Crosscultural adaptation and psychometric evaluation of. Rasch analysis of the herth hope index in cancer patients tone rustoen1,2, anners lerdal1,3, caryl gay3,4 and anders kottorp5 abstract background. We have now constructed the hope index scale, a testing instrument for the measurement of this. Methods and methodologies hope as a determinant of. Awareness may differ by stage of impairment which in turn may correspond with varied levels of hope. One commonly used measure of hope is the herth hope index hhi. Urica, herth hope index hhi, were once located within the entryexit and assessments tab, but can now be located within the measurements tab with the selfsufficiency matrix within sp to keep all of these selfscoring measurement systems together. The herth hope index a psychometric study among cognitively intact nursing home patients. Discussion the purpose of this secondary analysis was to evaluate the reliability and validity of the herth hope index by examining the internal factor structure and by exploring scake relationship to scales measuring depression, illness insight, neurocognitive status, and satisfaction with. The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hope. Crosscultural adaptation and psychometric evaluation of the. Therefore, further testing with regard to the dimensionality of the instrument is recommended.
Hhi items, such as i have a positive outlook on life and i have short andor. This study aimed to investigate the psychometric properties of the norwegian version of the herth hope index among cognitively intact nursing home patients. The hhi is a 12 item abbreviated version of the herth hope scale developed by herth to measure hope. The instruments used were the herth hope index hhi and the hospice quality of life index hqli. Pdf the herth hope indexa psychometric study among. Herth hope scale hhs is a measure that attempts to. Association between hope and burden reported by family. The hhi is a 12item instrument designed to measure a global, nontime oriented sense of hope. The validity and reliability of these instruments have been verified herth, 1992.
Herth, 1992 to increase the clinical usefulness of the hhs specific attention was given to designing simple items and to relating items to adults experiencing changes in health status. The relationship of pain, uncertainty, and hope in. Objective the purpose of this study was to evaluate the psychometric properties of the herth hope index hhi in a representative sample of the norwegian. Although hope is a term widely used, the experience of hope in patients with chronic diseases or even life threatening is often disregarded due to the. This study used a sample of 500 iranian older people in iran. The hhi is based on a definition of hope that describes it as a multidimensional life force characterized by a confident yet uncertain expectation of. Herth, 1991 is a 12item instrument designed to measure a global, nontime oriented sense of hope. The measure is based on the premise that children are goal directed and that their goalrelated thoughts can be understood according to two components. They define hope as a multidimensional dynamic life force that is characterized by a confident yet uncertain expectation of achieving good, which is realistically possible and personally significant. Herth hope index hhi and qualityoflife scores mcgill quality of life questionnaire mqol were collected at the. Hope herth hope index listed below are a number of statements. Herth, 14 developed the herth hope index hhi and herth hope scale hhs as tools to quantify and compare levels of hope. A validation study within a sample of iranian patients with heart disease mohammad ali soleimani 1, kelly a allen 2, kaye a herth 3, saeed pahlevan sharif 4 1 social determinants of health research center, qazvin university of medical sciences, qazvin, iran 2 the melbourne graduate school of education, the university of melbourne, melbourne. Hope is associated with psychological and also physical functioning.
Outcome measure herth hope scale hhs sensitivity to change unknown population adult domain measures of self type of measure selfreport icfcodes e4 description herth hope scale hhs is a measure that attempts to capture the multidimensional aspects of hope. Outcome measure herth hope scale hhs moving ahead cre. One scale to measure hope, herth hope index hhi, is based on this definition of hope herth, 1992. Herth hope index hhi score, general urban population, demographic attribute, stressful. Hope and quality of life in hospice patients with cancer.
Read each statement and place an x in the box that describes how. The herth hope index is a reliable and valid instrument for the measurement of hope and is available in many languages. Hope is defined as the perceived capability to derive pathways to desired goals, and motivate oneself via agency thinking to use those pathways. Developed from the 30item herth hope scale, the hhi is based on the definition of hope as being a multidimensional life force characterized by a confident yet uncertain expectation of achieving a future good dufalt. The paper also attempts to move the discourse of measuring hu. Promoting excellence in endoflife care was a national program of the robert wood johnson foundation dedicated to longterm changes in health care institutions to substantially improve care for dying people and their families.
The herth hope index measurement description and translation into norwegian. Artigo original cultural adaptation and validation. Hunter opinions and personal expectations scales nunn et al. Inventory of positive psychological attitudes kass et al. The importance of hope is evident in clinical oncological care. Each item is rated on a 4point likert scale that ranges from strongly disagree 1 to strongly agree 4. The herth hope index is an adaptation of the herth hope scale hhs. Read each statement and place an x in the box that describes how much you agree with that.
The objective of this study was to examine the psychometric characteristics of the persian translation of the herth hope index hhipersian. Pdf rasch analysis of the herth hope index in cancer. Rasch modeling can be used to evaluate validity evidence of an instruments underlying structure, to identify items. Pdf the norwegian version of the herth hope index hhin. The herth hope index might be used to assess hope and changes in the hope. Data were analyzed using descriptive statistics, pearsons correlation, and multiple regression. Herth hope index an abbreviated instrument to assess hope in adults in clinical settings the herth hope index hhi, a 12item adapted version of the herth hope scale hhs, was tested.
A total hhi score that can range from 12 to 48 is calculated and higher scores indicate higher levels of hope. Rasch modeling can be used to evaluate validity evidence of an instruments. The herth hope indexa psychometric study among cognitively intact nursing home patients. Those in the treatment group received the lwhp, which consisted of viewing an. Although many clinical observations suggest that hope influences the onset, duration, prognosis, and recovery from mental and physical illnesses, a lack of direct scientific proof persists because no method exists for the objective assessment of hope. The adult and child hope scales that are derived from hope theory are described. Initial evaluation of a psychosocial hope intervention for older palliative home care patients. Therefore, an instrument to measure hope could be useful for clinical settings and research. Listed below are a number of statements regarding hope. This article is a report on psychometric testing of the chinese version of the herth hope index.
Jul 21, 2019 awareness may differ by stage of impairment which in turn may correspond with varied levels of hope. Discussion the purpose of this secondary analysis was to evaluate the reliability and validity of the herth hope index by examining the internal factor structure and by exploring scake relationship to scales measuring depression, illness insight, neurocognitive. Herth hope index listed below are a number of statements. The hhi measures various dimensions of hope using a 4point likert scale that ranges from 1 strongly disagree to 4 strongly agree with items. The concept of hope has been measured using the herth hope index hhi in different samples, but varying factor structures comprising different items from the hhi have been reported. The objective of this study was to examine the psychometric characteristics of the persian version of the herth hope index. Thirtyone patients with cancer, who were alert, oriented, living with a caregiver, and aware of their diagnosis were sampled from a hospice program. The herth hope index hhi was the instrument chosen from among other hope indexes to measure hope because it was based on the multidimensionality of hope. Authors farran, herth, and popovich have assembled current.
The purpose of this research was to develop and evaluate psychometrically an abbreviated instrument to assess hope in adults in clinical settings the herth hope index hhi, a 12. Standardization of three hope scales as possible measures at the end of life in iranian population. The hhi is an adaptation of the herth hope scale herth, 1991. Herth hope index, psychometrics, hope, older people, iran abstract. Hope is considered to be an effective coping strategy for both patients 12, and family caregivers in demanding situations in life. These scales are widely used in the literature in both cancer and noncancer patients. The herth hope index consists of 12 questions, each with a graded response.
However, there is still a dearth of empirical research on hope as a multidimensional concept. Rasch analysis of the herth hope index in cancer patients. Herths 1990a study explored hope in a convenience sample of 30 patients receiving hospice care. The short form of the herth hope scale, the herth hope index hhi, was used to assess the level of hope. Jun 01, 2018 the main aim of the world hope index whi is to help readers understand that hope can be perceived as a social product. Pdf psychometric properties of the herth hope index in. Hope is a motivationalcognitive attribute that is theoretically necessary to initiate and sustain action toward goal attainment. This has been done through creating an index and quantifying hope levels for 1 countries around the world for 2017. The world hope index journal of young investigators. The main aim of the world hope index whi is to help readers understand that hope can be perceived as a social product. The herth hope scale hhs and its short version, the herth.
Baseline hope herth hope index hhi and qualityoflife scores mcgill quality of life questionnaire mqol were collected at the. The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hopeenhancing interventions can be appropriately planned and evaluated. The herth hope indexa psychometric study among cognitively. Sep 25, 2019 herth hope scale hhs is a measure that attempts to. A 6item selfreport questionnaire assessing childrens dispositional hope. Psychometric properties of the herth hope index in. Alpha coefficient was 0 97 with a 2week testretest reliability of 0 91. Hope was measured using the norwegian version of the herth hope index hhi 30. Oct 03, 2018 hope is considered to be an effective coping strategy for both patients 12, and family caregivers in demanding situations in life. The herth hope scale hhs not only appears to tap into some of the same agency and pathways content of the commonly used adult hope scale developed by snyder et al. A validation study within a sample of iranian patients with heart disease mohammad ali soleimani 1, kelly a allen 2, kaye a herth 3, saeed pahlevan sharif 4. There is a need to better understand the measurement of hope within a variety of crosscultural contexts and older population. The norwegian version of the herth hope index hhin. View enhanced pdf access article on wiley online library html view download pdf for offline viewing.
Based on the identified factors, a survey instrument of hope in cancer patients was designed, the herth hope. There is a need to understand better the measurement of hope within a variety of crosscultural contexts and older population. Read each statement and place an x in the box that describes how much you agree with that statement right now. Hope as a central construct for nursing has been analysed, defined, and studied by the nursing theorist jean watson in her theory of human caring, and kaye herth with her strategies herth hope index. The herth hope index hhindex, originally developed for adults, was examined for appropriateness in two studies of adolescents and young adults with cancerthose at various stages of treatment n 127 and those newly diagnosed n 74. The herth hope index hhindex, originally developed for adults, was examined for appropriateness in two studies of adolescents and young adults with cancerthose at various stages of treatment n. Rasch analysis of the herth hope index in cancer patients ncbi. Hhi was developed in 1989 to make a scale that was shorter and specifically designed for use in clinical settings herth, 1992. Hhi herth hope index hqli hospice quality of life index hrcaql hebrew rehabilitation center for aged quality of life hrqol health related quality of life icps integrated care pathways itg inventory of traumatic grief kps karnofsky performance scale lcp liverpool care pathway of the dying mbi maslach burnout inventory. A total of 164 subjects were recruited, including 79 patients with cancer pain and 85 patients without cancer pain. This study replicates herths 1990a study, which until now is the only published study to use a longitudinal design combined with method triangulation to research the terminally ill patient population. An understanding of hope and its meaning in the lives of institutionalized older adults may aid in developing interventions to enhance hope and wellbeing in the nursing home setting. Hope comes alive when confronting lifes trials, darkness, illness and separation.