Energy, fatigue, or both? A bifactor modeling approach to the conceptualization and measurement of vitality.

Purpose: Vitality is an important domain reflecting both the physical and emotional components of health-related quality of life. Because of its complexity, it has been defined and measured both broadly and narrowly. We explored the dimensionality of a very comprehensive item bank hypothesized to me...

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Publicado en:Quality of Life Research Vol. 24; no. 1; pp. 81 - 94
Autores principales: Deng, Nina, Guyer, Rick, Ware Jr, John E, Ware, John E Jr
Formato: research Journal Article
Publicado: Springer Nature Jan2015
Acceso en línea:Ver este registro en EBSCOhost
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      place: New York, New York
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        10.1007/s11136-014-0839-9
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        atl: Energy, fatigue, or both? A bifactor modeling approach to the conceptualization and measurement of vitality.
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        au:
          Deng, Nina
          Guyer, Rick
          Ware Jr, John E
          Ware, John E Jr
      sug:
        subj:
          Factor Analysis
          Fatigue Etiology
          Quality of Life
          Study Design
          Aged
          Clinical Assessment Tools
          Concept Formation
          Emotions
          Female
          Human
          Male
          Middle Age
          Models, Theoretical
          Questionnaires
          Short Form-36 Health Survey (SF-36)
          Funding Source
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: Vitality is an important domain reflecting both the physical and emotional components of health-related quality of life. Because of its complexity, it has been defined and measured both broadly and narrowly. We explored the dimensionality of a very comprehensive item bank hypothesized to measure vitality and its related concepts.Methods: Secondary analyses were conducted using the responses of 1,343 adults representative of the US general population to Internet-based surveys including 42 items compiled from multiple scales (e.g., SF-36 Vitality, PROMIS-Fatigue), covering a broad range of vitality-related content areas (energy, fatigue, and their interference with physical, mental, social activities, and quality of life). Exploratory and confirmatory factor models were evaluated independently using split-half samples. Bifactor model was used to assess the essential unidimensionality of the items, in comparison with traditional unidimensional, multidimensional, and hierarchical models. Method effects of a common scale or phrase were modeled via correlating errors.Results: The exploratory factor analysis identified one dominant factor. The confirmatory factor analysis identified a best-fitting (CFI = 0.964, RMSEA = 0.084) bifactor model with one general (vitality) and two group (energy and fatigue) factors, explaining 69, 3, and 4 % of total variance. Correlating errors accounting for the method effects were important in identifying the substantive dimensionality of the items.Conclusions: The bifactor model proved to be useful for evaluating the dimensionality of a complex construct. Results supported conceptualizing and measuring vitality as a unidimensional energy-fatigue construct. We encourage future studies comparing practical implications of measures based on the broader and narrower conceptualizations of vitality.
      pubtype: Academic Journal
      doctype:
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        Journal Article
      ougenre: Article
    language: English
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