A rating instrument for fear of hospitalisation

Janković, Slobodan; Antonijevic, Gordana V.; Vasić, Ivana; Živković-Radojević, Marija; Mirković, Snježana; B, Nikolic; Opančina, Valentina; Putnik, S Srdjan; Radoicic, Ljiljana R.; Raspopovic, Katarina; Stanojevic, Dragan R.; Teofilov, Sladjana D.; Tomasevic, Katarina V.; Radonjić, Vesela

doi:10.1111/jocn.14295

Cited by 7 publications

(11 citation statements)

References 33 publications

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“…The FH scale is a 17-item scale developed by Dr. Slobodan M. Jankovic et al to comprehensively measure the fear of hospitalization experienced among outpatients ( Jankovic et al, 2018 ). The FH scale includes three dimensions: Factor 1: Fear of being injured (7 items), Factor 2: Mistrust to the medical staff (5 items), and Factor 3: Fear of losing privacy, autonomy, and family ties (5 items).…”

Section: Methodsmentioning

confidence: 99%

“…Based on the above, there is a need for reliable instruments to assess patients’ fear of hospitalization in China objectively. Professor Slobodan M. Jankovic developed and validated the FH scale ( Jankovic et al, 2018 ) based on the guidelines developed by DeVellis (1991) . Therefore, this study aimed to translate the FH scale into Chinese and validate its psychometric properties.…”

Section: Introductionmentioning

confidence: 99%

“…However, existing instruments for assessing fear of hospitalization are either limited in their target population or too general, and there is currently no scale that comprehensively assesses fear of hospitalization in outpatients in China. Based on the above, there is a need for reliable instruments (Jankovic et al, 2018) based on the guidelines developed by DeVellis (1991). Therefore, this study aimed to translate the FH scale into Chinese and validate its psychometric properties.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric evaluation of the Chinese version of fear of hospitalization scale among outpatients: A validation study

et al. 2023

Front. Psychol.

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BackgroundIn China, some patients avoid seeking medical care and are highly sensitive to subsequent medical care because of fear of possible hospitalization after a diagnosis has been established. Early identification of fear of hospitalization is essential for clinical staff to develop targeted education and interventions. However, there are currently no tools to assess outpatients’ fear of hospitalization in mainland China. This study aimed to translate the Fear of Hospitalization (FH) scale into Chinese and verify its reliability and validity in outpatients.MethodsThrough convenience sampling, 664 outpatients who required hospitalization were recruited from two cities in Liaoning Province, China. The reliability of the translated scale was measured by internal consistency, split-half reliability, and test–retest reliability. The validity of the translated scale was evaluated by expert consultation, exploratory factor analysis, and confirmatory factor analysis. Data were analyzed using SPSS 25.0 (IBM Corp., Armonk, NY, United States) and AMOS 23.0 (IBM Corp., Armonk, NY, United States).ResultsThe Cronbach’s α value of the Chinese version of the FH scale was 0.849, and the Cronbach’s α value of the dimensions ranged from 0.857 to 0.902. The test–retest reliability value of 0.868 shows good temporal stability. The split-half reliability value of 0.910 indicates a high degree of measuring the same content. The content validity index of the scale (S-CVI) was 0.924, indicating a good level of content validity. The 3-factor structure supported by eigenvalues, total variance explained, and scree plot was obtained using exploratory factor analysis. In addition, all recommended fit indicators were within the acceptable range by confirmatory factor analysis.ConclusionThe Chinese version of the FH scale is valid and reliable in outpatients. The developed three-factor structured scale will help identify outpatients with a high fear of hospitalization and can inform the development of educational intervention plans for care managers, physicians, and nurses. In addition, it helps clinicians and nurses take action to reduce this fear of hospitalization in patients and prevent avoidance of using health care services due to fear of hospitalization.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychometric evaluation of the Chinese version of fear of hospitalization scale among outpatients: A validation study

et al. 2023

Front. Psychol.

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“…We got permission for translation and cross-cultural adaptation from the authors of the Fear of COVID-19 scale ( 3 ). We also got permission for using the Fear of Hospitalization scale as well as for the Emotional Regulation Questionnaire (ERQ) ( 29 , 30 ). The original version of the scale was translated from English into Serbian by two English speakers, a professional translator and a bilingual university professor.…”

Section: Methodsmentioning

confidence: 99%

Validation of the fear of COVID-19 scale in a central Balkan country - Serbia

Zarić

Čanović

et al. 2022

Front. Public Health

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Validation of the fear of introductionHigh levels of fear of COVID-19 may be associated with increased levels of stress, anxiety, and depression, as well as decreased resilience and life expectancy.ObjectiveThis study aimed to translate and confirm the Serbian version of the Fear of COVID-19 scale as well as to investigate its psychometric properties.MethodsThe translation and intercultural adaptation of the Fear of COVID-19 scale was performed by the leading standard of the International Society for Pharmacoeconomics and Outcome Research. When the distribution was normal, the Kolmogorov-Smirnov test was used. The reliability of the Serbian version of FCV-19S was tested by measuring the internal consistency through the value of Cronbach's alpha.ResultsThe original version of the Fear of COVID-19 scale was tested on a sample of 256 subjects with a mean age of 25.38 ± 12.47. The Cronbach's alpha value was 0.864. We divided the scale by the split-half method (Spearman-Brown), and the value of the coefficient for the questionnaire as a whole was 0.882. Divergent criterion validity was tested through the non-parametric correlation between the scores of the Fear of COVID-19 scale and the Fear of Hospitalization scale. A score of the Fear of COVID-19 scale was calculated as the sum of each question for each of the respondents. Convergent criterion validity was tested through the non-parametric correlation between the scores of the Fear of COVID-19 scale and the Emotional Regulation Questionnaire.ConclusionThe validated version of the scale in Serbia complements versions available in other cultures and other languages and facilitates global studies related to mental health during the COVID-19 pandemic.

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“…While at the hospital, the patient has anxiety and worry due to poor communication with staf, waiting for surgery, fear of dying, fear of the unknown, and some unmet needs [1][2][3]. Other factors contributing to fear of hospitalization include the efects of the disease, being away from family, and a lack of confdence in medical professionals [2,4]. Evidence has also revealed that awareness of self-care behaviors, nurse behavior, level of health literacy, depth of knowledge, kind of illness, education, occupation, sex, and age are all linked to fear of hospitalization [5,6].…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Persian Version of Fear of Hospitalization Scale in Patients Undergoing Emergency Surgery

Nia

Janković

Hanifi

2023

Perspectives in Psychiatric Care

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Purpose. This study was designed to characterize the psychometric properties of the Persian version of Fear of Hospitalization Scale (P-FHS). Design and Methods. In order to evaluate the validity and reliability of the translated scale, a cross-sectional design was employed. Ten experts evaluated the content validity of Fear of Hospitalization Scale (FHS) after it had been back-translated into Persian. With 612 patients having emergency surgery, construct validity was assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The STROBE checklist for cross-sectional studies was followed. Findings. The results of EFA (n = 306) showed that fear of hospitalization had three factors. These three factors accounted for 45.28% of the total variance. Also, these factors were confirmed by CFA (n = 306) (root-mean-square error of approximation = (90% confidence interval) = 0.050 (0.041, 0.058), goodness-of-fit index = 0.945, comparative fit index = 0.968, non-normal fit index = 0.948, incremental fit index = 0.968, Tucker–Lewis index = 0.959). The coefficients of Cronbach’s alpha, McDonald’s omega, composite reliability, and maximum reliability for all three factors were greater than 0.7, demonstrating satisfied internal consistency. Practice Implication. According to the published results, the P-FHS is effective at measuring hospitalization anxiety in patients undergoing emergency surgery. It is advised that nurses in Iranian culture use a legitimate and trustworthy technique to pinpoint the causes of hospitalization anxiety in patients undergoing emergency surgery to give optimal care.

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A rating instrument for fear of hospitalisation

Abstract: Identification of patients with high level of fear of hospitalisation by this instrument should help clinicians to administer measures which may decrease fear and prevent avoidance of healthcare utilisation.

Cited by 7 publications

References 33 publications

Psychometric evaluation of the Chinese version of fear of hospitalization scale among outpatients: A validation study

Psychometric evaluation of the Chinese version of fear of hospitalization scale among outpatients: A validation study

Validation of the fear of COVID-19 scale in a central Balkan country - Serbia

Psychometric Properties of the Persian Version of Fear of Hospitalization Scale in Patients Undergoing Emergency Surgery

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