BACKGROUND Colorectal cancer significantly impacts global health,with unplanned reoperations post-surgery being key determinants of patient outcomes.Existing predictive models for these reoperations lack precision in ...BACKGROUND Colorectal cancer significantly impacts global health,with unplanned reoperations post-surgery being key determinants of patient outcomes.Existing predictive models for these reoperations lack precision in integrating complex clinical data.AIM To develop and validate a machine learning model for predicting unplanned reoperation risk in colorectal cancer patients.METHODS Data of patients treated for colorectal cancer(n=2044)at the First Affiliated Hospital of Wenzhou Medical University and Wenzhou Central Hospital from March 2020 to March 2022 were retrospectively collected.Patients were divided into an experimental group(n=60)and a control group(n=1984)according to unplanned reoperation occurrence.Patients were also divided into a training group and a validation group(7:3 ratio).We used three different machine learning methods to screen characteristic variables.A nomogram was created based on multifactor logistic regression,and the model performance was assessed using receiver operating characteristic curve,calibration curve,Hosmer-Lemeshow test,and decision curve analysis.The risk scores of the two groups were calculated and compared to validate the model.RESULTS More patients in the experimental group were≥60 years old,male,and had a history of hypertension,laparotomy,and hypoproteinemia,compared to the control group.Multiple logistic regression analysis confirmed the following as independent risk factors for unplanned reoperation(P<0.05):Prognostic Nutritional Index value,history of laparotomy,hypertension,or stroke,hypoproteinemia,age,tumor-node-metastasis staging,surgical time,gender,and American Society of Anesthesiologists classification.Receiver operating characteristic curve analysis showed that the model had good discrimination and clinical utility.CONCLUSION This study used a machine learning approach to build a model that accurately predicts the risk of postoperative unplanned reoperation in patients with colorectal cancer,which can improve treatment decisions and prognosis.展开更多
While a plethora of studies has been conducted to explore demotivation and its impact on mental health in second language(L2)education,scanty research focuses on demotivation in L2 speaking learning.Particularly,littl...While a plethora of studies has been conducted to explore demotivation and its impact on mental health in second language(L2)education,scanty research focuses on demotivation in L2 speaking learning.Particularly,little research explores the measures to quantify L2 speaking demotivation.The present two-phase study attempts to develop and validate an English Speaking Demotivation Scale(ESDS).To this end,an independent sample of 207 Chinese tertiary learners of English as a Foreign Language(EFL)participated in the development phase,and another group of 188 Chinese EFL learners was recruited for the validation of the scale.Exploratory Factor Analysis(EFA)and Confirmatory Factor Analysis(CFA)were employed to determine the factor structure of the scale.The EFA results revealed a six-factor solution with Teacher-related Factors in Learning Spoken English(TFLSE),Interest and Valence in Learning Spoken English(IVLSE),Self-efficacy in Learning Spoken English(SELSE),Negative Peer Influence in Learning Spoken English(NPILSE),Undesirable Environment for Learning Spoken English(UELSE),and Negative Influence of Assessment and Learning Materials in speaking class(NIALM).In the validation phase,Confirmatory Factor Analysis(CFA)was performed to validate the internal structure of the scale.The CFA results showed that the model fits the data well.Overall,the ESDS is a robust and trustworthy psychometric tool that could be utilized to examine L2 speaking demotivation.Implications for diminishing EFL learners’demotivation,lessening their aversive emotions and promoting their mental health are also discussed.展开更多
Based on the finite element （FE） program ANSYS, a three-dimensional model for the Runyang Suspension Bridge （RSB） is established. The structural natural frequency, vibration mode, stress and displacement response ...Based on the finite element （FE） program ANSYS, a three-dimensional model for the Runyang Suspension Bridge （RSB） is established. The structural natural frequency, vibration mode, stress and displacement response under various load cases are given. A new method of FE model updating is presented based on the physical meaning of sensitivity and the penalty function concept. In this method, the structural model is updated by modifying the parameters of design, and validated by structural natural vibration characteristics, stress response as well as displacement response. The design parameters used for updating are bounded according to measured static response and engineering judgment. The FE model of RSB is updated and validated by the measurements coming from the structural health monitoring system （SHMS）, and the FE baseline model reflecting the current state of RSB is achieved. Both the dynamic and static results show that the method is effective in updating the FE model of long span suspension bridges. The results obtained provide an important research basis for damage alarming and health monitoring of the RSB.展开更多
Validating simulation model is one of the important aspects for modeling and simulation. Some methods of validating model are compared and analyzed. Several typical methods, such as TIC’s inequality coefficient, gray...Validating simulation model is one of the important aspects for modeling and simulation. Some methods of validating model are compared and analyzed. Several typical methods, such as TIC’s inequality coefficient, gray interconnected analysis, direct spectrum estimation, maximum entropy spectral estimation based on Burg or Marple, are chosen and programmed in C language. Some examples by using the program are given. The results show that the program is available and it is best to adopt multi methods for validating models.展开更多
The streamflow over the Yellow River basin is simulated using the PRECIS （Providing REgional Climates for Impacts Studies） regional climate model driven by 15-year （1979-1993） ECMWF reanalysis data as the initial ...The streamflow over the Yellow River basin is simulated using the PRECIS （Providing REgional Climates for Impacts Studies） regional climate model driven by 15-year （1979-1993） ECMWF reanalysis data as the initial and lateral boundary conditions and an off-line large-scale routing model （LRM）. The LRM uses physical catchment and river channel information and allows streamflow to be predicted for large continental rivers with a 1°×1° spatial resolution. The results show that the PRECIS model can reproduce the general southeast to northwest gradient distribution of the precipitation over the Yellow River basin, The PRECIS- LRM model combination has the capability to simulate the seasonal and annual streamflow over the Yellow River basin. The simulated streamflow is generally coincident with the naturalized streamflow both in timing and in magnitude.展开更多
As the scale of current systems become larger and larger and their complexity is increasing gradually,research on executable models in the design phase becomes significantly important as it is helpful to simulate the ...As the scale of current systems become larger and larger and their complexity is increasing gradually,research on executable models in the design phase becomes significantly important as it is helpful to simulate the execution process and capture defects of a system in advance.Meanwhile,the capability of a system becomes so important that stakeholders tend to emphasize their capability requirements when developing a system.To deal with the lack of official specifications and the fundamental theory basis for capability requirement,we propose a cooperative capability requirements(CCR)meta-model as a theory basis for researchers to refer to in this research domain,in which we provide detailed definition of the CCR concepts,associations and rules.Moreover,we also propose an executable framework,which may enable modelers to simulate the execution process of a system in advance and do well in filling the inconsistency and semantic gaps between stakeholders’requirements and their models.The primary working mechanism of the framework is to transform the Alf activity meta-model into the communicating sequential process(CSP)process meta-model based on some mapping rules,after which the internal communication mechanism between process nodes is designed to smooth the execution of behaviors in a CSP system.Moreover,a validation method is utilized to check the correctness and consistency of the models,and a self-fixing mechanism is used to fix the errors and warnings captured during the validation process automatically.Finally,a validation report is generated and fed back to the modelers for system optimization.展开更多
AIM: To develop an eye health knowledge, attitude and practice(EH-KAP) field-based assessment tool for use in implementing effective eye health care services.METHODS: An instrument development and validation study. A ...AIM: To develop an eye health knowledge, attitude and practice(EH-KAP) field-based assessment tool for use in implementing effective eye health care services.METHODS: An instrument development and validation study. A Vietnam EH-KAP dataset were used to identify and eliminate redundant questions to develop a standardized tool. Face validity was assessed by the KAP survey team. Internal validity(congruency/criterion) was assessed by comparing descriptive analysis of two datasets(n=531;n=38) collected from the same sampling frame at different time points. Weighted scores were calculated for each construct. Kappa values for test-retest and inter-observer agreement were calculated to check the reliability of responses. The modified version was assessed by analysing the raw and ungrouped data. Responses were weighted and agreement was tested by comparing construct scores.RESULTS: Totally 38 respondents were included in this validation process(mean age 58.5 y). Mean scores for knowledge were 9.15(old questionnaire n=531) and 5.05(modified version). For attitude, the scores were 2.23 and 2.42, and for practice the scores were 3.33 and 2.21. Testretest agreement was between 62% to 93%(Kappa 0.24 to 0.86) for the ungrouped raw data, and 55% to 72%(Kappa 0.42 to 0.65) for KAP domain. Inter-observer Kappa value for ungrouped data was 0.37 and 0.45 for the weighted scores.CONCLUSION: This standardized tool applied at critical time points can assess trends in KAP within the same population and for comparison across groups. If used alongside a Rapid Assessment of Avoidable Blindness(RAAB), this tool provides a comprehensive perspective on eye-health of a population.展开更多
Understanding and strengthening community-level resilience to natural hazard-induced disasters is critical for the management of adverse impacts of such events and the growth of community well-being.A key gap in achie...Understanding and strengthening community-level resilience to natural hazard-induced disasters is critical for the management of adverse impacts of such events and the growth of community well-being.A key gap in achieving this is limited standardized and validated disaster resilience measurement frameworks that operate at local levels and are universally applicable.The Flood Resilience Measurement for Communities(FRMC)is a foremost tool for community flood resilience assessment.It follows a structured approach to comprehensively assess community flood resilience across five classes of capacities(capitals)to support strategic investment in resilience strengthening initiatives.The FRMC is a further development of an earlier version(the FRMT,the Flood Resilience Measurement Tool).The FRMT has been developed and applied between 2015 and 2017 in 118 flood prone communities across nine countries.It has been validated in terms of content and face validity as well as in terms of reliability.To reduce redundancy and survey eff ort,the FRMC holds a lesser number of indicators(44 versus 88)and has now been applied in over 320 communities across 20 countries.We examine the validation for the revised resilience construct and the new community applications and present a comprehensive overview of the statistical and user validation process and outcomes in both practical and scientific terms.The results confirm the validity,reliability as well as usefulness of the FRMC framework and tool.Furthermore,our approach and results provide insights for other resilience measurement approaches and their validation eff orts.We also present a comprehensive discussion about the dynamic aspects of flood resilience at community level,and the many validation aspects that need to be incorporated both in terms of quantification eff orts as well as usability on the ground.展开更多
The ongoing revolution in information technology is reshaping human life. In the realm of health behavior, wearable technology emerges as a leading digital solution,capturing physical behaviors (i.e., physical activit...The ongoing revolution in information technology is reshaping human life. In the realm of health behavior, wearable technology emerges as a leading digital solution,capturing physical behaviors (i.e., physical activity, sedentary habits, sleep patterns) within the 24-h cycle of daily life. Wearables are applied in research, clinical practice, and as lifestyle devices;most obvious, they promise to be a key element for increasing human physical activity, one of the biggest health challenges nowadays.展开更多
Objective:This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System(BIS/BAS)scales among stroke survivors.Methods:The cross-sectio...Objective:This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System(BIS/BAS)scales among stroke survivors.Methods:The cross-sectional study was conducted at four comprehensive hospitals in Taizhou,Jiangsu,China.A sample of 232 first-ever stroke survivors were recruited from June to August 2023.Validity was examined using face validity and construct validity,which used confirmatory factor analysis(CFA)and known-group analysis.Reliability was evaluated by internal consistency and test-retest reliability.Results:The BIS/BAS scales demonstrated satisfactory face validity.The findings of CFAs supported the original four-factor structure of BAS-reward,BAS-drive,BAS-fun seeking,and BIS with acceptable model fit indices.Discriminative validity,assessed via known-group analysis,indicated that stroke survivors with probable depression had significantly lower mean BAS-reward,BAS-drive,and BAS-fun seeking scores(P<0.001)and a higher mean BIS score(P=0.028)compared to those without probable depression.The internal consistency,measured by Cronbach’s a coefficients for the subscales,ranged from 0.669 to 0.964.Test-retest reliability,assessed using intra-class correlation coefficients,ranged from 0.61 to 0.93.Conclusions:The Chinese version of the BIS/BAS scales could be a reliable and valid instrument for measuring behavioral activation among stroke survivors.展开更多
BACKGROUND With the growing scholarly and clinical fascination with somatic symptom dis-order(SSD),a bibliometric analysis is lacking.AIM To conduct a bibliometric analysis to investigate the current status and fronti...BACKGROUND With the growing scholarly and clinical fascination with somatic symptom dis-order(SSD),a bibliometric analysis is lacking.AIM To conduct a bibliometric analysis to investigate the current status and frontiers of SSD.METHODS The documents related to SSD are obtained from the web of science core collection database(WoSCC),and VOSviewer 1.6.16 from January 1,2000 to December 31,2023,and the WoSCC’s literature analysis wire were used to conduct the biblio-metric analysis.RESULTS A total of 567 documents related to SSD were included,and 2325 authors across 947 institutions from 57 countries/regions have contributed to SSD research,published in 277 journals.The most productive author,institution,country and journal were Löwe B,University of Hamburg,Germany,and Journal of Psycho-somatic Research respectively.The first high-cited document was published in the Journal of Psychosomatic Research in 2013 by Dimsdale JE and colleagues,which explored the rationale behind the SSD diagnosis introduction in diagnostic and statistical manual of mental disorders.CONCLUSION In conclusion,the main research hotspots and frontiers in the field of SSD are validity and reliability of the SSD criteria,functional impairment of SSD,and the treatment for SSD.More high-quality studies are needed to assess the diagnosis and treatment of SSD.展开更多
Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum...Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.展开更多
Groundwater,the world’s largest freshwater supply,is facing increasing strain due to various uses such as agriculture,industry,livestock,and household.This study aims to investigate groundwater prospective zonation i...Groundwater,the world’s largest freshwater supply,is facing increasing strain due to various uses such as agriculture,industry,livestock,and household.This study aims to investigate groundwater prospective zonation in the Bandu Sub-watershed in Purulia,West Bengal,using the AHP model and RS&GIS methodologies.To achieve Goal 6 of the UN-initiated 17 SDGs,it is crucial to determine the spatial distribution of groundwater prospective zones village-by-village,with 1/3 of the regions falling under red alert zones for sustainable development.The 16 most crucial elements affecting groundwater prospective zones(GWPZs)were mapped using AHP,and the final prospective map was obtained through Weighted Overlay analysis.The study identified five different classes within the Sub-watershed as excellent,good,moderate,poor,and very poor.The validation results showed that the approach used to derive GWPZ is reliable,and the results can be applied to future sustainable developments to reduce water shortages through suitable management methods.The research aims to increase the effectiveness of sustainable groundwater zone management,ensuring long-term water management and access.展开更多
Objectives This study aimed to validate the Russian version of the Copenhagen Burnout Inventory(R-CBI)among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.Methods The original Copenha...Objectives This study aimed to validate the Russian version of the Copenhagen Burnout Inventory(R-CBI)among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.Methods The original Copenhagen Burnout Inventory(CBI)was translated into the R-CBI using a rigorous forward-backward method and reviewed by experts.Between July and November 2022,1,530 nurses were recruited through convenience sampling method from various nursing settings in Kazakhstan and Kyrgyzstan to test the scale’s reliability and validity,including confirmatory factor analysis(CFA),internal consistency reliability,and concurrent validity.A linear regression analysis was conducted to identify influencing factors of burnout.Results The content of the R-CBI is consistent with the original CBI,consisting of 19 items with three dimensions.The Cronbach’sαcoefficient is 0.926 in Kazakhstan and 0.922 in Kyrgyzstan,ranging from 0.830 to 0.898 for three dimensions.The CFA results among nurses in Kazakhstan and Kyrgyzstan supported the three-factor structure of R-CBI with good fit indices.Concurrent validity was established through significant correlations(P<0.001)with job satisfaction questionnaire(r=−0.457),Depression Anxiety Stress Scales(r=0.506 in depression,r=0.485 in anxiety,r=0.564 in stress),and WHO-5 Well-Being Index(r=−0.528).The overall burnout level was 36.1±17.6 and 37.5±17.4 in Kazakhstani and Kyrgyzstani nurses,respectively.Significant influencing factors of burnout included gender,age,educational level,and COVID-19 infection history.Conclusions The R-CBI was proved to be a reliable and valid tool for assessing nurses’burnout in Kazakhstan and Kyrgyzstan.展开更多
Background The patient-reported Dimensional Anhedonia Rating Scale(DARS)has been adapted into Chinese,so there is a need to evaluate its measurement properties in a Chinese population.Aims To evaluate the reliability ...Background The patient-reported Dimensional Anhedonia Rating Scale(DARS)has been adapted into Chinese,so there is a need to evaluate its measurement properties in a Chinese population.Aims To evaluate the reliability and validity of the DARS among Chinese individuals with major depressive disorder(MDD)and its treatment sensitivity in a prospective clinical study.Methods Data were from a multicentre,prospective clinical study(NCT03294525),which recruited both patients with MDD,who were followed for 8 weeks,and healthy controls(HCs),assessed at baseline only.The analysis included confirmatory factor analysis,validity and sensitivity to change.Results Patients’mean(standard deviation(SD))age was 34.8(11.0)years,with 68.7%being female.75.2%of patients with MDD had melancholic features,followed by 63.8%with anxious distress.Patients had experienced MDD for a mean(SD)of 9.2(18)months.DARS scores covered the full range of severity with no major floor or ceiling effects.Confirmatory factor analysis showed adequate fit statistics(comparative fit index 0.976,goodness-of-fit index 0.935 and root mean square error of approximation 0.055).Convergent validity with anhedonia-related measures was confirmed.While the correlation between the DARS and the Hamilton Depression Rating Scale was not strong(r=0.31,baseline),the DARS was found to differentiate between levels of depression.Greater improvements in DARS scores were seen with the Hamilton Rating Scale for Depression responder group(effect size 1.16)compared with the non-responder group(effect size 0.46).Conclusions This study comprehensively evaluated the measurement properties of the DARS using a Chinese population with MDD.Overall,the Chinese version of DARS demonstrates good psychometric properties and has been found to be responsive to change during antidepressant treatment.The DARS is a suitable scale for assessing patient-reported anhedonia in future clinical trials.展开更多
BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief r...BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief responses called preparatory grief.The preparatory grief in advanced cancer patients(PGAC)scale is the most widely used preparatory grief scale for patients on hemodialysis in China.AIM To verify the reliability and validity of the PGAC scale in patients on hemodialysis.METHODS In total,327 patients undergoing regular hemodialysis in the blood purification center of three grade-A tertiary hospitals in Guangdong and Guizhou provinces were selected by convenience sampling.The assessment was administered using the general information questionnaire and the Chinese version of PGAC.SPSS 25.0 and Amos 24.0 were used for item analysis,confirmatory factor analysis(CFA),convergent validity,and internal consistency reliability estimation.RESULTS In the modified Chinese version of PGAC,7 dimensions covering 27 total items were retained.CFA revealed a good fit of the factor model(chi-square degree of freedom=2.056,standardized root mean square residual=0.0479,root mean square error of approximation=0.0570,GFI=0.872,AGFI=0.841,IFI=0.931,CFI=0.930,TLI=0.919).The factor loadings of the items ranged 0.503-0.884.The composite reliability ranged 0.664-0.914,and the average variance extracted ranged 0.366-0.747.Cronbach’sαof the scale was 0.945,and Cronbach’sαfor various dimensions ranged 0.662-0.914.CONCLUSION The modified PGAC has good reliability and validity,and it can effectively measure preparatory grief in patients on hemodialysis.展开更多
Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES map...Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES mapping and modelling validation step has been overlooked,and this raises an important question in the credibility of the outcomes.This has been an important and unsolved issue in the ES research community that needs to be tackled.This highlight paper discusses the importance of validating single ES mapping and models.Conducting this using field or proximal/remote sensing raw data and not data from other models or stakeholder evaluation is important.A validation step should be mandatory in ES frameworks since it can assess the models’veracity,contribute to identifying the model’s weaknesses/strengths and ultimately represent a scientific advance in the field.This is easier to apply to the biophysical mapping and models of regulating and provisioning ES than to cultural ES,as the latter rely more on perception and cultural contexts.Also,ES supply models are easier to validate than demand and flow models.Robust and well-grounded models are essential for ensuring the reliability of individual ES maps and models and should be integrated into decision-making processes.Although several challenges arise related to the costs of data collection,in several cases prohibitive,and the time and the expertise needed to conduct this sampling and analysis,this is likely an imperative step that needs to be considered in the future.This will be beneficial in establishing ES research and improving decision-making and wellbeing.展开更多
The purpose of this paper is to look into how reliable and valid the Persian version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R-Pr) is. It will also compare the screening features of the CUDIT-R...The purpose of this paper is to look into how reliable and valid the Persian version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R-Pr) is. It will also compare the screening features of the CUDIT-R with those of the DSM-5 criteria for cannabis use disorder (CUD) based on the SCID-5-CT in a group of university students in Tehran, Iran. The study used the stratified random sampling technique to collect data from 541 students (19 to 24 years old) who used cannabis in Tehran universities in 2024. Confirmatory factor analysis confirmed the uni-dimensionality of the CUDIT-R-Pr. We checked the reliability of the CUDIT-R-Pr using Cronbach Alpha, split-half, inter-rater, test-retest stability over time, and parallel testing equivalence. The results indicated that CUDIT-R-Pr is reliable, reproducible, and responsive, with substantial agreement and adequate interpretability. The CUDIT-R shows that it can tell the difference between different levels of cannabis use severity, which is known as discriminant validity. Receiver operating characteristic analyses confirmed this, using an area under the receiver operating characteristics curve (AUC = 0.95) at a cutoff of ten or less. This allowed CUDIT-R-Pr to accurately predict any DSM-5 based on the highest correctly classified value (0.89), demonstrating high levels of sensitivity (0.96), specificity (0.69), and Youden value (0.65). The exact maximum Youden index (0.72) showed that CUDIT-R-Pr could also predict moderate DSM-5 with a cutoff of twelve or less. To validate and generalize the CUDIT-R-Pr for use among Iranian cannabis users, we need more research.展开更多
Background:Sport climbing is becoming incredibly popular both in the general population and among athletes.No consensus exists regarding evidence-based sport-specific performance evaluation;therefore,this systematic r...Background:Sport climbing is becoming incredibly popular both in the general population and among athletes.No consensus exists regarding evidence-based sport-specific performance evaluation;therefore,this systematic review was aimed at analyzing determinants of sport climbing performance and evaluation methods by comparing climbers of different levels.Methods:PubMed,Scopus,and Web of Science were searched up to December 20,2022.Studies providing the self-reported climbing ability associated with different functional outcomes in groups of climbers of contiguous performance levels were eligible.Results:74 studies were finally included.Various methods have been proposed to evaluate determinants of sport climbing performance.Climbing-specific assessments were able to discriminate climbers of different levels when compared to general functional tests.Test validity resulted high for climbing-specific cardiorespiratory endurance as well as muscular-strength,-endurance,and-power;similarly,reliability was good except for cardiorespiratory endurance.Climbing-specific flexibility assessment resulted in high reliability but moderate validity,whereas balance showed low validity.Considerable conflicting evidence was found regarding anthropometric characteristics.Conclusion:The present analysis identified cardiorespiratory endurance as well as muscular-strength,-endurance,and-power as determinants of sport climbing performance.In contrast,balance,flexibility,and anthropometric characteristics seem to count less.This review also proposes an evidence-based Functional Sport Climbing test battery for asses sing performance determinants,which includes tests that have been identified to be valid,reliable,and feasible.While athletes and coaches should rely on evidence-based and standardized evaluation methods,researchers may design specific large-scale trials as a resource for providing additional,homogenous,and comparable data to improve scientific evidence and professionalism in this popular sport discipline.展开更多
Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale transla...Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.展开更多
基金This study has been reviewed and approved by the Clinical Research Ethics Committee of Wenzhou Central Hospital and the First Hospital Affiliated to Wenzhou Medical University,No.KY2024-R016.
文摘BACKGROUND Colorectal cancer significantly impacts global health,with unplanned reoperations post-surgery being key determinants of patient outcomes.Existing predictive models for these reoperations lack precision in integrating complex clinical data.AIM To develop and validate a machine learning model for predicting unplanned reoperation risk in colorectal cancer patients.METHODS Data of patients treated for colorectal cancer(n=2044)at the First Affiliated Hospital of Wenzhou Medical University and Wenzhou Central Hospital from March 2020 to March 2022 were retrospectively collected.Patients were divided into an experimental group(n=60)and a control group(n=1984)according to unplanned reoperation occurrence.Patients were also divided into a training group and a validation group(7:3 ratio).We used three different machine learning methods to screen characteristic variables.A nomogram was created based on multifactor logistic regression,and the model performance was assessed using receiver operating characteristic curve,calibration curve,Hosmer-Lemeshow test,and decision curve analysis.The risk scores of the two groups were calculated and compared to validate the model.RESULTS More patients in the experimental group were≥60 years old,male,and had a history of hypertension,laparotomy,and hypoproteinemia,compared to the control group.Multiple logistic regression analysis confirmed the following as independent risk factors for unplanned reoperation(P<0.05):Prognostic Nutritional Index value,history of laparotomy,hypertension,or stroke,hypoproteinemia,age,tumor-node-metastasis staging,surgical time,gender,and American Society of Anesthesiologists classification.Receiver operating characteristic curve analysis showed that the model had good discrimination and clinical utility.CONCLUSION This study used a machine learning approach to build a model that accurately predicts the risk of postoperative unplanned reoperation in patients with colorectal cancer,which can improve treatment decisions and prognosis.
基金the Humanities and Social Sciences Project,China’s Ministry of Education(Grant Number:22YJA740016)the Key Project of Hubei Provincial Department of Education Philosophy and Social Science Research Fund(No.21ZD051)the Teaching and Research Fund of Hubei University of Technology(No.Xiao2022018).
文摘While a plethora of studies has been conducted to explore demotivation and its impact on mental health in second language(L2)education,scanty research focuses on demotivation in L2 speaking learning.Particularly,little research explores the measures to quantify L2 speaking demotivation.The present two-phase study attempts to develop and validate an English Speaking Demotivation Scale(ESDS).To this end,an independent sample of 207 Chinese tertiary learners of English as a Foreign Language(EFL)participated in the development phase,and another group of 188 Chinese EFL learners was recruited for the validation of the scale.Exploratory Factor Analysis(EFA)and Confirmatory Factor Analysis(CFA)were employed to determine the factor structure of the scale.The EFA results revealed a six-factor solution with Teacher-related Factors in Learning Spoken English(TFLSE),Interest and Valence in Learning Spoken English(IVLSE),Self-efficacy in Learning Spoken English(SELSE),Negative Peer Influence in Learning Spoken English(NPILSE),Undesirable Environment for Learning Spoken English(UELSE),and Negative Influence of Assessment and Learning Materials in speaking class(NIALM).In the validation phase,Confirmatory Factor Analysis(CFA)was performed to validate the internal structure of the scale.The CFA results showed that the model fits the data well.Overall,the ESDS is a robust and trustworthy psychometric tool that could be utilized to examine L2 speaking demotivation.Implications for diminishing EFL learners’demotivation,lessening their aversive emotions and promoting their mental health are also discussed.
文摘Based on the finite element （FE） program ANSYS, a three-dimensional model for the Runyang Suspension Bridge （RSB） is established. The structural natural frequency, vibration mode, stress and displacement response under various load cases are given. A new method of FE model updating is presented based on the physical meaning of sensitivity and the penalty function concept. In this method, the structural model is updated by modifying the parameters of design, and validated by structural natural vibration characteristics, stress response as well as displacement response. The design parameters used for updating are bounded according to measured static response and engineering judgment. The FE model of RSB is updated and validated by the measurements coming from the structural health monitoring system （SHMS）, and the FE baseline model reflecting the current state of RSB is achieved. Both the dynamic and static results show that the method is effective in updating the FE model of long span suspension bridges. The results obtained provide an important research basis for damage alarming and health monitoring of the RSB.
文摘Validating simulation model is one of the important aspects for modeling and simulation. Some methods of validating model are compared and analyzed. Several typical methods, such as TIC’s inequality coefficient, gray interconnected analysis, direct spectrum estimation, maximum entropy spectral estimation based on Burg or Marple, are chosen and programmed in C language. Some examples by using the program are given. The results show that the program is available and it is best to adopt multi methods for validating models.
文摘The streamflow over the Yellow River basin is simulated using the PRECIS （Providing REgional Climates for Impacts Studies） regional climate model driven by 15-year （1979-1993） ECMWF reanalysis data as the initial and lateral boundary conditions and an off-line large-scale routing model （LRM）. The LRM uses physical catchment and river channel information and allows streamflow to be predicted for large continental rivers with a 1°×1° spatial resolution. The results show that the PRECIS model can reproduce the general southeast to northwest gradient distribution of the precipitation over the Yellow River basin, The PRECIS- LRM model combination has the capability to simulate the seasonal and annual streamflow over the Yellow River basin. The simulated streamflow is generally coincident with the naturalized streamflow both in timing and in magnitude.
基金supported by the National Key R&D Program of China(2018YFC0806900)the China Postdoctoral Science Foundation Funded Project(2018M633757)+1 种基金the Primary Research&Development Plan of Jiangsu Province(BE2016904,BE2017616,BE2018754,BE2019762)Jiangsu Province Postdoctoral Science Foundation Funded Project(2019K185).
文摘As the scale of current systems become larger and larger and their complexity is increasing gradually,research on executable models in the design phase becomes significantly important as it is helpful to simulate the execution process and capture defects of a system in advance.Meanwhile,the capability of a system becomes so important that stakeholders tend to emphasize their capability requirements when developing a system.To deal with the lack of official specifications and the fundamental theory basis for capability requirement,we propose a cooperative capability requirements(CCR)meta-model as a theory basis for researchers to refer to in this research domain,in which we provide detailed definition of the CCR concepts,associations and rules.Moreover,we also propose an executable framework,which may enable modelers to simulate the execution process of a system in advance and do well in filling the inconsistency and semantic gaps between stakeholders’requirements and their models.The primary working mechanism of the framework is to transform the Alf activity meta-model into the communicating sequential process(CSP)process meta-model based on some mapping rules,after which the internal communication mechanism between process nodes is designed to smooth the execution of behaviors in a CSP system.Moreover,a validation method is utilized to check the correctness and consistency of the models,and a self-fixing mechanism is used to fix the errors and warnings captured during the validation process automatically.Finally,a validation report is generated and fed back to the modelers for system optimization.
基金Supported by the Australian Government Avoidable Blindness Initiative granted through CBM Australia
文摘AIM: To develop an eye health knowledge, attitude and practice(EH-KAP) field-based assessment tool for use in implementing effective eye health care services.METHODS: An instrument development and validation study. A Vietnam EH-KAP dataset were used to identify and eliminate redundant questions to develop a standardized tool. Face validity was assessed by the KAP survey team. Internal validity(congruency/criterion) was assessed by comparing descriptive analysis of two datasets(n=531;n=38) collected from the same sampling frame at different time points. Weighted scores were calculated for each construct. Kappa values for test-retest and inter-observer agreement were calculated to check the reliability of responses. The modified version was assessed by analysing the raw and ungrouped data. Responses were weighted and agreement was tested by comparing construct scores.RESULTS: Totally 38 respondents were included in this validation process(mean age 58.5 y). Mean scores for knowledge were 9.15(old questionnaire n=531) and 5.05(modified version). For attitude, the scores were 2.23 and 2.42, and for practice the scores were 3.33 and 2.21. Testretest agreement was between 62% to 93%(Kappa 0.24 to 0.86) for the ungrouped raw data, and 55% to 72%(Kappa 0.42 to 0.65) for KAP domain. Inter-observer Kappa value for ungrouped data was 0.37 and 0.45 for the weighted scores.CONCLUSION: This standardized tool applied at critical time points can assess trends in KAP within the same population and for comparison across groups. If used alongside a Rapid Assessment of Avoidable Blindness(RAAB), this tool provides a comprehensive perspective on eye-health of a population.
基金funded by the Z Zurich Foundation,Zurich,Switzerland as a contribution to the Zurich Climate Resilience Alliance。
文摘Understanding and strengthening community-level resilience to natural hazard-induced disasters is critical for the management of adverse impacts of such events and the growth of community well-being.A key gap in achieving this is limited standardized and validated disaster resilience measurement frameworks that operate at local levels and are universally applicable.The Flood Resilience Measurement for Communities(FRMC)is a foremost tool for community flood resilience assessment.It follows a structured approach to comprehensively assess community flood resilience across five classes of capacities(capitals)to support strategic investment in resilience strengthening initiatives.The FRMC is a further development of an earlier version(the FRMT,the Flood Resilience Measurement Tool).The FRMT has been developed and applied between 2015 and 2017 in 118 flood prone communities across nine countries.It has been validated in terms of content and face validity as well as in terms of reliability.To reduce redundancy and survey eff ort,the FRMC holds a lesser number of indicators(44 versus 88)and has now been applied in over 320 communities across 20 countries.We examine the validation for the revised resilience construct and the new community applications and present a comprehensive overview of the statistical and user validation process and outcomes in both practical and scientific terms.The results confirm the validity,reliability as well as usefulness of the FRMC framework and tool.Furthermore,our approach and results provide insights for other resilience measurement approaches and their validation eff orts.We also present a comprehensive discussion about the dynamic aspects of flood resilience at community level,and the many validation aspects that need to be incorporated both in terms of quantification eff orts as well as usability on the ground.
基金funded in part by the German Research Foundation(Grant reference:496846758).
文摘The ongoing revolution in information technology is reshaping human life. In the realm of health behavior, wearable technology emerges as a leading digital solution,capturing physical behaviors (i.e., physical activity, sedentary habits, sleep patterns) within the 24-h cycle of daily life. Wearables are applied in research, clinical practice, and as lifestyle devices;most obvious, they promise to be a key element for increasing human physical activity, one of the biggest health challenges nowadays.
文摘Objective:This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System(BIS/BAS)scales among stroke survivors.Methods:The cross-sectional study was conducted at four comprehensive hospitals in Taizhou,Jiangsu,China.A sample of 232 first-ever stroke survivors were recruited from June to August 2023.Validity was examined using face validity and construct validity,which used confirmatory factor analysis(CFA)and known-group analysis.Reliability was evaluated by internal consistency and test-retest reliability.Results:The BIS/BAS scales demonstrated satisfactory face validity.The findings of CFAs supported the original four-factor structure of BAS-reward,BAS-drive,BAS-fun seeking,and BIS with acceptable model fit indices.Discriminative validity,assessed via known-group analysis,indicated that stroke survivors with probable depression had significantly lower mean BAS-reward,BAS-drive,and BAS-fun seeking scores(P<0.001)and a higher mean BIS score(P=0.028)compared to those without probable depression.The internal consistency,measured by Cronbach’s a coefficients for the subscales,ranged from 0.669 to 0.964.Test-retest reliability,assessed using intra-class correlation coefficients,ranged from 0.61 to 0.93.Conclusions:The Chinese version of the BIS/BAS scales could be a reliable and valid instrument for measuring behavioral activation among stroke survivors.
文摘BACKGROUND With the growing scholarly and clinical fascination with somatic symptom dis-order(SSD),a bibliometric analysis is lacking.AIM To conduct a bibliometric analysis to investigate the current status and frontiers of SSD.METHODS The documents related to SSD are obtained from the web of science core collection database(WoSCC),and VOSviewer 1.6.16 from January 1,2000 to December 31,2023,and the WoSCC’s literature analysis wire were used to conduct the biblio-metric analysis.RESULTS A total of 567 documents related to SSD were included,and 2325 authors across 947 institutions from 57 countries/regions have contributed to SSD research,published in 277 journals.The most productive author,institution,country and journal were Löwe B,University of Hamburg,Germany,and Journal of Psycho-somatic Research respectively.The first high-cited document was published in the Journal of Psychosomatic Research in 2013 by Dimsdale JE and colleagues,which explored the rationale behind the SSD diagnosis introduction in diagnostic and statistical manual of mental disorders.CONCLUSION In conclusion,the main research hotspots and frontiers in the field of SSD are validity and reliability of the SSD criteria,functional impairment of SSD,and the treatment for SSD.More high-quality studies are needed to assess the diagnosis and treatment of SSD.
基金supported by the Natural Science Foundation of Hunan Province(2024JJ6626)the Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control(HPKL202320),China.
文摘Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum.
文摘Groundwater,the world’s largest freshwater supply,is facing increasing strain due to various uses such as agriculture,industry,livestock,and household.This study aims to investigate groundwater prospective zonation in the Bandu Sub-watershed in Purulia,West Bengal,using the AHP model and RS&GIS methodologies.To achieve Goal 6 of the UN-initiated 17 SDGs,it is crucial to determine the spatial distribution of groundwater prospective zones village-by-village,with 1/3 of the regions falling under red alert zones for sustainable development.The 16 most crucial elements affecting groundwater prospective zones(GWPZs)were mapped using AHP,and the final prospective map was obtained through Weighted Overlay analysis.The study identified five different classes within the Sub-watershed as excellent,good,moderate,poor,and very poor.The validation results showed that the approach used to derive GWPZ is reliable,and the results can be applied to future sustainable developments to reduce water shortages through suitable management methods.The research aims to increase the effectiveness of sustainable groundwater zone management,ensuring long-term water management and access.
文摘Objectives This study aimed to validate the Russian version of the Copenhagen Burnout Inventory(R-CBI)among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.Methods The original Copenhagen Burnout Inventory(CBI)was translated into the R-CBI using a rigorous forward-backward method and reviewed by experts.Between July and November 2022,1,530 nurses were recruited through convenience sampling method from various nursing settings in Kazakhstan and Kyrgyzstan to test the scale’s reliability and validity,including confirmatory factor analysis(CFA),internal consistency reliability,and concurrent validity.A linear regression analysis was conducted to identify influencing factors of burnout.Results The content of the R-CBI is consistent with the original CBI,consisting of 19 items with three dimensions.The Cronbach’sαcoefficient is 0.926 in Kazakhstan and 0.922 in Kyrgyzstan,ranging from 0.830 to 0.898 for three dimensions.The CFA results among nurses in Kazakhstan and Kyrgyzstan supported the three-factor structure of R-CBI with good fit indices.Concurrent validity was established through significant correlations(P<0.001)with job satisfaction questionnaire(r=−0.457),Depression Anxiety Stress Scales(r=0.506 in depression,r=0.485 in anxiety,r=0.564 in stress),and WHO-5 Well-Being Index(r=−0.528).The overall burnout level was 36.1±17.6 and 37.5±17.4 in Kazakhstani and Kyrgyzstani nurses,respectively.Significant influencing factors of burnout included gender,age,educational level,and COVID-19 infection history.Conclusions The R-CBI was proved to be a reliable and valid tool for assessing nurses’burnout in Kazakhstan and Kyrgyzstan.
基金supported by the National Natural Science Foundation of China(No.82371530,82171529)the Capital Health Development Special Research Project(2022-1-4111)the National Key Technology R and D Program(No.2015BAI13B01).
文摘Background The patient-reported Dimensional Anhedonia Rating Scale(DARS)has been adapted into Chinese,so there is a need to evaluate its measurement properties in a Chinese population.Aims To evaluate the reliability and validity of the DARS among Chinese individuals with major depressive disorder(MDD)and its treatment sensitivity in a prospective clinical study.Methods Data were from a multicentre,prospective clinical study(NCT03294525),which recruited both patients with MDD,who were followed for 8 weeks,and healthy controls(HCs),assessed at baseline only.The analysis included confirmatory factor analysis,validity and sensitivity to change.Results Patients’mean(standard deviation(SD))age was 34.8(11.0)years,with 68.7%being female.75.2%of patients with MDD had melancholic features,followed by 63.8%with anxious distress.Patients had experienced MDD for a mean(SD)of 9.2(18)months.DARS scores covered the full range of severity with no major floor or ceiling effects.Confirmatory factor analysis showed adequate fit statistics(comparative fit index 0.976,goodness-of-fit index 0.935 and root mean square error of approximation 0.055).Convergent validity with anhedonia-related measures was confirmed.While the correlation between the DARS and the Hamilton Depression Rating Scale was not strong(r=0.31,baseline),the DARS was found to differentiate between levels of depression.Greater improvements in DARS scores were seen with the Hamilton Rating Scale for Depression responder group(effect size 1.16)compared with the non-responder group(effect size 0.46).Conclusions This study comprehensively evaluated the measurement properties of the DARS using a Chinese population with MDD.Overall,the Chinese version of DARS demonstrates good psychometric properties and has been found to be responsive to change during antidepressant treatment.The DARS is a suitable scale for assessing patient-reported anhedonia in future clinical trials.
文摘BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief responses called preparatory grief.The preparatory grief in advanced cancer patients(PGAC)scale is the most widely used preparatory grief scale for patients on hemodialysis in China.AIM To verify the reliability and validity of the PGAC scale in patients on hemodialysis.METHODS In total,327 patients undergoing regular hemodialysis in the blood purification center of three grade-A tertiary hospitals in Guangdong and Guizhou provinces were selected by convenience sampling.The assessment was administered using the general information questionnaire and the Chinese version of PGAC.SPSS 25.0 and Amos 24.0 were used for item analysis,confirmatory factor analysis(CFA),convergent validity,and internal consistency reliability estimation.RESULTS In the modified Chinese version of PGAC,7 dimensions covering 27 total items were retained.CFA revealed a good fit of the factor model(chi-square degree of freedom=2.056,standardized root mean square residual=0.0479,root mean square error of approximation=0.0570,GFI=0.872,AGFI=0.841,IFI=0.931,CFI=0.930,TLI=0.919).The factor loadings of the items ranged 0.503-0.884.The composite reliability ranged 0.664-0.914,and the average variance extracted ranged 0.366-0.747.Cronbach’sαof the scale was 0.945,and Cronbach’sαfor various dimensions ranged 0.662-0.914.CONCLUSION The modified PGAC has good reliability and validity,and it can effectively measure preparatory grief in patients on hemodialysis.
基金supported by the project Monetary valuation of soil ecosystem services and creation of initiatives to invest in soil health:setting a framework for the inclusion of soil health in business and in the policy making process(InBestSoil)(Horizon Europe)Grant agreement ID:101091099。
文摘Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES mapping and modelling validation step has been overlooked,and this raises an important question in the credibility of the outcomes.This has been an important and unsolved issue in the ES research community that needs to be tackled.This highlight paper discusses the importance of validating single ES mapping and models.Conducting this using field or proximal/remote sensing raw data and not data from other models or stakeholder evaluation is important.A validation step should be mandatory in ES frameworks since it can assess the models’veracity,contribute to identifying the model’s weaknesses/strengths and ultimately represent a scientific advance in the field.This is easier to apply to the biophysical mapping and models of regulating and provisioning ES than to cultural ES,as the latter rely more on perception and cultural contexts.Also,ES supply models are easier to validate than demand and flow models.Robust and well-grounded models are essential for ensuring the reliability of individual ES maps and models and should be integrated into decision-making processes.Although several challenges arise related to the costs of data collection,in several cases prohibitive,and the time and the expertise needed to conduct this sampling and analysis,this is likely an imperative step that needs to be considered in the future.This will be beneficial in establishing ES research and improving decision-making and wellbeing.
文摘The purpose of this paper is to look into how reliable and valid the Persian version of the Cannabis Use Disorder Identification Test-Revised (CUDIT-R-Pr) is. It will also compare the screening features of the CUDIT-R with those of the DSM-5 criteria for cannabis use disorder (CUD) based on the SCID-5-CT in a group of university students in Tehran, Iran. The study used the stratified random sampling technique to collect data from 541 students (19 to 24 years old) who used cannabis in Tehran universities in 2024. Confirmatory factor analysis confirmed the uni-dimensionality of the CUDIT-R-Pr. We checked the reliability of the CUDIT-R-Pr using Cronbach Alpha, split-half, inter-rater, test-retest stability over time, and parallel testing equivalence. The results indicated that CUDIT-R-Pr is reliable, reproducible, and responsive, with substantial agreement and adequate interpretability. The CUDIT-R shows that it can tell the difference between different levels of cannabis use severity, which is known as discriminant validity. Receiver operating characteristic analyses confirmed this, using an area under the receiver operating characteristics curve (AUC = 0.95) at a cutoff of ten or less. This allowed CUDIT-R-Pr to accurately predict any DSM-5 based on the highest correctly classified value (0.89), demonstrating high levels of sensitivity (0.96), specificity (0.69), and Youden value (0.65). The exact maximum Youden index (0.72) showed that CUDIT-R-Pr could also predict moderate DSM-5 with a cutoff of twelve or less. To validate and generalize the CUDIT-R-Pr for use among Iranian cannabis users, we need more research.
文摘Background:Sport climbing is becoming incredibly popular both in the general population and among athletes.No consensus exists regarding evidence-based sport-specific performance evaluation;therefore,this systematic review was aimed at analyzing determinants of sport climbing performance and evaluation methods by comparing climbers of different levels.Methods:PubMed,Scopus,and Web of Science were searched up to December 20,2022.Studies providing the self-reported climbing ability associated with different functional outcomes in groups of climbers of contiguous performance levels were eligible.Results:74 studies were finally included.Various methods have been proposed to evaluate determinants of sport climbing performance.Climbing-specific assessments were able to discriminate climbers of different levels when compared to general functional tests.Test validity resulted high for climbing-specific cardiorespiratory endurance as well as muscular-strength,-endurance,and-power;similarly,reliability was good except for cardiorespiratory endurance.Climbing-specific flexibility assessment resulted in high reliability but moderate validity,whereas balance showed low validity.Considerable conflicting evidence was found regarding anthropometric characteristics.Conclusion:The present analysis identified cardiorespiratory endurance as well as muscular-strength,-endurance,and-power as determinants of sport climbing performance.In contrast,balance,flexibility,and anthropometric characteristics seem to count less.This review also proposes an evidence-based Functional Sport Climbing test battery for asses sing performance determinants,which includes tests that have been identified to be valid,reliable,and feasible.While athletes and coaches should rely on evidence-based and standardized evaluation methods,researchers may design specific large-scale trials as a resource for providing additional,homogenous,and comparable data to improve scientific evidence and professionalism in this popular sport discipline.
基金supported by Walailak University(grant number:WU65240,Year 2022).
文摘Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.
