Development and psychometric performance of the French language version of the Manchester-Oxford Foot Questionnaire (MOXFQ)

BackgroundThe Manchester-Oxford Foot Questionnaire (MOXFQ) is a 16-item patient-reported outcome measure (PROM) validated for use in patients with foot and ankle pathologies. It contains three sub-scores for pain, walking/standing and social interaction dimensions. The aim of this study was to develop a French language version of the MOXFQ and to assess its psychometric properties in patients affected by foot and ankle pathologies.MethodsAccording to guidelines, forward and backward independent translations were performed. The final French version was pre-tested in 45 patients. The French MOXFQ and the Short-form 36 Health Survey (SF-36) were filled in by 149 patients. A retest was performed in 39 patients. Internal consistency and test–retest reliability were assessed using Cronbach’s alpha and intraclass correlation coefficient (ICC), respectively. Construct validity was assessed by factor analysis, and through correlations of MOXFQ scales with SF-36 scales.ResultsInternal consistency coefficients were high with Cronbach’s alpha ranging from 0.79 and 0.94. Test-retest ICCs were between 0.74 and 0.93. No floor or ceiling effects were observed. The correlations between French MOXFQ and French SF-36 subscales were moderate ranging from −0.33 to −0.71.ConclusionsThe French translation of the MOXFQ revealed good psychometric properties. Our French version proved to be a reliable instrument which can be used for evaluation of patients with foot and ankle disorders.Level of evidenceII.     

Validation of the Chinese Version of the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults

BackgroundThe number of individuals with potential gender dysphoria (GD) being referred to specialized gender identity clinics or programs is increasing internationally; these cases are initially screened using the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA).AimThe current study aimed to assess the psychometric properties of the GIDYQ-AA in a sample of adolescents and young adults from China.MethodsA cross-sectional study was conducted in October 2020. Sociodemographic information of the participants was first collected. Participants then completed the GIDYQ-AA, the Generalized Anxiety Disorder-7 scale, the Patient Health Questionnaire-9, and a suicidal ideation assessment. A total of 2,533 participants with a mean age of 19.30 (SD = 1.19) years were recruited. Of the participants, 841 (33.2%) were cis men, 1,589 (62.7%) were cis women, 66 (2.6%) self-identified as transgender, 17 (0.7%) self-identified as non-binary, and 20 (0.8%) self-identified as gender queer.ResultsThe GIDYQ-AA had high internal consistency with a Cronbach's alpha = 0.89. Exploratory factor analysis showed that the GIDYQ-AA had a four-factor structure in China. The GIDYQ-AA was significantly correlated with anxiety symptoms (r = –0.32, P < .01), depressive symptoms (r = –0.33, P < .01), and suicidal ideation (r = –0.20, P < .01).Clinical TranslationThe Chinese version of GIDYQ-AA is a useful measurement with high practical value, which could promote the assessment and research of GD across China or among Chinese migrants in other countries.Strengths and LimitationsThis is the first study assessing the psychometric properties of the GIDYQ-AA in Chinese adolescents and young adults. The convergent and divergent validity of the GIDYQ-AA were not examined due to the unavailability of data. Also, the sample did not have an equal distribution of male to males and female to females.ConclusionThe Chinese version of GIDYQ-AA is a useful measure, which could promote both the assessment and research of GD in the Chinese population.Wang Y, Feng Y, Su D, et al. Validation of the Chinese Version of the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults. J Sex Med 2021;18:1632–1640.     

Diagnostic accuracy of various forms of geriatric depression scale for screening of depression among older adults: Systematic review and meta-analysis

ObjectivesDepression is under-reported and under-identified by the healthcare professionals. Geriatric depression scale (GDS) is one of the most commonly used instruments for screening the older adults for depression. The current review was done to determine the diagnostic accuracy of various forms of GDS for screening of depression among older adults.MethodsWe conducted systematic search in various databases like Medline, Cochrane library, Sciencedirect and Google Scholar from inception till May 2019. Quality of trials was assessed by Quality Assessment of Diagnostic Accuracy Studies-2 tool. We performed bivariate meta-analysis to obtain the pooled sensitivity, specificity, positive, negative likelihood ratio and diagnostic odds ratio for each of the GDS forms.ResultsTotally 53 studies with 17,018 participants were included in the review. We found the pooled sensitivity and specificity of GDS 30 to be 82 % and 76 % with near higher diagnostic accuracy (AUC = 0.85). GDS 15 had pooled sensitivity and specificity of 86 % and 79 % with higher diagnostic accuracy (AUC = 0.90). GDS 10 had pooled sensitivity and specificity of 87 % and 75 % with AUC = 0.83. Our study found GDS 4 to have sensitivity of 74 % with specificity of 71 %. All the four forms of GDS belonged to right lower quadrant of LR scatter-gram indicating neither confirmation nor exclusion.ConclusionCurrent study found that all the forms of GDS are highly useful for detecting depression among elderly with higher sensitivity and specificity. The diagnostic performance was much better for shorter forms of GDS such as GDS 15 and GDS 10 when compared to GDS 30.     

Measuring shared decision-making in the pediatric outpatient setting: Psychometric performance of the SDM-Q-9 and CollaboRATE among English and Spanish speaking parents in the US Midwest

Objective

Shared decision-making (SDM) measures have never been assessed for validity and feasibility in pediatric outpatient settings. We compared psychometric performance of parent adaptations of a well-established measure (SDM-Q-9) to a newer measure focusing on provider effort in facilitating SDM (CollaboRATE) in two clinics.

Validación y aplicación de un instrumento para la documentación del proceso enfermero en cuidados intensivos

Objectiveto validate the content of an instrument for documenting the steps of the Nursing Process, using the standardized languages NANDA-I, NOC, and NIC (NNN), aiming at hospitalized patients in an Intensive Care Unit (ICU).MethodA methodological research performed in three steps: design of the existing instrument from the systems NANDA-I, NOC and NIC; content validation by 13 judges, from a four-point Likert-type scale – items were evaluated as to their clarity and pertinence; applicability: judgement of the content regarding clarity, reading ease, and presentation for 40 critical-care nurses. The Content Validity Index (CVI) and the Kappa coefficient (k) was calculated to measure the proportion of relevance and clarity, was well as to verify the level of agreement between the experts in each item.ResultsThe instrument was considered clear and pertinent, with CVI above 0.8 in most items and overall Concordance Index (CI) of 0.90, showing a satisfactory level of agreement between judges. Regarding applicability, the instrument was deliberated clear, of easy reading, and with proper presentation by most critical-care nurses, being validated through 11 diagnoses with their respective results and nursing interventions.ConclusionThe instrument showed to be valid and applicable for the group studied. It is expected that this study is able to contribute to the improvement of the Nursing Process in intensive care.     

Évaluation des comportements agressifs routiers : adaptation et validation en version française de l’Aggressive Driving Behavior Scale (ADBS)

ObjectivesFor over twenty years, a particular interest has been shown to drivers’ behaviors. Research in this domain has studied different behaviors that might influence dangerous driving and motor vehicle accidents. In particular, aggressive driving has been frequently studied. For instance, nowadays road users perceive aggressive driving as one of the most significant problems encountered on the road. Moreover, aggressive driving is a major cause of traffic accidents and injuries. Houston et al. (2003) have developed the Aggressive Driving Behavior Scale (ADBS) for assessing aggressive driving. This 11-item self-reported questionnaire, allowing to measure aggressive driving behaviors as Speeding and Conflict Behavior. To our knowledge, there is no French self-report instrument to assess this phenomenon. Many studies have investigated the relationship between aggressive driving and specific variables as psychological processes (cognitive and emotional) or personal determinants (personality, driving behavior). Driving anger and driving transgression have been reported to be significantly and positively correlated with aggressive driving. The aim of this study was (a) to validate the French version of the ADBS and (b) to investigate the relationship between Aggressive Driving, Driving Anger and Driving Transgression.MethodsA sample of 431 drivers, ages ranging from 18 to 81 years (M = 34.53; SD = 12.25), completed the ADBS, the Driving Anger Scale (DAS) and the Driving Behavior Scale Transgression (DBQT).ResultsConfirmatory factor analysis (CFA) was conducted to test the proposed 2-factor structure of the ADBS. As the first model did not fit the original one, others model were tested. Exploratory factor analysis indicated that a three-factor solution, excluding the item 7, best described the item structure: (1) Aggressive Driving, (2) Transgression/Aggressive Driving involving others and (3) Individual Transgressive Driving. On the other hand, ADBS correlated positively with all the dimensions of the DBQT and the DAS except for the factor “Illegal Driving” with which ADBS correlated negatively. The internal consistency of the ADBS was acceptable (α = 0.77).ConclusionsThe initial model developed by Houston, Harris and Norman did not fit the data from the French population. French version of Aggressive Driving Behavior Scale can be an interesting assessment of aggressive driving by making a distinction between aggressive behaviors, transgressive behaviors perceived as aggressive behavior by other road users and individual transgressive behaviors. Our findings highlight that aggressive driving are associated with driving anger. This could suggest that it can be useful to include in driver rehabilitation programs for example strategies to manage anger. These programs, based on cognitive behavioral interventions, would focus on social problem-solving that helps people become aware of the long-term negative consequences of their anger and identifies new response.     

Metrological Validation of a Measurement Procedure for the Characterization of a Biological Ultrasound Tissue-Mimicking Material

The speed of sound and attenuation are important properties for characterizing reference materials such as biological phantoms used in ultrasound applications. There are many publications on the manufacture of ultrasonic phantoms and the characterization of their properties. However, few studies have applied the principles of metrology, such as the expression of the uncertainty of measurement. The objective of this study is to validate a method for characterizing the speed of sound and the attenuation coefficient of tissue-mimicking material (TMM) based on the expression of the measurement of uncertainty. Six 60-mm-diameter TMMs were fabricated, three 10 mm thick and three 20 mm thick. The experimental setup comprised two ultrasonic transducers, acting as transmitter or receiver depending on the stage of the measurement protocol, both with a nominal center frequency of 5 MHz and an element diameter of 12.7 mm. A sine burst of 20 cycles and 20-V peak-to-peak amplitude at 5 MHz excited the transmitter transducer, producing a maximum pressure of 0.06 MPa. The measurement method was based on the through-transmission substitution immersion technique. The speed of sound measurement system was validated using a calibrated stainless-steel cylinder as reference material, and normalized errors were <0.8. The attenuation coefficient measurement method was validated using replicated measurements under repeatability conditions. The normalized error between the two measurement sets was <1. The proposed uncertainty models for the measurements of the speed of sound and the attenuation coefficient can help other laboratories develop their own uncertainty models. These validated measurement methods can be used to certify a TMM as a reference material for biotechnological applications.     

Validez y confiabilidad de la escala de sentido de coherencia en estudiantes de grado de enfermería de una universidad española

ObjectiveTo analyze the factor structure of the OLQ-13 scale and to study the direct relationship between sense of coherence and lifestyles in university students of nursing.MethodCross-sectional study. Location: University of Jaén. Andalusia, Spain. Participants: 384 students from the first three years of the nursing degree in the University of Jaén. Main measurement: Internal consistency was studied by Cronbach's alpha, reliability test-retest was measured by intraclass coefficient correlation (ICC) and construct validity was analysed by exploratory factor analysis, confirmatory factor analysis and known-groups technique.ResultsThe internal consistency of the scale was adequate (Cronbach α = 0.809). The ICC for the reliability test-retest was 0.91. The exploratory factor analysis showed 3 factors explaining 50.13% of the variance. The confirmatory factor analysis showed f goodness-of-fit indexes for the proposed model CFI = 0.965; RMSA = 0.041; GFI = 0.963; SRMR = 0.041. Statistically significant differences in sense of coherence were found among the subgroups of students with healthy and unhealthy lifestyles (p < 0.001).ConclusionsThe study confirms the multidimensionality of the OLQ-13 scale, in which 3 factors were identified: external meaningful, comprehensibility and manageability, and internal comprehensibility and manageability. The OLQ-13 may be a valid and reliable scale for use in the Spanish university population.