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Displaying publications 81 - 100 of 2008 in total

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Fulltext An empirical study of the relationships between service quality and customer's perceived value in Malaysian Armed Forces contingent peacekeeping mission management

Ahmad Azan Ridzuan, Azman Ismail

CREAM : Current Research in Malaysia (Penyelidikan Terkini di Malaysia), 2013;2(1):163-179.
MyJurnal

This study was conducted to measure the relationship between service quality and customer's perceived value using a sample of 341 usable questionnaires gathered from the Malaysian Armed Forces Contingent who involved in peacekeeping mission at a Middle East country. The outcomes of SmartPLS path model showed five important findings: firstly, tangible significantly correlated with customer's perceived value. Second, responsiveness significantly correlated with customer's perceived value. Third, reliability significantly correlated with customer's perceived value. Fourth, assurance significantly correlated with customer's perceived value. Fifth, empathy significantly correlated with customer's perceived value. Statistically, this result confirms that the ability of service providers (MALBATT Headquaters) to properly implement tangible, responsiveness, reliability, assurance and empathy in delivering peacekeeping services have been important determinants of customer's perceived value in the organizational sample. In addition, discussions, implications and conclusion are elaborated.

Matched MeSH terms: Reproducibility of Results
Fulltext Extraction of mitochondrial DNA from tooth dentin: application of two techniques

Ahmad Azlina, Berahim Zurairah, Sidek Mohamad Ros, Mokhtar Khairani Idah, Samsudin Abdul Rani

Archives of Orofacial Sciences, 2011;6(1):9-14.
MyJurnal

Mitochondrial DNA (mtDNA) is a hereditary material located in mitochondria and is normally maternally inherited. Mutational analysis performed on mtDNA proved that the mutations are closely related with a number of genetic illnesses, besides being exploitable for forensic identification. Those findings imply the importance of mtDNA in the scientific field. MtDNA can be found in abundance in tooth dentin where it is kept protected by the enamel, the hardest outer part of the tooth. In this study, two techniques of mtDNA extraction were compared to determine the efficacy between the two techniques. Teeth used for the study was collected from Dental Clinic, Hospital Universiti Sains Malaysia. After the removal of tooth from the tooth socket of the patient, the tooth was kept at -20C until use. Later, pulp tissue and enamel was excised using dental bur and only the root dentin was utilized for the isolation of mtDNA by crushing it mechanically into powdered form. MtDNA was extracted using the two published methods, Pfeifer and Budowle and then subjected to spectrophotometry DNA quantification and purity, Polymerase chain reaction (PCR) amplification of hypervariable-two region of mtDNA, followed by DNA sequencing to analyze the reliability of the extraction techniques. In conclusion, both techniques proved to be efficient and capable for the extraction of mtDNA from tooth dentin.

Matched MeSH terms: Reproducibility of Results
3D surface roughness measurement for scaliness scoring of psoriasis lesions

Ahmad Fadzil MH, Prakasa E, Asirvadam VS, Nugroho H, Affandi AM, Hussein SH

Comput Biol Med, 2013 Nov;43(11):1987-2000.
PMID: 24054912 DOI: 10.1016/j.compbiomed.2013.08.009

Psoriasis is an incurable skin disorder affecting 2-3% of the world population. The scaliness of psoriasis is a key assessment parameter of the Psoriasis Area and Severity Index (PASI). Dermatologists typically use visual and tactile senses in PASI scaliness assessment. However, the assessment can be subjective resulting in inter- and intra-rater variability in the scores. This paper proposes an assessment method that incorporates 3D surface roughness with standard clustering techniques to objectively determine the PASI scaliness score for psoriasis lesions. A surface roughness algorithm using structured light projection has been applied to 1999 3D psoriasis lesion surfaces. The algorithm has been validated with an accuracy of 94.12%. Clustering algorithms were used to classify the surface roughness measured using the proposed assessment method for PASI scaliness scoring. The reliability of the developed PASI scaliness algorithm was high with kappa coefficients>0.84 (almost perfect agreement).

Matched MeSH terms: Reproducibility of Results
Extraction and reconstruction of retinal vasculature

Ahmad Fadzil MH, Izhar LI, Venkatachalam PA, Karunakar TV

J Med Eng Technol, 2007 Nov-Dec;31(6):435-42.
PMID: 17994417 DOI: 10.1080/03091900601111201

Information about retinal vasculature morphology is used in grading the severity and progression of diabetic retinopathy. An image analysis system can help ophthalmologists make accurate and efficient diagnoses. This paper presents the development of an image processing algorithm for detecting and reconstructing retinal vasculature. The detection of the vascular structure is achieved by image enhancement using contrast limited adaptive histogram equalization followed by the extraction of the vessels using bottom-hat morphological transformation. For reconstruction of the complete retinal vasculature, a region growing technique based on first-order Gaussian derivative is developed. The technique incorporates both gradient magnitude change and average intensity as the homogeneity criteria that enable the process to adapt to intensity changes and intensity spread over the vasculature region. The reconstruction technique reduces the required number of seeds to near optimal for the region growing process. It also overcomes poor performance of current seed-based methods, especially with low and inconsistent contrast images as normally seen in vasculature regions of fundus images. Simulations of the algorithm on 20 test images from the DRIVE database show that it outperforms many other published methods and achieved an accuracy range (ability to detect both vessel and non-vessel pixels) of 0.91 - 0.95, a sensitivity range (ability to detect vessel pixels) of 0.91 - 0.95 and a specificity range (ability to detect non-vessel pixels) of 0.88 - 0.94.

Matched MeSH terms: Reproducibility of Results
Computerized segmentation and measurement of chronic wound images

Ahmad Fauzi MF, Khansa I, Catignani K, Gordillo G, Sen CK, Gurcan MN

Comput Biol Med, 2015 May;60:74-85.
PMID: 25756704 DOI: 10.1016/j.compbiomed.2015.02.015

An estimated 6.5 million patients in the United States are affected by chronic wounds, with more than US$25 billion and countless hours spent annually for all aspects of chronic wound care. There is a need for an intelligent software tool to analyze wound images, characterize wound tissue composition, measure wound size, and monitor changes in wound in between visits. Performed manually, this process is very time-consuming and subject to intra- and inter-reader variability. In this work, our objective is to develop methods to segment, measure and characterize clinically presented chronic wounds from photographic images. The first step of our method is to generate a Red-Yellow-Black-White (RYKW) probability map, which then guides the segmentation process using either optimal thresholding or region growing. The red, yellow and black probability maps are designed to handle the granulation, slough and eschar tissues, respectively; while the white probability map is to detect the white label card for measurement calibration purposes. The innovative aspects of this work include defining a four-dimensional probability map specific to wound characteristics, a computationally efficient method to segment wound images utilizing the probability map, and auto-calibration of wound measurements using the content of the image. These methods were applied to 80 wound images, captured in a clinical setting at the Ohio State University Comprehensive Wound Center, with the ground truth independently generated by the consensus of at least two clinicians. While the mean inter-reader agreement between the readers varied between 67.4% and 84.3%, the computer achieved an average accuracy of 75.1%.

Matched MeSH terms: Reproducibility of Results
Fulltext Maintenance and physical asset management issues in project commissioning

Ahmad Fuad Ab Ghani, Azrin Ahmad, Nor Salim Muhammad, Reduan Mat Dan, Rustamreen Jenal

Malaysian Journal of Applied Sciences, 2018;2(2):10-28.
MyJurnal

This study describes the review on maintenance related issues during design and construction stage
within construction industry. The paper highlights the causes and errors made during design and
construction stage and their impact during the operation/production/occupancy stage as well as the
maintenance costs associated with it. The study identifies the mistakes in the working processes within
design and construction stage leading to the errors that affect the durability, performance, reliability,
maintainability, availability and safety of the systems. The paper presents a comprehensive review of
the published literatures, journals, technical papers in the related areas in the construction field. The
review highlights the new approaches and decision framework which link the designers and
construction personnel that could reduce the errors and defects in construction which then lead to
maintenance issues and asset management. The factors of accessibility, materials, design and
documentation standardization have been discussed thoroughly for better understanding in improving
maintenance and physical asset management in project commissioning.

Matched MeSH terms: Reproducibility of Results
Fulltext The development and validity of the medical student stressor questionnaire (MSSQ)

Ahmad Fuad Abdul Rahim, Mohd Jamil Yaacob, Muhamad Saiful Bahri Yusoff

ASEAN Journal of Psychiatry, 2010;11(1):13-24.
MyJurnal

Objective: To determine the construct validity and the internal consistency of the Medical Student Stressor Questionnaire (MSSQ) among medical students hence in the future it could be used as a valid and reliable instrument to identify stressors among medical students. Methods: The blueprint for the development of MSSQ was developed after a review of literature on the subject and a discussion with experts in the field. It comprised of 40 items
with six hypothetical groups. The face validity of the questionnaire was established through discussion with 141 final year medical students whereas content validity was established through discussion with experts from field of Medical Education and Psychiatry. It was administered to a total of 761 medical students. Data was analysed using Statistical Package Social Sciences (SPSS) version 12. Factor analysis was applied to test construct validity of the MSSQ. Reliability analysis (Cronbach’s alpha and item total correlation) was applied to test internal consistency of the MSSQ. Results: The total Cronbach’s alpha value of the MSSQ was 0.95. All the preliminary 40 items were included in the MSSQ as the items had item total correlation value of more than 0.3. The items were loaded nicely into the six pre-determined hypothetical groups as their factor loading values were more than 0.3.
Conclusion: This study showed that MSSQ had good psychometric value. It is a valid and reliable instrument in identifying stressors among medical students.

Matched MeSH terms: Reproducibility of Results
Fulltext The sensitivity, specificity and reliability of the malay version 12-items general health questionnaire (GHQ-12) in detecting distressed medical students.

Ahmad Fuad Abdul Rahim, Mohd Jamil Yaacob, Muhamad Saiful Bahri Yusoff

ASEAN Journal of Psychiatry, 2010;11(1):36-43.
MyJurnal

Objective: To determine the sensitivity, specificity and internal consistency of the Malay version GHQ-12 among medical student population. This study determined the appropriate GHQ-12 score to detect distressed medical students. Methods: The Malay version of GHQ-12 was derived based on two sources which were the original version GHQ-12 and the validated Malay version 30-items GHQ. The GHQ-12 and the Malay version Beck Depression Inventory-II (BDI-II) were administered to a total of 141 medical students. Distress diagnoses were made based on the Malay version BDI-II. ROC curve analysis was applied to determine the sensitivity and specificity of the GHQ-12 by testing against the BDI-II. Reliability analysis (Cronbach’s alpha and item total correlation) was applied to test internal consistency of the
GHQ-12. The analysis was done using SPSS version 12.Results: The GHQ-12 sensitivity and specificity at cut-off point of 3/4 was 81.3% and 75.3% respectively with positive predictive value (PPV) of 62.9% as well as area under ROC curve more than 0.7. The Cronbach’s alpha value of the GHQ-12 was 0.85.Conclusion: This study showed the Malay version GHQ-12 is a valid and reliable screening tool in detecting distressed medical students. The
GHQ-12 score equal to or more than 4 was considered as significant distress.

Matched MeSH terms: Reproducibility of Results
Fulltext Quantification of mesenchymal stem cell growth rates through secretory and excretory biomolecules in conditioned media via Fresnel reflection

Ahmad H, Thambiratnam K, Zulkifli AZ, Lawrence A, Jasim AA, Kunasekaran W, et al.

Sensors (Basel), 2013 Sep 30;13(10):13276-88.
PMID: 24084118 DOI: 10.3390/s131013276

An efficient and low cost optical method for directly measuring the concentration of homogenous biological solutes is proposed and demonstrated. The proposed system operates by Fresnel reflection, with a flat-cleaved single-mode fiber serving as the sensor probe. A laser provides a 12.9 dBm sensor signal at 1,550 nm, while a computer-controlled optical power meter measures the power of the signal returned by the probe. Three different mesenchymal stem cell (MSC) lines were obtained, sub-cultured and trypsinized daily over 9 days. Counts were measured using a haemocytometer and the conditioned media (CM) was collected daily and stored at -80 °C. MSCs release excretory biomolecules proportional to their growth rate into the CM, which changes the refractive index of the latter. The sensor is capable of detecting changes in the number of stem cells via correlation to the change in the refractive index of the CM, with the measured power loss decreasing approximately 0.4 dB in the CM sample per average 1,000 cells in the MSC subculture. The proposed system is highly cost-effective, simple to deploy, operate, and maintain, is non-destructive, and allows reliable real-time measurement of various stem cell proliferation parameters.

Matched MeSH terms: Reproducibility of Results
Fetal heart rate monitoring device using condenser microphone sensor: Validation and comparison to standard devices

Ahmad HAB, El-Badawy IM, Singh OP, Hisham RB, Malarvili MB

Technol Health Care, 2018;26(4):573-579.
PMID: 29758955 DOI: 10.3233/THC-171067

BACKGROUND: Fetal heart rate (FHR) monitoring device is highly demanded to assess the fetus health condition in home environments. Conventional standard devices such as ultrasonography and cardiotocography are expensive, bulky and uncomfortable and consequently not suitable for long-term monitoring. Herein, we report a device that can be used to measure fetal heart rate in clinical and home environments.
METHODS: The proposed device measures and displays the FHR on a screen liquid crystal display (LCD). The device consists of hardware that comprises condenser microphone sensor, signal conditioning, microcontroller and LCD, and software that involves the algorithm used for processing the conditioned fetal heart signal prior to FHR display. The device's performance is validated based on analysis of variance (ANOVA) test.
RESULTS: FHR data was recorded from 22 pregnant women during the 17th to 37th week of gestation using the developed device and two standard devices; AngelSounds and Electronic Stethoscope. The results show that F-value (1.5) is less than F𝑐𝑟𝑖𝑡, (3.1) and p-value (p> 0.05). Accordingly, there is no significant difference between the mean readings of the developed and existing devices. Hence, the developed device can be used for monitoring FHR in clinical and home environments.

Matched MeSH terms: Reproducibility of Results
Measurement system analysis on the external standard using an azeotropic mixture of ethylene glycol and detailed uncertainties

Ahmad Hazmi AS, Abd Maurad Z, Mohd Noor MA, Nek Mat Din NSM, Idris Z

J Sep Sci, 2021 Apr;44(7):1471-1481.
PMID: 33522105 DOI: 10.1002/jssc.202000929

Ethylene glycol is a super commodity chemical and it has vital roles in various applications. Its co-production with other chemicals, such as ethylene carbonate and glycerol carbonate, has promised cheaper production cost. Its quantification presents a challenge as its contaminants, such as ethylene carbonate, produce a signal-reducing effect in flame ionized detector. The aim of this study is to evaluate external standard to quantify the composition of glycol mixture. Measurement system analysis was employed on the external standard method. Reliability of the external standard is statistically significant with low p-values, excellent capability indices, and high F-values. The external standard is found to have remarkable precision and trueness as both capability indices are mirroring each other. Furthermore, the capability analysis has a strong correlation with quality measurement. Based on capability indices, the limit of detection is recommended at S/N = 25 and the limit of quantification is recommended at S/N = 100 for a reliable measurement. A high degree of reliability is achieved coherently as almost all uncertainties of coefficients of variations are less than 5%. The established method was validated and successfully applied to glycol mixture at azeotropic distillation pilot plant.

Matched MeSH terms: Reproducibility of Results
Vocal fold vibratory characteristics of healthy geriatric females--analysis of high-speed digital images

Ahmad K, Yan Y, Bless D

J Voice, 2012 Nov;26(6):751-9.
PMID: 22633334 DOI: 10.1016/j.jvoice.2011.12.002

A high proportion of the geriatric population suffers from presbylaryngis and presbyphonia; however, our knowledge of vibratory patterns in this population is almost nonexistent. In this study, we investigate the vocal fold vibratory patterns of healthy elderly females to determine which features or combination of them could best describe the geriatric voices.

Matched MeSH terms: Reproducibility of Results
Development of an Hg(II) fibre-optic sensor for aqueous environmental monitoring

Ahmad M, Hamzah H, Sufliza Marsom E

Talanta, 1998 Oct;47(2):275-83.
PMID: 18967326

An optical sensor for Hg(II) monitoring using a complex of zinc dithizonate immobilised on XAD 7 which is based on reflectance spectrophotometry has been developed in this study. Measurements were made using a kinetic approach whereby the reflectance signal is measured at a fixed time of 5 min. The sensor could be regenerated using a saturated solution of KCl in 1 M sulphuric acid. The sensor was found to have an optimum response at pH 3.0 with respective measurement repeatability and probe-to-probe reproducibility of 1.53% and 5.26%. A linear response was observed in the Hg(II) concentration range of 0.0-180.0 ppm with a calculated limit of detection (LOD) of 0.05 ppm. The results obtained for aqueous Hg(II) determination using this probe were found to be comparable with the well-established method of atomic absorption spectrometry.

Matched MeSH terms: Reproducibility of Results
Development of an optical fibre Al(III) sensor based on immobilised chrome azurol S

Ahmad M, Narayanaswamy R

Talanta, 1995 Sep;42(9):1337-44.
PMID: 18966361

Chrome azurol S immobilised on XAD-2 has been used in this study as a reagent phase for the development of an optical fibre Al(III) sensor. Using a kinetic approach, this sensor was able to give a linear response in the Al(III) concentration range of 1.3 x 10(-5)-2.0 x 10(-4) M with a limit of detection of 1.0 x 10(-4) M. The optimum responses were obtained at pH 6.0 and when the solution was stirred. The sensor response was found to have a repeatability and reproducibility of 1.6% and 5.8%, respectively. The results obtained for Al(III) determination in aqueous sample were in good agreement with those obtained using graphite furnace-atomic absorption spectrometry.

Matched MeSH terms: Reproducibility of Results
Fulltext The implementation of 1 student 1 Sport Policy among secondary school teachers in Kluang, Johor

Ahmad MF, Muhamad TA, Surat S, Hassim JZ, Lamat SA

Jurnal Sains Sukan & Pendidikan Jasmani, 2016;5(2):24-43.
MyJurnal

The implementation of the 1 Student 1 Sport Policy (D1M1S) focuses on the involvement of students who are less active in sports activities in order to polish and further developed their talent potential. It is
believed that the responsibility and the role of teachers are vital in ensuring the implementation of D1M1S conducted at the school level. However, the use of teachers as executors in ensuring that this policy is carried out must be studied and identified to achieve the goal of D1M1S besides improving the quality of work to a higher level. This study was conducted to identify the implementation level of D1M1S among teachers in secondary schools in Kluang, Johor, implementation of D1M1S based on gender differences and category of school and existing relationships such as elements of skill, understanding,
commitment and sports facilities. The key success of D1M1S implementation is closely
related to the teachers as executors. This study was carried out on 389 secondary school
teachers in Kluang, Johor. Questionnaire containing 36 items was developed and
administered to measure the elements of skill, commitment, understanding and sport
facilities. Cronbach Alpha reliability coefficient value of the instrument was 0.95. The data
were analysed using descriptive statistics (mean, standard deviation and frequency) and
inferential analysis (independent samples t-test and Pearson correlation). The findings
showed high level of understanding towards D1M1S while the elements of skill, commitment
and sports facilities were at a moderate level. In addition, there were significant difference in
terms of mean scores reported for the implementation of D1M1S based on the genders of the
teachers with the skills element (p = 0.00

Matched MeSH terms: Reproducibility of Results
Fulltext Comparison between self-reported physical activity (IPAQ-SF) and pedometer among overweight and obese women in the MyBFF@home study

Ahmad MH, Salleh R, Mohamad Nor NS, Baharuddin A, Rodzlan Hasani WS, Omar A, et al.

BMC Womens Health, 2018 07 19;18(Suppl 1):100.
PMID: 30066635 DOI: 10.1186/s12905-018-0599-8

BACKGROUND: Several methods have been developed to determine a person's physical activity level. However, there is limited evidence in determining whether someone is physically active or not. This study aims to determine the level of physical activity and to compare the usage of short version International Physical Activity Questionnaire (IPAQ-SF) and pedometer among overweight and obese women who were involved in the My Body is Fit and Fabulous at home (MyBFF@home) study.
METHODS: Baseline and sixth month data from the MyBFF@home study were used for this purpose. A total of 169 of overweight and obese respondents answered the IPAQ-SF and were asked to use a pedometer for 7 days. Data from IPAQ-SF were categorised as inactive and active while data from pedometer were categorised as insufficiently active and sufficiently active by standard classification. Data on sociodemographic and anthropometry were also obtained. Cohen's kappa was applied to measure the agreement of IPAQ-SF and pedometer in determining the physical activity level. Pre-post cross tabulation table was created to evaluate the changes in physical activity over 6 months.
RESULTS: From 169 available respondents, 167 (98.8%) completed the IPAQ-SF and 107 (63.3%) utilised the pedometer. A total of 102 (61.1%) respondents were categorised as active from the IPAQ-SF. Meanwhile, only 9 (8.4%) respondents were categorised as sufficiently active via pedometer. Cohen's κ found there was a poor agreement between the two methods, κ = 0.055, p > 0.05. After sixth months, there was + 9.4% increment in respondents who were active when assessed by IPAQ-SF but - 1.3% reductions for respondents being sufficiently active when assessed by pedometer. McNemar's test determined that there was no significant difference in the proportion of inactive and active respondents by IPAQ-SF or sufficiently active and insufficiently active by pedometer from the baseline and sixth month of intervention.
CONCLUSION: The IPAQ-SF and pedometer were both able to measure physical activity. However, poor agreement between these two methods were observed among overweight and obese women.

Matched MeSH terms: Reproducibility of Results
Fulltext Development and Validation of Positive Smoker Identity Questionnaire (PSmoQi): A New Instrument for Smoking Cessation Correlates

Ahmad MH, Ibrahim MI, Ab Rahman A, Musa KI, Mohd Zin F, Mohd Zain R, et al.

Int J Environ Res Public Health, 2019 01 26;16(3).
PMID: 30691181 DOI: 10.3390/ijerph16030351

Background: The positive smoker identity construct, which was based on West's PRIME Theory, affected the smoking prevalence, quit attempts and cessation success. A validated questionnaire which could measure this rich and complex construct may facilitate prediction models of successful cessation. We aimed to develop and validate a questionnaire that assesses positive smoker identity based on West's PRIME Theory. Method: The initial item pool was developed based on a theoretical framework, empirical literature, existing scales and expert review. The questionnaire was conveniently distributed to 100 smokers. Exploratory factor analysis was utilized to explore domains in the questionnaire. Construct and criterion validity, internal consistency and reliability of the domains were analyzed. Results: The final positive smoker identity questionnaire (PSmoQi) has 26 items under four internally-consistent and reliable domains: Contributory factors, contextual and temporal patterning, identity related to smoking, and behaviour in relation to smoking. The full scale demonstrated good internal consistency (∝ = 0.78), acceptable convergent and divergent validity, and good concurrent validity with the smoker self-concept scale. Conclusion: The current study provides fundamental evidence for the PSmoQi as a valid instrument in research related to smoking cessation and interventional strategy. The PSmoQi contained validated domains which could measure almost a full spectrum of smoking cessation components.

Matched MeSH terms: Reproducibility of Results
Fulltext A Colorimetric pH Sensor Based on Clitoria sp and Brassica sp for Monitoring of Food Spoilage Using Chromametry

Ahmad NA, Yook Heng L, Salam F, Mat Zaid MH, Abu Hanifah S

Sensors (Basel), 2019 Nov 05;19(21).
PMID: 31694284 DOI: 10.3390/s19214813

A developed colorimetric pH sensor film based on edible materials for real-time monitoring of food freshness is described. The mixed natural dyes from edible plants Clitoria sp and Brassica sp were extracted and incorporated into ι-carrageenan film as a colorimetric pH sensor film for monitoring food spoilage and its freshness. The color changes of the developed colorimetric sensor film were measured with chromametry and UV-vis spectroscopy, respectively. Experimental results show that colorimetric pH sensor film demonstrated statistically significant differences (p < 0.05) between CIE-L*a*b* coordinates color system indicated that the developed colorimetric sensor film was able to give a gradual change in color over a wide pH range. The color of the colorimetric sensor film also changes discretely and linearly with factors that contribute to food spoilage using shrimp and durian samples. Moreover, the developed colorimetric pH sensor film has the potential to be used as a safe, non-destructive testing and also a flexibly visual method for direct assessment of food freshness indicator during storage.

Matched MeSH terms: Reproducibility of Results
The Development and Validation of Job Satisfaction Questionnaire for Health Workforce

Ahmad NFD, Ren Jye AK, Zulkifli Z, Bujang MA

Malays J Med Sci, 2020 Dec;27(6):128-143.
PMID: 33447140 DOI: 10.21315/mjms2020.27.6.12

Background: This study aims to develop and validate a job satisfaction questionnaire (JS-Q) for health workforce who are employed by a healthcare institution.
Methods: The study consists of six phases which begins with eliciting a conceptual understanding of the subject matter which is then followed by questions development, designing the overall structure and format of the questionnaire, assessing both its content validity and face validity, conducting a pilot study and finally a field test. A sample of study respondents who were permanent hospital staff above 18 years of age had been recruited from three government hospitals in Kuching, Sarawak, Malaysia.
Results: The finalised JS-Q consists of a total of 34 questions that were based on 8 domains. For all these 8 domains, the minimum loading of each item on the factors was calculated to be at least 0.500, its coefficient of Cronbach's alpha was calculated to be at least 0.750 and its corrected item-total correlation was calculated to be at least 0.500. The goodness of fit of the model was determined to be satisfactory with a value of Chi-square/df < 3.0, and a value of root mean square error approximation (RMSEA) < 0.8 and finally with both Tucker Lewis index (TLI) and comparative fit index (CFI) > 0.9.
Conclusion: This newly developed and validated questionnaire (JS-Q) is found to be a valid and reliable study instrument for assessing job satisfaction among health workforce.

Matched MeSH terms: Reproducibility of Results
Fulltext Validation and the associated factors of the Malay version of systemic lupus erythematosus-specific health-related quality of life questionnaires (SLEQoL and LupusQoL)

Ahmad Pouzi NA, Shaharir SS, Mohd Tamil A, Mustafar R, Ahmad Maulana S, Mageswaren E, et al.

PLoS One, 2023;18(5):e0285461.
PMID: 37186611 DOI: 10.1371/journal.pone.0285461

OBJECTIVES: To assess the reliability and validity of two disease-specific questionnaires that assess the quality of life (QoL) among patients with Systemic Lupus Erythematosus (SLE); SLEQoL and LupusQoL in Malay language. This study also identified the factors affecting each domain of the questionnaires.
METHODS: This cross-sectional study was conducted from June 2021 until April 2022, and SLE patients were recruited to complete the SLEQoL, LupusQoL and Short Form Health Survey (SF-36) in Malay language. Disease activity were recorded using the modified SLE Disease Activity Index (M- SLEDAI) and British Isles Lupus Assessment Group 2004 (BILAG-2004) index. Presence of organ damage was determined using the SLICC Damage index. Cronbach's alpha was calculated to determine internal consistency while exploratory factor analysis was done to determine the construct validity. Concurrent validity was evaluated using correlation with SF-36. Multiple linear regression analysis was deployed to determine the factors affecting each domain of SLEQoL and LupusQoL.
RESULTS: A total of 125 subjects were recruited. The Cronbach's α value for the Malay-SLEQoL (M-SLEQoL) and Malay-LupusQOL (M-LupusQoL) was 0.890 and 0.944 respectively. Exploratory factor analysis found formation of similar number of components with the original version of questionnaires and all items have good factor loading of >0.4. Both instruments also had good concurrent validity with SF-36. M-SLEQoL had good correlations with BILAG-2004 and M-SLEDAI scores. Musculoskeletal (MSK) involvement was independently associated with lower M-SLEQoL in physical function, activity and symptom domains. Meanwhile, MSK and NPSLE were associated with fatigue in M-LupusQoL.
CONCLUSION: Both M-SLEQoL and M-LupusQoL are reliable and valid as disease -specific QoL instruments for Malaysian patients. The M-Lupus QoL has better discriminative validity compared to the M-SLEQoL. SLE patients with MSK involvement are at risk of poor QoL in multiple domains including physical function, activity, symptoms and fatigue.

Matched MeSH terms: Reproducibility of Results

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