Evaluation & the Health Professions最新文献

We examined the psychometric properties of the Physical Activity, Nutrition, and Technology (PANT) survey, developed by researchers to track weight management behaviors among youth. Data from 2,039 middle school students (M age = 12.4, SD = .5; 51.4% girls) were analyzed to explore and then confirm the factor structure of the PANT survey. We also examined the bivariate associations between the PANT survey, body mass index (BMI), and the Progressive Aerobic Cardiorespiratory Endurance Run (PACER). Results suggest that the PANT survey is comprised of two factors-Physical Activity and Healthy Choices-each with adequate internal consistency (α = .79 and 0.86, respectively). The Physical Activity subscale appears to be significantly associated with both z-BMI (r = -0.10, p < .001) and the PACER (r = 0.33, p < .001) in the anticipated directions, but the criterion validity of the Healthy Choices subscale is less clear. We discuss these findings and explore future directions for developing meaningful self-report wellness behavior scales for youth.

The Low Back Activity Confidence Scale (LoBACS) is a 15-item scale designed to assess low back pain (LBP) through self-efficacy, a key predictor of functional recovery. This study aimed to culturally adapt and evaluate the validity and reliability of the Turkish version of LoBACS in patients with LBP. The translation and adaptation followed Beaton et al.'s protocol. Content and face validity were assessed with a pre-patient group. Both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to evaluate construct validity. Internal consistency, as well as test-retest reliability, were evaluated in a sample of 150 patients aged 18-70 years. Concurrent validity was measured alongside the Oswestry Back Pain Disability Questionnaire (ODQ) and Quebec Back Pain Disability Scale (QBPDS). Two factors emerged from factor analysis, with item loadings for Functional Self-efficacy (FnSE) ranging from 0.745 to 0.896 and for Self-Regulatory and Exercise Self-efficacy (Self-Reg&ExSE) from 0.817 to 0.940. Cronbach's alpha was high for FnSE, Self-Reg&ExSE, and the total scale (α = 0.941). Total correlation for each item ranged between 0.770 and 0.925. Test-retest reliability was also high (r = 0.941, p < .01). LoBACS showed moderate agreement with ODQ and QBPDS, demonstrating concurrent validity. In conclusion, the Turkish version of LoBACS is a valid and reliable tool for measuring LBP-related self-efficacy.

Individuals diagnosed with upper gastrointestinal cancers experience a myriad of nutrition impact symptoms (NIS) compromise a person's ability to adequately meet their nutritional requirements leading to malnutrition, reduced quality of life and poorer survival. Electronic health (eHealth) is a potential strategy for improving the delivery of nutrition interventions by improving early and sustained access to dietitians to address both NIS and malnutrition. This study aimed to explore whether the mode of delivery affected participant disclosure of NIS during a nutrition intervention. Participants in the intervention groups received a nutrition intervention for 18 weeks from a dietitian via telephone or mobile application (app) using behaviour change techniques to assist in goal achievement. Poisson regression determined the proportion of individuals who reported NIS compared between groups. Univariate and multiple regression analyses of demographic variables explored the relationship between demographics and reporting of NIS. The incidence of reporting of NIS was more than 1.8 times higher in the telephone group (n = 38) compared to the mobile group (n = 36). Telephone predicted a higher likelihood of disclosure of self-reported symptoms of fatigue, nausea, and anorexia throughout the intervention period. A trusting therapeutic relationship built on human connection is fundamental and may not be achieved with current models of mobile health technologies.

This study aimed to evaluated the reliability and validity of the Turkish adaptation of the Questionnaire of Physiotherapeutic Specific Exercises of Scoliosis (QPSSE). Fifty-one individuals who had been performing scoliosis-specific exercises (PSSEs) for at least two months completed the QPSSE. Validity was analyzed by correlating the QPSSE with the Scoliosis Research Society-22 (SRS-22) questionnaire and the Scoliosis Japanese Questionnaire-27 (SJ-27). The intraclass correlation coefficients (ICC) were used to estimate test-retest reliability. The QPSSE demonstrated excellent internal consistency (Cronbach's alpha coefficients were .90 and .93) and test-retest reliability (ICC = .92, 95% confidence interval [.86-.95]). The QPSSE also demonstrated strong construct validity with the SRS-22 (r = -.57) and SJ-27 (r = -.66) total scores. The Turkish QPSSE is a valid and reliable questionnaire for evaluating the physical functioning, self-image, PSSEs, psychosocial functioning, cognitive functioning, compliance, motivation, and pain-related physiotherapeutic specific exercises of scoliosis in idiopathic scoliosis.

The Fear-Avoidance Components Scale (FACS) and the Fear of Daily Activities Questionnaire (FDAQ) assess fear-avoidance model components. However, the questionnaires are not available in Brazilian Portuguese. This study aimed to translate the original English FACS and FDAQ into Brazilian (Br) Portuguese and assess their measurement properties in patients with Chronic Low Back Pain (CLBP). One hundred thirty volunteers with CLBP participated in this study. Structural validity, internal consistency, test-retest reliability, and hypothesis testing for construct validity were analyzed. Results indicated a 2-factor solution for the FACS-Br, while the FDAQ-Br had a one-factor solution. Internal consistency showed acceptable Cronbach's alpha (alpha >.8). Suitable reliability was found for the FDAQ-Br (Intraclass Correlation Coefficient [ICC] = .98). For both FACS-Br factors, suitable reliability was found as well (ICC = .95 and .94). Hypothesis testing for construct validity confirmed more than 75% of the hypotheses proposed a priori for the FACS maladaptive pain/movement-related beliefs domain and the FDAQ-Br. In conclusion, the FACS-Br and FDAQ-Br demonstrated acceptable reliability, internal consistency, and structural validity measurement properties and their correlation (r < .50) suggests that the tools are not interchangeable measures.

Patients often experience cognitive problems after a stroke, which can significantly restrict their daily life activities. The aim of our study was to evaluate the validity and reliability of the Turkish version of the Brief Assessment of Impaired Cognition (BASIC) in stroke patients. This cross-sectional study included 64 stroke patients. Internal consistency was excellent (Cronbach's alpha = 0.909), as was test-retest reliability (ICC = 0.949). The correlation coefficients between the subcomponents of the scale and the total BASIC score ranged from 0.815 to 0.865 (p < 0.05). The total BASIC score was significantly correlated with the Mini-Mental State Examination total score (ρ = 0.749, p < 0.05). This study provides preliminary evidence that the Turkish version of BASIC may be a reliable and valid tool for assessing cognitive impairments in stroke patients. Further research with larger and more diverse samples is needed to confirm these findings.

Patients' general treatment expectations are an important indicator of the outcomes of the various treatments they will receive. There is a need for valid and reliable assessment tools that measure the expectations of patients receiving rehabilitation services. This study aimed to translate and validate the Treatment Expectations Questionnaire (TR.TEX-Q) in Turkish patients to assess their treatment-specific expectations. 150 physiotherapy patients were enrolled in the study. The original version of the Treatment Expectation Questionnaire was translated into Turkish. Cronbach's α was used to investigate internal consistency. Intraclass correlation coefficients were used to assess test-retest reliability. Pearsons's correlation was used to calculate convergent and divergent validity. Principal component analysis produced a 15-items scale which had a 6-factors structure. Cronbach's α values ranged from .649 to .879. Test-retest reliability was high for total score and for all subscales. The ICC was between .622 and .852, p < .001. TR.TEX-Q showed good convergent validity, a moderate correlation was found between the Positivity Scale (rho = .45, p < .001). For divergent validity, low to moderate correlation was found between the TR.TEX-Q and the HADS scores. The Turkish version of Treatment Expectation Questionnaire has good reliability and validity data in terms of evaluating the treatment expectations of patients who will receive physiotherapy.

The COVID-19 crisis rapidly introduced telemedicine as the predominate modality to deliver healthcare however this change has not received attention in primary care settings and the health-related impacts are unknown. The study's objective was to explore the effects of physician-led synchronous telemedicine compared to face-to-face care delivered in the primary care setting on healthcare system use and attributes of primary care as reported in recent studies. We performed a comprehensive literature search in five databases (MEDLINE, Embase, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PsycInfo) and critical appraisal using the Joanna Briggs Institute tools. Of 6,247 studies identified, 157 studies underwent full text review, and 19 studies were included. Most studies were conducted in the U.S. (78.9%) and used video and telephone telemedicine (57.9%). An outcome-based qualitative description and narrative synthesis showed similar or fewer emergency department visits, hospital visits, and prescribing, and fewer diagnostic tests and imaging for telemedicine visits compared to face-to-face care. Our systematic review fills a gap in the literature on telemedicine in primary care settings however our results need to be interpreted cautiously given studies' susceptibility to selection bias, confounding, and limited applicability to other health systems and time periods.

Climate change presents critical challenges to public health, and healthcare professionals play a vital role in addressing its effects. The Climate and Health Tool (CHAT) assesses awareness, concern, motivation, and behaviors regarding climate change and health. This study aimed to adapt the CHAT into Turkish and evaluate its psychometric properties among healthcare professionals in Türkiye. A cross-sectional validation study was conducted with 496 participants using international adaptation standards, including forward-backward translation and cognitive interviews. Confirmatory factor analysis confirmed the original five-factor structure with excellent model fit (RMSEA = .038, CFI = .971). Internal consistency was high (Cronbach's α = .886), and convergent validity was supported through positive correlations with the Carbon Footprint Awareness Scale and Climate Change Worry Scale. Measurement invariance testing demonstrated equivalence across gender groups. The Turkish CHAT is a valid and reliable tool for assessing climate-health competencies in research, education, and clinical settings.

This study highlights the importance of quantitatively evaluating conversation turns (CTs) and speaking roles (SRs) in dyadic conversations between Mandarin-Chinese-speaking older adults with dementia (OADs) and healthy older adults (HOAs). Evaluating CTs and SRs provides comprehensive insights into how conversation processes and content are collaboratively co-constructed. Four mutually familiar dyads, each consisting of one OAD and one HOA, participated in five weekly 10-min conversations. Results revealed asymmetrical contributions in CTs, with HOAs assuming significantly more CTs to facilitate the conversation, but symmetrical contributions in SRs, indicating balanced involvement from both groups in shaping content. HOAs frequently took obligatory and nonobligatory CTs as the Animator or Author, supporting OADs in engaging meaningfully as the Author or Principal. These conversational behaviors reflect cultural values prevalent among Mandarin Chinese speakers, such as modesty, loyalty, and solidarity. Thus, integrating CT and SR evaluations provides valuable insights into conversational co-construction, particularly critical in dementia conversation research. However, findings are context-specific and culturally influenced and require cautious interpretation. In future research, these evaluative tools should be expanded to diverse populations and conversational contexts to enhance understanding of conversational dynamics across different cultures.