Replication and Extension of the Development of an Instrument Measuring Continuity and Discontinuity Following Stroke

2.50
Hdl Handle:
http://hdl.handle.net/10755/149858
Type:
Presentation
Title:
Replication and Extension of the Development of an Instrument Measuring Continuity and Discontinuity Following Stroke
Abstract:
Replication and Extension of the Development of an Instrument Measuring Continuity and Discontinuity Following Stroke
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Secrest, Janet, PhD
P.I. Institution Name:University of Tennessee at Chattanooga
Title:Associate Professor
Co-Authors:Rich Zeller, PhD
Purpose: To replicate the findings of a previous methodological study of an instrument measuring Continuity and Discontinuity of Self following stroke (CDSS). Method: The concept of Continuity and Discontinuity emerged from a phenomenological study of life following stroke. Using standard instrument construction techniques, a 45-item questionnaire was developed, with items derived directly from the transcripts. The sample size for the initial study was 55, and for the replication, it was 50. Following analysis with the sample size of 50, both samples were combined for N=105; principal components factor analysis was used for all analyses. Findings: The results of the initial study were replicated with a 2-factor solution. For factor 1, ?Discontinuity,? Cronbach's alpha was .847 and for factor 2, ?Continuity,? it was .804. The combined samples (N=105), however, resulted in a 3-factor solution, with Factor 1 essentially unchanged. The initial Factor 2 now demonstrated 2 separate factors: a 5-item Continuity related to control/independence (Cronbach's alpha=.844), and a 7-item Continuity related to connections with others (Cronbach's alpha=.806). Discussion: The initial study was robustly replicated with 50 cases. When the samples were combined, a new pattern in the ?Continuity? factor was found. In the phenomenological study, Continuity was depicted as being experienced through connections with others, and a sense of control, and of independence. From this study, it appears that control and independence are aspects of the same theme, and different from Continuity experienced through connections with others. A longitudinal study of the instrument is currently in progress.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReplication and Extension of the Development of an Instrument Measuring Continuity and Discontinuity Following Strokeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149858-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Replication and Extension of the Development of an Instrument Measuring Continuity and Discontinuity Following Stroke</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Secrest, Janet, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Tennessee at Chattanooga</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Janet-Secrest@utc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Rich Zeller, PhD</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To replicate the findings of a previous methodological study of an instrument measuring Continuity and Discontinuity of Self following stroke (CDSS). Method: The concept of Continuity and Discontinuity emerged from a phenomenological study of life following stroke. Using standard instrument construction techniques, a 45-item questionnaire was developed, with items derived directly from the transcripts. The sample size for the initial study was 55, and for the replication, it was 50. Following analysis with the sample size of 50, both samples were combined for N=105; principal components factor analysis was used for all analyses. Findings: The results of the initial study were replicated with a 2-factor solution. For factor 1, ?Discontinuity,? Cronbach's alpha was .847 and for factor 2, ?Continuity,? it was .804. The combined samples (N=105), however, resulted in a 3-factor solution, with Factor 1 essentially unchanged. The initial Factor 2 now demonstrated 2 separate factors: a 5-item Continuity related to control/independence (Cronbach's alpha=.844), and a 7-item Continuity related to connections with others (Cronbach's alpha=.806). Discussion: The initial study was robustly replicated with 50 cases. When the samples were combined, a new pattern in the ?Continuity? factor was found. In the phenomenological study, Continuity was depicted as being experienced through connections with others, and a sense of control, and of independence. From this study, it appears that control and independence are aspects of the same theme, and different from Continuity experienced through connections with others. A longitudinal study of the instrument is currently in progress.</td></tr></table>en_GB
dc.date.available2011-10-26T10:11:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:11:03Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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