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Annals of Family Medicine
Article . 2008 . Peer-reviewed
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The Development of an Instrument for Measuring Healing

Authors: James Peter, Meza; Gail F, Fahoome;

The Development of an Instrument for Measuring Healing

Abstract

Our lack of ability to measure healing attributes impairs our ability to research the topic. The specific aim of this project is to describe the psychological and social construct of healing and to create a valid and reliable measurement scale for attributes of healing.A content expert conducted a domain analysis examining the existing literature of midrange theories of healing. Theme saturation of content sampling was ensured by brainstorming more than 220 potential items. Selection of items was sequential: pile sorting and data reduction, with factor analysis of a mailed 54-item questionnaire. Criterion validity (convergent and divergent) and temporal reliability were established using a second mailing of the development version of the instrument. Construct validity was judged with structural equation modeling for goodness of fit.Cronbach's alpha of the original questionnaire was .869 and the final scale was .862. The test-retest reliability was .849. Eigenvalues for the 2 factors were 8 and 4, respectively. Divergent and convergent validity using the Spann-Fischer Codependency Scale and SF-36 mental health and emotional subscales were consistent with predictions. The root mean square error of approximation was 0.066 and Bentler's Comparative Fit Index was 0.871. Root mean square residual was 0.102.We developed a valid and reliable measurement scale for attributes of healing, which we named the Self-Integration Scale v 2.1. By creating a new variable, new areas of research in humanistic health care are possible.

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Keywords

Adult, Male, Physician-Patient Relations, Psychometrics, Reproducibility of Results, Middle Aged, Research Design, Surveys and Questionnaires, Health Status Indicators, Humans, Female, Philosophy, Medical, Factor Analysis, Statistical, Aged

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
16
Top 10%
Top 10%
Average
gold