1
|
Vitali FC, Mafra G, Santos PS, da Fonseca Roberti Garcia L, da Silveira Teixeira C. Patient-related predictors of post-operative pain following root canal treatment: A structural model analysis. Int Endod J 2024. [PMID: 39150401 DOI: 10.1111/iej.14137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 07/01/2024] [Accepted: 08/05/2024] [Indexed: 08/17/2024]
Abstract
AIM The pathways to post-operative pain are complex and encompass factors that extend beyond the treatment protocol employed. This study aimed to identify patient-related predictors of post-operative pain following root canal treatment. METHODOLOGY A total of 154 patients received a single-visit root canal treatment for asymptomatic necrotic mandibular molars. Before treatment, dental anxiety, dental fear and sense of coherence (SOC) were measured as predictors for each patient using validated questionnaires. Other measured predictors included gender, age, previous negative experiences at the dental offices and prior root canal treatment. Post-operative pain was assessed using the Numeric Rating Scale at multiple time-points over 30 days. Structural equation analysis was employed to evaluate the direct and indirect effects of patient-related predictors on a theoretical model of post-operative pain. The irrigant solution was also included in the model, as it was the only aspect that varied in the treatment protocol (sodium hypochlorite 2.5% and 8.25%). RESULTS Dental anxiety (coefficient 0.028; p < .01), dental fear (coefficient 0.007; p = .02) and irrigant solution (coefficient 0.004; p = .03) exerted a direct effect on post-operative pain. SOC exerted an indirect effect on post-operative (coefficient 0.006; p = .01) through dental anxiety and dental fear. Moreover, previous negative experiences (coefficient 0.048; p = .04) exerted an indirect effect on post-operative pain through dental anxiety. CONCLUSIONS Dental anxiety, dental fear, previous negative experiences and SOC are patient-related predictors of post-operative pain following root canal treatment. These factors should be taken into consideration in clinical practice, as patients with these characteristics may be at an increased risk of experiencing post-operative pain.
Collapse
Affiliation(s)
- Filipe Colombo Vitali
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Gabriel Mafra
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Pablo Silveira Santos
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | | | | |
Collapse
|
2
|
Fernandez MDS, Casarin M, Ortiz FR, Muniz FWMG. Association between dental environment stress and sense of coherence in dental students: a cross-sectional study. Braz Oral Res 2023; 37:e111. [PMID: 37970931 DOI: 10.1590/1807-3107bor-2023.vol37.0111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/19/2023] [Indexed: 11/19/2023] Open
Abstract
The aim of this study was to explore associated variables with sense of coherence (SOC), and dental environment stress (DES) in a sample of dental students. All undergraduate (n = 474) and graduate (n = 105) dental students enrolled in the first semester of 2020 at a public university in southern Brazil were invited to participate. Data collection was performed by an online questionnaire, which included information related to sociodemographic and educational characteristics, biopsychosocial factors, aspects related to feelings experienced in the COVID-19 pandemic, and the SOC scale. The study outcome (DES) was measured by a validated tool. Linear regression analyses were performed to identify the associations between the outcome and all independent variables. A total of 408 students were included (response rate: 70.5%). The overall mean score of the DES scale was 73.95 (SD: 24.13). Students with higher SOC scores were observed to have significantly lower DES scores (βGRADUATE: -0.376; 95%: -0.482 to -0.271; βUNDERGRADUATE: -0.478; 95%:-0.658 to -0.297). Female undergraduate students (β: 11.788; 95%CI: 7.161-16.415) had higher DES scores compared with undergraduate male students. In addition, the presence of anxiety symptoms when providing dental care to patients with symptoms or suspected COVID-19 infection was associated with higher DES scores (β: 10.460; 95%CI: 5.644-15.277) among undergraduate dental students. The level of stress was higher in non-white undergraduate students than white (β: 8.912; 95%CI: 3.581-14.244). Among both undergraduate and graduate dental students, higher SOC scores were associated with lower DES.
Collapse
Affiliation(s)
| | - Maísa Casarin
- Universidade Federal de Pelotas - UFPel, Graduate Program in Dentistry, Pelotas, RS, Brazil
| | | | | |
Collapse
|
3
|
Penachiotti FDF, Yamaguchi MU, Mana A, Sagy S, Grossi-Milani R. Sense of coherence and social support as predictors of mental health during COVID-19 pandemic. Rev Bras Enferm 2023; 76Suppl 1:e20220468. [PMID: 37556675 PMCID: PMC10405388 DOI: 10.1590/0034-7167-2022-0468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 03/29/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to verify the role of sense of coherence, sense of national coherence, social support and trust in institutions to predict mental health in Brazilians during the COVID-19 pandemic. METHODS a cross-sectional study, carried out from November, 2020 to January, 2021 via an online survey. Standardized instruments were used. The sample consisted of 1,630 Brazilians. Pearson's correlation and linear regression were performed in data analysis. RESULTS sense of coherence was the only predictor of anxiety [β= -0.61; p<0.001], explaining 38% of the variance in its scores, while sense of coherence [β= 0.52; p<0.001], sense of national coherence [β= 0.16; p<0.001], and social support [β= 0.15; p<0.001] predicted positive mental health and together explained 51% of its variance. CONCLUSIONS the findings suggest that sense of coherence, sense of national coherence and social support represent important predictors for mental health and that strengthening these resources, could potentially promote Brazilians' mental health.
Collapse
Affiliation(s)
| | - Mirian Ueda Yamaguchi
- Universidade Cesumar. Maringá, Paraná, Brazil
- Cesumar Institute of Science, Technology and Innovation. Maringá, Paraná, Brazil
| | - Adi Mana
- Peres Academic Center. Rehovot, Israel
| | - Shifra Sagy
- Ben-Gurion University of the Negev. Beer Sheva, Israel
| | - Rute Grossi-Milani
- Universidade Cesumar. Maringá, Paraná, Brazil
- Cesumar Institute of Science, Technology and Innovation. Maringá, Paraná, Brazil
| |
Collapse
|
4
|
de Araújo Gueiros Lira GV, Pontes da Silva GA, Sarinho ESC. Caregiver's sense of coherence and adherence to paediatric asthma treatment. Paediatr Respir Rev 2023; 45:45-51. [PMID: 36842951 DOI: 10.1016/j.prrv.2022.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 05/22/2022] [Accepted: 05/23/2022] [Indexed: 11/28/2022]
Abstract
Asthma is a chronic respiratory condition that needs to be well controlled to avoid compromising patients' quality of life. In the paediatric population, the role of caregivers is essential in this process. Moreover, adequate asthma control is integral to a child's emotional well-being and to improving the child's ability to participate fully in family and social life. One of the main reasons for uncontrolled asthma is low adherence to treatment, by patients and caregivers. Identifying factors mediating the involvement and participation of caregivers through evaluations of caregivers' sense of coherence can help in the adoption of strategies aimed at effectively directing adherence behaviour through educational and motivational interventions. The goal of this review article is to provide an overview of the sense of coherence as a construct of Antonovsky's salutogenic theory, and to identify its role as a key piece in the successful management of asthma in children.
Collapse
Affiliation(s)
- Georgia Véras de Araújo Gueiros Lira
- Allergy and Immunology Research Centre, Federal University of Pernambuco, Recife, Pernambuco, Brazil; Department of Paediatrics, Medical Sciences Centre, Federal University of Pernambuco, Recife, Brazil; Graduate Program in Child and Adolescent Health, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
| | - Giselia Alves Pontes da Silva
- Department of Paediatrics, Medical Sciences Centre, Federal University of Pernambuco, Recife, Brazil; Graduate Program in Child and Adolescent Health, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Emanuel Sávio Cavalcanti Sarinho
- Allergy and Immunology Research Centre, Federal University of Pernambuco, Recife, Pernambuco, Brazil; Department of Paediatrics, Medical Sciences Centre, Federal University of Pernambuco, Recife, Brazil; Graduate Program in Child and Adolescent Health, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| |
Collapse
|
5
|
Celeste RK, Scalco GP, Abegg C, Pattussi MP, Ely HC, Davoglio RS, do Carmo Matias Freire M. Structural validity of the Brazilian version of the Sense of Coherence scale (SOC-13) in oral health research: exploratory and confirmatory factor analysis. BMC Oral Health 2022; 22:337. [PMID: 35945574 PMCID: PMC9364613 DOI: 10.1186/s12903-022-02373-1] [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: 03/07/2022] [Accepted: 08/03/2022] [Indexed: 11/10/2022] Open
Abstract
Background The Sense of Coherence (SOC) construct has been used worldwide in oral health research, but rigorous factor analyses of the scale are scarce. We aim to test the dimensional structure of the Brazilian short version of the SOC scale with 13 items. Methods This study is a secondary analysis of four independent cross-sectional Brazilian studies on oral health, using the 13-items SOC scale. Sample 1 was conducted on 1760 mothers and 1771 adolescents. Sample 2 comprised 1100 adults. Sample 3 had 720 adults and older individuals. Sample 4 comprised 664 adolescent students. Confirmatory Factor Analysis (CFA) was conducted on sample 1 to compare two models: 3-factor versus 1-factor. Because they were refuted, Exploratory Factor Analysis was implemented in samples 2 and 3. Modified models were tested in sample 4 using CFA. All analyses were conducted with MPlus version 7.11. Results CFA of sample 1 resulted in an unacceptable fit (RMSEA = 0.12;CFI = 0.78; TLI = 0.73; and WRMR = 3.28) for 1-factor model and 3-factor (RMSEA = 0.10; CFI = 0.87; TLI = 0.84; and WRMR = 2.50). The EFA on samples 2 and 3 showed, respectively, two eigenvalues greater than 1 (4.11 and 1.56) and (4.32 and 1.42), but the scale items soc1, soc2 and soc3 formed an uninterpretable second factor. Another CFA, using sample 4, showed acceptable model fit after removing those three items and also soc11 (RMSEA = 0.05; CFI = 0.98; TLI = 0.99; and WRMR = 0.71). Conclusion The results indicate that the SOC-13 scale needs further adjustments. The one-factor model with nine items showed a good statistical fit, but the implications of excluding items should be further investigated, considering the scale's content validity, cross-cultural adaptation and theoretical background.
Collapse
Affiliation(s)
- Roger Keller Celeste
- Departamento de Odontologia Preventiva e Social, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos 2492, 3º andar, Porto Alegre, RS, 90035-003, Brazil.
| | - Giovana Pereira Scalco
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Claides Abegg
- Departamento de Odontologia Preventiva e Social, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos 2492, 3º andar, Porto Alegre, RS, 90035-003, Brazil
| | - Marcos Pascoal Pattussi
- Graduate Program in Collective Health, Universidade do Vale do Rio dos Sinos, São Leopoldo, Brazil
| | - Helenita Correa Ely
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Rosane Silvia Davoglio
- Special Coordination of Biosciences and One Health, Federal University of Santa Catarina, Curitibanos, Brazil
| | | |
Collapse
|
6
|
Domínguez-Salas S, Andrés-Villas M, Riera-Sampol A, Tauler P, Bennasar-Veny M, Aguilo A, Rivera F. Analysis of the psychometric properties of the Sense of Coherence scale (SOC-13) in patients with cardiovascular risk factors: a study of the method effects associated with negatively worded items. Health Qual Life Outcomes 2022; 20:8. [PMID: 35012547 PMCID: PMC8751372 DOI: 10.1186/s12955-021-01914-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 12/27/2021] [Indexed: 11/25/2022] Open
Abstract
Purpose The objectives of this study were to analyze the psychometric properties of the Sense of Coherence scale (SOC-13), determine the role of the method effect in the performance of the instrument, and identify the relationship with health perception, quality of life, and sleep quality in patients at cardiovascular risk. Methods The final sample consisted of 293 patients at cardiovascular risk, with a mean age of 61.9 years (SD = 8.8), 49.8% of whom were women. The SOC-13, the Patient Health Questionnaire (PHQ-9), and the Medical Outcomes Study-Sleep Scale (MOS-Sleep) were administered. In addition, the participant's self-perceived health and quality of life were also evaluated. All analyses were carried out with SPSS 26.0 and EQS 6.1 statistical software. Results The results showed adequate reliability for the SOC-13, with a Cronbach's alpha of .789. The fit of the structures was not adequate in any of the cases (.26 to .62 for one factor, .26 to.73 for three factors, .20 to .54 for one second-order factor, and .25, .42, and .54 for three first-order factors). The three structure models showed an improved fit when adding a latent factor resulting from the method effect (.6 to .85 for one factor, .11 to.90 for three factors, and .11 to .96 for one second-order factor). Moreover, positive correlations were found with health perception, perceived quality of life, and perceived sleep quality. Conclusion The SOC-13 is a suitable instrument for patients with cardiovascular risk in Spain, and it is also an indicator of health perception, quality of life, and perceived quality of sleep. Control of the method effect improves the fit of the instrument’s structure. As a future direction, it is recommended to conduct new studies in this and other samples and using different versions of the SOC. Trial registration International Standard Randomized Controlled Trial Number: ISRCTN76069254, 08/04/2015 retrospectively registered.
Collapse
Affiliation(s)
- Sara Domínguez-Salas
- Department of Psychology, Universidad Loyola Andalucía, 41704, Dos Hermanas, Sevilla, Spain
| | - Montserrat Andrés-Villas
- Department of Social, Developmental and Educational Psychology, Faculty of Education Sciences, University of Huelva, 21071, Huelva, Spain.
| | - Aina Riera-Sampol
- Department of Nursing and Physiotherapy, Research Group On Evidence, Lifestyles & Health (IUNICS), University of the Balearic Islands, 07122, Palma de Mallorca, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - Pedro Tauler
- Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain.,Department of Fundamental Biology and Health Sciences, Research Group On Evidence, Lifestyles & Health (IUNICS), University of the Balearic Islands, 07122, Palma de Mallorca, Spain
| | - Miquel Bennasar-Veny
- Department of Nursing and Physiotherapy, Research Group On Evidence, Lifestyles & Health (IUNICS), University of the Balearic Islands, 07122, Palma de Mallorca, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - Antoni Aguilo
- Department of Nursing and Physiotherapy, Research Group On Evidence, Lifestyles & Health (IUNICS), University of the Balearic Islands, 07122, Palma de Mallorca, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - Francisco Rivera
- Department of Experimental Psychology, Faculty of Psychology, University of Seville, 41018, Seville, Spain
| |
Collapse
|
7
|
Kase T. Construct Validity of the 29‐Item Sense of Coherence Scale: Exploratory Analysis of a Compatible Three‐Factor Model Using a Rasch Measurement Model
1. JAPANESE PSYCHOLOGICAL RESEARCH 2021. [DOI: 10.1111/jpr.12348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
8
|
I-DECIDE: A Social Prescribing and Digital Intervention Protocol to Promote Sexual and Reproductive Health and Quality of Life among Young Cape Verdeans. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18030850. [PMID: 33498190 PMCID: PMC7908165 DOI: 10.3390/ijerph18030850] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 01/11/2021] [Accepted: 01/15/2021] [Indexed: 11/17/2022]
Abstract
Cape Verdean governments have intensified the investment on the National Reproductive Health Program, aiming to provide universal and qualified services, especially to the youngest people. Nevertheless, data suggest that some health challenges remain in this group (e.g., high rates of early/unplanned pregnancies, illegal abortions, sexual risk behaviors). In this paper, we present a protocol of a community-based social prescribing and digital intervention to promote wellbeing and quality of life across the life course of young Cape Verdeans, with a specific focus on Sexual and Reproductive Health (SRH) related behaviors. The intervention program, to be developed in three years, will follow an Intervention Mapping approach, namely regarding needs assessment and study’s protocol. The program’s implementation and evaluation will occur simultaneously. The main expected result is the development of a sustainable training program implemented in coproduction with Cape Verdeans from Mindelo (in São Vicente island), with replicable potential in other Cape Verdean regions. The intervention will contribute to SRH-related literacy through the digital health literacy materials and to quality of life across the young’s life course.
Collapse
|
9
|
Reguera-García MM, Liébana-Presa C, Álvarez-Barrio L, Alves Gomes L, Fernández-Martínez E. Physical Activity, Resilience, Sense of Coherence and Coping in People with Multiple Sclerosis in the Situation Derived from COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17218202. [PMID: 33172022 PMCID: PMC7664264 DOI: 10.3390/ijerph17218202] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 10/29/2020] [Accepted: 11/04/2020] [Indexed: 02/08/2023]
Abstract
The confinement forced by COVID-19 can have repercussions on the health of people diagnosed with multiple sclerosis. The objective of this study is to analyze the relationships between physical activity, a sense of coherence, resilience and coping among people diagnosed with Multiple Sclerosis during the health emergency situation. To achieve this goal, this transversal descriptive study included 84 patients that belonged to multiple sclerosis associations during the period of confinement. Participants filled out the Physical Activity (IPAQ-SF), Sense of Coherence (SOC-13), Resilience Scale (ER-14) and coping (COPE-28) questionnaires. The results showed that the average age was 46.9 and that 67.9% had Relapsing Remittent Multiple Sclerosis diagnosed on average 13.9 years ago. They had a high degree (33.3%) and moderate degree (34.5%) of physical activity, high levels of resilience, while the level of a sense of coherence was average and the most commonly used strategies for coping were active confrontation and religion. Physical activity was not related to the rest of the studied variables, but there were correlations between the other variables. The people with multiple sclerosis who belong to patient associations have remained physically active during the obligatory confinement period and have elevated degrees of resilience and an average sense of coherence, as well as using suitable coping strategies, which is why the social-health resource of belonging to a patient association could be boosting these variables that are beneficial to their health.
Collapse
Affiliation(s)
- María Mercedes Reguera-García
- SALBIS Research Group, Faculty of Health Sciences, Campus of Ponferrada, University of León, 24401 Ponferrada, Spain; (M.M.R.-G.); (E.F.-M.)
| | - Cristina Liébana-Presa
- SALBIS Research Group, Faculty of Health Sciences, Campus of Ponferrada, University of León, 24401 Ponferrada, Spain; (M.M.R.-G.); (E.F.-M.)
- Correspondence:
| | - Lorena Álvarez-Barrio
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, Campus of Ponferrada, University of León, 24401 Ponferrada, Spain;
| | | | - Elena Fernández-Martínez
- SALBIS Research Group, Faculty of Health Sciences, Campus of Ponferrada, University of León, 24401 Ponferrada, Spain; (M.M.R.-G.); (E.F.-M.)
| |
Collapse
|
10
|
Validation of the Croatian Version of the Sense of Coherence 29-Item Scale in Croatian Nurses. Zdr Varst 2020; 59:155-163. [PMID: 32952716 PMCID: PMC7478088 DOI: 10.2478/sjph-2020-0020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 05/26/2020] [Indexed: 11/20/2022] Open
Abstract
Introduction The aim of the study was to validate the Croatian version of the Sense of Coherence 29-item instrument (SOC-29) within a nursing population. Methods The cross-sectional study was conducted between December 2017 and June 2018 at the University Hospital Centre Sisters of Mercy (UHCSM) in Zagreb, Croatia. A total of 711 nurses participated in this study. Internal consistency reliability was evaluated using Cronbach’s alpha coefficient (α), while the structure of the questionnaire was verified by exploratory factor analysis (EFA) (method of extraction: principal component analysis (PCA)) and confirmatory factor analysis (CFA). Results The instrument demonstrated high internal consistency (α=0.885). PCA analysis has identified five factors that together account for 48% of the variance. However, the observed factors could not be interpreted. In the CFA, none of the models fitted well, although the fit of the three-factor model (CMIN/DF=4.786, CFI=0.767, RMSEA=0.073) was slightly better in comparison with the one-factor model (CMIN/DF=6.072, CFI=0.685, RMSEA=0.084). As the three-factor model in PCA has been shown to be uninterpretable, and all three factors were mutually positive and significantly correlated (correlation coefficients: 0.365–0.521), this indicated a single factor in the background. All items also showed saturation with the first factor (accounting for 25.7% of the variance). Conclusions The Croatian version of the SOC-29 instrument successfully fulfilled the necessary psychometric criteria for being used on the population of Croatian nurses. The study proposes that potential users use the single-factor structure.
Collapse
|
11
|
Esquivel Garzón N, Díaz Heredia LP. Validez y confiabilidad del cuestionario Orientación ante la Vida de Antonovsky (SC-29 ítems), versión en español. INVESTIGACIÓN EN ENFERMERÍA: IMAGEN Y DESARROLLO 2020. [DOI: 10.11144/javeriana.ie22.vcco] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Introducción: El cuestionario Orientación ante la Vida mide el sentido de coherencia, un concepto relacionado con el uso de los recursos de afrontamiento que influyen positivamente en una mejor calidad de vida y bienestar de aquellos adultos con enfermedad cardiovascular. Objetivo: Determinar la validez y confiabilidad del cuestionario Orientación ante la Vida de Antonovsky, en adultos con hipertensión arterial. Método: Estudio de tipo metodológico en el que se realizó la adaptación cultural y se determinó la validez facial, de contenido, de constructo y confiabilidad. En la adaptación cultural se siguió un proceso de traducción, consenso y retrotraducción. La validez facial y de contenido se cumplió mediante el juicio de expertos, utilizando las pruebas estadísticas de coeficiente kappa de Fleiss e índice de Lawshe modificado. En la validez de constructo y prueba de confiabilidad participaron 220 personas. La confiabilidad se calculó mediante la prueba estadística de alfa de Cronbach. Resultados: En la validez facial, el instrumento reportó un índice kappa de Fleiss mayor a 0,41, interpretado como un acuerdo moderado. El índice de validez de contenido fue satisfactorio con 0,87, el análisis factorial exploratorio reportó tres factores con una varianza total explicada del 36,21 %. El alfa de Cronbach fue de 0,82 para la escala total. Conclusiones: La versión en español del instrumento Orientación ante la Vida presenta un adecuado índice de validez de contenido y confiabilidad para uso en el contexto local. Es necesario continuar su aplicación en otros grupos y momentos para continuar refinando su validez.
Collapse
|
12
|
Petersen RS, Tennant A, Nakagawa TH, Marziale MHP. Translation, adaptation and validation of the Nurse-Work Instability Scale to Brazilian Portuguese. Rev Lat Am Enfermagem 2019; 27:e3170. [PMID: 31596407 PMCID: PMC6781427 DOI: 10.1590/1518-8345.2943.3170] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Accepted: 03/15/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to translate, adapt and test the psychometric properties of the Brazilian Nurse-Work Instability Scale. METHOD this was a methodological study following the translation steps: synthesis, back-translation, specialist´s committee, semantics analysis, pretest, and psychometric tests. The committee was composed of 5 specialists. For the semantics analysis, 18 nursing workers evaluated the instrument and 30 pretested it. For the psychometric tests, the sample size was 214 nursing workers. The internal construct validity was analyzed by the Rasch model. Reliability was assessed using internal consistency, and concurrent validity with Pearson's correlation between the Nurse-Work Instability Scale, and the Work Ability Index, Job Stress Scale. RESULTS a Nurse-Work Instability Scale in Brazilian Portuguese with 20 items showed an adequate reliability (0.831), stability (p <0.0001), and an expected correlation with Work Ability Index (r = -0.526; P<0.0001) and Job Stress Scale (r = 0.352; p <0.0001). CONCLUSION the instrument is appropriated to detect work instability in Brazilian nursing workers with musculoskeletal disorders. Its application is fundamental to avoid long-term withdrawal from work by early identification of the work instability. Furthermore, the scale can assist the development of actions and strategies to prevent the abandonment of the profession of nursing workers affected by musculoskeletal disorders.
Collapse
Affiliation(s)
| | - Alan Tennant
- Swiss Paraplegic Research, Rehabilitation Services & Care Unit, Nottwil, Sursee, LU, Suíça
| | | | - Maria Helena Palucci Marziale
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil
| |
Collapse
|
13
|
Validation of the Slovenian Version of Short Sense of Coherence Questionnaire (SOC-13) in Multiple Sclerosis Patients. Zdr Varst 2019; 58:31-39. [PMID: 30745948 PMCID: PMC6368672 DOI: 10.2478/sjph-2019-0004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 12/19/2018] [Indexed: 11/20/2022] Open
Abstract
Aim To validate the Slovenian version (SOC-13-SVN) of Sense of Coherence 13-item instrument (SOC-13) in Slovenian multiple sclerosis (MS) patients. Methods A consecutive 134 Slovenian MS patients were enrolled in a cross-sectional study in 2013. The reliability of the SOC-13-SVN was assessed for internal consistency by Cronbach's alpha coefficient (α), dimensionality by the confirmatory factor analysis (CFA), and criterion validity by Pearson correlation coefficient (r) between SOC-13-SVN global score and MSQOL-54 composite scores - Mental Health Composite score (MHC) and Physical Health Composite score (PHC). Results For the SOC-13-SVN instrument as a whole, internal consistency was high (αtotal=0.88) while it was low for three subscales (αcomprehensibility=0.79; αmanageability=0.66; αmeaningfulness=0.69). The results of the CFA confirmed a three-factor structure with good fit (RMSEA=0.059, CFI=0.953, SRMR=0.065), however, the correlations between the factors were very high (rcomprehensibility/manageability=0.938; rcomprehensibility/meaningfulness=0.811; rmanageability/meaningfulness=0.930). The criterion validity analysis showed a moderate positive strength of relationship between SOC-13-SVN global score and both MSQOL-54 composite scores (MHC: r=0.597, p<0.001; PHC: r=0.437, p<0.001). Conclusion Analysis of some psychometric properties confirmed that this instrument is a reliable and valid tool for use in Slovenian MS patients. Despite the three-dimensional structure of the instrument, the use of the global summary score is encouraged due to the low reliability of the subscale scores and high correlations between them.
Collapse
|
14
|
Cunha CM, Nepomuceno E, Manzato RDO, Cunha DCPTD, Silva DD, Dantas RAS. Cultural adaptation and validation of the Brazilian Version of the Patient Activation Measure-22 items. Rev Bras Enferm 2018; 71:1891-1898. [PMID: 30156674 DOI: 10.1590/0034-7167-2016-0470] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Accepted: 07/23/2017] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To adapt and validate the Patient Activation Measure (PAM22) in a sample of Brazilians with chronic diseases under outpatient monitoring. METHOD Adaptation process comprises translation, back translation, analysis by a committee of judges, semantic analysis, and pre-test. Psychometric validation was performed with 513 individuals. Construct validity was analyzed through Pearson's correlation, Student's t-test and Structural Equation Modeling; reliability was assessed by the intraclass correlation coefficient and Cronbach's Alpha. RESULTS The internal consistency was adequate and test-retest reliability was low to moderate (p < 0.05). Validity evidence was found on the convergent construct, with statistically significant correlations between measures of activation, self-esteem, anxiety, depression, and health status. The one-dimensionality of the theoretical model was not confirmed in the adapted version. CONCLUSION Results have shown that the adapted version is reliable and valid, although the theoretical model cannot be explained in a single dimension.
Collapse
Affiliation(s)
- Cristiane Martins Cunha
- Universidade de São Paulo, School of Nursing of Ribeirão Preto. Ribeirão Preto, São Paulo, Brazil
| | - Eliane Nepomuceno
- Universidade de São Paulo, School of Nursing of Ribeirão Preto. Ribeirão Preto, São Paulo, Brazil
| | | | | | - Dirceu da Silva
- Universidade de Campinas, Faculty of Education. Campinas, São Paulo, Brazil
| | | |
Collapse
|
15
|
Kristofferzon ML, Engström M, Nilsson A. Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study. Qual Life Res 2018; 27:1855-1863. [PMID: 29623597 PMCID: PMC5997720 DOI: 10.1007/s11136-018-1845-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2018] [Indexed: 12/28/2022]
Abstract
PURPOSE The aim of the present study was to investigate relationships between sense of coherence, emotion-focused coping, problem-focused coping, coping efficiency, and mental quality of life (QoL) in patients with chronic illness. A model based on Lazarus' and Folkman's stress and coping theory tested the specific hypothesis: Sense of coherence has a direct and indirect effect on mental QoL mediated by emotion-focused coping, problem-focused coping, and coping efficiency in serial adjusted for age, gender, educational level, comorbidity, and economic status. METHODS The study used a cross-sectional and correlational design. Patients (n = 292) with chronic diseases (chronic heart failure, end-stage renal disease, multiple sclerosis, stroke, and Parkinson) completed three questionnaires and provided background data. Data were collected in 2012, and a serial multiple mediator model was tested using PROCESS macro for SPSS. RESULTS The test of the conceptual model confirmed the hypothesis. There was a significant direct and indirect effect of sense of coherence on mental QoL through the three mediators. The model explained 39% of the variance in mental QoL. CONCLUSIONS Self-perceived effective coping strategies are the most important mediating factors between sense of coherence and QoL in patients with chronic illness, which supports Lazarus' and Folkman's stress and coping theory.
Collapse
Affiliation(s)
- Marja-Leena Kristofferzon
- Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden.
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
| | - Maria Engström
- Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
- Nursing Department, Medicine and Health College, Lishui University, Lishui, China
| | - Annika Nilsson
- Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Kungsbäcksvägen 47, 801 76, Gävle, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| |
Collapse
|
16
|
Lerdal A, Opheim R, Gay CL, Moum B, Fagermoen MS, Kottorp A. Psychometric limitations of the 13-item Sense of Coherence Scale assessed by Rasch analysis. BMC Psychol 2017; 5:18. [PMID: 28595651 PMCID: PMC5465532 DOI: 10.1186/s40359-017-0187-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 05/23/2017] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND A person's sense of coherence (SOC) reflects their perception that the world is meaningful and predictable, and impacts their ability to deal with stressors in a health-promoting manner. A valid, reliable, and sensitive measure of SOC is needed to advance health promotion research based on this concept. The 13-item Sense of Coherence Scale (SOC-13) is widely used, but we reported in a previous evaluation its psychometric limitations when used with adults with morbid obesity. To determine whether the identified limitations were specific to that population or also generalize to other populations, we have replicated our prior study design and analysis in a new sample of adults with inflammatory bowel disease (IBD). METHODS A sample of 428 adults with IBD completed the SOC-13 at a routine clinic visit in Norway between October 1, 2009 and May 31, 2011. Using a Rasch analysis approach, the SOC-13 and its three subscales were evaluated in terms of rating scale functioning, internal scale validity, person-response validity, person-separation reliability and differential item functioning. RESULTS Collapsing categories at the low end of the 7-category rating scale improved its overall functioning. Two items demonstrated poor fit to the Rasch model, and once they were deleted from the scale, the remaining 11-item scale (SOC-11) demonstrated acceptable item fit. However, neither the SOC-13 nor the SOC-11 met the criteria for unidimensionality or person-response validity. While both the SOC-13 and SOC-11 were able to distinguish three groups of SOC, none of the subscales could distinguish any such groups. Minimal differential item functioning related to demographic characteristics was also observed. CONCLUSIONS An 11-item version of the sense of coherence scale has better psychometric properties than the original 13-item scale among adults with IBD. These findings are similar to those of our previous evaluation among adults with morbid obesity and suggest that the identified limitations may exist across populations. Further refinement of the SOC scale is therefore warranted.
Collapse
Affiliation(s)
- Anners Lerdal
- Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Blindern, Postbox 1130, 0318, Oslo, Norway.,Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, Nydalen, Postboks 4970, 0440, Oslo, Norway
| | - Randi Opheim
- Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Blindern, Postbox 1130, 0318, Oslo, Norway. .,Department of Gastroenterology, Division of Medicine, Oslo University Hospital, Nydalen, P.O. Box 4956, 0424, Oslo, Norway.
| | - Caryl L Gay
- Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, Nydalen, Postboks 4970, 0440, Oslo, Norway.,Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, 525 Parnassus Ave, San Francisco, 94143, CA, USA
| | - Bjørn Moum
- Department of Gastroenterology, Division of Medicine, Oslo University Hospital, Nydalen, P.O. Box 4956, 0424, Oslo, Norway.,Institute of Clinical Medicine, University of Oslo, Blindern, P.O. Box 1171, 0318, Oslo, Norway
| | - May Solveig Fagermoen
- Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Blindern, Postbox 1130, 0318, Oslo, Norway
| | - Anders Kottorp
- Department of Occupational Therapy, University of Illinois at Chicago, IL, 1200 West Harrison, St. Chicago, 60607, IL, USA
| |
Collapse
|
17
|
Dessotte CAM, Silva FS, Furuya RK, Ciol MA, Hoffman JM, Dantas RAS. Somatic and cognitive-affective depressive symptoms among patients with heart disease: differences by sex and age. Rev Lat Am Enfermagem 2017; 23:208-15. [PMID: 26039290 PMCID: PMC4458993 DOI: 10.1590/0104-1169.0287.2544] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2014] [Accepted: 10/26/2014] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVE: this study investigated the association of somatic and cognitive-affective
symptoms with sex and age, among patients hospitalized with heart disease. METHOD: this study was a secondary analysis of two previous observational studies
totaling 531 patients with heart disease, hospitalized from 2005 to 2011 in two
public hospitals in Ribeirão Preto, state of São Paulo, Brazil. Somatic and
cognitive-affective symptoms were assessed using the subscales of the Beck
Depression Inventory - I (BDI-I). RESULTS: of 531 participants, 62.7% were male, with a mean age 57.3 years (SD= 13.0) for
males and 56.2 years (SD= 12.1) for females. Analyses of variance showed an effect
of sex (p<0.001 for somatic and p=0.005 for cognitive-affective symptoms), but
no effect of age. Women presented with higher mean values than men in both BDI-I
subscales: 7.1 (4.5) vs. 5.4 (4.3) for somatic, and 8.3 (7.9) vs. 6.7 (7.2) for
cognitive-affective symptoms. There were no differences by age for somatic
(p=0.84) or cognitive-affective symptoms (p=0.84). CONCLUSION: women hospitalized with heart disease had more somatic and cognitive-affective
symptoms than men. We found no association of somatic and cognitive-affective
symptoms with age. Future research for these patients could reveal whether these
differences according to sex continue throughout the rehabilitation process.
Collapse
Affiliation(s)
| | - Fernanda Souza Silva
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Rejane Kiyomi Furuya
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Marcia Aparecida Ciol
- Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA, United States
| | - Jeanne Marie Hoffman
- Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA, United States
| | | |
Collapse
|
18
|
Maass R, Kloeckner CA, Lindstrøm B, Lillefjell M. The impact of neighborhood social capital on life satisfaction and self-rated health: A possible pathway for health promotion? Health Place 2016; 42:120-128. [PMID: 27770668 DOI: 10.1016/j.healthplace.2016.09.011] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 07/19/2016] [Accepted: 09/05/2016] [Indexed: 11/17/2022]
Abstract
Neighborhood social capital has repeatedly been linked to favorable health-outcomes and life satisfaction. However, it has been questioned whether it's impact on health has been over-rated. We aim to investigate relationships between neighborhood social capital and self-rated health (SRH) and life satisfaction (LS) respectively, both directly and indirectly mediated via Sense of Coherence and self-esteem. Based on a cross-sectional population-survey (N=865) in a medium size Norwegian municipality, we specified a structural equation model (SEM) including the above-listed variables, while controlling for gender, age, education, income, and employment status. The applied model explains more variance in LS (46%) than in SRH (23%). Social capital has a stronger impact on life satisfaction than on health. The indirect pathway via SOC had the highest impact on life satisfaction, but no significant relationship to SRH. Self-rated health was more tightly linked to personal background variables. Enhancing social capital in the neighborhood might be a beneficial strategy to promote life satisfaction, as well as strengthening sense of coherence even in healthy communities.
Collapse
Affiliation(s)
- Ruca Maass
- Department of Health Science, Faculty of Health and Social Science, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway; Center for Health Promotion Research, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.
| | - Christian A Kloeckner
- Department of Psychology, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.
| | - Bengt Lindstrøm
- Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.
| | - Monica Lillefjell
- Department of Health Science, Faculty of Health and Social Science, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway; Center for Health Promotion Research, Norwegian University of Science and Technology (NTNU), Trondheim 7491, Norway.
| |
Collapse
|
19
|
Hansen AØ, Kristensen HK, Cederlund R, Tromborg H. Test-retest reliability of Antonovsky's 13-item sense of coherence scale in patients with hand-related disorders. Disabil Rehabil 2016; 39:2105-2111. [PMID: 27604962 DOI: 10.1080/09638288.2016.1215555] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE To report on the distribution and test-retest reliability of Antonovsky's 13-item Sense of Coherence (SOC-13) Scale in patients with hand-related disorders (HRD). Links between the SOC-13 score and factors such as age, number of days between date of injury and start of rehabilitation, gender and educational level were explored. METHOD Survey with test-retest, using self-administered questionnaire. SOC-13 was completed before starting rehabilitation at an outpatient clinic after 14 days and three months. Adult patients with HRD were included. RESULTS A total of 170 participants completed the SOC-13 at baseline (median SOC 71, range 30-91). The Intra-class Correlation Coefficient between baseline and 14 days was 0.84 (n = 151), and baseline and three months was 0.79 (n = 113). Weak correlations were found between SOC and age rs = 0.17, p < 0.03. No correlation was found between SOC and number of days since injury rs = 0.01, p > 0.92. No difference was found in SOC score related to gender or educational level. CONCLUSIONS The SOC-13 scale showed reliability for patients with HRD. There was a weak connection between age and SOC without clinical relevance. SOC-13 has the potential to be a powerful tool to measure the ICF component personal factors, which could have an impact on patients' rehabilitation outcomes. Implications for rehabilitation Antonovsky's SOC-13 scale showed test-retest reliability for patients with hand-related disorders. The SOC-13 scale could be a suitable tool to help measure personal factors.
Collapse
Affiliation(s)
- Alice Ørts Hansen
- a Institute of Clinical Research, University of Southern Denmark , Odense , Denmark.,b Department of Orthopaedic Surgery , Odense University Hospital , Odense , Denmark.,c Department of Rehabilitation , Odense University Hospital , Odense , Denmark
| | - Hanne Kaae Kristensen
- a Institute of Clinical Research, University of Southern Denmark , Odense , Denmark.,d Health Sciences Research Centre, University College Lillebaelt , Odense , Denmark
| | | | - Hans Tromborg
- a Institute of Clinical Research, University of Southern Denmark , Odense , Denmark.,b Department of Orthopaedic Surgery , Odense University Hospital , Odense , Denmark
| |
Collapse
|
20
|
Santos Prudêncio P, Hilfinger Messias DK, Villela Mamede F, Spadoti Dantas RA, de Souza L, Villela Mamede M. The Cultural and Linguistic Adaptation to Brazilian Portuguese and Content Validity of the Patient Expectations and Satisfaction With Prenatal Care Instrument. J Transcult Nurs 2016; 27:509-17. [DOI: 10.1177/1043659615583719] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Patient satisfaction reflects how an individual’s expectations, goals, and preferences are met by health care providers or services. Most research on patient expectations and satisfaction has been conducted in developed countries; there was no Portuguese language instrument to measure pregnant women’s expectations and satisfaction with prenatal care. Purpose: To adapt and test the Patient Expectations and Satisfaction with Prenatal Care (PESPC) instrument for use in Brazil. Design: We conducted a systematic cultural and linguistic adaptation of the PESPC into Brazilian Portuguese and tested the validity of the adapted instrument. Results: Implementation of this rigorous methodological process resulted in a valid, reliable, culturally, and linguistically appropriate instrument. Implications for Practice: We recommend further assessment of the Brazilian Portuguese PESPC with more diverse samples of Portuguese-speaking pregnant women in Brazil and other countries. Application of this structured approach to cultural and linguistic instrument adaptation is one way to further transcultural nursing research.
Collapse
Affiliation(s)
| | | | | | | | - Luiz de Souza
- University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | |
Collapse
|
21
|
Rajesh G, Eriksson M, Pai K, Seemanthini S, Naik DG, Rao A. The validity and reliability of the Sense of Coherence scale among Indian university students. Glob Health Promot 2016; 23:16-26. [DOI: 10.1177/1757975915572691] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Accepted: 11/28/2014] [Indexed: 11/17/2022]
Abstract
Background: The importance of salutogenesis, with the focus of what creates health rather than what causes diseases, has been highlighted for a long time. This has been operationalized by Aaron Antonovsky as the Sense of Coherence (SOC-13) scale. The aim of this study was to further examine the psychometric properties of the SOC-13 in India. Methods: The present study was carried out among second-year degree students at three randomly chosen institutions at Mangalore University. Investigators assessed the appropriateness, relevance, comprehensiveness and understandability of the scale. Further, the scale was assessed by five subject experts. The SOC-13 was then pretested by administering it to peers, individuals and a few of the study subjects. Internal consistency was assessed by Cronbach’s alpha and split-half reliability. Test-retest reliability was assessed by administering the instrument to the same study participants after two weeks. Confirmatory factor analysis employing varimax rotation was employed. Results: The SOC-13 revealed a Cronbach’s alpha value of 0.76. Split-half reliability and Guttman split-half reliability were found to be 0.71 and 0.70, respectively. Test-retest reliability was found to be 0.71 ( p < 0.01). Factor analysis revealed a three-factor solution explaining 40.53% of the variation in SOC. Conclusions: SOC-13 was found to be a reliable and valid instrument for measuring SOC in an Indian context. The present study contributes to health promotion in an Indian context, and could be useful even in other developing countries and for further research in India.
Collapse
Affiliation(s)
- Gururaghavendran Rajesh
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| | - Monica Eriksson
- Department of Nursing, Health and Culture, Center on Salutogenesis, University West, Trollhättan, Sweden
| | - Keshava Pai
- Department of Psychiatry, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
| | - S Seemanthini
- Department of Psychiatry, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
| | - Dilip G. Naik
- Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| | - Ashwini Rao
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India
| |
Collapse
|
22
|
Jansen AC, Marziale MHP, Santos CBD, Dantas RAS, Ko NY. ASSESSMENT OF ADHERENCE TO POST-EXPOSURE CONDUCTS AMONG HEALTH WORKERS: TRANSLATION AND CULTURAL ADAPTATION OF AN INSTRUMENT. TEXTO & CONTEXTO ENFERMAGEM 2015. [DOI: 10.1590/0104-07072015011010014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
ABSTRACTMethodological study, undertaken between July/2011 and June/2012, whose aim was to translate and culturally adapt to Brazil the Chinese instrument (健康照顧專業人員職業性危害針扎後之追蹤) that assesses health professionals' intent to comply with conducts post-occupational exposure to biological material. The sample was random and consisted of 15 nursing professionals, exposed to biological material. The cross-cultural adaptation process showed to be satisfactory and the semantic validation evidenced that the instrument is understandable (73.3%), appropriate for the Brazilian culture and well accepted (85.2% of the items with favorable answers). The use of this instrument in Brazilian studies will permit broader discussions about actions to prevent occupational exposure to biological material and the planning of new strategies for the health services.
Collapse
|
23
|
Monteiro EA, Mazin SC, Dantas RAS. The Informal Caregiver Burden Assessment Questionnaire: validation for Brazil. Rev Bras Enferm 2015; 68:364-70, 421-8. [PMID: 26312512 DOI: 10.1590/0034-7167.2015680307i] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Accepted: 04/10/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to analyze the dimensionality, convergent construct validity and internal consistency of the Informal Caregiver Burden Assessment Questionnaire (QASCI) after its semantic adaptation to Brazil. METHOD this methodological study was developed with 132 informal caregivers of elders who are dependent of help for basic or instrumental activities of daily living, in a capital city in Northeast Brazil. Quality of life measures related to health, anxiety and depression were used in the analysis of the convergent construct validity of the QASCI. RESULTS the results of the instrument construct validation evidenced statistically significant correlations with the three measures. The confirmatory factor analysis evidenced good adjustment of the theoretical model of seven factors (domains) of the version used in the group studied. Cronbach's alpha for the scale total was 0.92. CONCLUSION the Brazilian version of the QASCI was considered to be valid and reliable for assessing the burden of informal elder caregivers.
Collapse
Affiliation(s)
- Edilene Araújo Monteiro
- Programa de Pós-Graduação em Enfermagem Fundamental, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR
| | - Suleimy Cristina Mazin
- Departamento de Neurociências e Ciências do Comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR
| | - Rosana Aparecida Spadoti Dantas
- Programa de Pós-Graduação em Enfermagem Fundamental, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR
| |
Collapse
|
24
|
Hjemdal O, Roazzi A, Dias MDGBB, Friborg O. The cross-cultural validity of the Resilience Scale for Adults: a comparison between Norway and Brazil. BMC Psychol 2015; 3:18. [PMID: 26090106 PMCID: PMC4471935 DOI: 10.1186/s40359-015-0076-1] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 06/08/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The resilience construct is of increasing interest in clinical and health psychology. The Resilience Scale for Adults (RSA) is a measure of protective factors. The evidence supporting its construct validity is good, however evidence of cross-cultural validity is modest. The present study explored the factorial invariance of the RSA across a Brazilian and a Norwegian sample, as well as the construct validity in the Brazilian sample. METHODS The Brazilian sample (N = 222) completed the Hopkins Symptom Check List-25 (HSCL-25), the Sense of Coherence (SOC), and the RSA. The Norwegian sample (N = 314) was included in order to examine the factorial invariance. RESULTS The results indicated that the latent constructs of the RSA (its primary factors) are the same in the Brazilian sample as in the Norwegian sample. The correlations between the subscales of the RSA were significant. In the Brazilian sample, the correlations with HSCL-25 and SOC were negative and positive, respectively, thus supporting its construct validity. CONCLUSION The results indicate that the original factor structure of the RSA based on Norwegian samples remains stable in a Brazilian sample.
Collapse
Affiliation(s)
- Odin Hjemdal
- />Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Antonio Roazzi
- />Department of Psychology, Cidade Universitária, Recife, Pernambuco Brazil
| | | | - Oddgeir Friborg
- />Faculty of Health Sciences, Department of Psychology, UiT The Arctic University of Norway, N-9037 Tromsø, Norway
| |
Collapse
|
25
|
Ferreira VMP, Silva LN, Furuya RK, Schmidt A, Rossi LA, Dantas RAS. Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure. Rev Esc Enferm USP 2015; 49:388-94. [DOI: 10.1590/s0080-623420150000300005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Accepted: 02/25/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. METHOD A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). RESULTS No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002). CONCLUSION Special attention should be given to women with HF considering self-care and depressive symptoms.
Collapse
|