Objective：The aim of this study was to develop a frailty scale for the elderly in China and to examine its reliability and validity.Methods：The method of convenient sampling was used to select 375 elderly individual...Objective：The aim of this study was to develop a frailty scale for the elderly in China and to examine its reliability and validity.Methods：The method of convenient sampling was used to select 375 elderly individuals in different communities of Tianjin,China.EuroQpl-5D was used to evaluate the criterion validity.Cronbach＇s αcoefficients,correlation analysis,exploratory factor analysis,criterion-related validity,and internal consistency were used to evaluate the reliability and validity of the scale.To evaluate the test—retest reliability,30 old people were re-evaluated after 2 weeks.Results：The final version of the frailty scale（FI-35） consisted of 35 items.Eleven factors were extracted by a principal factor analysis and varimax rotation,with a cumulative contribution of 86.00%.Eleven dimensions were positively correlated（r = 0.130-0.541,P 〈 0.01）.Cronbach＇s α coefficient was 0.952,and the alpha coefficients of 11 dimensions ranged from 0.730 to 0.992.The test-retest reliability was0.874 for the total scale.The split-half reliability of the scale was 0.808.Structural equation modeling was used to perform a confirmatory factor analysis,and various parameters were all acceptable.Conclusions：FI-35 met the requirement of scale development and showed good reliability and validity;thus,it can be used as an efficient frailty measurement tool for Chinese elderly.展开更多
Aim: The purpose of this study was to develop a scale, “parental anxiety about pediatric emergency medical care services” (PAPEMCS), and to evaluate its psychometric properties. Methods: Participants were 14,510 par...Aim: The purpose of this study was to develop a scale, “parental anxiety about pediatric emergency medical care services” (PAPEMCS), and to evaluate its psychometric properties. Methods: Participants were 14,510 parents with children 6 years old or younger in Kagawa Prefecture. Using each half of the participants, exploratory factor analysis was performed to generate items and factors for the PAPEMCS, and confirmatory factor analysis (CFA) was used to establish the construct validity. The generalizability of the PAPEMCS was evaluated by congruence tests and multigroup CFA. The usefulness of the PAPEMCS was established by the relationship between the PAPEMCS and non-urgent usage of pediatric emergency medical care services (PEMCS). Results: The PAPEMCS compromised 4 factors: “anxiety about quality of PEMCS”, “anxiety about PEMCS system”, “anxiety about public support”, and “anxiety about private support”. All reliability estimates (polychoric ordinal alpha coefficients, item-rest correlations), the item discrimination, 5 fit indices for CFA, the convergent validity (indicator reliabilities, composite reliabilities, average variance extracteds), and the discriminant validity fulfilled the acceptability thresholds. All generalizability estimates fulfilled the predetermined levels of acceptability (Tucker’s congruence coefficients, congruence tests, strict factorial invariance). The usefulness of the PAPEMCS was established by the higher scores of the PAPEMCS being related to non-urgent usage of PEMCS. Conclusions: The PAPEMCS demonstrated satisfactory reliability, validity, generalizability and usefulness. The PAPEMCS is useful to quantify the contents and extent of parental anxiety about PEMCS, and to clarify the mechanisms of non-urgent PEMCS usage.展开更多
Self-regulated learning （SRL） is one of the precious ways in teachers＇ professional development, and its operation level includes different factors. With studies abroad and our preliminary investigation as base, th...Self-regulated learning （SRL） is one of the precious ways in teachers＇ professional development, and its operation level includes different factors. With studies abroad and our preliminary investigation as base, this study developed a scale to test the factors SRL includes. According to the result of 905 teachers working in elementary school by exploratory factor analysis, the SRL for elementary teachers is consisted of its sociality （it included selecting leads and seeking for instructing）, its motivation（it included self-improvement and self-excelling）, its methods（it included strategy use and habitual behavior）, and its outcomes（it included extensive reading and teachers＇ professional development）. All the result indicated Teachers＇ SRL Scale had clear factor structure, good reliability and validity. It can be used to test the current operating situation of SRL for teachers working in elementary school.展开更多
To develop the cost climate survey scale( CCSS) used in construction enterprises,the design concepts,principles and the process diagrams of CCSS are proposed.Through questionnaire investigation and expert interviews,3...To develop the cost climate survey scale( CCSS) used in construction enterprises,the design concepts,principles and the process diagrams of CCSS are proposed.Through questionnaire investigation and expert interviews,314 projects are established and the CCSS that is made up of 7 dimensions framework and 30 levels is preliminarily determined.After categorized merger,pre-test analysis and multiple items refining,16 projects of CCSS are eventually compiled.In order to verify the credibility and validity of the CCSS,200 employees in Qinhuangdao construction company as the samples are tested.SPSS 21.0 is used to analyze the reliability,validity and rationality of level divisions,and Amos 22.0 is for analyzing the degree of model adaptation in this survey.Finally,the current cost climate situation of the construction site in the company is evaluated,the deficiencies of the cost culture of the construction site are pointed out.This study shows that strengthening the cost knowledge training has a significant positive effect on the cost climate cognition of the employees.Nevertheless,accumulation of work experience has a dual impact on that.The CCSS is not only an important foundation for the cost climate research and its theoretical development,but also the premise of the cost climate quantitative research.An appropriate CCSS,to some extent,can reflect the cognitive level of all kinds of employees in one enterprise and cost savings degree of the enterprise in a certain time.The development of CCSS reflects the originality and interactivity,and fills a blank of the CCSS in construction,which is considered to be an effective tool for cost climate research in construction.展开更多
Purpose:To evaluate the reliability and validity of the Frailty Phenotype(FP),Tilburg Frailty Indicator(TFI)and Frail Scale(FS)in elderly diabetic patients,and to provide a scientific basis for selecting appropriate f...Purpose:To evaluate the reliability and validity of the Frailty Phenotype(FP),Tilburg Frailty Indicator(TFI)and Frail Scale(FS)in elderly diabetic patients,and to provide a scientific basis for selecting appropriate frailty screening instruments for medical staff.Design:A cross-sectional study.Participants and Methods:A convenience sample of 169 elderly diabetic patients was selected from a diabetes special hospital in Tianjin,China.We assessed the reliability and validity of the full FP,TFI and FS as well as their domains.The structural validity of the scale was tested by Spearman correlation analysis of items,dimensions and total scores of scales.The predictive validity of FP,TFI and FS was evaluated by calculating the correlation coefficient between the total scores of FP,TFI and FS and the scores of diabetes specific quality of life scale(QSDL).We assessed the test-retest reliability of 17 elderly diabetic patients twice.Results:A total of 169 patients were included,with a mean age 66.53±7.24 years,and 53.8%were female.The prevalence of frailty was 23.1%according to FP,38.5%according to FS and 78.7%according to TFI with a mean score 6.86±3.05.The test-retest reliability of FP,TFI and FS were 0.915,0.942 and 0.956 respectively.The correlation coefficients between each item or dimension and its total frailty score were r=0.293~0.618,0.174~0.753 and 0.255~0.706 respectively(P<0.01).The total scores of the three frailty screening instruments were the strongest correlation with the physiological dimension of DSQL and the worst correlation of social relations.The area under the receiver operating characteristic(ROC)curve for predicting the decline of quality of life of diabetic patients was 0.805,0.500 and 0.816,respectively.Conclusion:The test-retest reliability of FP,TFI and FS is good and the structural validity of TFI and the ability of predicting the decline of quality of life are better than those of FP and FS.Therefore,compared with the other two scales,the TFI is a reliable and valid instrument to assess frailty in elderly diabetic patients.展开更多
目的编制主动脉夹层术后患者症状群评估量表并进行信效度检验,为相关患者提供客观有效的评估工具。方法以症状管理模型为基础,通过文献回顾、半结构访谈构建条目池,经2轮德尔菲专家函询及预调查形成初稿。2023年9月至2024年7月,以便利...目的编制主动脉夹层术后患者症状群评估量表并进行信效度检验,为相关患者提供客观有效的评估工具。方法以症状管理模型为基础,通过文献回顾、半结构访谈构建条目池,经2轮德尔菲专家函询及预调查形成初稿。2023年9月至2024年7月,以便利抽样法选取在南京市某三级甲等医院心脏外科治疗的主动脉夹层术后患者492例为研究对象进行调查,以检验量表信效度。结果主动脉夹层术后患者症状群评估量表包括5个维度,共27个条目。量表的Cronbach’s α系数为0.940,折半信度为0.826,重测信度为0.917,量表内容效度为0.877。探索性因子分析共提取出5个公因子,累计方差贡献率为71.859%;验证性因子分析显示:卡方自由度比(χ^(2)/df)为2.121,近似误差均方根(root mean square error of approximation,RMSEA)为0.066,非规范拟合指数(Tucker-Lewis index,TLI)为0.923、增量拟合指数(incremental fit index,IFI)为0.931、比较拟合指数(comparative fix index,CFI)为0.931,模型拟合良好。结论主动脉夹层术后患者症状群评估量表具有良好的信效度,可作为主动脉夹层术后患者症状群评估的有效工具。展开更多
基金supported by the National Social Science Foundation(No.14BSH124)
文摘Objective：The aim of this study was to develop a frailty scale for the elderly in China and to examine its reliability and validity.Methods：The method of convenient sampling was used to select 375 elderly individuals in different communities of Tianjin,China.EuroQpl-5D was used to evaluate the criterion validity.Cronbach＇s αcoefficients,correlation analysis,exploratory factor analysis,criterion-related validity,and internal consistency were used to evaluate the reliability and validity of the scale.To evaluate the test—retest reliability,30 old people were re-evaluated after 2 weeks.Results：The final version of the frailty scale（FI-35） consisted of 35 items.Eleven factors were extracted by a principal factor analysis and varimax rotation,with a cumulative contribution of 86.00%.Eleven dimensions were positively correlated（r = 0.130-0.541,P 〈 0.01）.Cronbach＇s α coefficient was 0.952,and the alpha coefficients of 11 dimensions ranged from 0.730 to 0.992.The test-retest reliability was0.874 for the total scale.The split-half reliability of the scale was 0.808.Structural equation modeling was used to perform a confirmatory factor analysis,and various parameters were all acceptable.Conclusions：FI-35 met the requirement of scale development and showed good reliability and validity;thus,it can be used as an efficient frailty measurement tool for Chinese elderly.
文摘Aim: The purpose of this study was to develop a scale, “parental anxiety about pediatric emergency medical care services” (PAPEMCS), and to evaluate its psychometric properties. Methods: Participants were 14,510 parents with children 6 years old or younger in Kagawa Prefecture. Using each half of the participants, exploratory factor analysis was performed to generate items and factors for the PAPEMCS, and confirmatory factor analysis (CFA) was used to establish the construct validity. The generalizability of the PAPEMCS was evaluated by congruence tests and multigroup CFA. The usefulness of the PAPEMCS was established by the relationship between the PAPEMCS and non-urgent usage of pediatric emergency medical care services (PEMCS). Results: The PAPEMCS compromised 4 factors: “anxiety about quality of PEMCS”, “anxiety about PEMCS system”, “anxiety about public support”, and “anxiety about private support”. All reliability estimates (polychoric ordinal alpha coefficients, item-rest correlations), the item discrimination, 5 fit indices for CFA, the convergent validity (indicator reliabilities, composite reliabilities, average variance extracteds), and the discriminant validity fulfilled the acceptability thresholds. All generalizability estimates fulfilled the predetermined levels of acceptability (Tucker’s congruence coefficients, congruence tests, strict factorial invariance). The usefulness of the PAPEMCS was established by the higher scores of the PAPEMCS being related to non-urgent usage of PEMCS. Conclusions: The PAPEMCS demonstrated satisfactory reliability, validity, generalizability and usefulness. The PAPEMCS is useful to quantify the contents and extent of parental anxiety about PEMCS, and to clarify the mechanisms of non-urgent PEMCS usage.
文摘Self-regulated learning （SRL） is one of the precious ways in teachers＇ professional development, and its operation level includes different factors. With studies abroad and our preliminary investigation as base, this study developed a scale to test the factors SRL includes. According to the result of 905 teachers working in elementary school by exploratory factor analysis, the SRL for elementary teachers is consisted of its sociality （it included selecting leads and seeking for instructing）, its motivation（it included self-improvement and self-excelling）, its methods（it included strategy use and habitual behavior）, and its outcomes（it included extensive reading and teachers＇ professional development）. All the result indicated Teachers＇ SRL Scale had clear factor structure, good reliability and validity. It can be used to test the current operating situation of SRL for teachers working in elementary school.
基金Natural Science Foundation of Hebei Province,China(No.E2016203147)Science and Technology Research and Development Plan of Qinhuangdao,China(No.201602A040)Construction Science and Technology Research Program of Hebei Province,China(No.2016-124)
文摘To develop the cost climate survey scale( CCSS) used in construction enterprises,the design concepts,principles and the process diagrams of CCSS are proposed.Through questionnaire investigation and expert interviews,314 projects are established and the CCSS that is made up of 7 dimensions framework and 30 levels is preliminarily determined.After categorized merger,pre-test analysis and multiple items refining,16 projects of CCSS are eventually compiled.In order to verify the credibility and validity of the CCSS,200 employees in Qinhuangdao construction company as the samples are tested.SPSS 21.0 is used to analyze the reliability,validity and rationality of level divisions,and Amos 22.0 is for analyzing the degree of model adaptation in this survey.Finally,the current cost climate situation of the construction site in the company is evaluated,the deficiencies of the cost culture of the construction site are pointed out.This study shows that strengthening the cost knowledge training has a significant positive effect on the cost climate cognition of the employees.Nevertheless,accumulation of work experience has a dual impact on that.The CCSS is not only an important foundation for the cost climate research and its theoretical development,but also the premise of the cost climate quantitative research.An appropriate CCSS,to some extent,can reflect the cognitive level of all kinds of employees in one enterprise and cost savings degree of the enterprise in a certain time.The development of CCSS reflects the originality and interactivity,and fills a blank of the CCSS in construction,which is considered to be an effective tool for cost climate research in construction.
基金supported by Research and Innovation Project of Tianjin University of Traditional Chinese Medicine in 2020 with Grant No.YJSKC-20201037Tianjin College Students'Innovation and Entrepreneurship Training Program with Grant No.201910063045.
文摘Purpose:To evaluate the reliability and validity of the Frailty Phenotype(FP),Tilburg Frailty Indicator(TFI)and Frail Scale(FS)in elderly diabetic patients,and to provide a scientific basis for selecting appropriate frailty screening instruments for medical staff.Design:A cross-sectional study.Participants and Methods:A convenience sample of 169 elderly diabetic patients was selected from a diabetes special hospital in Tianjin,China.We assessed the reliability and validity of the full FP,TFI and FS as well as their domains.The structural validity of the scale was tested by Spearman correlation analysis of items,dimensions and total scores of scales.The predictive validity of FP,TFI and FS was evaluated by calculating the correlation coefficient between the total scores of FP,TFI and FS and the scores of diabetes specific quality of life scale(QSDL).We assessed the test-retest reliability of 17 elderly diabetic patients twice.Results:A total of 169 patients were included,with a mean age 66.53±7.24 years,and 53.8%were female.The prevalence of frailty was 23.1%according to FP,38.5%according to FS and 78.7%according to TFI with a mean score 6.86±3.05.The test-retest reliability of FP,TFI and FS were 0.915,0.942 and 0.956 respectively.The correlation coefficients between each item or dimension and its total frailty score were r=0.293~0.618,0.174~0.753 and 0.255~0.706 respectively(P<0.01).The total scores of the three frailty screening instruments were the strongest correlation with the physiological dimension of DSQL and the worst correlation of social relations.The area under the receiver operating characteristic(ROC)curve for predicting the decline of quality of life of diabetic patients was 0.805,0.500 and 0.816,respectively.Conclusion:The test-retest reliability of FP,TFI and FS is good and the structural validity of TFI and the ability of predicting the decline of quality of life are better than those of FP and FS.Therefore,compared with the other two scales,the TFI is a reliable and valid instrument to assess frailty in elderly diabetic patients.
文摘目的编制主动脉夹层术后患者症状群评估量表并进行信效度检验,为相关患者提供客观有效的评估工具。方法以症状管理模型为基础,通过文献回顾、半结构访谈构建条目池,经2轮德尔菲专家函询及预调查形成初稿。2023年9月至2024年7月,以便利抽样法选取在南京市某三级甲等医院心脏外科治疗的主动脉夹层术后患者492例为研究对象进行调查,以检验量表信效度。结果主动脉夹层术后患者症状群评估量表包括5个维度,共27个条目。量表的Cronbach’s α系数为0.940,折半信度为0.826,重测信度为0.917,量表内容效度为0.877。探索性因子分析共提取出5个公因子,累计方差贡献率为71.859%;验证性因子分析显示:卡方自由度比(χ^(2)/df)为2.121,近似误差均方根(root mean square error of approximation,RMSEA)为0.066,非规范拟合指数(Tucker-Lewis index,TLI)为0.923、增量拟合指数(incremental fit index,IFI)为0.931、比较拟合指数(comparative fix index,CFI)为0.931,模型拟合良好。结论主动脉夹层术后患者症状群评估量表具有良好的信效度,可作为主动脉夹层术后患者症状群评估的有效工具。
