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How to display questions that are part of a battery in self-administered surveys is an important decision. Battery items may be displayed in a grid in a mail survey or computer web survey, but are often displayed as individual items on mobile devices. Although past research has compared grids to item-by-item displays in computer and mobile web surveys, almost no work has compared these displays in mail surveys. Additionally, many web survey templates use wide rectangular buttons to select response options in individual items using a mobile-optimized design, different from the standard round answer space format typically used in mail surveys. In this study, we experimentally test grid versus item-by-item displays and round radio buttons versus wide rectangular buttons for battery items in a probability-based general population mixed-mode mail + web survey of adults in Nebraska. Consistent with past research, we find that item-by-item displays reduce straightlining rates compared to grid designs. We also find that respondents are less likely to select the last two response categories in the item-by-item displays than in the grid displays. Smartphone and computer web respondents have higher item nonresponse rates than mail respondents, and web respondents have lower straightlining rates than mail respondents, accounting for respondent characteristics. Reassuringly, there is no difference in data quality outcomes across radio button versus wide button formats. These findings replicate past research that item-by-item displays reduce straightlining but may shift answer categories. These findings suggest that questionnaire designers can combine round radio button answer spaces on mail surveys with wide buttons on web surveys on battery items with little difference in data quality. [ABSTRACT FROM AUTHOR]

BackgroundAimsStudy designMethodsResultsConclusionsQuality improvement partnerships between healthcare organisations and higher education require further research to explore their potential to provide a valuable education experience for pre-registration nursing students.Develop and validate a questionnaire for nurse academics to evaluate quality improvement content in pre-registration nursing curricula and the extent of partnership with higher education providers in developing this content. Conduct a pilot test of the questionnaire.Use a content validity approach.The Australian higher education sector was the setting and participants were nurse academics with knowledge of the quality improvement content taught in pre-registration nursing courses. The quality improvement collaboration (QuIC) questionnaire was informed by the literature and sent to ten quality improvement and higher education experts for content validation. Each question was scored on a Likert scale for relevance and clarity. The QuIC questionnaire was distributed by email to the 37 higher education organisations offering pre-registration programmes in Australia. Descriptive statistics were used to analyse the questionnaire data.Eight experts completed the content validity questionnaire in full, with the QuIC questionnaire achieving an excellent content validity score of 0.94 for relevance and clarity. The QuIC questionnaire was completed by 24 participants. The results indicated that quality improvement education partnerships are only used occasionally in Australia. The education methods used to teach this content were case studies (online cases n = 11, 46%; patient cases n = 9, 38%) and the development of quality improvement education materials (n = 7, 29%).The QuIC questionnaire demonstrates excellent relevance and clarity, and is the first in the literature to address the constructs of quality improvement education and partnerships. The pilot results provide insight into quality improvement education methods used in Australia and the presence of partnerships. These results may be used to assist in the implementation of quality improvement education partnerships into curricula across the health professions. [ABSTRACT FROM AUTHOR]

Introduction: Adolescent Idiopathic Scoliosis (AIS) is a structural spinal deformity with implications for health‐related quality of life (HR‐QoL). The Scoliosis Research Society‐22 revised (SRS‐22r) questionnaire is the standard for HR‐QoL assessment. However, studies have identified limitations with the SRS‐22r, including content and face validity issues, reliability concerns, and language appropriateness. This study aimed to develop and validate a patient‐reported questionnaire, the Staffordshire Questionnaire for Adolescent Idiopathic Scoliosis (SQ‐AIS), to assess the impact of AIS on HR‐QoL. Methods: The SQ‐AIS comprises six domains: general health, pain, function/activity, self‐image/appearance, mental health, and intervention. Individuals with AIS aged 10–19 years and clinicians from a range of countries with expertise in AIS contributed to the testing process. Face validity and clinical applicability were assessed using Likert scales, while content validity was evaluated through a categorical binary variable (yes/no). Results: Involving 8 AIS patients and 43 clinicians, face validity scores demonstrated an acceptable level of understanding (≥ 4/5) for both individuals with AIS and clinicians. Most individuals with AIS (85.71%) and clinicians (80.95%) affirmed that the questionnaire sufficiently covers various aspects of scoliosis, indicating a satisfactory level of content validity. Ratings for applicability to clinical practice indicated an acceptable level of practical relevance (≥ 4/5). Discussion and Conclusion: The SQ‐AIS emerges as a valid and promising tool to overcome existing challenges in AIS‐related outcome assessment. Pending further validation studies, the favorable reception from the international community of clinicians suggests its potential as a new benchmark for evaluating AIS impact on HR‐QoL and monitoring scoliosis management. [ABSTRACT FROM AUTHOR]

This empirical study focuses on the factors of school parents' school choice whose children just started to attend one of the Piarist (Catholic) Schools in Hungary. 270 parents completed an online questionnaire where the groups of questions concerned several facets of their beliefs and values. The results show how parental expectations and beliefs are organized, and how they related to the values manifested in the 'Piarist spirit'. Both the transfer of religious values and secularized goals are very important for parents. Parents' educational level and the type of settlement they live in have almost negligible role in explaining differences in answer patterns. [ABSTRACT FROM AUTHOR]

Background: Decision-making and problem-solving processes are powerful activities occurring daily across all healthcare settings. Their empowering potential is seldom fully exploited, and they may even be perceived as disempowering. We developed the EMPOWER-UP questionnaire to enable assessment of healthcare users' perception of empowerment across health conditions, healthcare settings, and healthcare providers' professional backgrounds. This article reports the initial development of EMPOWER-UP, including face and content validation. Methods: Four grounded theories explaining barriers and enablers to empowerment in relational decision-making and problem-solving were reviewed to generate a preliminary item pool, which was subsequently reduced using constant comparison. Preliminary items were evaluated for face and content validity using an expert panel of seven researchers and cognitive interviews in Danish and English with 29 adults diagnosed with diabetes, cancer, or schizophrenia. Results: A preliminary pool of 139 items was reduced to 46. Independent feedback from expert panel members resulted in further item reduction and modifications supporting content validity and strengthening the potential for generic use. Forty-one preliminary items were evaluated through 29 cognitive interviews, resulting in a 36-item draft questionnaire deemed to have good face and content validity and generic potential. Conclusions: Face and content validation using an expert panel and cognitive interviews resulted in a 36-item draft questionnaire with a potential for evaluating empowerment in user-provider interactions regardless of health conditions, healthcare settings, and healthcare providers' professional backgrounds. Plain Language Summary: Users of healthcare services living with long-term health conditions may need empowerment-based support from healthcare providers to discover and develop their inherent capacity to be responsible for their own life. This ensures that healthcare users develop the skills needed to manage the many decisions and problems they face. Yet many healthcare users still experience lack of involvement and support in decision-making and problem-solving. Therefore, we developed the EMPOWER-UP questionnaire to allow healthcare users to evaluate the empowering qualities of their interactions with healthcare providers regardless of their diagnosis, where the interactions take place, and with whom. The aim of this article was to describe the development of EMPOWER-UP and to present the results of early evaluations of its content. The questionnaire was developed in Danish based on thorough qualitative research explaining distinct, complex patterns in user-provider interactions and translated to English during the evaluation process. We used individual feedback from a panel of expert researchers and interviews conducted with healthcare users diagnosed with diabetes, cancer, or schizophrenia to evaluate EMPOWER-UP's content. Interviews were conducted while the participants answered preliminary versions of the questionnaire. As a result of these evaluations, several items in the questionnaire were adjusted, some were deleted, and some new items were developed. We believe that EMPOWER-UP can be an important tool to help evaluate the effectiveness of interventions aimed at ensuring empowering support from healthcare providers. Thus, EMPOWER-UP may help to identify the most effective interventions for specific healthcare contexts. [ABSTRACT FROM AUTHOR]

Considering the importance of the image of the future for understanding performance in social life, the purpose of this research is the image of the future; Conceptualization, design and validation of the questionnaire and its relationship with social capital (with an emphasis on youth). The first part of the current research is Mixed Method and an exploratory sequential design has been used. A qualitative study was conducted with thematic analysis approach and 15 people were selected by convenience and volunteer sampling method and data analysis was done using Braun & Clarke's method. In the quantitative method, 331 people voluntarily participated and the validity and reliability of the data were validated using Spss and Smart-pls software. The findings showed that in the qualitative stage, the image of the future includes "positive perspective" and "negative perspective" and these findings were also confirmed in the quantitative stage. In the second part, 110 people participated voluntarily and the findings showed that there is a significant correlation between "positive perspective" and "negative perspective" with social capital at the level of 0.01. Considering the importance of the image of the future and its changeability and its positive role in social capital, the findings of this research have important implications for experts in the fields of future studies and officials related to general government policies in the field of appropriate action for young people. [ABSTRACT FROM AUTHOR]

The aim of research is to assess the relationship between physical activity, Physical Literacy (PL) and gender among senior students. The research was conducted in 2022 in Lithuania with five city schools. Research participants were selected using a convenience sampling method: grade 10 to 12 (n=287) students 148 boys and 139 girls. A questionnaire survey was used for data collection: Portuguese Physical Literacy Questionnaire for Adolescents (PPLA-Q) to assess the psychological domain of PL (motivation, self-confidence, emotional and physical regulation); Rapid Assessment of Physical Activity (RAPA) Questionnaire - RAPA1 part, which allows to assess the level of physical activity. After analysing the psychological aspects of PL related to physical activity by gender, the obtained results suggest that boys' motivation for physical activity, selfconfidence, emotional stability, assessment of physical limits score higher compared to the group of girls (p<0.01). PA motivation has a strong positive correlation with self-confidence (p<0.01) and a moderate correlation with physical regulation (p<0.01). Physical regulation has statistically significantly correlated with self-confidence (p<0.01) and better emotional regulation (p<0.01). Statistically significant differences by gender were found with all indicators of the psychological domain: PA motivation, self-confidence, emotional regulation, and physical regulation. Mean ranks of boys were higher in all variables; however, the major differences were found in the areas of self-confidence and physical regulation. PA had a direct correlation with all psychological PL elements (PA motivation, self-confidence, emotional regulation, physical regulation) and an inverse correlation with gender. [ABSTRACT FROM AUTHOR]

Abstract Background Decision-making and problem-solving processes are powerful activities occurring daily across all healthcare settings. Their empowering potential is seldom fully exploited, and they may even be perceived as disempowering. We developed the EMPOWER-UP questionnaire to enable assessment of healthcare users’ perception of empowerment across health conditions, healthcare settings, and healthcare providers’ professional backgrounds. This article reports the initial development of EMPOWER-UP, including face and content validation. Methods Four grounded theories explaining barriers and enablers to empowerment in relational decision-making and problem-solving were reviewed to generate a preliminary item pool, which was subsequently reduced using constant comparison. Preliminary items were evaluated for face and content validity using an expert panel of seven researchers and cognitive interviews in Danish and English with 29 adults diagnosed with diabetes, cancer, or schizophrenia. Results A preliminary pool of 139 items was reduced to 46. Independent feedback from expert panel members resulted in further item reduction and modifications supporting content validity and strengthening the potential for generic use. Forty-one preliminary items were evaluated through 29 cognitive interviews, resulting in a 36-item draft questionnaire deemed to have good face and content validity and generic potential. Conclusions Face and content validation using an expert panel and cognitive interviews resulted in a 36-item draft questionnaire with a potential for evaluating empowerment in user-provider interactions regardless of health conditions, healthcare settings, and healthcare providers’ professional backgrounds.

The evaluation of the competencies corresponding to the different professional profiles of future nursing graduates is fundamental to their training. In this regard, students’ self-evaluation must be part of their training. This study aimed to develop and psychometrically test the Perceived Self-Efficacy in Nursing Competencies (PSENC) Scale. This study was conducted in two phases: selecting and adjusting items and assessing the instrument’s psychometric properties. A sample of 1416 students completed the scale online. Exploratory factor and confirmatory factor analyses were conducted. Inferential analysis was carried out. The exploratory factor analysis of the PSENC scale with 20 items resulted in five factors (76.3% of variance). All factors showed Cronbach’s alpha coefficients > 0.70. The confirmatory factor analysis measurement model showed satisfactory and adequate goodness-of-fit indices. The developed scale showed the psychometric adequacy and usefulness to the self-assessment of nursing students regarding their self-efficacy expectations in competencies during their clinical practicum. This study was not registered.

Develop and test a Food-Related Control Scale (FRCS) measuring resident-perceived control in long-term care food service. A bank of 15 initial items based on a multidimensional locus of control construct was developed initially. Expert review, cognitive interviews, a pilot study, and factor analysis were used to validate the instrument and assess reliability. Individual phone-based cognitive interviews and 16 skilled nursing facilities in the US. Cognitive interviews included a convenience sample of independently living adults aged ≥ 65 (n = 13), whereas the pilot study included skilled nursing facility-residing adults (n = 166). Perception of food-related control in a long-term care setting. Cognitive interviews were analyzed to develop items. Quantitative data from skilled nursing facility residents were analyzed using SAS software for structural equation modeling and factor analysis. A 2-dimensional construct (9 items) of the FRCS demonstrated reliability with factor analysis. Concurrent validity within the locus of control construct was demonstrated with the Multidimensional Health Locus of Control Scale (standardized estimate of 0.430; P < 0.1). The FRCS may be used to determine how residents in long-term care perceive control over their food experiences. Further testing is necessary to determine the appropriateness of the FRCS for different population uses. [ABSTRACT FROM AUTHOR]

The evaluation of the competencies corresponding to the different professional profiles of future nursing graduates is fundamental to their training. In this regard, students' self-evaluation must be part of their training. This study aimed to develop and psychometrically test the Perceived Self-Efficacy in Nursing Competencies (PSENC) Scale. This study was conducted in two phases: selecting and adjusting items and assessing the instrument's psychometric properties. A sample of 1416 students completed the scale online. Exploratory factor and confirmatory factor analyses were conducted. Inferential analysis was carried out. The exploratory factor analysis of the PSENC scale with 20 items resulted in five factors (76.3% of variance). All factors showed Cronbach's alpha coefficients > 0.70. The confirmatory factor analysis measurement model showed satisfactory and adequate goodness-of-fit indices. The developed scale showed the psychometric adequacy and usefulness to the self-assessment of nursing students regarding their self-efficacy expectations in competencies during their clinical practicum. This study was not registered. [ABSTRACT FROM AUTHOR]

ABSTRACT Introduction Adolescent Idiopathic Scoliosis (AIS) is a structural spinal deformity with implications for health‐related quality of life (HR‐QoL). The Scoliosis Research Society‐22 revised (SRS‐22r) questionnaire is the standard for HR‐QoL assessment. However, studies have identified limitations with the SRS‐22r, including content and face validity issues, reliability concerns, and language appropriateness. This study aimed to develop and validate a patient‐reported questionnaire, the Staffordshire Questionnaire for Adolescent Idiopathic Scoliosis (SQ‐AIS), to assess the impact of AIS on HR‐QoL. Methods The SQ‐AIS comprises six domains: general health, pain, function/activity, self‐image/appearance, mental health, and intervention. Individuals with AIS aged 10–19 years and clinicians from a range of countries with expertise in AIS contributed to the testing process. Face validity and clinical applicability were assessed using Likert scales, while content validity was evaluated through a categorical binary variable (yes/no). Results Involving 8 AIS patients and 43 clinicians, face validity scores demonstrated an acceptable level of understanding (≥ 4/5) for both individuals with AIS and clinicians. Most individuals with AIS (85.71%) and clinicians (80.95%) affirmed that the questionnaire sufficiently covers various aspects of scoliosis, indicating a satisfactory level of content validity. Ratings for applicability to clinical practice indicated an acceptable level of practical relevance (≥ 4/5). Discussion and Conclusion The SQ‐AIS emerges as a valid and promising tool to overcome existing challenges in AIS‐related outcome assessment. Pending further validation studies, the favorable reception from the international community of clinicians suggests its potential as a new benchmark for evaluating AIS impact on HR‐QoL and monitoring scoliosis management.

Abstract Background Good health self-management positively affects the health of healthcare providers and their ability to manage their patients’ health. This study explored the relationship between ehealth literacy, health self-management skills, and mental health literacy among undergraduate nursing students. Some studies have confirmed the correlation between e-health literacy and health self-management skills, while mental health literacy may be correlated with both, and this study aims to explore the relationship between the three. Methods A descriptive cross-sectional survey was conducted at a medical university in northwestern China among 385 Chinese undergraduate nursing students. Participants completed the General Information Questionnaire, the Adult Health Self-Management Skills Rating Scale, the Mental Health Literacy Rating Scale, and the eHealth Literacy Scale, and provided valid responses. The IBM SPSS 27.0 statistical software was used for data entry and descriptive analysis, t-test, ANOVA, and Pearson correlation analysis. The IBM Amos 26.0 was used to construct the mediation effect model, and the Bootstrap method was employed to test mediating effects. Results Mental health literacy, ehealth literacy, and health self-management skills of undergraduate nursing students were at a moderate to high level. Mental health literacy, ehealth literacy, and health self-management were positively correlated. Mental health literacy, particularly, played a partial mediating role of 31.1% ( 95% CI [0.307–1.418] ) between ehealth literacy and health self-management. Conclusions Undergraduate nursing students’ mental health literacy partially mediates the link between eHealth literacy and health self-management skills. Schools should emphasize the development of nursing students’ e-health literacy and mental health literacy in order to improve their health self-management skills, which will not only bring about a better health outcome for the students, but will also benefit the health of the social population.

Web surveys have become increasingly popular over the last decade, but they tend to suffer from breakoffs, which take place when respondents start the survey but do not complete it. Many studies have investigated the factors impacting breakoffs, but they often ignored the breakoff timing and gave scant attention to two factors: question topics and filter question formats (grouped vs. interleafed as defined by whether filter questions are presented upfront or not). Using survival analysis, this study first identifies when breakoffs are more likely to happen and what are the time-varying predictors of breakoffs. Then, by using a web survey that experimentally manipulates the filter question format and randomly orders the question topic, this study investigates the effect of question topics and filter question formats on the breakoff event and its timing. We find that most breakoffs tend to happen at the beginning of the questionnaire and at the place where a new question topic is introduced. While item nonresponse is associated with more breakoffs, it is surprising to see that open-ended and long questions are associated with a lower breakoff risk. Additionally, we discover that grouping the filter questions leads to fewer breakoffs at the beginning compared to the interleafed counterpart, but the breakoff risk in the grouped format catches up quickly when respondents realise their previous answers will trigger more questions. This study also shows that questions about insurance have more breakoffs while questions on demographics and income have fewer breakoffs despite their sensitivity level. [ABSTRACT FROM AUTHOR]

BackgroundThe resilience construct is considered a personal trait composed of multiple aspects. Connor-Davidson Resilience Scale is a standard tool composed of five factors and 25 items. This study aimed to determine the psychometric properties of this scale.MethodsIn this cross-sectional study, after the scale translation, the factorial structural validity was assessed via the confirmatory factor analysis with 70 180 samples. Internal consistency, composite reliability, convergent validity were assessed by calculating Cronbach's alpha, composite reliability, maximum reliability, and Average Variance Extracted. The discriminant validity was assessed using Heterotrait-monotrait ratio of correlations matrix and also, measure invariance was evaluated.ResultsThe original five-factor model had good model fit indices but due to low factor loading of item 2 and 20, the model was modified. The Cronbach's alpha and composite reliability for four factors were above 0.7 (except for factor 5). The convergent validity for all five factors were achieved. Between factors 1 with 2 and 4, 2 with 3 and 4 discriminant validity was not established (correlations > 0.9) and the results suggested that there might be a second-order latent construct behind these factors. Therefore, a second-order assessment was performed. The results of the second-order latent construct assessment showed a good goodness-of fit and strong measurement invariance for both men and women.ConclusionThe 23-item version of Connor-Davidson Resilience Scale is a reliable and valid scale to measure resilience as a complex construct in the Iran context.

Family income questions in general purpose surveys are usually collected with either a single-question summary design or a multiple-question disaggregation design. It is unclear how estimates from the two approaches agree with each other. The current paper takes advantage of a large-scale survey that has collected family income with both methods. With data from 14,222 urban and rural families in the 2018 wave of the nationally representative China Family Panel Studies, we compare the two estimates, and further evaluate factors that might contribute to the discrepancy. We find that the two estimates are loosely matched in only a third of all families, and most of the matched families have a simple income structure. Although the mean of the multiple-question estimate is larger than that of the single-question estimate, the pattern is not monotonic. At lower percentiles up till the median, the single-question estimate is larger, whereas the multiple-question estimate is larger at higher percentiles. Larger family sizes and more income sources contribute to higher likelihood of inconsistent estimates from the two designs. Families with wage income as the main income source have the highest likelihood of giving consistent estimates compared with all other families. In contrast, families with agricultural income or property income as the main source tend to have very high probability of larger single-question estimates. Omission of certain income components and rounding can explain over half of the inconsistencies with higher multiple-question estimates and a quarter of the inconsistencies with higher single-question estimates. [ABSTRACT FROM AUTHOR]

Background: Good health self-management positively affects the health of healthcare providers and their ability to manage their patients' health. This study explored the relationship between ehealth literacy, health self-management skills, and mental health literacy among undergraduate nursing students. Some studies have confirmed the correlation between e-health literacy and health self-management skills, while mental health literacy may be correlated with both, and this study aims to explore the relationship between the three. Methods: A descriptive cross-sectional survey was conducted at a medical university in northwestern China among 385 Chinese undergraduate nursing students. Participants completed the General Information Questionnaire, the Adult Health Self-Management Skills Rating Scale, the Mental Health Literacy Rating Scale, and the eHealth Literacy Scale, and provided valid responses. The IBM SPSS 27.0 statistical software was used for data entry and descriptive analysis, t-test, ANOVA, and Pearson correlation analysis. The IBM Amos 26.0 was used to construct the mediation effect model, and the Bootstrap method was employed to test mediating effects. Results: Mental health literacy, ehealth literacy, and health self-management skills of undergraduate nursing students were at a moderate to high level. Mental health literacy, ehealth literacy, and health self-management were positively correlated. Mental health literacy, particularly, played a partial mediating role of 31.1% (95% CI [0.307–1.418]) between ehealth literacy and health self-management. Conclusions: Undergraduate nursing students' mental health literacy partially mediates the link between eHealth literacy and health self-management skills. Schools should emphasize the development of nursing students' e-health literacy and mental health literacy in order to improve their health self-management skills, which will not only bring about a better health outcome for the students, but will also benefit the health of the social population. [ABSTRACT FROM AUTHOR]

Background & Aims: Although most countries have long used female staff for prehospital emergency medical services (EMS), this is quite a recent development for the Iranian health system. It is hence necessary to analyze the perspectives of its recipients about the feasibility of assigning female staff to prehospital EMS to improve this service and compare it with other countries. This study aimed to design and evaluate the psychometric properties of a scale for assessing the feasibility of using female staff in prehospital EMS. Materials & Methods: This was a methodological study. The literature was reviewed to develop items for the scale. The scale's content validity index (CVI) was then evaluated based on expert opinions, and its face validity was examined by eliciting comments from the target group and experts. Following that, 456 EMS recipients from East Azerbaijan Province, Iran, completed the electronic version of the scale. Finally, the construct validity and reliability of this scale were determined using exploratory factor analysis (EFA) and internal consistency (Cronbach's alpha), respectively. Results: The findings confirmed the scale's high content validity and internal consistency, as well as its acceptable face validity. The EFA findings also revealed three factors, all of which were based on primary domains: the need for engagement (17 items), groundwork (14 items), and staffing (9 items). Conclusion: The study's findings suggested that the intended scale's design and psychometric properties were appropriate for Iranian culture. Therefore, it can be used to examine public opinion before, during, and after the inclusion of female personnel in prehospital EMS.

BACKGROUND: Since assessment of basic thinking skills is crucial in identifying an individual’s cognitive capacities and comprehending their strengths and weaknesses, developing a suitable evaluating instrument holds significant importance in scheduling the training of basic thinking skills. This study aims to develop and subsequently validate a self-assessment questionnaire of basic thinking skills for medical sciences students. MATERIALS AND METHODS: The present study of designing and psychometrically testing the self-assessment questionnaire of basic thinking skills among medical sciences students was conducted between 2022 and 2023 at Isfahan University. For the validity review, exploratory factor analysis (EFA) was employed. The adequacy of sample size was checked with the KMO index and Bartlett’s test of sphericity. To perform EFA, principal factor analysis with Varimax rotation was performed. To obtain evidence of reliability, the internal consistency of the questionnaire was examined using Cronbach’s alpha. The instrument stability was assessed through test-retest and intra-cluster correlation coefficient (ICC) analysis. RESULTS: The KMO (Keyser-Meyer-Elkin) sampling index was 780, and Bartlett’s sphericity test (BT) was also significant (P = .000). In analyzing the main components and checking the value, the first five components had an eigenvalue above one. The highest percentage of the total variance (67.64%) was explained by the first five factors, while the remaining variance (33.35%) was explained by the remaining 14 factors. Cronbach’s alpha coefficient for 19 items of the final questionnaire was 0.83. Intra-cluster correlation index (ICC) for overall self-assessment of thinking skills (ICC = 0.77), self-assessment of basic thinking skills (ICC = 0.80), self-assessment of lateral thinking (ICC = 0.78), and the necessity of teaching thinking skills (ICC = 0.74)) were all above 0.7 (P < 0.001). DISCUSSION: This study offers the first self-assessment questionnaire for basic thinking skills of medical sciences students which can be employed as a valid and reliable instrument for self-assessment of thinking skills and gaining insight into their training experiences. While the psychometrics of this questionnaire were based on the data from medical students, this questionnaire applies to students across various academic disciplines and is not limited to medical fields.

Ibrahim Belal,1,&ast; Sajjad Hassam,2,&ast; Ameer Mirza3,&ast; 1Faculty of Medicine, University of Southampton, Southampton, UK; 2Department of Medicine, Faculty of Medicine, Imperial College London, London, UK; 3Faculty of Medical Sciences, University College London, London, UK&ast;These authors contributed equally to this workCorrespondence: Sajjad Hassam, Department of Medicine, Faculty of Medicine, Imperial College London, London, UK, Email smh20@ic.ac.uk

Introduction: Deep brain stimulation (DBS) is an established therapy for Parkinson's disease (PD) that can significantly improve motor symptoms and quality of life. Despite its effectiveness, little is known about patient perceptions of DBS. Objectives: To evaluate patient perceptions of DBS for PD, focusing on understanding, satisfaction, and factors influencing their outlook. This study aims to enhance patient education and counseling by identifying key determinants of patient perceptions. Design: A patient survey. Methods: We surveyed 77 PD patients who had undergone DBS at multiple centers using a comprehensive questionnaire. The questionnaire included questions on demographic information, disease history, and detailed understanding about the indications for DBS, side effects, outlook, and other common misconceptions. We summarize data using measures of central tendency and dispersion appropriate to the data type (categorical, continuous, proportional) and model relationships among variables using fractional and linear regression methods. Results: Participants had a median age of 66 years, were predominantly male (66%), Caucasian (90%), well-educated (79% with at least college degrees), and had a disease duration of greater than 5 years (97%). They conveyed good understanding of the signs and symptoms addressed by DBS across the motor and non-motor domains and associated side effects. Regression analysis identified age, disease duration, and education level as key determinants of patient understanding and outlook of DBS. Conclusion: Our study provides a detailed understanding of patient perceptions of DBS for PD, including the benefits, challenges, and misconceptions. Our findings underscore the importance of identifying the causes of disparities in patient knowledge and perceptions regarding DBS to tailor patient counseling and ensure optimal treatment outcomes. [ABSTRACT FROM AUTHOR]

We investigated two research questions: which students are more likely to respond inconsistently to mixed-worded questionnaire scales, and which country samples have larger shares of inconsistent respondents? We defined an inconsistent response as strongly agreeing or disagreeing with both positively and negatively worded items of the same scale. Since we assumed that inconsistent responding occurs due to a lack of carefulness, reading, or cognitive skills, we expected to find that inconsistent responding was associated with lower achievement, younger age, being a nonnative speaker, and being a boy. We used data from all 38 countries that participated in the fourth- and eighth-grade assessments of TIMSS (Trends in International Mathematics and Science Study) 2019. Using the mean absolute difference method, we identified shares of 1‒21% inconsistent respondents across samples. The results generally supported our hypotheses, especially the hypothesis that inconsistent responding is more common among students and countries with lower mathematics achievement levels. [ABSTRACT FROM AUTHOR]

As a crucial method in organizational and social behavior research, self-report surveys must manage method bias. Method biases are distorted scores in survey response, distorted variance in variables, and distorted relational estimates between variables caused by method designs. Studies on method bias have focused on post hoc statistical control, but integrated analyses of the sociopsychological mechanism of method bias are lacking. This review proposes a framework for method bias and offers a relatively complete and detailed review of the sociopsychological and statistical mechanisms of four main types of method bias and their procedural remedies. This review proposes "reduce, remove, and rectify" as a guideline for researchers in survey design to address method bias. Finally, this review presents two directions for future methodology research. [ABSTRACT FROM AUTHOR]

Background: Leadership competencies in medicine are the key factors in improving the performance of physicians and the health system. The aim of the present study was to design and validate the leadership competencies scale in medicine. Methods: This research was conducted with a qualitative-quantitative approach. The research sample consisted of 12 physician managers in the qualitative stage and 15 people in the content validity evaluation stage using purposive sampling method. In the preliminary implementation stage of the questionnaire, 35 people were selected by convenience sampling and the main implementation stage of the questionnaire 306 students, faculty members, and medical graduate managers were selected using relative stratified random method. Qualitative data were collected by semi-structured interview and quantitative data by questionnaire. To analyze the qualitative data, the Esterberg analysis method was used, and to evaluate the construct validity, confirmatory factor analysis with Smart-PLS3 software was used. To evaluate the validity of quantitative data, content validity index, content validity ratio, Cronbach's alpha coefficient, convergent validity, and structural equation model fit indices were used. The criteria of credibility, transferability, dependability, and conformability were used using triangulation to evaluate the validity of the qualitative research data. Results: Competencies and parameters of the questionnaire were extracted into 17 competences and 123 concepts through the coding of interview texts and converted into a questionnaire in 101 items. The content validity of 100 items was valid. The results of factor analysis showed that the factor load of 99 items was valid and 17 components explained the structure of leadership competencies. Based on the fit indices of the model, the measurement scale of leadership competencies in medicine was valid in 17 components and 99 items. These components include perception and impression management, professional ethics, conflict management, problem solving, discipline, informal organization, public communication skills, interpersonal relationship skills, listening, cultural management, professional culture, innovation and creativity, motivation, emotional intelligence, change management, feeling management, participative management. Conclusion: Attention to the curriculum of leadership competencies in medical education and the application of this scale can improve the quality of leadership in the health system.

Abstract Background With advances in pulp preservation procedures (PPP), indications for PPP extend to exposed pulp with symptoms in teeth with carious lesions. Scenario/text-based questionnaire studies report a high preference for PPP for exposed pulp with no pulpal symptoms. However, negative perceptions towards PPP for exposed pulp in carious teeth are prevalent among dentists. Identifying the differences in PPP preference rates in questionnaire studies and actual clinical situations is necessary to determine the current status of PPP. In this study, a clinical case/photo-based design was devised to overcome the limitations of scenario/text-based questionnaires. This study aimed to evaluate the reasons dentists prefer root canal treatment (RCT) in cases where PPP is potentially indicated. Methods A questionnaire containing three cases of PPP with successful results was administered to dentists. The cases were selected to elicit comprehensive responses from the dentists. Clinical photos of the pulp exposure sites were presented to dentists without describing the tooth conditions, including the extent of pulp exposure and tooth decay, pulpal surface conditions, or restorability. The questions were focused on the reasons for selecting RCT in cases where was practiced. Questionnaire data were collected using Google e-forms. Chi-squared and Fisher’s exact test (P

Background: Despite the widespread recognition among authors and international agencies of the significance, essential nature, and rightful entitlement of children to directly voice their thoughts, research with young students is not as frequently undertaken as one might expect, particularly in the context of evaluating teachers’ performance. Interestingly, though, when researchers and evaluators have engaged young students in data collection, they have overlooked the use of questionnaires and rather favoured more qualitative and participatory data collection tools or closed-questions surveys. Objectives: In order to fill this gap, this article intends to make a case for a wider use of mixed quantitative and qualitative questionnaires with young students as a reliable tool to monitor teachers’ performance more systematically. Method: In particular, the article illustrates how to design and administer questionnaires to primary school students using a framework developed with contributions from four main sources: Gendall’s revisitation of Labaw’s theory of questionnaire design, the question answer process, Piaget’s theory of cognitive development stages, and lessons learnt from a questionnaire designed and administered by the author among Tanzanian primary school students. Results: This approach not only ensures that students respond thoughtfully and reach consensus through debating, but also provides deeper insights into the specific cognitive and emotional criteria valued by students. Conclusion: The article shows that the employment of questionnaires with young students is likely to yield valid and reliable data when three conditions are met: (1) questions are tailored to the respondents’ cognitive skills and cultural background; (2) questions cover content that is meaningful to the respondents; and (3) questionnaires are administered in settings in which respondents can freely interact with each other. Contribution: By establishing that the validity and reliability of data from questionnaires with young students hinge on considerations of cognitive skills, cultural background, meaningful content, and interactive administration, this article sets a foundation for enhancing the effectiveness of teacher evaluation methods in educational settings.

Background: With advances in pulp preservation procedures (PPP), indications for PPP extend to exposed pulp with symptoms in teeth with carious lesions. Scenario/text-based questionnaire studies report a high preference for PPP for exposed pulp with no pulpal symptoms. However, negative perceptions towards PPP for exposed pulp in carious teeth are prevalent among dentists. Identifying the differences in PPP preference rates in questionnaire studies and actual clinical situations is necessary to determine the current status of PPP. In this study, a clinical case/photo-based design was devised to overcome the limitations of scenario/text-based questionnaires. This study aimed to evaluate the reasons dentists prefer root canal treatment (RCT) in cases where PPP is potentially indicated. Methods: A questionnaire containing three cases of PPP with successful results was administered to dentists. The cases were selected to elicit comprehensive responses from the dentists. Clinical photos of the pulp exposure sites were presented to dentists without describing the tooth conditions, including the extent of pulp exposure and tooth decay, pulpal surface conditions, or restorability. The questions were focused on the reasons for selecting RCT in cases where was practiced. Questionnaire data were collected using Google e-forms. Chi-squared and Fisher's exact test (P < 0.05) were used for statistical analyses. Results: Pulpal diagnosis was not a dominant factor in treatment decision-making for pulp exposure during caries removal. Reasons for selecting RCT where PPP was potentially indicated included the event of pulp exposure itself and the dentists' desire to prevent post-PPP symptoms. Apart from symptomatic pulp, the tooth conditions influenced the establishment of pulpal diagnosis and selection of treatment modality. Moreover, the tooth condition and dentists' desire for good patient prognosis influenced the negative perceptions towards PPP. Conclusions: Unfavourable tooth conditions, in association with a desire for preventing post-PPP symptoms, prevent dentists from attempting PPP for pulp exposed during caries removal with no/slight symptoms. Improving negative perceptions towards PPP through accumulation of data on the high success rates of PPP is a prerequisite for achieving widespread application of PPP. [ABSTRACT FROM AUTHOR]

Peer sexual harassment among adolescents is a widespread problem worldwide, associated with several adverse outcomes. Although retrospective reports indicate that people's first experience of peer sexual harassment occurs before puberty, research in younger ages is still scarce and measures of peer sexual harassment developed for children are lacking. This study explores the possibility of measuring peer sexual harassment in late childhood by evaluating a new scale of developmentally informed items, the Peer Sexual Harassment Scale—Child (PSH‐C), designed to capture peer sexual harassment (i.e., victimization, perpetration, and witnessing) in late childhood (ages 10–12 years) in the school context. Self‐report surveys were distributed to 1007 fourth‐grade students in Sweden (M age = 10.0 years, SD =.3, n = 516 girls). The PSH‐C showed good psychometric properties, supporting the scale's ability to capture peer sexual harassment in late childhood. Exploratory structural equation analyses suggested a two‐factor structure which was confirmed by confirmatory factor analyses: 1) direct verbal sexual aggression, and 2) direct physical sexual harassment, verbal comments and jokes, and visual sexual harassment. The division of the structure contradicts previous studies of adolescents, possibly indicating a difference in the peer sexual harassment construct in relation to development and age. [ABSTRACT FROM AUTHOR]

Objective: To determine whether a 6‐ or 12‐month look‐back period affected rates of reported social risks in a social risk survey for use in the Veterans Health Administration and to assess associations of social risks with overall health and mental health. Study Design: Cross‐sectional survey of respondents randomized to 6‐ or 12‐month look‐back period. Data Sources and Study Setting: Online survey with a convenience sample of Veterans in June and July 2021. Data Collection/Extraction Methods: Veteran volunteers were recruited by email to complete a survey assessing social risks, including financial strain, adult caregiving, childcare, food insecurity, housing, transportation, internet access, loneliness/isolation, stress, discrimination, and legal issues. Outcomes included self‐reported overall health and mental health. Chi‐squared tests compared the prevalence of reported social risks between 6‐ and 12‐month look‐back periods. Spearman correlations assessed associations among social risks. Bivariate and multivariable logistic regression models estimated associations between social risks and fair/poor overall and mental health. Principal Findings: Of 3418 Veterans contacted, 1063 (31.10%) responded (87.11% male; 85.61% non‐Hispanic White; median age = 70, interquartile range [IQR] = 61–74). Prevalence of most reported social risks did not significantly differ by look‐back period. Most social risks were weakly intercorrelated (median |r| = 0.24, IQR = 0.16‐0.31). Except for legal issues, all social risks were associated with higher odds of fair/poor overall health and mental health in bivariate models. In models containing all significant social risks from bivariate models, adult caregiving and stress remained significant predictors of overall health; food insecurity, housing, loneliness/isolation, and stress remained significant for mental health. Conclusions: Six‐ and 12‐month look‐back periods yielded similar rates of reported social risks. Although most individual social risks are associated with fair/poor overall and mental health, when examined together, only adult caregiving, stress, loneliness/isolation, food, and housing remain significant. [ABSTRACT FROM AUTHOR]

Background and Purpose: This study is aimed at translating the third version of the Atlanta Heart Failure Knowledge Test (AHFKTv3) into the Persian language and evaluating its psychometric properties. Methods: In this methodological study, the AHFKTv3 was translated into Persian and its face, content, construct validity, and reliability were assessed. Results: The content validity of AHFKTv3 items was >0.78 and the validity of the instrument was 0.96. The standardized factor loading value of all items, except for item 16, was >0.3. The scores of the AHFKTv3 and European Heart Failure Self-Care Behavior Scale had a significant correlation with each other (p <.001). The AHFKTv3 score had a significant relationship with the educational level. The Kuder-Richardson Formula 20 coefficient was 0.908. Conclusion: The Persian AHFKTv3 is a valid and reliable instrument for assessing HF-related knowledge; therefore, it can be used in nursing practice to identify and address the deficits aiming for better patient care and in research to evaluate treatment and healthcare programs. [ABSTRACT FROM AUTHOR]

Academic publishing is a critical aspect of research, contributing to knowledge dissemination and career advancement. However, there is a paucity of standardised instruments for assessing academics' persistence in publishing. This study developed and validated the Persistence to Publish Questionnaire (PPQ) as a valid and reliable tool for evaluating academics' persistence to publishing in Scopus-indexed journals. The PPQ was developed through a rigorous process, including item generation, content validity assessment, pretesting, and pilot testing of items. A sample of academics (n = 262) from various disciplines across two public universities in Cross River State participated in the validation process. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted to determine the instrument's factor structure and evaluate its fit. The results from the analysis revealed that the PPQ is a multidimensional instrument with five underlying factors - persistence in manuscript preparation, manuscript submission, handling revisions, dealing with rejections, and publication delays. The PPQ exhibited strong reliability in terms of internal consistency, with Cronbach's a values ranging from .89 to .99. McDonald's - and splithalf reliability corrected with the Spearman-Brown prophecy formula (rtt) results further supported its reliability. Construct validity evidence showed both convergent and discriminant validity, confirming that the PPQ effectively measures persistence to publish. The PPQ represents a valuable contribution to the field of academic publishing. It offers an opportunity for researchers and institutions to assess the degree to which academics are willing to publish, empowering researchers and institutions to identify areas of improvement and provide targeted support. This tool holds promise for enhancing research productivity and quality within the global academic community. [ABSTRACT FROM AUTHOR]

When survey respondents have nothing to report for questions asking for a quantity, they should report a lack of quantity instead of skipping the question. Reports of zero can be collected by asking respondents to check a None box. However, the effectiveness of this design has not been supported and, with the growing prevalence of web surveys, new design options are available. This study on data quality and user experience tested a web survey and the impact of three designs for reporting zero: a None box, instructions to enter “0” if respondents had nothing to report, and a Yes/No filter question preceding a write-in quantity. We administered the online survey to an opt-in panel of respondents in the U.S. Respondents were randomly assigned one of the three designs. They received a four-question survey with expected high rates of reporting zero. After controlling for demographic variables, we found that the None Box design resulted in significantly more item nonresponse than the Enter 0 design and nominally more than the Filter Question design. Additionally, the None Box design was the least efficient as it took more time on average to answer, and respondents who received that design rated the survey as less easy to answer. These findings align with previous literature that the None Box design is problematic. This research supports the use of alternative question designs in web surveys such as entering “0” or using filter questions when respondents may not have anything to report. [ABSTRACT FROM AUTHOR]

Instructional Manipulation Checks (IMCs) are intended to detect inattention, a common occurrence in survey responding. We use eye tracking to empirically assess the attention that survey respondents dedicate to a short and a long IMC. We find that all 21 respondents pass the short IMC. In contrast, six respondents fail the long IMC. Our eye-tracking results show that some respondents who fail the long IMC check allocate more cognitive effort and time to processing this check than others, suggesting that lack of comprehension rather than inattention may be the relevant underlying mechanism for their failure. For other respondents failing the IMC, lack of attention and speeding is more likely to be the culprit. These findings culminate into the suggestion that future researchers should assess the time that respondents failing an IMC dedicated to this check to distinguish between miscomprehension (long time) and inattention (short time). [ABSTRACT FROM AUTHOR]

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Inequities in access, availability, and affordability of nutritious foods produced by settler colonialism contribute to high rates of food insecurity among American Indian and Alaska Native (AI/AN) households. Efforts to understand the influences of food security programming among AI/AN individuals in the United States are constrained by the absence of validity evidence for food security assessments for this population. This study assessed whether AI/AN adult responses on the Food Security Survey Module provide an accurate assessment of food security prevalence, especially when compared with other racial and ethnic groups. A correlational design with the cross-sectional 2019 National Health Interview Survey was used to address the research objective. The 2019 National Health Interview Survey contains a sample (N = 30,052) representative of the resident civilian noninstitutionalized population. The primary outcome was food security, as characterized by the 10-item US Department of Agriculture Adult Food Security Survey Module. The module evaluates whether insufficient finances result in perceived food shortages and a reduction in the quantity and/or quality of food intake during the prior 30 days. Data were analyzed by racial and ethnic subsamples to assess scale dimensionality (confirmatory factor analysis), Item Response Theory item analysis, differential item functioning, and external validity (χ2 tests). Results supported the use of the 10-item module for racial and ethnic groups. However, differential item functioning effect sizes exceeded criteria for the Asian, AI/AN, and Hispanic respondents when compared with White respondents. Food security was not significantly related to all expected correlates in the AI/AN subsample. Compelling evidence is presented for validity of the FSSM scores in determining food security status of AI/AN adults. Qualitative inquiry that explores how culture influences the way food security is conceptualized and experienced is warranted. [ABSTRACT FROM AUTHOR]

BackgroundLegalization of medical and recreational cannabis in US states has been accompanied by increases in availability, acceptability, and diversity in methods of cannabis use, as well as an increase in devices and methods for cannabis-tobacco co-use. Updated and specific survey measures of cannabis and cannabis-tobacco co-use are needed.MethodsWe employed a mixed-methods approach to identify sources of specification and measurement error in cannabis and cannabis-tobacco co-use measures. We surveyed and interviewed 36 young adult (age 18-29) cannabis and tobacco co-users in California (2017-2018), triangulated with document analysis of online cannabis websites and forums. We investigated how survey reports of cannabis use and cannabis-tobacco co-use compared to narrative descriptions provided during in-depth interviews. We identify key strategies for researchers collecting self-reported survey data to enhance accuracy and comprehensiveness of measures.FindingsPotential sources of survey error included: broad variation in cannabinoid content and concentration, inconsistent interpretation of questions between participants and researchers (e.g. blunts were not considered co-use), and substantial variation in dosage within and between products. No evidence of survey recall bias or response editing was detected.ConclusionTo enhance survey accuracy, we recommend surveys specify which cannabis delivery methods and forms are included and excluded in each measure, differentiate between cannabis products, and explicitly include or exclude CBD product use.

Survey data quality suffers when respondents have difficulty completing complex tasks in questionnaires. Cognitive load theory informed the development of strategies for educators to reduce the cognitive load of learning tasks. We investigate whether these cognitive load reduction strategies can be used in questionnaire design to reduce task difficulty and, in so doing, improve survey data quality. We find that this is not the case and conclude that some of the traditional survey answer formats, such as grid questions, which have been criticized in the past lead to equally good data and do not frustrate respondents more than alternative formats. [ABSTRACT FROM AUTHOR]

Questions using agree/disagree (A/D) scales are ubiquitous in survey research because they save time and space on questionnaires through display in grids, but they have also been criticized for being prone to acquiescent reports. Alternatively, questions using self-description (SD) scales (asking respondents how well a statement describes them from Completely to Not at All) can also be presented in grids or with a common question stem, and by omitting the word agree, SD scales may reduce acquiescence. However, no research has examined how response patterns may differ across A/D and SD scales. In this article, we compare survey estimates, item nonresponse and nondifferentiation across these two types of scales in a mail survey. We find that SD scales outperform A/D scales for non-socially desirable questions that ask about positive topics. For questions that ask about negative topics, we find that estimates for SD items are significantly more negative than A/D items. This may occur because the SD scale is unipolar and has only one negative response option (Not at All), whereas the bipolar A/D scale has two negative response options (Disagree and Strongly Disagree). We recommend that researchers use SD scales for non-socially desirable positive valence questions. [ABSTRACT FROM AUTHOR]

Nobutaka Hattori,1 Yoshiko Okada,2 Yayoi Kawata,3 Yoshihiko Furusawa,3 Takumi Imai,4 Hisako Yoshida,4 Mihoko Ota,3 Masaki Arai,3 Ayumi Shintani,4 Jovelle Fernandez3 1Department of Neurology, Juntendo University, Tokyo, Japan; 2Japan Parkinson Congress, Tokyo, Japan; 3Japan Medical Office, Takeda Pharmaceutical Company Limited, Tokyo, Japan; 4Department of Medical Statistics, Graduate School of Medicine, Osaka Metropolitan University, Osaka, JapanCorrespondence: Yoshihiko Furusawa, Japan Medical Office, Takeda Pharmaceutical Company Limited, 2 Chome-1-1 Nihonbashihoncho, Chuo City, Tokyo, 103-0023, Japan, Tel +81-3-3278-2111, Fax +81-3-3278-2000, Email yoshihiko.furusawa@takeda.comObjective: The coronavirus disease 2019 (COVID-19) pandemic changed the lives of patients with Parkinson’s disease (PD) and their caregivers. This study aimed to investigate changes in patient behavior and PD symptoms and their effect on caregiver burden resulting from the COVID-19 pandemic in Japan.Methods: This nationwide, observational, cross-sectional survey included patients with self-reported PD and caregivers (members of the Japan Parkinson’s Disease Association). The primary objective was to evaluate changes in behaviors, self-assessed PD symptoms, and caregiver burden from pre–COVID-19 (February 2020) to post–national state of emergency (August 2020 and February 2021).Results: Responses from 1883 patients and 1382 caregivers from 7610 distributed surveys were analyzed. Mean (standard deviation) age of patients and caregivers was 71.6 (8.2) and 68.5 (11.4) years, respectively; 41.6% of patients had a Hoehn and Yahr (HY) scale of 3. Patients (> 40.0%) reported decreased frequency of going out. Most patients (> 70.0%) reported no change in treatment visit frequency, voluntary training, or rehabilitation and nursing care insurance services. Symptoms worsened for approximately 7– 30% of patients; the proportion with HY scale 4– 5 increased from pre–COVID-19 (25.2%) to February 2021 (40.1%). Aggravated symptoms included bradykinesia, walking, gait speed, depressed mood, fatigue, and apathy. Caregivers’ burden increased because of patients’ worsened symptoms and reduced time going out.Conclusion: Control measures during infectious disease epidemics should consider that patients’ symptoms may worsen; therefore, patient and caregiver support is needed to reduce burden of care.Keywords: Parkinson’s disease, COVID-19, questionnaire design, caregiver burden

Abstract Background The digitalization of healthcare requires users to have sufficient competence in using digital health technologies. In the Netherlands, as well as in other countries, there is a need for a comprehensive, person-centered assessment of eHealth literacy to understand and address eHealth literacy related needs, to improve equitable uptake and use of digital health technologies. Objective We aimed to translate and culturally adapt the original eHealth Literacy Questionnaire (eHLQ) to Dutch and to collect initial validity evidence. Methods The eHLQ was translated using a systematic approach with forward translation, an item intent matrix, back translation, and consensus meetings with the developer. A validity-driven and multi-study approach was used to collect validity evidence on 1) test content, 2) response processes and 3) internal structure. Cognitive interviews (n = 14) were held to assess test content and response processes (Study 1). A pre-final eHLQ version was completed by 1650 people participating in an eHealth study (Study 2). A seven-factor Confirmatory Factor Analysis (CFA) model was fitted to the data to assess the internal structure of the eHLQ. Invariance testing was performed across gender, age, education and current diagnosis. Results Cognitive interviews showed some problems in wording, phrasing and resonance with individual’s world views. CFA demonstrated an equivalent internal structure to the hypothesized (original) eHLQ with acceptable fit indices. All items loaded substantially on their corresponding latent factors (range 0.51–0.81). The model was partially metric invariant across all subgroups. Comparison of scores between groups showed that people who were younger, higher educated and who had a current diagnosis generally scored higher across domains, however effect sizes were small. Data from both studies were triangulated, resulting in minor refinements to eight items and recommendations on use, score interpretation and reporting. Conclusion The Dutch version of the eHLQ showed strong properties for assessing eHealth literacy in the Dutch context. While ongoing collection of validity evidence is recommended, the evidence presented indicate that the eHLQ can be used by researchers, eHealth developers and policy makers to identify eHealth literacy needs and inform the development of eHealth interventions to ensure that people with limited digital access and skills are not left behind.

Abstract Background Inflammatory bowel disease is an uncommon disease in developing nations whereby patient’s knowledge on the disease may be limited. The CCKNOW questionnaire, a widely known questionnaire to assess patient’s knowledge on the disease, may be too complex to comprehend for patients in developing countries. The aim of this study is to develop a new tool known as AIBDKQ questionnaire to evaluate the local inflammatory bowel disease patient’s knowledge. Methods This was a prospective study carried out in four phases. In phase 1, three gastroenterologists with expertise in IBD generated a total of 21 questions related to the general knowledge of the disease in the English language. Phase 2 involved content and face validity whereby the questions were further validated by other gastroenterologists. In phase 3, the validated questions were translated into three languages namely Malay, Mandarin and Tamil which are commonly used in Malaysia. In phase 4 (statistical validity), administration of the questionnaires to patients and hospital staff were conducted to assess the construct validity, discriminative ability, predictive validity and reliability of the questionnaires. Results A total of 21 questions were generated initially. Further evaluation indicated that 20 items had adequate kappa and content validity index for relevance (CVI: 0.714 to 1, Kapp: 0.645 to 1) and clarity (CVI: 0.714 to 1, Kapp: 0.645 to 1). The questionnaires in four languages were administered to 213 patients to assess the construct validity. Six items were removed (three for low communality, one for small loading factors, two for cross loading), resulting in 16 final questions. Assessment with 34 hospital staff involving nurses, doctors and clerks showed significant differences in knowledge between the groups (F = 14.007, p

Abstract Background There is evidence that a woman who receives continuous labour support from a chosen companion can have shorter labour duration, is more likely to give birth without medical interventions, and report a satisfying childbirth experience. These outcomes result from the beneficial effects of emotional and practical support from the woman’s chosen companion, and care provided by health providers. When a woman’s chosen companion is her male partner, in addition to the above benefits, his presence can promote his bonding with the baby, and shared parenthood. However, there may be healthcare system barriers, including organisational, management and individual (staff) factors, that inhibit or restrict women’s choice of companion. There are currently no suitable survey tools that can be used to assess the system level factors affecting the implementation of male partners’ attendance at childbirth in low- and middle- income countries (LMICs). Methods We designed two questionnaires to help to address that gap: the Male Partners’ Attendance at Childbirth-Questionnaire for Heads of Maternity Units (MPAC-QHMUs); and the Male Partners’ Attendance at Childbirth-Questionnaire for Maternity Staff (MPAC-QMS). We carried out an extensive review to generate initial items of the two questionnaires. We assessed the content and face validity of the two questionnaires in a three-round modified Delphi study. Results The Male Partners’ Attendance at Childbirth-Questionnaire for Heads of Maternity Units (MPAC-QHMUs) focused on organisational and management factors. The Male Partners’ Attendance at Childbirth-Questionnaire of Maternity Staff (MPAC-QMS) focused on individual staff factors. The final MPAC-QHMUs and MPAC-QMS included items which garnered over 80% content relevance according to the experts’ rating. After all three consensus rounds of the Delphi study, 43 items were retained for the MPAC-QHMUs and 61 items were retained for the MPAC-QMS. Conclusions The MPAC-QHMUs and the MPAC-QMS may help understanding of barriers affecting male partners’ attendance at childbirth in LMICs in order to devise implementation strategies to enable wider availability and to maximize women’s choices during labour and childbirth. The MPAC-QHMUs and the MPAC-QMS as newly-developed questionnaires require further validation of their acceptability and feasibility in different cultural contexts, and languages.

The Net Promoter Score (NPS®) is extensively used as a key performance indicator in practice. Although the scale was initially considered to be a predictor of growth, the literature has disproved this assertion. Despite this, it is argued here that the NPS could be used as a measure of brand health if it provided an effective representation of consumer sentiment toward the brand. This research took a respondent perspective to examine if the NPS effectively captured the consumer's sentiment. Using a questionnaire design, participants were asked to provide a response on an NPS scale, followed by which they were asked to explain why they gave that score. Therein, a sentiment analysis approach was applied and the open-ended responses were coded based on the type and strength of the attitude. The results indicate that at an overall level, the NPS captures the sentiment participants feel toward a brand. However, caution should be used when classifying participants into detractors, passives, and promoters. [ABSTRACT FROM AUTHOR]

Objective: To assess whether knowledge of Tuskegee, the U.S. Immigration and Customs Enforcement (ICE) agency's detainment of children, and satisfaction with the George Floyd death investigation were associated with trust in actors involved in the development and distribution of coronavirus vaccines. Data Sources and Study Setting: National survey with a convenience sample of Black (n = 1019) and Hispanic (n = 994) adults between July 1 and 26, 2021. Study Design: Observational study using stratified adjusted logistic regression models to measure the association between ratings of the trustworthiness of actors involved in the development and distribution of coronavirus vaccines. Principal Findings: Among Black respondents, lower satisfaction with the George Floyd death investigation was associated with lower trustworthiness ratings of pharmaceutical companies (ME: −0.09; CI: −0.15, 0.02), the FDA (ME: −0.07; CI: −0.14, −0.00), the Trump Administration (ME: −0.09; CI: −0.16, −0.02), the Biden Administration (ME: −0.07, CI: −0.10, 0.04), and elected officials (ME: −0.10, CI: −0.18, −0.03). Among Hispanic respondents, lower satisfaction was associated with lower trustworthiness ratings of the Trump Administration (ME: −0.14, CI: −0.22, −0.06) and elected officials (ME: −0.11; CI: −0.19, −0.02). Greater knowledge of ICE's detainment of children and families among Hispanic respondents was associated with lower trustworthiness ratings of state elected officials (ME: −0.09, CI: −0.16, 0.01). Greater knowledge of the US Public Health Service Study of Syphilis in Tuskegee was associated with higher trustworthiness ratings of their usual source of care (ME: 0.09; CI: 0.28, 0.15) among Black respondents (ME: 0.09; CI: 0.01, 0.16). Conclusions: Among Black respondents, lower satisfaction with the George Floyd death investigation was associated with lowered levels of trust in pharmaceutical companies, some government officials, and administrators; it was not associated with the erosion of trust in direct sources of health care delivery, information, or regulation. Among Hispanic respondents, greater knowledge of the ICE detainments was associated with lower trustworthiness ratings of elected state officials. Paradoxically, higher knowledge of the Study of Syphilis in Tuskegee was associated with higher trustworthiness ratings in usual sources of care. [ABSTRACT FROM AUTHOR]