Psychometric properties of the Albanian version of the effort-reward imbalance model in a sample of healthcare workers in Shkodra, Albania hospital

Автор(и)

DOI:

https://doi.org/10.26641/2307-0404.2025.3.340583

Ключові слова:

effort-reward imbalance (ERI) questionnaire, Albanian version, healthcare workers, psychometric properties

Анотація

The goal of this study was to test the reliability and validity of the Albanian version of the 23-item effort-rewardimbalance (ERI) questionnaire and to analyze its association with job dissatisfaction in a sample of Albanian healthcare professionals working in Regional Hospital in Shkodra.A cross-sectional study on a representative sample was carried out. Descriptive statistics was performed. Cronbach’s alpha coefficient was calculated to estimate the internal consistency reliability. Significant differences were calculated using ANOVA. A total of 270 study participants were involved in the study, and the response rate was 81% (219/270). Women and those with master degree predominated. The consistencies of the three scales: effort, reward, and overcommitment were obtained. Mean ratio effort-reward was all the time higher than 1 for all cases in the study. Results show a significant difference for effort and overcommitment based on gender and department in which a person is working.This study is the first one supporting psychometric properties of the Albanian version of the ERI model. Based on the results of this study the Albanian version of the ERI questionnaire is considered a reliable and valid instrument for measuring psychosocial stress at work. Our suggestion is that it is applicable to Albanians working in healthcare sector

Посилання

Siegrist J, Starke D, Chandola T, Godin I, Mar-mot M, Niedhammer I, et al. The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med. 2004 Apr;58(8):1483-99. doi: https://doi.org/10.1016/S0277-9536(03)00351-4

Darin-Mattsson A, Fors S, Kåreholt I. Different indicators of socioeconomic status and their relative importance as determinants of health in old age. Int J Equity Health. 2017;16(1):173. doi: https://doi.org/10.1186/s12939-017-0670-3

Gëdeshi I, King R. New trends in potential migration from Albania [Internet]. Tiranë, Albania; 2018 [cited 2025 Apr 25]. p. 1-87. Available from: https://www.researchgate.net/publication/331571437_New_Trends_in_Potential_Migration_from_Albania

[The Assembly of the Republic of Albania, on regulated professions in the Republic of Albania In support of articles 78 and 83 point 1 of the Constitution, upon the proposal of the Council of Ministers]. [Internet]. 2009 [cited 2025 Apr 25]. Albanian. Available from: https://www.drejtesia.gov.al/wp-content/uploads/2017/11/Law_10_193_03.12.2009_ON_JURISDICTIONAL_RELATIONS_WITH_FOREIGN_AUTHORITIES.pdf

Karasek R., Theorell T. Healthy work: Stress, pro-ductivity and the reconstruction of working life. [Internet]. Basic Books; 1992 [cited 2025 Apr 25]. 398 р. Available from: http://archive.org/details/healthyworkstres0000kara/mode/2up

Siegrist JJ. A theory of occupational stress. In: Dunham J, editor. Stress in the workplace: Past, present and future. Whurr Publishers; 2001. p. 52-66. Available from: https://www.researchgate.net/publication/232531019_A_theory_of_occupational_stress

Msaouel PP, Keramaris NC, Apostolopoulos AP, Syrmos N, Kappos T, Tasoulis A, et al. The effort-reward imbalance questionnaire in Greek: translation, validation and psychometric properties in health professionals. J Occup Health. 2012;54(2):119-30. doi: https://doi.org/10.1539/joh.11-0197-oa

Derycke H, Vlerick P, Burnay N, Decleire C, D'Hoore W, Hasselhorn H-M, et al. Impact of the effort–reward imbalance model on intent to leave among Belgian health care workers: A prospective study. J Occup Organ Psychol. 2010;83(4):879-93. doi: https://doi.org/10.1348/096317909X477594

Li J, Yang W, Cheng Y, Siegrist J, Cho SI. Effort-reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study. Int Arch Occup Environ Health. 2005 Apr;78(3):198-204. doi: https://doi.org/10.1007/s00420-004-0581-7

Tzeng DS, Chung WC, Lin CH, Yang CY. Effort-reward imbalance and quality of life of healthcare workers in military hospitals: a cross-sectional study. BMC Health Serv Res. 2012 Sep 8;12:309. doi: https://doi.org/10.1186/1472-6963-12-309

Yesuf SM, Derseh BT, Girma D, Dejene TM. Work-related stress and associated factors among health professionals in zone 1, Afar region, Ethiopia. Heliyon. 2022 Dec 10;8(12):e12167. doi: https://doi.org/10.1016/j.heliyon.2022.e12167

Chor D, Werneck GL, Faerstein E, de M Al-ves MG, Rotenberg L. The Brazilian version of the effort-reward imbalance questionnaire to assess job stress. Cad Saude Publica. 2008;24(1):219-24. doi: https://doi.org/10.1590/S0102-311X2008000100022

Kivimäki M, Virtanen M, Elovainio M, Kou-vonen A, Väänänen A, Vahtera J. Work stress in the etiology of coronary heart disease--a meta-analysis. Scand J Work Environ Health. 2006 Dec;32(6):431-42. doi: https://doi.org/10.5271/sjweh.1049

Siegrist J. Effort-reward imbalance at work and cardiovascular diseases. Int J Occup Med Environ Health. 2010;23(3):279-85.

doi: https://doi.org/10.2478/v10001-010-0013-8

Wright BJ. Effort-reward imbalance is associated with salivary immunoglobulin a and cortisol secretion in disability workers. J Occup Environ Med. 2011 Mar;53(3):308-12. doi: https://doi.org/10.1097/JOM.0b013e31820c90b7

The population of Albania by counties, total and by gender. INSTAT [Internet]. 2023 [cited 2025 Apr 25]. Available from: https://www.instat.gov.al/en/themes/demography-and-social-indicators/population/publication/2023/population-of-albania-on-1st-january-2023/

Regional Hospital of Shkodra. Data for hospital visits [Internet]. 2023 [cited 2025 Apr 25]. Available from: https://www.architekturstudio-mezey.de/en/portfolio/regional-hospital-shkodra-albania/

Weinberg A, Creed F. Stress and psychiatric disorder in healthcare professionals and hospital staff. Lancet. 2000 Feb 12;355(9203):533-7. doi: https://doi.org/10.1016/S0140-6736(99)07366-3

Pisljar T, van der Lippe T, den Dulk L. Health among hospital employees in Europe: a cross-national study of the impact of work stress and work control. Soc Sci Med. 2011 Mar;72(6):899-906. doi: https://doi.org/10.1016/j.socscimed.2010.12.017

Martinez MC, Latorre MDRDO, Fischer FM. Factors associated with work ability and intention to leave nursing profession: a nested case-control study. Ind Health. 2022 Feb 8;60(1):29-39. doi: https://doi.org/10.2486/indhealth.2021-0085

Kroczek M. Analyzing nurses' decisions to leave their profession-a duration analysis. Eur J Health Econ. 2024 Apr;25(3):471-96. doi: https://doi.org/10.1007/s10198-023-01600-y

Siegrist J. Psychometric properties of the effort-reward imbalance questionnaire. Department of Medical Sociology, Faculty of Medicine, Duesseldorf University, Germany; 2014. Available from: https://www.semanticscholar.org/paper/Psychometric-properties-of-the-E%EF%AC%80ort-Reward-Siegrist-Li/a7f1cb357063e76969fe9ca7301cfd978b1f6842#related-papers

Siegrist J, Wege N, Pühlhofer F, Wahrendorf M. A short generic measure of work stress in the era of globalization: effort-reward imbalance. Int Arch Occup Environ Health. 2009 Aug;82(8):1005-13. doi: https://doi.org/10.1007/s00420-008-0384-3

Iacobucci D, Duhachek А. Advancing Alpha: Measuring Reliability With Confidence. Journal of Consumer Psychology. 2003;13(4):478-87. doi: https://doi.org/10.1207/S15327663JCP1304_14

Siegrist J. Adverse health effects of high-ef-fort/low-reward conditions. J Occup Health Psychol. 1996 Jan;1(1):27-41.

doi: https://doi.org/10.1037//1076-8998.1.1.27

Niedhammer I, Siegrist J, Landre MF, Goldberg M, Leclerc A. [Study of the psychometric qualities of the French version of the effort/reward imbalance model]. Rev Epidemiol Sante Publique. 2000;48(5):419-38. French. Available from: https://pubmed.ncbi.nlm.nih.gov/11084523/

Tsutsumi A, Ishitake T, Peter R, Siegrist J, Matoba T. The Japanese version of the Effort-Reward Imbalance Questionnaire: A study in dental technicians. Work Stress. 2001;15(1):86-96. doi: https://doi.org/10.1080/02678370118173

Macías Robles MD, Fernández-López JA, Hernández-Mejía R, Cueto-Espinar A, Rancaño I, Siegrist J. [Assessment of work-related stress in workers at a Spanish public hospital. Study of the psychometric pro-perties of the Spanish version of the "Effort-Reward Imbalance" model]. Med Clin (Barc). 2003;120(17):652-7. Spanish. doi: https://doi.org/10.1016/S0025-7753(03)73799-3

Hanson EK, Schaufeli W, Vrijkotte T, Plomp NH, Godaert GL. The validity and reliability of the Dutch Effort-Reward Imbalance Questionnaire. J Occup Health Psychol. 2000 Jan;5(1):142-55. doi: https://doi.org/10.1037//1076-8998.5.1.142

Tsutsumi A, Iwata N, Wakita T, Kumagai R, Noguchi H, Kawakami N. Improving the measurement accuracy of the effort-reward imbalance scales. Int J Behav Med. 2008;15(2):109-19. doi: https://doi.org/10.1080/10705500801929718

Pikhart H, Bobak M, Pajak A, Malyutina S, Kubinova R, Topor R, et al. Psychosocial factors at work and depression in three countries of Central and Eastern Europe. Soc Sci Med. 2004 Apr;58(8):1475-82. doi: https://doi.org/10.1016/S0277-9536(03)00350-2

Li J, Yang W, Cho SI. Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians. Soc Sci Med. 2006 Mar;62(5):1066-77. doi: https://doi.org/10.1016/j.socscimed.2005.07.011

Buddeberg-Fischer B, Klaghofer R, Stamm M, Siegrist J, Buddeberg C. Work stress and reduced health in young physicians: prospective evidence from Swiss resi-dents. Int Arch Occup Environ Health. 2008 Oct;82(1):31-8. doi: https://doi.org/10.1007/s00420-008-0303-7

##submission.downloads##

Опубліковано

2025-09-29

Як цитувати

1.
Pjetri E, Shabani Z, Shala I, Bekteshi A. Psychometric properties of the Albanian version of the effort-reward imbalance model in a sample of healthcare workers in Shkodra, Albania hospital. Med. perspekt. [інтернет]. 29, Вересень 2025 [цит. за 05, Грудень 2025];30(3):41-9. доступний у: https://journals.uran.ua/index.php/2307-0404/article/view/340583

Номер

Розділ

MEDICINE