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Gasperini G, Renzi E, Massimi A, Mazzotta R, Stievano A, Cianciulli A, Villari P, De Maria M. Psychometric testing of the nurses professional values scale-revised on family and community health nurses. Nurs Ethics 2024; 31:791-804. [PMID: 37797312 DOI: 10.1177/09697330231204986] [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] [Indexed: 10/07/2023]
Abstract
BACKGROUND Family and Community Health Nurses (FCHNs) are at a higher risk of experiencing emotional exhaustion and feelings of low personal accomplishment. Higher levels of professional identity may decrease these negative feelings. Its measurement could produce positive effects for FCHNs and the quality of care they offer. AIM This study aims to evaluate the psychometric properties (validity and reliability) of the Nurses Professional Values Scale-Revised (NPVS-R) on FCHNs in Italy. RESEARCH DESIGN A cross-sectional research design was used. PARTICIPANTS AND RESEARCH CONTEXT A convenience sample of FCHNs was recruited in an out-of-hospital setting from Italy. A total of 202 nurses were eligible (mean age of 41.11 ± 10.55 years; 78.2% female). ETHICAL CONSIDERATIONS The study was performed in accordance with the World Medical Association Declaration of Helsinki. Participants were asked for their consent and were guaranteed anonymity in the information collected. The study was approved by the internal review board of the university. RESULTS Confirmatory Factor Analysis (CFA) supported a unidimensional factorial structure of the NPVS-R with an adequate fit to the data. Internal consistency reliability was also supported. The construct validity was further reinforced by the concurrent validity results showing a positive and significant correlation of professional identity with job satisfaction. CONCLUSION The NPVS-R is a valid and reliable instrument to measure professional identity among FCHNs. It can be used in clinical practice to improve FCHNs' psychological-emotional feelings and quality of care provided, in research to allow comprehensive understanding of professional identity, and in educational settings to monitor the professional identity levels of Family and Community Health Nursing students.
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Lima Silva CM, Oliveira Matos LE, Ribeiro Sassaqui A, Dias de Oliveira Filho A, da Rocha CE, de Carvalho Brito G. Quality of life and level of satisfaction with pharmacotherapeutic follow-up in a transgender health center in Brazil. Sci Rep 2024; 14:4259. [PMID: 38383586 PMCID: PMC10881476 DOI: 10.1038/s41598-024-54737-y] [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: 08/29/2023] [Accepted: 02/15/2024] [Indexed: 02/23/2024] Open
Abstract
Trans people face numerous barriers to access and permanence in health services, which makes it difficult, among other things, to know about their quality of life and satisfaction with health services related to these users. Thus, the objective was to describle the quality of life and satisfaction with pharmacotherapeutic follow-up in transgender people. A cross-sectional, descriptive, and quantitative study was conducted between January and September 2022 at a specialized outpatient clinic for transgender individuals. The following aspects were describle: sociodemographic and medication profiles; quality of Life, which was measured using the WHOQOL-BREF questionnaire; and levels of satisfaction with Pharmacotherapeutic Monitoring, assessed through the Pharmacy Services Satisfaction Questionnaire (QSSF). Descriptive analyses employed measures of central tendency, absolute and relative frequencies, while inferential analyses used the Student's t test. A total of 101 transgender individuals participated in the study, with a mean age of 25 years, the majority being single (79.2%/80), having more than 11 years of education (47.5%/n = 48), and comprising 48.5% (n = 49) transgender women. Hormone use was reported by 59.4% (n = 60) of the participants, with 18.3% (n = 11) of self-medication. Testosterone cypionate was the most common hormone used by transgender men (84%), while cyproterone acetate and estradiol represented 60.4% of hormone use among transgender women. Additionally, 36 transgender individuals were taking other drugs (n = 60), mainly antidepressives (28%). The WHOQOL-BREF showed higher scores in the domains of self-rated Quality of Life, and physical, and psychological well-being among transgender women compared to transgender men, but without statistical differences. Income revealed a statistically significant association with psychological domains and overall quality of life. The results of the QSSF indicated that the overall mean and average scores per question were higher than 4, suggesting that 100% of the sample was satisfied with the provided service. No statistically significant differences were observed in the Quality of Life between transgender men and women, but income was associated with the psychological domain and overall Quality of Life. All participants reported satisfaction with the Pharmacotherapeutic Monitoring service; however, there is a need to expand service offerings, such as medication dispensing.
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Affiliation(s)
- Carla Maria Lima Silva
- Graduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
- Graduate Program in Applied Health Sciences, Federal University of Sergipe, Governador Marcelo Déda Avenue, São José District, Lagarto, Sergipe, 49400-000, Brazil
| | - Luiz Eduardo Oliveira Matos
- Multiprofessional Residency in Hospital Health Care, University Hospital of Lagarto, Lagarto, Sergipe, Brazil
| | - Andressa Ribeiro Sassaqui
- Graduate Program in Applied Health Sciences, Federal University of Sergipe, Governador Marcelo Déda Avenue, São José District, Lagarto, Sergipe, 49400-000, Brazil
| | - Alfredo Dias de Oliveira Filho
- Graduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
- Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Brazil
| | | | - Giselle de Carvalho Brito
- Graduate Program in Applied Health Sciences, Federal University of Sergipe, Governador Marcelo Déda Avenue, São José District, Lagarto, Sergipe, 49400-000, Brazil.
- Department of Pharmacy, Federal University of Sergipe, Lagarto, Brazil.
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Montoya-Hurtado O, Gómez-Jaramillo N, Bermúdez-Jaimes G, Correa-Ortiz L, Cañón S, Juárez-Vela R, Santolalla-Arnedo I, Criado-Pérez L, Pérez J, Sancho-Sánchez MC, Criado-Gutiérrez J. Psychometric Properties of the Multidimensional Assessment of Interoceptive Awareness (MAIA) Questionnaire in Colombian University Students. J Clin Med 2023; 12:jcm12082937. [PMID: 37109273 PMCID: PMC10145849 DOI: 10.3390/jcm12082937] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 04/07/2023] [Accepted: 04/14/2023] [Indexed: 04/29/2023] Open
Abstract
INTRODUCTION The university student population is influenced by multiple factors that affect body awareness. Identifying the body awareness status of students is crucial in creating self-care and emotion management programs to prevent diseases and promote health. The Multidimensional Assessment of Interoceptive Awareness (MAIA) questionnaire evaluates interoceptive body awareness in eight dimensions through 32 questions. It is one of the few tools that enable a comprehensive assessment of interoceptive body awareness by involving eight dimensions of analysis. METHOD The objective of this study is to present the psychometric properties of the Multidimensional Assessment of Interoceptive Awareness (MAIA) to observe to what extent the hypothesized model fits the population of university students in Colombia. A descriptive cross-sectional study was conducted with 202 students who met the inclusion criterion of being undergraduate university students. Data were collected in May 2022. RESULTS A descriptive analysis of the sociodemographic variables of age, gender, city, marital status, discipline, and history of chronic diseases was performed. JASP 0.16.4.0 statistical software was used to conduct confirmatory factor analysis. A confirmatory factor analysis was performed based on the proposed eight-factor model of the original MAIA, giving a significant p-value and 95% confidence interval. However, when performing loading factor analysis, a low p-value was found for item 6 of the Not Distracting factor, and for the entire Not Worrying factor. DISCUSSION A seven-factor model with modifications is proposed. CONCLUSIONS The results of this study confirmed the validity and reliability of the MAIA in the Colombian university student population.
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Affiliation(s)
- Olga Montoya-Hurtado
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia
- Postgraduate Unit, Program in Health, Disability, Dependency, and Well-Being, University of Salamanca, 37007 Salamanca, Spain
| | - Nicolás Gómez-Jaramillo
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia
| | - Gloria Bermúdez-Jaimes
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia
| | - Luis Correa-Ortiz
- Research Department, Universidad de Manizales, Engineering and Medicine, Manizales 170003, Colombia
| | - Sandra Cañón
- Research Department, Universidad de Manizales, Engineering and Medicine, Manizales 170003, Colombia
| | - Raúl Juárez-Vela
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño, Spain
- Centro de Investigación Biomédica de La Rioja, 26006 Logroño, Spain
| | - Iván Santolalla-Arnedo
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño, Spain
- Centro de Investigación Biomédica de La Rioja, 26006 Logroño, Spain
| | - Laura Criado-Pérez
- Faculty of Medicine, Department of Surgery, University of Salamanca, 37007 Salamanca, Spain
| | - Jesús Pérez
- Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain
- Department of Psychiatry, University of Cambridge, Cambridge CB2 0SL, UK
- Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
| | - María Consuelo Sancho-Sánchez
- Department of Physiology and Pharmacology, University of Salamanca, 37007 Salamanca, Spain
- Institute of Neurosciences of Castilla y León (INCYL), 37007 Salamanca, Spain
| | - José Criado-Gutiérrez
- Department of Physiology and Pharmacology, University of Salamanca, 37007 Salamanca, Spain
- Institute of Neurosciences of Castilla y León (INCYL), 37007 Salamanca, Spain
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Thums L, Rodrigues JDC. Bem-Estar Subjetivo, Qualidade de Vida e Sintomas Psicológicos em Adultos após Acidente Vascular Cerebral. REVISTA PSICOLOGIA E SAÚDE 2023. [DOI: 10.20435/pssa.v14i4.2045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
Abstract
Investigou-se a percepção do bem-estar subjetivo (BES), qualidade de vida (QV) e sintomas psicológicos de indivíduos que estavam ou não em reabilitação após acidente vascular cerebral (AVC). Participaram 15 adultos (M = 40,73; DP = 9,46 anos), que responderam à escala brasileira de Bem-Estar Subjetivo (EBES), Escala de Qualidade de Vida Específica para AVC (EQVE-AVE) e Escala de Depressão, Ansiedade e Estresse. A partir do levantamento, verificou-se que a amostra apresentou níveis baixos e moderados de BES e de QV. Participantes que se mantiveram em reabilitação após o AVC demonstraram maiores níveis de afetos positivos, menores afetos negativos e sintomas de estresse. Maiores sintomas psicológicos estiveram relacionados a menores níveis de BES e QV. Este estudo destaca a importância da reabilitação pós-AVC, focando as necessidades de cada indivíduo. Serviços de atendimento multiprofissional devem considerar o quanto os aspectos emocionais e as experiências subjetivas afetam a recuperação dos pacientes.
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Antonio-Oriola R, Vellone E, Durante A, De Maria M, Di Nitto M, Gea-Caballero V, Santolalla-Arnedo I, Czapla M, Benavent-Cervera JV, Sánchez-González JL, Juárez-Vela R. Spanish Version of the Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI): A Psychometric Evaluation. J Pers Med 2022; 12:625. [PMID: 35455741 PMCID: PMC9028340 DOI: 10.3390/jpm12040625] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/07/2022] [Accepted: 04/11/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The Caregiver Contribution to Self-Care of Heart Failure (CC-SCHFI) is a theoretically driven instrument to measure the extent to which caregivers support heart failure (HF) patients to perform self-care. The CC-SCHFI measures caregivers' contribution to self-care maintenance and self-care management and caregiver confidence in contributing to heart failure patients' self-care. To date, the CC-SCHFI has never been tested in Spanish-speaking populations. PURPOSE To translate the CC-SCHFI from English into Spanish and to test its psychometric characteristics. METHOD CC-SCHFI translation and back-translation were performed according to the Beaton et al. methodology. Data from a cross-sectional study conducted in an outpatient clinic in Spain were used for the analysis. Psychometric analysis was performed with exploratory factor analysis (EFA) with oblique rotation. RESULTS Caregivers had a mean age of 60.5 years (SD 14,9) and the majority were female (85%). Data from 220 caregivers were analyzed. From EFA, using the principal axis factoring method, we extracted two factors in the self-care maintenance subscale ("treatment adherence behaviors" and "symptom control and maintenance behaviors"), two in the self-care monitoring subscale ("illness behaviors" and "prevention behaviors") and one factor for the self-efficacy subscale. The Pearson's rank correlation coefficients between SCHFI and CCSCHFI showed significant correlation in each subdimension.
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Affiliation(s)
- Rosa Antonio-Oriola
- Doctorate Program in Clinical and Community Nursing, University of Valencia, 46001 Valencia, Spain;
| | - Ercole Vellone
- Department of Biomedicine and Prevention, University of Roma Tor Vergata, 00133 Rome, Italy; (E.V.); (M.D.M.)
| | - Angela Durante
- Group of Research in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (M.C.); (R.J.-V.)
| | - Maddalena De Maria
- Department of Biomedicine and Prevention, University of Roma Tor Vergata, 00133 Rome, Italy; (E.V.); (M.D.M.)
| | - Marco Di Nitto
- Centro per l’Eccellenza Clinica, la Qualità e la Sicurezza Delle Cure (CNEC), Istituto Superiore di Sanità, 00162 Rome, Italy;
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencia International University, 46002 Valencia, Spain; (V.G.-C.); (J.V.B.-C.)
| | - Iván Santolalla-Arnedo
- Group of Research in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (M.C.); (R.J.-V.)
| | - Michał Czapla
- Group of Research in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (M.C.); (R.J.-V.)
- Laboratory for Experimental Medicine and Innovative Technologies, Department of Emergency Medical Service, Wroclaw Medical University, 51-616 Wroclaw, Poland
| | | | | | - Raúl Juárez-Vela
- Group of Research in Care GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (M.C.); (R.J.-V.)
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Cabral DF, Santos VS, Pereira OTT, Silva MJ, Pascual-Leone A, Rundek T, Loewenstein DA, Kirk-Sanchez N, Oliveira ACA, Gomes-Osman J. Feasibility and Preliminary Efficacy of a Multimodal Approach to Increase Physical Activity in Older Adults With Memory Complaints: The Education for Action Study. J Aging Phys Act 2022; 30:204-216. [PMID: 34412033 PMCID: PMC8857299 DOI: 10.1123/japa.2020-0484] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 04/13/2021] [Accepted: 04/13/2021] [Indexed: 11/18/2022]
Abstract
In this randomized controlled pilot trial, the authors explored the feasibility, technology compliance, and preliminary efficacy of the Education for Action (EDU-ACT), a multimodal intervention combining evidence-based strategies of physical activity (PA) education and coaching in PA levels over 4 weeks between EDU-ACT and control groups. The authors also assessed pre-post changes in neurocognitive function, functional mobility and dual-task performance, sleep and quality of life. Thirty-two sedentary older adults with memory complaints (age = 66 ± 5.3) completed the study (EDU-ACT = 18 and control = 14). The EDU-ACT adherence rate was 95%, and compliance of daily PA reporting was, on average, 22.7 days (94.6%). The EDU-ACT group demonstrated a significantly greater number of steps, processing speed, and dual-task performance when compared with controls (p < .05). In this study, a multimodal, evidence-based, low-cost intervention was feasible, well-accepted, with high adherence and compliance rates, and effective at promoting clinically meaningful increases in PA, for at least 1 month postintervention, in older adults with memory complaints.
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Affiliation(s)
- Danylo F. Cabral
- Department of Physical Therapy, University of Miami Miller School of Medicine, 5915 Ponce de Leon Blvd, 5th Floor, Coral Gables, FL, 33146
- Department of Physical Therapy, Alagoas State University of Health Sciences, Maceió, Alagoas, Brazil
| | - Vinicius S. Santos
- Department of Physical Therapy, Alagoas State University of Health Sciences, Maceió, Alagoas, Brazil
| | - Oceano T. T. Pereira
- Department of Physical Therapy, Alagoas State University of Health Sciences, Maceió, Alagoas, Brazil
| | - Maria J. Silva
- Department of Physical Therapy, Alagoas State University of Health Sciences, Maceió, Alagoas, Brazil
| | - Alvaro Pascual-Leone
- Department of Neurology, Harvard Medical School, Boston MA, USA
- Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Rosindale, MA, USA
- Guttmann Brain Health Institute, Barcelona, Spain
| | - Tatjana Rundek
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
| | | | - Neva Kirk-Sanchez
- Department of Physical Therapy, University of Miami Miller School of Medicine, 5915 Ponce de Leon Blvd, 5th Floor, Coral Gables, FL, 33146
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
| | - Augusto C. A. Oliveira
- Department of Physical Therapy, Alagoas State University of Health Sciences, Maceió, Alagoas, Brazil
| | - Joyce Gomes-Osman
- Department of Physical Therapy, University of Miami Miller School of Medicine, 5915 Ponce de Leon Blvd, 5th Floor, Coral Gables, FL, 33146
- Department of Neurology, University of Miami Miller School of Medicine, Miami, FL
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Peng X, Tang L. Exercise Rehabilitation Improves Heart Function and Quality of Life in Elderly Patients with Chronic Heart Failure. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:8547906. [PMID: 35070244 PMCID: PMC8769825 DOI: 10.1155/2022/8547906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 11/22/2021] [Indexed: 11/17/2022]
Abstract
With the acceleration of the aging process, there are more and more elderly patients with chronic heart failure. Chronic heart failure has severely affected the heart function and quality of life of the elderly. This article aims to study the further improvement of the heart function and the quality of life of elderly patients with chronic heart failure through exercise rehabilitation. In this paper, experimental analysis and comparative analysis are adopted, the experimental group and the control group are designed, the adaptive heart rate and breathing rate algorithm is adopted, the heart failure symptom assessment scale and the quality of life assessment tool are selected, and the two groups of different rehabilitation forms are compared. Data collection, sorting, and analysis of the patient's conditions are utilized. Through the use of exercise rehabilitation, the heart failure process will be slower and the recovery of heart strength will be faster than the control group. Before the experiment, the probability of shortness of breath in the two groups of patients with chronic heart failure symptoms was as high as 84.08%, and the symptom clusters were more serious; after the experiment, the SV and EF values after exercise rehabilitation were higher than those of the control group (p < 0.05). The quality of life in the realm, emotional realm, and other realms has been significantly improved. For elderly patients with chronic heart failure, reasonable exercise rehabilitation training can provide them with effective preventive measures and protective measures, improve the patients' heart function and quality of life, and play an important and key role.
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Affiliation(s)
- Xingyun Peng
- School of Smart Healthcare Industry, Chongqing City Management College, Shapingba 401331, Chongqing, China
| | - Liuquan Tang
- The Department of Basic Education, Chongqing City Vocational College, Yongchuan 402160, Chongqing, China
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Costa VDO, Teixeira FM, Lopes TM, Gomide HP, Clemente PC, Moreira D. Phantom sensation and quality of life among patients with lower-limb amputations in the region of Juiz de Fora, Minas Gerais: a cross-sectional study. Dement Neuropsychol 2021; 15:275-280. [PMID: 34345370 PMCID: PMC8283870 DOI: 10.1590/1980-57642021dn15-020016] [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: 09/10/2020] [Accepted: 02/07/2021] [Indexed: 11/21/2022] Open
Abstract
An amputation is an irreversible event that causes social, psychological, and functional consequences that reduces the quality of life of the amputee. Phantom pain generally is reported by 50 to 80% of amputees. Objective To describe the pain and phantom sensation and quality of life among lower-limb amputees. Methods This was a cross-sectional study carried out in the region of Juiz de Fora, state of Minas Gerais, Brazil. Inclusion criteria were being a patient in one of two hospitals in the region at the time of the interview and having at least one lower-limb amputation. A total of 20 amputees were included in the analysis. The interview questionnaire had items adapted from the Groningen Questionnaire Problems After Leg Amputation - describing the frequency and discomfort of phantom pain and sensation, causes and the level of the amputation, as well as the WHOQOL-BREF, for assessing quality of life. Results Most participants were women (55%) and had a mean age of 55.6 years (SD=14.8). Femoral amputation was the most prevalent (65%), and diabetes (40%) was the main reason for amputation. 29% of amputees classified the phantom pain as moderate or severe, and 15% claimed daily frequency of this phenomenon. As for phantom pain, only 6% stated daily frequency. The mean quality of life was 4.1 (SD=1.1, five score means very satisfied), the physical domain of quality of life had the lowest mean (3.4, SD=0.7). Conclusions Phantom sensation and pain were prevalent among lower-limb amputees who were, in general, less satisfied with their physical domain of quality of life.
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Affiliation(s)
- Víctor de Oliveira Costa
- Faculdade de Ciências Médicas e da Saúde de Juiz de Fora - Juiz de Fora, MG, Brazil.,Universidade Federal de Juiz de Fora - Juiz de Fora, MG, Brazil
| | | | - Thais Medeiros Lopes
- Faculdade de Ciências Médicas e da Saúde de Juiz de Fora - Juiz de Fora, MG, Brazil
| | | | - Patricia Cardoso Clemente
- Physiotherapy Department, Faculdade de Ciências Médicas e da Saúde de Juiz de fora - Juiz de Fora, MG, Brazil
| | - Demóstenes Moreira
- Orthopedics and Traumatology Department, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense - Niterói, RJ, Brazil
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da Silva WR, Pimenta F, Zaffaroni L, Castelnuovo G, Pietrabissa G, Marôco J, Maloa BFS, Campos JADB. Body Image Quality of Life Inventory: cross-national study in college students from four different countries. Eat Weight Disord 2020; 25:1079-1088. [PMID: 31218658 DOI: 10.1007/s40519-019-00732-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Accepted: 06/07/2019] [Indexed: 11/26/2022] Open
Abstract
PURPOSE This study was aimed to examine the psychometric proprieties of the Body Image Quality of Life Inventory (BIQLI) among Brazilian, Portuguese, Mozambican, and Italian college students. METHODS A total of 1630 subjects (Brazilians = 446; Portuguese = 480, Mozambicans = 360, and Italians = 344) completed the Portuguese (Brazilian, Portuguese, and Mozambican students) and the Italian versions (Italian students) of the BIQLI for measuring the effects of body image on one's quality of life. Psychometric testing included confirmatory factor analysis (CFA), discriminant and convergent validity, internal consistency, and composite reliability. The cross-national invariance of the BIQLI was assessed by multi-group analysis using ΔCFI. Moreover, the global score of the BIQLI for all countries was calculated by an algorithm and compared using the Welch's ANOVA and the Games-Howell post-test (α = 5%). RESULTS CFA showed an inadequate fit of unifactorial model of the BIQLI. Therefore, an alternative model comprising nine first-order factors and one second-order factor was proposed and evaluated. This new model showed adequate fit in all samples, despite some limitations that were found with respect to its convergent and discriminant validity. The alternative BIQLI model was invariant among countries. Global scores for the influence of body image on quality of life were significantly different across countries, with the Italians presenting the lowest scores. CONCLUSIONS The BIQLI factorial model found in this study represents a reliable and valid alternative to its original structure for the assessment of the effect of body image on college students' perceived quality of life. This model must be further tested in other populations. LEVEL OF EVIDENCE Level V, cross-sectional descriptive study.
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Affiliation(s)
- Wanderson Roberto da Silva
- Department of Food and Nutrition, School of Pharmaceutical Science, São Paulo State University (UNESP), São Paulo, Brazil
| | - Filipa Pimenta
- William James Center for Research (WJCR), University Institute of Psychological, Social and Life Sciences (ISPA), Lisbon, Portugal
| | - Lucia Zaffaroni
- Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Gianluca Castelnuovo
- Department of Psychology, Catholic University of Milan, Milan, Italy
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy
| | - Giada Pietrabissa
- Department of Psychology, Catholic University of Milan, Milan, Italy
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy
| | - João Marôco
- William James Center for Research (WJCR), University Institute of Psychological, Social and Life Sciences (ISPA), Lisbon, Portugal
| | | | - Juliana Alvares Duarte Bonini Campos
- Department of Food and Nutrition, School of Pharmaceutical Science, São Paulo State University (UNESP), Rodovia Araraquara-Jaú, km 01, Campos Ville, Araraquara, São Paulo, 14800-903, Brazil.
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Silveira LCJ, De Maria M, Dickson VV, Avila CW, Rabelo-Silva ER, Vellone E. Validity and reliability of the self-care of hypertension inventory (SC-HI) in a Brazilian population. Heart Lung 2020; 49:518-523. [PMID: 32192824 DOI: 10.1016/j.hrtlng.2020.02.048] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 02/18/2020] [Accepted: 02/28/2020] [Indexed: 11/15/2022]
Abstract
BACKGROUND Poor self-care in patients with hypertension is associated with worse patient outcomes. The Self-Care of Hypertension Inventory (SC-HI) measures self-care in patients with hypertension and includes three scales: self-care maintenance, which measures adherence to prescribed treatments and behaviors; self-care management, which evaluates the responses to signs and symptoms of high blood pressure; and self-care confidence, which measures self-efficacy in dealing with the entire process. OBJECTIVE To test the psychometric characteristics of the Brazilian version of the SC-HI. METHODS We enrolled a sample of 360 patients with hypertension and performed confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) to test the factorial structure of the SC-HI and computed the factor score determinacy coefficient to evaluate the SC-HI internal consistency reliability. RESULTS The sample was predominantly female (65%), mean age of 65 years (SD = 10), white (70%). The self-care maintenance scale resulted in a unidimensional scale, with supportive fit indices (CFI = 0.901, RMSEA = 0.048); the self-care management did not reflect the original factorial structure and had unsupportive fit indices. EFA showed a different factorial solution in reference to the original study. Finally, the self-care confidence scale resulted in a unidimensional scale with supportive fit indices (CFI = 0.940, RMSEA = 0.093). The reliability of the self-care maintenance, management, and confidence scales resulted in factor score determinacy coefficients of 0.83, 0.78, and 0.97 respectively. CONCLUSION This study shows that the SC-HI is a valid and reliable tool to measure self-care in patients with hypertension among the Brazilian population.
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Affiliation(s)
- Luana Claudia Jacoby Silveira
- Graduate Program in Health Sciences: Cardiology and Cardiovascular Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, Porto Alegre, RS 90035-003, Brazil
| | - Maddalena De Maria
- Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy
| | - Victoria Vaughan Dickson
- The Pless Center for Nursing Research, New York University, Rory Meyers College of Nursing, United States
| | - Christiane Wahast Avila
- Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul - School of Nursing and Hospital de Clínicas de Porto Alegre - Cardiology Division, Brazil
| | - Eneida Rejane Rabelo-Silva
- Graduate Program in Health Sciences: Cardiology and Cardiovascular Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, Porto Alegre, RS 90035-003, Brazil; Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul - School of Nursing and Hospital de Clínicas de Porto Alegre - Cardiology Division, Brazil.
| | - Ercole Vellone
- Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy
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