Pub Date : 2024-05-31DOI: 10.1177/01632787241259032
Leon T De Beer, Wilmar B Schaufeli
Some consider the burnout label to be controversial, even calling for the abandonment of the term in its entirety. In this communication, we argue for the pragmatic utility of the burnout paradigm from a utilitarian perspective, which advocates the greatest good for the most significant number of employees in organisations. We first distinguish between mild work-related burnout complaints and more severe burnout that can be identified in some contexts. We address the classification of burnout as an 'occupational phenomenon' by the World Health Organization and its ambiguous status in the ICD-11, highlighting the challenge of universally diagnosing burnout as a condition. We argue that a purely clinical approach might be too reactive as it normally only identifies employees with a diagnosable condition. We posit that early detection of burnout through valid assessment can identify struggling employees who do not yet have a diagnosable condition. This proactive approach can help prevent escalation into mental health crises and is more sensible for organisations in terms of effectiveness and employee retention.
{"title":"Casting a Wider Net: On the Utilitarian Nature of Burnout Assessment in the Workplace.","authors":"Leon T De Beer, Wilmar B Schaufeli","doi":"10.1177/01632787241259032","DOIUrl":"https://doi.org/10.1177/01632787241259032","url":null,"abstract":"<p><p>Some consider the burnout label to be controversial, even calling for the abandonment of the term in its entirety. In this communication, we argue for the pragmatic utility of the burnout paradigm from a utilitarian perspective, which advocates the greatest good for the most significant number of employees in organisations. We first distinguish between mild work-related burnout complaints and more severe burnout that can be identified in some contexts. We address the classification of burnout as an 'occupational phenomenon' by the World Health Organization and its ambiguous status in the ICD-11, highlighting the challenge of universally diagnosing burnout as a condition. We argue that a purely clinical approach might be too reactive as it normally only identifies employees with a diagnosable condition. We posit that early detection of burnout through valid assessment can identify struggling employees who do not yet have a diagnosable condition. This proactive approach can help prevent escalation into mental health crises and is more sensible for organisations in terms of effectiveness and employee retention.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241259032"},"PeriodicalIF":2.9,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-25DOI: 10.1177/01632787241246885
{"title":"Acknowledgement of Reviewers for 2023","authors":"","doi":"10.1177/01632787241246885","DOIUrl":"https://doi.org/10.1177/01632787241246885","url":null,"abstract":"","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":"51 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141152171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-10DOI: 10.1177/01632787241253021
Elsa Tirado-Durán, Laura Ivonne Jiménez-Rodríguez, Marisol Castañeda-Franco, Mariana Jiménez-Tirado, Elizabeth W Twamley, Ana Fresán-Orellana, María Yoldi-Negrete
Cognitive deficits play an important role in Bipolar Disorder (BPD). The Cognitive Problems and Strategies Assessment (CPSA) is a measure that evaluates the patient's perception of cognitive difficulties, and the spontaneous use of compensatory strategies and could thus have potential utility for clinical practice in patients with BPD. Our aim was to determine the validity and reliability of the Cognitive Problems and Strategies Assessment (CPSA) in Bipolar Disorder (BPD). Ninety-three BPD outpatients and 90 controls completed the Assessment of Problems with Thinking and Memory (APTM) questionnaire and the Assessment of Memory and Thinking Strategies (AMTS) questionnaire which constitute the CPSA, the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA), as a measure of convergent validity, and general sociodemographic data. Cronbach's alpha coefficient, Spearman's correlation coefficient and independent sample t tests were used for Internal consistency, Convergent validity and Discriminant validity. The APTM had a Cronbach's alpha coefficient of 0.93 and the AMTS 0.90. The COBRA score and the APTM were significantly correlated. BPD patients exhibited higher scores on the APTM and lower scores on the AMTS than controls. The present instrument enriches the clinician's repertoire for rapid and inexpensive cognitive evaluation in BPD.
{"title":"Psychometric Properties of the Spanish Version of the Cognitive Problems and Strategies Assessment in Patients with Bipolar Disorder.","authors":"Elsa Tirado-Durán, Laura Ivonne Jiménez-Rodríguez, Marisol Castañeda-Franco, Mariana Jiménez-Tirado, Elizabeth W Twamley, Ana Fresán-Orellana, María Yoldi-Negrete","doi":"10.1177/01632787241253021","DOIUrl":"https://doi.org/10.1177/01632787241253021","url":null,"abstract":"<p><p>Cognitive deficits play an important role in Bipolar Disorder (BPD). The Cognitive Problems and Strategies Assessment (CPSA) is a measure that evaluates the patient's perception of cognitive difficulties, and the spontaneous use of compensatory strategies and could thus have potential utility for clinical practice in patients with BPD. Our aim was to determine the validity and reliability of the Cognitive Problems and Strategies Assessment (CPSA) in Bipolar Disorder (BPD). Ninety-three BPD outpatients and 90 controls completed the Assessment of Problems with Thinking and Memory (APTM) questionnaire and the Assessment of Memory and Thinking Strategies (AMTS) questionnaire which constitute the CPSA, the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA), as a measure of convergent validity, and general sociodemographic data. Cronbach's alpha coefficient, Spearman's correlation coefficient and independent sample t tests were used for Internal consistency, Convergent validity and Discriminant validity. The APTM had a Cronbach's alpha coefficient of 0.93 and the AMTS 0.90. The COBRA score and the APTM were significantly correlated. BPD patients exhibited higher scores on the APTM and lower scores on the AMTS than controls. The present instrument enriches the clinician's repertoire for rapid and inexpensive cognitive evaluation in BPD.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241253021"},"PeriodicalIF":2.9,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-27DOI: 10.1177/01632787241249500
Tyler B. Mason, Jeremy C. Morales, Alex Smith, Kathryn E. Smith
Ecological momentary assessment (EMA) of binge-eating symptoms has deepened our understanding of eating disorders. However, there has been a lack of attention on the psychometrics of EMA binge-eating symptom measures. This paper focused on evaluating the psychometric properties of a four-item binge-eating symptom measure, including multilevel factor structure, reliability, and convergent validity. Forty-nine adults with binge-eating disorder and/or food addiction completed baseline questionnaires and a 10-day EMA protocol. During EMA, participants completed assessments of eating episodes, including four binge-eating symptom items. Analyses included multilevel exploratory factor analysis, computation of omega and intraclass correlation coefficients, and multilevel structural equation models of associations between contextual factors and binge-eating symptoms. A one within-subject factor solution fit the data and showed good multilevel reliability and adequate within-subjects variability. EMA binge-eating symptoms were associated with baseline binge-eating measures as well as relevant EMA eating characteristics: including greater unhealthful food and drink intake; higher perceived taste of food; lower likelihood to be planned eating; and lower likelihood of eating to occur at work/school and other locations and greater likelihood to occur at restaurants compared to home. In conclusion, the study findings support the psychometrics of a 4-item one-factor EMA measure of binge-eating symptoms.
暴食症状的生态瞬间评估(EMA)加深了我们对进食障碍的了解。然而,人们对 EMA 暴食症状测量的心理测量学一直缺乏关注。本文重点评估了四项暴食症状测量的心理测量特性,包括多层次因子结构、可靠性和收敛有效性。49 名患有暴食症和/或食物成瘾的成年人完成了基线问卷和为期 10 天的 EMA 方案。在 EMA 期间,参与者完成了对进食发作的评估,包括四个暴食症状项目。分析包括多层次探索性因子分析、欧米茄系数和类内相关系数计算,以及环境因素与暴食症状之间关联的多层次结构方程模型。一个受试者内因子解决方案符合数据,并显示出良好的多层次可靠性和足够的受试者内变异性。EMA 暴食症状与基线暴食测量以及相关的 EMA 饮食特征相关:包括更多不健康食物和饮料的摄入;对食物味道的感知更高;有计划进食的可能性更低;在工作/学校和其他地点进食的可能性更低,在餐馆进食的可能性比在家里进食的可能性更高。总之,研究结果支持对暴饮暴食症状进行 4 项单因素 EMA 测量的心理计量学方法。
{"title":"Factor Structure, Reliability, and Convergent Validity of an Ecological Momentary Assessment Binge-Eating Symptoms Scale","authors":"Tyler B. Mason, Jeremy C. Morales, Alex Smith, Kathryn E. Smith","doi":"10.1177/01632787241249500","DOIUrl":"https://doi.org/10.1177/01632787241249500","url":null,"abstract":"Ecological momentary assessment (EMA) of binge-eating symptoms has deepened our understanding of eating disorders. However, there has been a lack of attention on the psychometrics of EMA binge-eating symptom measures. This paper focused on evaluating the psychometric properties of a four-item binge-eating symptom measure, including multilevel factor structure, reliability, and convergent validity. Forty-nine adults with binge-eating disorder and/or food addiction completed baseline questionnaires and a 10-day EMA protocol. During EMA, participants completed assessments of eating episodes, including four binge-eating symptom items. Analyses included multilevel exploratory factor analysis, computation of omega and intraclass correlation coefficients, and multilevel structural equation models of associations between contextual factors and binge-eating symptoms. A one within-subject factor solution fit the data and showed good multilevel reliability and adequate within-subjects variability. EMA binge-eating symptoms were associated with baseline binge-eating measures as well as relevant EMA eating characteristics: including greater unhealthful food and drink intake; higher perceived taste of food; lower likelihood to be planned eating; and lower likelihood of eating to occur at work/school and other locations and greater likelihood to occur at restaurants compared to home. In conclusion, the study findings support the psychometrics of a 4-item one-factor EMA measure of binge-eating symptoms.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":"2016 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140809376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to develop and validate a new scale to measure health problem prevention and control strategies employed by medical rescuers fighting epidemics. In Study I, a qualitative study, focus group discussion, and expert panel review were conducted to generate items that capture components of prevention and control strategies. In Study II, exploratory factor analysis was used to examine the scale’s structure. In Study III, the scale’s validity and reliability were assessed via confirmatory factor analysis, average variance extracted, composite reliability, and Cronbach’s α. Data analysis was performed using Nvivo 12.0, SPSS 25.0, and Amos 23.0. The final scale was divided into three subscales (comprising 5 factors and 18 items on the Before Medical Rescue subscale, 6 factors and 28 items on the During Medical Rescue subscale, and 4 factors and 14 items on the After Medical Rescue subscale). The scale has excellent validity and reliability and can be used to measure the health problem prevention and control strategies of medical rescuers fighting epidemics.
本研究旨在开发和验证一种新的量表,用于测量抗击流行病的医疗救援人员所采用的健康问题预防和控制策略。在研究 I 中,我们通过定性研究、焦点小组讨论和专家小组审查来生成能够反映预防和控制策略组成部分的项目。在研究 II 中,使用探索性因子分析来检查量表的结构。在研究 III 中,通过确认性因子分析、提取的平均方差、综合信度和 Cronbach's α 对量表的有效性和信度进行了评估。数据分析使用 Nvivo 12.0、SPSS 25.0 和 Amos 23.0 进行。最终量表分为三个分量表(包括医疗救援前分量表的 5 个因子和 18 个条目,医疗救援中分量表的 6 个因子和 28 个条目,以及医疗救援后分量表的 4 个因子和 14 个条目)。该量表具有良好的效度和信度,可用于测量抗击流行病的医疗救援人员的健康问题预防和控制策略。
{"title":"Development of a Health Problem Prevention and Control Strategies Scale for Medical Rescuers Fighting Epidemics","authors":"Wenwen Kong, Minmin Ren, Hui Wang, Xiangjie Sun, Danjun Feng","doi":"10.1177/01632787241246130","DOIUrl":"https://doi.org/10.1177/01632787241246130","url":null,"abstract":"This study aimed to develop and validate a new scale to measure health problem prevention and control strategies employed by medical rescuers fighting epidemics. In Study I, a qualitative study, focus group discussion, and expert panel review were conducted to generate items that capture components of prevention and control strategies. In Study II, exploratory factor analysis was used to examine the scale’s structure. In Study III, the scale’s validity and reliability were assessed via confirmatory factor analysis, average variance extracted, composite reliability, and Cronbach’s α. Data analysis was performed using Nvivo 12.0, SPSS 25.0, and Amos 23.0. The final scale was divided into three subscales (comprising 5 factors and 18 items on the Before Medical Rescue subscale, 6 factors and 28 items on the During Medical Rescue subscale, and 4 factors and 14 items on the After Medical Rescue subscale). The scale has excellent validity and reliability and can be used to measure the health problem prevention and control strategies of medical rescuers fighting epidemics.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":"56 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140591611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-12DOI: 10.1177/01632787241239339
Olga Riklikienė, Gabija Jarašiūnaitė-Fedosejeva, Ernesta Sakalauskienė, Žydrūnė Luneckaitė, Susan Ayers
The childbirth experience and birth-related trauma are influenced by various factors, including country, healthcare system, a woman's history of traumatic experiences, and the study's design and instruments. This study aimed to validate the City Birth Trauma scale for Lithuanian women post-childbirth. Using a descriptive, cross-sectional survey with a nonprobability sample of 794 women who gave birth from 2020-2021, the study found good validity, reliability, and presented the prevalence of birth-related stress symptoms. A bifactor model, consisting of a general birth trauma factor and two specific factors for birth-related symptoms and general symptoms of PTSD, showed the best model fit. The Lithuanian version of the City Birth Trauma scale can be effectively used in research and clinical practice to identify birth-related trauma symptoms in women after giving birth.
{"title":"Translation and Validation of the City Birth Trauma Scale With Lithuanian Postpartum Women: Findings and Initial Results.","authors":"Olga Riklikienė, Gabija Jarašiūnaitė-Fedosejeva, Ernesta Sakalauskienė, Žydrūnė Luneckaitė, Susan Ayers","doi":"10.1177/01632787241239339","DOIUrl":"10.1177/01632787241239339","url":null,"abstract":"<p><p>The childbirth experience and birth-related trauma are influenced by various factors, including country, healthcare system, a woman's history of traumatic experiences, and the study's design and instruments. This study aimed to validate the City Birth Trauma scale for Lithuanian women post-childbirth. Using a descriptive, cross-sectional survey with a nonprobability sample of 794 women who gave birth from 2020-2021, the study found good validity, reliability, and presented the prevalence of birth-related stress symptoms. A bifactor model, consisting of a general birth trauma factor and two specific factors for birth-related symptoms and general symptoms of PTSD, showed the best model fit. The Lithuanian version of the City Birth Trauma scale can be effectively used in research and clinical practice to identify birth-related trauma symptoms in women after giving birth.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241239339"},"PeriodicalIF":2.9,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study provides an overview of research findings on long-term effects on healthcare workers mental health and factors associated with positive or negative changes. Medline and PubMed databases were searched for observational longitudinal studies and 18 papers were included in the review (PROSPERO: CRD42021260307). 12 articles indicated negative changes over time and six studies revealed a positive trend in a variety of mental health outcomes (anxiety, depression, insomnia, and others). Female sex, younger age, nursing occupation, frontline work, longer working hours and concerns about contracting COVID-19 were identified to be associated with negative changes. Conversely, a supportive environment, access to psychological resources, provision of sufficient personal protective equipment and availability of COVID-19 tests were linked to positive changes. Therefore, our findings can assist governmental and institutional authorities with effective interventions to improve psychological care for healthcare workers.
{"title":"Mental Health Changes in Healthcare Workers During COVID-19 Pandemic: A Systematic Review of Longitudinal Studies.","authors":"Saltanat Umbetkulova, Akbota Kanderzhanova, Faye Foster, Valentina Stolyarova, Deanne Cobb-Zygadlo","doi":"10.1177/01632787231165076","DOIUrl":"10.1177/01632787231165076","url":null,"abstract":"<p><p>This study provides an overview of research findings on long-term effects on healthcare workers mental health and factors associated with positive or negative changes. Medline and PubMed databases were searched for observational longitudinal studies and 18 papers were included in the review (PROSPERO: CRD42021260307). 12 articles indicated negative changes over time and six studies revealed a positive trend in a variety of mental health outcomes (anxiety, depression, insomnia, and others). Female sex, younger age, nursing occupation, frontline work, longer working hours and concerns about contracting COVID-19 were identified to be associated with negative changes. Conversely, a supportive environment, access to psychological resources, provision of sufficient personal protective equipment and availability of COVID-19 tests were linked to positive changes. Therefore, our findings can assist governmental and institutional authorities with effective interventions to improve psychological care for healthcare workers.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"11-20"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160822/pdf/10.1177_01632787231165076.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2024-01-21DOI: 10.1177/01632787241227225
Steve Sussman, Deborah L Sinclair, Seema L Clifasefi, Susan E Collins
"Substitute addiction" refers to the process of achieving abstinence or resolution of one addictive behavior and subsequently engaging in one or more additional addictive behaviors in its place. Substitute addiction, a concept in the abstinence-based recovery field for decades, is viewed as a cause for concern because resolving one addictive behavior might not fully remove harm or ensure recovery. Conversely, "harm-reduction treatment" refers to a counseling orientation that focuses on helping service users reduce substance-related harm and improve their quality of life without necessarily requiring abstinence or use reduction. Harm-reduction treatment assesses a constellation of addictive behaviors in the larger context of a person's life to holistically reduce harm in that constellation. In this commentary, we define and compare both constructs and point out their implications for addictions treatment.
{"title":"Commentary: Similarities and Differences Between Harm-Reduction and Substitute Addiction-- Implications for the Health Professions.","authors":"Steve Sussman, Deborah L Sinclair, Seema L Clifasefi, Susan E Collins","doi":"10.1177/01632787241227225","DOIUrl":"10.1177/01632787241227225","url":null,"abstract":"<p><p>\"Substitute addiction\" refers to the process of achieving abstinence or resolution of one addictive behavior and subsequently engaging in one or more additional addictive behaviors in its place. Substitute addiction, a concept in the abstinence-based recovery field for decades, is viewed as a cause for concern because resolving one addictive behavior might not fully remove harm or ensure recovery. Conversely, \"harm-reduction treatment\" refers to a counseling orientation that focuses on helping service users reduce substance-related harm and improve their quality of life without necessarily requiring abstinence or use reduction. Harm-reduction treatment assesses a constellation of addictive behaviors in the larger context of a person's life to holistically reduce harm in that constellation. In this commentary, we define and compare both constructs and point out their implications for addictions treatment.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"75-80"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2023-11-07DOI: 10.1177/01632787231211920
Marcia G Ory, Shinduk Lee, Joy P Alonzo, Deborah Vollmer Dahlke, Nicole Pardo, Matthew Lee Smith
This study aimed to examine the association between different contextual factors (e.g., facility size, rurality, and perceived needs) and the adoption of a policy or strategy related to opioid prescribing practices in healthcare settings. Cross-sectional survey data was collected from a convenience sample of physicians (N = 68). Logistic regression models were used to examine the effects of contextual factors on the dependent variables. Less than half reported having a policy restricting opioid prescribing practices, and 81% reported having one or more strategies for the safe use of chronic opioid therapy. After adjusting for other contextual factors, small practice size was positively associated with having a policy restricting opioid prescribing practices. This exploratory study provides insights for further investigation of how various contextual factors can influence policy adoption in different healthcare settings and practices to address major public health threats.
{"title":"Contextual Factors and Adoption of Strategies Related to Opioid Prescribing Practices in Healthcare Settings: Cross-Sectional Study.","authors":"Marcia G Ory, Shinduk Lee, Joy P Alonzo, Deborah Vollmer Dahlke, Nicole Pardo, Matthew Lee Smith","doi":"10.1177/01632787231211920","DOIUrl":"10.1177/01632787231211920","url":null,"abstract":"<p><p>This study aimed to examine the association between different contextual factors (e.g., facility size, rurality, and perceived needs) and the adoption of a policy or strategy related to opioid prescribing practices in healthcare settings. Cross-sectional survey data was collected from a convenience sample of physicians (<i>N</i> = 68). Logistic regression models were used to examine the effects of contextual factors on the dependent variables. Less than half reported having a policy restricting opioid prescribing practices, and 81% reported having one or more strategies for the safe use of chronic opioid therapy. After adjusting for other contextual factors, small practice size was positively associated with having a policy restricting opioid prescribing practices. This exploratory study provides insights for further investigation of how various contextual factors can influence policy adoption in different healthcare settings and practices to address major public health threats.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"66-74"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71479910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2023-09-22DOI: 10.1177/01632787231203380
Giusy D Valenti, Rossella Bottaro, Palmira Faraci
The current study aimed at investigating the two sources of construct-relevant psychometric multidimensionality of the Nomophobia Questionnaire (NMP-Q), applying the newly developed bifactor exploratory structural equation modeling (B-ESEM) approach. We first contrasted several CFA and ESEM models to test the psychometric multidimensionality due to the fallibility of indicators. Then, we compared the first-order structures with those specifying both global and specific factors to test the coexistence of hierarchically ordered factors. Results from 469 participants to the 20-item questionnaire showed the superiority of a B-ESEM representation with a well-defined G-factor and four weaker S-factors. On a methodological level, our findings provide additional support for the utility of using B-ESEM's integrative perspective to better capture the complexity of multidimensional constructs.
{"title":"Assessing the Two Sources of Construct-Relevant Psychometric Multidimensionality of the Nomophobia Questionnaire: The Integrated Framework of Bifactor Exploratory Structural Equation Modeling.","authors":"Giusy D Valenti, Rossella Bottaro, Palmira Faraci","doi":"10.1177/01632787231203380","DOIUrl":"10.1177/01632787231203380","url":null,"abstract":"<p><p>The current study aimed at investigating the two sources of construct-relevant psychometric multidimensionality of the Nomophobia Questionnaire (NMP-Q), applying the newly developed bifactor exploratory structural equation modeling (B-ESEM) approach. We first contrasted several CFA and ESEM models to test the psychometric multidimensionality due to the fallibility of indicators. Then, we compared the first-order structures with those specifying both global and specific factors to test the coexistence of hierarchically ordered factors. Results from 469 participants to the 20-item questionnaire showed the superiority of a B-ESEM representation with a well-defined G-factor and four weaker S-factors. On a methodological level, our findings provide additional support for the utility of using B-ESEM's integrative perspective to better capture the complexity of multidimensional constructs.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"52-65"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41108794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}