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Soares SM, Diniz MQDA, Davino DMBMC, Albieri FB, Santos AS, Jesus EMS, Lyra-Junior DP, Neves SJ, Oliveira-Filho AD. The Simplified Medication Adherence Questionnaire: validation of a Brazilian-Portuguese version in hypertensive adults. Front Pharmacol 2024; 15:1348917. [PMID: 38666030 PMCID: PMC11043597 DOI: 10.3389/fphar.2024.1348917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 03/06/2024] [Indexed: 04/28/2024] Open
Abstract
Background Self-reported adherence scales are widely used in research and practice because they are low in cost and easy to apply. A free version in Brazilian-Portuguese of the Simplified Medication Adherence Questionnaire (SMAQ) can be a useful alternative for determining the adherent behavior of hypertensive patients. Purpose To translate and evaluate the psychometric properties of the Brazilian-Portuguese version of the SMAQ therapeutic adherence scale for patients with arterial hypertension. Patients and methods A multicenter, cross-sectional study was conducted in five outpatient units in Maceió-AL and Aracaju-SE between January and July 2019. A total of 117 patients aged over 18 years using antihypertensive drugs were recruited. The cross-cultural adaptation followed international methodological recommendations. Internal consistency (Cronbach's alpha) was tested as a reliability parameter. Criterion and construct validity were verified by concurrent validation, exploratory factor analysis (EFA), and validation by known groups. Results The participants had a mean age of 56.6 years (SD = 10.7 years); most were female (72.6%). The mean number of antihypertensives prescribed per patient was 1.87 (SD = 0.87). There were 79.5% (n = 86) of patients considered non-adherent. Internal consistency was satisfactory (Cronbach's alpha = 0.63). A satisfactory correlation coefficient was verified with the Morisky-Green-Levine test as an external criterion (r = 0.56, p < 0.001). The scale's sensitivity measured through known group validity was 75.3%, specificity 29.5%, positive predictive value 63.9%, and negative predictive value 41.9%. We identified two factors of the instrument's construct from EFA: specific medication-taking behaviors and barriers to adherence. The initial KMO measure of sampling adequacy was 0.691, and Bartlett's test of sphericity was significant (χ2 = 118.342, p < 0.001). Conclusion The Brazilian-Portuguese version of the SMAQ scale proved valid and reliable for determining adherence to the pharmacotherapy in hypertensive patients. It showed more ability to detect non-adherent patients but with low specificity, possibly influenced by high social desirability.
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Affiliation(s)
- Simony M. Soares
- Department of Pharmacy, Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, São Cristóvão, Brazil
| | - Mirela Q. de Almeida Diniz
- Pharmacotherapy Research Group, Institute of Pharmaceutical Sciences, Federal University of Alagos, Maceió, Brazil
| | | | - Fernanda B. Albieri
- Pharmacotherapy Research Group, Institute of Pharmaceutical Sciences, Federal University of Alagos, Maceió, Brazil
| | - Adriano S. Santos
- Department of Pharmacy, Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, São Cristóvão, Brazil
| | - Elisdete M. S. Jesus
- Faculty of Pharmaceutical Sciences, State University of Campinas, Campinas, São Paulo, Brazil
| | - Divaldo P. Lyra-Junior
- Department of Pharmacy, Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, São Cristóvão, Brazil
| | - Sabrina J. Neves
- Pharmacotherapy Research Group, Institute of Pharmaceutical Sciences, Federal University of Alagos, Maceió, Brazil
| | - Alfredo D. Oliveira-Filho
- Department of Pharmacy, Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, São Cristóvão, Brazil
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Feng N, Dong Y, Liu S, Dong X. The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications. Glob Health Res Policy 2022; 7:40. [PMID: 36303226 PMCID: PMC9615259 DOI: 10.1186/s41256-022-00273-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 10/14/2022] [Indexed: 11/16/2022] Open
Abstract
Background The increasing of exchange activities among public health institutes and experts globally calls for a standardized operation to construct public health field investigation and short-term study hub (Field Study Hub). This can funcion as a platform to share experience in public health development in an accurate and comprehensive manner that would benefit global practices. This research aims to establish a supportive indicator system to guide the construction work. Methods Delphi method including two rounds of surveys were conducted among 82 senior public health experts. A structured questionnaire was designed to collect the opinions of the experts on the necessity of setting and feasibility of measurement for proposed 5 dimensions of 49 indicators and 7 additionally proposed ones. Percentage and score were used to describe the assessments, χ2 and t tests to compare differences, Kappa and Cronbach’s alpha values to assess intra-rater and inter-rater reliabilities. Significance level α was 0.05. Bonferroni adjustment was used in the comparison of experts’ judgment basis. Results The percentages of experts choosing “Very good” or “Good” for necessity and feasibility in rounds 1 and 2 were 73.1–97.6% (85.8% ± 7.5%), 64.6–93.9% (82.8% ± 6.7%), 73.8–100% (91.0% ± 6.2%) and 72.5–100% (89.2% ± 7.3%) respectively. The scores of necessity were higher than those of feasibility, and the differences in the dimensions of “Key experience”, “Capacity for logistic support” and the total were statistically significant (t11 = 2.920, t12 = 3.035, t31 = 4.448, t32 = 2.664, tt1 = 3.794, tt2 = 3.007, P < 0.05). The fourteen most necessary indicators were identified. The judgment bases of “Theory” and “Experience” were higher than “Knowledge” and “Intuition” statistically significantly (round 2: χTK2 = 39.020, χEK2 = 67.692, χTI2 = 45.823, χEI2 = 76.515, P < 0.0125). The Kappa values exceeded 40 with the maximum as 75 and the Cronbach’s alphas exceeded 0.8000 with the maximum as 0.9732. Conclusions A set of 5 dimensions of 56 indicators with good necessity and feasibility were developed to technically support and well evaluate the construction of field study hub in public health institutions. This was of high significance because it tended to provide a preliminary baseline for the standardized practice in global health. Also, the present research might serve as a methodological reference for the development of other indicator sets. Supplementary Information The online version contains supplementary material available at 10.1186/s41256-022-00273-z.
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Affiliation(s)
- Ning Feng
- Center for Global Public Health, Chinese Center for Disease Control and Prevention, Room 211, 155 Changbai Road, Changping District, Beijing, People's Republic of China
| | - Yanhui Dong
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, People's Republic of China
| | - Shelan Liu
- Department of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, People's Republic of China
| | - Xiaoping Dong
- National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China.
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Psychometric Properties of the Wong and Law Emotional Intelligence Scale in a Colombian Manager Sample. J Intell 2022; 10:jintelligence10020029. [PMID: 35645238 PMCID: PMC9150008 DOI: 10.3390/jintelligence10020029] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 05/08/2022] [Accepted: 05/11/2022] [Indexed: 11/23/2022] Open
Abstract
Within the organizational field, emotional intelligence is linked to socially competent behaviors, which allow the development of labor and organizational abilities necessary for professional development. Thus, in workers, emotional intelligence is related to a wide range of organizational variables. The purpose of the present study was to evaluate the psychometric properties of the Wong and Law Emotional Intelligence Scale (WLEIS) in the Colombian context, specifically, in a population of managers. The study was instrumental. The sample consists of 489 Colombian managers, obtained through non-probability sampling (a purposive sample), who work in companies located in Bogota. The results indicated that the four-factor oblique model presents favorable fit indices, as well as the higher-order model, the latter having additional theoretical support. These results indicate that it is possible to consider partial scores for each of the four factors of the WLEIS, as well as an overall emotional-intelligence score. Also, the WLEIS scores have validity evidence based on relations to other variables (convergent and discriminant evidence) and are reliable. These first findings for Colombian managers contribute to the accumulation of international evidence of emotional intelligence measured with the WLEIS.
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Boluarte-Carbajal A, Paredes-Angeles R, Tafur-Mendoza AA. Psychometric Properties of the Zarit Burden Interview in Informal Caregivers of Persons With Intellectual Disabilities. Front Psychol 2022; 13:792805. [PMID: 35356334 PMCID: PMC8959923 DOI: 10.3389/fpsyg.2022.792805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 01/28/2022] [Indexed: 11/24/2022] Open
Abstract
Intellectual disability leads to a loss of autonomy and a high level of dependence, requiring support from another person permanently. Therefore, it is necessary to incorporate the assessment of caregiver burden in healthcare actions, to avoid putting the health of caregivers and patients at risk. In this sense, the study aimed to analyze the internal structure of the Zarit Burden Interview (ZBI) in a sample of caregivers of people with intellectual disabilities, to provide convergent and discriminant evidence with a measure of the risk of maltreatment, and to estimate the reliability of the scores from the Classical Test Theory and the Rasch Measurement Theory. The study was instrumental. The sample consisted of 287 Peruvian informal primary caregivers of persons diagnosed with intellectual disabilities. To collect validity evidence, the internal structure (confirmatory factor analysis, CFA) and the relationship with other variables (convergent and discriminant evidence) were used, while reliability was estimated through the omega coefficient and Rasch analysis. The internal structure of the ZBI corroborated a unidimensional structure. In terms of convergent and discriminant evidence, the scale presents adequate evidence. Reliability levels were also good. Previously, the psychometric properties of the ZBI have not been studied in caregivers of people with intellectual disabilities, and it represents the first study of the scale in Peru. The results obtained will allow the use of this scale to design actions in the work with caregivers and studies to understand the psychology of the caregiver.
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Affiliation(s)
| | - Rubí Paredes-Angeles
- Grupo de Estudios Avances en Medición Psicológica, Universidad Nacional Mayor de San Marcos, Lima, Peru.,Instituto Peruano de Orientación Psicológica, Lima, Peru
| | - Arnold Alejandro Tafur-Mendoza
- Grupo de Estudios Avances en Medición Psicológica, Universidad Nacional Mayor de San Marcos, Lima, Peru.,Research Center (CIUP), Universidad del Pacífico, Lima, Peru
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Espejo B, Martín-Carbonell M, Checa I, Paternina Y, Fernández-Daza M, Higuita JD, Albarracín A, Cerquera A. Psychometric Properties of the Diener Satisfaction With Life Scale With Five Response Options Applied to the Colombian Population. Front Public Health 2022; 9:767534. [PMID: 35096737 PMCID: PMC8792789 DOI: 10.3389/fpubh.2021.767534] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 12/08/2021] [Indexed: 12/31/2022] Open
Abstract
Introduction: The Satisfaction with Life Scale (SWLS), developed by Diener, Emmons, Larsen, and Griffin in 1985, comprises five items with seven response options in terms of agreement–disagreement. Recently, there has been a suggestion to reduce the response options of the SWLS to optimize its applicability in different cultural contexts. Objective: The study aims to assess the psychometric properties of the SWLS with five response options in the Colombian population. Specifically, we studied the dimensionality, invariance by gender and age (among a group of adolescents and emerging adults under 25 years and a group of adults of intermediate age and established adulthood under 59 years), convergent validity (with optimism), and divergent (with pessimism) and concurrent validity with other measures of well-being (flourishing, positive, and negative affects). Methodology: This project was a cross-sectional study using a non-probabilistic sample of the general population. Participants were included if they identified themselves as Colombian and were at least 18 years of age. The final sample comprised 1,255 participants. The average age was 25.62 years (SD = 8.60) ranging from 18 to 67 years of age, and 35.8% of the participants were men. In addition to SWLS, we used the Flourishing Scale (FS), Life Orientation Test-Revised (LOT-R), and Scale of Positive and Negative Experience (SPANE). Results: Cronbach's alpha coefficient (0.842), composite reliability (0.851), and average variance extracted (0.537) showed very good values. CFA was conducted to test the one-dimensional structure of FS, showing excellent goodness of fit [χ(5)2 = 15.774, p < 0.001, CFI = 0.992, TLI = 0.985, RMSEA = 0.042, 90% RMSEA CI (0.020, 0.066), and SRMR = 0.016]. The correlations calculated among life satisfaction (SWLS) with flourishing (FS), positive and negative affects (SPANE), optimism, and pessimism (LOT-R) were statistically significant and as expected. Configural, metric, and scalar invariance across gender and age were confirmed. Percentiles were provided for the total score and for age. Conclusions: The SWLS with five response options has adequate psychometric properties in the Colombian population, and the use of this version (with 5 response options) is recommended due to its greater applicability.
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Affiliation(s)
- Begoña Espejo
- Department of Behavioral Sciences Methodology, School of Psychology, Universidad de Valencia, Valencia, Spain
| | - Marta Martín-Carbonell
- Psychology Program, Universidad Cooperativa de Colombia, Santa Marta, Colombia
- *Correspondence: Marta Martín-Carbonell
| | - Irene Checa
- Department of Behavioral Sciences Methodology, School of Psychology, Universidad de Valencia, Valencia, Spain
| | - Yadid Paternina
- Psychology Program, Universidad Cooperativa de Colombia, Santa Marta, Colombia
| | | | - Juan D. Higuita
- Psychology Program, Universidad Cooperativa de Colombia, Medellín, Colombia
| | - Angela Albarracín
- Psychology Program, Universidad Pontificia Bolivariana de Bucaramanga, Bucaramanga, Colombia
| | - Ara Cerquera
- Psychology Program, Universidad Pontificia Bolivariana de Bucaramanga, Bucaramanga, Colombia
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Psychometric properties of the Revised Children's Manifest Anxiety Scale-Second Edition in Peruvian students. ACTA COLOMBIANA DE PSICOLOGIA 2021. [DOI: 10.14718/acp.2021.24.2.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
The aim of this study was to analyze the psychometric properties of the Revised Children’s Manifest Anxiety Scale–Second Edition (RCMAS-2) among Peruvian students. The sample consisted of 472 participants aged between 7 and 18 years, of whom 250 were female (53%). Likewise, 191 were enrolled from third to sixth grade of primary school (40.5%), and 281 were registered from first to fifth grade of secondary school (59.5%). The results of the study indicated that the RCMAS-2 scores had adequate levels of reliability for all its dimensions (ordinal alpha > .70). On the other hand, a four-factor structure (Physiological anxiety, Worry/Social anxiety, Defensiveness I, and Defensiveness II) was found to be invariant to gender and schooling level. Also, convergent and discriminant validity evidence was provided. Finally, a moderate difference in Defensiveness II according to the schooling level through the latent mean structure analysis was found. Taking into account the results, it was concluded that the RCMAS-2 scores have evidence of reliability, validity, and equity for its use in Peruvian regular elementary school students.
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Adaptation and Psychometric Properties of the Scale of Positive and Negative Experience (SPANE) in the General Colombian Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126449. [PMID: 34203596 PMCID: PMC8296280 DOI: 10.3390/ijerph18126449] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 05/24/2021] [Accepted: 05/31/2021] [Indexed: 01/07/2023]
Abstract
(1) Background: Diener’s Scale of Positive and Negative Experiences (SPANE) assesses the presence and intensity of positive and negative affects, since these are considered basic aspects of the study of well-being. This article studies its psychometric properties in the general Colombian population. (2) We conducted a cross-sectional study of a sample of 1255 Colombians and we used structural equation modeling to confirm the bifactor structure. Additionally, we studied invariance by gender, and convergent and concurrent validity. (3) We found acceptable fit indicators for the bifactor model (CFI = 0.889, RMSEA = 0.046, SRMR = 0.059) as well as for the convergent (CFI = 0.909, RMSEA = 0.050, SRMR = 0.063) and concurrent (CFI = 0.966, RMSEA = 0.036, SRMR = 0.041) validity models. We did not confirm total invariance across gender, although we found configural and metric invariance, so percentiles by sex were provided. (4) Conclusions: The SPANE is a valid and reliable measure to assess well-being among the Colombian population, although we alert researchers to the risk of comparing affectivity average scores between sexes.
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