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Shimels T, Gashawbeza B, Fenta TG. Validation of the Amharic version of perceived access to healthcare services for patients with cervical cancer in Ethiopia: A second-order confirmatory factor analysis. PLoS One 2024; 19:e0300815. [PMID: 38748736 PMCID: PMC11095753 DOI: 10.1371/journal.pone.0300815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 03/05/2024] [Indexed: 05/19/2024] Open
Abstract
BACKGROUND Accessing healthcare services is a multifaceted phenomenon involving various elements, encompassing the demand, identification, reach, and utilization of healthcare needs. The literature offers methods for capturing patients' perceptions of healthcare access. However, to accurately measure patient perceptions, it is imperative to ensure the validity and reliability of such instruments by designing and implementing localized language versions. AIM The primary aim of this study was to validate the Amharic version of the perceived access to health-care services among patients diagnosed with cervical cancer in Ethiopia. METHOD A cross-sectional study was conducted among cervical cancer patients at oncology centers in Addis Ababa, Ethiopia. A consecutive sampling approach was used and data collection took place from January 1 to March 30, 2023. Following initial validation and pretesting, a KoboCollect mobile phone application was employed for data collection. Subsequently, the collected data underwent cleaning in Microsoft Excel and analysis through Amos software v.26 and R programming. Various validity and reliability tests, such as content validity, convergent validity, face validity, divergent validity, known-group validity, and reliability tests, were executed. A second-order confirmatory factor analysis was developed to calculate incremental model fit indices, including CFI and TLI, along with absolute measures, namely SRMR and RMSEA. RESULTS A total of 308 participants were involved in the study, with 202 (65.6%) being patients referred from outside Addis Ababa. The initial evaluation of content validity by expert panels indicated that all criteria were met, with a CVR range of 0.5 to 1, I-CVI values ranging from 0.75 to 1, an S-CVI value of 0.91, and face validity values ranging from 2.4 to 4.8. The internal consistency of items within the final constructs varied from 0.76 to 0.93. Convergent, known-group, and most divergent validity tests fell within acceptable fit ranges. Common incremental fit measures for CFI and TLI were achieved with corresponding values of 0.95 and 0.94, respectively. The absolute fit measures of SRMR and RMSEA were 0.04 and 0.07, indicating good and moderate fit, respectively. CONCLUSION The study indicated a high internal consistency and validity of items with good fit to the data, suggesting potential accuracy of the domains. A five-domain structure was developed which enables adequate assessment of perceived access to health-care services of patients with cervical cancer in Ethiopia. We suggest that the tool can be utilized in other patient populations with a consideration of additional constructs, such as geographic accessibility.
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Affiliation(s)
- Tariku Shimels
- Research Directorate, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
- Department of Pharmaceutics & Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Biruck Gashawbeza
- Department of Gynecology & Obstetrics, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Teferi Gedif Fenta
- Department of Pharmaceutics & Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Burridge L, Jones R, Borg SJ, O'Loghlen JJ, Geraghty TJ. Methodologies to measure access to care post-discharge in adults with serious injury-related disability: a scoping review. Disabil Rehabil 2024; 46:1266-1273. [PMID: 37021354 DOI: 10.1080/09638288.2023.2192974] [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: 07/20/2022] [Accepted: 03/15/2023] [Indexed: 04/07/2023]
Abstract
PURPOSE This scoping review examined the methodologies used to measure access to care in serious injury-related disability populations, for whom access to care post-discharge has significant implications for patient outcomes and rehabilitation trajectories. METHODS Four electronic databases were searched for literature published between 1 January 2000 and 15 February 2022. Relevant articles needed to relate to access to care in adult community-dwelling trauma and rehabilitation populations. RESULTS The initial search identified 679 articles. Following de-duplication, the title/abstract screening was completed on 533 articles, and 56 full-text articles were reviewed. Thirty-eight articles met the eligibility criteria and were included in this review. Of the 38 studies included, there was large heterogeneity in the methodologies used to measure access to care. Two articles used multidimensional measures of access to care. CONCLUSIONS There is an urgent need to establish the use of multidimensional measures as standard practice in access-to-care research. Failure to account for the multidimensional nature of access to care limits the full realisation of access for people with serious injury-related disability and prevents the implementation of processes that could improve access to health, rehabilitation, and support services and enhance the quality of care for individuals with a serious injury-related disability.
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Affiliation(s)
- L Burridge
- The Hopkins Centre: Research for Rehabilitation and Resilience, Griffith University, Brisbane, Australia
| | - R Jones
- The Hopkins Centre: Research for Rehabilitation and Resilience, Griffith University, Brisbane, Australia
- Division of Rehabilitation, Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
| | - S J Borg
- The Hopkins Centre: Research for Rehabilitation and Resilience, Griffith University, Brisbane, Australia
| | - J J O'Loghlen
- The Hopkins Centre: Research for Rehabilitation and Resilience, Griffith University, Brisbane, Australia
| | - T J Geraghty
- The Hopkins Centre: Research for Rehabilitation and Resilience, Griffith University, Brisbane, Australia
- Division of Rehabilitation, Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
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Pourhaji F, Jamali J, Taraghdar MM, Peyman N, Tehrani H. Design and validation of a Questionnaire on the factors influencing self-care behaviors in patients with Multiple sclerosis (QFASMS). BMC Neurol 2024; 24:20. [PMID: 38178034 PMCID: PMC10765624 DOI: 10.1186/s12883-023-03522-x] [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: 08/22/2023] [Accepted: 12/25/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND Multiple sclerosis (MS) is a chronic inflammatory autoimmune disease of the central nervous system (CNS). Since MS does not have a definitive cure, individuals affected by it need to adapt and coordinate with their chronic illness in order to fulfill their duties and responsibilities. The first step in helping patients to better care for and manage their illness is to engage in self-care behaviors. This study was conducted with the aim of design and validation of a questionnaire on the factors influencing self-care behaviors in patients with Multiple sclerosis. METHODS This cross-sectional study was conducted on Multiple sclerosis patients in Iran in 2023. The age range of patients varied between 22 and 52 years. Having MS disease, passing one year of the disease duration, living in Mashhad city, having informed consent to participate in the study and not completing the questionnaire were the entry and exit criteria of the study. RESULTS This study was conducted on 500 patients with multiple sclerosis. Based on the results of psychometrics (face, content and construct validity), the number of questions was reduced from 120 to 47 questions and 73 questions were eliminated. Finally, the questionnaire was approved with 47 questions and 4 subscales of understanding the symptoms of the disease (9 questions), tendency to conscious and targeted care (21 questions), laziness in care (8 questions) and tendency to receive therapy services (9 questions). Cronbach's alpha and McDonald's omega index for all questionnaire questions were 0.877 and 0.881, respectively. CONCLUSIONS Based on the results of this questionnaire, 47 questions and 4 subscales can be used to measure the factors influencing the adoption of self-care behaviour's in patients with multiple sclerosis.
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Affiliation(s)
- Fahimeh Pourhaji
- Department of Health Education and Health Promotion, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Jamshid Jamali
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mousa Mahdizadeh Taraghdar
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nooshin Peyman
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hadi Tehrani
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
- Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
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Song Z, Lee PJ, Jung H. Prevalence of voice handicap among nurses in intensive care units due to occupational noise during pandemic. Front Public Health 2023; 11:1250512. [PMID: 37727611 PMCID: PMC10505665 DOI: 10.3389/fpubh.2023.1250512] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 08/21/2023] [Indexed: 09/21/2023] Open
Abstract
Background Healthcare workers have been identified as being at risk of occupational voice disorders. Among them, nurses working in intensive care units (ICUs) are particularly vulnerable due to the risk factors that are associated with their exposure to high levels of noise. Thus, this study aimed to determine the prevalence of voice disorders among ICU nurses. Methods A questionnaire was administered to 100 ICU nurses from four hospitals in China. The questionnaire assessed vocal-related symptoms, perceived voice handicap, frequently heard noise sources, and the quality of communications. Results Results indicate that the most frequently reported voice symptoms were 'voice tiredness' and 'voiceless'. Nurses working more than 50 h per week experienced voice symptoms more frequently than nurses working for 40-50 h per week. The median value of the perceived voice handicap score (VHI-30) was 23, indicating mild voice handicap, while 24% of the nurses reported severe voice handicap. Longer working hours and working at patient wards were significantly associated with higher VHI-30 scores. The nurses also reported that the quality of verbal communication with patients and colleagues and voice problems worsened during the COVID-19 pandemic. Conclusion More than 20% of nurses reported severe voice handicap, however, voice handicap among ICU nurses did not appear universally to all nurses. Further research is necessary to identify the risk factors associated with voice disorders and the mechanism behind such heterogeneity among ICU nurses.
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Affiliation(s)
- Ziwei Song
- Acoustics Research Unit, School of Architecture, University of Liverpool, Liverpool, United Kingdom
| | - Pyoung-Jik Lee
- Acoustics Research Unit, School of Architecture, University of Liverpool, Liverpool, United Kingdom
| | - HeeJung Jung
- Department of Management and Entrepreneurship, Imperial College London, London, United Kingdom
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Li Z, Zhou Y, Tan Y, Zhu X, Liu W, Chen Y, Qin Y, Li R, Yu L, Zhao R, Xu Y. Development and Validation of Nutrition Literacy Assessment Instrument for Chinese Lactating Women: A Preliminary Study. Nutrients 2023; 15:3488. [PMID: 37571425 PMCID: PMC10421061 DOI: 10.3390/nu15153488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 08/03/2023] [Accepted: 08/04/2023] [Indexed: 08/13/2023] Open
Abstract
This study focused on the development and validation of a nutrition literacy assessment instrument for Chinese lactating women (NLAI-L). A comprehensive literature review and group discussion by experts in relevant fields were adopted to determine the dimension, topics and questions of NLAI-L. Content validity was evaluated by a panel of experts. The exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were used to evaluate the construct validity. Cronbach's α and split-half reliability were applied to examine the reliability of NLAI-L. The final NLAI-L consisted of 38 questions covering three dimensions: knowledge, behavior and skill. The EFA revealed four sub-domains for knowledge, one sub-domain for behavior and four sub-domains for skill. The results showed that NLAI-L had satisfactory content validity (CVI = 0.98, CVR = 0.96), good reliability (Cronbach's α coefficient = 0.84) and acceptable construct validity (χ2/df = 2.28, GFI = 2.81, AGFI = 0.79, RMSEA = 0.057). In the application part, the average NL score was 46.0 ± 9.3. In multivariate linear regression, education level, age, postnatal period and occupation were the potential influencing factors of NL for Chinese lactating women. The study established an effective and reliable assessment instrument for Chinese lactating women (NLAI-L) through qualitative and quantitative methods. The establishment of NLAI-L will provide an effective tool for exploring the role of NL in health or disease and provide a basis for the formulation of targeted nutrition interventions.
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Affiliation(s)
- Zhao Li
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Yalin Zhou
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Yuwei Tan
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Xiaoyu Zhu
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Wei Liu
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Yuhan Chen
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Yong Qin
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Ruijun Li
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Lanlan Yu
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Runlong Zhao
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
| | - Yajun Xu
- School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100083, China; (Z.L.); (Y.Z.); (Y.T.); (X.Z.); (W.L.); (Y.C.); (Y.Q.); (R.L.); (L.Y.); (R.Z.)
- Beijing Key Laboratory of Toxicological Research and Risk Assessment for Food Safety, Peking University, No. 38 Xueyuan Road, Beijing 100083, China
- PKUHSC—China Feihe Joint Research Institute of Nutrition and Healthy Lifespan Development, No. 38 Xueyuan Road, Beijing 100083, China
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Carlozzi NE, Kallen MA, Troost JP, Bragg A, Martin-Howard J, De La Cruz B, Miner JA, Moldovan I, Jack BW, Mitchell S. Development and calibration data for the Healthcare Access Item Bank: a new computer adaptive test for persons with type 2 diabetes mellitus. Qual Life Res 2023; 32:781-796. [PMID: 36315318 PMCID: PMC10472318 DOI: 10.1007/s11136-022-03278-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2022] [Indexed: 03/08/2023]
Abstract
PURPOSE The purpose of this study was to develop a new measure to evaluate the ability to receive medical services when needed among persons with type 2 diabetes mellitus. METHODS The Healthcare Access measure was developed using data from 225 persons with type 2 diabetes mellitus who completed an item pool comprised of 54 questions pertaining to their experience accessing healthcare services. RESULTS Exploratory and confirmatory factor analyses supported the retention of 45 items. In addition, a constrained graded response model (GRM), as well as analyses that examined item misfit and differential item functioning (investigated for age, sex, education, race, and socioeconomic status), supported the retention of 44 items in the final item bank. Expert review and GRM item calibration products were used to inform the selection of a 6-item static short form and to program the Healthcare Access computer adaptive test (CAT). Preliminary data supported the reliability (i.e., internal consistency and test-retest reliability) and validity (i.e., convergent, discriminant, and known-groups) of the new measure. CONCLUSIONS The new Healthcare Access item bank can be used to examine the experiences that persons with type 2 diabetes mellitus have with healthcare access, to better target treatment improvements and mitigate disparities; it will be available as a part of the Neuro-Qol measurement system through healthmeasures.net and the PROMIS Application Programmable Interface (API) in early 2023.
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Affiliation(s)
- Noelle E Carlozzi
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
- Department of Physical Medicine & Rehabilitation, Center for Clinical Outcomes Development and Application (CODA), University of Michigan, North Campus Research Complex, 2800 Plymouth Road, Building NCRC B14, Room G216, Ann Arbor, MI, 48109-2800, USA.
| | - Michael A Kallen
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Jonathan P Troost
- Michigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Alexa Bragg
- Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA
| | - Jessica Martin-Howard
- Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA
| | | | - Jennifer A Miner
- Department of Physical Medicine & Rehabilitation, Center for Clinical Outcomes Development and Application (CODA), University of Michigan, North Campus Research Complex, 2800 Plymouth Road, Building NCRC B14, Room G216, Ann Arbor, MI, 48109-2800, USA
| | - Ioana Moldovan
- Department of Family Medicine, Boston Medical Center, Boston, MA, USA
| | - Brian W Jack
- Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA
- Department of Family Medicine, Boston Medical Center, Boston, MA, USA
| | - Suzanne Mitchell
- Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA
- Department of Family Medicine, Boston Medical Center, Boston, MA, USA
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