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The EvalUation of goal-diRected activities to prOmote well-beIng and heAlth (EUROIA) scale: Psychometric evaluation with Confirmatory Factor Analysis

Author

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  • Troy Francis
  • Rachel G Peiris
  • Aleksandra Stanimirovic
  • Nicolette Stogios
  • Fatima Syed
  • Valeria E Rac
  • Robert P Nolan

Abstract

Objectives: While state-based models of health-related quality of life (HRQL) are well-established in providing clinically relevant descriptions of HRQL status, they do not provide information on how to maintain or improve HRQL. The EvalUation of goal-diRected activities to prOmote well-beIng and heAlth (EUROIA), rooted in a novel process-based model of HRQL, measures goal-directed activities that are self-reported to promote HRQL as part of an individual’s process of adapting to dynamic changes in health status. Our objectives were to condense and summarize the psychometric properties of the EUROIA by (i) defining and confirming its factor structure, (ii) evaluating its construct validity, and (iii) examining its internal consistency. Methods: Principal component analysis was performed on the 18-item EUROIA to explore the underlying factor structure and condense the scale. Confirmatory factor analysis was conducted on the revised 14-item, 4-factor structure EUROIA instrument to evaluate the model fit. Data was obtained from adult participants with a diagnosis of chronic heart failure or advanced chronic kidney disease from 3 hospitals in Toronto, Canada. Results: The revised 14-item EUROIA demonstrated 4 dimensions–Social Affiliation, fulfillment of Social Roles and Responsibilities, Self-Affirmation, and Eudaimonic Well-being–with a Cronbach’s alpha of 0.83, representing good internal consistency. Our confirmatory factor analysis final model achieved good overall model fit: (χ2 / df = 1.80; Tucker-Lewis index = 0.90; comparative fit index = 0.93; standardized root-mean-square residual = 0.06; root-mean-square error of approximation = 0.06). All items exhibited a factor loading greater than λ > 0.4 and p

Suggested Citation

  • Troy Francis & Rachel G Peiris & Aleksandra Stanimirovic & Nicolette Stogios & Fatima Syed & Valeria E Rac & Robert P Nolan, 2024. "The EvalUation of goal-diRected activities to prOmote well-beIng and heAlth (EUROIA) scale: Psychometric evaluation with Confirmatory Factor Analysis," PLOS ONE, Public Library of Science, vol. 19(3), pages 1-15, March.
    • Handle: RePEc:plo:pone00:0299854
    DOI: 10.1371/journal.pone.0299854
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    References listed on IDEAS

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    1. Carol Ryff & Burton Singer, 2008. "Know Thyself and Become What You Are: A Eudaimonic Approach to Psychological Well-Being," Journal of Happiness Studies, Springer, vol. 9(1), pages 13-39, January.
    2. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
    3. Sprangers, Mirjam A. G. & Schwartz, Carolyn E., 1999. "Integrating response shift into health-related quality of life research: a theoretical model," Social Science & Medicine, Elsevier, vol. 48(11), pages 1507-1515, June.
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