Development and initial validation of the chronic hepatitis B quality of life instrument (CHBQOL) among Chinese patients

Zhu, Lin; Kong, Jingxia; Zheng, Yingjing; Song, Mengna; Cheng, Xiaoming; Zhang, Li; Patrick, Donald L.; Wang, Hongmei

doi:10.1007/s11136-019-02240-7

Cited by 7 publications

(5 citation statements)

References 43 publications

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“…ESEM, which offers the advantage of providing the overall tests of model fit [ 56 ], was then conducted to compare the fitness of the proposed competing models to determine the optimal factor structure. A five-factor structure was finally determined and the factor rotation resulted in as many as 22 items being deleted, the strict requirements of EFA on the number and correlation of variables, as well as the sample size and distribution could explain the large number of items being deleted at this stage [ 57 ], previous studies also found quite a number of items being removed by EFA [ 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

Development and validation of the patient-reported outcome for older people living with HIV/AIDS in China (PROHIV-OLD)

Zhou,

Zheng,

Wang

et al. 2024

Health Qual Life Outcomes

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Background The involvement of quality of life as the UNAIDS fourth 90 target to monitor the global HIV response highlighted the development of patient-reported outcome (PRO) measures to help address the holistic needs of people living with HIV/AIDS (PLWHA) beyond viral suppression. This study developed and tested preliminary measurement properties of a new patient-reported outcome (PROHIV-OLD) measure designed specifically to capture influences of HIV on patients aged 50 and older in China. Methods Ninety-three older people living with HIV/AIDS (PLWHA) were interviewed to solicit items and two rounds of patient cognitive interviews were conducted to modify the content and wording of the initial items. A validation study was then conducted to refine the initial instrument and evaluate measurement properties. Patients were recruited between February 2021 and November 2021, and followed six months later after the first investigation. Classical test theory (CTT) and item response theory (IRT) were used to select items using the baseline data. The follow-up data were used to evaluate the measurement properties of the final instrument. Results A total of 600 patients were recruited at the baseline. Of the 485 patients who completed the follow-up investigation, 483 were included in the validation sample. The final scale of PROHIV-OLD contained 25 items describing five dimensions (physical symptoms, mental status, illness perception, family relationship, and treatment). All the PROHIV-OLD dimensions had satisfactory reliability with Cronbach’s alpha coefficient, McDonald’s ω, and composite reliability of each dimension being all higher than 0.85. Most dimensions met the test-retest reliability standard except for the physical symptoms dimension (ICC = 0.64). Confirmatory factor analysis supported the structural validity of the final scale, and the model fit index satisfied the criterion. The correlations between dimensions of PROHIV-OLD and MOS-HIV met hypotheses in general. Significant differences on scores of the PROHIV-OLD were found between demographic and clinical subgroups, supporting known-groups validity. Conclusions The PROHIV-OLD was found to have good feasibility, reliability and validity for evaluating health outcome of Chinese older PLWHA. Other measurement properties such as responsiveness and interpretability will be further examined.

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Section: Discussionmentioning

confidence: 99%

Development and validation of the patient-reported outcome for older people living with HIV/AIDS in China (PROHIV-OLD)

Zhou,

Zheng,

Wang

et al. 2024

Health Qual Life Outcomes

Self Cite

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“…The collected data were randomly split into two sets using the algorithm available in SPSS for the EFA and CFA samples (Çelik, Karadağ, & Hisar, 2012; T. Li, Wang, Zhou, Ren, & Gao, 2018; Zhao et al, 2019). For EFA, eigenvalues of >1 and factor loadings of >0.4 were used to retain the factors and items (W. W. Wu, Liu, Jou, Hung, & Liang, 2018; Zhu et al, 2019). CFA was used to confirm the selected model based on model fitness and item loading.…”

Section: Methodsmentioning

confidence: 99%

“…Li, Wang, Zhou, Ren, & Gao, 2018;Zhao et al, 2019). For EFA, eigenvalues of >1 and factor loadings of >0.4 were used to retain the factors and items (W. W. Wu, Liu, Jou, Hung, & Liang, 2018;Zhu et al, 2019). CFA was used to confirm the selected model based on model fitness and item loading.…”

Section: Data Collectionmentioning

confidence: 99%

Inpatient Suicide Second Victim Experience and Support Tool: Psychometric properties of a scale for nurses who experienced inpatient suicide at Chinese general hospitals

Tan

Luo

et al. 2020

Nursing & Health Sciences

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This study describes a psychometric scale, the Inpatient Suicide Second Victim Experience and Support Tool, for evaluating physical and psychological distress with a focus on resources for supporting the needs of nursing professionals. Our study defines "second victim" as a nurse who experiences inpatient suicide while on shift. We conducted a cross-sectional study among non-psychiatric nurses to examine the psychometrics of the scale. A total of 731 participants were recruited from eight Chinese general hospitals for this research. Data were analyzed by exploratory factor analysis and confirmatory factor analysis to examine the reliability and validity of the scale. The results indicated adequate indices resulting in 21 items. The final structure for the scale was categorized into five domains: psychosomatic distress, support from family and friends, work-related support, organizational support, and professional self-efficacy. The total variance explained was 69.06%. Cronbach's alpha was 0.869 overall, and ranged from 0.626 to 0.914 for the five dimensions. The test-retest reliability of 0.792 for the entire scale was also acceptable. The scale shows promise for use by healthcare organizations to identify second victims and promote necessary organizational support interventions in Chinese hospitals.

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“…Based on the guideline suggesting a sample size of 5-to-10 times the number of scale items, the minimum sample was determined to be 130 [27] . However, to accommodate the 30% dropout rate observed in the pilot study, and enhance statistical robustness, we aimed for a nal sample size of approximately 1,000.…”

Section: Questionnaire Surveymentioning

confidence: 99%

Understanding the Deterrence in Medical Insurance Fund Regulatory Systems for Fraud and Abuse Behaviors by Enrollees in China: An Analysis Based on Deterrence Theory

Zhang,

Sun,

Liao

et al. 2024

Preprint

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Background: To effectively improve the regulatory systems of medical insurance, a deep dive into their impact on enrollees is essential. The challenge lies in comprehensively and quantitatively assessing these effects, amidst a noticeable research gap in evaluating regulatory impacts within the medical insurance domain. This study aimed to develop a conceptual framework based on deterrence theory to assess the effects of medical insurance regulations on deterring medical insurance fraud and abuse (MIFA) among enrollees, focusing on Shanghai as a case study. Methods: This study integrated data for analysis from three distinct sources and used mixed methods. The Database of Medical Insurance Supervision on Enrollees (DMISE), spanning 2017 to 2021, provided a foundational analysis of the system's implementation. We utilized a multistage stratified sampling method to conduct a questionnaire survey to gauge enrollees' perceptions of deterrence, employing the Enrollees' Perceived Deterrence Scale (EPDS), developed for this study. Semi-structured interviews with key informants offered deeper insights into the regulatory systems. Our evaluation was guided by a conceptual framework that identified three key dimensions of deterrence: severity, certainty, and celerity. Results: Our study analyzed 12,898 historical fraud and abuse cases, involving 10,723 enrollees, alongside 965 valid questionnaires. It revealed that the medical insurance regulatory system in Shanghai exerted a high level of deterrence. Enrollees rated the perceived severity of the regulatory system as the highest. Although administrative sanctions were the primary measures, and were effective, there is a need for greater intensity and precision in their application. The certainty of detection was high, at approximately 80–90%. Whilst some covert activities remained difficult to detect, the certainty of enforcement was approximately 99%. Celerity received the lowest scores, indicating delays in both detection and penalty imposition within the regulatory response. Conclusion: The study developed a theoretical analytical framework to assess the effectiveness of deterrence within medical insurance regulatory systems. It identified both the strengths and weaknesses of severity, certainty, and celerity in the current regulatory system, providing valuable insights for enhancing deterrence. These findings offer important guidance for policymakers to strengthen regulatory schemes against MIFA, contributing to the advancement of more effective healthcare policies.

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Development and initial validation of the chronic hepatitis B quality of life instrument (CHBQOL) among Chinese patients

Cited by 7 publications

References 43 publications

Development and validation of the patient-reported outcome for older people living with HIV/AIDS in China (PROHIV-OLD)

Development and validation of the patient-reported outcome for older people living with HIV/AIDS in China (PROHIV-OLD)

Inpatient Suicide Second Victim Experience and Support Tool: Psychometric properties of a scale for nurses who experienced inpatient suicide at Chinese general hospitals

Understanding the Deterrence in Medical Insurance Fund Regulatory Systems for Fraud and Abuse Behaviors by Enrollees in China: An Analysis Based on Deterrence Theory

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