Quyen M Ngo, Jermaine D Jones, Paulette Baukol, Kaitlyn Mishlen, Tara Cantwell, Michael J Parks
{"title":"Evaluating the Generalizability of Substance Use Treatment Outcomes at One-Month Follow-Ups Using Data From a Random Sample of Discharged Patients at a Single US-Based Treatment Center.","authors":"Quyen M Ngo, Jermaine D Jones, Paulette Baukol, Kaitlyn Mishlen, Tara Cantwell, Michael J Parks","doi":"10.1177/01632787261484629","DOIUrl":"https://doi.org/10.1177/01632787261484629","url":null,"abstract":"<p><p>There is a dearth of research that evaluates the generalizability of substance use disorder treatment outcomes. We assess one-month follow-up survey results and evaluate generalizability of outcomes for individuals randomly selected after discharge from a non-profit treatment center. The sample consisted of discharged patients (N = 6771). Follow-up measures were: alcohol/drug abstinence, self-reported health, quality of life, peer-recovery group attendance, follow-up treatment receipt, medication use, and craving. Descriptive and logistic regression analyses compared patients who were randomly selected to those not selected, and follow-up respondents to non-respondents; 10 measures (demographic, treatment- and diagnosis-related measures) were used to assess selection and nonresponse. A survey weight was generated that accounted for selection, and response/attrition. Outcomes were estimated using weights, and these estimates were compared to unweighted values. Weighted abstinence rate one month after treatment was 76.4% (95% CI = 74.4%, 78.4%); unweighted rate was 78.2% (95% CI = 76.4%, 79.9%). Eight out of the 10 measures used to assess survey response significantly predicted response. All 6 outcome measures were statistically similar across weighted and unweighted analyses. One-month follow-up results were representative of daily discharged population at a single US-based treatment center. Centers should use sampling designs that ensure generalizability and provide full methodological details when reporting follow-up measures.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261484629"},"PeriodicalIF":1.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and Initial Psychometric Evaluation of the Multidimensional Vaping Dependence Index (MVDI).","authors":"Joseph R Vilches, Casey R Guillot","doi":"10.1177/01632787261489277","DOIUrl":"https://doi.org/10.1177/01632787261489277","url":null,"abstract":"<p><p>Vaping dependence is a growing public health concern, yet existing measures may not adequately capture its multidimensional nature. This study introduces the Multidimensional Vaping Dependence Index (MVDI), a 27-item self-report instrument assessing behavioral engagement, reinforcement, and loss of control. Items were developed from general addiction models, nicotine and tobacco dependence research, and vapingspecific literature and refined through expert review. Exploratory and confirmatory factor analyses in 530 adults who reported vaping (99.4% at least weekly) supported a three-factor structure: Vaping Preoccupation, Vaping Reinforcement, and Loss of Control. Convergent validity was demonstrated through positive correlations with established vaping dependence measures. Concurrent validity was supported by positive associations with vaping frequency, e-liquid nicotine concentration, and self-perceived addiction to vaping. Incremental validity analyses indicated that the MVDI, Vaping Preoccupation, and Vaping Reinforcement explained additional variance in vaping outcomes beyond established dependence measures, while Loss of Control was uniquely associated with self-perceived addiction. Overall, findings provide initial evidence that the MVDI is a valid and psychometrically sound multidimensional measure that offers both a general index of vaping dependence and specific subscales for research and clinical assessment, potentially informing targeted intervention and evaluation efforts.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261489277"},"PeriodicalIF":1.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systematic Review on Community-Based Assessment Checklist Tool in Indian Set Up.","authors":"Shrikanth Muralidharan, Pawan Parashar, Tejaswi Sevekari","doi":"10.1177/01632787261489604","DOIUrl":"https://doi.org/10.1177/01632787261489604","url":null,"abstract":"<p><p>The CBAC is a simple, low-cost screening tool developed under India's National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS) to identify individuals at risk of non-communicable diseases (NCDs) at the community level. A systematic search across six databases (PubMed/MEDLINE, Embase, Scopus, Web of Science, CINAHL, and Google Scholar) identified 1,842 records, of which 1,219 unique records were screened after de-duplication and automated exclusion; 47 full-text reports were assessed for eligibility and 11 studies met all inclusion criteria. The prevalence of individuals classified as high-risk for non-communicable diseases using the CBAC varied substantially, ranging from 14.4% to 68.6%. Higher CBAC scores were consistently associated with advancing age, tobacco and alcohol use, physical inactivity, increased waist circumference, family history of NCDs, and lower educational attainment. The diagnostic performance of CBAC showed moderate accuracy, with area under the curve values ranging from 0.62-0.73, and this variation was systematically related to the reference standard used: performance was weakest against a disease-specific standard (diabetes) and strongest against broader risk constructs (metabolic syndrome, general NCD risk). The reported sensitivity ranged from 42.9% to 84.7%, while the specificity ranged from 48.8% to 87.5%.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261489604"},"PeriodicalIF":1.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family Resilience in Primary Caregivers of Children Living With Epilepsy: A Cross-Sectional Analysis of Status and Associated Factors.","authors":"Yingmei Shi, Kexin Zhu, Jinfang Zhou","doi":"10.1177/01632787261487684","DOIUrl":"https://doi.org/10.1177/01632787261487684","url":null,"abstract":"<p><p>Primary caregivers for children living with epilepsy commonly endure severe psychological and social burdens. Nevertheless, family resilience, defined as the ability to adjust and function well when facing hardships, has not been sufficiently explored in this caregiver group. This research intended to assess the overall status of family resilience among primary caregivers of children with epilepsy and explore its major influencing factors. A cross-sectional study was carried out. Participants were 328 primary caregivers recruited from a tertiary hospital in Jiangsu, China, with the survey period spanning from February 2025 to May 2026. The overall mean score of family resilience was 60.25 (SD = 9.18), suggesting a moderate resilience level across participants. Of the five dimensions measured, positive beliefs and adversity reconstruction obtained the highest scores, while family organizational flexibility and family connectedness had the lowest values. Multiple linear regression analysis demonstrated that social support utilization (β = 0.321), persistent psychological distress (β = -0.282), seizure frequency, educational attainment, comorbid conditions and self-perceived health status were independent predictive factors. These variables together accounted for 46.5% of the total variance. These findings suggest that clinical support strategies should prioritize strengthening social support systems, alleviating psychological distress, and enhancing family organizational capabilities.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261487684"},"PeriodicalIF":1.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing Post-Pandemic Health System Resilience: Evidence From OECD Countries.","authors":"Emin Kaya, Gülçin Gökçenur Karataş","doi":"10.1177/01632787261484607","DOIUrl":"https://doi.org/10.1177/01632787261484607","url":null,"abstract":"<p><p>Health system resilience is increasingly central to health policy, yet comparative assessments often rely on absolute resource volumes that favour larger economies. This study evaluates post-pandemic health system resilience across 37 OECD countries using exclusively per-capita indicators, removing population-scale bias. Indicators are referenced to the 2021-2023 pandemic period, most at their 2021 values. Seven criteria spanning structural capacity, human resources, and population health and crisis outcomes were weighted objectively with the CRITIC method, and countries were ranked with the VIKOR compromise method; robustness was tested through Entropy weighting, TOPSIS ranking, strategy-parameter sensitivity analysis, leave-one-out criterion analysis, and resampling-based rank intervals. Physician density, hospital-bed capacity, and COVID-19 mortality per million were the most informative criteria; per-capita health expenditure was the least discriminating. Japan ranked first and satisfied both VIKOR acceptability conditions, followed by Austria, Switzerland, France, and Luxembourg. The United States-the highest per-capita spender-ranked 32nd of 37, an expenditure-outcomes paradox reflecting VIKOR's penalisation of the weakest criterion; the country rises to mid-table under compensatory TOPSIS. Findings are consistent with resilience-related performance being associated with the conversion of per-capita resources into outcomes rather than with spending volume, supporting outcome-oriented performance frameworks for future public health crises.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261484607"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychometric Properties of the Arabic Version of the PROMIS Sleep Disturbance 8b Short Form Among Nurses.","authors":"Hasan Alelayan","doi":"10.1177/01632787261450221","DOIUrl":"10.1177/01632787261450221","url":null,"abstract":"<p><p>The PROMIS Sleep Disturbance Short Form 8b (PROMIS SD-SF-8b) is an 8-item self-report measure evaluating two dimensions of sleep disturbance: Insomnia symptoms and dissatisfaction with sleep. This study aims to validate the PROMIS SD-SF-8b for use among Arab nurses. A cross-sectional, descriptive, correlational design was employed. The instrument underwent a rigorous five-step cross-cultural adaptation process. Psychometric testing included descriptive statistics, internal consistency analysis, test-retest reliability, exploratory and confirmatory factor analyses (EFA, CFA), and evaluation of convergent and discriminant validity. The Ar-PROMIS SD-SF-8b demonstrated excellent internal consistency (Cronbach's alpha = 0.81; McDonald's omega = 0.82) and test-retest reliability (ICC = 0.90). EFA revealed a two-factor structure explaining 57.44% of the total variance. CFA supported the two-factor model (CFI = 0.96, RMSEA = 0.07, CMIN/df = 2.03). Composite reliability exceeded average variance extracted, indicating strong convergent validity. The AVE values surpassed the MSV values, further supporting the discriminant validity of the Ar-PROMIS SD-SF-8b. No significant floor or ceiling effects were observed, indirectly suggesting the instrument's robustness and sensitivity to detect variations in sleep disturbance among Arab nurses. The Ar-PROMIS SD-SF-8b is a valid and reliable instrument for assessing sleep disturbance among Arab nurses. By providing precise measurement of sleep-related impairments, this instrument can aid healthcare organizations and researchers in identifying nurses at risk and effectively monitoring sleep-related outcomes, thereby facilitating the implementation of targeted occupational health and well-being interventions. Its application may inform targeted interventions and broader evaluations in culturally comparable healthcare settings.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"317-326"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147867411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychometric Properties of the Turkish Version of the Climate and Health Tool (CHAT) for Health Professionals: A Validity and Reliability Study.","authors":"Arzu Bulut, Hande Demirtaş","doi":"10.1177/01632787251374714","DOIUrl":"10.1177/01632787251374714","url":null,"abstract":"<p><p>Climate change presents critical challenges to public health, and healthcare professionals play a vital role in addressing its effects. The Climate and Health Tool (CHAT) assesses awareness, concern, motivation, and behaviors regarding climate change and health. This study aimed to adapt the CHAT into Turkish and evaluate its psychometric properties among healthcare professionals in Türkiye. A cross-sectional validation study was conducted with 496 participants using international adaptation standards, including forward-backward translation and cognitive interviews. Confirmatory factor analysis confirmed the original five-factor structure with excellent model fit (RMSEA = .038, CFI = .971). Internal consistency was high (Cronbach's α = .886), and convergent validity was supported through positive correlations with the Carbon Footprint Awareness Scale and Climate Change Worry Scale. Measurement invariance testing demonstrated equivalence across gender groups. The Turkish CHAT is a valid and reliable tool for assessing climate-health competencies in research, education, and clinical settings.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"341-353"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuria Martín-Ordiales, M Dolores Hidalgo, M Pilar Martín, Maite Barrios
{"title":"The Illness Management and Recovery Scale: Adaptation and Validation Study of the Spanish Version.","authors":"Nuria Martín-Ordiales, M Dolores Hidalgo, M Pilar Martín, Maite Barrios","doi":"10.1177/01632787261441894","DOIUrl":"10.1177/01632787261441894","url":null,"abstract":"<p><p>This study translated, adapted, and evaluated the psychometric properties of the Illness Management and Recovery (IMR) Scale for Spanish-speaking populations, including both clinician and client versions. The translation followed the International Test Commission's 2018 guidelines to ensure cultural and linguistic appropriateness. A total of 172 mental health service users completed the client version, while their reference professionals provided the corresponding responses to the clinician version and Health Nation Outcome Scale. Users also completed the Recovery Assessment Scale, the Functional Social Support Questionnaire, and the Dispositional Hope Scale. The Spanish versions demonstrated good adequacy, revealing a three-dimensional structure-goals and connectedness, management, and medication/substance use-consistent across both versions and aligned with prior studies. The management dimension showed adequate internal consistency, whereas the other two dimensions had lower reliability. Correlations with established recovery measures supported the IMR scale's external validity. Findings support the Spanish IMR scale as a valuable tool for assessing mental health recovery, capturing both clinician and user perspectives. This research contributes significantly to the evaluation of illness management and recovery among Spanish-speaking individuals with severe mental disorders, offering a culturally adapted and psychometrically sound measure.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"272-284"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisca Rosa, Ricardo Ávila, Ana C Alves-Nogueira, Marco Pereira, Cláudia Melo, Maria Cristina Canavarro, Carlos Carona
{"title":"Do Physicians CARE? Psychometric Validation of the Portuguese Self-Report Version of the CARE Measure.","authors":"Francisca Rosa, Ricardo Ávila, Ana C Alves-Nogueira, Marco Pereira, Cláudia Melo, Maria Cristina Canavarro, Carlos Carona","doi":"10.1177/01632787261422208","DOIUrl":"10.1177/01632787261422208","url":null,"abstract":"<p><p>Clinical empathy is central to the physician-patient relationship, and there is an increasing need for valid and reliable instruments to assess self-reported clinical empathy. Although the Consultation and Relational Empathy (CARE) Measure is widely used in its patient-reported form, it has not been validated for physician self-assessment. This study examined the construct validity and internal consistency of the Portuguese self-report version of the CARE Measure in 221 physicians who completed an online survey. The sample was randomly divided into two subsamples for exploratory and confirmatory factor analyses (EFA and CFA). Measurement invariance was tested across gender, age, and professional status. Internal consistency, convergent validity, and known-groups validity were also evaluated. EFA revealed a two-factor structure - Cognitive and Affective Empathy - supported by CFA. Measurement invariance was confirmed across gender, age, and professional status. The scale showed good internal consistency for both factors. Convergent validity was indicated by correlations with communication competence and therapeutic relationship quality. Known-groups validity was demonstrated by higher cognitive empathy scores among physicians aged 41 and older and among men. These findings provide robust evidence for the validity and reliability of the Portuguese self-report CARE Measure, supporting its use in clinical training, self-assessment, and empathy research.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"285-298"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nerea Blanco-Martínez, Rebeca Montes-Montes, Carlos Ayán-Pérez, Alicia Beatriz Berlier-Cea, Laura Delgado-Lobete
{"title":"Assessment of Barriers to Physical Activity Practice: Spanish Cross-Cultural Adaptation, Reliability and Validity of the Barriers to Being Active Quiz.","authors":"Nerea Blanco-Martínez, Rebeca Montes-Montes, Carlos Ayán-Pérez, Alicia Beatriz Berlier-Cea, Laura Delgado-Lobete","doi":"10.1177/01632787251399197","DOIUrl":"10.1177/01632787251399197","url":null,"abstract":"<p><p>The general population struggles to meet physical activity recommendations, risking mental and physical health. Validated, culturally adapted tools are essential for identifying barriers and implementing effective, context-specific strategies to promote exercise participation. Despite its wide use, the cross-cultural equivalence, and psychometric properties of the Barriers to Being Active Quiz (BBAQ) have not been confirmed. The purpose of this study was to validate the BBAQ cross-culturally into European Spanish (BBAQ-ES). Following international guidelines, the BBAQ underwent a systematic four-step process involving a multidisciplinary translation, synthesis, reconciliation, review, and a population-based comprehensibility test. Measurement properties-including structural and construct validity, and internal consistency, measurement error and test-retest reliability-were assessed following COSMIN guidelines on a sample of 589 Spanish University students. The IPAQ-SF was used as comparator instrument during hypothesis testing for construct validity (i.e. convergent, and discriminative validity). The BBAQ-ES demonstrates strong cross-cultural equivalence and good measurement properties (RMSEA = 0.0485, CFI = 0.946; Cronbach's alpha = 0.875; ICC = 0.724 -0.878; confirmed hypotheses testing >75%). The BBAQ-ES is a cross-culturally adapted, reliable and valid measure to assess multidimensional obstacles to physical activity. This study provides valuable new insights for international research and clinical practice.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"261-271"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}