Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence

Objective: To design, develop and psychometrically evaluate a stroke specific measure of confidence, the Confidence after Stroke Measure (CaSM) Design: Cross-sectional Setting: Adults in the community Participants: Stroke survivors and healthy elderly participants Methods: Questionnaire items we...

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Main Authors: Horne, Jane, Lincoln, Nadina, Logan, Pip
Format: Article
Published: SAGE 2017
Online Access:https://eprints.nottingham.ac.uk/42074/
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author Horne, Jane
Lincoln, Nadina
Logan, Pip
author_facet Horne, Jane
Lincoln, Nadina
Logan, Pip
author_sort Horne, Jane
building Nottingham Research Data Repository
collection Online Access
description Objective: To design, develop and psychometrically evaluate a stroke specific measure of confidence, the Confidence after Stroke Measure (CaSM) Design: Cross-sectional Setting: Adults in the community Participants: Stroke survivors and healthy elderly participants Methods: Questionnaire items were generated based on the literature and qualitative interviews and piloted with expert groups to establish face validity. A 53-item CaSM was administered to stroke survivors and healthy elderly participants in the community. A second copy was posted four weeks later. Completed questionnaires were analysed for extreme responses, missing values, construct validity (factor analysis), convergent validity, divergent validity and reliability (internal consistency and temporal stability) and comparing responses according to age and gender. Results: Stroke (n =101) and healthy elderly participants (n=101) returned questionnaires. Eight items were removed that had extreme responses and large numbers of missing values. Six items had Item total correlations <0.3 and were removed. A further item was removed demonstrating gender difference. An exploratory factor analysis was conducted on the remaining 38-items. A 27-item three factor solution was derived assessing Self-Confidence, Positive Attitude and Social Confidence, which explained 52% of variance. Cronbach’s Alpha coefficient demonstrated good internal consistency (α=.94). A test re-test on the 27 items indicated good temporal stability (r=0.85 p=0.001). Conclusion: The 27 item CaSM was a valid and reliable measure for assessing confidence in stroke survivors.
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spelling nottingham-420742024-08-15T15:22:33Z https://eprints.nottingham.ac.uk/42074/ Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence Horne, Jane Lincoln, Nadina Logan, Pip Objective: To design, develop and psychometrically evaluate a stroke specific measure of confidence, the Confidence after Stroke Measure (CaSM) Design: Cross-sectional Setting: Adults in the community Participants: Stroke survivors and healthy elderly participants Methods: Questionnaire items were generated based on the literature and qualitative interviews and piloted with expert groups to establish face validity. A 53-item CaSM was administered to stroke survivors and healthy elderly participants in the community. A second copy was posted four weeks later. Completed questionnaires were analysed for extreme responses, missing values, construct validity (factor analysis), convergent validity, divergent validity and reliability (internal consistency and temporal stability) and comparing responses according to age and gender. Results: Stroke (n =101) and healthy elderly participants (n=101) returned questionnaires. Eight items were removed that had extreme responses and large numbers of missing values. Six items had Item total correlations <0.3 and were removed. A further item was removed demonstrating gender difference. An exploratory factor analysis was conducted on the remaining 38-items. A 27-item three factor solution was derived assessing Self-Confidence, Positive Attitude and Social Confidence, which explained 52% of variance. Cronbach’s Alpha coefficient demonstrated good internal consistency (α=.94). A test re-test on the 27 items indicated good temporal stability (r=0.85 p=0.001). Conclusion: The 27 item CaSM was a valid and reliable measure for assessing confidence in stroke survivors. SAGE 2017-05-03 Article PeerReviewed Horne, Jane, Lincoln, Nadina and Logan, Pip (2017) Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence. Clinical Rehabilitation . ISSN 1477-0873
spellingShingle Horne, Jane
Lincoln, Nadina
Logan, Pip
Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
title Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
title_full Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
title_fullStr Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
title_full_unstemmed Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
title_short Measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
title_sort measurement of confidence: the development and psychometric evaluation of a stroke specific, measure of confidence
url https://eprints.nottingham.ac.uk/42074/