Translation and psychometric testing of the Farsi version of the Seattle angina questionnaire

Abstract Background Angina pectoris causes substantial psychological and functional disabilities and adversely effects quality of life in patients. The aim of this study was to investigate the psychometric properties including validity and reliability of the Farsi version of the Seattle angina questionnaire. Methods The ‘forward-backward’ procedure was applied to translate this questionnaire from English to Farsi. The translated version of the Seattle angina questionnaire was assessed in terms of validity and reliability with a convenience sample of 200 patients suffering from angina pectoris who were recruited from the inpatient ward (post CCU) and outpatient department at two teaching hospitals in an urban area of Iran. Validity was assessed using content, face and construct validity. The calculation of the Cronbach’s alpha coefficient and the test-retest method helped with the assessment of reliability of the questionnaire’s five subscales. Construct validity of the questionnaire was evaluated using exploratory factor analysis. Results The results of exploratory factor analysis indicated a five-factor solution for the questionnaire including ‘physical limitation in middle to strenuous activities’, ‘physical limitation in slight activities’, ‘angina pattern and discomfort of treatment’, ‘treatment satisfaction’ and ‘disease perception’ that jointly accounted for 64.42% of variance observed. Convergent validity was mostly supported by the pattern of association between the Seattle angina questionnaire-Farsi version and the SF-36. Cronbach’s alpha of the subscales ranged from 0.60 to 0.86 and test-retest scores ranged from 0.79 to 0.97 indicating a good range of reliability. Conclusions The Seattle angina questionnaire-Farsi version had acceptable psychometric properties. Therefore, it can be used to assess health-related quality of life and assess the effects of different medical and nursing interventions on patients’ quality of life

Explore the Bereavement Needs of Families of Children With Cancer From the Perspective of Health Caregivers: A Qualitative Study

Introduction: The experience of bereavement is associated with severe physical, psychological, social and spiritual reactions in the parents of children with cancer. Because of that, the families of these children need to receive bereavement services. The aim of this study was to explore the bereavement needs of families of children with cancer from the perspective of health caregiver as people who have a close relationship with the child and the family. Methods: This qualitative descriptive study design in. In total 15 semi-structured interviews were conducted using a purposive sampling in 2018. Interviews were recorded and transcribed and conventional content analysis was used to analysis the data. The Trustworthiness of the data were assessed according to the criteria of Lincoln and Guba. Results: From the data analysis, needs of the bereaved family were categorized in three dimension including "achieving peace," "Abandoned family access to care," and "continuing care." The category of "achieving peace" includes spiritual and existential support, companionship with the family, contact with other bereaved families, support in passing and accepting the bereaved and continuing empathetic communication with the family, the category "Abandoned family access to care" includes the promotion of family self-control, awareness of end-of-life care to the family, and the category of "continuing care," includes formal and informal family care and individualized care. Conclusion: It is necessary for the care team to pay special focus to family considering the needs of the family about the death of the patient and the challenges of the family bereavement period. It is recommended that members of the health care team should be trained in assessing family needs, identifying risks of adverse outcomes, continuing care, and providing resources during bereavement. The needs of the bereaved family should also be addressed in their care plan.</p

Psychometric properties of the Farsi version of Attitudes to Aging Questionnaire in Iranian older adults

Nahid Rejeh,1 Majideh Heravi-Karimooi,1 Mojtaba Vaismoradi,2 Pauline Griffiths,3 Maryam Nikkhah,4 Tahereh Bahrami4 1Elderly Care Research Centre, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran; 2Faculty of Nursing and Health Sciences, Nord University, Bod&oslash;, Norway; 3College of Human and Health Sciences, Swansea University, Swansea, UK; 4Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran Background: Attitudes to the aging process are affected by the individual&rsquo;s sociocultural background. The measurement of this important concept among older people in various societies requires the use of tools that are able to demonstrate both reliability and validity.Objective: The objectives of this study were to translate and validate the Attitudes to Aging Questionnaire (AAQ) and investigate its psychometric features among Iranian older people.Methods: In this methodological study, the Farsi version of the AAQ was validated among 400 Iranian older adults who were members of citizen clubs in an urban area of Iran. Content, face and construct (exploratory factor analysis) validities of the AAQ were assessed. In addition, its reliability was assessed in terms of internal consistency and stability. For discriminant validity, the discriminant power of the AAQ in terms of gender and education levels was evaluated. Criterion validity showed a significant correlation between the most subscales of the AAQ and the Short Form 36 (SF-36) and World Health Organization Quality of Life (WHOQOL) questionnaires. Descriptive and inferential statistics were used for data analysis.Results: The exploratory factor analysis confirmed the construct validity of the AAQ. The result of the test&ndash;retest reliability with a 2-week interval was satisfactory and reported as r=0.90 (p&lt;0.001). The Cronbach&rsquo;s alpha coefficient was reported as 0.75 for the whole instrument and 0.85&ndash;0.93 for its dimensions. There were associations between the AAQ subscales, SF-36 quality of life (r=0.56, p&lt;0.001) and WHOQOL-BREF (r=0.78, p&lt;0.001), indicating an appropriate convergent validity. The ability to discriminate between male and female participants and those with lower and higher education levels was demonstrated, thus lending support to claims for adequate known-group validity.Conclusion: The Farsi version of the AAQ showed favorable validity and reliability. Therefore, it can be used for assessing attitudes toward aging among older adults. Keywords: aging, Attitudes to Aging Questionnaire, older adults, psychometrics properties, reliability, validity, elderl

The use of text messaging for the improvement of occupational health among nurses in an intensive care unit: A clinical trial

This is the author accepted manuscript. The final version is available from Springer Verlag via the DOI in this record.The use of mobile phone text messaging has been suggested as a potential method for the modification of health-related behavior. There is limited data on the effectiveness of this method in respect of occupational health. Thus, the present study was conducted to evaluate the effect of text messaging on the improvement of occupational health in terms of quality of work life (QWL) and occupational stress and burnout. This experimental and clinical trial was conducted in the intensive care units (ICU) of how many hospitals in Babol, Iran, in 2015–2016. The study population consisted of all ICU nurses who had the inclusion criteria. After homogenization, the subjects were randomly divided into intervention and control groups (n = 40). The data collection tools used in this study consisted of a demographic characteristics form and the Quality of Work Life Questionnaire, Occupational Stress Inventory (Osipow), and the Geldard Burnout Questionnaire (GBI). The nurses in the intervention group received two text messages on occupational health each week for 3 months. The nurses in the control group received no intervention. QWL and occupational stress and burnout were evaluated in the two groups before the intervention, after the 3 months of intervention, and in the fourth month of intervention. The collected data were first analyzed in terms of the normality of distribution using the Shapiro-Wilk test and then using Mann-Whitney U test and the Friedman test. The participants consisted of 80 nurses in two groups. The two groups were homogeneous in terms of demographic characteristics before the intervention. No significant difference was observed between the groups in terms of QWL and occupational stress and burnout at the same time in the study. Mean QWL in the intervention group increased significantly compared to the control group 1 day and 1 month after the intervention (P < 0.001). Occupational stress and burnout decreased significantly in the intervention group compared to the control group 1 day and 1 month after the intervention (P < 0.001). Mobile phone text messaging, as an inexpensive and readily available method, can improve occupational health in terms of QWL and occupational stress and burnout among ICU nurses