Psychometric Testing of an Instrument Assessing Family Knowledge, Contemplation, Confidence and Readiness for Engaging in Early Mobilisation of Critically Ill Patients: A Multi-Site Cross-Sectional Design

Article


Mukpradab, Sasithorn, Ireland, Michael, Tobiano, Georgia, Ranse, Kristen, Coyer, Fiona, Sosnowski, Kellie, Heyland, Daren K. and Marshall, Andrea P.. 2024. "Psychometric Testing of an Instrument Assessing Family Knowledge, Contemplation, Confidence and Readiness for Engaging in Early Mobilisation of Critically Ill Patients: A Multi-Site Cross-Sectional Design." Journal of Advanced Nursing. https://doi.org/10.1111/jan.16415
Article Title

Psychometric Testing of an Instrument Assessing Family Knowledge, Contemplation, Confidence and Readiness for Engaging in Early Mobilisation of Critically Ill Patients: A Multi-Site Cross-Sectional Design

ERA Journal ID14101
Article CategoryArticle
AuthorsMukpradab, Sasithorn, Ireland, Michael, Tobiano, Georgia, Ranse, Kristen, Coyer, Fiona, Sosnowski, Kellie, Heyland, Daren K. and Marshall, Andrea P.
Journal TitleJournal of Advanced Nursing
Number of Pages11
Year2024
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0309-2402
1365-2648
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.16415
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/jan.16415
Abstract

Background
Early mobilisation is beneficial to support recovery among critically ill patients. The literature highlights the benefits of family engagement in early mobilisation, yet this practice remains underutilised. Effective implementation depends on understanding the key antecedents that influence family engagement in early mobilisation, specifically families' knowledge, contemplation, confidence and readiness. However, no measurement tools currently exist to assess these. Therefore, developing a psychometrically supported instrument is essential to understanding and enhancing families' factors influencing their engagement in early mobilisation.

Aim
To develop and evaluate the psychometric properties of an instrument to assess families' knowledge, contemplation, confidence and readiness to engage in early mobilisation.

Design
A multi-site cross-sectional survey design.

Methods
Based on established psychological theory (Social Cognitive Theories and Behaviour Change Theories), an item pool was developed to assess families' knowledge, contemplation, confidence and readiness to participate in early mobilisation. To psychometrically evaluate the new tool, a multi-site cross-sectional survey was undertaken from May 2020 to June 2022 across five intensive care units in Australia. Data from 370 families of critically ill patients were used to evaluate the structural, convergent and discriminant validity as well as the reliability of the new instrument.

Results
Confirmatory factor analysis indicated good model fit, supporting the proposed structure. All items displayed high standardised factor loadings except one, which improved upon freeing an error covariance. Positive inter-factor correlations were moderate to strong and were substantially lower than the square root of the average variance extracted, supporting both convergent and discriminant validity, respectively. Additionally, all subscales demonstrated well to excellent reliability.

Conclusion
The findings provide preliminary support for the multiple types of validity evidence and the reliability of the instrument. This new instrument is suitable for use in clinical and research applications to assess families' knowledge, contemplation, confidence and readiness for their engagement in early mobilisation.

Keywordsconfirmatory factor analysis; critically ill patients; cross-sectional study; early mobilisation; family engagement; psychometric testing
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020529999. Other psychology not elsewhere classified
Byline AffiliationsGriffith University
Prince of Songkla University, Thailand
School of Sciences
Gold Coast Hospital and Health Service, Australia
Princess Alexandra Hospital, Australia
Royal Brisbane and Women’s Hospital, Australia
University of Queensland
Logan Hospital, Australia
Queen's University, Canada
Kingston General Hospital, Canada
Gold Coast Hospital and Health Service, Australia
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Goodwin, Belinda C., March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Ng, Shu-Kay, Baade, Peter D., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00372
A Rasch Model analysis of the Emotion Regulation Questionnaire
Ireland, Michael J., Goh, Hong Eng and Marais, Ida. 2018. "A Rasch Model analysis of the Emotion Regulation Questionnaire." Journal of Applied Measurement. 19 (3), pp. 258-270.
Slipping through the cracks: teachers who miss out on early career support
Kelly, Nick, Sim, Cheryl and Ireland, Michael. 2018. "Slipping through the cracks: teachers who miss out on early career support." Asia-Pacific Journal of Teacher Education. 46 (3), pp. 292-316. https://doi.org/10.1080/1359866X.2018.1441366
Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
Crawford-Williams, Fiona, March, Sonja, Ireland, Michael J., Rowe, Arlen, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00116
The impact of differential item functioning on the Warwick-Edinburgh Mental Well-Being Scale
Goh, Hong Eng, Marais, Ida and Ireland, Michael. 2018. "The impact of differential item functioning on the Warwick-Edinburgh Mental Well-Being Scale." Journal of Applied Measurement. 19 (2), pp. 1-11.
Understanding performance decrements in a letter-canceling task: overcoming habits or inhibition of reading
Myers, Larry, Downie, Steven, Taylor, Grant, Marrington, Jessica, Tehan, Gerald and Ireland, Michael J.. 2018. "Understanding performance decrements in a letter-canceling task: overcoming habits or inhibition of reading." Frontiers in Psychology. 9, pp. 1-15. https://doi.org/10.3389/fpsyg.2018.00711
The Interoception Sensory Questionnaire (ISQ): A Scale to Measure Interoceptive Challenges in Adults
Fiene, L., Ireland, M. J. and Brownlow, C.. 2018. "The Interoception Sensory Questionnaire (ISQ): A Scale to Measure Interoceptive Challenges in Adults." Journal of Autism and Developmental Disorders. 48 (10), pp. 3354-3366. https://doi.org/10.1007/s10803-018-3600-3
Cancer care in regional Australia from the health professional's perspective
Crawford-Williams, Fiona, Goodwin, Belinda, March, Sonja, Ireland, Michael J., Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Cancer care in regional Australia from the health professional's perspective." Supportive Care in Cancer. 26 (10), pp. 3507-3515. https://doi.org/10.1007/s00520-018-4218-x
Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey
March, Sonja, Day, Jamin, Ritchie, Gabrielle, Rowe, Arlen, Gough, Jeffrey, Hall, Tanya, Yuen, Chin Yan Jackie, Donovan, Caroline Leanne and Ireland, Michael. 2018. "Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey." Journal of Medical Internet Research. 20 (2). https://doi.org/10.2196/jmir.9109
The Interactive Child Distress Screener: development and preliminary feasibility testing
March, Sonja, Day, Jamin, Zieschank, Kirsty and Ireland, Michael. 2018. "The Interactive Child Distress Screener: development and preliminary feasibility testing." JMIR mHealth and uHealth. 6 (4), pp. 1-15. https://doi.org/10.2196/mhealth.9456
Ego depletion in real-time: an examination of the sequential-task paradigm
Arber, Madeleine M., Ireland, Michael J., Feger, Roy, Marrington, Jessica, Tehan, Joshua and Tehan, Gerald. 2017. "Ego depletion in real-time: an examination of the sequential-task paradigm." Frontiers in Psychology. 8, pp. 1-12. https://doi.org/10.3389/fpsyg.2017.01672
Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review
Clough, Bonnie A., March, Sonja, Chan, Raymond J., Casey, Leanne M., Phillips, Rachel and Ireland, Michael J.. 2017. "Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review." Systematic Reviews. 6, pp. 1-19. https://doi.org/10.1186/s13643-017-0526-3
Psychometric testing of the revised “Families’ Importance in Nursing Care—Nurses’ Attitudes instrument”
Mackie, Benjamin R., Marshall, Andrea, Mitchell, Marion and Ireland, Michael J.. 2017. "Psychometric testing of the revised “Families’ Importance in Nursing Care—Nurses’ Attitudes instrument” ." Journal of Advanced Nursing. 74 (2), pp. 482-490. https://doi.org/10.1111/jan.13442
Can alcohol sponsorship be diluted by health messaging?
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2018. "Can alcohol sponsorship be diluted by health messaging?" Sport in Society. 21 (3), pp. 434-451. https://doi.org/10.1080/17430437.2017.1346617
Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: a randomised controlled trial
Casey, Leanne M., Oei, Tian P. S., Raylu, Namrata, Horrigan, Katherine, Day, Jamin, Ireland, Michael and Clough, Bonnie A.. 2017. "Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: a randomised controlled trial." Journal of Gambling Studies. 33 (3), pp. 993-1010. https://doi.org/10.1007/s10899-016-9666-y
Farmers tell us how to help improve their mental health help-seeking
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers tell us how to help improve their mental health help-seeking." 9th Australian Rural and Remote Mental Health Symposium. Albury, Australia 11 - 13 Oct 2017 Nerang, Qld, Australia.
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners
Ireland, Michael J., Clough, Bonnie, Gill, Kim, Langan, Fleur, O'Connor, Angela and Spencer, Lyndall. 2017. "A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners." Medical Teacher. 39 (4), pp. 409-414. https://doi.org/10.1080/0142159X.2017.1294749
The impact of alcohol sponsorship in sport upon varsity sportspeople
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Alpert, Frank. 2014. "The impact of alcohol sponsorship in sport upon varsity sportspeople." Journal of Sport Management. 28 (4), pp. 418-432. https://doi.org/10.1123/jsm.2013-0078
Young consumers’ exposure to alcohol sponsorship in sport
Kelly, Sarah, Ireland, Michael, Alpert, Frank and Mangan, John. 2015. "Young consumers’ exposure to alcohol sponsorship in sport." International Journal of Sports Marketing and Sponsorship. 16 (2), pp. 2-21. https://doi.org/10.1108/IJSMS-16-02-2015-B002
Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors
Clough, Bonnie A., Ireland, Michael J. and March, Sonja. 2018. "Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors." Journal of Mental Health. 28 (1), pp. 26-33. https://doi.org/10.1080/09638237.2017.1370642
Farmers are not seeking help: what does service provision have to do with it?
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers are not seeking help: what does service provision have to do with it?" 14th World Rural Health Conference (Wonca 2017). Cairns, QLD 29 Apr - 02 May 2017
Farmers aren't seeking help for mental health: their partners tell us why
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2017. "Farmers aren't seeking help for mental health: their partners tell us why." Coleman, Leanne (ed.) 14th National Rural Health Conference. Cairns, Australia 26 - 29 Mar 2017 Canberra, Australia.
Stories from Queensland farmers: 'why we don't seek help for mental health'
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2016. "Stories from Queensland farmers: 'why we don't seek help for mental health'." 8th Rural and Remote Mental Health Symposium (2016). Kingscliff, Australia 03 - 04 Nov 2016
The cognitive emotion regulation questionnaire: factorial, convergent, and criterion validity analyses of the full and short versions
Ireland, Michael J., Clough, Bonnie A. and Day, Jamin J.. 2017. "The cognitive emotion regulation questionnaire: factorial, convergent, and criterion validity analyses of the full and short versions." Personality and Individual Differences. 110, pp. 90-95. https://doi.org/10.1016/j.paid.2017.01.035
It works two ways: impacts of sponsorship alliance upon sport and sponsor image
Kelly, Sarah Jane, Ireland, Michael, Mangan, John and Williamson, Harley. 2016. "It works two ways: impacts of sponsorship alliance upon sport and sponsor image." Sport Marketing Quarterly. 25 (4), pp. 241-259.
The impact of interventions that promote family involvement in care on adult acute-care wards: an integrative review
Mackie, Benjamin R., Mitchell, Marion and Marshall, Andrea. 2018. "The impact of interventions that promote family involvement in care on adult acute-care wards: an integrative review." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 25 (1), pp. 131-140. https://doi.org/10.1016/j.colegn.2017.01.006
Innovative mental health solutions for regional well-being and resilience
March, Sonja, Ireland, Michael, Brownlow, Charlotte, Goh, Hong Eng, Antonio, Amy, Tehan, Gerry and Keppell, Mike. 2014. "Innovative mental health solutions for regional well-being and resilience." Keppell, Mike and Reushle, Shirley (ed.) 2nd Digital Rural Futures Conference 2014. Toowoomba, Australia 25 - 27 Jun 2014 Toowoomba, Australia.
The nature of youth care tasks in families experiencing chronic illness/disability: development of the Youth Activities of Caregiving Scale (YACS)
Ireland, Michael James and Pakenham, Kenneth Ian. 2010. "The nature of youth care tasks in families experiencing chronic illness/disability: development of the Youth Activities of Caregiving Scale (YACS)." Psychology and Health: an international journal. 25 (6), pp. 713-731. https://doi.org/10.1080/08870440902893724
Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment
Ireland, Michael J. and Pakenham, Kenneth I.. 2010. "Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment." Psychology, Health and Medicine. 15 (6), pp. 632-645. https://doi.org/10.1080/13548506.2010.498891
Meditation and psychological health and functioning: a descriptive and critical review
Ireland, Michael. 2012. "Meditation and psychological health and functioning: a descriptive and critical review." The Scientific Review of Mental Health Practice. 9 (1), pp. 4-19.
Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes
Ireland, Michael James. 2013. "Meditation and psychological health: modeling theoretically derived predictors, processes, and outcomes." Mindfulness. 4 (4), pp. 362-374. https://doi.org/10.1007/s12671-012-0136-z
Meditative insight: conceptual and measurement development
Ireland, Michael J.. 2013. "Meditative insight: conceptual and measurement development." Mental Health, Religion and Culture. 16 (1), pp. 79-99. https://doi.org/10.1080/13674676.2011.645225
Effect of context on performance approach orientation
Izadikhah, Zahra, Jackson, Chris and Ireland, Michael J.. 2012. "Effect of context on performance approach orientation." American Journal of Psychology. 125 (2), pp. 193-207. https://doi.org/10.5406/amerjpsyc.125.2.0193