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Relationship Between Fear of COVID-19, Conspiracy Beliefs About Vaccines and Intention to Vaccinate Against COVID-19: A Cross-National Indirect Effect Model in 13 Latin American Countries. 对COVID-19的恐惧、关于疫苗的阴谋信念和接种COVID-19的意图之间的关系:13个拉丁美洲国家的跨国间接效应模型
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI: 10.1177/01632787231186621
Tomás Caycho-Rodríguez, José M Tomás, Daniel E Yupanqui-Lorenzo, Pablo D Valencia, Carlos Carbajal-León, Lindsey W Vilca, José Ventura-León, Rubí Paredes-Angeles, Walter L Arias Gallegos, Mario Reyes-Bossio, Mariel Delgado-Campusano, Miguel Gallegos, Claudio Rojas-Jara, Roberto Polanco-Carrasco, Mauricio Cervigni, Pablo Martino, Marlon Elías Lobos-Rivera, Rodrigo Moreta-Herrera, Diego Alejandro Palacios Segura, Antonio Samaniego-Pinho, Andrés Buschiazzo Figares, Diana Ximena Puerta-Cortés, Andrés Camargo, Julio Torales, J Arkangel Monge Blanco, Pedronel González, Vanessa Smith-Castro, Olimpia Petzold-Rodriguez, Ibraín Enrique Corrales-Reyes, Raymundo Calderón, Wendy Yamilet Matute Rivera, Daniela Ferrufino-Borja, Paula Ceballos-Vásquez, Agueda Muñoz-Del-Carpio-Toia, Jorge Palacios, Carmen Burgos-Videla, Ana María Eduviges Florez León, Ibeth Vergara, Diego Vega, Marion K Shulmeyer, Nicol A Barria-Asenjo, Hassell Tatiana Urrutia Rios, Arelly Esther Lira Lira

The present study explored the predictive capacity of fear of COVID-19 on the intention to be vaccinated against COVID-19 and the influence in this relationship of conspiracy beliefs as a possible mediating psychological variable, in 13 Latin American countries. A total of 5779 people recruited through non-probabilistic convenience sampling participated. To collect information, we used the Fear of COVID-19 Scale, Vaccine conspiracy beliefs Scale-COVID-19 and a single item of intention to vaccinate. A full a priori Structural Equation Model was used; whereas, cross-country invariance was performed from increasingly restricted structural models. The results indicated that, fear of COVID-19 positively predicts intention to vaccinate and the presence of conspiracy beliefs about COVID-19 vaccines. The latter negatively predicted intention to vaccinate against COVID-19. Besides, conspiracy beliefs about COVID-19 vaccines had an indirect effect on the relationship between fear of COVID-19 and intention to vaccinate against COVID-19 in the 13 countries assessed. Finally, the cross-national similarities of the mediational model among the 13 participating countries are strongly supported. The study is the first to test a cross-national mediational model across variables in a large number of Latin American countries. However, further studies with other countries in other regions of the world are needed.

本研究探讨了13个拉丁美洲国家对新冠肺炎恐惧对接种新冠肺炎疫苗意愿的预测能力,以及阴谋信念作为可能的中介心理变量在这种关系中的影响。通过非概率便利抽样共招募了5779人参加。为了收集信息,我们使用了新冠肺炎恐惧量表、疫苗阴谋信念量表和一项接种意向。使用了一个完整的先验结构方程模型;而跨国不变性是从越来越受限的结构模型中实现的。结果表明,对新冠肺炎的恐惧正预测接种意愿和对新冠肺炎疫苗的阴谋信念的存在。后者消极预测了接种新冠肺炎疫苗的意图。此外,关于新冠肺炎疫苗的阴谋信念对所评估的13个国家对新冠肺炎的恐惧与接种新冠肺炎疫苗的意图之间的关系具有间接影响。最后,13个参与国之间调解模式的跨国相似性得到了有力支持。这项研究是第一次在大量拉丁美洲国家测试跨国家中介模型。然而,还需要与世界其他地区的其他国家进行进一步的研究。
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引用次数: 0
Development and Validation of a Measure to Assess Readiness to Advance Health and Equity: The Assessment for Advancing Community Transformation (AACT). 制定和验证一种评估促进健康和公平的准备程度的措施:促进社区转型的评估(AACT)。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 Epub Date: 2022-11-14 DOI: 10.1177/01632787221139244
Brandon K Attell, Kate Kingery, Tanisa Adimu, John Butts, Paul Howard, Somava Saha, Karen Minyard

Multi-sector partnerships are core in efforts to improve population health but are often not as fully developed or positioned to advance health and equity in their communities as believed to be. Therefore, measuring the collaborations multi-sector partnerships undertake is important to document the inputs, processes, and outcomes that evolve as they work together towards achieving their goals, which ultimately creates a greater sense of shared accountability. In this study we present the development and validation of the Assessment for Advancing Community Transformation (AACT), a new tool designed to measure readiness to advance health and health equity. Development of the AACT included initial item pool creation, external evaluation from five subject matter experts, and pilot testing (including user feedback surveys) among 103 individuals. Validation of the AACT was performed using a series of confirmatory factor analyses on an expanded dataset representing 352 individuals from 49 multi-sector collaboratives across the United States. The results of our study indicate the items in the AACT align to six domains created during the scale development process, and that the tool demonstrates desirable measurement characteristics for use in research, evaluation, and practice.

多部门伙伴关系是改善人口健康的核心,但往往没有像人们认为的那样充分发展或处于促进社区健康和公平的地位,这最终产生了一种更大的共同责任感。在这项研究中,我们介绍了促进社区转型评估(AACT)的开发和验证,这是一种新的工具,旨在衡量促进健康和卫生公平的准备情况。AACT的开发包括初始项目库的创建、五位主题专家的外部评估,以及103人的试点测试(包括用户反馈调查)。AACT的验证是在一个扩展的数据集上使用一系列验证性因素分析进行的,该数据集代表了来自美国49个多部门合作组织的352个人。我们的研究结果表明,AACT中的项目与量表开发过程中创建的六个领域一致,该工具展示了在研究、评估和实践中使用的理想测量特征。
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引用次数: 0
Researcher Views of Barriers to Clinical and Translational Research in a Statewide Program. 研究人员对全州项目中临床和转化研究障碍的看法。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 Epub Date: 2023-04-08 DOI: 10.1177/01632787231167942
Judy A Kimberly, Stephen Kogut, John F Stevenson, Jacquelyn Fede, Anthony R Hayward, Meghan E Tenca

The Tracking and Evaluation Core of Rhode Island Advance-CTR conducted an online needs assessment survey at the program's inception in 2016 and again in 2021. Now dealing with well-established support systems provided by the grant, we were particularly interested in how the perceived needs of the research community in Rhode Island might have changed over five years. Specifically, what barriers have been reduced or eliminated and which have persisted or increased? How do those barriers vary by demographic status and what implications do those differences have for the CTR? An online survey was completed by 199 researchers, who reported the extent to which they perceived the lack of access to a range of research supports as a barrier to conducting research at their institution. Overall, researchers indicated statistically significant changes from 2016 to 2021 such that a lack of pilot project funding and proposal development support had decreased as barriers, while space for research, and advice on commercial development, had increased. Statistically significant differences in the salience of particular barriers by some demographic variables were also noted and the results of this study suggest Centers for Clinical and Translational Research can have salutary effects on the research paradigm within their partnering institutions in a relatively short time.

罗德岛Advance CTR的跟踪和评估核心在2016年项目启动时和2021年再次进行了在线需求评估调查。现在,在处理这笔赠款提供的完善的支持系统时,我们特别感兴趣的是,罗德岛州研究界的感知需求在五年内可能会发生什么变化。具体而言,哪些障碍已经减少或消除,哪些障碍持续存在或增加?这些障碍如何因人口状况而变化?这些差异对CTR有什么影响?199名研究人员完成了一项在线调查,他们报告了他们在多大程度上认为缺乏一系列研究支持是在他们的机构进行研究的障碍。总体而言,研究人员表示,从2016年到2021年,统计上发生了显著变化,即缺乏试点项目资金和提案开发支持的情况随着障碍的减少而减少,而研究空间和商业开发建议的增加。还注意到一些人口统计学变量在特定障碍的显著性方面存在统计学上的显著差异,这项研究的结果表明,临床和转化研究中心可以在相对较短的时间内对其合作机构内的研究范式产生有益影响。
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引用次数: 0
Psychometric Assessment of the Physicians' Job Demands and Resources Scale. 医师工作需求与资源量表的心理测量评估。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 Epub Date: 2023-08-16 DOI: 10.1177/01632787231195077
Sérgio Moreira, Sofia Oliveira, Jorge Vala, Rui Costa-Lopes, Alexandra Marques-Pinto

Job demands and resources have been consistently associated with the burnout syndrome in physicians, however the literature points to a lack of robust measures to assess these job characteristics across various medical specialties. This study aimed to develop a theoretically and empirically grounded physician-specific job demands and resources self-report measure - the Physicians' Job Demands and Resources Scale. Relevant dimensions of physicians' job demands and resources were identified, corresponding measurement items were generated and pre-tested, and the factor structure of the resulting 44 items was tested with a sample of 9,176 Portuguese physicians. The results of EFAs and CFAs with two random split samples provided consistent evidence of a nine-factor structure with 38 of the 44 items. Importantly, the nine-factor structure is consistent with the dimensions identified in the literature. The paper discusses the theoretical and practical impacts of the scale.

工作需求和资源一直与医生的倦怠综合征有关,但文献指出,缺乏强有力的措施来评估各个医学专业的这些工作特征。本研究旨在开发一种基于理论和经验的医生特定工作需求和资源自我报告量表——医生工作需求与资源量表。确定了医生工作需求和资源的相关维度,生成并预测试了相应的测量项目,并用9176名葡萄牙医生的样本测试了由此产生的44个项目的因子结构。两个随机样本的EFA和CFA结果提供了44个项目中38个项目的九因素结构的一致证据。重要的是,九因素结构与文献中确定的维度一致。本文讨论了规模的理论和实践影响。
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引用次数: 0
The Effectiveness of the StaySafe Intervention Using a Paradigm for Predicting Missing Outcome Data 使用预测缺失结果数据范式的StaySafe干预的有效性
3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-13 DOI: 10.1177/01632787231212462
George W. Joe, Wayne E. K. Lehman, Yang Yang, Kevin Knight
Sample attrition is a confounding issue in the analysis of data collected in follow-up studies. The present study uses a regression procedure that includes a propensity score as a predictor in estimating imputed data. The utility of the procedure was addressed by comparing results from this augmented data with those from the original data. Data were from a randomized controlled study testing the utility of a tablet-based intervention designed to improve decision-making with respect to health risk behaviors. Outcomes included self-reported testing for HIV, STD, and hepatitis. Two samples were used (163 in community facilities and 348 in residential facilities). Seventy-eight in the community sample and 238 in the residential sample completed follow-up surveys. Propensity scores based on a stepwise logistic regression were used to make the calibration sample and the missing data sample as close as possible. Multilevel analysis was performed for each outcome and multiple imputation compared estimated mean differences for the augmented and original analyses. The model imputing missing data was effective for the three outcomes and increased power. Least square mean differences between augmented and original data appeared to be essentially the same for most of the outcomes. This protocol has been registered with https://www.clinicaltrials.gov/(NCT02777086).
样本损耗是后续研究中收集的数据分析中的一个混淆问题。本研究使用回归程序,其中包括倾向得分作为估计估算数据的预测因子。通过比较该增强数据的结果与原始数据的结果,解决了该过程的实用性。数据来自一项随机对照研究,该研究测试了基于药片的干预措施的效用,旨在改善有关健康风险行为的决策。结果包括自我报告的艾滋病毒、性病和肝炎检测。使用了两个样本(163个在社区设施,348个在住宅设施)。78名社区样本和238名住宅样本完成了后续调查。使用基于逐步逻辑回归的倾向得分使校准样本与缺失数据样本尽可能接近。对每个结果进行多水平分析,并进行多重输入,比较扩增分析和原始分析的估计平均差异。输入缺失数据的模型对三个结果都是有效的,并且增加了功率。对于大多数结果,增强数据和原始数据之间的最小二乘平均差异似乎基本相同。本协议已在https://www.clinicaltrials.gov/(NCT02777086上注册)。
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引用次数: 0
Psychometrics of Job Stress-Related Presenteeism Scale among Turkish Nurses. 土耳其护士工作压力相关出勤量表的心理测量。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231164377
Nihal Beklemis, Arzu K Harmanci Seren, Brad Gilbreath

Presenteeism occurs when workers are present at work but with diminished work capacity due to illness, stress, or other causes. Recent studies report that nursing is one of the leading professional groups experiencing presenteeism. Although studies of illness-related presenteeism predominate, fewer studies have investigated stress-related presenteeism. Nurses in Turkey are particularly vulnerable to stress-related presenteeism because of the country's low nurse-to-patient ratio. A scale for measuring presenteeism from job stress - the Job-Stress-Related-Presenteeism Scale-has been developed but not validated. This study had two objectives: to adapt the Job-Stress-Related-Presenteeism Scale to Turkish to use in measuring of presenteeism from job stress among nurses; and to assess the scale's validity. We conducted a cross-sectional study to test the content validity, construct validity, reliability, and stability of a Turkish version of the Job-Stress-Related Presenteeism Scale on a sample of 261 nurses. The content validity index of the Job-Stress-Related Presenteeism Scale was .65. Item-total score correlation values varied between .44 and .77. The confirmatory factor analyses confirmed the six-item, one-factor construct. The Cronbach's alpha internal consistency coefficient was .86. Results indicated that our adapted version of the Job-Stress-Related Presenteeism Scale is valid and suitable for use in Turkey.

出勤是指工人虽然在工作,但由于疾病、压力或其他原因导致工作能力下降。最近的研究报告称,护理是出现出勤现象的主要专业群体之一。尽管与疾病相关的出勤率研究占主导地位,但调查与压力相关的出勤率的研究较少。土耳其的护士特别容易受到与压力相关的出勤率的影响,因为该国的护士与病人的比例很低。一个从工作压力中测量出勤的量表——工作压力相关出勤量表——已经被开发出来,但尚未得到验证。本研究有两个目的:将工作压力相关出勤量表调整为土耳其语,用于测量护士因工作压力而出勤的情况;并评估量表的有效性。我们对261名护士进行了一项横断面研究,以测试土耳其版工作压力相关出勤量表的内容效度、结构效度、信度和稳定性。工作压力相关出勤量表的内容效度指数为0.65。项目总分相关值在0.44 ~ 0.77之间。验证性因子分析证实了六项单因素结构。Cronbach's alpha内部一致性系数为0.86。结果表明,我们的工作压力相关出勤量表是有效的,适合在土耳其使用。
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引用次数: 0
Natural Language Processing of Learners' Evaluations of Attendings to Identify Professionalism Lapses. 学习者对主治医师评价的自然语言处理以识别专业失误。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231158128
Janae K Heath, Caitlin B Clancy, William Pluta, Gary E Weissman, Ursula Anderson, Jennifer R Kogan, C Jessica Dine, Judy A Shea

Unprofessional faculty behaviors negatively impact the well-being of trainees yet are infrequently reported through established reporting systems. Manual review of narrative faculty evaluations provides an additional avenue for identifying unprofessional behavior but is time- and resource-intensive, and therefore of limited value for identifying and remediating faculty with professionalism concerns. Natural language processing (NLP) techniques may provide a mechanism for streamlining manual review processes to identify faculty professionalism lapses. In this retrospective cohort study of 15,432 narrative evaluations of medical faculty by medical trainees, we identified professionalism lapses using automated analysis of the text of faculty evaluations. We used multiple NLP approaches to develop and validate several classification models, which were evaluated primarily based on the positive predictive value (PPV) and secondarily by their calibration. A NLP-model using sentiment analysis (quantifying subjectivity of the text) in combination with key words (using the ensemble technique) had the best performance overall with a PPV of 49% (CI 38%-59%). These findings highlight how NLP can be used to screen narrative evaluations of faculty to identify unprofessional faculty behaviors. Incorporation of NLP into faculty review workflows enables a more focused manual review of comments, providing a supplemental mechanism to identify faculty professionalism lapses.

不专业的教师行为对学员的福祉产生负面影响,但很少通过既定的报告系统进行报告。对叙述性教师评价的手工审查为识别不专业的行为提供了额外的途径,但这需要耗费时间和资源,因此对于识别和纠正具有专业精神的教师来说价值有限。自然语言处理(NLP)技术可以提供一种机制来简化人工审查过程,以识别教师的专业素养。在这项回顾性队列研究中,15432名医学实习生对医学院的叙事评价,我们通过对教师评价文本的自动分析来识别专业失误。我们使用多种NLP方法来开发和验证几种分类模型,这些模型主要基于阳性预测值(PPV)进行评估,其次通过它们的校准进行评估。使用情感分析(量化文本的主观性)结合关键词(使用集成技术)的nlp模型总体上表现最佳,PPV为49% (CI 38%-59%)。这些发现强调了如何使用NLP来筛选教师的叙述性评估,以识别不专业的教师行为。将NLP整合到教师评审工作流程中,可以对评论进行更集中的手动评审,提供一种补充机制来识别教师的专业失误。
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引用次数: 0
Psychometric Properties and Measurement Invariance of the LIVES Daily Hassles Scale in Chinese Samples. 中国样本生活日常烦恼量表的心理测量性质及测量不变性。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231164782
Kang Liu, Xiaofang Yu, Yan Cai, Dongbo Tu

Daily hassles have a larger effect on our health and well-being than those major events in daily life. The present study aimed to evaluate the psychometric properties and measurement invariance of the LIVES Daily Hassles Scale (LIVES-DHS) in Chinese samples, which consisted of 815 people at work aged between 20 and 60 years old. The results of both Explanatory Factor Analysis and Confirmatory Factor Analysis showed that the five-factor model solution was better than other solutions, which supported the original structure of LIVES-DHS. The Cronbach's alpha coefficients of the five subdimensions varied between.721 and.818, with the entire scale of.920, and McDonald's ω values of the five subdimensions varied between.716 and.821, with the entire scale of.936. The results also showed the support for measurement invariance of the five-factor model across different groups, which is the first to offer evidence for configural, metric, scalar and strict invariance of LIVES-DHS across gender, age and educational groups.

与日常生活中的重大事件相比,日常琐事对我们的健康和幸福的影响更大。本研究旨在评估生活日常烦恼量表(LIVES- dhs)的心理测量特性及其测量不变性,该量表由815名年龄在20 - 60岁之间的中国工作人员组成。解释因子分析和验证性因子分析结果均表明,五因子模型方案优于其他方案,支持了livess - dhs的原始结构。五个子维度的Cronbach's alpha系数在。721年,。818,整个规模为。920,五个子维度的麦当劳ω值在。716年,。821,整个比例尺为936。研究结果还表明,五因素模型在不同群体间支持测量不变性,这是首次为不同性别、年龄和教育群体间的livess - dhs的构形、度量、标量和严格不变性提供证据。
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引用次数: 0
A Systematic Review on the Effectiveness of Systems-Based Practice Curricula in Health Professions Education. 卫生专业教育系统实践课程有效性的系统评价。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231188182
Raymond Boon Tar Lim, Kenneth Wee Beng Hoe, Claire Gek Ling Tan, Huili Zheng

This systematic review aims to evaluate the effectiveness of systems-based practice (SBP) curricula from the perspective of health professions students and workers. A total of 8468 citations were sourced from six electronic databases and manual searches conducted independently by two researchers, of which 44 studies were eventually included. A meta-analysis using a random effects model and a meta-synthesis using the thematic synthesis approach were conducted. Most studies targeted medical students, residents, and resident physicians from various clinical specialties. Almost half of all studies focused on didactic or knowledge-based interventions to teach SBP. About a third of all studies measured non-self-evaluated knowledge change, clinical abilities, and clinical outcomes. Both meta-analysis and meta-synthesis results revealed positive outcomes of increased knowledge of SBP, increased recognition of SBP as a core competency in one's profession, and increased application of SBP knowledge in one's profession. Meta-synthesis results also revealed negative outcomes at the institutional and teacher/health professions level. This review highlights the importance of SBP education and supports the effectiveness of SBP curricula. There is a need to address the negative outcomes at the institutional and teacher/health professions level. Moreover, future studies could investigate the integration of self-assessment outcomes with comparison to some external standard.

本系统综述旨在从卫生专业学生和工作者的角度评估系统实践(SBP)课程的有效性。共有8468条引文来自6个电子数据库和由两名研究人员独立进行的人工检索,其中44项研究最终被纳入。采用随机效应模型进行meta分析,采用主题综合方法进行meta综合。大多数研究的对象是来自不同临床专业的医学生、住院医师和住院医师。几乎一半的研究集中在教学或基于知识的干预来教授收缩压。大约三分之一的研究测量了非自我评估的知识变化、临床能力和临床结果。meta分析和meta综合结果均显示,收缩压知识增加、收缩压作为专业核心能力的认知度提高和收缩压知识在专业中的应用增加均具有积极效果。综合综合结果还揭示了机构和教师/卫生专业人员水平的负面结果。这篇综述强调了收缩压教育的重要性,并支持收缩压课程的有效性。有必要解决机构和教师/卫生专业人员一级的消极后果。此外,未来的研究可以探讨自评结果与一些外部标准的整合。
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引用次数: 0
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. 慢性阻塞性肺疾病量表中照顾者自我照顾贡献的效度和信度及照顾者自我效能感在自我照顾贡献量表中的作用。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787221134712
Maria Matarese, Roberta Pendoni, Davide Ausili, Ercole Vellone, Maddalena De Maria

The study tested the construct validity and reliability of the Caregiver Contribution to Self-Care of Chronic Obstructive Pulmonary Disease (COPD) Inventory and the Caregiver Self-Efficacy in Contributing to Self-Care of COPD Scale. The two instruments were developed by modifying the Self-Care of COPD Inventory and Self-Care Self-Efficacy Scale in COPD into caregiver versions. The psychometric properties were tested in a convenience sample of 261 informal caregivers of COPD patients recruited in Italy in two cross-sectional studies. Structural validity was tested by confirmatory factor analysis, construct validity by posing several hypotheses, and internal consistency through factor score determinacy and global reliability index for multidimensional scales. In confirmatory factor analysis, the caregiver contribution to self-care maintenance, monitoring and management scales, composing the Caregiver Contribution to Self-Care of COPD Inventory, presented good fit indices. Global reliability indices ranged 0.75-0.88. The caregiver self-efficacy scale presented a comparative fit index of 0.96 and a global reliability index of 0.82. The caregiver contribution to self-care and the caregiver self-efficacy scales correlated moderately among themselves and with the patient versions of the scales, and scores were higher with caregiver-oriented dyadic care types and female caregivers. Our study provides evidence of the two instruments' construct validity and internal consistency.

本研究检验了慢性阻塞性肺疾病(COPD)照顾者自我照顾贡献量表和COPD照顾者自我照顾贡献量表的结构效度和信度。这两种工具是通过将COPD自我护理量表和COPD自我护理自我效能量表修改为护理者版本而开发的。在意大利的两项横断面研究中,对261名慢性阻塞性肺病患者的非正式护理人员的方便样本进行了心理测量特性测试。通过验证性因子分析检验结构效度,通过提出若干假设检验结构效度,通过多维尺度的因子得分确定性和整体信度指标检验内部一致性。在验证性因子分析中,护理者对自我护理维持、监测和管理的贡献量表组成的护理者对COPD自我护理的贡献量表具有较好的拟合指标。全球可靠性指数范围为0.75-0.88。照顾者自我效能感量表的比较拟合指数为0.96,整体信度指数为0.82。照顾者对自我照顾的贡献和照顾者自我效能感量表在照顾者自身和患者版本之间呈适度相关,以照顾者为导向的二元照顾类型和女性照顾者得分较高。我们的研究提供了两个工具的结构效度和内部一致性的证据。
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引用次数: 1
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