Nursing student retention is essential to meet workforce demands. Jeffreys' Nursing Student Retention Student Perception Appraisal-Revised (SPA-R1) has been used extensively to understand factors that impact retention. Psychometric testing of the SPA-R1 contributes to greater confidence in the instrument's reliability and validity. Item response theory and specifically, the single parameter polytomous Rasch model was used as a framework for fit statistic testing and rating scale diagnostics of the SPA-R1. This was a secondary analysis of a convenience sample of undergraduate prelicensure nursing students. The setting for the previous study was virtual, and the study period was 2022. The model item characteristic curves for the 27 items of the SPA-R1 have similar shapes and are clustered in proximity. Overall, there are three clusters of items evident in the Rasch standardized residual contrast. The Rasch scale diagnostics indicated that the scale appropriately monotonically increases. However, there is a greater than 5 logit distance between does not apply and severely restricts, between severely restricts and moderately restricts, and between does not restrict or support and moderately supports. These large threshold distances indicate that additional steps in the scale may be warranted. The items cover the mid-range of the amount of retention perceptions; however, there are no items that represent the highest magnitude of the perceived amount of influence on retention. This study contributes further evidence to support the validity and reliability of the SPA-R1. We recommend adding steps to the scale, removing the does not apply response option, and considering scoring by three domains or clusters.
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http://dx.doi.org/10.1891/JNM-2022-0122 | DOI Listing |
Neurol Clin Pract
April 2025
Department of Neurology, Emory University School of Medicine, Atlanta, GA.
Background And Objectives: Telemedicine has become a mainstay of ALS clinical care, but there is currently no standardized approach for assessing and tracking changes to the neurologic examination in this format. The goal of this study was to create a standardized telemedicine-based motor examination scale to objectively and reliably track ALS progression and use Rasch methodology to validate the scale and improve its psychometric properties.
Methods: A draft telemedicine examination scale with 25 items assessing movement in the bulbar muscles, neck, trunk, and extremities was created by an ALS expert panel, incorporating input from patient advisors.
Actas Dermosifiliogr
January 2025
Group of Investigative Dermatology (GRID), Medical Research Institute, School of Medicine, University of Antioquia, Medellin, Colombia.
Background And Aims: Previous results of the Dermatology-Life-Quality-Index (DLQI) validation in Colombia based on the classical test theory (CTT) perspective have showed the need to delve into its measurement properties. Therefore, we aimed to assess the structural validity, internal consistency and item response analysis of the DLQI through the item response theory (IRT) or the Rasch model.
Material And Methods: We assessed the dimensionality of the DLQI, determined its difficulty, discrimination and differential functioning and went on to evaluate its internal consistency and discriminative validity among patients with inflammatory and non-inflammatory skin disease.
Heliyon
January 2025
Institute of Statistical Research and Training, University of Dhaka, Bangladesh.
This paper examines the current state of food insecurity in Bangladesh and its socio-economic drivers using data from the latest Household Income and Expenditure Survey (HIES 2022). Unlike previous studies that relied on less precise measures of food insecurity, such as food expenditure, diversity, and calorie intake, this study employs the internationally recognized Food Insecurity Experience Scale (FIES) and Rasch model-based thresholds to classify households as food secure or insecure. Multilevel logistic regression is used to identify significant predictors of moderate and severe food insecurity, considering the hierarchical structure of the data, with households nested within geographical clusters.
View Article and Find Full Text PDFJ Appl Gerontol
January 2025
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Unlabelled: The present study utilized advanced psychometric methods (i.e., Rasch analysis and confirmatory factor analysis [CFA]) to evaluate the factor structure of the Multiple Intelligence Scale (MIS) and its validity among Taiwanese older adults.
View Article and Find Full Text PDFAppl Nurs Res
February 2025
University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747, United States of America. Electronic address:
Aim: The purpose of this study was to assess the factorial structure and model fit of the Caring for the Caregiver Scale.
Background: Caregiving is an all-encompassing role that results in negative health consequences. Healthcare providers require specific knowledge and clinical skills to support caregivers with health promotion.
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