Evidence-Based Survey Design: The Use of Ascending or Descending Order of Likert-Type Response Options

Chyung, Seung Youn; Kennedy, Megan; Campbell, I. B.

doi:10.1002/pfi.21800

Cited by 22 publications

(6 citation statements)

References 19 publications

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“…Additionally, when this research will be repeated on a larger scale, we recommend including questions about patient characteristics, such as socioeconomic, financial, educational, and occupational status, to investigate their association with the acceptability of the Smarter Health app. Finally, we have used the original (descending) order of the Likert scale including 5 points to create an interval scale, which might have influenced the results by left-side selection bias [ 18 , 19 ]. However, this is not supported by all studies investigating the order of scales used in self-administered surveys, which implies limited bias [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Prototyping of a Digital Life Course Care Platform for Preconception and Pregnancy Care: Pilot Feasibility and Acceptability Study

Windt¹,

Zundert²,

Schoenmakers³

et al. 2023

J Med Internet Res

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Background A healthy lifestyle plays a key role in the prevention of lifestyle-related diseases, including subfertility and pregnancy complications. Although the benefits of a healthy lifestyle are well-known, long-term adherence is limited. Moreover, memory for lifestyle-related information as well as medical information provided by the medical professional is often poor and insufficient. In order to innovate and improve health care for both the patients and health care professionals, we developed a prototype of a digital life course care platform (Smarter Health app), providing personalized lifestyle care trajectories integrated in medical care journeys. Objective This pilot study aimed to evaluate the feasibility, defined as the actual app use, and the acceptability, which included patient satisfaction and appreciation, of the Smarter Health app. Methods Between March 17, 2021, and September 30, 2021, pregnant women familiar with the Dutch language seeking tertiary preconception and pregnancy care were offered the app as part of standard medical care at the outpatient clinic Healthy Pregnancy of the Department of Obstetrics and Gynecology of the Erasmus University Medical Center. Three months after activation of the app, patients received a digital questionnaire consisting of aspects of feasibility and acceptability. Results During this pilot study, 440 patients visited the outpatient clinic Healthy Pregnancy. Of the 440 patients, 293 (66.6%) activated the app. Of the 293 patients who activated the app, 125 (42.7%) filled out the questionnaire. Of these 125 patients, 48 (38.4%) used the app. Most app users used it occasionally and logged in 8 times during their medical care trajectory. Overall, app users were satisfied with the app (median 5-point Likert scale=2.4, IQR 2.0-3.3). Conclusions Our findings showed that the Smarter Health app, which integrates lifestyle care in medical care, is a feasible health care innovation, and that patients were satisfied with the app. Follow-up and evaluation of pregnancy outcomes should be performed to further substantiate wider clinical implementation.

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Section: Discussionmentioning

confidence: 99%

Prototyping of a Digital Life Course Care Platform for Preconception and Pregnancy Care: Pilot Feasibility and Acceptability Study

Windt¹,

Zundert²,

Schoenmakers³

et al. 2023

J Med Internet Res

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“…It would be worthwhile to investigate whether the data replicate outside of this exceptional situation. Finally, self-reported data are subject to common method biases such as social desirability, recall bias, or consistency motive (45). To minimize this risk, we implemented various strategies in the questionnaire, such as randomization of items and the use of disqualifying items (e.g.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

The Sense of Coherence scale (SOC-13): Psychometric properties in the Czech adult population and general recommendations for the advancement of the scale

Tušl

Šípová

Máčel

et al. 2023

Preprint

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Our study examines the psychometric properties of the short version of the Sense of Coherence scale (SOC-13) in a representative sample of the Czech adults (N = 498). In the introduction, we describe the general characteristics of the scale summarizing existing evidence about its psychometric properties in other populations and provide a brief overview of SOC-related research in the Czech Republic. We then examine the factorial structure of the SOC-13 and SOC-12 scales using confirmatory factor analysis. Further, we examine the differences in SOC-13 based on sociodemographic characteristics, and we test the convergent validity of the scale using the short form of the mental health continuum scale as a positive mental health outcome and the general anxiety disorder scale as a negative mental health outcome. SOC-13 showed an acceptable fit for a second order three-dimensional model with a specified residual covariance between items 2 and 3. SOC-12 showed an acceptable fit for a one-dimensional model and a second order three-dimensional model. SOC-12 models were superior to SOC-13. Based on our results and on the existing evidence, we make general recommendations for future advancement of the SOC addressing the heterogeneity in the formulation of the SOC items. Specifically, we recommend transforming the SOC scale into an inventory so that all items are formulated as statements rather than a mix of questions and statements. Further, we recommend using a single Likert-type scale response anchor with ascending format rather than multiple response anchors with altering regular and reverse-coded format. We apply our recommendations to the full SOC-29 scale and we provide its English and Czech versions to the researchers for further use and testing.

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“…Finally, this study did not randomise the order of administration of Social camouflaging and anxiety questionnaires across participants. Although CAT-Q questions used an ascending scale, and ASBQ used both ascending and descending scales, to reduce potential left-side selection bias or primacy effect as part of response-order effects when completing written questionnaires (Chyung, Kennedy, & Campbell, 2018), future studies can randomise the order of questionnaires to further control for response-order effects.…”

Section: Strengths Limitations and Future Directionsmentioning

confidence: 99%

Understanding the relationship between social camouflaging in autism and safety behaviours in social anxiety in autistic and non‐autistic adolescents

Lei,

Leigh,

Charman

et al. 2023

Child Psychology Psychiatry

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BackgroundSocial camouflaging (hereafter camouflaging) in autism includes factors such as masking and compensating for one's neurodevelopmental differences, and to assimilate or ‘fit in’ with non‐autistic peers. Efforts to hide one's authentic self and autism traits (masking) resemble impression management (IM) in safety behaviours identified in Clark and Wells' (1995) cognitive model of social anxiety (SA). This study explores the relationship between camouflaging in autism and safety behaviours in SA among autistic and non‐autistic adolescents.MethodsOne hundred fifteen adolescents (14–19 years) with (n = 61; 36 female) and without (n = 54; 37 female) a clinical diagnosis of autism matched on age and SA symptom severity were recruited from clinics, schools and online. Adolescents completed online measures including autism traits, SA symptoms, camouflaging behaviours, SA‐related safety behaviours and SA‐related negative cognitions. Partial and bivariate Pearson's correlations and structural equation modelling were used to understand the relationship between camouflaging, safety behaviours, autism traits and SA in both groups. Exploratory factor analysis assessed item‐level factor cross‐loadings between camouflaging and safety behaviours.ResultsAcross both groups, masking and IM were significantly associated with SA symptom severity, not autism traits, via SA‐related social cognitions. Exploratory factor analysis indicated construct overlap across masking, assimilation, IM and avoidance behaviours and identified factors analogous to self‐focused attention, social avoidance and mental rehearsal identified in the Clark and Wells' (1995) model of SA.ConclusionsThis is the first study using group‐matched design to identify that masking (factor in social camouflaging) and IM both relate to SA in autistic and non‐autistic adolescents. Assessment and formulation of construct overlap between masking and IM may inform psychoeducation and adaptation of SA treatment for autistic adolescents.

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Evidence-Based Survey Design: The Use of Ascending or Descending Order of Likert-Type Response Options

Cited by 22 publications

References 19 publications

Prototyping of a Digital Life Course Care Platform for Preconception and Pregnancy Care: Pilot Feasibility and Acceptability Study

Prototyping of a Digital Life Course Care Platform for Preconception and Pregnancy Care: Pilot Feasibility and Acceptability Study

The Sense of Coherence scale (SOC-13): Psychometric properties in the Czech adult population and general recommendations for the advancement of the scale

Understanding the relationship between social camouflaging in autism and safety behaviours in social anxiety in autistic and non‐autistic adolescents

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