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3Objective: To evaluate psychometrics of wearable devices measuring physical activity (PA) in ambulant children with gait abnormalities due to neuromuscular conditions.
Data Sources: We searched PubMed, Embase, PsycINFO, CINAHL, and SPORTDiscus in March 2023.
Study Selection: We included studies if (1) participants were ambulatory children (2-19y) with gait abnormalities, (2) reliability and validity were analyzed, and (3) peer-reviewed studies in the English language and full-text were available. We excluded studies of children with primarily visual conditions, behavioral diagnoses, or primarily cognitive disability. We performed independent screening and inclusion, data extraction, assessment of the data, and grading of results with 2 researchers.
Data Extraction: Our report follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We assessed methodological quality with Consensus-based Standards for the selection of health measurement instruments. We extracted data on reported reliability, measurement error, and validity. We performed meta-analyses for reliability and validity coefficient values.
Data Synthesis: Of 6911 studies, we included 26 with 1064 participants for meta-analysis. Results showed that wearables measuring PA in children with abnormal gait have high to very high reliability (intraclass correlation coefficient [ICC]+, test-retest reliability=0.81; 95% confidence interval [CI], 0.74-0.89; I2=88.57%; ICC+, interdevice reliability=0.99; 95% CI, 0.98-0.99; I2=71.01%) and moderate to high validity in a standardized setting (r+, construct validity=0.63; 95% CI, 0.36-0.89; I2=99.97%; r+, criterion validity=0.68; 95% CI, 0.57-0.79; I2=98.70%; r+, criterion validity cutoff point based=0.69; 95% CI, 0.58-0.80; I2=87.02%). The methodological quality of all studies included in the meta-analysis was moderate.
Conclusions: There was high to very high reliability and moderate to high validity for wearables measuring PA in children with abnormal gait, primarily due to neurological conditions. Clinicians should be aware that several moderating factors can influence an assessment.
DOCUMENT
AIM: To explore concurrent validity, convergent validity, interrater reliability, test-retest reliability, and Rasch model analysis of the School Participation Questionnaire (SPQ), a tool for teachers to assess personal and environmental determinants of school participation.
METHOD: Teachers of children with additional support needs, including intellectual disability, autism, and learning difficulties completed measures. Data were collected using the SPQ and the Participation and Environment Measure for Children and Youth (PEM-CY). Test-retest and interrater reliability were assessed using intraclass correlation coefficients (ICCs). Internal consistency was assessed with Cronbach's alpha. Concurrent and convergent validity were explored via correlations with the PEM-CY. Further psychometrics were examined using a Rasch model.
RESULTS: One hundred and eighty-seven children (136 [72.7%] male; mean age 9y [range 5y 6mo-12y 10mo, SD 2y]) were assessed by 67 teachers. Cronbach's alpha, test-retest, and interrater reliability were acceptable-excellent across each SPQ scale (alphas=0.89, 0.9, 0.94, 0.79; test-retest ICCs=0.64, 0.61, 0.78, 0.62; interrater ICCs=0.85, 0.71, 0.90, 0.81). Concurrent and convergent validity were confirmed with significant positive correlations between SPQ and PEM-CY. After Mokken and Rasch model analysis, person and item reliability were good, and unidimensionality was confirmed. Mean administration time was 8.2 minutes.
INTERPRETATION: The results suggest that the SPQ is a rapid, reliable, and valid tool for assessment of participation-related indicators in schools.
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Panel discussion on big data, algorithmic profiling, filter bubbles and political populism with Florian Cramer, Daniel Irrgang, Matteo Pasquinelli, Vesselin Popov, Peter Weibel and Siegried Zielinski. In: The political economy of data: on psychometrics, deep learning and net populism. Daniel Irrgang, Peter Weibel, Siegfried Zielinski (Hg.). Karlsruhe: ZKM, 2018 For the video of the paneldiscussion > zkm.de/en/media/video/net-activism-net-demagogy
DOCUMENT
Age-friendly cities are an important initiative set out by the World Health Organization,with many researchers and policy makers aiming to create age-friendly environments tosupport ageing populations access and navigate the built environment. The presentstudy examined the validity and reliability of the age-friendly cities and communitiesquestionnaire (AFCCQ-UK) deployed across the UK in 2023–2024. The sample (n = 426)completed an online survey answering a 23-item measure and employing a life courseperspective. The survey targeted people aged 18–60+ years through social media,mailing lists and word of mouth. The AFCCQ-UK demonstrates validity and reliabilityacross two age groups (18–59, 60+ years), demonstrating that age-friendliness can bemeasured intergenerationally and that there is a moderately positive overall perceptionof age-friendliness. Data show no significant differences between groups suggestingthe consistency of age-friendliness. Financial differences were observed to be of influ-ence especially regarding the domains of (1) Social Participation and (2) CommunitySupport and Health Services. Researchers in gerontology, urban planning and socialpolicy will benefit from these findings, and because our towns and communities do notcomprise of one specific age cohort, these findings can assist public service providers toclearly ascertain the needs and expectations of residents when attempting to rolloutage-friendly initiatives.
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Background: Evidence-based practice has developed over the last 30 years as a tool for the best possible nursing care. Nevertheless, many nurses do not regularly participate in the evidencebased practice process. Barriers to participation include nurses’ self-perceived ability in successfully fulfilling evidence-based practice-related tasks (self-efficacy) and their expectations of the positive outcomes of such tasks (outcome expectancy). To evaluate progress and provide feedback to professionals, monitoring the levels of self-efficacy and outcome expectancy with validated instruments is desirable. A comprehensive overview of the psychometric properties of such instruments is lacking
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Age-friendly cities and communities (AFCC) is an area of contemporary action and research since the World Health Organization (WHO) proposed its age-friendly cities and communities (AFCC) topic areas (Figure 1) 19 years ago (2007). The AFCC movement is not a 21st century phenomenon (van Hoof et al.; 2025c, Ch12; 2025b), aiming to act as a framework for local community entities to be inclusive of older adults, to remain independent in their community (World Health Organization, 2007a). However, since 2019, there has been a growth of alternative conceptual frameworks (Marston et al., 2020; Marston & van Hoof, 2019), focusing on the relationship between the built environment, including the home physical space, technologies, sustainability, and accessibility, underpinned by ecological (Marston et al., 2020) and life course theories (Marston & van Hoof, 2019). The purpose of this paper focuses on bridging the interconnections of technology, digital literacy, citizens, and their role situated within the AFCC arena.
DOCUMENT
Background
We report development of the SPQ (School Participation Questionnaire) a teacher-completed measure of participation related constructs for schools. The SPQ was developed to support participation-related assessment, interventions, and research in the inclusive school context.
Methods
Several iterative steps were undertaken. An international panel of experts reviewed content validity. A 66-item pilot questionnaire was administered in schools. Mokken and Rasch model analysis were applied. Internal consistency was assessed using Cronbach’s alpha. Analyses were conducted on associations with teacher and child demographic variables. Feedback was sourced from users. Participants were teachers of 101 children (5−12 years old) with a range of disabilities, including intellectual disability, autism spectrum disorder and learning difficulties.
Results
Four participation-related dimensions of the SPQ were confirmed. Rasch person and item reliability were good, and 2–4 strata were confirmed per scale. Internal consistency was good (all scales, Cronbach α > 0.8). Mean administration time was 11.7 min. Mean SPQ scores were independent of teacher characteristics. A significant effect of school support level, eligibility for free school meals and gender was found. Through synthesising analytic results and feedback, a new 46-item tool was obtained.
Conclusion
The results of this study provide evidence of acceptability, practicality and validity. The SPQ is the first tool developed to assess participation related constructs in schools, and it contains novel information not given by other assessments. The SPQ may be used by practitioners and researchers to understand and improve the participation of children with a range of disabilities in schools.
MULTIFILE
Background: Community care professionals need to encourage older adults in performing functional activities to maintain independence. However, professionals often perform functional activities on behalf of older adults. To change this, insights into the behavior and barriers of professionals in encouraging activities are required. In the current study, the MAINtAIN questionnaire, which was developed for nursing homes, was adopted. The objective was to create a modified version that is suitable for measuring behavior and barriers of community care professionals in encouraging functional activities of clients in the community care setting. The overall aims were to assess the content validity, construct validity, and internal consistency of the modified version. Methods: Data was collected by qualitative and quantitative methods in two phases. During phase one, the MAINtAIN was assessed on appropriateness and feasibility by community nurses (N = 7), and the adapted questionnaire was assessed on content validity by research experts (N = 9) and community care professionals (N = 18). During phase two, the psychometric properties of the adapted MAINtAIN-C were assessed in community care professionals (N = 80). Construct validity was evaluated by an Exploratory Factor Analysis (EFA), and internal consistency was determined by calculating Cronbach’s alpha coefficients. Results: The formulation, verbs, and wording of the MAINtAIN were adapted; some items were excluded and relevant items were added, resulting in the MAINtAIN-C with two scales, showing good content validity. The Behaviors scale (20 items) measures perceived behavior in encouraging functional activities, expressing good internal consistency (Cronbach’s alpha: .92). The Barriers scale measures barriers in encouraging functional activities related to two dimensions: 1) the clients’ context (7 items), with good internal consistency (.78); and 2) the professional, social, and organizational contexts (21 items), showing good internal consistency (.83). Conclusions: The MAINtAIN-C seems promising to assess the behavior and barriers of community care professionals in encouraging functional activities. It can be used to display a possible difference between perceived and actual behavior, to develop strategies for removing barriers in encouraging activities to foster behavioral change. The results also provide guidance for further research in a larger sample to obtain more insight into the psychometric properties.
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Objectives The Weight Stigma Exposure Inventory (WeSEI) is a newly developed tool that assesses observed weight stigma across different sources (i.e., interpersonal and non-interpersonal sources). Although the WeSEI is considered a useful instrument for assessing observed weight stigma, it has not been translated into Bahasa Indonesian. Therefore, the present study translated the WeSEI into Bahasa Indonesian and evaluated its psychometric properties. Methods A total of 1303 Indonesian university students were recruited via online survey between February and October 2024. They provided demographic information, and completed the WeSEI and the Weight Self-Stigma Questionnaire (WSSQ). Moreover, the factor structures, internal consistency, concurrent validity with external measures (i.e., WSSQ and body mass index, or BMI), and measurement invariance across sex (male vs. female) and weight status (non-overweight vs. overweight) of the translated WeSEI were evaluated. Results Confirmatory factor analysis showed that the WeSEI had a seven-factor structure (comparative fit index [CFI] = 0.984, Tucker-Lewis index [TLI] = 0.982, root mean square error of approximation [RMSEA] = 0.050, standardized root mean square residual [SRMR] = 0.058). The WeSEI showed very good internal consistency (ω = 0.86–0.93) among Indonesian young adults, and it had positive correlations with scores on the WSSQ and BMI. In addition, the seven-factor structure of WeSEI was invariant across sex and weight status. Conclusion The Bahasa WeSEI demonstrated good validity and reliability and provided further evidence for assessing different sources of weight stigma exposure in an Indonesian context. Therefore, the WeSEI can be considered a robust tool for assessing observed weight stigma among Indonesian populations.
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Purpose Empowerment in patients can lead to a higher participation in care and self-management skills. However, there are a limited number of high-quality instruments to assess empowerment and its various dimensions in young persons. The aim was to develop and assess the psychometric properties of the Gothenburg Young Persons Empowerment Scale (GYPES). Methods The GYPES is a 15-item questionnaire designed to measure patient empowerment in young persons with chronic conditions. Three studies were conducted to evaluate the psychometric properties of the scale. Studies I and II assessed face, content and factorial validity, as well as responsiveness and reliability in young persons with congenital heart disease and diabetes. After these studies problematic items were identified and reworded and the final version of the GYPES was tested in young persons with diabetes in study III. Results The content and face validity of the scale was confirmed in study I. Confirmatory factor analyses (CFA) in study II supported the five-factor structure of the GYPES. However, one item had a low factor loading. The scale was revised and evaluated in study III. CFA of this version supported adequate model fit with factor loadings ranging from 0.385–0.941. A second-order model had an adequate fit to the data. Cronbach’s alpha for the overall scale was 0.858 and for each subscale, alphas range from 0.609–0.858. Conclusions GYPES was developed to measure patient empowerment in young persons with chronic conditions. Preliminary evidence supports that the GYPES may be a valid and reliable tool for assessing young persons’ empowerment.
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