{'fraction_non_alphanumeric': 0.04673721340388007, 'fraction_numerical': 0.031746031746031744, 'mean_word_length': 5.236263736263736, 'pattern_counts': {'":': 0, '<': 1, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 1, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Development and Psychometric Evaluation of the Ostomy Adjustment Inventory‐23

PURPOSE This article describes the development of the Ostomy Adjustment Inventory-23 (OAI-23), a self-report, multidimensional scale designed to assess psychosocial adjustment in patients with ostomy. SUBJECTS AND SETTING Five hundred seventy persons with a colostomy, ileostomy, or urostomy, who were randomly selected from 3 national databases, provided assessable data. RESULTS The results indicate that the OAI-23 is reliable (the Cronbach α = .93, split-half = 0.91, and test-retest (r) = 0.83) and valid, correlating positively with Felton's Acceptance of Illness Scale (r = 0.72) and confirming expected improvements in adjustment consistent with increasing time since surgery (F5,531 = 5.22, P < .001). Four factors (eigenvalue ≥ 1) that accounted for 55.4% of the total variance emerged from factor analysis. CONCLUSION The OAI-23 is a valid and reliable measure of psychosocial adjustment that will be of interest to both researchers investigating life after stoma surgery and clinicians making objective assessments of their patients' progress.