Showing 24 results for Questionnaire
Maryam Khazaee-Pool, Tahereh Pashaei, Farhad Gholami, Alireza Rafiei, Koen Ponnet, Hossein Rastegar,
Volume 34, Issue 233 (5-2024)
Abstract
Background and purpose: Health tourism is one of the dimensions of sustainable development to help Mazandarn’s economic dynamic. A strong agreement is doubted in identifying factors influencing the attraction of health tourists. This study was implemented to design a questionnaire to measure the factors influencing the attraction of healthy tourists and investigate its psychometric properties.
Materials and methods: This study was done with a combinatorial approach in three steps, including relevant literature and the opinions of experts as long as health tourists' opinions of Mazandaran province were applied to the development of the item pool. Then, content validity, face validity, construct validity, and reliability of the questionnaire were assessed for the psychometric properties of the questionnaire. The final questionnaire was approved after performing 17 interviews and applying professional expertise in the qualitative part. In the first stage of the quantitative part content validity was studied by 10 people from an expert panel, and its face validity, the questionnaire was completed by 10 participants. Finally, the construct validity of the designed instrument was calculated using exploratory factor analysis using SPSS 24 software and confirmatory factor analysis using AMOS 24 software by asking 300 people familiar with health tourism in Mazandaran province. The internal and external validity were determined using Cronbach's alpha and test-retest in 25 people.
Results: The results of the literature review and interviews with experts in the first and second stages of the study led to the design of 76 items. In the next step, the changes in the qualitative stage 15 questions did not receive favorite points in Content validity ratio (CVR) and content validity index (CVI) calculation in the quantitative part of content validity. Then face validity was applied and the item effect index for 8 items was lower than 1.5 in the quantitative stage of face validity. Then the questionnaire with 53 items was entered into construct validity. In the exploratory factor analysis, the value of KMO was equal to 0.778. Furthermore, the value of Bartlett's test of significance was less than 5%. Based on the rotated matrix of components, eight factors with positive values were obtained. The results of exploratory factor analysis showed that 7 items had a factor loading of less than 0.4, which were removed from the questionnaire, and finally, 46 items remained. In the confirmatory factor analysis stage, the factor load of all dimensions was in good condition and the P-value was in the acceptable range. Cronbach alpha rate was calculated as 0.831. The external reliability was lower than 0.05 (ICC= 0.90, P<0.001).
Conclusion: The designed questionnaire, due to the low number of questions, the simplicity of the sentences, as well as the acceptable validity and reliability, can be used to identify and investigate the factors affecting the attraction of health tourists. Normalization of the questionnaire in other cultures is suggested. It is hoped that the findings of this study will be utilized by researchers, healthcare and tourism system managers, and other stakeholders to inform the planning of interventions aimed at increasing medical tourism. Additionally, it is hoped that the results of this study will serve as a springboard for future research in this area.
Hamid Sharif-Nia, Reza Fatehi, Lida Hosseini, Poorya Nowrozi,
Volume 34, Issue 237 (10-2024)
Abstract
Background and purpose:. The quality of life of patients with chronic kidney failure undergoing hemodialysis is influenced by physical, psychological, and social factors. Accurate assessment of these dimensions using standardized tools is of great importance. This study aimed to determine the psychometric properties of the 12-item Quality of Life Questionnaire in patients undergoing hemodialysis in the Iranian population.
Materials and methods: In this cross-sectional study conducted in 2023, 411 hemodialysis patients in Mazandaran were selected through convenience sampling. After translating the Short Form-12 Quality of Life Questionnaire, its psychometric properties were assessed through exploratory factor analysis, network analysis, and confirmatory factor analysis, along with construct validity (convergent and divergent validity). Internal consistency was calculated using Cronbach's alpha and McDonald's omega coefficients.
Results: The results of the exploratory factor analysis indicated that two factors—physical health status and mental health status—accounted for 44.55% of the variance in the quality of life among hemodialysis patients. Furthermore, confirmatory factor analysis showed that the hypothesized model had a good fit (CFI= 0.930, IFI= 0.931, RFI= 0.936, TLI= 0.954). The extracted mental health factor in men demonstrated convergent validity (AVE above 0.5), and both factors exhibited appropriate divergent validity. Ultimately, the internal consistency of the Quality of Life Questionnaire was found to be within an acceptable range (greater than 0.7).
Conclusion: The psychometric analysis of the Quality of Life Questionnaire indicates that patients with chronic kidney failure undergoing hemodialysis perceive their quality of life through two primary dimensions: physical and mental health status. This study confirmed the psychometric properties (validity and reliability) and the appropriate factor structure of the Persian version of the Quality of Life Questionnaire for patients undergoing hemodialysis. Healthcare providers can use this tool in various studies to assess and improve the quality of life of hemodialysis patients
The use of this questionnaire allows researchers and healthcare professionals to more accurately and comprehensively evaluate the different aspects of quality of life in hemodialysis patients. Employing this tool can enhance treatment processes and improve patient satisfaction, serving as a valuable instrument for future research. This study emphasizes the importance of using valid and reliable tools to assess quality of life and recommends that nurses and other healthcare professionals integrate the Persian version of the 12-item Quality of Life Questionnaire into their treatment and research programs to help improve the quality of life of hemodialysis patients and achieve better treatment outcomes.
Future studies are recommended to investigate the impact of factors such as nutrition, social support, and rehabilitation programs on the quality of life of hemodialysis patients. Additionally, utilizing this questionnaire in different populations and therapeutic contexts can contribute to the generalizability of the findings and offer a more effective tool for quality of life assessments. Overall, the findings of this study indicate that the 12-item Quality of Life Questionnaire is a reliable and valid tool for assessing the quality of life in hemodialysis patients, making it valuable for both research and clinical programs. Using this tool can help improve patients' quality of life and treatment outcomes while providing essential data for clinical decision-making.
Hadi Esmaily, Mahdi Mirheydari Peykani, Alireza Manafi Rasi, Mitra Mahmoudi Meymand, Saeed Mohammad Soleymani,
Volume 34, Issue 241 (1-2025)
Abstract
Background and purpose: Pharmacists perform a diverse range of activities and services in the field of pharmaceutical care. Therefore, the quantitative and qualitative monitoring of these pharmaceutical services in hospital wards is essential. Since monitoring such services in hospitals requires a valid instrument, the aim of this research is to develop and conduct a scientometric evaluation of a questionnaire to quantify the quality of pharmaceutical care services in general hospital wards.
Materials and methods: This methodological research was conducted between December 2023 and July 2024. To compile the questionnaire, the relevant areas were first identified. Subsequently, questions related to these areas were developed through a focused group discussion. Next, the appropriate scoring method was determined, and the initial questionnaire was constructed in two parts (technical and professional), formatted as a checklist. The content validity of the instrument was assessed in terms of clarity, simplicity, relevance, and necessity of each question. Internal consistency of the questionnaire was assessed using Cronbach's alpha.
Results: The mean content validity ratio of the technical part was 0.84 and 0.88 for the professional part. Also, the content validity index was 0.85 for the technical and 0.84 for the professional part. The alpha values were 0.771 for the first part and 0.773 for the second part, indicating an acceptable internal consistency.
Conclusion: While introducing a practical instrument, our results revealed acceptable validity and reliability indices for it. This tool can be used to evaluate and quantify pharmaceutical care services in hospital wards, and also as an indicator to identify high-risk areas where medication errors could occur.
Maryam Zarrinkamar, Ali Asghar Ghorbani, Pejman Khosravi, Farzaneh Amini, Mojgan Geran , Narges Shirazi ,
Volume 35, Issue 251 (12-2025)
Abstract
Background and purpose: Clinical education, as the cornerstone of medical education, plays a fundamental role in shaping the professional competencies of students and necessitates ongoing evaluation and quality improvement in accordance with relevant standards.
Materials and methods: This descriptive-analytical study examines the educational environment of residents at Mazandaran University of Medical Sciences in 2024-2025. The statistical population consisted of 200 residents selected through stratified random sampling. The inclusion criterion was completion of at least six months since beginning the residency program. Data collection tools comprised two parts: demographic information and a validated 23-item D-RECT questionnaire.
Results: Scores across different educational domains averaged between 7.94 and 16.33. Also, there was a significant positive correlation between all domains. The highest correlation was observed between the roles of instructors and formal education. The mean total questionnaire score was 13.07 ± 4.43, corresponding to approximately 70% of the maximum achievable score, indicating a high level of participant satisfaction with the educational environment. The highest correlation coefficient was observed between the domains of instructors’ roles and formal education, with a correlation coefficient of 0.670, indicating a strong relationship between these two domains.
Conclusion: Residents at Mazandaran University of Medical Sciences reported a high level of satisfaction with their educational environment. The positive correlations among the different questionnaire domains indicate a strong connection between formal education, instructors’ roles, and other aspects of the educational setting. Continual evaluation is essential for strengthening educational programs and enhancing the quality of the learning environment.
