge-related self-efficacy (Cronbach's α = 0.924) and practice-related self-efficacy (Cronbach's α = 0.937); the factor analyses in both samples showed adequate fit to sample statistics. Future studies are necessary to corroborate its construct validity and assess its measurement invariance across various country contexts. Assessing nursing self-efficacy for managing cancer treatment-induced cardiotoxicity is a promising approach for identifying educational gaps and promoting nursing competency in this particular area of cancer care. [ABSTRACT FROM AUTHOR]
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- 2023
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91. Abstract 13443: Influence of Depression on Self-Care Behaviors in Older Adults With Multiple Chronic Conditions: A Multivariate Analysis
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Lovino, Paolo, Vellone, Ercole, De Maria, Maddalena, Lorini, Silvia, Ausili, Davide, Matarese, Maria, and Riegel, Barbara J
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Introduction:Multiple chronic conditions (MCC) are highly prevalent in cardiac patients. People with MCC experience depressive symptoms more frequently than the general population. Self-care has been shown to improve outcomes in a variety of chronic illnesses, but little is known about the influence of depression on these behaviours in MCC. Self-care, is defined as the behaviours adopted to maintain illness stability (self-care maintenance), monitor signs and symptoms (self-care monitoring) and respond to signs and symptoms of an illness exacerbation (self-care management). Our aim was to assess the influence of depression on self-care in MCC patients.Methods:A cross-sectional design was used. Patients were enrolled from community and outpatient settings and included if: ?65 years, had heart failure, diabetes or chronic obstructive pulmonary disease and another chronic condition; they were excluded if they had dementia and/or cancer. Patient Health Questionnaire-9 (PHQ-9) was used to measure depression and Self-Care of Chronic Illness Inventory (SC-CII) was used to measure self-care behaviors (maintenance, monitoring, management). The influence of depression was evaluated with MANOVA, discriminant and regression analysis.Results:The sample (N=366) was mostly female (54.1%) mean age 76.4 years (? 7.26), and 34.2% had heart failure. Mean PHQ-9 score was 6.7 (? 4.42) and 65.6% of patients scored above the cut-point for depression. MANOVA revealed a significant effect of depression on all self-care dimensions; ? = .887, F(3, 362) = 15.308, p< .001. Discriminant analysis revealed a canonical variate that differentiated the two groups; canonical R2= .11, ? = .887, ?2(3, N=366) = 43.295, p= < .001. The maintenance dimension loaded more highly (r= .998) onto the function than the other dimensions. In regression analysis, depression predicted self-care (maintenance, F(1,364) = 810.96, p< .001; monitoring, F(1,364) = 138.07, p< .001; management, F(1,364) = 220.03, p.001).Conclusions:The results suggest that depression influences all three self-care dimensions in people with MCC. Self-care maintenance behaviours (e.g. physical activity, healthy diet, medication adherence) may be affected more by depression than the other dimensions.
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- 2019
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92. Abstract 13330: Sociodemographic and Clinical Determinants of Self-Care and Caregiver Contribution to Self-Care in a Context of Multiple Chronic Conditions
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Iovino, Paolo, Matarese, Maria, Vellone, Ercole, Ausili, Davide, De Maria, Maddalena, Lyons, Karen, Christopher, Lee, Lorini, Silvia, and Riegel, Barbara J
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Introduction:Multiple Chronic Conditions (MCC) are highly prevalent worldwide, especially in cardiac populations. Patients and caregivers contribute to MCC self-care, the process of maintaining illness stability and managing symptoms. The determinants of self-care remain unknown in the MCC population. Our aim was to identify sociodemographic and clinical determinants of patient and caregiver contributions to self-care in MCC.Methods:This was a multicenter observational study in which self-care and caregiver contributions to self-care were measured in 340 dyads (patients and their caregivers) recruited from outpatient and community settings in Italy. Patients were enrolled if: ?65 years, had heart failure, diabetes or chronic obstructive pulmonary disease and one more chronic condition, and had an informal caregiver >18 years old. Patients with dementia or cancer were excluded. Self-care was measured with the Self-care of Chronic Illness Inventory and the Caregiver Contribution to Self-care of Chronic Illness Inventory. Both psychometrically sound instruments measure self-care maintenance, monitoring, and management. Multilevel Modeling Analysis was used to identify the determinants and to control for interdependence of the dyadic data.Results:Most (54.1%) patients (mean age 76.65, SD 7.27 years) and most (72.1%) caregivers (mean age 54.32, SD 15.25 years) were female. More than one third (34.15%) of patients had heart failure. Self-care was inadequate in maintenance (65.90, SD 19,67) and management (66.39, SD 18.02). Caregiver contributions were inadequate only in monitoring (57.76, SD 13.55). Patient determinants of better self-care were older age, female gender, higher income, and higher number of medications, while cognitive impairment and diabetes predicted worse self-care. Determinants of better caregiver contributions were female gender, more caregiving hours per week and more caregiver strain, while presence of a secondary caregiver predicted worse contributions to patient self-care.Conclusions:In the context of MCC, gender influenced self-care for both patients and caregivers. In patients, illness characteristics are important and in caregivers, caregiving responsibilities influence their contributions
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- 2019
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93. Factors influencing self-care in postmenopausal women with osteoporosis: The Guardian Angel® multicentric longitudinal study.
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Cittadini, Noemi, Basilici Zannetti, Emanuela, Iovino, Paolo, De Maria, Maddalena, D'Angelo, Daniela, Pennini, Annalisa, Vellone, Ercole, and Alvaro, Rosaria
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- *
OSTEOPOROSIS in women , *POSTMENOPAUSE , *LONGITUDINAL method , *BODY mass index , *DISABILITY retirement - Abstract
Objectives: To investigate the factors influencing self-care in a consecutive sample of postmenopausal osteoporotic Italian women.Study Design: This was a multicentric, longitudinal study (Guardian Angel) conducted across several osteoporosis centres throughout Italy.Main Outcome Measures: Sociodemographic and clinical data (age, education, employment status, body mass index (BMI), fracture history) were collected at baseline, while self-care behaviours were assessed at baseline, and at one, three and six months from enrolment with the Self-Care of Osteoporosis Scale (SCOS). The SCOS has a total score ranging from 15 to 75 for women who take osteoporosis drugs, while for those who do not take any osteoporosis drug the score is between 13 and 65. Higher scores indicate better self-care. A three-level general linear mixed model with a random intercept for participants and regions was implemented to investigate the possible associations of the sociodemographic and clinical factors with longitudinal SCOS scores.Results: The sample (n= 1525) had a mean age of 72.1 years (standard deviation [SD] = ±10.07), with a high proportion retired (64.2%) and with a low education level (45.8%). Approximately half of the women declared taking multiple medications (70.14%) and osteoporosis pharmacotherapy (69.7%). Average longitudinal SCOS scores ranged between 53.17 and 56.68, indicating a satisfactory level of self-care. There were significant and positive relationships between SCOS scores and time (p < 0.001) and number of medications taken (p < 0.001). Negative relationships were found between SCOS and BMI scores (p= 0.013), smoking status (p < 0.001) and presence of recent fractures (p < 0.001).Conclusions: Several modifiable characteristics were associated with self-care behaviours in our sample of women with postmenopausal osteoporosis. Psychoeducational interventions are promising in this population to counteract unhealthy behaviours and, ultimately, to promote self-care. [ABSTRACT FROM AUTHOR]- Published
- 2022
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94. Exploring Burnout among Nursing Students in Bangalore: A t-Distributed Stochastic Neighbor Embedding Analysis and Hierarchical Clustering in Cross-Sectional Data.
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Sebastian M, De Maria M, Caruso R, Rocco G, Di Pasquale C, Magon A, Conte G, and Stievano A
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This study explores burnout among nursing students in Bangalore, India, focusing on Exhaustion and Disengagement scores. A cross-sectional design was applied using the Oldenburg Burnout Inventory modified for nursing students, collecting data using a survey that was conducted between October and December 2023. The sample consisted of 237 female nursing students from the Bachelor of Science in Nursing program at Bangalore College of Nursing, South India. The study integrated the t-distributed Stochastic Neighbor Embedding (t-SNE) procedure for data simplification into three t-SNE components, used in a hierarchical clustering analysis, which identified distinct student profiles: "High-Intensity Study Group" and "Altruistic Aspirants". While burnout scores were generally high, students with high study hours ("High-Intensity Study Group") reported greater Exhaustion, with a mean score of 26.78 (SD = 5.26), compared to those in the "Altruistic Aspirants" group, who reported a mean score of 25.00 (SD = 4.48), demonstrating significant differences ( p -value = 0.005). Conversely, those motivated by altruism ("Altruistic Aspirants") showed higher Disengagement, with a mean score of 19.78 (SD = 5.08), in contrast to "High-Intensity Study Group", which reported a lower mean of 17.84 (SD = 4.74) ( p -value = 0.002). This segmentation suggests that burnout manifests differently depending on the students' academic load and intrinsic motivations. This study underscores the need for targeted interventions that address specific factors characterizing the clusters and provide information for designing future research and interventions. This study was not registered.
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- 2024
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95. Describing the readiness for interprofessional education among university students attending healthcare programs: insights from a monocentric cross-sectional study.
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Spada F, Caruso R, Notarnicola I, De Maria M, Duka B, Arapi A, Prendi E, Rocco G, and Stievano A
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- Male, Female, Humans, Cross-Sectional Studies, Interprofessional Relations, Interprofessional Education, Universities, Delivery of Health Care, Attitude of Health Personnel, Students, Health Occupations
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Background and Aim: Readiness for interprofessional education (IPE) was recognized by international authorities as a key approach for educating students attending healthcare programs. Thus far, there are no descriptions of readiness for IPE in the Albanian context. For this reason, this study aimed to describe readiness for IPE, assessed by measuring "teamwork and collaboration" and "positive professional identity, roles, and responsibilities" among students attending healthcare programs in an Italian-speaking university based in Albania, and describe the correlations between readiness for IPE and the characteristics of the respondents., Methods: This study had a descriptive observational design, a cross-sectional data collection, and a convenience sampling procedure performed in a single centre. The study was accomplished between April 2020 and June 2021, involving 688 students, 38.2% of the entire population of students attending healthcare programs in the context of the investigation., Results: The teamwork and collaboration mean score was 4.40 (standard deviation = 0.56), and no differences were found between programs (p-value=0.159). The positive professional identity, roles, and responsibilities mean score was 4.33 (standard deviation = 0.64) with no differences between programs (p-value=0.340). Females attending nursing or midwifery reported higher positive professional identity, roles, and responsibilities scores (p-value=0.020), and females in dentistry reported higher teamwork and collaboration scores than males (p-value=0.045)., Conclusions: Future research should evaluate readiness for IPE longitudinally to ascertain its trajectories over time and analyze any potential individual- or organizational-level variables that may impact IPE and sex-related differences regarding factors influencing IPE.
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- 2023
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96. Translation, validation and psychometric properties of the Albanian version of the Nurses Professional Competence Scale Short form.
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Duka B, Stievano A, Caruso R, Prendi E, Ejupi V, Spada F, De Maria M, Rocco G, and Notarnicola I
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- Humans, Surveys and Questionnaires, Psychometrics, Reproducibility of Results, Professional Competence, Nurses
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Background and Aim: The primary aim of this study was the translation and psychometric validation of the Albanian Nurse Professional Competence Scale Short Form (A-NPCS-SF) for further application in Albanian healthcare settings., Methods: The multiphase design used to develop the A-NPCS-SF comprised (1) cultural and linguistic validation, (2) content and face validity, and (3) construct validity., Results: The A-NPCS-SF showed adequate content validity. Confirmatory factor analysis supported the six-factor structure of the A-NPCS-SF to explain the data obtained from the nurses., Conclusions: The A-NPCS-SF showed evidence of validity and reliability in measuring four professional competencies. Having an appropriate scale in Albanian for professional competence self-assessment by nurses constitutes an essential step in measuring these competencies. (www.actabiomedica.it).
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- 2023
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97. Psychometric properties of the clei-19 scale to assess clinical learning environment in nursing students: a multicenter observational study.
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Leone M, De Maria M, Alberio M, Colombo NT, Ongaro C, Sala M, Luciani M, Ausili D, and Di Mauro S
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- Humans, Psychometrics, Cross-Sectional Studies, Reproducibility of Results, Surveys and Questionnaires, Education, Nursing, Students, Nursing
- Abstract
Introduction: The clinical learning environment is the context of overlap between the educational system and the working environment. Here students apply the knowledge learned during theoretical teachings, acquire practical, relational and caring skills. It is fundamental for nursing training and there are several rating scales aimed at evaluating it: the presence and quality of the studies that investigate their performances are heterogeneous, so it is difficult to identify the best tool. The CLEI-19 scale is the most concise instrument and its performance has not been tested in the Italian context., Objectives: The study aims to evaluate the psychometric properties of the instrument in terms of factor structure and reliability., Methods: A multicenter cross-sectional observational study was conducted in Italy, at the University of Milan-Bicocca. Two tools were used: a context data collection questionnaire and the Italian CLEI-19 scale. The data were analyzed through descriptive statistics, the scale's factorial structure was tested by Exploratory Structural Equation Modeling ESEM. The reliability of the scale was evaluated by Alpha and Omega coefficients., Results: The sample consists of 1095 statistical units. The factor analysis shows the presence of two latent factors that have been called Internship Assistant and Internship Environment. They correlate significantly and the fit indices confirm the solidity of the two-factor model. Internal coherence was adequate or more than adequate for single factors and overall tool., Conclusions: The CLEI-19 scale is a reliable tool, which comprehensively investigates the two key components of the clinical learning environment: the Internship Assistant and the Environment. The employment simplifies the process of evaluating the internship environment, offers the possibility of improving its quality, facilitates the comparison between realities and enhances the perception of students.
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- 2022
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98. Further Evidence of Psychometric Performance of the Self-care of Diabetes Inventory in Adults With Type 1 and Type 2 Diabetes.
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De Maria M, Fabrizi D, Luciani M, Caruso R, Di Mauro S, Riegel B, Barbaranelli C, and Ausili D
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- Adult, Cross-Sectional Studies, Humans, Psychometrics, Reproducibility of Results, Self Care, Diabetes Mellitus, Type 1 therapy, Diabetes Mellitus, Type 2 complications, Diabetes Mellitus, Type 2 therapy
- Abstract
Background: The Self-care of Diabetes Inventory (SCODI) is a theory-based tool that measures self-care, a key strategy in the appropriate treatment of diabetes. However, despite the clinical differences between people with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM), the psychometric properties of the SCODI were only tested in mixed samples., Purpose: This study aims to test the psychometric performances of the SCODI in two separate groups of adults with T1DM and T2DM., Methods: This is a secondary analysis from two previous multicentre cross-sectional observational studies involving patients with T1DM (n = 181) and T2DM (n = 540). We tested dimensionality with confirmatory factor analysis and reliability with a multidimensional model-based coefficient for every scale of the SCODI: self-care maintenance, self-care monitoring, self-care management, and self-care self-efficacy., Results: We found that the SCODI showed the same dimensionality, with minimal variation in factor loadings for each factor and each scale among T1DM and T2DM groups. High reliability for each scale in both groups was also found (self-care maintenance: T1DM = 0.86, T2DM = 0.83; self-care monitoring: T1DM = 0.84, T2DM = 1.00; self-care management: T1DM = 0.87, T2DM = 0.86; self-care self-efficacy: T1DM = 0.88; T2DM = 0.86)., Conclusion: The SCODI can be used for measuring self-care in people with T1DM, T2DM, or mixed groups using identical scoring procedures. Considering the well-known differences between Type 1 and Type 2 diabetes diseases and patients' characteristics, our results support the generalizability of the self-care theory on which the instrument is based., (© Society of Behavioral Medicine 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2022
- Full Text
- View/download PDF
99. Factors influencing place of death and disenrollment among patients receiving specialist palliative care.
- Author
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Di Nitto M, Artico M, Piredda M, De Maria M, Magnani C, Marchetti A, Mastroianni C, Latina R, De Marinis MG, and D'Angelo D
- Subjects
- Female, Humans, Infant, Newborn, Male, Palliative Care, Quality of Life, Retrospective Studies, Hospice Care, Hospices
- Abstract
Background and Aim of the Work: Place of death and disenrollment from specialized palliative care services (SPCSs) are two aspects that determine service utilization. These aspects should be determined by patient needs and preferences, but they are often associated to patient sociodemographic or contextual characteristics. The aim of this study was to describe which factors are associated with utilizing SPCSs in terms of place of death and disenrollment., Methods: Retrospective cohort study. Patients (>18 years) who died or were disenrolled during SPCSs utilization. Two hierarchical regression models were performed, and variables were categorized in predisposing, enabling, and need factors according to the Andersen behavioral model of health services use., Results: We included 35,869 patients (52,5% male, mean age 74,6 ± 12,3 SD), where 17,225 patients died in hospice and 16,953 at home, while 1,691 patients were disenrolled. Dying at home was associated with older age, oncological diagnosis, painful symptoms and longer survival time. Instead, service disenrollment was associated with less education, longer wait time and longer length of stay., Conclusions: SPCS utilization was not influenced only by patient need, but also by other factors, such as social and contextual factors. These factors need to be considered by health care providers and efforts are needed for 1) identifying barriers and implementing effective interventions to support patients and caregivers in their preferred place of care and death and 2) for avoiding SPCS disenrollment with an increased probability of aggressive treatments and worse quality of life for patients.
- Published
- 2022
- Full Text
- View/download PDF
100. Psychometric evaluation of the Multidimensional Scale of Perceived Social Support (MSPSS) in people with chronic diseases.
- Author
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De Maria M, Vellone E, Durante A, Biagioli V, and Matarese M
- Subjects
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Italy, Male, Middle Aged, Reproducibility of Results, Socioeconomic Factors, Surveys and Questionnaires, Young Adult, Chronic Disease psychology, Psychometrics, Social Support
- Abstract
Purpose: This study aimed to evaluate the psychometric characteristics of the Multidimensional Scale of Perceived Social Support (MSPSS) in patients with chronic diseases., Methods: Patients (n = 236) with chronic diseases completed the MSPSS and the 36-item Short Form Health Survey (SF-36) questionnaire. The MSPSS factorial structure was analysed using confirmatory factor analysis (CFA), and internal consistency reliability was evaluated with Cronbach's alpha, the factor score determinacy coefficient and the model-based internal consistency index. Concurrent validity was performed to correlate the MSPSS scores with the SF-36 scores., Results: CFA supported the three-factor structure of the MSPSS with optimal fit indexes. Cronbach's alpha, the factor score determinacy coefficient and the model-based internal consistency index were equal to or greater than 0.89. Concurrent validity supported the significant correlations between the MSPSS and SF-36 scores., Conclusions: The MSPSS has supportive validity and reliability and can be used to evaluate the perceived social support received by chronic patients.
- Published
- 2018
- Full Text
- View/download PDF
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