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Adaptation to Swedish and further development of the “Consequences of...
Bolejko, Anetta; Wann-Hansson, Christine; Zackrisson, Sophia; Brodersen, John; Hagell, Peter Journal article in Scandinavian Journal of Caring Sciences; : Wiley-Blackwell (2012)	peer-reviewed scientific ARTICLE

English abstract:

Abstract Scand J Caring Sci; 2012 Adaptation to Swedish and further development of the 'Consequences of Screening - Breast Cancer' questionnaire: a multimethod study Rationale: Experiencing a false-positive screening mammography can cause considerable psychosocial distress. The Consequences of Screening - Breast Cancer questionnaire (COS-BC parts 1 and 2), recently developed in Denmark, is the only condition-specific questionnaire for measuring short- and long-term psychosocial consequences of false-positive mammographic screening. Additional studies are needed to further test the COS-BC before use across cultures. Furthermore, studies have suggested that the consequences of false-positive screening results are partly common across cancer screening settings, although this hypothesis remains largely untested. Objectives: This study (i) assesses content validity of a Swedish version of the COS-BC, (ii) tests whether items expressing long-term consequences of false-positive lung cancer screening results are relevant in a breast cancer screening context and (iii) explores the usefulness of taking results from Rasch analyses of the source version as an aid in questionnaire translation and adaptation. Methods: Following dual-panel translation, content validity was assessed through qualitative interviews with representatives of the target population and the content validity index (CVI). Item locations and Rasch model fit of the source questionnaires were considered in the translation and assessment process. Results: The COS-BC items were generally found relevant and provided coverage of the target construct. Content validity was supported also for nine of 10 lung cancer screening items. Scale CVI values were ≥0.81. Previous Rasch data were useful in facilitating translation and assessing item content validity. The resulting Swedish version of the COS-BC parts 1 and 2 consists of 34 and 23 items, respectively. Conclusion: This study illustrates the value of methodological triangulation and use of data from previous Rasch analyses in questionnaire translation and adaptation. We found support for the hypothesis that consequences of false-positive screening are common across cancer screening settings. Psychometric properties of the Swedish COS-BC remain to be established

Adapting the Individualised Care Scale for cross-cultural comparison:...
Suhonen, Riitta; Berg, Agneta; Idvall, Ewa; Kalafati, Maria; Katajisto, Jouko; Land, Lucy; Lemonidou, Chryssoula; Schmimdt, Lee; Välimäki, Maritta; Leino-Kilpi, Helena Journal article in Scandinavian Journal of Caring Sciences;2 (2010)	peer-reviewed scientific ARTICLE

English abstract:

Rationale: Cross-cultural comparative studies using reliable and valid instruments can increase awareness of the differences and similarities between health worker's ability to respond to patients' individual needs within different health systems. This will enable a better understanding of cultural perspectives in individualized nursing care. Aim: To describe the translation and adaptation process of the Individualized Care Scale (ICS) and examine its reliability and validity in a cross-cultural study. Design: A cross-sectional comparative study. Settings: Twenty-seven orthopaedic and trauma in-patient units at 14 hospitals in 5 countries. Participants: A total of 1126 patients were included in the study: Finland (n = 425), Greece (n = 315), Sweden (n = 218), UK (n = 135) and USA (n = 33). Methods: A systematic forward- and back-translation procedure using bilingual techniques, a committee approach, pretest techniques and pilot testing were used with a convenience sample to produce a valid ICS for each participating group. Psychometric evaluation of the adapted ICS was based on means, SD, missing data analysis, Cronbach's alpha coefficients and average inter-item correlations. Construct validity was examined using sub-scale correlations to total scales and principal components analysis. Results: The use of the range of options and the sub-scale mean scores ranging from 2.72 to 4.30 demonstrated the sensitivity of the scale. Cronbach's alpha coefficients (0.77-0.97) and average inter-item correlations (0.37-0.77) were acceptable. The sub-scale correlations to total scales were high (0.83-0.97). The underlying theoretical construct of the ICS was demonstrated by the explained variances ranging from 58% to 79%. Conclusions: The ICS shows promise as a tool for evaluating individualized care in European cultures. The international expansion of an existing instrument developed for one country facilitates comparative studies across countries. There is a need to further test the construct validity and appropriateness of the ICS in different settings in European and nonwestern cultures.

Cross-cultural validity of the individualised care scale : a rasch mo...
Suhonen, Riitta; Schmidt, Lee; Katajisto, Jouko; Berg, Agneta; Idvall, Ewa; Kalafati, Maria; Land, Lucy; Lemonidou, Chryssoula; Välimäki, Maritta; Leino-Kilpi, Helena Journal article in Journal of Clinical Nursing;5-6 : Blackwell Publishing Ltd (2013)	peer-reviewed scientific ARTICLE

English abstract:

Aims and objectives: The aim of this study was to investigate, using Rasch model analysis, the measurement invariance of the item ratings of the Individualised Care Scale. Background: Evidence of reliability is needed in cross-cultural comparative studies. To be used in different cultures and languages, the items must function the same way. Design: A methodological and comparative design. Methods: Secondary analysis of data, gathered in 2005–2006 from a cross-cultural survey using the Individualised Care Scale from Finnish, Greek, Swedish and English predischarge hospitalised orthopaedic and trauma patients (n = 1093), was used. The Rasch model, which produces calibrations (item locations and rank) and item fit statistics, was computed using the Winstep program. Results: The rank of average Individualised Care Scale item calibrations (−2·26–1·52) followed a generally similar trend (Infit ≤ 1·3), but slight differences in the item rank by country were found and some item misfit was identified within the same items. There was some variation in the order and location of some Individualised Care Scale items for individual countries, but the overall pattern of item calibration was generally corresponding. Conclusions: The Rasch model provided information about the appropriateness, sensitivity and item function in different cultures providing more in-depth information about the psychometric properties of the Individualised Care Scale instrument. Comparison of the four versions of the Individualised Care Scale – patient revealed general correspondence in the item calibration patterns although slight differences in the rank order of the items were found. Some items showed also a slight misfit. Based on these results, the phrasing and targeting of some items should be considered. Relevance to clinical practice: The Individualised Care Scale – Patient version can be used in cross-cultural studies for the measurement of patients’ perceptions of individualised care. Information obtained with the use of the Individualised Care Scale in clinical nursing practice is important, and valid measures are needed in evaluating patients’ assessment of individualised care, one indicator of care quality.

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Anxiety in close relationship is higher and self-esteem lower in pati...
Bengtsson, Mariette; Sjöberg, Klas; Candamio, Martina; Lerman, Annie; Ohlsson, Bodil Journal article in European Journal of Internal Medicine; : Elsevier (2012)	peer-reviewed scientific ARTICLE

Assessments of patients’ pain, nutrition and skin in clinical practic...
Bååth, Carina; Wilde-Larsson, Bodil; Idvall, Ewa; Hall-Lord, Marie-Louise Journal article in International Journal of Orthopaedic and Trauma Nursing;1 : Elsevier (2012)	peer-reviewed scientific ARTICLE

Assessment of recovery after day surgery using a modified version of ...
Idvall, Ewa; Berg, Katarina; Unosson, Mitra; Brudin, Lars; Nilsson, Ulrica Journal article in Acta Anaesthesilogica Scandinavica;5 (2009)	peer-reviewed scientific ARTICLE

Association of perceived quality of life and oral health among psychi...
Persson, Karin; Axtelius, Björn; Söderfeldt, Björn; Östman, Margareta Journal article in Psychiatric Services;11 (2009)	peer-reviewed scientific ARTICLE