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Updated: Feb 26, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Development and Validation of the Caring Loneliness Scale
Liisa Karhe1, Marja Kaunonen, Anna-Maija Koivisto
1University of Tampere, Finland.
The Caring Loneliness Scale (CARLOS) reliably measures patient loneliness in caring relationships. This validated scale helps assess patient experiences in healthcare settings.
Area of Science:
- Psychological Measurement
- Healthcare Research
Background:
- Loneliness is a significant concern in professional caring relationships.
- Existing qualitative research informed the development of the Caring Loneliness Scale (CARLOS).
Purpose of the Study:
- To assess the reliability and construct validity of the CARLOS.
- To measure patient experiences of loneliness within a professional caring relationship.
Main Methods:
- Statistical analysis including Cronbach's alpha and exploratory factor analysis.
- Utilized four different sample sizes for robust analysis.
- Principal axis factoring extraction was employed.
Main Results:
- A sample size of 250 provided the most comprehensible scale structure.
- The scale was reduced to 4 factors with 24 items.
- Cronbach's alpha values ranged from .77 to .90, indicating good reliability.
Conclusions:
- The CARLOS demonstrates reliability and validity for assessing loneliness in Finnish breast cancer and heart surgery patients.
- Further validation of the CARLOS in diverse patient populations is recommended.
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