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Questionnaires have been widely used to tap into fine-grained themes of educational studies (see also Chapters 3, 8, and 11 of the this book). Unfitted use of parametric methods, however, would result in mistakenly interpreting ordinal scales as equal intervals, or difficulties in resolving issues such as missing raw data. Rasch measurement, as one of several item response theoretic models, is strongly suggested for application prior to the conduction of parametric statistical tests (Boone, Staver, & Yale, 2014).
This chapter starts with introducing basic facts about Rasch modelling, and discusses three study cases that applied Rasch modeling for scale development and validation.
In addition, this chapter features a step-by-step analysis procedure for data collected from a questionnaire, which is administered among 102 undergraduate students enrolled in a university located in Shanghai, China. All of the students have registered for at least one course instructed in English, which is related to their major area of study. The questionnaire was adapted from the Japanese English Medium of Instruction Attitude Scale (JEMIAS) (Curle, 2018). Multi-facet Rasch Measurement (MFRM) analysis was conducted to investigate the possible influence of students’ academic major on their attitude toward EMI, as well as the functioning of individual items on the scale. Analysis results show that students’ disciplinary background has limited influence on their attitudes. Items demonstrating different logit scales, however, provide practical implications for designing EMI courses in Chinese higher education institutions.
In the 1980s and 90s in psychology, many cross-cultural comparisons were made concerning individualism and collectivism with questionnaires and experiments. The largest number of them compared “collectivistic” Japanese with “individualistic” Americans. This chapter reviewed 48 such empirical comparisons and found that Japanese were no different from Americans in the degree of collectivism. Both questionnaire studies and experimental studies showed essentially the same pattern of results. Many researchers who believed in “Japanese collectivism” suspected flaws in those empirical studies. However, none of the suspected flaws was consistent with empirical evidence. For example, although it was suspected that “Japanese collectivism” was not supported because college students provided data as participants, the studies with non-student adults did not support this common view either. It is thus unquestionable that as a whole the empirical studies disproved the reality of “Japanese collectivism.”
The Emotion Regulation Questionnaire-Short Form (ERQ-S) is a brief 6-item self-report measure of two emotion regulation strategies, cognitive reappraisal and expressive suppression. It is a short form of the most widely used emotion regulation measure in the field, but currently there are limited data on the performance of the ERQ-S. The aim of this study was to introduce a Polish version of the ERQ-S, examine its psychometric properties and provide Polish norms to aid score interpretation. Our sample was 574 Polish-speaking adults aged 18–69 from the general community in Poland. We examined the ERQ-S’s factor structure and measurement invariance with confirmatory factor analysis. We assessed the concurrent validity of the questionnaire via relationships with psychopathology symptoms and well-being. As expected, the Polish version of the ERQ-S demonstrated strong factorial validity with a theoretically congruent 2-factor structure (cognitive reappraisal and expressive suppression factors), which was invariant across gender, age and education categories. The ERQ-S’s concurrent validity and internal consistency reliability were good. As expected, cognitive reappraisal was significantly associated with lower psychopathology symptoms and higher well-being, whereas the opposite pattern was present for expressive suppression. Overall, the Polish version of the ERQ-S has strong psychometric properties and good clinical relevance.
Mental imagery plays a key role in the onset and maintenance of psychological disorders, and has become the target of psychological interventions for the treatment of several anxiety-related conditions. However, there are currently no transdiagnostic measures designed to assess the varied dimensions of mental imagery relevant to psychopathology.
Aim:
To develop and validate a new measure assessing the experiences and appraisals of negative mental imagery.
Method:
The initial item pool was generated through a comprehensive literature review and interviews with subject-matter experts. An online community sample provided data for the exploratory (n=345) and confirmatory (n=325) factor analyses.
Results:
The new 16-item Negative Mental Imagery Questionnaire demonstrated four subscales (Intrusiveness, Controllability, Beliefs about Mental Imagery, and Realness). Reliability and validity were good to excellent for both the full- and sub-scales.
Conclusions:
Appraisals of mental imagery captured by the new measure are consistent with previous research on mental imagery and psychopathology.
Obstructive sleep apnea (OSA) is associated with worse outcomes in stroke, Alzheimer’s disease (AD) and Parkinson’s disease (PD), but diagnosis is challenging in these groups. We aimed to compare the prevalence of high risk of OSA based on commonly used questionnaires and self-reported OSA diagnosis: 1. within groups with stroke, AD, PD and the general population (GP); 2. Between neurological groups and GP.
Methods:
Individuals with stroke, PD and AD were identified in the Canadian Longitudinal Study of Aging (CLSA) by survey. STOP, STOP-BAG, STOP-B28 and GOAL screening tools and OSA self-report were compared by the Chi-squared test. Logistic regression was used to compare high risk/self-report of OSA, in neurological conditions vs. GP, adjusted for confounders.
Results:
We studied 30,097 participants with mean age of 62.3 years (SD 10.3) (stroke n = 1791; PD n = 175; AD n = 125). In all groups, a positive GOAL was the most prevalent, while positive STOP was least prevalent among questionnaires. Significant variations in high-risk OSA were observed between different questionnaires across all groups. Under 1.5% of individuals self-reported OSA. While all questionnaires suggested a higher prevalence of OSA in stroke than the GP, for PD and AD, there was heterogeneity depending on questionnaire.
Conclusions:
The wide range of prevalences of high risk of OSA resulting from commonly used screening tools underscores the importance of validating them in older adults with neurological disorders. OSA was self-reported in disproportionately small numbers across groups, suggesting that OSA is underdiagnosed in older adults or underreported by patients, which is concerning given its increasingly recognized impact on brain health.
Chapter 5 is dedicated to the results of the fieldwork on procedural problems in the course of anti-dumping investigations. The fieldwork attempts to uncover the problems that arise in practice. The chapter first focuses on the Chinese exporters who shared their experience of US and EU investigation procedures. In addition, law firms were asked to take part in an online survey regarding their experience with these two jurisdictions. Lastly, officials at the relevant public authority in China, the Ministry of Commerce of the People’s Republic of China (MOFCOM), were interviewed as they take part in anti-dumping investigations to support their exporters. After the procedural problems from the field were identified, additional questions were sent to the investigating authorities in the US and EU. In this part of the book, these complaints and responses are gathered according to empirical data collection methods. Lastly, this chapter evaluates the data on these three jurisdictions.
In the United States (US), surgical castration of male piglets is typically performed without any form of analgesia. This may raise concerns with the public; however, there is no information regarding current public knowledge on swine industry practices in the US. In this study we gained insight into public knowledge and perception on castration with and without analgesia in comparison to knowledge of industry stakeholders on these same topics. Through an online survey, 119 respondents were asked four questions about castration in the US swine industry. Industry respondents were contacted via social media and networking. The general public sample was accessed through Mechanical Turk. Survey responses were categorised by experience (industry vs public). Industry respondents were more aware of practices compared to the general public. Most public respondents were unaware of castration practices and the lack of analgesia use. Respondents from rural communities were more aware of castration practices than (sub)urban communities and more aware of analgesia use than those from urban communities. Those with more education had greater awareness of castration practices (occurrence not frequency). Based on the results from this first US sample, knowledge on industry practices was especially lacking for public respondents, but also for a minority of industry respondents, indicating opportunities for education and further research on the topic.
Depression is common in individuals with cancer and pain, negatively impacts quality of life, treatment adherence, tumor progression, and survival.
Objectives
The primary aims of this study were to (1) evaluate the validity of the Edmonton Symptom Assessment System’s depression (ESAS-D) for detecting major depressive disorder (MDD) as diagnosed by a psychiatrist and (2) identify the best cutoff for this purpose in a sample of cancer pain individuals. The secondary aim was to compare ESAS-D with another commonly used screening measure (Patient Health Questionnaire-2 [PHQ-2]) for classifying individuals as meeting or not meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for depression.
Methods
49 cancer pain individuals completed the ESAS-D and PHQ-2 Within 2 weeks, a psychiatrist interviewed the participants and determined whether or not they met criteria for MDD based on the DSM-5.
Results
The ESAS-D demonstrated acceptable accuracy and validity for classifying MDD. A cutoff of ≥2 was identified as being best able to balance sensitivity (85%) and specificity (76%) and had an overall accuracy of 79%. A receiver operating characteristic curve analysis showed an area under the curve (AUC) of 0.81 (95% confidence interval [CI]: 0.68–0.94). The ESAS-D also compared favorably with the modified Thai PHQ-2 (sensitivity, 75%; specificity, 72%; overall accuracy, 73%; AUC, 0.74 [95% CI: 0.59–0.88]) for identifying MDD individuals.
Conclusions
The ESAS-D showed acceptable sensitivity, specificity, and overall accuracy for screening for MDD in cancer and pain. It could therefore be used to screen for probable depression in this population.
The aim of this study was to identify key policy objectives by investigating the perception of important stakeholders and affected professionals concerning relevance and feasibility of a successful primary care (PC) reform.
Background:
Since 2013, the Austrian PC system has been undergoing a reform process to establish multiprofessional primary care units. The reforms have various defined objectives and lack clear priorities.
Methods:
After the definition and consensus-based selection of 12 policy objectives, a cross-sectional online survey on their relevance and feasibility was distributed via email and social media to PC and public health networks. The survey was conducted in the period from January to February 2020. Results were analyzed descriptively, and further, Pearson Chi-Square Test or Fisher’s Exact Test was performed for group comparison regarding respondents’ characteristics. Open-ended responses were analyzed using qualitative content analysis.
Findings:
In total, 169 questionnaires were completed. A total of 46.3% of the responders had more than 20 years of professional experience (female: 60.5%). A mandatory internship in general practice, vocational training for general practice, and a modern remuneration system were the three top-rated policy objectives regarding relevance. A mandatory internship in general practice, specialization in general practice, and coding of services and diagnosis were assessed as the most feasible objectives. The group comparisons regarding working field, years of professional experience, age, and sex did not show any meaningful results in the evaluation of relevance and feasibility.
Discussion:
In the view of the study participants, easily obtainable objectives include adapting the duration and setting of internships for medical students, as well as mandatory vocational training for GP trainees. Further efforts are necessary to achieve complex objectives such as the adoption of a modern remuneration scheme and a comprehensive quality assurance program. Building capacity and creating team-oriented environments are also important aspects of a successful PC reform.
Given the high prevalence rate of suicidal ideation amongst medical students, medical lecturers and specialists as gatekeepers should be well-trained in suicide prevention. There is a need for validated measures to assess gatekeeper training gains for suicide prevention. The psychometric properties of the Advanced C.A.R.E. Suicide Prevention Gatekeeper Training Questionnaire (AdCARE-Q) were evaluated for a sample of medical lecturers and specialists in Malaysia. A total of 120 participants completed 24 items in the AdCARE-Q. Analysis of variance of perceived knowledge scores was performed. Exploratory factor analysis (EFA) was conducted. Reliability was calculated. The AdCARE-Q was reduced to 15 items that fit into two factors, “self-efficacy” and “declarative knowledge.” Overall internal consistency was good with Cronbach’s alpha = 0.84. The intraclass correlation coefficient between groups from the psychiatry department and non-psychiatry departments was good at 0.80. The oldest age group and participants from the Psychiatry department scored significantly higher than other groups in perceived knowledge of suicide prevention. This study found that the AdCARE-Q has adequate psychometric properties to assess suicide prevention gatekeeper training gains amongst medical lecturers and specialists. Confirmatory factor analysis is recommended for future studies.
In previous years interest has grown in investigating the attitudes and capabilities of veterinarians regarding the recognition, quantification and treatment of animal pain throughout different parts of the world and encompassing various species. This is the first report exploring the attitudes and self-rated abilities of veterinarians in Bosnia and Herzegovina (B&H) concerning recognition and quantification of pain in domestic animals. A study questionnaire was made available to 535 general practice veterinarians throughout B&H and 73 (14%) responded in full. The questionnaire contained polar, multiple choice, ordinal and interval scale questions and consisted of sections asking about demographic data, attitudes to pain recognition and quantification, use and availability of analgesics, estimates of pain intensity during specific surgical procedures, and the perceived need for pain assessment and continuing education programmes for analgesia. Half of the respondents considered the recognition and quantification of pain to be difficult while 89% did not make use of pain assessment scales. Of the respondents, (33/73; 45%) felt a certain level of pain to be advantageous since it reduces the activity of the healing animal, whereas 52% (38/73) did not agreed with this concept. Cost was a consideration when deciding whether or not to use analgesics for 58% (42/73) of the respondents with the most commonly used types being NSAIDs (72/73;99%) and opioids (60/73; 82%). Practitioners in B&H displayed awareness of the importance of pain assessment and management however a significant proportion were unaware of pain scales and relied upon physiological indicators of pain.
The Cut down, Annoyed, Guilty, and Eye opener- Adapted to Include Drugs (CAGE-AID) questionnaire (CA) is a validated screening tool used to assess risk for nonmedical opioid use (NMOU) in patients receiving opioids for cancer pain. Data on consistencies and variations in responses to the CA between different clinical settings are lacking. We evaluated the frequency and consistency in scoring of the CA among patients seen between the first inpatient consult (T1) and the first outpatient follow-up (T2) visits.
Methods
A retrospective chart review of 333 consecutive patients seen at both T1 and T2 within 3 months between August 2016 and March 2017 was reviewed.
Results
Median age was 58 years (range, 18–87 years); 53% were female. CA was completed for 88% of patients at T1 and 94% at T2. Of these, 10% and 13% were CAGE-AID positive, respectively. CA score changed from negative to positive in 4% and from positive to negative in 1% of patients between T1 and T2. Kappa coefficient for agreement of CA between T1 and T2 was 0.74 (95% CI: 0.62–0.86, p = 0.02).
Significant of results
Completion rate and consistency of patient responses to the CA were high irrespective of clinical setting. Of these patients, 10% and 13% were CA positive which is suggestive of high risk for NMOU. Further studies are needed to evaluate ways to ensure more consistency in the completion of the CA and enhance its utilization in routine clinical practice.
Psychological distress is common among palliative care patients. Despite this, little is known about the availability of psychological services to support palliative care patients within Australia. This study aimed to determine the level of psychological support services available within Australian Palliative Care Services. The study was based on a similar study in Australia by Crawford in 1999, allowing differences over time to be examined.
Methods
A 12-item online survey was distributed to adult Palliative Care Services throughout Australia from November 2021 to January 2022. Quantitative and qualitative analysis of responses was conducted, with comparisons made with the 1999 study using a 2-proportions z-test.
Results
Social workers were the most available professionals delivering psychological care (prevalence of 94.1%), followed by spiritual care workers (62.5%), creative therapists (43.8%), counselors (36.4%), psychiatrists (31.3%), complementary therapists (28.1%), and psychologists (25.0%). Nearly 60% of services had no access to a psychiatrist or a psychologist. The proportion of Palliative Care Services that had access to a psychiatrist, psychologist, or counselor was significantly less in 2021/22 compared to 1999, with differences of 29.4% (p = 0.002), 23.4% (p = 0.015), and 26.1% (p = 0.006), respectively.
Significance of results
Lack of access to psychiatrists, psychologists, and counselors in Australian Palliative Care Services remains a significant issue and has become more prevalent since 1999. Ongoing advocacy and increased government funding to enable psychological health professionals to be readily employed in Palliative Care Services is vital.
Developing, elaborating, and consolidating positive views of the self is a plausible route to increased psychological well-being. We set out to provide an assessment of positive self-beliefs that could be used in research and clinical practice.
Methods
A non-probability online survey was conducted with 2500 UK adults, quota sampled to match the population for age, gender, ethnicity, income, and region. Exploratory factor analysis of a 94-item pool – generated with guidance from people with lived experience of mental health difficulties – was conducted to develop the Oxford Positive Self Scale (OxPos). The item pool was further reduced using regularised structural equation modelling (SEM) before confirmatory factor analysis. Optimal cut-off scores were developed using receiver operating characteristic curves. Additional validations were carried out with two further general population cohorts (n = 1399; n = 1693).
Results
A 24-item scale was developed with an excellent model fit [robust χ2 = 995.676; df = 246; CFI = 0.956; TLI = 0.951; RMSEA = 0.049 (0.047, 0.052); SRMR = 0.031]. The scale comprises four factors: mastery; strength; enjoyment; and character. SEM indicated that the scale explains 68.6% of variance in psychological well-being. The OxPos score was negatively correlated with depression (r = −0.49), anxious avoidance (r = −0.34), paranoia (r = −0.23), hallucinations (r = −0.20), and negative self-beliefs (r = −0.50), and positively correlated with psychological well-being (r = 0.79), self-esteem (r = 0.67), and positive social comparison (r = 0.72). Internal reliability and test–retest reliability were excellent. Cut-offs by age and gender were generated. A short-form was developed, explaining 96% of the full-scale variance.
Conclusions
The new open access scale provides a psychometrically robust assessment of positive cognitions that are strongly connected to psychological well-being.
Code-switching, switching between different languages within the same conversation, is a prominent feature in bilingual communication. This study aimed to elucidate to what extent the linguistic abilities and age of dual-language-learning preschoolers influence the frequency and purposes of code-switching (compensatory, to bridge linguistic gaps; preferential, to express content as fluently as possible; pragmatic, to phrase something appropriately for the situation). Parental code-switching ratings of 101 German/French–Turkish/Italian dual-language learners aged 32–78 months were analyzed. Generalized linear mixed models revealed positive but no negative effects of societal- and heritage-language skills on children's code-switching frequencies independent of switching purposes and with no evidence of age effects. Hence, code-switching across the preschool age mainly reflects high linguistic competences. Models with linguistically and psychometrically parallelized language scores indicated a strong switching tendency toward the societal language when proficiency in both languages is high, and away from the societal language when language proficiencies are low.
The aim of this article is to report on the expert opinion regarding the provision of environmental enrichment for pigs. A questionnaire was sent to 53 pig welfare scientists who were asked to specify which enrichment materials they considered sufficient to ensure pig welfare; 68% responded. 89% stated that providing a chain was not sufficient, while 84% stated that the provision of straw could be sufficient. ‘Sustained animal-material interactions’, ‘rootability’, ‘manipulability’ and ‘chewability’ were the main material properties referred to as being required for enriching pig pens. Areas of further research suggested by the respondents encompassed both fundamental and applied research, including preference tests and demand studies, deprivation studies and quantitative studies to determine cut-off points. A case is made for modelling the available knowledge to help close the gap between what is known in science and what is decided in society regarding animal welfare and environmental enrichment for pigs.
Childhood experiences of animals and current attitudes towards animals were assessed using a questionnaire, which was completed by 227 Japanese students and 174 British students. Pet ownership in childhood, as well as contact with other animals and negative experiences of pets, were used as the independent variables; current attitudes towards pets and other animals were the dependent variables. There were some differences between Japan and the UK: in childhood, the British students had had significantly more pets and more animal-related experiences, such as visiting animal shelters and livestock farms, than had the Japanese students. Their current attitudes were also more positive, and they showed a greater interest in animal welfare issues than did the Japanese students. In both countries there was a positive association between childhood pet-keeping and current favourable attitudes to pets, as measured by the Pet Attitude Scale. Open-ended responses also suggested that the roles of pets for children are perceived in similar ways in Japan and the UK. Adult attitudes to pets and interest in animal welfare seem to be greatly influenced in both countries by childhood experiences of animals, including pets, and may therefore be a general phenomenon.
A questionnaire survey of 385 UK-based university students was used to investigate whether there was an association between pet keeping in childhood and humane attitudes in young adulthood. Subjects gave detailed, retrospective reports of the pets they had kept during their childhoods, and a variety of attitude scales and open-ended questions were used to measure their current attitudes concerning the welfare of both animals and humans. Higher levels of childhood pet keeping were related to more positive attitudes towards pet animals and greater concerns about the welfare of non-pet animals and humans. Ethical food avoidance practices (eg vegetarianism); membership of animal welfare and environmental organizations were also found to be associated with pet keeping during childhood. Knowledge of the experiences that underlie existing variation in humane attitudes will greatly assist the development of more effective humane education programmes in the future.
The aim of this study was to gain an understanding of the attitudes that those involved in the slaughter industry have towards animal welfare and animal welfare aspects of their work, and also to investigate if gender or characteristics of employment (eg previous training, role and experience) influence such views. A paper questionnaire consisting of 20 Likert items regarding either animal welfare or working in the slaughter industry and seven questions designed to gather information on participant gender and job characteristics was distributed to attendees at eleven Animal Welfare Officer (AWO) and Poultry Welfare Officer (PWO) courses run by the University of Bristol. Responses were received from 215 personnel involved in the slaughter industry. It was found that the views of the majority of the respondents towards animal welfare were positive. Being female, working routinely with mammals, having a longer period of time working in the industry, and having previous AWO/PWO training course experience were all associated with significantly more positive attitudes towards animals and working in the slaughter industry; while working with birds, and working in an enforcement or stockperson role had a significant negative influence on the response to some animal welfare- and employment-related statements. Although it should be considered that individuals attending an animal welfare course may already have an interest in animal welfare, the results suggest that gender and employment factors do influence attitudes to animal welfare in the slaughter industry, and that the origins and reasons for development of certain negative views warrant further investigation.
Donkeys (Equus asinus) are widely used throughout Ethiopia and play essential roles in a variety of everyday and income-generating tasks for the people that use them. The challenges faced by people and their working equids vary across communities and geographic locations. This may have implications for how donkeys are perceived by the people they work for, the roles they fulfil and ultimately their welfare. Two complementary methodological approaches were used in this study to explore the socio-economic value of donkeys for their owners and the welfare of the donkeys in rural and urban Ethiopia. Using a questionnaire, donkey owners were asked about their donkeys, their attitudes and beliefs related to donkey use and ownership, and the role donkeys played in their lives. Animal-based welfare assessments were also conducted on a sample of donkeys from different locations, with the overarching aim of the study to investigate differences in use, beliefs, and donkey welfare between rural and urban locations. In both rural and urban locations, working donkeys are critical for their owners’ income-generating activity and therefore their livelihoods. The work they undertake differs substantially between locations, as does their welfare. Work in each setting presents its own challenges and these are reflected in the behaviour and physical health of the donkeys. Rural donkeys showed more apathetic behaviour, a higher ectoparasite burden and greater evidence of tethering/hobbling. Urban donkeys were more alert and had a wider range of body condition scores. The findings highlight marked differences in the role and welfare of donkeys between different areas within the same country, demonstrating the importance of understanding the context, both from the perspective of humans and working equids, prior to staging interventions intended to benefit either party.