The rigorous construction of items constitutes a field of great current interest for psychometric researchers and practitioners. In previous studies we had reviewed and analyzed the existing guidelines for the construction of multiple-choice items. From this review emerged a new proposal for guidelines that is now, in the present work, subjected to empirical assessment. This assessment was carried out by users of the guidelines and by experts in item construction. The results endorse the proposal for the new guidelines presented, confirming the advantages in relation to their simplicity and efficiency, as well as permitting identification of the difficulties involved in drawing up and organizing some of the guidelines. Taking into account these results, we propose a new, refined set of guidelines that constitutes a useful, simple and structured instrument for the construction of multiple-choice items.
Dysmorphic concern (DC) refers to excessive preoccupation with a slight or imagined defect in physical appearance with social avoidance and behavior directed at controlling the defect in appearance. This study attempted to adapt the factor structure of two instruments that cover the DC construct, the Dysmorphic Concern Questionnaire (DCQ) and the Body Dysmorphic Disorder Examination Self-Report (BDDE-SR), to Spanish and establish their psychometric properties. A total of 920 subjects (62.7% women, Mage = 32.44 years) participated. Exploratory and Confirmatory Factor Analysis of both scales found adequate goodness of fit indices. A one-dimensional structure was found for the DCQ and two first-order factors (dissatisfaction/preoccupation with body image (BI) and BI avoidance behavior) were identified for the BDDE-SR. The psychometric test–retest reliability and validity properties (content, convergent, and discriminant) were satisfactory. It is suggested that the DC construct includes both cognitive and behavioral aspects and may represent a continuum of severity with Body Dysmorphic Disorder at the end.
Background: Patient satisfaction is a principal indicator in the evaluation of the stay of pediatric patients in hospitals, since its consequences can emotionally interfere with health treatment. The aim of this study was to obtain a valid scale to assess children’s satisfaction with their time spent as a patient in an Andalusian hospital. Method: The Children’s Satisfaction with Hospitalization Questionnaire (CSHQ) was applied to 623 pediatric patients hospitalized in Andalusia. An exploratory factor analysis (EFA) showed one dimension underlying the children’s satisfaction with their hospitalization. After that, we developed a depuration analysis process to achieve a valid and unidimensional scale to assess children’s satisfaction. Results: The eleven-item one-dimension solution showed suitable consistency and goodness-of-fit indices. The final scale addresses hosting aspects as the main dimension of a minor’s satisfaction in Andalusian hospitals. Conclusion: A unidimensional scale has been determined for the assessment of children’s satisfaction with their stay in Andalusian hospitals based on hosting aspects. Nonetheless, other dimensions underlying the satisfaction of patients should also be considered.
Different studies around the world indicate that the percentages of overweight and obesity in childhood and adolescence are high. In this context, it would be useful to have a common, valid, and reliable instrument to assess health behaviors of families that allows comparisons of data from different countries. The objective is the adaptation of a Spanish version of the Family Health Behavior Scale (FHBS). The questionnaire originally developed by Moreno group was translated and adapted following the International Test Commission protocol. Its psychometric properties were evaluated through analysis of internal consistency, factor analysis and other evidences of validity. The Spanish version of the FHBS demonstrated adequate reliability coefficients, and its factor structure sufficiently replicated that obtained by the original measurement. The results suggested that the adapted version of the questionnaire was an adequate and valid measure for the evaluation of family health behaviors related to the prevention of overweight and obesity.
There are many taxonomies that try to classify and apply some consistency to the very many item types currently in existence. They all have various limitations, however, such as ambiguous classification criteria, little discrimination between format types, and referring almost exclusively to pen-and-paper or screen-based items. This paper aims to overcome these limitations by proposing a new item format taxonomy based on functional criteria. Current classifications are reviewed, the criteria they are based on are examined and their limitations are identified. The proposed alternative classification identifies four essential components of items according to function: the structure of the included content, the device used for transmission of the question to the examinee, the device for receiving the response, and the instructions to the examinee about how to understand and respond to the item. The combination of different facets of these four components allows any format of item to be classified, both existing formats and those that may appear in the future. In addition to systematically and coherently classifying items, this new taxonomy may also be of great utility in the construction and research of new items. The proposed model is illustrated by examples showing how specific items are classified, using a checklist as a guide.
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