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Factor analysis in the development and refinement of clinical assessment instruments.
Abstract
The goals of both exploratory and confirmatory factor analysis are described and procedural guidelines for each approach are summarized, emphasizing the use of factor analysis in developing and refining clinical measures. For exploratory factor analysis, a rationale is presented for selecting between principal components analysis and common factor analysis depending on whether the research goal involves either identification of latent constructs or data reduction. Confirmatory factor analysis using structural equation modeling is described for use in validating the dimensional structure of a measure. Additionally, the uses of confirmatory factor analysis for assessing the invariance of measures across samples and for evaluating multitrait-multimethod data are also briefly described. Suggestions are offered for handling common problems with item-level data, and examples illustrating potential difficulties with confirming dimensional structures from initial exploratory analyses are reviewed.
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“Also specifying models cautiously and dropping estimation of extraneous parameters is also an option”
From Applied Psychometrics: Sample Size and Sample Power Considerations in Factor Analysis (EFA, CFA) and SEM in General (2018) · cites this paper as Floyd & Widaman, 1995
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“According to this rule, data collection process was initiated with the aim of reaching at least 150 patients, which is five times of 30 questions.”
From Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. (2022) · cites this paper as Floyd & Widaman, 1995
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“This procedure is routinely adopted, reduces measurement error, creates more accurate SEM models, and allows for greater confidence in the resulting analyses [65–68].”
From A structural equation model of the relationship between insomnia, negative affect, and paranoid thinking (2017) · cites this paper as [67]
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Metadata
- Authors
- Floyd, F. J., & Widaman, K. F.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- ORCID
- Widaman, Keith F.
- Venue
- Psychological Assessment
- Published
- 1995-09
- Volume
- 7
- Issue
- 3
- Pages
- 286-299
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W2039173306
- Cited by
- 3,970
- References
- 68
- Citations by year
- 2026: 97 · 2025: 164 · 2024: 184 · 2023: 168 · 2022: 193 · 2021: 179 · 2020: 173 · 2019: 166 · 2018: 192 · 2017: 208 · 2016: 180 · 2015: 194 · 2014: 203 · 2013: 201 · 2012: 189
- FWCI
- 31.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Keywords
- factor analysis, clinical assessment tools, instrument development, exploratory factor analysis, confirmatory factor analysis, principal component analysis, common factor analysis, structural equation modeling, dimensional structure, measurement invariance, latent constructs
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