Brief self-report questionnaires that assess attenuated psychosis symptoms have the potential to quickly and effectively screen many people who may benefit from clinical monitoring or early intervention. The current study sought to examine and compare the criterion validities of attenuated symptoms screening tools with diagnoses obtained from the clinician-administered Structured Interview for Psychosis Risk Syndromes (SIPS). Three screening questionnaires (Prime Screen, Prodromal Questionnaire-Brief, and Youth Psychosis At-Risk Questionnaire-Brief) were administered just prior to the SIPS interview in a sample of adolescents and young adults seeking mental health services. Using thresholds recommended by instrument authors as well as empirically derived optimal thresholds, the sensitivity...
Brief self-report questionnaires that assess attenuated psychosis symptoms have the potential to quickly and effectively screen many people who may benefit from clinical monitoring or early intervention. The current study sought to examine and compare the criterion validities of attenuated symptoms screening tools with diagnoses obtained from the clinician-administered Structured Interview for Psychosis Risk Syndromes (SIPS). Three screening questionnaires (Prime Screen, Prodromal Questionnaire-Brief, and Youth Psychosis At-Risk Questionnaire-Brief) were administered just prior to the SIPS interview in a sample of adolescents and young adults seeking mental health services. Using thresholds recommended by instrument authors as well as empirically derived optimal thresholds, the sensitivity, specificity, positive predictive value, and overall accuracy of each self-report measure with regard to SIPS diagnosis were obtained. Screeners correlated highly with the SIPS and demonstrated equivalent overall efficiency in capturing psychosis risk status. All three screeners appear to be useful and valid assessment tools for attenuated symptoms, with each instrument demonstrating relative benefits. The validation of attenuated symptoms screening tools is an important step toward enabling early, wide-reaching identification of individuals on a course toward psychotic illness. PMID:22921375
The objective of this study was to validate an instrument to measure the organisational-based factors affecting corporate entrepreneurship. Structured questionnaires were administered to managers and 561 fully completed questionnaires were gathered at 20 large organisations. Construct validity of th...
BACKGROUND: The National Health Service National Patient Survey Programme systematically gathers patients' experiences about the care they have recently received. Prioritising quality improvement activities in the accident and emergency (A&E) department requires that survey outcomes are meaningful and reliable. We aimed to determine which method of obtaining summary scores for the A&E department questionnaire optimally combined good interpretability with robust psychometric characteristics. METHODS: A&E department questionnaire data from 151 hospital trusts were analysed, covering 49 646 patients. Three methods of grouping and summarising items of the questionnaire were compared: principal components analysis (PCA); Department of Health dimensions; sections according to the patient's journey through the A&E department. The patient-level reliability of summary scores was determined by Cronbach's ? coefficients (threshold: ?>0.70), construct validity by Pearson's correlation coefficients, and the discriminative capacity by intra-class correlation coefficients (ICCs) and reliability of A&E-level mean scores. RESULTS: The PCA provided the best score reliability on six clear and interpretable composites: waiting time; doctors and nurses; your care and treatment; hygiene; information before discharge; overall. The discriminative power of the concepts was comparable for the three methods, with ICCs between 0.010 and 0.061. A&E sample sizes were adequate to obtain good to excellent reliability of A&E-level mean scores. CONCLUSIONS: The A&E department questionnaire is a valid and reliable questionnaire to assess patients' experiences with the A&E. The discriminative power of six summary scores offers a reliable comparison of healthcare performance between A&Es to increase patient centredness and quality of care. PMID:22942399
Introduction.? The relational domain of erectile dysfunction (ED) is difficult to investigate in a clinical setting. We developed and validated SIEDY, a 13-item structured interview, that evaluates, besides the organic (Scale 1) and intra-psychic (Scale 3) domains, also the relational one (Scale 2). We previously established a pathological threshold for SIEDY Scale 1 and 3. Aim.? The aim of this study is to identify a pathological threshold of SIEDY Scale 2. Method.? A nonselected, consecutive series of 2,992 subjects with ED was retrospectively evaluated. In a first consecutive series of 844 patients (Sample A, studied without systematically applying a psychometric test: Middlesex Hospital Questionnaire), a pathological threshold of SIEDY Scale 2 score was identified through receiver operating characteristic, using, as surrogate marker of impaired couple relationship, at least a positive answer to two standard questions on conflict within the couple and on the presence of extramarital affairs. Main Outcome Measure.? Sensitivity and specificity, along with possible associations with biological and psychological correlates were verified in a further sample of 2,148 patients (Sample B). Results.? In Sample A, a threshold of Scale 2 score ?2 predicts couple impairment with a sensitivity of 53% and specificity of 66% and an overall accuracy of 62.0?±?2.2% (P?marital domain of ED. The validation of a threshold of SIEDY Scale 2 score (?2) represents an easy tool for the identification of ED patients with a relevant marital impairment. Boddi V, Corona G, Fisher AD, Mannucci E, Ricca V, Sforza A, Forti G, and Maggi M. "It takes two to tango": The relational domain in a cohort of subjects with erectile dysfunction (ED). J Sex Med **;**:**-**. PMID:23036015
Nurses Health Study II Activity and Inactivity Questionnaire In: Wolf AM, Hunter DJ, Colditz GA, Manson JE, Stampfer MJ, Corsano KA, Rosner B, Kriska A, Willett WC. Reproducibility and validity of a self-administered physical activity questionnaire.
Widespread pain and pain hypersensitivity are the hallmark of fibromyalgia, a complex pain condition linked to central sensitization. In this study the painDETECT questionnaire (PDQ), validated to identify neuropathic pain and based on pain quality items, was applied in a cross-sectional sample of patients with chronic widespread pain (CWP). The aims of the study were to assess the patient-reported sensory neuropathic symptoms by PDQ and to correlate these with tender point (TP) count and pressure-pain thresholds. Eighty-one patients (75 F, 6 M) with CWP (ACR-criteria) filled in the PDQ. Manual TP examination was conducted according to ACR guidelines. Computerized cuff pressure algometry was used for the assessment of pressure-pain detection thresholds (PDT, unit: kPa) and pressure-pain tolerance thresholds (PTT, unit: kPa). Mean TP count was 14.32 (range: 2-18), mean PDQ score 22.75 (range: 5-37). Mean PDT was 8.8 kPa (range: 2-36) and mean PTT 30.9 kPa (range: 4-85). Deep-tissue hyperalgesia was the predominant somatosensory symptom reported in 83%, but other neuropathic symptoms were also frequent, e.g. burning 51% and prickling 47%. Statistically significant correlations were found between PDQ score and TP count: r=0.35 (p
To review all specific questionnaires regarding quality of life in osteoporosis and to describe their distinctive indications, we searched Medline, the Scientific Electronic Library Online database, and the Latin-American and Caribbean Health Sciences Literature database. Nine specific questionnaires related to osteoporosis quality of life were found: 1) the Women's Health Questionnaire, 2) Osteoporosis Quality of Life Questionnaire, 3) Osteoporosis Assessment Questionnaire, 4) Osteoporosis Functional Disability Questionnaire, 5) Quality of Life Questionnaire of the European Foundation for Osteoporosis, 6) Osteoporosis-Targeted Quality of Life Questionnaire, 7) Japanese Osteoporosis Quality of Life Questionnaire, 8) the 16-item Assessment of Health-Related Quality of Life in Osteoporosis, and 9) the Quality of Life Questionnaire in Osteoporosis (QUALIOSTTM). The Quality of Life Questionnaire of the European Foundation for Osteoporosis is the osteoporosis-specific questionnaire most commonly used in the literature. The Quality of Life Questionnaire of the European Foundation for Osteoporosis and the Osteoporosis Quality of Life Questionnaire are targeted more toward fracture assessment, and the Osteoporosis Functional Disability Questionnaire can be used for longitudinal studies involving exercise. In the present study, the authors summarize all of the specific questionnaires for osteoporosis and demonstrate that these questionnaires should be selected based on the objectives to be evaluated. Osteoporosis-specific quality of life questionnaires should be validated in the language of the country of origin before being used.
Several generic multidimensional health status questionnaires are available, but it is not clear whether or not these measures are interchangeable in terms of content. Consequently, we investigated the content validity of the Sickness Impact Profile 68 (SIP68), Medical Outcome Study Short Form 36 (SF-36), and the Darmouth COOP Functional Health Assessment Charts/World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (COOP/WONCA) charts. A total of 198 stroke patients referred to inpatient rehabilitation were interviewed 1 year poststroke. Subscales of the generic questionnaires were compared with one another and also with 3 domain-specific scales: the Barthel Index (BI) for physical functioning, the Center of Epidemiology Studies Depression (CES-D) scale for mental functioning, and the Frenchay Activities Index (FAI) for social functioning. Nonparametric Spearman correlations of at least 0.6 were accepted as evidence of content validity. Half of the physical subscales correlated with each other by at least 0.6. None of the 3 correlations in the mental domain and only 1 of 21 correlations in the social domain met the 0.6 threshold. Physical-oriented subscales correlated with BI almost as expected. In the mental domain, only the correlation of the CES-D with the SF-36 mental health scale was above 0.6, and in the social domain, only the correlation of the FAI with the SIP68 mobility range was above 0.6. The findings of this study suggest that generic health questionnaires are not mutually interchangeable. Physical and social health status of stroke patients is adequately covered by the SIP68. However, the SF-36 is more suitable for measuring the mental consequences of stroke. PMID:17904081
The General Health Questionnair(GHQ) is frequently used as a measure of mental well-being with those people with values below a certain threshold regarded as suffering from mental stress. Comparison of mental stress levels across populations may then be sensitive to the chosen threshold. This paper ...
BackgroundMeasuring patient satisfaction after anaesthesia care is complex. The existing patient satisfaction questionnaires are limited and omit aspects of patient satisfaction, such as professional competence, information provision, service, and staff-patient relationship. The aim of our study was to develop a valid and reliable self-reported multidimensional questionnaire assessing patient satisfaction that included these issues.MethodsThe development of the Leiden Perioperative care Patient Satisfaction questionnaire (LPPSq) was as follows: expert consultation, construction of the pilot questionnaire, pilot study, statistical analysis of the results of the pilot study (validity, reliability, and factor analysis), compilation of the definitive questionnaire, main study, and repeated sta...
Abstract There is currently no questionnaire available that comprehensively assesses patients' understanding, self-efficacy and satisfaction with the education component of pulmonary rehabilitation. The aim of this study was to develop the Understanding COPD (UCOPD) questionnaire. The key stages in the development of the UCOPD questionnaire were: (i) Generation of questions, and assessment of face and content validity, user-centredness, acceptability and feasibility; (ii) Assessment of plain English and readability; (iii) Assessment of structural validity; (iv) Assessment of test-retest reliability and internal consistency; (v) Assessment of the responsiveness, convergent validity and floor and ceiling effects. The UCOPD questionnaire assesses understanding, self-efficacy and use of key se...
The purpose of the present study was to develop and validate an instrument assessing the moral orientation of physical education students. Three types of validity (content, construct, and criterion oriented) were used. Two hundred and sixty-nine physical education students (males n = 128 and females n = 141; Mage = 14.94) filled in 3 questionnaires: moral orientation assessment (Moral Orientation Students in Physical Education Questionnaire [MOSPEQ]), dispositional goal orientation assessment (Task and Ego Orientation in Sports Orientation Questionnaire [TEOSQ]), and attitudes towards sportspersonship (Multidimensional Sportspersonship Orientation Scale [MSOS]). MOSPEQ demonstrated both positive reliability and strong factorial validity. Construct validity res...
Objective. To revise, validate and test for reliability an anal sphincter rupture questionnaire in relation to construct, content and face validity. Setting and background. Since 1996 women with anal sphincter rupture (ASR) at one of the public university hospitals in Copenhagen, Denmark have been offered pelvic floor muscle examination and instruction by a specialist physiotherapist. In relation to that, a non-validatedquestionnaire about anal and urinary incontinence was to be answered six months after childbirth. Method. The original questionnaire was revised and a pilot test was performed among health care personnel, followed by an expert panel discussion. Ten women were interviewed about their understanding and attitude toward answering the questionnaire and it was pre-tested on 52 women with ASR. The questionnaire was revised five times during the validation process. The final version was test-retested among 20 women with ASR. Results. The questionnaire revealed typical problems after ASR. The length, use of language, and the way the questionnaire was constructed, was deemed appropriate. The reliability test showed good to very good correlation (Kappa values from 0.733 to 0.923) in all main questions but one. Two questions needed further explanation. Seven women made minor errors. Conclusion. The validated Danish questionnaire has a good construct, content and face validity. It is a well accepted, reliable, simple and clinically relevant screening tool. It reveals physical problems including sexual problems, impact on quality of life and need for treatment among women 6-8 months after ASR.
Although the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) does not explicitly list craving as a diagnostic criterion for pathological gambling, theories of disordered gambling and research on relapse precipitants suggest that cravings--among other factors--provoke and maintain episodes of gambling. Assessment of craving to gamble is complicated by questions regarding (a) the emotional, cognitive, behavioral, and physiological components of such craving; (b) the degree to which craving is viewed as an acute and fluctuating experience or as a relatively stable preoccupation with or inclination to gamble; (c) the threshold separating mild desire from pathological craving to gamble; and (d) the degree to which disordered gamblers are aware of, and able to report on, their experience of craving. Our literature search revealed various self-report methods that could be used to assess craving to gamble, including single-item rating scales, multi-item questionnaires, and application of the think-aloud procedure. In addition, psychophysiological reactivity (e.g., heart rate, brain activation) to gambling-related stimuli and reaction time (RT) tasks (e.g., gambling Stroop, Lexical Salience Task) may serve as proxy measures of subjective craving to gamble. Although researchers have assessed elements of reliability and validity of many measures, most require additional evaluation to examine their predictive and construct validity and their utility across different modes of gambling. The field would also benefit from further research to develop and evaluate additional self-report and proxy measures. PMID:22121917
In this paper, we report on the process of developing and validating a questionnaire to explore second language learners' preferences for two types of form-focused instruction (FFI): isolated and integrated FFI. Three types of evidence regarding the validity of the questionnaire were collected: content, reliability and construct. Content validity was obtained from expert judges and Cronbach's alpha was used to measure the internal consistency reliability of the isolated and integrated FFI scales. A principal components analysis was used to assess the construct validity of isolated and integrated FFI. The results indicated that the questionnaire was both a valid and reliable measure of isolated and integrated FFI. We conclude by discussing some of the ways in which the questionnaire has evolved since its use in this study, how it has been used in related research and plans for its implementation in future studies. (Contains 4 tables.)
Measuring the outcome of surgical intervention is an integral part of modern-day healthcare provision. The increasing requirement to monitor patient-reported outcomes highlights the need for patients to be able to read and understand health outcomes questionnaires. The present study compared the readability of 2 commonly used, validated, foot surgery outcome questionnaires (the Foot Health Status Questionnaire and the Manchester-Oxford Foot Questionnaire) using the Flesch Reading Ease score and the Flesch-Kincaid grade level score. The Manchester-Oxford Foot Questionnaire had a significantly greater (p hallux valgus surgery. PMID:22554926
Motion contrast thresholds for 0.4cycle/degree drifting Gabor stimuli were assessed at 15^o eccentricity in the right and left visual fields for 16 younger drivers (ages 24-42), and 15 older drivers (ages 65-84), using a temporal two-alternative forced choice staircase procedure. Two self-report questionnaires that assess failures of attention while driving-the Driver Perception Questionnaire (DPQ5), and an abridged Aging Driver Questionnaire (ADQ15)-were administered. The three UFOV subtests of attention and processing speed were also administered. Mean peripheral motion contrast threshold (PMCT) of older drivers was significantly higher than that of younger drivers. When controlling for age, PMCT thresholds correlated significantly with both DPQ5 and ADQ15 while the UFOV subtests were fo...
Motion contrast thresholds for 0.4cycle/degree drifting Gabor stimuli were assessed at 15 degrees eccentricity in the right and left visual fields for 16 younger drivers (ages 24-42), and 15 older drivers (ages 65-84), using a temporal two-alternative forced choice staircase procedure. Two self-report questionnaires that assess failures of attention while driving-the Driver Perception Questionnaire (DPQ5), and an abridged Aging Driver Questionnaire (ADQ15)-were administered. The three UFOV((R)) subtests of attention and processing speed were also administered. Mean peripheral motion contrast threshold (PMCT) of older drivers was significantly higher than that of younger drivers. When controlling for age, PMCT thresholds correlated significantly with both DPQ5 and ADQ15 while the UFOV((R)) subtests were found not to correlate with PMCT results. The potential value of the PMCT as an assessment of drivers' hazard detection capacity is discussed. PMID:20441830
A large number of new states have been reported during the last few years in charmonium spectroscopy above the charmed meson production threshold. They have been called $X's$, $Y's$, and $Z's$. We reflect on the influence of thresholds on heavy meson spectroscopy comparing different flavor sectors and quantum numbers. The validity of a quark-model picture above open-flavor thresholds would severely restrict the number of channels that may lodge meson-meson molecules.
The convergence behavior of turbo APPM (TAPPM) decoding is analyzed by using a three-dimensional extrinsic information transfer (EXIT) chart and the decoding trajectory. The signal-to-noise ratio (SNR) threshold, below which iterative decoding fails to converge, is predicted by using the 3-D EXIT chart analysis. Bit error rate performances of TAPPM schemes validate the EXIT-chart-based SNR threshold predictions. Outer constituent codes of TAPPM are chosen to show the lowest SNR threshold with the aid of EXIT chart analysis.
This paper focuses on a synthesis of the questionnaires from the 2003-2005 campaign of the French permanent survey on indoor air quality and presents the associated quality control system including quality code, missing data recovery and validation procedure.
Abstract Background and Objectives: Inulin and oligofructose are prebiotic carbohydrates associated with numerous health benefits. The aim of this study was to accurately measure inulin and oligofructose intakes and to develop and validate a food frequency questionnaire (FFQ). Subjects and ...
Data Analysis Services .... Web-Based Services: Combined and Validated GPS Data Products and Data Browsing .... Quality and Consistency of the IGS Combined Products ...... questionnaire that gives a detailed description of the analysis.
Objectives: The detection of patients with comorbid mental disorders is of high clinical importance. Screening instruments can be recommended for early recognition. This study investigates the discriminant validity of the Hospital Anxiety and Depression Scale (HADS), General Health Questionnaire (G...
Objectives: 1. To develop, test and refine a questionnaire collecting data on health care utilization in patients with diabetes. 2. To develop methods for a validation study quantifying the accuracy of self-reported health care utilization data. Methods: The questionnaire on health care utilization ...
Study Design. A prospective observational study was conducted on the use of the Chinese version of the Northwick Park Neck Pain Questionnaire. Objective. To examine the reliability, validity, and responsiveness of the Chinese version of the Northwick Park Neck Pain Questionnaire in Chinese patients ...
BACKGROUND: Patient satisfaction questionnaires are increasingly used for assessing quality of care. AIM: To review the evidence for the reliability and validity of patient satisfaction questionnaires for out-of-hours care. DESIGN: Systematic review. SETTING: Primary care out-of-hours services. METH...
Measuring the outcome of surgical intervention is an integral part of modern-day healthcare provision. The increasing requirement to monitor patient-reported outcomes highlights the need for patients to be able to read and understand health outcomes questionnaires. The present study compared the readability of 2 commonly used, validated, foot surgery outcome questionnaires (the Foot Health Status Questionnaire and the Manchester-Oxford Foot Questionnaire) using the Flesch Reading Ease score and the Flesch-Kincaid grade level score. The Manchester-Oxford Foot Questionnaire had a significantly greater (p p < .005) than the Foot Health Status Questionnaire. These findings suggest the Manchester-Oxford Foot Questionnaire is a more suitable instrument in terms of readability and comprehension f...
Evaluating interactive question answering (QA) systems with real users can be challenging because traditional evaluation measures based on the relevance of items returned are difficult to employ since relevance judgments can be unstable in multi-user evaluations. The work reported in this paper evaluates, in distinguishing among a set of interactive QA systems, the effectiveness of three questionnaires: a Cognitive Workload Questionnaire (NASA TLX), and Task and System Questionnaires customized to a specific interactive QA application. These Questionnaires were evaluated with four systems, seven analysts, and eight scenarios during a 2-week workshop. Overall, results demonstrate that all three Questionnaires are effective at distinguishing among systems, with the Task Questionnaire being the most sensitive. Results also provide initial support for the validity and reliability of the Questionnaires.
Background Patients suffering from Complex Regional Pain Syndrome commonly complain of substantial limitations in their activities of daily living. The Radboud Skills Questionnaire measures alterations in the level of disability of patients with Complex Regional Pain Syndrome, but this instrument is currently not available in German. The goals of our study were to translate the Dutch Radboud Skills Questionnaire into German and to assess its external criterion validity with the German version of the Disabilities of the Arm, Shoulder and Hand Questionnaire. Methods We translated the Radboud Skills Questionnaire according to published guidelines. Demographic data and validity were assessed in 57 consecutive patients with Complex Regional Pain Syndrome 1 of the upper extremity. Information on age, duration of symptoms, type of Complex Regional Pain Syndrome 1 and type of initiating event was obtained. We assessed the external criterion validity by comparing the German Radboud Skills Questionnaire and the German Disabilities of the Arm, Shoulder and Hand Questionnaire and calculated the prediction intervals. Results Score values ranged from 55.4 ± 22.0 for the Disabilities of the Arm, Shoulder and Hand Questionnaire score and 140.1 ± 39.2 for the Radboud Skills Questionnaire. We found a high correlation between the Radboud Skills Questionnaire and the Disabilities of the Arm, Shoulder and Hand Questionnaire (R2 = 0.83). Conclusion This validation of the Radboud Skills Questionnaire demonstrates that this German version is a simple and accurate instrument to assess and quantify disabilities of patients suffering from Complex Regional Pain Syndrome 1 of the upper extremity for clinical and research purposes PMID:17917984
Assessment of physical activity in a free-living environment is important for understanding relations between physical activity and health and determining the effectiveness of interventions. Techniques include behavioral observation, questionnaires in the form of diaries, recall questionnaires and interviews, and physiological markers like heart rate, calorimetry, and motion sensors. The doubly labeled water method has become the gold standard for the validation of field methods of assessing physical activity. Then, questionnaires show a low reliability and validity but can be adequately applied as an activity-ranking instrument. The heart rate requires individual calibration to be an effective method to assess physical activity only at group level. The indicated method for the assessment ...
SummaryBackgroundImprovement in patient satisfaction with healthcare services can be evaluated by satisfaction questionnaires of high construct validity. ObjectivesTo establish the dimensions and construct validity of a 20-item patient satisfaction questionnaire to assess satisfaction with general practice services. SubjectsIn total, 1314 adult patients of both genders, who were users of healthcare services at the General Medicine Department of Health Centre Valjevo in Serbia for two consecutive years, were included in the study. MethodsMultidimensional scaling (MDS) was employed to identify similarities and dissimilarities among items comprising the satisfaction questionnaire. Patient satisfaction dimensions were estimated by principal component analysis for categorical data (CATAPCA). Re...
This article reports the development, translation, validation and application of a modified Arabic version of a modified form of the What Is Happening In this Class? (WIHIC) questionnaire. When parallel Arabic and English versions of this questionnaire were field tested with a sample of 763 college students in 82 classes, the WIHIC exhibited sound factorial validity and internal consistency reliability for both its actual and preferred forms, and the actual form differentiated between the perceptions of students in different classrooms. Comparison of students' scores on actual and preferred forms of the questionnaires revealed that students preferred a more positive classroom environment on all scales.
The parasitic mite Psoroptes ovis causes important economic losses in Belgian Blue cattle. Because mange problems vary significantly between farms, a cross-sectional questionnaire survey and subsequent farm visits were performed to identify potential risk factors for P. ovis infections on Belgian Blue farms in Flanders, Belgium. The questionnaire was sent to 1800 beef farms to evaluate the presence and severity of psoroptic mange in the herd and to assess farm management practices, including antiparasitic treatments. Subsequently, about 10% of the farms with a completed questionnaire were visited to validate the questionnaire and to retrieve supplementary information on additional management parameters, such as barn infrastructure and climate. Associations between parasitism and putative r...
Objective: To evaluate the impact of changing the response labels of a teacher rating scale in a population-based study of ADHD. Method: For parents, the Diagnostic Interview Schedule for Children, which asks whether each of 18 symptoms occurred "often" in the past year, was used. For teachers, most scales use a 4-point scale, with "often" and "very often" as the two highest categories. To make the two instruments more compatible, the authors created a teacher rating scale with "often" as the highest category. Teachers rated more than 6,000 elementary school students using this instrument. Some teachers completed ratings using both questionnaire formats. Results: The scale's internal consistency, convergent validity, and test-retest reliability are excellent. The factor structure is consistent with established "DSM-IV"-based instruments. Response category choices influence the proportion of children exceeding symptom and impairment thresholds. Conclusion: Altering the response scale does not degrade the psychometric properties of the instrument but makes important differences in the sample. (Contains 6 tables and 4 figures.)
A factory survey on dose-response relationship in toluene toxicity was conducted in 1985-1989 in four cities in China. The examination items consisted of personal diffusive sampling for TWA exposure measurement, questionnaires on subjective symptoms, hematology and serum biochemistry, and clinical examination including simple neurology tests. Hippuric acid was also determined in urine samples collected at the end of the shift. With selection criteria that (1) complete results were available on all study items and (2) valid toluene exposure data (i.e., toluene shared 90% or more of the exposure) were obtained for the exposed, 452 toluene-exposed workers (206 men and 246 women; toluene exposure at 24.7 ppm as GM) and 517 nonexposed controls (246 men and 271 women) were selected. The subjective symptoms increased in close association with the intensity of exposure to toluene; the threshold concentration appeared to exist at 100 ppm in the case of symptoms during work, and it might be at 50-100 ppm when symptoms off work were evaluated. During the work with exposure at higher concentrations, various symptoms possibly related to CNS or local effects (e.g., eyes, nose, and throat) were complained, and dizziness and floating sensations were identified as typical symptoms with significant dose-response relationship. Several symptoms persisted off work, most of which were apparently related but not necessarily limited to CNS effects. Hematology and serum biochemistry were essentially negative. 46 refs., 4 figs., 6 tabs.
Aims and objectives.? To assess reliability and validity of the Turkish version of the Short-form McGill Pain Questionnaire. Background.? Pain is one of the most frequent and significant problems encountered by nurses practice across the world. The Short-form McGill Pain Questionnaire was widely translated and used to assess the pain experience of several types of patients because it combines the properties of the standard McGill Pain Questionnaire but takes substantially less time to administer. Design.? The study used psychometric testing to establish reliability and validity of the Turkish version of Short-form McGill Pain Questionnaire. Methods.? A convenience sample of 160 patients with leukaemia in Turkey was used to collect data regarding pain evaluation. The original version of the Short-form McGill Pain Questionnaire, adapted into Turkish, was tested for internal consistency, content validity, construct validity and concurrent validity. Results.? Internal consistency was found adequate at both assessments with Cronbach's ? 0·88 for test and 0·91 for retest. For reliability of the total, sensory, affective and evaluative total pain intensity, high intraclass correlations were demonstrated (0·85, 0·84, 0·82 and 0·70, respectively). Correlation of total, sensory and affective score with the numerical rating scale was tested for construct validity demonstrating r?=?0·61 (p?Turkish version of the Short-form McGill Pain Questionnaire has shown statistically acceptable levels of reliability and validity for pain evaluation in patients with leukaemia. Relevance to clinical practice.? This study provided evidence that the Turkish version of the Short-form McGill Pain Questionnaire is a reliable and valid instrument for assessing pain. This scale can be used to assess nursing interventions aimed at decreasing pain and efficacy of the treatment. PMID:22686194
The Perceptions of Conscience Questionnaire (PCQ) and the Stress of Conscience Questionnaire (SCQ) have previously been developed and validated within the 'Stress of Conscience Study'. The aim was to revalidate these two questionnaires, including two additional, theoretically and empirically significant items, on a sample of healthcare personnel working in direct contact with patients. The sample consisted of 503 healthcare personnel. To test variation and distribution among the answers, descriptive statistics, item analysis and principal component analysis (PCA) were used to examine the underlying factor structure of the questionnaires. Support for adding the new item to the PCQ was found. No support was found for adding the new item to the SCQ. Both questionnaires can be regarded as valid for Swedish settings but can be improved by rephrasing some of the PCQ items and by adding items about private life to the SCQ. PMID:22354810
BACKGROUND: The Knee Injury and Osteoarthritis Outcome Score (KOOS) was constructed in Sweden. This questionnaire has proved to be valid for several orthopedic interventions of the knee. It has been formally translated and validated in several languages, but not yet in Dutch. The purpose of the pres...
Valid and reliable physical activity checklists are needed to assess effectiveness of interventions. This study tested the validity and reliability of the Girls health Enrichment Multi-site Studies (GEMS) Activity Questionnaire. Two-hundred and ten African-American girls completed the GEMS Activity ...
Hit rates obtained in two cross-validation administrations of the Leisure Activity Questionnaire (LAQ) and the Paragraphs about Leisure (PAL) were determined. It was concluded that use of PAL, with results reported in terms of factor scores, is in the most valid and parsimonious measurement strategy of those investigated. (Author/BW)
Eighty-six workers in six fiberglass-reinforced plastics manufacturing plants in Taiwan were given a detailed evaluation including medical and occupational questionnaires, symptom questionnaires, blood sampling, and neurobehavioral tests, including cognitive performance, vibratory perception threshold, and thermal perception threshold. A Chinese version of cognitive tests modified from the Neurobehavioral Evaluation System 2 was applied. Forty-one workers directly exposed to styrene at the mean concentration of 22 ppm are compared with 45 workers not subject to styrene exposure. Multiple linear regression analysis controlling for age, sex, education, and alcohol intake revealed significant associations between styrene exposure and responses in some neuropsychologic measurements. No acute or chronic symptom had significant correlation with styrene exposure. Among the neurobehavioral tests, only the continuous performance test and vibration threshold were significantly and adversely affected in workers exposed to styrene. Significant changes in the central and peripheral nervous system were thus detected at a mean styrene exposure of 22 ppm. PMID:8866539
This paper provides a theoretical review of self-rated competences questionnaires. This topic is influenced by the ongoing world-wide reform of higher education, which has led to a focus on the learner outcomes of higher education. Consequently, questionnaires on self-rated competences have increasingly been employed. However, self-ratings are often criticised for their lack of validity. Our intention is to outline some principles of good questionnaire design and to use these principles to contrast questionnaires on self-rated competences. We begin with an overview of research about questionnaire design. Then we introduce seven questionnaires and portray them in terms of their design characteristics. A comparison reveals some significant points: biographical data need to be handled more ca...
Abstract Conclusion: The psychometric characteristics of the Congenital Aural Atresia Questionnaire (CAAQ) are proposed to be reliable and sensitive to determine clinical changes in a patient's quality of life (QOL) and the questionnaire has potential for clinical application. Objective: The aim of this study was to develop a quantifiable, self-assessed, and health-related QOL questionnaire for patients with congenital aural atresia and to explore its reliability and validity. Methods: An initial QOL questionnaire for patients with congenital aural atresia was constructed according to widely used available QOL questionnaires. A total of 140 patients with congenital aural atresia were recruited into this study. After pretest and item sifting, the QOL questionnaire was constructed, and its r...
INTRODUCTION: The objective of the present study was to validate the Spanish version of the SAQLI, which is a health-related quality of life (HRQL) questionnaire specific for sleep apnea-hypopnea syndrome (SAHS), and to assess its sensitivity to change. MATERIAL AND METHODS: A multicenter study performed in a group of patients with SAHS (apnea-hypopnea index [AHI] ?5) who had been referred to the centers' Sleep Units. All patients completed the following questionnaires: SF-36, FOSQ, SAQLI and Epworth scale. The psychometric properties (internal consistency, construct validity, concurrent validity, predictive value, repeatability and responsiveness to change) of the SAQLI were assessed (four domains: daily function, social interactions, emotional function and symptoms; an optional fifth domain is treatment-related symptoms). RESULTS: One hundred sixty-two patients were included for study (mean age: 58±12; Epworth: 10±4; BMI: 33±5.9kg m(-2); AHI: 37±15hour(-1)). The factorial analysis showed a construct of four factors with similar distribution to the original questionnaire domains. Internal consistency (Cronbach's alpha between 0.78 and 0.82 for the different domains), concurrent validity for SF-36, Epworth scale and FOSQ, and test-retest reliability were appropriate. The predictive validity of the questionnaire showed no significant correlations with the severity of SAHS. SAQLI showed good sensitivity to change in all the domains of the questionnaire (p<0,01). CONCLUSIONS: The Spanish version of the SAQLI is a valid HRQL measurement with appropriate psychometric properties for use in patients with SAHS and it is sensitive to change. PMID:22766420
OBJECTIVES: The purpose of our study was to develop and validate a short food frequency questionnaire which could assess the nutritional lifestyles of hypercholesterolemic patients consulting in daily practice. MATERIAL AND METHODS: The questionnaire explores 11 nutrient categories. Hundred and thirty-one patients were recruited for the construct validity and 58 patients for the external validity in La Pitié Hospital, Paris. The reference method used was the diet history. To measure the internal consistency and to test the sensibility to change on a large scale, the questionnaire was used in an observational study conducted in Spain in 1048 moderate hypercholesterolemic patients. Psychometric analyses included construct validity, internal consistency, test-retest reliability, external validity and sensibility to change. RESULTS: Validation of the questionnaire indicated a good internal consistency (Cronbach Coefficient Alpha at 0.69) and test-retest reliability (intraclass correlation coefficient=0.89). The correlation between the scores of the FFQ and those of the diet history was significant with a Pearson correlation coefficient at 0.3 (P=0.029). The comparison between the ranking of the patients showed an agreement of 72% with a kappa of 0.48 [0.10; 0.69]. The sensibility to change was good with a score evolution improving one and four months after nutrition advices: 28.2% of patients ranked in group 1 at inclusion versus 61.3% (Pfood questionnaire for hypercholesterolemic patients, which can be used as a therapeutic education tool in daily practice or in clinical research. PMID:23141865
Given that a medical practice exists for patients, it is worth determining the degree of patient satisfaction with regard to the medical practice's quality of care. Considering the importance of noticing patient satisfaction and its influence on clinical care, intense evaluation of a questionnaire's validity and reliability is essential. The purpose of this study was to establish a valid and reliable self-administered scale to measure patient satisfaction with fewer questions than previous scales applicable in medical settings in Japan. A qualitative method was used to develop and revise content-valid question items of the questionnaire. Factor analysis revealed five subscales among 12 items: “overall satisfaction”, “complete examination”, “patient centeredness”, “examination time”, and “whole person care”. A test of internal consistency was also assessed. The concurrent validity was assessed to evaluate the association between the score of the current questionnaire and that of the visual analogue scale or other questionnaire. Agreement between two sets of score, scores just after consultation and 30-50 min after that, was assessed to evaluate the test-retest reliability of each question item. The results revealed satisfactory validity, including the content and concurrent validity, internal consistency (Cronback alpha = 0.77-0.85), and the test-retest reliability of our questionnaire (Kappa score = 0.61-0.71). In conclusion, we have developed a short-form self-administered patient satisfaction questionnaire applicable in Japan, with acceptable validity and reliability. This questionnaire may contribute to conducting further studies related to patient subjective responses to encounters in Japanese medical settings, and evaluating and improving the clinical interview skills of medical students or trainees in medical education.
Aims: Validated schedules such as the Treatment Perceptions Questionnaire or Patient Satisfaction Questionnaire quantify service user satisfaction levels as a quality of service measure. This study assesses whether the validated survey instrument SERVQUAL can be used to measure service user satisfaction levels of the Integrated Drug Treatment System (IDTS) in English prisons. Methods: In this study, 96 face-to-face prisoner interviews were undertaken using SERVQUAL across eight prisons in England. Expectations, perceptions and a gap analysis were undertaken. Statistical reliability and validity of SERVQUAL were tested using principal components analysis and service quality factors were examined using linear regression methods. Findings: Prisoners were shown to have high expectations of IDT...
Parkinson’s disease (PD) is a common, treatable movement disorder that often remains undiagnosed despite clinically manifest symptoms. Screening for parkinsonism could lead to improved detection and earlier treatment, and facilitate research studies of PD prevalence. In order to determine the feasibility of screening, this study evaluated the validity of previously developed screening questionnaires. We systematically searched online databases PubMed and EMBASE for English-language studies published between 1980 and 2009. In each database a "Parkinson(s) disease" or "parkinsonism" term was combined with a screening term ("screening instrument," "screening questionnaire," "screen" or "prevalence survey") and a validity term ("validation," "sensitivity" and "specificity"). Included st...
Wang T, Lin K, Wu C, Chung C, Pei Y, Teng Y. Validity, responsiveness, and clinically important difference of the ABILHAND questionnaire in patients with stroke. ObjectiveTo investigate the criterion-related validity, responsiveness, and clinically important differences of the ABILHAND questionnaire in patients with stroke. DesignValidation and clinimetric study. SettingThree medical centers. ParticipantsPatients with stroke (N=51). InterventionsA total of 51 patients with stroke received 1 of 3 upper extremity rehabilitation programs for 4 weeks. Main Outcome MeasuresThe ABILHAND and the criterion measures, including the Stroke Impact Scale (SIS), FIM, Nottingham Extended Activities of Daily Living (NEADL), and accelerometers, were administered at pretreatment and posttreatment. The score...
Purpose To develop and validate a research tool to measure the youth friendliness of primary care services from a client's perspective. Methods The questionnaire was initially developed in English, but as it was to be used in Bosnia and Herzegovina (BiH), it was validated in the language of this country. Items were adapted from two sources: a reproductive health services quality improvement questionnaire from the World Health Organization, and an Australian survey used to assess youth-friendly primary care services. An English-speaking international panel reviewed the list of items for face validity. After translation–back translation, the questionnaire was pretested with adolescent patients from a family practice in BiH. The stability and construct validation were then conducted wi...
The purpose of the present study was to develop and validate an instrument assessing the moral orientation of physical education students. Three types of validity (content, construct, and criterion oriented) were used. Two hundred and sixty-nine physical education students (males n = 128 and females n = 141; M[subscript age] = 14.94) filled in 3 questionnaires: moral orientation assessment (Moral Orientation Students in Physical Education Questionnaire [MOSPEQ]), dispositional goal orientation assessment (Task and Ego Orientation in Sports Orientation Questionnaire [TEOSQ]), and attitudes towards sportspersonship (Multidimensional Sportspersonship Orientation Scale [MSOS]). MOSPEQ demonstrated both positive reliability and strong factorial validity. Construct validity research yielded predicted relations within predisposition for the achievement of goal orientation and behaviors characterized by fairness. We discuss the use of the scale to measure moral orientation in physical education students. (Contains 6 tables.)
Scand J Caring Sci; 2012 Psychometric properties of the Swedish version of the selection, optimization, compensation questionnaire Background:? The model of selection, optimization and compensation has been proposed as a model of adaptive management strategies throughout the lifespan. Aim:? The aim of this study was to test the psychometric properties of a translated Swedish version of the 12-item selection, optimization, and compensation (SOC) questionnaire. Method:? The 12-item SOC questionnaire is composed of four subscales: elective selection (ES), loss-based selection, optimization and compensation. A convenience sample of 122 Swedish-speaking people, aged 19-85, participated in a study of the validity and reliability of the SOC questionnaire. Cronbach's alpha coefficient, corrected item-total correlation and Cronbach's alpha if item deleted were used for reliability testing. Two other scales, the ways of coping questionnaire and Rosenberg's self-esteem scale, were used to test convergent validity, and the geriatric depression scale was used to test discriminant validity. Stability over time was evaluated using a test-retest model with a 2-week interval. Results:? The 12-item SOC questionnaire showed a Cronbach's alpha value of 0.50, and the subscales ranged from ??=?0.16 to ??=?0.64. Two items in the ES subscale had negative values on the corrected item-total correlation and showed substantial improvement (>0.05) in Cronbach's alpha when item deleted. When these two items that influenced internal consistency were deleted, Cronbach's alpha rose to 0.68. Conclusion:? The Swedish version of the 12-item SOC questionnaire showed deficiencies in a test of internal consistency because of two items in the ES subscale, and these two items were deleted. A consequence of the reduction is a weakening of the ES subscale and thereby to some extent the SOC questionnaire in total. Further testing is advisable. However, the 10-item SOC questionnaire was acceptable in a test of validity and reliability. PMID:22671769
Purpose: The purpose is to provide a critical review of existing school culture inventories and to provide a bibliography of questionnaires that can be used for diagnosing school culture. Design/methodology/approach: A literature search was conducted to identify school culture questionnaires in international research indexes and educational administration abstracts. Multi-dimensional questionnaires were selected that were directed towards measuring organisational culture in schools and which were validated. Where insufficient data were available in the literature, authors were contacted for additional information and/or to check the descriptions of the instruments. Findings: Questionnaires can be a valuable tool in diagnosing school cultures. A number of validated instruments are available for measuring cultural factors in both primary and secondary schools. School culture inventories are primarily concerned with the identification of particular cultural traits in schools. Research limitations/implications: The validation of school culture questionnaires has been limited to the countries in which they were developed. A validation in other educational contexts and systems, therefore, is still necessary for a wider application of these inventories. Practical implications: Researchers, consultants, school boards, principals and teachers who want to diagnose the culture of a school will find this article helpful in determining whether they are willing to use a questionnaire for that purpose, and (if applicable) which instrument suits their objectives best. Originality/value: No similar overviews of school culture inventories are available yet. (Contains 1 table and 4 notes.)
Scand J Caring Sci; 2012 Validation of a Disease-Specific Questionnaire for Measuring Parent-Reported Health-Related Quality of Life in Children with Allergies Purpose:? To evaluate the properties and suitability of a disease-specific questionnaire to assess parent-reported health-related quality of life (HRQL) of children and parents of children suffering from food hypersensitivity (FHS) or allergy to furred pets (AFP). Methods:? The parents of 202 children with FHS and of 131 children with AFP filled in questionnaires comprising the CHQ-PF28 and the Food-Pet-Allergy in Children (FPAC) Questionnaire. Psychometric properties of the FPAC questionnaire were evaluated separately for FHS and AFP. Results:? Analyses resulted in five proposed scales: Limitations of Family/Child Activities (I), Parents' Distress (II), Child's Emotions (III), Child in School (IV) and Family Conflicts (V). Convergent/discriminant validity for scales I, II and III of both questionnaires was high; for scale IV it was moderate. All five FHS and four AFP scales were able to distinguish significantly between children with and without clinical allergy symptoms (known-group validity). Internal consistency reliability was good for scales I, II and III, but poor for scale IV. Conclusion:? Three valid scales were determined for both FHS and AFP (Limitations of Family/Child Activities, Parents' Distress and Child's Emotions) and can be used in clinical research. PMID:22420368
Abstract in english Background: Portfolio is an innovative instrument that promotes reflection, creativity and professionalism among students. Aitn: To describe the development and validation process of a questionnaire to evalúate the use of portfolio in undergraduate medical students. Material andMethods: Focus groups with students and teachers were employed to identify aspects related with portfolio in undergraduate teaching. The Delphi technique was used to prioritize relevant aspects an (more) d construct the questionnaire. The validatedquestionnaire, consistingin 43 Ítems and 6factors, was appliedto 97students (response rote of99.9%) in2007and 100students (99.2%) in 2008. Each question had to be answered using a Likert scale,from 0 (completely disagree) to 4 (completely agree) The validity and reliability of the questionnaire was evaluated. Results: The questionnaire showed a high reliability (Cronbach alpha = 0.9). The mean total scores obtained in 2007 and 2008 were 106.2 ± 21.2 (61.7% ofthe maximal obtainable score) and 104.6 ± 34.0 (60.8% ofthe maximal obtainable score), respectively No significant differences were seen in the analysis by factors. Changes in portfolio during 2008 showed differences in Ítems related with organization, evaluation and regulation. Conclusions: The questionnaire is a valid and highly reliable instrument, measuringperceptions about the portfolio by undergraduate medical students. The students perceived an improvement in their creativity and professionalism as one ofthe strengths of portfolio. The weaknesses identified during the implementation process helped us to focus changes in organization and evaluation to improve the portfolio as a dynamic process.
Background The Multiple Sclerosis International Quality Of Life (MusiQoL) questionnaire, a 31-item, multidimensional, self-administrated questionnaire that is available in 14 languages including Spanish, has been validated using a large international sample. We investigated the validity and reliability of the Spanish version of MusiQoL in Spain. Methods Consecutive patients with different types and severities of multiple sclerosis (MS) were recruited from 22 centres across Spain. All patients completed the MusiQoL questionnaire, the 36-Item Short Form (SF-36) health survey, and a symptoms checklist at baseline and 21 days later. External validity, internal consistency, reliability and reproducibility were tested. Results A total of 224 Spanish patients were evaluated. Dimensions of MusiQoL generally demonstrated a high internal consistency (Cronbach's alpha: 0.70-0.92 for all but two MusiQoL domain scores). External validity testing revealed that the MusiQoL index score correlated significantly with all SF-36 dimension scores (Pearson's correlation: 0.46-0.76), reproducibility was satisfactory (intraclass correlation coefficient: 0.60-0.91), acceptability was high, and the time taken to complete the 31-item questionnaire was reasonable (mean [standard deviation]: 9.8 [11.8] minutes). Conclusions The Spanish version of the MusiQoL questionnaire appears to be a valid and reliable instrument for measuring quality of life in patients with MS in Spain and constitutes a useful instrument to measure health-related quality of life in the clinical setting. PMID:16109362
Our aim was to establish the validity and reliability of a patient-rated Migraine Treatment Optimization Questionnaire (M-TOQ) in primary care. Patients who met International Classification of Headache Disorders, 2nd edn criteria for migraine completed a 19-item questionnaire containing candidate items for the M-TOQ, and three questionnaires designed to test convergent/construct validity [Migraine Disability Assessment Scale (MIDAS), Headache Impact Test (HIT)-6 and Migraine-Specific Quality of Life Scale (MSQoL)]. A 15-item (M-TOQ-15) and a five-item (M-TOQ-5) questionnaire were derived. Two hundred and fifty-three adult patients were recruited. Five treatment optimization domains were identified: functioning, rapid relief, consistency of relief, risk of recurrence and tolerability; with ...
A lot of research has been done into the motivations in teachers in primary/secondary education and into student motivation. However, teachers' motivations for teaching in higher education are rarely studied. A growing interest exists though in the professional development of teachers in higher education, of which motivation is an important aspect. This article, therefore, focuses on the development and validation of a Dutch questionnaire for teachers' motivations for teaching in higher education. The questionnaire is based on three earlier developed questionnaires, including the following motivational aspects: efficacy, interest, and effort. Confirmatory factor analyses were conducted with the data of 231 higher education teachers. The results of our explorative study showed that after modifications, including the removal of two out of three efficacy-aspects ("outcome efficacy" and "teaching efficacy"), this instrument is sufficiently reliable and valid to use in educational practice and research. Future research into the use of the questionnaire in different contexts is desirable.
Background This study was carried out to evaluate the psychometric properties of an Iranian translation of the Work Ability Index (WAI) questionnaire. Methods In this methodological study, nurses and healthcare workers aged 40?years and older who worked in educational hospitals in Ahvaz (236 workers) in 2010, completed the questionnaire and 60 of the workers filled out the WAI questionnaire for the second time to ensure test?retest reliability. Forward?backward method was applied to translate the questionnaire from English into Persian. The psychometric properties of the Iranian translation of the WAI were assessed using the fallowing tests: Internal consistency (to test reliability), test?retest analysis, exploratory factor analysis (construct validity), discriminate validity by comparing...
Aims and objectives.- To assess reliability and validity of the Turkish version of the Short-form McGill Pain Questionnaire. Background.- Pain is one of the most frequent and significant problems encountered by nurses practice across the world. The Short-form McGill Pain Questionnaire was widely translated and used to assess the pain experience of several types of patients because it combines the properties of the standard McGill Pain Questionnaire but takes substantially less time to administer. Design.- The study used psychometric testing to establish reliability and validity of the Turkish version of Short-form McGill Pain Questionnaire. Methods.- A convenience sample of 160 patients with leukaemia in Turkey was used to collect data regarding pain evaluation. The original version of the...
Background The concept of Pharmaceutical Care (PC) is being gradually developed, and it?s impact in health care should be measured using a quality tool. Objective The aim of this study was to describe and assess the psychometric properties of a patient satisfaction questionnaire (PSQ) for PC services in community pharmacies in Seville, Spain. It was based on a previous questionnaire in Spanish. Methods The face and content validity were assessed using the items of a validatedquestionnaire developed by Traverso et al. and adapted to the Seville pharmacy patient population. The PSQ was designed for use in the community pharmacy setting by a panel of seven pharmacists with expertise in both PC and questionnaire design. The result, was a ?draft PSQ? which comprised of 27 multidimensional item...
R?sum? Objectif| ?valuer ? l?aide de questionnairesvalid?s les sympt?mes li?s au prolapsus, la qualit? de vie et la sexualit? des patientes avant et apr?s chirurgie du prolapsus g?nital et en d?duire si la qualit? de vie pr?op?ratoire pourrait ?tre un crit?re d?cisionnel pour la chirurgie. Mat?riel et m?thodes| De novembre 2009 ? avril 2010, 16 patientes op?r?es pour prolapsus g?nital de grade sup?rieur ou ?gal ? 2 (POP-Q classification) ont ?t? ?valu?es prospectivement par trois questionnaires de qualit? de vie (pelvic floor distress inventory [PFDI-20], pelvic floor impact questionnaire [PFIQ-7] et pelvic organ prolaps/urinary incontinence sexual questionnaire [PISQ-12]). Les donn?es ?taient recueillies la veille de l?intervention et six semaines apr?s l?intervention. R?sultats| Onze pa...
We developed a 103-item self-reporting questionnaire to assess the burden of primary headache disorders on those affected by them, including headache characteristics, associated disability, co-morbidities, disease-management and quality of life. We validated the questionnaire in five languages with 426 participants (131 in UK, 60 in Italy, 107 in Spain, 83 in Germany/Austria, and 45 in France). After a linguistic and a face-content validation, we tested the questionnaire for comprehensibility, internal consistency and test-retest reliability at an interval of one month. In the different countries, response rates were between 73% and 100%. Test-retest reliability varied between -0.27 to 1.0 depending of the nature of the expected agreement. The internal consistency was between 0.69 and 0.91. The EUROLIGHT questionnaire is suitable for evaluating the burden of primary headache disorders, and can be used in English, German, French, Italian and Spanish. PMID:20713559
There is a need to develop a questionnaire as a research tool for the evaluation of water balance in the general population. The water balance questionnaire (WBQ) was designed to evaluate water intake from fluid and solid foods and drinking water, and water loss from urine, faeces and sweat at sedentary conditions and physical activity. For validation purposes, the WBQ was administrated in 40 apparently healthy participants aged 22-57 years (37.5% males). Hydration indices in urine (24 h volume, osmolality, specific gravity, pH, colour) were measured through established procedures. Furthermore, the questionnaire was administered twice to 175 subjects to evaluate its reliability. Kendall's t-b and the Bland and Altman method were used to assess the questionnaire's validity and reliability. ...
Background: Patients with goiter often complain of compressive symptoms, which may contribute to symptoms of obstructive sleep apnea (OSA). However, the impact of thyroid enlargement on these symptoms is not clear. Therefore, we sought to evaluate whether symptoms of sleep apnea resolved after thyroidectomy by using a validatedquestionnaire. Methods: The Berlin Questionnaire, a validated sleep apnea assessment tool, was provided to patients at a single academic institution before and after thyroidectomy. Patients who admitted to symptoms of snoring were asked to complete the questionnaire before and 8 weeks after surgery to assess for improvement in symptoms. The questionnaire uses 3 categories of questions to determine risk of sleep apnea. Two symptom categories must be positive for a pa...
IntroductionThe importance that prospective patients place on practice characteristics when choosing an orthodontic practice has not been extensively reported. The objective of this research was to develop a valid and reliable questionnaire to address the relative importance of orthodontic office and doctor characteristics for prospective patients or parents of child patients during the initial orthodontic office consultation. MethodsAn initial questionnaire, based on published literature, was field-tested on 16 subjects to assess its validity. Based on the field test, the questionnaire was modified and tested for reliability by using a test-retest method. The questionnaire covered the following areas: doctor, office, staff, and finances. The reliability study included 2 groups of subjects...
Food mishandling is thought to be more acute among young adults; yet little is known about why they may engage in risky food handling behaviors. The purpose of this study was to create valid, reliable instruments for assessing key food safety psychosocial measures. Development of the measures began by examining published studies and behavior change theories to identify the psychosocial factors associated with personal health choices and 3 psychosocial factors were identified: beliefs, locus of control, and self-efficacy. Development of items for the belief questionnaire began by identifying the belief constructs that could provide insight into how food safety behavior change programs should be framed to evoke improved behaviors and drafting items. The locus of control questionnaire was modeled after the Health Locus of Control Questionnaire. Self-efficacy questionnaire development included defining self-efficacy, identifying environmental contexts affecting self-efficacy, and constructing an item pool. The questionnaires were pretested with young adults (n= 180) and refined. A pilot test (n= 77) was conducted to further refine the beliefs and self-efficacy questionnaires. Finally, young adults (n= 4343, mean age 19.9 [plus or minus] 1.7 SD y) from 21 universities and colleges across the country completed the questionnaires. Analysis of their responses revealed that these questionnaires met or exceeded standards indicative of high-quality psychosocial food safety measures. These questionnaires should be useful in generating baseline data from adults as well as establishing the value of these measures in assessing the effectiveness of food safety interventions.
The development of a new adolescent alcohol and other drug abuse screening scale is summarized. The Personal Experience Screening Questionnaire (PESQ) is intended to meet the need for a quick, psychometrically adequate adolescent screening tool to measure the need for a comprehensive assessment. The development of the questionnaire's problem severity scale and evidence related to its reliability (internal consistency) and validity are described. PMID:1332434
Practical Implications On the basis of this study, the prevalence of verified moisture problems in school buildings was highest in Spain, but lower and similar in Finland and the Netherlands. Questionnaire-based surveys can be used to assess moisture problems in school buildings, but because of large variation in agreement with inspection data, the questionnaire needs to be validated by on-site inspections in a subsample of the surveyed buildings.
AIM: The aims of the study were to translate the Kidney Disease Quality of Life--Short Form version 1.3 (KDQOL-SF ver. 1.3) questionnaire into Iranian (Farsi), and to then assess it in terms of validity and reliability on Iranian patients. METHODS: The questionnaire was first translated into Farsi by two independent translators, and then subsequently translated back into English. After translation disparities had been reconciled, the final Iranian questionnaire was tested. An initial test-retest reliability evaluation was performed over a 10 day period on a sample of 20 patients recruited from a larger group (212 patients with end-stage renal disease on haemodialysis). Afterwards, reliability was estimated by internal consistency, and validity was assessed using known group comparisons and constructs for the patient group as a whole. Finally, the factor structure of the questionnaire was extracted by performing exploratory factor analysis. RESULTS: All of the scales in the questionnaire showed good test-retest reliability (i.e. intraclass correlations between test and retest scores were >0.7). All of the scales met the minimal criteria (0.7) for internal consistency and Cronbach's-a ranged 0.71-0.93. Furthermore, results from a discriminate validity evaluation showed that the questionnaire could be used to discriminate between subgroups of the patients. Finally, a principal component analysis of the disease-specific scales indicated that this part of the questionnaire could be summarized into an 11 factor structure that jointly accounted for 79.81% of the variance. CONCLUSION: The Iranian version of the KDQOL-SF questionnaire is both highly reliable and valid for use with Iranian patients on haemodialysis.
AIM: The aims of the study were to translate the Kidney Disease Quality of Life--Short Form version 1.3 (KDQOL-SF ver. 1.3) questionnaire into Iranian (Farsi), and to then assess it in terms of validity and reliability on Iranian patients. METHODS: The questionnaire was first translated into Farsi by two independent translators, and then subsequently translated back into English. After translation disparities had been reconciled, the final Iranian questionnaire was tested. An initial test-retest reliability evaluation was performed over a 10 day period on a sample of 20 patients recruited from a larger group (212 patients with end-stage renal disease on haemodialysis). Afterwards, reliability was estimated by internal consistency, and validity was assessed using known group comparisons and constructs for the patient group as a whole. Finally, the factor structure of the questionnaire was extracted by performing exploratory factor analysis. RESULTS: All of the scales in the questionnaire showed good test-retest reliability (i.e. intraclass correlations between test and retest scores were >0.7). All of the scales met the minimal criteria (0.7) for internal consistency and Cronbach's-a ranged 0.71-0.93. Furthermore, results from a discriminate validity evaluation showed that the questionnaire could be used to discriminate between subgroups of the patients. Finally, a principal component analysis of the disease-specific scales indicated that this part of the questionnaire could be summarized into an 11 factor structure that jointly accounted for 79.81% of the variance. CONCLUSION: The Iranian version of the KDQOL-SF questionnaire is both highly reliable and valid for use with Iranian patients on haemodialysis.
Background and Purpose There are no data regarding psychometrically validated, health-related quality-of-life instruments designed specifically for patients with multiple sclerosis (MS) in Greece. Recently, the MS International Quality-of-Life questionnaire (MusiQoL), a multidimensional, self-administered questionnaire, which is available in 14 languages (including Greek), has been validated using a large international sample. We investigated the validity and reliability of the Greek version of the MusiQoL. Methods Consecutive patients with different types and severities of MS were recruited from two tertiary-care centers in Greece. All patients completed the MusiQoL, the Short-Form-36 quality-of-life questionnaire (SF-36), and a symptom checklist at baseline and 21±7 days (mean±SD) later. Data regarding sociodemographic status, MS history, and functional outcome were also collected prospectively. Construct validity, internal consistency, reproducibility, and external consistency were tested. Results A total of 92 patients was evaluated. The construct validity was confirmed in terms of satisfactory item-internal consistency correlations and scaling success (87.5-100%) of item-discriminant validity. The dimensions of the MusiQoL exhibited high internal consistency (Cronbach's alpha: 0.63-0.96), and reproducibility was satisfactory (intraclass correlation coefficients: 0.69-0.99). External validity testing indicated that the MusiQoL correlated significantly with all SF-36 dimension scores (Spearman's correlation: 0.43-0.76). Conclusions The Greek version of the MusiQoL appears to be a valid and reliable instrument for measuring quality of life in Greek MS patients. PMID:16643953
In this study the reliability and validity of generic and disease-specific questionnaires has been assessed focusing on responsiveness. This is part of a study on the effects of recurrent acute otitis media (rAOM) on functional health status (FHS) and health-related quality of life (HRQoL) in 383 children with rAOM participating in a randomized clinical trial. The following generic questionnaires were studied: 1. RAND general health rating index, 2. Functional Status Questionnaire (FSQ Generic and FSQ Specific), 3. TNO-AZL Infant Quality of Life (TAIQOL), and the following disease-specific questionnaires: 1. Otitis Media-6 (OM-6), 2. Numerical rating scales (NRS) for child and caregiver (NRS Child and NRS Caregiver), and 3. a new Family Functioning Questionnaire (FFQ). Reliability was good...
We discuss the universality of the L1 recovery threshold in compressed sensing. Previous studies in the fields of statistical mechanics and random matrix integration have shown that L1 recovery under a random matrix with orthogonal symmetry has a universal threshold. This indicates that the threshold of L1 recovery under a non-orthogonal random matrix differs from the universal one. Taking this into account, we use a simple random matrix without orthogonal symmetry, where the random entries are not independent, and show analytically that the threshold of L1 recovery for such a matrix does not coincide with the universal one. The results of an extensive numerical experiment are in good agreement with the analytical results, which validates our methodology. Though our analysis is based on replica heuristics in statistical mechanics and is not rigorous, the findings nevertheless support the fact that the universality of the threshold is strongly related to the symmetry of the random matrix.
In threshold graphs one may find weights for the vertices and a threshold value t such that for any subset S of vertices, the sum of the weights is at most the threshold t if and only if the set S is a stable (independent) set. In this note we ask a similar question about vertex colorings: given an integer p, when is it possible to find weights (in general depending on p) for the vertices and a threshold value tp such that for any subset S of vertices the sum of the weights is at most tp if and only if S generates a subgraph with chromatic number at most p-1? We show that threshold graphs do have this property and we show that one can even find weights which are valid for all values of p simultaneously.
ObjectiveThe Chalder Fatigue Questionnaire (CFQ) is an instrument used to measure physical and mental fatigue. We translated and adapted the questionnaire and tested its reliability and validity in a Brazilian primary care setting.MethodA pilot study with 204 consecutive primary care attenders in Sao Paulo, Brazil, verified the internal consistency and factor structure of the questionnaire. After some modifications through a rigorous translation, back-translation, and cross-cultural adaptation procedure, a validation study was conducted with 304 attenders, who also completed the fatigue section of the Revised Clinical Interview Schedule (CIS-R).ResultsThe internal consistency of the Brazilian CFQ slightly improved from the pilot to the validation study: Cronbach's alpha from .86 to .88. Th...
Beiske AG, Baumstarck K, Nilsen RM, Simeoni M-C. Validation of the multiple sclerosis international quality of life (MusiQoL) questionnaire in Norwegian patients. -Acta Neurol Scand: 2012: 125: 171-179. - 2011 John Wiley & Sons A/S. Objectives--- To assess the validity and reliability of the multidimensional, self-administered Multiple Sclerosis International Quality of Life (MusiQoL) questionnaire, previously validated in a large international sample, in Norwegian patients. Patients and methods--- Patients with different types and severities of multiple sclerosis (MS) were recruited from a single MS centre in Norway. All patients completed the MusiQoL and Short Form-36 (SF-36) QoL questionnaires at baseline and a mean of 21 (SD 7) days later. A neurologist collected sociodemographic, MS h...
Background: valid and appropriate assessment of physical activity in children is still needed. Aim: to determine the test-retest reliability and validity of the Arabic version of the Questionnaire l'Activite Physique en Altitude Chez les Enfants. Methods: Population: 6- to 9-year-old children were recruited in Al Ain, United Arab Emirates. Reliability: questionnaire was administered twice, 3 weeks apart. Intraclass correlation coefficients and 95% confidence interval calculated. Validity: comparison between the questionnaire and pedometer. Spearman's correlation coefficients were calculated. Bland-Altman method was used to detect potential bias. Results: a fair-to-good reliability was found, with the highest values for running during breaks at school and total active time during weekdays. ...
The purpose of this study was to test the reliability and validity of Dutch Eating Behaviour Questionnaire (DEBQ) among Turkish university students. The questionnaire was administered to 508 participants. Construct validity was assessed by principal component factor analysis with varimax rotation and reliability was tested by Cronbach's alpha coefficient. For testing criterion related validity, EAT-40 with DEBQ was also administered to 508 participants. Results showed the presence of three major factors (emotional eating, restrained eating and external eating) with loadings similar to those of the original questionnaire. Three subscales of DEBQ had higher internal consistency and test-retest reliability. The obtained correlation between EAT-40 and DEBQ was ranged from 0.12 to 0.39. This st...
Abstract Background and objective:- A well-validated instrument that is simple to use is needed to assess health-related quality of life in patients with interstitial lung disease (ILD). The COPD assessment test (CAT) is a recently introduced, short and simple questionnaire for COPD patients, which shows good and valid measurement properties. This study was conducted to evaluate the validity of the CAT in patients with ILD. Methods:- Patients with ILD (n-=-55) completed the CAT and the St. George's Respiratory Questionnaire (SGRQ). These patients also completed the Medical Research Council (MRC) dyspnoea scale, the Leicester Cough Questionnaire (LCQ), and the hospital anxiety and depression scale; performed 6-min walk tests and pulmonary function tests; and provided samples for arterial bl...
BackgroundCurrently, the longitudinal validity (validity over time) and responsiveness (ability to measure change over time) of the Food Allergy Quality of Life Questionnaire-Adult Form (FAQLQ-AF), the Food Allergy Quality of Life Questionnaire-Teenager Form (FAQLQ-TF), and the Food Allergy Quality of Life Questionnaire-Child Form (FAQLQ-CF) are unknown. Additionally, the self-reported impact of a double-blind, placebo-controlled food challenge (DBPCFC) on health-related quality of life (HRQL) in adults (?18 years of age), adolescents (13-17 years of age), and children (8-12 years of age) is unknown. ObjectiveThe aims of this study were to assess the longitudinal validity and responsiveness of the FAQLQ-AF, FAQLQ-TF, and FAQLQ-CF and to assess the impact of a DBPCFC on HRQL. MethodsTwo ...
Migraine is a recurring and disabling pain disorder. The prevalence is estimated as 9.1% in Taiwan. Patients suffer from significant loss of work, time at school or ability to perform household chores, as well as other family or leisure activities. Treatment strategies during migraine attacks should be tailored based on the severity of disability. Stewart and Lipton (1999) developed the Migraine Disability Assessment Questionnaire (MIDAS) to assess the severity of disability related to migraine. This simple, self-administered, 7-item questionnaire focuses on disability in three domains (school or paid work, household chores, and family, social, or leisure activities) in the first 5 items of the questionnaire. The internal consistency, test-retest reliability, validity, ease of use, and clinical utility were all tested with good results. The questionnaire offers a simple tool to improve physician-patient communication. As for treatment strategies, a recent large-scale study done in the USA showed that it is more efficacious to treat migraine patients by adopting a strategy of stratified care based on different disability status than a stepped-care strategy. The simple questionnaire, MIDAS, has received world-wide popularity and has been translated into Japanese, Italian and Turkish. All of these versions showed good reliability and validity. Recently, one of our studies demonstrated that the Taiwan version also yielded comparable internal consistency, reliability, and validity. We hope that the MIDAS questionnaire can be widely adopted in Taiwan to help physicians assess their patients' disability related to migraine and provide clues for clinical management. PMID:16599285
Abstract in english The objective of the present study was to translate the Kidney Disease Quality of Life - Short Form (KDQOL-SF™1.3) questionnaire into Portuguese to adapt it culturally and validate it for the Brazilian population. The KDQOL-SF was translated into Portuguese and back-translated twice into English. Patient difficulties in understanding the questionnaire were evaluated by a panel of experts and solved. Measurement properties such as reliability and validity were determ (more) ined by applying the questionnaire to 94 end-stage renal disease patients on chronic dialysis. The Nottingham Health Profile Questionnaire, the Karnofsky Performance Scale and the Kidney Disease Questionnaire were administered to test validity. Some activities included in the original instrument were considered to be incompatible with the activities usually performed by the Brazilian population and were replaced. The mean scores for the 19 components of the KDQOL-SF questionnaire in Portuguese ranged from 22 to 91. The components "Social support" and "Dialysis staff encouragement" had the highest scores (86.7 and 90.8, respectively). The test-retest reliability and the inter-observer reliability of the instrument were evaluated by the intraclass correlation coefficient. The coefficients for both reliability tests were statistically significant for all scales of the KDQOL-SF (P
The objective of this study is to develop and validate a questionnaire for evaluating patients' specific knowledge regarding fibromyalgia. The development of items and questions of the questionnaire was done using four focus group that included physicians, physical therapists, a nurse, and patients with fibromyalgia. Other 30 consecutive patients were recruited to evaluate the questionnaire's reproducibility (intra- and inter-observer). In order to construct validity, the questionnaire was applied to healthcare professionals with knowledge on fibromyalgia and 20 other patients. To investigate sensitivity to change, the questionnaire was applied to 56 patients before and after an educational program (intervention group) or a waiting list (control group). Eighteen questions fulfilled the inclusion criteria and were understandable for more than 90% of the participants. The intraclass correlation coefficients for inter-observer and intra-observer reproducibility ranged from 0.65 to 0.90 and from 0.86 to 0.96, respectively (P patients (P educational program (P Fibromyalgia Knowledge Questionnaire was developed and it is reliable, valid, and sensitive to changes, for evaluating disease-specific knowledge in patients with fibromyalgia. PMID:21132552
Abstract Background: Knee osteoarthritis (OA) is one of the most prevalent rheumatic disorders in the Asia-Pacific region. Identification of modifiable risk factors is important for development of strategies for primary and secondary prevention of knee OA. Objective: Developing a core questionnaire for identification of risk factors of knee OA at the community level. Methods: Steps performed: (1) item generation from literature, existing knee OA questionnaires and patient focus group discussions; (2) development of a preliminary APLAR-COPCORD English questionnaire; (3) translation into target language, back translation and development of a pre-final target language version; (4) adaptation of the pre-final target language version through tests of comprehensibility, content validity, test-re...
Sleep problems are often under-diagnosed, but may have a profound impact on work performance. The purpose of this study was to validate the Dutch version of the Occupational Impact of Sleep Questionnaire (OISQ). A total of 555 adults with a regular daytime job completed the OISQ. In addition, they also completed the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and the SLEEP-50 questionnaire. 443 surveys were included in the analysis (220 men and 223 women). The Dutch OISQ had high reliability (Chronbach's alpha=0.96). OISQ scores correlated significantly with scores on the SLEEP-50 questionnaire, ESS, and PSQI (p
BACKGROUND Excessive alcohol use is associated with a variety of negative health outcomes, including liver disease, upper gastrointestinal bleeding, and pancreatitis. OBJECTIVE To determine the 2-year risk of gastrointestinal-related hospitalization and new-onset gastrointestinal illness based on alcohol screening scores. DESIGN Retrospective cohort study. PARTICIPANTS Male (Nâ??????=â??????215, 924) and female (Nâ??????=â??????9,168) outpatients who returned mailed questionnaires and were followed for 24?? months. MEASUREMENTS Alcohol Use Disorder Identification Testâ??????Consumption Questionnaire (AUDIT-C), a validated three-item alcohol screening questionnaire (0â??????12 points). RESULTS Two-year risk of hospitalization with a gastrointestinal disorder was increased in men with...
Previous research shows that leanness- and weight-dependent sports increase the risk of developing disturbed eating behaviour. This study investigated whether adolescent aesthetic athletes (n=68, M=14.6years), particularly ballet dancers and figure skaters, exhibit more eating pathology compared to the general population. Furthermore, it was investigated whether sport-related factors have explanatory value for the dieting behaviour of aesthetic athletes. To asses eating pathology, reliable and valid self-report questionnaires were used including the Eating Disorder Inventory-II, the Children's Eating Disorder Examination-Questionnaire and the Dutch Eating Behaviour Questionnaire. Results show that female aesthetic athletes show more drive for thinness, features of bulimia, dieting behaviou...
Objective: The aim of this study was to assess patient satisfaction with ebastine fast-dissolving tablets (FDT) using the Treatment Satisfaction Questionnaire for Medication (TSQM). Research, design and methods: This was an international, multicenter, observational study involving patients with at least 1-year history of intermittent allergic rhinitis or persistent allergic rhinitis and who had received a prescription for ebastine FDT (20 mg) in the last 2 months. Investigators collected demographic data, medical history, a completed TSQM questionnaire, and responses regarding perception of onset of action, intensity of rhinitis symptoms, tolerability and their preference compared with previous therapy. Results: Validated TSQM questionnaires were collected from 461 patients and the overall...
AbstractObjective To investigate the association between physical activity and exercise-induced bronchoconstriction (EIB) in an urban population sample of schoolchildren, taking into account potential confounders such as asthma symptoms and overweight. Methods Children aged 10-12 years answered validatedquestionnaires on physical activity (Physical Activity and Lifestyle Questionnaire) and asthma symptoms (ISAAC questionnaire), and were categorized according to their body mass index (BMI). EIB (FEV1 decrease from baseline -13%) was assessed by a standardized free running Exercise Challenge Test (ECT). Results Six hundred seven children completed the ECT. There were no differences among asthma groups (diagnosed asthma, asthma-related symptoms not diagnosed as asthma, no asthma-related symp...
Time-resolved threshold switching characteristics including transient parameters such as delay time and holding voltage are reported for a nanoscale GeTe6 Ovonic threshold switching (OTS) device. The voltage dependence of the threshold switching process has been studied, revealing switching in less than 5 ns in the fastest case. A constant holding voltage is observed for the different voltage pulses applied, which is an indicative for a stable on state in the amorphous phase. In addition, the potential of GeTe6 devices as OTS selectors is validated.
The aim of coordinate-based meta-analysis is to provide valid quantitative summaries of the literature, while taking into account the specificities of neuroimaging data. Neuroimaging findings are usually reported as coordinates of effects surviving multiple comparison correction through statistical thresholding. Different studies may use widely differing censoring thresholds, ranging from strict family-wise corrections to more lenient ''uncorrected''p-values. However, standard meta-analysis methods do not take into account these differences, as findings from studies with varying thresholds are treated as though they were equivalent. The present paper details a development in coordinate-based meta-analysis which addresses this limitation. Parametric coordinate-based meta-analysis (PCM) comp...
Resonant tunneling diodes (RTDs) are receiving much attention because of their high-speed switching capability and functional versatility. Due to the negative differential resistance exhibited by RTDs, great functionality with a single gate can be achieved. In this paper, novel universal threshold logic gates (UTLG) based on RTD with simple structure and fixed parameter are proposed. The three-variable UTLG implement all the threshold functions of three variables by reconfiguring the input bits. The proposed circuit can also be applied to the design of arbitrary logic function in a multilevel threshold network. Finally, the operation of UTLG is verified by HSPICE simulation using extensively validated models.
Abstract in english OBJECTIVE: The objective of this study was to develop and validate a questionnaire on specific knowledge about low back pain entitled "The Low Back Pain Knowledge Questionnaire". INTRODUCTION: There is a need for instruments to assess patient knowledge regarding chronic illness. Such methods can contribute to the education of patients. METHODS: The Low Back Pain Knowledge Questionnaire was developed through five focus groups. The questionnaire was distributed to 50 patien (more) ts to assess their comprehension of the terms. To assess the reproducibility, 20 patients were surveyed by two different interviewers on the same day and twice by a single interviewer with a one-to-two week interval. For the construct validation, the Low Back Pain Knowledge Questionnaire was given to 20 healthcare professionals with knowledge on low back pain and 20 patients to determine whether the questionnaire would discriminate between the two different populations. To assess the sensitivity of the questionnaire to changes in the knowledge level of the patients, it was given to 60 patients who were randomly assigned to the Intervention Group and the Control Group. The Intervention Group answered the questionnaire both before and after attending a chronic back pain educational program (back school), whereas the Control Group answered the questionnaire twice with an interval of one month and no educational intervention. RESULTS: The focus groups generated a questionnaire with 16 items. The Spearman's correlation coefficient and the intra-class correlation coefficients ranged from 0.61 to 0.95 in the assessments of the intra-observer and inter-observer reproducibility (p
Doctors' knowledge provides the basis to support good practice in infection prevention and control. However, there exists a paucity of validated knowledge assessment tools that can be reliably employed to identify poor knowledge levels of Clostridium difficile infection (CDI) within populations of doctors, preventing the effective identification of knowledge deficiencies and focused targeting of educational interventions. Here, we describe a development process to validate a novel CDI knowledge assessment tool for doctors. Two previously published CDI knowledge questionnaires were amalgamated to produce a combined questionnaire. Content was further evaluated by a panel of CDI experts, producing the 'Lothian' questionnaire. These questionnaires were tested in control populations comprising either infection control nurse (ICN) specialists or non-clinically trained individuals, and a cohort of medical staff. We compared the efficacy of the 'Lothian' questionnaire against that of previous questionnaire reports. We found that all of the questionnaires studied significantly discriminated between non-clinical and clinical populations (ICNs and medical staff) (P < 0.001) and had similar levels of sensitivity and specificity in discrimination between these targeted populations. This study describes the development of a robust CDI knowledge assessment tool that can be used to evaluate knowledge levels among doctors, compare populations and assist the targeting of educational interventions and plot trends following such interventions. PMID:22859801
Background Accurate assessment of physical activity in adolescents at population level is necessary. In Vietnam, the International Physical Activity Questionnaire (IPAQ) and Physical Activity Questionnaire for Adolescents (PAQA) have been validated against accelerometers for use in adolescents. However, these questionnaires were originally designed for adults and showed poor validity. This study aims to assess the reliability and validity of the Vietnamese Adolescent Physical Activity Recall Questionnaire (V-APARQ). Methods One hundred and sixty five students were recruited from four junior high schools in Ho Chi Minh City Vietnam in 2004. V-APARQ asked students to report their usual organised and non-organised physical activity during a normal week and moderate- (MPA), vigorous- (VPA and moderate-to-vigorous- (MVPA) physical activity were calculated. Reliability was assessed by test-retest (2?weeks apart). Construct validity was assess by 7-day accelerometry, following the completion of the first V-APARQ. Results The construct validity of the V-APARQ showed Spearman correlation of 0.25 and 0.22 for the assessment of the questionnaire when compared to the accelerometer. Test-retest reliability showed a weighted Kappa of 0.75 and the intra-class correlation coefficient for MVPA was 0.57 for the whole group (MPA =0.37 and VPA?=?0.62), and were higher in boys than girls. The Bland-Altman plots for reliability show a mean difference of 0.4 minutes (95?% CI?=??3.2, 4.0) for daily MVPA (n?=?146) and the limits of agreement were ?42.6 to 43.4 mins/day. In boys MVPA was lower on the first, compared with second administration of V-APARQ while the reverse was observed among girls. Conclusion The reliability and validity of the V-APARQ were low to fair, but are comparable to other self-report physical activity questionnaires used among adolescents. V-APARQ will be useful for population monitoring of change in physical activity among urban Vietnamese adolescents. PMID:20891021
The MIDAS Questionnaire was developed to assess headache-related disability with the aim of improving migraine care. Headache sufferers answer five questions, scoring the number of days, in the past 3 months, of activity limitations due to migraine. The internal consistency, test-retest reliability, and validity (accuracy) of the questionnaire were assessed in separate population-based studies of migraine sufferers. In addition, the face validity, ease of use, and clinical utility of the questionnaire were evaluated in a group of 49 physicians who independently rated disease severity and need for care in a diverse sample of migraine case histories. The test-retest Pearson correlation coefficient for the total MIDAS score was approximately 0.8. The MIDAS score was valid when compared with a reference diary-based measure of disability; the overall correlation between MIDAS and the diary-based measure was 0.63. The MIDAS score was also correlated with physicians' assessments of need for medical care (r = 0.69). From studies completed to date, the MIDAS Questionnaire has been shown to be internally consistent, highly reliable, valid, and correlates with physicians' clinical judgment. These features support its suitability for use in clinical practice. Use of the MIDAS Questionnaire may improve physician-patient communication about headache-related disability and may favorably influence health-care delivery for migraine patients. PMID:11294956
Objective The comorbid conditions questionnaire (CCQ) and the recent physical symptoms questionnaire (RPSQ) have been validated in the US for the evaluation of comorbid physical conditions in patients with irritable bowel syndrome (IBS). A lack of instruments to assess somatization in Japanese subjects with IBS warrants development of the Japanese versions of these questionnaires. The purpose of this study was to validate the Japanese versions created, the CCQ-J and RPSQ-J. Methods and Patients Study 1 was carried out to verify the test-retest reliability and internal consistency of the CCQ-J and RPSQ-J in 49 patients with functional bowel disorder. Study 2 was performed to confirm the construct validities of these questionnaires compared to the Cornell Medical Index (CMI) in 120 patients with psychosomatic symptoms (assigned to the somatoform disorder, anxiety disorder, depressive disorder, or IBS group) and 22 healthy subjects. Results In Study 1, high reproducibility and high intraclass correlation coefficients were demonstrated for these questionnaires. In Study 2, total score on the CMI was significantly associated with score on the CCQ-J and on the RPSQ-J in the IBS group. The proportion of patients with chronic back pain was significantly higher in the IBS group than in controls (27.3% vs. 18.5%, p<0.05). Conclusion The CCQ-J and RPSQ-J are valid and reliable instruments for evaluating comorbid conditions in Japanese patients with IBS. Further studies are needed to confirm the direct cross-cultural comparison of the impact of somatization in IBS between different countries.
Bombardier CH, Kalpakjian CZ, Graves DE, Dyer JR, Tate DG, Fann JR. Validity of the Patient Health Questionnaire-9 in assessing major depressive disorder during inpatient spinal cord injury rehabilitation. Objective To investigate the validity of the Patient Health Questionnaire-9 (PHQ-9) depression screening measure in people undergoing acute inpatient rehabilitation for spinal cord injury (SCI). Design We performed a blinded comparison of the PHQ-9 administered by research staff with the major depression module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID) conducted by a mental health professional. Setting Inpatient rehabilitation units. Participants Participants (N=142) were patients undergoing acute rehabilitat...
Background: We sought to examine correlations between clinical validators and temperaments in clinical practice. Methods: We provided the self-report TEMPS-A (50 item long) to 123 consecutive patients seen in the Mood Disorders Program of Tufts Medical Center. Temperament was assessed as cyclothymia, dysthymia, irritable or hyperthymia. Cut-offs were tested using (50%) and (75%) thresholds of affirmative responses, as well as highest percent for dominant temperament. We reported no dominant temperament at 75% cut-off . Multivariate regression modeling was conducted to assess confounding bias. Results: Using clinical and demographic validators, cyclothymia was the most strongly validated temperament, followed by dysthymia and hyperthymia. Irritable temperament did not appear to be valid in ...
The aim was to develop a new instrument for measuring length of sleep as well as television and computer habits in school-age children. A questionnaire was constructed for use when children visit the school health care unit. Three aspects of the validity of the questionnaire were examined: its face validity, content validity, and construct validity. Test-retest reliability was assessed by giving the questionnaire twice, 2 weeks apart, to the respondents. The questionnaire was assessed as being reasonably valid, the test-retest results (n = 138) showing 90.4% of the estimates regarding bedtime on weeknights on the two survey occasions to lie within [plus or minus] 30 min of each other, the test-retest agreement also being rather close ([kappa] greater than 0.600) regarding both sleep and media habits. The instrument can be a valuable tool in a clinical setting, both for measuring sleep habits in a class and for discussing sleep with individual school children and their families. (Contains 2 tables.)
ABSTRACT: Study Design. Validity and reliability of a back pain questionnaire.Objective. The present study tested the psychometric properties of the Arabic version of the Quebec Back Pain Disability Scale (QDS).Summary of Background Data. QDS is a questionnaire widely used to evaluate the level of disability in patients with LBP. The questionnaire has been translated into Arabic, but not tested in an Arabic population.Methods. A total of one hundred and forty eight patients with non-specific LBP were recruited in the Gaza Strip. Patients were asked to complete a questionnaire booklet containing the Arabic version of the QDS, the Oswestry Disability Index (ODI), the Numeric Pain Rating Scale (NPRS) and a Likert scale, which was repeated one week later. Weighted kappa was used to measure test-retest reliability and Cronbach's alpha for internal consistency. For construct validity the Arabic version of the QDS and the ODI were correlated with Spearman correlation coefficient. For concurrent validity the QDS, ODI and NPRS were compared. For face and content validity a Likert scale was used to assess whether it was understandable and comprehensive.Results. The QDS demonstrated good test-retest reliability kappa = 0.86-0.98 (P Arabic versions of QDS, ODI and NPRS, indicating adequate construct validity (p = 0.69, P Arabic versions of QDS and ODI (r = 0.67, P Arabic, and can be used to measure disability in Arabic societies. PMID:23038622
Abstract in portuguese OBJETIVO: Traduzir e validar para o português a Entrevista Clínica Estruturada para Distúrbios do Humor, mensurando sua validade, confiabilidade, bem como definindo os escores para transtornos bipolares. MÉTODO: A entrevista foi traduzida (para o português) e novamente traduzida para o inglês. A amostra incluiu 47 indivíduos com transtornos bipolares, 47 com transtorno depressivo maior, 18 com esquizofrenia e 22 controles. A confiabilidade entre avaliadores foi tes (more) tada em 20 indivíduos com transtornos bipolares e transtorno depressivo maior. A consistência interna foi mensurada por meio da fórmula de Kuder Richardson. Análise discriminante foi realizada. Escores dos diversos grupos foram comparados; limiares para mania (M), depressão (D) e valores totais foram calculados usando curvas de "receiver operating characteristic" (ROC). RESULTADOS: Coeficientes de Kuder Richardson ficaram entre 0,86 e 0,94. O coeficiente de correlação intraclasse foi de 0,96 (IC 95% 0,93-0,97). Participantes com transtornos bipolares apresentaram escores M e T aumentados, e escores D semelhantes aos do grupo transtorno depressivo maior (ANOVA, p Abstract in english OBJECTIVE: The aim of this study was to translate the Structured Clinical Interview for Mood Spectrum into Brazilian Portuguese, measuring its reliability, validity, and defining scores for bipolar disorders. METHOD: Questionnaire was translated (into Brazilian Portuguese) and back-translated into English. Sample consisted of 47 subjects with bipolar disorder, 47 with major depressive disorder, 18 with schizophrenia and 22 controls. Inter-rater reliability was tested in 2 (more) 0 subjects with bipolar disorder and MDD. Internal consistency was measured using the Kuder Richardson formula. Forward stepwise discriminant analysis was performed. Scores were compared between groups; manic (M), depressive (D) and total (T) threshold scores were calculated through receiver operating characteristic (ROC) curves. RESULTS: Kuder Richardson coefficients were between 0.86 and 0.94. Intraclass correlation coefficient was 0.96 (CI 95 % 0.93-0.97). Subjects with bipolar disorder had higher M and T, and similar D scores, when compared to major depressive disorder (ANOVA, p
PURPOSE: Internationally, there is increasing interest in monitoring and evaluating doctors' professional practice. Multisource feedback (MSF) offers one way of collecting information about doctors' performance. The authors investigated the psychometric properties of two questionnaires developed for this purpose and explored the biases that may exist within data collected via such instruments. METHOD: A cross-sectional study was conducted in 11 UK health care organizations during 2008-2011. Patients (n = 30,333) and colleagues (n = 17,012) rated the professional performance of 1,065 practicing doctors, using the General Medical Council Patient Questionnaire (PQ) and Colleague Questionnaire (CQ). The psychometric properties of the questionnaires were assessed, and regression modeling was used to explore factors that influenced patient and colleague responses on the core questionnaire items. RESULTS: Although the questionnaires demonstrated satisfactory internal consistency, test-retest reliability, and convergent validity, patient and colleague ratings were highly skewed toward favorable impressions of doctor performance. At least 34 PQs and 15 CQs were required to achieve acceptable reliability (G > 0.70). Item ratings were influenced by characteristics of the patient and colleague respondents and the context in which their feedback was provided. CONCLUSIONS: The PQ and CQ are acceptable for the provision of formative feedback on a doctor's professional practice within an appraisal process. However, biases identified in the questionnaire data suggest that caution is required when interpreting and acting on this type of information. MSF derived from these questionnaires should not be used in isolation to inform decisions about a doctor's fitness to practice medicine. PMID:23095930
Objective: The objective of the study was to assess the reliability and validity of the Hindi translation of the Migraine Disability Assessment (MIDAS) and Headache Impact Test-6 (HIT-6) questionnaires. Materials and Methods: The study was conducted on the migraine patients. For test–retest reliability, the respondents filled the MIDAS and HIT-6 questionnaires twice, at an interval of three weeks. For validity, the same population of patients filled the headache diary for three months. After three months they filled the MIDAS and HIT-6 questionnaires again. The patients were subgrouped according to their occupation and level of education. The test–retest reliability and validity were calculated by the Pearson correlation coefficient. Internal consistency was calculated using the Cronbach alpha. Results: A total of 236 migraine patients were screened. Seventy-nine patients fulfilled the inclusion criteria. A total of 69 patients completed the study. The HIT-6 questionnaire was applicable to all the subgroups of patients and had better comprehensibility than the MIDAS. Housewives missed out on the first two questions of the MIDAS and had lower mean MIDAS scores than HIT-6. The test–retest correlation coefficients for the total MIDAS and HIT-6 scores were 0.94 and 0.81, respectively. The correlation coefficients between the total score in the headache diary equivalent and the MIDAS and HIT-6 total score were 0.91 and 0.77, respectively. Cronbach alpha, a measure of internal consistency for the MIDAS questionnaire was > 0.90 at all the compilations. For the HIT-6 questionnaire, it ranged from 0.67 to 0.79. Conclusion: The Hindi versions of MIDAS and HIT-6 questionnaires were reliable and valid, but could not be interchanged. HIT-6 had better comprehensibility. PMID:18339350
The validity and utility of the measurement of the photodynamic threshold dose as an in vivo tool for quantitatively assessing the effectiveness of performing photodynamic therapy (PDT) using differing photosensitizers, irradiation protocols and adjuvant treatments was examined. The depth of the boundary between necrotic tissue and normal tissue following surface irradiation of normal rat liver was used to calculate the photodynamic threshold, a quantity independent of photosensitizer concentration, light fluence and wavelength. PDT was performed using Photofrin II to investigate the changes in photodynamic threshold using four different treatment conditions. Using a range of values for photosensitizer concentration and total light fluence, the photodynamic threshold was found to be independent of these parameters and estimated as (3.4 +/- 0.3) X 1018 photons cm-3. Using periodic light irradiation schedules to determine if diffusion of 3O2 affects the threshold measurement, the photodynamic thresholds were found not to be significantly different from those using normal irradiation which suggests that this model is not sensitive to this parameter. PDT was performed in conjunction with hyperthermia and significant reductions in the photodynamic threshold were obtained if hyperthermia followed PDT but not if hyperthermia preceded PDT. Finally, the effects of the radio-protecting agents WR-77913 and WR-2721 were examined and significant increases in the photodynamic threshold were obtained for PDT performed following injection of sufficient quantity of either radio-protecting drug.
Objective: To determine whether the ITT, arginine (AST) and glucagon stimulation tests (GST) identify patients who have similar features of GH deficiency using a diagnostic threshold of 3 µg/l.Patients and Methods: 5453 tests were available from 4,867 patients registered in the KIMS database (49.9% females, ITT = 3111, AST = 1390, GST = 952). Comparisons were made for GH peak, BMI, lipids, waist circumference, waist:hip ratio and quality of life (QoL-AGHDA questionnaire).Results. There were significant (p
In this study the reliability and validity of generic and disease-specific questionnaires has been assessed focusing on responsiveness. This is part of a study on the effects of recurrent acute otitis media (rAOM) on functional health status (FHS) and health-related quality of life (HRQoL) in 383 children with rAOM participating in a randomized clinical trial. The following generic questionnaires were studied: 1. RAND general health rating index, 2. Functional Status Questionnaire (FSQ Generic and FSQ Specific), 3. TNO-AZL Infant Quality of Life (TAIQOL), and the following disease-specific questionnaires: 1. Otitis Media-6 (OM-6), 2. Numerical rating scales (NRS) for child and caregiver (NRS Child and NRS Caregiver), and 3. a new Family Functioning Questionnaire (FFQ). Reliability was good to excellent (Cronbach's alpha range 0.80-0.90, intraclass correlation coefficient range 0.76-0.93). Moderate to strong correlations were found between the questionnaires as well as between questionnaires and relevant clinical indicators (r = 0.29-0.49), demonstrating construct validity. Discriminant validity for children with few versus frequent episodes of acute otitis media per year was good for most questionnaires (P < 0.004) but poor for the otitis media-related subscales of the TAIQOL (P = 0.10-0.97) and both NRS (P = 0.22 and 0.48). Except for the TAIQOL subscales, change scores were significant (P < 0.003) for generic and disease-specific questionnaires. Effect sizes were somewhat higher for disease-specific compared to generic questionnaires (0.55-0.95 versus 0.32-0.60) except for the TAIQOL subscales, which showed very poor sensitivity to change. Anchor-based methods resulted in a somewhat larger range of estimates of MCID than distribution-based methods. Combining distribution-based and anchor-based methods resulted in similar ranges for the minimally clinical important differences for generic and disease-specific questionnaires: 2-15 points on a 0-100 scale. Apart from the generic TAIQOL subscales, both generic and disease-specific questionnaires used in this study showed good psychometric qualities and responsiveness for use in clinical studies on children with rAOM. PMID:17668290
Scand J Caring Sci; 2012 Adaptation to Swedish and further development of the 'Consequences of Screening - Breast Cancer' questionnaire: a multimethod study Rationale:? Experiencing a false-positive screening mammography can cause considerable psychosocial distress. The Consequences of Screening - Breast Cancer questionnaire (COS-BC parts 1 and 2), recently developed in Denmark, is the only condition-specific questionnaire for measuring short- and long-term psychosocial consequences of false-positive mammographic screening. Additional studies are needed to further test the COS-BC before use across cultures. Furthermore, studies have suggested that the consequences of false-positive screening results are partly common across cancer screening settings, although this hypothesis remains largely untested. Objectives:? This study (i) assesses content validity of a Swedish version of the COS-BC, (ii) tests whether items expressing long-term consequences of false-positive lung cancer screening results are relevant in a breast cancer screening context and (iii) explores the usefulness of taking results from Rasch analyses of the source version as an aid in questionnaire translation and adaptation. Methods:? Following dual-panel translation, content validity was assessed through qualitative interviews with representatives of the target population and the content validity index (CVI). Item locations and Rasch model fit of the source questionnaires were considered in the translation and assessment process. Results:? The COS-BC items were generally found relevant and provided coverage of the target construct. Content validity was supported also for nine of 10 lung cancer screening items. Scale CVI values were ?0.81. Previous Rasch data were useful in facilitating translation and assessing item content validity. The resulting Swedish version of the COS-BC parts 1 and 2 consists of 34 and 23 items, respectively. Conclusion:? This study illustrates the value of methodological triangulation and use of data from previous Rasch analyses in questionnaire translation and adaptation. We found support for the hypothesis that consequences of false-positive screening are common across cancer screening settings. Psychometric properties of the Swedish COS-BC remain to be established. PMID:22804720
Background There have been few attempts formally to validate screening measures for postnatal common mental disorder in low income country settings. We have investigated the comparative validity of three different screening approaches in a community-based study in Kintampo, Ghana. Method 160 women aged 15?45?years, and 5?11?weeks postpartum were first screened using the Self-Report Questionnaire (SRQ-20), with oversampling of higher scorers. The other test assessments were the Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire (PHQ-9). Criterion validity was measured against the Comprehensive Psychopathological Rating Scale (CPRS), and concurrent validity against the WHO Disability Assessment Schedule. A sub-sample (n=40) was re-interviewed 2?weeks later for t...
Frail, old patients with and without cognitive impairment are at high risk of falls and associated medical and psychosocial issues. The lack of adequate, validated instruments has partly hindered research in this field. So far no questionnaire documenting fall-related self-efficacy/fear of falling has been validated for older persons with cognitive impairment or for different administration methods such as self-report or interview.
Test beam data collected in October 2004 at CERN PS to validate the AMS 02 Ecal Inter- mediate Board (EIB) are analyzed. After describing the experimental setup and the event samples, results concerning noise measurement, trigger efficiency and threshold accuracy are presented. They demonstrate that the EIB fulfills the physics requirements. Therefore the analog part of the trigger is validated, and hardware choices are also made towards the final device. (authors)
Our aim was to establish the validity and reliability of a patient-rated Migraine Treatment Optimization Questionnaire (M-TOQ) in primary care. Patients who met International Classification of Headache Disorders, 2nd edn criteria for migraine completed a 19-item questionnaire containing candidate items for the M-TOQ, and three questionnaires designed to test convergent/construct validity [Migraine Disability Assessment Scale (MIDAS), Headache Impact Test (HIT)-6 and Migraine-Specific Quality of Life Scale (MSQoL)]. A 15-item (M-TOQ-15) and a five-item (M-TOQ-5) questionnaire were derived. Two hundred and fifty-three adult patients were recruited. Five treatment optimization domains were identified: functioning, rapid relief, consistency of relief, risk of recurrence and tolerability; with Cronbach alphas of 0.70-0.84. The Cronbach alpha for M-TOQ-15 was 0.85, and it correlated well with MIDAS, HIT-6 and MSQoL (r = 0.33-0.44). The Cronbach alpha for M-TOQ-5 was 0.66, and it also correlated well with the three questionnaires (r = 0.33-0.41). The utility of the M-TOQ for assessing treatment benefit in research (M-TOQ-15) and primary care (M-TOQ-5) should be further validated. PMID:19239676
Purpose: To evaluate an 18-item vision-specific quality-of-life questionnaire designed for use with adults in Fiji. Methods: Participants in a population-based cross-sectional survey selected by multistage random sampling from those aged ?40 years living on Fiji's main island had distance and near visual acuity measured. Those with presenting vision impairment (participant with normal presenting distance vision answered an interview-based questionnaire. Results: Of 1381 participants, 928 were eligible to answer the questionnaire. Of these, 921 provided valid responses to more than half the items and were the subject of analysis. The questionnaire conformed with a rating scale model: with the possible exception of one item, a single scale was formed, which had considerable range and many items well spaced. Estimates of relative validity suggested that rating and Likert scales constructed from the data had similar criterion validity discriminating between those with and without vision problems. The spacing and hierarchy of a three-response category model ("no problem," "little/moderate difficulty," "lot of difficulty/unable to do because of my vision"), were little influenced by sex, ethnicity or urban versus rural residence. Near vision tasks associated with print and very small objects, mobile phone use, sewing/weaving, and preparing lentils/rice/grains were ranked most difficult. Conclusion: Although the analysis showed the 18-item questionnaire to be an adequate tool for assessing the impact of vision reduction on quality of life among adults in Fiji, further community consultation and item modification would likely deliver a more efficacious instrument. PMID:23171208
In order to develop criteria for the range of data points used for regression line fitting in sweep visually evoked potential (sVEP), which would be objective, clearly specified and give good repeatability and validity, and in order to investigate the effect of luminance on sVEP measurement, visual acuity (VA) and contrast sensitivity (CS) were measured with sVEP in adults aged 17-30 years and children aged 6-8 years. Six to ten participants took part in each experiment. Five criteria (C0-C4) for fitting the regression line were implemented. Test-retest repeatability and validity against psychophysical thresholds at three luminance levels were considered for thresholds and the number of acceptable readings. There were significant effects of criteria (repeated measures ANOVAs, P or=1), consistently gave better VA and CS, more viable readings, better agreement with psychophysical thresholds in adults and better repeatability than the other criteria. In the case of adults, C2 gave thresholds that were not significantly different from the psychophysical thresholds (P > 0.05). There was little effect of luminance over the 25-100 cd/m(2) range used. Overall, C2 performed the best and would be the criterion of choice, giving better repeatability, better validity and more viable plots. PMID:19554357
OBJECTIVES. To develop a questionnaire for measuring the perceived importance of the elements of mental health recovery in psychiatric inpatients in Hong Kong and to test the psychometric properties of the questionnaire. METHODS. Thematic content analysis of identified literature on mental health recovery was performed to identify the elements related to mental health recovery. A questionnaire was developed to assess the perceived importance of the identified elements. An expert panel was set up to evaluate the content validity and patient focus group's face validity of the questionnaire. Participants were recruited from medium-stay and rehabilitation wards of Castle Peak Hospital. RESULTS. A total of 101 psychiatric inpatients completed the questionnaire, the majority of whom suffered from schizophrenia (75%). Having meaning in life was rated by 91% of the participants as an important element of recovery, followed by hope (86%) and general health and wellness (85%). Cronbach's alpha for internal consistency was 0.91. Explorative factor analysis yielded 7 factors and intraclass correlation coefficients revealed a fair-to-good test-retest reliability. CONCLUSIONS. The results supported the psychometric properties of the questionnaire for measurement of mental health recovery and serve as a basis for the future development of recovery-oriented services in the psychiatric inpatient settings in this locality. PMID:22714873
Migraine is a common disorder and is a major cause of disability and loss of working performance in western countries. Therefore, many tools have been developed to assess migraine related disability. Among these, the Migraine Disability Assessment (MIDAS) questionnaire has been shown to be of particular interest, as it is valid, reliable and useful for therapeutic decisions. In this pilot study, we address the validity of the MIDAS questionnaire in an unselected population of migraine patients in the emergency setting. We found that the MIDAS scores in the emergency room were similar to those collected in a specialised headache centre. This result suggests that the MIDAS questionnaire could be reliably used in the emergency setting, hence avoiding unnecessary delays in the treatment of migraine patients. PMID:15549558
Background and purpose A questionnaire was introduced by the New Zealand Arthroplasty Registry for use when evaluating the outcome of total ankle replacement surgery. We evaluated the reliability, validity, and responsiveness of the modified Swedish version of the questionnaire (SEFAS) in patients with osteoarthritis or inflammatory arthritis before and/or after their ankle was replaced or fused. Patients and methods The questionnaire was translated into Swedish and cross-culturally adapted according to a standardized procedure. It was sent to 135 patients with ankle arthritis who were scheduled for or had undergone surgery, together with the foot and ankle outcome score (FAOS), the short form 36 (SF-36) score, and the EuroQol (EQ-5D) score. Construct validity was evaluated with Spearman's...
Abstract Quality in health care is important to measure and palliative care is no exception. The Swedish Register of Palliative Care (SRPC) is a national quality register that focuses on the last week of life. It collects data with an end-of-life questionnaire (ELQ), which is validated in this study. Material and methods. This study included 169 consecutive patients who had died at a palliative unit. That unit had developed a computerized end-of-life medical record module that enabled a comparison between reported data and medical records, illustrating the validity of the registry questionnaire. The paper versions of the ELQs filled in at the unit were also inspected to determine the extent of registration mistakes when completing the web questionnaire. Results. Data from the medical recor...
Background Atopic dermatitis (AD) is a chronic, relapsing dermatosis. Previous studies have focused mostly on pediatric patients, and investigations emphasizing adult AD have been limited. Objective We set out to determine the 1-year prevalence and evaluate the validity of the International Study of Asthma and Allergies in Childhood (ISAAC) and United Kingdom Working Party (UKWP) AD questionnaires of adult AD in Taiwan. Methods We conducted a cross-sectional study among nursing staff at a university hospital. The 1-year prevalence of AD was assessed by ISAAC and UKWP questionnaires. Subsequently, the dermatologists diagnosis based on Hanifin and Rajka criteria was used as a reference for validation. Results The overall response rate was 92.9%, equivalent to 1131 complete questionnaires. Ni...
AbstractBackground A reliable, validquestionnaire is essential to assess patient satisfaction with breast reconstruction. Methods A 105-item pilot BRECON questionnaire was previously developed. One hundred eighty-one women with breast reconstruction were mailed the pilot BRECON, BREAST-Q-, and EQ-5D questionnaires. Fifty women were re-mailed the BRECON. Based on the responses, the BRECON was refined using statistical means and principal components analysis (PCA). Reliability was assessed using the intraclass correlation coefficient (ICC) and Cronbach's alpha. Validity was assessed by comparing subscales of the BRECON to the BREAST-Q- and comparing a summary score of the BRECON-31 to the EQ-5D using the Pearson's correlation coefficient (PCC). Results A total of 71% (128/181) of women comp...
Summary We developed and validated a specific 12-item questionnaire to evaluate adherence to oral antiresorptive medication by post-menopausal osteoporotic women in everyday practice. Over the following 9?months, an index of ?16 was associated with an increase in the risk of treatment discontinuation of 1.69 and of 2.10 for new patients who had started treatment within the previous year. Introduction Adherence to medication in osteoporosis is poor. The goal of this study was to develop and validate a disease-specific questionnaire to evaluate adherence to treatment of women with post-menopausal osteoporosis taking oral antiresorptive medication. Methods A prototype adherence questionnaire with 45 items developed from patient interview, literature review, and physician opinion was evaluated...
AbstractObjectives/Hypothesis: To detect validity and reliability of the Questionnaire of Olfactory Disorders (QOD) compared to other quality-of-life (QoL) questionnaires, to explore its ability to reflect olfaction-related QoL changes, and to investigate age- and gender-related effects of olfactory changes on QOD results. Study Design: Prospective clinical study. Methods: One hundred two patients (56 males, 46 females; mean age, 41.15 16.31 years), suffering from chronic rhinosinusitis, whose olfactory function was measured using Sniffin' Sticks test were studied. All patients completed three validated general health-related QoL questionnaires (Short Form-36 Health Survey [SF-36], Beck Depression Inventory [BDI], and Zung anxiety scale), and the olfaction-related QOD. Results: Internal co...
IntroductionPatient-centeredness is increasingly recognized as a crucial element of quality of care. A suitable instrument to assess the level of patient-centeredness for Parkinsons disease (PD) care is lacking. Here we describe the development and validation of the Patient-Centered Questionnaire for PD (PCQ-PD), and its initial application in a large patient sample. MethodsBased on the outcomes of eight focus groups we composed a questionnaire that measures patient-centeredness by assessing patients care experiences. The questionnaire was sent to 1112 Dutch PD patients, and face-, content- and construct-validity and reliability were assessed. The level of patient-centeredness was determined by calculating scores for overall patient-centeredness [0-3], subscale experiences [0-3], item expe...
Objective: Strategies to effectively and efficiently screen for depression remain elusive in the primary care setting. The purpose of this study was to assess the feasibility of a depression screening program in which patients completed a validatedquestionnaire in the waiting room. Using Optical Ma...
This article emphasises the need to assess quality of life (QoL) as a key outcome of diabetes management and introduces the linguistically validated and culturally adapted, Hindi and Punjabi versions of an individualised questionnaire (the ADDQoL) to assess the impact of diabetes on the QoL of India...
The aims of this study were to validate the Emotional Eating Scale version for children (EES-C) in a Spanish population and study the differences in emotional eating among children with binge eating (BE), overeating (OE), and no episodes of disordered eating (NED). The questionnaire was completed by...
Aims To develop the first psychometrically validated Diabetes Treatment Satisfaction Questionnaire for in-patients (DTSQ-IP) and examine determinants of in-patient diabetes treatment satisfaction. Methods We studied 366 in-patients with insulin-treated diabetes at a single UK centre. We developed...
The Penn State Worry Questionnaire (PSWQ) is a measure of worry phenomena and has been demonstrated valid in cross-cultural populations. The present study examined the factor structure and psychometric properties of the Chinese version of PSWQ (Ch-PSWQ) in a Chinese college sample (n=1243). Explorat...
Through examples and exercises, this handy student guide teaches methods for sampling, data gathering, developing questionnaires, reliability and validity, and quantitative and qualitative measurement. In addition, the book explains the use of quality improvement tools and techniques in measurement. It will be invaluable in any graduate statistics course, particularly for those in business administration and management.
Inflammatory bowel disease (IBD) is a chronic debilitating disorder. Measures of quality of life are only available for adult patient populations. We developed a new disease-specific health-related quality of life instrument in Dutch for pediatric patients with IBD, called Impact-II (NL). We translated and strongly modified the original (Canadian) Impact questionnaire. It comprises 35 items in six domains. Eighty-three children (66%) completed the questionnaire, 39 children were assessed twice. Disease symptoms were recorded and disease course severity assessed through chart review. Summated disease activity scores and disease course severity scores were dichotomized into two categories. Reliability coefficients were good for five out of six domains (Cronbach's alpha ranged from 0.57 to 0.86) and measures of test-retest stability in clinically stable patients were good for all domains (intra-class correlation coefficients ranged from 0.67 to 0.91). The instrument showed good discriminant validity between symptom groups and disease course severity on all domains. Convergent validity with a validated generic instrument [TNO-AZL Children's Quality of life questionnaire (Tacqol)] showed satisfactory coefficients. In conclusion, the developed questionnaire shows good psychometric properties. Test-retest stability and responsiveness to change should be further assessed in larger patient samples. Cross-cultural translation and validation procedures into other languages are being conducted to enable international use of Impact-II. PMID:12003055
Reported alcohol consumption was quantified and scored by a validatedquestionnaire administered by an interviewer to 64 patients (10 female) with Dupuytren's contracture (DC) before hand surgery and to 89 controls (44 female) admitted for other hand or foot surgery. Serum urate (SUA), gamma-glutamy...
Background: The PGWBI is a 22-item health-related Quality of Life (HRQoL) questionnaire developed in US which produces a self-perceived evaluation of psychological well-being expressed by a summary score. The PGWBI has been validated and used in many countries on large samples of the general pop...
OBJECTIVE:: The purpose of this study was to investigate the extent of reappearance of vasomotor symptoms after cessation of postmenopausal hormone therapy (HT) in women who started HT because of hot flashes. METHODS:: A cross-sectional postal survey was conducted. A validatedquestionnaire was sent...
We investigated the prevalence of migraine (MIG), tension-type headache (TTH), and chronic headache in a population-based sample in Germany. A total of 18,000 subjects aged between 18 and 65 years were screened from 2003 until 2005 using a validatedquestionnaire. Overall 9,944 participants (55.2%) ...
In a population-based case–control study of 832 incident endometrial cancer cases and 846 frequency-matched controls among Chinese women in Shanghai, using a validated food-frequency questionnaire, dietary habits were estimated by in-person interviews. Total vegetable consumption was inversely assoc...
Methods: Patients with chronic cough were recruited from outpatient clinics. The development of the LCQ consisted of three phases: phase 1 (item generation); phase 2 (item reduction, allocation of items to domains and validation of questionnaire); phase 3 (repeatability and responsiveness testing of...
OBJECTIVE: To adapt and validate a manual ability questionnaire, the ABILHAND, developed through the Rasch methodology in patients with systemic sclerosis (SSc). METHODS: The original version of the ABILHAND, which includes 81 manual daily activities, was presented to 156 patients with SSc. They wer...
To collect real-time data as opposed to retrospective data requires new methodological traits. One possibility is the use of behavioral simulations that synthesize the self-administered questionnaire, experimental designs, role-playing and scenarios. Supported by Web technology this new data collection methodology proves itself valid and with high appeal to respondents.
Objective?The initial validation of a brief assessment of a diabetes-specific self-esteem dimension in adolescents with type 1 diabetes.?Methods?Youths with type 1 diabetes (n = 87) aged 10–16 years were administered the multidimensional Self-Esteem Questionnaire (SEQ) and a newly designed assessmen...
Introduction and hypothesis: This study aims to examine the relationship between pelvic floor muscle function (PFMF) and pelvic organ prolapse (POP) in a general female population. Methods: Cross-sectional study on women aged 45-85 years. Validatedquestionnaires were used to assess pelvic floor mus...
Baumrind (1971) proposed three distinct patterns of parental authority (permissiveness, authoritarianism, and authoritativeness) and measured these parenting styles through interviews with parents and their children and through observations of parents interacting with their children. This study was undertaken to develop a readily-accessible, standardized measure of Baumrind's parental prototypes. Forty-eight questionnaire items were constructed based upon Baumrind's descriptions of the permissive, authoritarian, and authoritative prototypes. Items were stated from the perspective of an individual evaluating the patterns of authority exercised by his or her parents. Professionals (N=21) in the fields of psychology, social work, sociology, and education evaluated the accuracy of the items and accepted 36 of the items for the final pool of items. From this pool, 10 permissive, 10 authoritarian, and 10 authoritative items were retained for the Parental Authority Questionnaire (PAQ). Two forms of the questionnaire were constructed to evaluate the parental authority of mothers and of fathers. Seven studies were conducted to test the PAQ's reliability, internal consistency, content-related validity, criterion-related validity, discriminant-related validity, and its correlations with the Marlowe-Crowne Social Desirability Scale. The results of these studies showed the PAQ to have highly respectable measures of reliability and validity. The PAQ should be useful for assessing the parental authority exercised by both mothers and fathers and it is appropriate for both females and males who are older adolescents or young adults. (The Parental Authority Questionnaire Pertaining to Fathers is included.) (NB)
QUALEFFO-31 is a recently developed disease-specific instrument derived from QUALEFFO-41 and intended to have improved efficacy and response rates. We aimed to validate QUALEFFO-31 in Chinese and examine the use of QUALEFFO-31 in clinical practice. This questionnaire was translated into Chinese and ...
Examined life ownership orientation (extent to which one believes that God, individual, or society has power over one's life) among 117 college students who completed Life Ownership Orientation Questionnaire (LOOQ). Found LOOQ scores demonstrated higher predictive validity with regard to attitudes toward abortion, suicide, doctor-assisted suicide, and capital punishment than did measures of religiosity and political liberalism/conservatism. (Author/NB)
A multitrait-multimethod matrix was computed to compare the descriptions of 10 traits (leisure activities) obtained by using the Leisure Activities Questionnaire (LAQ) and the Paragraphs about Leisure (PAL). The two procedures revealed a high degree of convergent and discriminant validity for the two instruments. (Author/BW)
The objectives of this study were to develop a food-frequency questionnaire (FFQ) for Vietnamese female immigrants in Korea and to evaluate the validity of the FFQ. A total of 80 food items were selected in developing the FFQ according to consumption frequency, the contribution of energy and other n...
Swift heavy ions lose energy primarily by inelastic electronic scattering and, above an energy threshold, electronic losses result in damage to the lattice. Such high energy radiation is beyond the range of validity of traditional cascade simulations, and predictive damage calculations are challengi...
This work introduces a dual accelerometer usage strategy for onboard space navigation. In the proposed algorithm the accelerometer is used to propagate the state when its value exceeds a threshold and it is used to estimate its errors otherwise. Numerical examples and comparison to other accelerometer usage schemes are presented to validate the proposed approach.
A sensitive and simple HPLC/UV method has been developed and validated for the determination of two potential genotoxic impurities, namely methyl p-toluenesulfonate (MPTS) and ethyl p-toluenesulfonate (EPTS) at trace levels in Pemetrexed sodium API. Applying the concept of threshold of toxicological...
Aim of this work is to evaluate the fatigue damage in textile composites on meso-scale level. Pre-damage properties, damage thresholds and damage propagation of unit cell (UC) are calculated and validated by experiments. Quasi-static damage algorithm is further used to model the cycles of the fatigu...
Purpose:- To evaluate the properties and suitability of a disease-specific questionnaire to assess parent-reported health-related quality of life (HRQL) of children and parents of children suffering from food hypersensitivity (FHS) or allergy to furred pets (AFP). Methods:- The parents of 202 children with FHS and of 131 children with AFP filled in questionnaires comprising the CHQ-PF28 and the Food-Pet-Allergy in Children (FPAC) Questionnaire. Psychometric properties of the FPAC questionnaire were evaluated separately for FHS and AFP. Results:- Analyses resulted in five proposed scales: Limitations of Family/Child Activities (I), Parents- Distress (II), Child-s Emotions (III), Child in School (IV) and Family Conflicts (V). Convergent/discriminant validity for scales I, II and III of both ...
Prospective single cohort study. To evaluate the NDI by comparison with the SF36 health Survey Questionnaire. The NDI is a simple ten-item questionnaire used to assess patients with neck pain. The SF36 measures functional ability, well being and the overall health of patients. It is used as a gold standard in health economics to assess the health utility, gain and economic impact of medical interventions. One hundred and sixty patients with neck pain attending the spinal clinic completed self-assessment questionnaires. A second questionnaire was completed in 34 patients after a period of 1?2?weeks. The internal consistency of the NDI and SF36 was calculated using Cronbach?s alpha. The test?retest reliability was assessed using the Bland and Altman method. The concurrent validity of the NDI...
Abstract Aims To develop and validate an easy-to-use questionnaire to identify obstacles to self management in Type 2 diabetes. Methods The Diabetes Obstacles Questionnaire (DOQ) was developed from earlier research and the literature. It was completed by 180 people with Type 2 diabetes, recruited from 22 general practices in the UK. Responders also completed a quality-of-life questionnaire (ADDQoL) and the Problem Areas in Diabetes (PAID) scale. Results From analysis of the 176 usable questionnaires, 36 items of the original 113 items were deemed redundant. The remaining 77 items were assembled into eight sub-scales covering Medication, Self Monitoring, Knowledge and Beliefs, Diagnosis, Relationships with Health-Care Professionals, Lifestyle Changes, Coping, and Advice and Support. Each su...
Lower urinary tract symptoms (LUTS) have a detrimental effect on quality-of-life (QoL). However, sufferers are often reluctant to seek help. Screening for LUTS will identify patients with bothersome symptoms who may benefit from treatment and allow patients to self-assess their symptoms and the need for medical intervention, potentially saving costly medical time and reducing long-term morbidity. The aim of this study was to compare the value of two validatedquestionnaires: the Bladder Control Self Assessment Questionnaire (B-SAQ) and the Overactive Bladder Awareness Tool (OAB-V8) as screening questionnaires in clinical practice. A total of 223 women were recruited prospectively from three centres. Participants completed both questionnaires in the waiting area prior to assessment by a cli...
BackgroundType A behavior pattern (TABP) has been regarded as a putative risk factor for coronary heart disease and recent studies from our group suggest that TABP individuals, identified via the Bortner scale whose validity had been confirmed by structured interviews, may have a greater tendency towards hyperthymic temperament, shorter sleep time and shorter snooze time. Since the Bortner scale was developed in USA and may reflect western culture, it is necessary to reconfirm our findings using a Japanese questionnaire such as Coronary-prone Type Scale for Japanese (CTS) and Kwansei Gakuin's daily life questionnaire (KG questionnaire). MethodsFifty healthy subjects were assessed for TABP using the Bortner scale, as well as the CTS and KG questionnaires. Hyperthymic temperament was assesse...
The aim of this study was to explore the relationships of the dimensions and facets of the Zuckerman-Kuhlman-Aluja Personality Questionnaire (ZKA-PQ) with other psychobiological personality measures: the EPQ-RS (Eysenck Personality Questionnaire Revised, shortened version), I7 (Impulsiveness Questionnaire) and SPSRQ-20 (Sensitivity to Punishment and Sensitivity to Reward Questionnaire, 20-item version). It is intended to test if findings reported with Zuckerman's previous instrument (ZK-PQ) about the relationships between the three biologic-factorial personality models are replicated, giving evidence about the validity of the ZKA-PQ. The sample analyzed was of 584 subjects (50.3% men and 49.7% women) from the Spanish general population. Correlational and factor analysis supported the expec...
ObjectivesThe purpose of this investigation was to examine the relationship between psychosocial variables and working conditions, and nurses' coping methods and distress in response to the severe acute respiratory syndrome (SARS) crisis in Canada.Participants and procedureThe sample consisted of 333 nurses (315 women, 18 men) who completed an Internet-mediated questionnaire that was posted on the Registered Nurses' Association of Ontario (RNAO) website between March and May 2004. The questionnaire was restricted to respondents who had to authenticate their RNAO membership with a valid username and password before accessing the questionnaire. This served a dual purpose: to ensure that only RNAO nurses completed the questionnaire and thereby safeguarding the generalizability of the findings...
Abstract in portuguese CONTEXTO: Questionários validados são ferramentas essenciais para serem utilizados em estudos epidemiológicos. No momento não existem questionários diagnósticos de Roma III traduzidos para português. OBJETIVO: Validar a versão em português do Questionário Diagnóstico de Roma III para Dispepsia Funcional. MÉTODOS: O questionário foi traduzido seguindo as recomendações de Roma III. Cento e nove pacientes consecutivos com dispepsia funcional responderam ao que (more) stionário. O grupo controle foi composto por 100 doadores de sangue consecutivos, sem problemas digestivos. Consistência interna, reprodutibilidade, sensibilidade, validade discriminante e análise de conteúdo foram avaliadas. RESULTADOS: O coeficiente ?de Cronbach foi de 0,92. O questionário mostrou reprodutibilidade: os pacientes responderam-no de forma semelhante em duas ocasiões distintas e suas respostas foram substancialmente semelhantes (P = 1,00). O questionário foi capaz de demonstrar alterações quando elas ocorreram (P Abstract in english CONTEXT: Validatedquestionnaires are essential tools to be utilized in epidemiological research. At the moment there are no Rome III diagnostic questionnaires translated to Portuguese. OBJECTIVE: To validate the Portuguese version of the Rome III Diagnostic Questionnaire for Functional Dyspepsia. METHODS: The questionnaire has been translated following the Rome III recommendations. Hundred and nine consecutive patients with functional dyspepsia answered the questionnaire (more) . The control group comprised 100 healthy consecutive blood donors, without digestive problems. Internal consistency, reproducibility, responsiveness, discriminate validity and content analysis were evaluated. RESULTS: Cronbach's ? coefficient was 0.92. The questionnaire showed reliability: the patients answered it in a similar way on two distinct occasions and their responses were substantially very similar (P = 1.00). The questionnaire was able to demonstrate changes when they occur (P
Extensive Monte Carlo simulations on three qualitatively different model supercritical fluids (square-well fluid, Lennard-Jonesium, and primitive water) have been performed to examine percolation threshold parameters for continuum (correlated) models and their relation to general results valid for random lattice models; random-site percolation simple-cubic lattice has therefore been considered as well. Two different bond criteria, the configurational and self-bound ones, defining a cluster have been used. In addition to the percolation threshold occupation probability pc and the percolation threshold fluid density rhoc, the correlation length exponent nu and the wrapping probability at the percolation threshold Rw,c have also been evaluated. It is found that parameters nu and Rw,c exhibit not only strong temperature dependence but also, unlike the case of lattice systems, dependence on the nature of the system considered and the employed definition of the cluster. PMID:19518207
The validity of the alarm threshold 4sigma has been checked for hypothetical large and small facilities using a two-stage decision model in which the diverter's strategic variable is the quantity diverted, and the defender's strategic variables are the alarm threshold and the effectiveness of the physical security and material control systems in the possible presence of a diverter. For large facilities, the material accounting system inherently appears not to be a particularly useful system for the deterrence of diversions, and essentially no improvement can be made by lowering the alarm threshold below 4sigma. For small facilities, reduction of the threshold to 2sigma or 3sigma is a cost effective change for the accounting system, but is probably less cost effective than making improvements in the material control and physical security systems.
Abstract Audiometric measurements through a hearing aid (`in-situ') may facilitate provision of hearing services where these are limited. This study investigated the validity and reliability of in-situ air conduction hearing thresholds measured with closed and open domes relative to thresholds measured with insert earphones, and explored sources of variability in the measures. Twenty-four adults with sensorineural hearing impairment attended two sessions in which thresholds and real-ear-to-dial-difference (REDD) values were measured. Without correction, significantly higher low-frequency thresholds in dB HL were measured in-situ than with insert earphones. Differences were due predominantly to differences in ear canal SPL, as measured with the REDD, which were attributed to leaking low-fre...
Food shortage and toxicant stress have been proposed separately as structuring factors for zooplankton communities. How these factors interact to affect zooplankton remains poorly understood. The amount of food ingested by filter feeders depends upon food concentration, and a threshold concentration exists below which population growth is zero. A standard 2-d population growth test was used to determine whether toxicant stress altered the food threshold of the freshwater rotifer Brachionus calyciflorus. Threshold toxicant concentrations resulting in zero population growth rate and the NOEC were also compared at starving and abundant food conditions. Nutritional requirements were related to toxic exposure. For example, the threshold concentration of sodium pentachlorophenate (PCP) was 1.5 times lower at low food concentrations (0.3 million Nannochloris cells per milliliter) than at high food concentrations (3 million cells/ml). These results indicate that both factors must be considered in the validation of standard toxicity tests and their extrapolation to field conditions for ecologically meaningful predictions of toxicity.
Strength increase of dispersion-strengthened alloy is considered to be due to the fact that dispersed hard particles block the movement of dislocation, and threshold stress for the passage of dislocation between particles exists. Exact measurement of threshold stress is important for clarifying the mechanism of developing the deformation resistance though it is difficult. In order to clarify the factors bringing about this difficulty, experimental and theoretical values of threshold stress were compared on Al-1.5vol%Be alloy of which the strength developing mechanism is already known. Main results obtained are as follows: Methods of estimating dispersion-strengthening based on room-temperature 0.2% proof stress, zero-creep stress by the stress relaxation test, and steady creep stress were inappropriate for estimation because of temperature dependence; the threshold stress measured by the stress abruptly loading test changes from Orowan stress to void-hardening stress with the lapse of loading time, suggesting its valid mechanism. 27 refs., 9 figs., 3 tabs.
ObjectivesThree studies examine the factorial validity, internal consistency, test-retest stability, and criterion validity of the Emotion Regulation Questionnaire (ERQ: Gross & John, 2003) for use with athletes. DesignFactorial validity, internal consistency, test-retest stability and criterion validity of the ERQ were examined over three stages, using three separate samples. MethodIn stage 1 the factorial validity and internal consistency of the ERQ subscales were examined based on responses from 433 sport participants. In stage 2, 176 sport participants completed the ERQ on two occasions separated by an interval of two weeks. In stage 3, the criterion validity of the ERQ was examined. Sport participants (n = 88) completed the ERQ and reported the intensity, frequency and direction of a ...
Automated fast (5-20 min) synovial membrane volume determination by MRI, based on pre-set post-gadolinium-DTPA enhancement thresholds, was evaluated as a substitute for a time-consuming (45-120 min), previously validated, manual segmentation method. Twenty-nine knees [rheumatoid arthritis (RA) 13, osteoarthritis (OA) 16] and 17 RA wrists were examined. At enhancement thresholds between 30 and 60%, the automated volumes (Syn(x%)) were highly significantly correlated to manual volumes (SynMan) (knees: rho = 0.78-0.91, P < 10(-5) to < 10(-9); wrists: rho = 0.87-0.95, P < 10(-4) to < 10(-6)). The absolute values of the automated estimates were extremely dependent on the threshold chosen. At the optimal threshold of 45%, the median numerical difference from SynMan was 7 ml (17%) in knees and 2 ml (25%) in wrists. At this threshold, the difference was not related to diagnosis, clinical inflammation or synovial membrane volume, e.g. no systematic errors were found. The inter-MRI variation, evaluated in three knees and three wrists, was higher than by manual segmentation, particularly due to sensitivity to malalignment artefacts. Examination of test objects proved the high accuracy of the general methodology for volume determinations (maximal error 6.3%). Preceded by the determination of reproducibility and the optimal threshold at the available MR unit, automated 'threshold' segmentation appears to be acceptable when changes rather than absolute values of synovial membrane volumes are most important, e.g. in clinical trials.
Abstract in english OBJECTIVE: To translate, to perform a cultural adaptation of and to test the reproducibility of the Cochin Hand Functional Scale questionnaire for Brazil. METHODS: First, the Cochin Hand Functional Scale questionnaire was translated into Portuguese and was then back-translated into French. These translations were reviewed by a committee to establish a Brazilian version of the questionnaire to be tested. The validity and reproducibility of the Cochin Hand Functional Scale (more) questionnaire was evaluated. Patients of both sexes, who were aged 18 to 60 years and presented with rheumatoid arthritis affecting their hands, were interviewed. The patients were initially interviewed by two observers and were later interviewed by a single rater. First, the Visual Analogue Scale for hand pain, the Arm, Shoulder and Hand Disability questionnaire and the Health Assessment Questionnaire were administered. The third administration of the Cochin Hand Functional Scale was performed fifteen days after the first administration. Ninety patients were assessed in the present study. RESULTS: Two questions were modified as a result of the assessment of cultural equivalence. The Cronbach's alpha value for this assessment was 0.93. The intraclass intraobserver and interobserver correlation coefficients were 0.76 and 0.96, respectively. The Spearman's coefficient indicated that there was a low level of correlation between the Cochin Hand Functional Scale and the Visual Analogue Scale for pain (0.46) and that there was a moderate level of correlation of the Cochin Scale with the Health Assessment Questionnaire (0.66) and with the Disability of the Arm, Shoulder and Hand questionnaire (0.63). The average administration time for the Cochin Scale was three minutes. CONCLUSION: The Brazilian version of the Cochin Hand Functional Scale was successfully translated and adapted, and this version exhibited good internal consistency, reliability and construct validity.
ABSTRACT: BACKGROUND: There is no doubt that the perceived stigma of having a mental disorder acts as a barrier to help seeking. It is possible that personnel may be reluctant to admit to symptoms suggestive of poor mental health when such data can be linked to them, even if their personal details are only used to help them access further care. This may be particularly relevant because individuals who have a mental health problem are more likely to experience barriers to care and hold stigmatizing beliefs. If that is the case, then mental health screening programmers may not be effective in detecting those most in need of care. We aimed to compare mental health symptom reporting when using an anonymous versus identifiable questionnaire among UK military personnel on deployment in Iraq. METHODS: Survey among UK military personnel using two questionnaires, one was anonymous (n = 315) and one collected contact details (i.e. identifiable, n = 296). Distribution was by alternate allocation. Data were collected in Iraq during January-February 2009. RESULTS: No significant difference in the reporting of symptoms of common mental disorders was found (18.1% of identifiable vs. 22.9% of anonymous participants). UK military personnel were more likely to report sub-threshold and probable PTSD when completing questionnaires anonymously (sub-threshold PTSD: 2.4% of identifiable vs. 5.8% of anonymous participants; probable PTSD: 1.7% of identifiable vs. 4.8% of anonymous participants). Of the 11 barriers to care and perceived social stigma statements considered, those completing the anonymous questionnaire compared to those completing the identifiable questionnaire were more likely to endorse three statements: "leaders discourage the use of mental health services" (9.3% vs. 4.6%), "it would be too embarrassing" (41.6% vs. 32.5%) and "I would be seen as weak" (46.6% vs. 34.2%). CONCLUSIONS: We found a significant effect on the reporting of sub-threshold and probable PTSD and certain stigmatizing beliefs (but not common mental disorders) when using an anonymous compared to identifiable questionnaire, with the anonymous questionnaire resulting in a higher prevalence of PTSD and increased reporting of three stigmatizing beliefs. This has implications for the conduct of mental health screening and research in the US and UK military. PMID:22985427
Purpose: This study translated and validated the Kujala scale, a well-documented questionnaire for patients with patellofemoral pain, into Chinese version. Method: Chinese Kujala scale was translated from the original English version following the recommendations of the International Society for Pharmacoeconomics and Outcomes Research. Sixty four Chinese reading patients who are diagnosed of patellofemoral pain were recruited from multiple hospitals and physiotherapy clinics. Psychometric property was evaluated in terms of test-retest reliability and internal consistency. Convergent validity was examined by Spearman rank correlation coefficient tests by comparing its score with the validated Chinese version of WOMAC Osteoarthritis Index and SF-36. Results: Chinese Kujala scale demonstrated...
This study aims to validate the Multiple Sclerosis (MS) International Quality of Life (MusiQoL) questionnaire, a multi-dimensional, self-administered questionnaire, available in 14 languages, as a disease-specific quality of life scale that can be applied internationally. A total of 1992 patients with different types and severities of MS from 15 countries were recruited. At baseline and day 21 +/- 7, each patient completed the MusiQoL, a symptom checklist and the short-form (SF)-36 QoL questionnaire. Neurologists also collected socio-demographic, MS history and outcome data. The database was randomly divided into two subgroups and analysed according to different patient characteristics. For each model, psychometric properties were tested and the number of items was reduced by various statistical methods. Construct validity, internal consistency, reproducibility and external consistency were also tested. Nine dimensions, explaining 71% of the total variance, were isolated. Internal consistency and reproducibility were satisfactory for all the dimensions. External validity testing revealed that dimension scores correlated significantly with all SF-36 scores, but showed discriminant validity by gender, socio-economic and health status. Significant correlations were found between activity in daily life scores and clinical indices. These results demonstrate the validity and reliability of the MusiQoL as an international scale to evaluate QoL in patients with MS. PMID:17942521
We describe the validity and reliability of midwife-administered postpartum questionnaires in home and clinic settings. Women identified prospectively before or following hospital delivery (n = 476), September 2004-January 2005, were re-contacted at 6 months postpartum for home interview and medical examination. Reliability was measured by comparing women's responses to the same questions at home and in clinic interviews. Validity was measured by comparing questionnaire responses with results of medical examination. Reliability of responses to questions comparing home and clinic interview was very good (? > 0.6) for resumption of menstruation and occurrence of hemorrhoids, moderate (0.4 exhaustion or fatigue. The home and clinic interviews had poor validity for detecting common postpartum morbidities: anaemia (sensitivity 33.7%, specificity 65.7%), urinary incontinence (5.1, 98.1%), urinary tract infection (2.1, 94.5%), prolapse (18.2, 91.2%); but good validity for hemorrhoids (71.4, 86.9%). In this setting, questionnaire-based interviews were neither reliable nor valid tools for measuring morbidity at 6 months postpartum. A medical examination is required to identify and measure the levels of morbidity up to 6 months postpartum. PMID:21800070
Everyday leisure activities in adulthood and old age have been investigated with respect to constructs such as successful aging, an engaged lifestyle, and prevention of age-related cognitive decline. They also relate to mental health and have clinical value, as they can inform diagnosis and interventions. In the present study, the authors enhanced the content validity of the Victoria Longitudinal Study activity questionnaire by adding items on physical and social activities and validated a shortened version of the questionnaire. The proposed leisure activity model included 11 activity categories: 3 types of social activities (i.e., activities with close social partners, group-centered public activity, religious activities), physical activities, developmental activities, experiential activities, crafts, game playing, TV watching, travel, and technology use. Confirmatory factor analyses validated the proposed factor structure in 2 independent samples. A higher order model with a general activity factor fitted the activity factor correlations with relatively little loss of fit. Convergent and discriminant validity for the activity scales were supported by patterns of their correlations with education, health, depression, cognition, and personality. In sum, the scores derived from of the augmented Victoria Longitudinal Study activity questionnaire demonstrate good reliability, and validity evidence supports their use as measures of leisure activities in young, middle-aged, and older individuals. (Contains 7 tables, 1 figure, and 3 footnotes.)
Aims The aim of this study was to validate the Dutch version of the Diabetes Obstacles Questionnaire (DOQ) [H. Hearnshaw, K. Wright, J. Dale, J. Sturt, E. Vermeire, P. Van Royen, Development and validation of the Diabetes Obstacles Questionnaire (DOQ) to assess obstacles in living with Type 2 diabetes, Diabetic Med. 24 (2007) 878-882] assessing people living with type 2 diabetes' obstacles to adhere to treatment recommendations. The goal is to have at ones disposal an instrument to identify obstacles to adhering to treatment recommendations for people living with type 2 diabetes in a Dutch speaking population. Methods Participants were recruited from a pragmatic sample of general practices in Flanders (Belgium). In accordance with the validation procedure in the UK [H. Hearnshaw, K. Wright...
The use of a dedicated score represents an essential tool for the clinical staging of obstructed defecation syndrome (ODS), for subsequent diagnostic and therapeutic options, and for the evaluation of the results. This study was designed to develop and validate a new, simple, and disease-specific scoring system for ODS. The questionnaire consists of 5 items: excessive straining, incomplete rectal evacuation, use of enemas and/or laxatives, vaginal-anal-perineal digitations, and abdominal discomfort and/or pain. Each item was graded from 0 to 5 with a score ranging from 0 (no symptoms) to 20 (very severe symptoms). A specific statistical analysis identifies the new score as a valuable and concise instrument, which demonstrates, overall, excellent concurrent validity, reproducibility, internal consistency, and discriminant validity for the diagnosis and grading of ODS. The use of this questionnaire may improve uniformity in clinical research and may allow a more precise evaluation of symptom severity and treatment effectiveness in ODS. PMID:22599920
This study aimed to assess the reliability, validity, and factor structure of the Greek translation of the Patient Health Questionnaire (PHQ) in a sample of Cypriot, Greek-speaking university students. This is the first study to examine PHQ psychometric properties in Greek and to investigate the factor structure of the PHQ subscales. A total of 520 participants (73.9% women; MAge = 21.57; SD, 4.94) completed the PHQ and assessment tools used for convergent validity analysis. Patient Health Questionnaire was translated and culturally adapted according to international standards. Overall, PHQ subscales in Greek language demonstrated good internal consistency (mean Cronbach a = .75, P < .001) and convergent validity with the following: Alcohol Use Disorders Identification Test, Beck Depressio...
Background: Our objective was to confirm the measurement properties of the Treatment Satisfaction Questionnaire with Medication (TQSM) in patients with cystic fibrosis (CF) receiving inhaled antibiotics. Methods: The TSQM was included in the EAGER study, a clinical trial comparing a nebulized and a dry powder device for inhaled tobramycin in a CF population with chronic Pseudomonas aeruginosa (Pa) lung infection, aged 6years and above (N=553). Reliability and validity of the questionnaire were investigated using Cronbach's a and multitrait-multimethod approach. Results: The TSQM demonstrated very good reliability and construct validity: all Cronbach's a were above 0.86 and all items met the convergent and discriminant validity criteria. In multivariate regressions, higher patient satisfact...
Abstract Purpose: We evaluated the face, content, and construct validity of what is, to our knowledge, the only available virtual reality simulator based on a complete kinematic representation of the da Vinci? surgical system. Materials and Methods: A total of 5 experts (EPs) and 15 novices (NVs) completed exercises on the Mimic dV-Trainer (MdVT). All participants completed three repetitions of the following tasks: (1) Ring and Cone, (2) String Walk, and (3) Letterboard. Participants rated parameters of face and content validity on a five-point Likert-scale questionnaire. Workload imposed by the simulator was assessed using a NASA Task Load Index questionnaire (TLX). Results: Face validity of the MdVT was established as all 20 participants rated the simulator between average to easy-to-use...
AbstractPurpose To validate the Spanish translation of the Overactive Bladder Symptom Score (OABSS) questionnaire. Materials and Methods The OABSS was translated into Spanish (OABSS-S) and back translated. The OABSS-S was self-administered to subjects, following internal IRB and ISPOR Good Practices guidelines. Spanish speaking patients >18 years of age were recruited from primary care clinics. Content validity was achieved by having the first 25 subjects complete the questionnaire in privacy; afterwards they were interviewed and the clarity of each question was discussed with the patient. All subjects recruited, including the first 25, were divided into two groups by the presence of OAB as determined by a previously validated intake question. Subjects completed the OABSS-S in privacy on t...
Abstract in portuguese OBJETIVO: Adaptar a escala Body Shape Questionnaire para uso no Brasil; estudar a validade interna e a dimensionalidade da escala quando usada em uma população não clínica brasileira. MÉTODO: Um estudo de corte transversal foi realizado envolvendo uma população selecionada por conveniência de 164 estudantes dos três primeiros anos do curso de Medicina da Universidade Federal de São Paulo. Foram usados a versão de 34 itens do Body Shape Questionnaire e um questi (more) onário adicional para informação demográfica e antropométrica. RESULTADOS: A consistência interna do Body Shape Questionnaire, medida através do alfa de Cronbach, foi de 0,97, o que indica que as questões da escala convergem para um mesmo construto. A análise fatorial da escala resultou em uma solução de quatro dimensões que responde por 66,4% da variabilidade total dos dados. Em relação aos escores Body Shape Questionnaire, sua média foi de 58,7 ± 25,1 para os homens e 89,7 ± 31,3 para as mulheres. DISCUSSÃO: Encontramos uma diferença estatisticamente significante entre os gêneros na média dos escores do Body Shape Questionnaire. As alterações de imagem corporal, medidas pelo Body Shape Questionnaire, mostram uma grande insatisfação com a aparência em mulheres quando comparadas aos homens. A versão adaptada da escala parece manter as características da escala original. Abstract in english OBJECTIVE: To adapt the Body Shape Questionnaire for use in the Brazilian population; to study the internal validity and the dimensionality of the scale when used in a non- clinical Brazilian population. METHOD: A cross- sectional study was accomplished comprising 164 students in the first 3 years of the School of Medicine conveniently selected at the Universidade Federal de São Paulo. The 34- item Body Shape Questionnaire version and a questionnaire to assess demographi (more) c and anthropometric information were used. RESULTS: The internal consistency of the Body Shape Questionnaire measured by Cronbach's alpha was 0.97, indicating that the questions of the scale converge to the same construct. The factor analysis of the scale resulted in a four- dimension solution accounting for 66.4% of the total data variability. Regarding the final score of Body Shape Questionnaire, the mean score was 58.7 ± 25.1 for men and 89.7 ± 31.3 for women. DISCUSSION: We found statistically significant gender differences in the means of the Body Shape Questionnaire scores. Women showed higher dissatisfaction than did men as to their appearance as measured by the Body Shape Questionnaire. The adapted version of the scale seems to maintain the characteristics of the original scale.
Background: It is commonly assumed that there is conceptual equivalence between the task and ego achievement goals proposed by Nicholl's (1989) dichotomous achievement goal theory (Nicholls, 1989), and the mastery and performance approach goals advanced by Elliot's (1997) trichotomous hierarchical model of approach and avoidance achievement motivation. Aims: Our study examined whether this conceptual equivalence is reflected in measurement equivalence by examining the factorial structure and predictive validity of two established questionnaires that assess achievement goals based on Nicholl's and Elliot's approaches to achievement motivation. Sample: Greek adolescents (N = 336, M age = 13.45 years, SD = 1.04). Measures: The participants completed the Task and Ego Orientation in Sport Questionnaire (Duda & Nicholls, 1992), the Approach-Avoidance Achievement Goals Questionnaire (Elliot & Church, 1997) and a Physical Education (PE) version of the Self-Regulation Questionnaire (Goudas, Biddle, & Fox, 1994). Results: Confirmatory factor analyses of a number of competing models showed that a model with five correlated independent factors had the best fit. This finding suggests that the goals measured by the two achievement goal questionnaires are related, although independent constructs. However, hierarchical regression analyses predicting regulatory styles in PE showed quite a substantial overlap between the mastery and performance approach goals proposed by Elliot (1997), and the task and ego goals, respectively, advanced by Nicholls (1989). Conclusions: Taken together, our results indicate that the self-referenced and comparative goals of the TEOSQ and AAGQ are substantially related, to the extent that they have minimal unique predictive validity; however, they are not identical constructs.
A masking dilemma occurs when energy from a non-test ear crosses over the head to a test ear. In cases of bilateral atresia, obtaining thresholds on the poorer ear is problematic. Near threshold, however, sufficient ear-bone isolation exists to test with validity but not so much above threshold, even for the ultra-high (> 10 kHz) frequencies. This aspect of the bone audiogram should not be overlooked. We suggest two uses of binaural bone conduction hearing to help resolve the dilemma--one an auditory brainstem response variation, the other a high-frequency lateralization procedure. Both are also applicable in unilateral atresia with and without a sensorineural component. The use of an insert earphone for masking in the unobstructed ear will provide adequate interaural attenuation to resolve most but not all dilemmas. That is to say, the maximum isolation of an insert earplug is on the order of 100 dB, so it has a limit. The dilemma extends through the ultra-high frequencies (> 10 kHz) because the intra-aural attenuation is no more than 10 dB. In the cited case of unilateral congenital atresia of the external ear, the intra-aural threshold differences in the high frequencies plus the resolution of the masking dilemma in the low frequencies (without the need for more masking) leads us to conclude that the unmasked thresholds are valid. Masking can be extended above 10 kHz, but this is not generally within the capacity of commercial audiometers, a feature that should be included. PMID:17260874
ABSTRACT: BACKGROUND: Tinnitus research in an international context requires standardized and validatedquestionnaires in different languages. The aim of the present set of analyses was the reassessment of basic psychometric properties according to classical test theory of self-report instruments that are being used within the multicentre Tinnitus Research Initiative (TRI) database project. METHODS: 1318 patients of the TRI Database were eligible for the analyses. The basic psychometric properties reliability, validity, and sensitivity of Tinnitus Handicap Inventory (THI), Tinnitus Questionnaire (TQ) and Tinnitus Beeintrachtigungs Fragebogen (i.e., Tinnitus Impairment Questionnaire, TBF-12) were assessed by the use of Cronbach's alpha, corrected item-total correlations, correlation coefficients and standardized response means. RESULTS: Throughout the languages, all questionnaires showed high internal consistencies (Cronbach's alpha > 0.79) and solid item-total correlations, as well as high correlations among themselves (around 0.8) and in combination with the self-reported tinnitus severity. However, some paradoxical correlations between individual items of the TBF-12, constructed as a shortform of the THI, and the corresponding THI-items were seen. Standardized Response Means (SRM) were low if tinnitus did not change, and between 0.3 and 1.09 for improved or worsened tinnitus complaints, indicating the sensitivity of the measures. CONCLUSIONS: All investigated instruments have high internal consistency, high convergence and discriminant validity and good change sensitivity in an unselected large multinational clinical sample and thus appear appropriate to evaluate the effects of tinnitus treatments in a cross-cultural context. PMID:23078754
Abstract in portuguese O estudo objetivou avaliar a reprodutibilidade e a validade do questionário de consumo alimentar do dia anterior (QUADA) para escolares. O questionário é ilustrado com 21 alimentos e foi delineado para uso em nível de grupo. Participaram 131 escolares de oito a dez anos de idade de uma escola pública de período integral da cidade de Balneário Camboriú, Santa Catarina, em 2005. A reprodutibilidade foi avaliada em duas aplicações do questionário no mesmo dia. A v (more) alidade foi obtida pela comparação entre os itens alimentares selecionados no questionário e a observação direta de três refeições escolares do dia anterior. O questionário apresentou alta sensibilidade, com valores variando entre 73,4% (feijão) e 95,5% (arroz), e alta especificidade, variando entre 87,3% (frutas) e 98,8% (feijão). Conclui-se que o questionário pode gerar dados reprodutíveis e válidos para avaliar o consumo alimentar de escolares no dia anterior. Abstract in english The aim of the study was to assess the reproducibility and validity of the previous day food questionnaire (PDFQ) for schoolchildren. The questionnaire is illustrated with 21 foods and was designed for use at group level. The participants were 131 schoolchildren aged eight to ten years who were studying full-time in a public school in a city of Southern Brazil, in 2005. Reproducibility was assessed by applying the questionnaire twice on the same day. Validity was assessed (more) by comparing the food items selected on the questionnaire and direct observations from three school meals on the previous day. The questionnaire presented high sensitivity, ranging from 73.4% (beans) to 95.5% (rice), and high specificity, ranging from 87.3% (fruits) to 98.8% (beans). It was concluded that the questionnaire was capable of generating reproducible and valid data for assessing the food intake of schoolchildren on the previous day.
Background: Suboptimal health status (SHS) is characterized by ambiguous health complaints, general weakness, and lack of vitality, and has become a new public health challenge in China. It is believed to be a subclinical, reversible stage of chronic disease. Studies of intervention and prognosis for SHS are expected to become increasingly important. Consequently, a reliable and valid instrument to assess SHS is essential. We developed and evaluated a questionnaire for measuring SHS in urban Chinese.Methods: Focus group discussions and a literature review provided the basis for the development of the questionnaire. Questionnairevalidity and reliability were evaluated in a small pilot study and in a larger cross-sectional study of 3000 individuals. Analyses included tests for reliability and internal consistency, exploratory and confirmatory factor analysis, and tests for discriminative ability and convergent validity.Results: The final questionnaire included 25 items on SHS (SHSQ-25), and encompassed 5 subscales: fatigue, the cardiovascular system, the digestive tract, the immune system, and mental status. Overall, 2799 of 3000 participants completed the questionnaire (93.3%). Test-retest reliability coefficients of individual items ranged from 0.89 to 0.98. Item-subscale correlations ranged from 0.51 to 0.72, and Cronbach’s ? was 0.70 or higher for all subscales. Factor analysis established 5 distinct domains, as conceptualized in our model. One-way ANOVA showed statistically significant differences in scale scores between 3 occupation groups; these included total scores and subscores (P < 0.01). The correlation between the SHS scores and experienced stress was statistically significant (r = 0.57, P < 0.001).Conclusions: The SHSQ-25 is a reliable and valid instrument for measuring sub-health status in urban Chinese.
In comparison to conventional questionnaires, calendar interviews produce higher quality retrospective reports of factual information. This study sought to examine whether calendar interviews would also be advantageous in collecting retrospective reports of subjective assessment information. Respondents in a panel study were randomly assigned to either a calendar or conventional questionnaire method; both methods asked for retrospective reports on years in which disability was present and annual health status since young childhood. Panel data served as a source of validation for the retrospective reports. Both methods tended to underreport the number of years disabled and yielded mean levels of better annual health status in comparison to the panel reports. Calendar interviews demonstrated...
This study assessed the relationships between human values and the psychological construct of world-mindedness. Fifty-one college students and 58 high school students in a town in the Pacific Northwest completed the Values Questionnaire (Schwartz, 1992, 94) and the Cross-cultural World-mindedness Questionnaire (Der-Karabetian, 1992). A stepwise multiple regression equation was computed with the value types of universalism, security, and power being significant predictors of world-mindedness. The results validate the psychological conceptualization of world-mindedness as a value issue. The implications of this type of global consciousness are discussed in terms of the maintenance of the world ecosystem, immigration trends, and the proliferation of nuclear weapons. (Author/EH)
The relationships of achievement participation motivation, goal orientations and perceived physical ability were investigated in young competitive Brazilian swimmers. Four hundred and twenty five swimmers (287 males and 138 females, ranging in age from 11 to 25 years) completed the Participation Motivation Inventory (PMI), the Task and Ego Orientation in Sport Questionnaire (TEOSQ), and the Perceived Physical Ability Scale (PPA). Findings provided evidence for the validity and reliability of the questionnaires. Regression analyses showed that ego orientation predicted motives for participation related to status and fitness. In contrast, task orientation predicted motivational variables related with competition, energy release and skills/health. Perceived physical ability predicted variables with different degrees of self-determination.
In this study, 361 adult burn survivors completed the Perceived Stigmatization Questionnaire (PSQ), the Social Comfort Questionnaire (SCQ), and other measures. Both the PSQ and SCQ had good internal consistency indices. Factor analysis of the PSQ yielded 3 factors (absence of friendly behavior, confused/staring behavior, and hostile behavior). The SCQ had 1 factor. Conjoint factor analysis with measures of related constructs (body esteem, body-esteem importance, depression, social support) suggested that PSQ and SCQ measure distinct constructs. Correlations with the related psychosocial constructs and burn characteristics suggested the PSQ and SCQ have good convergent and discriminant validity. Limitations of the study are discussed.
The multidimensional acculturative stress scale (MASS) was developed to capture the unique stressors in different life domains faced by Pakistani adult immigrants (214) residing in Canada. Exploratory factor analysis of 32-item pool yielded a 24-item measure with five distinct factors including discrimination, threat to ethnic identity, and lack of opportunities for occupational and financial mobility, homesickness and language barrier. The Cronbach's alpha and internal consistency estimates provided reliability evidence for the total MASS and its five subscales. Further, concurrent validity estimates using the General health Questionnaire-12 (Goldberg & Williams, 1988) and the Psychological Well-being Questionnaire (Ryff & Singer, 1996) also supported the use and continued development of ...
The Cognitive Emotion Regulation Questionnaire (CERQ; Garnefski et al., Personality and Individual Differences, 30, 1311?1327, 2001) is a multidimensional questionnaire that was developed to assess cognitive emotion regulation strategies people use after experiencing negative life events or situations. The purpose of the present study was to develop a Turkish version of the CERQ and to examine its psychometric properties in a sample of Turkish university students. The English version of the CERQ was translated and back-translated prior to its administration to 396 participants recruited from several universities in Turkey. Internal consistency, test-retest reliability, inter-scale reliability, construct and criterion-related validity of the Turkish version were analyzed. The results indica...
Background Difficult sedation during endoscopy results in inadequate examinations and aborted procedures. We hypothesized that gender, alcohol abuse, physical/sexual abuse, and anxiety are predictors of difficult-to-sedate endoscopy patients. Methods This is a prospective cohort study. At the time of enrollment, subjects completed the following three validatedquestionnaires: state-trait anxiety inventory, self-report version of alcohol use disorder inventory, and Drossman questionnaire for physical/sexual abuse. Conscious sedation was administered for the endoscopic procedures at the discretion of the endoscopist and was graded in accordance with the Richmond agitation sedation scale (RASS). Subjects? perceptions of sedation were documented on a four-point Likert scale 24?h after their pr...
The original Orebro Musculoskeletal Pain Questionnaire (original-OMPQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the Orebro Musculoskeletal Screening Questionnaire (OMSQ), evolved and progressed the original-OMPQ to broaden application and improve practicality. This study evaluated and validated the OMSQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort of 143 acute musculoskeletal injured workers from ten Australian physiotherapy clinics. Baseline-OMSQ scores were concurrently recorded with functional status and prob...
BACKGROUND: There is accumulating evidence that people with autism have a particular affinity with music. METHODS: This study developed the "Playing-in-Touch" (PiT) questionnaire as an objective measure of musical intouchness - defined as the degree of engagement in creative exchange while playing ensemble music pieces - in persons with low-functioning autism. RESULTS: A 3-facet Rasch model supported the content and construct validity of the PiT scale. The items verified a one-dimensional hierarchical model. CONCLUSIONS: The PiT questionnaire is a convenient complement to other research methodologies exploring the attitudes of people with low-functioning autism in terms of active music making. PMID:23090275
Objective To develop a self-administered short questionnaire to assess patient satisfaction with medical treatment for hand eczema (dermatitis) with good psychometric properties. Method The content of the questionnaire was determined on the basis of clinical consultation with groups of patients, from studying the existing instruments, and from discussions with a panel of seven experts. A first draft version containing 38 items organised in six dimensions was tested on a pilot sample of patients to assess its legibility. The extended version was then tested on a sample of 217 patients of both genders enrolled at 18 hospitals representative of the national distribution. The questionnaire was supplied together with the Morisky-Green compliance questionnaire, the health-related quality of life (HRQL) SF-12 questionnaire, and a visual analogue scale (VAS) of perceived health status to assess concurrent validity. The dimensionality was reduced by means of exploratory factor analysis, and reliability was evaluated on the basis of internal consistency and two halves reliability estimates. Item discriminant capability and questionnaire discriminant validity with respect to known groups of patients (by gender, principal diagnosis, age, disease severity and treatment) were also assessed. Results The reduction and validation sample was composed of 54% women and 46% men, of various educational levels with an average age of 43 years (SD = 13.7). Of those who responded, 26% were diagnosed with hyperkeratotic dermatitis of the palms and 27% of the fingertips, and 47% with recurring palmar dyshidrotic eczema. The questionnaire was shortened to a version containing 17 items grouped in six dimensions: effectiveness, convenience, impact on HRQL, medical follow-up, side effects, and general opinion. Cronbach's alpha coefficient reached a value of 0.9. The dimensions showed different degrees of correlation, and the scores had a normal distribution with an average of 58.4 points (SD = 18.01). Treatment satisfaction scores attained correlations between 0.003 and 0.222 with the HRQL measures, and showed higher correlations with the effectiveness (r = 0.41) and tolerability (0.22) measures, but very low correlation with compliance (r = 0.015). Significant differences were observed between some diagnoses and treatments. Conclusions The shortened questionnaire proved to have good psychometric properties, providing excellent reliability, satisfactorily reproducing the proposed structure and supplying evidence of validity.
Clin. Otolaryngol. 2010, 35, 31-38. Objective: To examine psychosocial concomitants, illness perceptions, and treatment perceptions in patients with adductor spasmodic dysphonia. Design: Prospective controlled cohort study. Setting: A tertiary care facility. Participants: Forty-nine out-patients (38 women, 11 men; average age of 52 years) with adductor spasmodic dysphonia completed a battery of reliable and validated psychometric assessment instruments. Control patients' data were derived from scores in questionnaires by samples in the formal Manuals of the questionnaires used. Main outcome measures: Psychosocial functioning, illness perceptions, and treatment perceptions. Results: Scores on psychosocial measures were elevated in male patients especially, indicating levels of psychological...
Computer usage, computer experience, computer familiarity, and computer anxiety are often discussed as constructs potentially compromising computer-based ability assessment. After presenting and discussing these constructs and associated measures we introduce a brief new questionnaire assessing computer usage. The self-report measure consists of 18 questions asking for the frequency of different computer activities and software usage. Participants were N = 976 high school students who completed the questionnaire and several covariates. Based on theoretical considerations and data driven adjustments a model with a general computer usage factor and three nested content factors (Office, Internet, andGames) is established for a subsample (n = 379) and cross-validated with the remaining sample ...
This research sought to examine the opinions, attitudes and perceptions of construction workers on the skills, knowledge and behaviours that contribute to safety culture. Questionnaire data from workers on construction sites suggested that workers' perceptions of the primary characteristics of safety culture validated accepted precepts of safety culture found in safety culture theory, such as communication and was at variance with several safety critical leadership positions. Analysis of the 107 questionnaire responses suggested that workers saw the four most influential safety critical positions to be at construction site level and not at `head office'. Ranked according to preference these are: Occupational Health and Safety Officers, Foremen/Supervisors, Trade Union Representatives and t...
This research explores the relationships between self-directed learning readiness and transformative learning theory (TLT) reflected by the Constructivist Internet-based Learning Environment Scale (CILES). A questionnaire survey about adult learner's perceptions of Internet-based learning was administered to adults enrolled in classes in community colleges in Taiwan. A total of 593 validquestionnaires were used for the structural equation modeling analysis. The findings confirmed a second-order hierarchical factor relationship of TLT (technical, dialectical and emancipatory learning interests) from CILES. Moreover, the three domains of learning interests of transformative learning were proved to have a developmental relationship, moderated by the readiness of self-directed learning for adult learners in Internet-based learning.
Experiential avoidance and distress intolerance play a central role in novel behavior therapies, yet they appear to overlap considerably the REBT concept of low frustration tolerance. Using baseline data from 100 adult cigarette smokers enrolled in a clinical trial of smoking cessation therapies, the present study evaluated the convergent validity of common questionnaire measures of experiential avoidance (Acceptance and Action Questionnaire; AAQ; Hayes et al. 2004, and Avoidance and Inflexibility Scale: AIS; Gifford et al. 2004) and behavioral measures of distress tolerance (computerized Mirror Tracing Persistence Task: MTPT-C: Strong et al. 2003; computerized Paced Auditory Serial Addition Task; PASAT-C; Lejuez et al. 2003). The distress tolerance measures correlated significantly (r = ....
The study of the interactions of Cosmic Rays (CR's) with universal diffuse background radiation can provide very stringent tests of the validity of Special Relativity. The interactions we consider are the ones characterized by well defined energy thresholds whose energy position can be predicted on the basis of Special Relativity. We argue that the experimental confirmation of the existence of these thresholds can in principle put very stringent limits on the scale where Special Relativity and/or continuity of space-time may possibly break down.
Perfusion-diffusion (perfusion-weighted imaging (PWI)/diffusion-weighted imaging (DWI)) mismatch is used to identify penumbra in acute stroke. However, limitations in penumbra detection with mismatch are recognized, with a lack of consensus on thresholds, quantification and validation of mismatch. We determined perfusion and diffusion thresholds from final infarct in the clinically relevant spontaneously hypertensive stroke-prone (SHRSP) rat and its normotensive control strain, Wistar-Kyoto (WKY) and compared three methods for penumbra calculation. After permanent middle cerebral artery occlusion (MCAO) (WKY n=12, SHRSP n=15), diffusion-weighted (DWI) and perfusion-weighted (PWI) images were obtained for 4?hours post stroke and final infarct determined at 24?hours on T2 scans. ...
Salt intake in childhood is a risk factor for developing hypertension later in life. As health education for children to decrease salt intake, it is important for them to know the relationship between salty taste preference and salt intake. The objective of this study was to investigate the relationship between children's salty taste preference and their salt intake. We employed a cross-sectional study design, and the subjects were 199 elementary school children (5th or 6th grade) and their mothers. The amount of salt intake was estimated by the amount of urinary sodium excretion. Children's salty taste preference was assessed 1) by asking children about their own salty taste preference as well as measuring their threshold level of salty taste, and 2) by their mothers' observation of their salt intake behavior using a questionnaire. The salt intake and salt taste threshold of children who liked a salty taste were similar to those in children who disliked it. No association was found between the threshold level of salty taste and sodium intake. Regarding the relationship between children's salt intake and their salt intake behavior score, assessed by their mothers using a questionnaire, the high score group had a higher estimated salt intake than the low score group. In conclusion, children's salt intake may be accurately assessed by their mother's observation rather than children's own salty taste preference. This study suggests the importance of a mother's role in salt restriction education for children.
ABSTRACT: BACKGROUND: Few studies have used standardized QOL instruments to assess the quality of life (QOL) in Gilles de la Tourette (GTS) patients. This work investigates the QOL of adult GTS patients and examines the relationships between physical and psychological variables and QOL. METHODS: Epidemiological investigation by anonymous national postal survey of QOL of patients of the French Association of Gilles de la Tourette Syndrome (AFGTS) aged 16 years or older. The clinical and QOL measures were collected by four questionnaires: a sociodemographic and GTS-related symptoms questionnaire, the World Health Organization Quality Of Life questionnaire (WHOQOL-26), the Functional Status Questionnaire (FSQ), and a self-rating questionnaire on psychiatric symptoms (SCL-90), all validated in French. We used stepwise regression analysis to explicitly investigate the relationships between physical and psychological variables and QOL domains in GTS. RESULTS: Questionnaires were posted to 303 patients, of whom 167 (55%) completed and returned them. Our results, adjusted for age and gender, show that patients with GTS have a worse QOL than the general healthy population. In particular, the "Depression" psychological variable was a significant predictor of impairment in all WHOQOL-26 domains, psychological but also physical and social. CONCLUSIONS: The present study demonstrates a strong relationship between QOL in GTS and psychiatric symptoms, in particular those of depression. PMID:22888766
Health-related quality of life (HRQOL) , abbreviated as QOL, can be evaluated by various questionnaires, which are classified as generic and disease-targeted ones. Generic questionnaires are further subdivided into profile-type and preference-based ones. SF-36 and EQ-5D are the best known examples for the former and the latter, respectively. In SF-36 and its shortened one SF-8, the subjects' QOL is expressed by several profiles or subscales. Their advantages include well-conducted validation and availability of national norms. In EQ-5D, a single value representing the subjects' QOL status (utility) is obtained through 5 questions. These generic questionnaires are applicable to patients with various diseases or even to healthy citizens. In contrast, disease-targeted questionnaires lack such features, but can include items that are specifically related to the disease but devoid of general applicability. Thus, generic and disease-targeted questionnaires have their own pros and cons. Selection of the questionnaires depends on the object of the study. PMID:22298081
'Threshold' models for crude oil fouling present a logical framework for analysing chronic fouling problems in refinery pre-heat trains. Few complete data sets of fouling thresholds in crude oil exist: this paper presents a modelling (correlation) study of the data set obtained by Knudsen et al. [Understanding Heat Exchanger Fouling and its Mitigation, Begell House, New York, 1999, p. 265] for threshold fouling experiments performed in a pilot plant. The threshold fouling equation proposed previously by Ebert and Panchal, and extended by Panchal et al. [Understanding Heat Exchanger Fouling and its Mitigation, Begell House, New York, 1999, p. 273] has been modified following a critique of some of its underlying assumptions. These previous efforts in developing threshold fouling equations were based on observed fouling rates, extrapolated to yield operating conditions that presumably exhibit zero fouling. This study represents an attempt to model measured physical parameters that actually resulted in no observable fouling. The validity of such a model to describe threshold fouling conditions in refinery pre-heat exchangers is discussed. (author)
Abstract in portuguese OBJETIVO: Testar reprodutibilidade e validade por grupos de alimentos de um questionário de frequência alimentar, desenvolvido para indivíduos adultos residentes no Sul do Brasil. MÉTODOS: Dois questionários de frequência alimentar e três inquéritos recordatórios de 24 horas foram aplicados a 128 participantes, com idade entre 20 e 69 anos. Os alimentos foram agrupados em 19 grupos previamente definidos. As análises foram realizadas com dados brutos e corrigidos (more) pela energia. RESULTADOS: Apenas nas estimativas de ingestão dos grupos de folhosos e de leguminosas observaram-se diferenças estatisticamente significantes entre os dois questionários de frequência alimentar. Os coeficientes de correlação, corrigidos pela energia, entre os questionários variaram de 0,53 (embutidos e presuntos) a 0,85 (bebidas alcoólicas e leite e derivados light). Quanto à validade, ambos os questionários produziram tanto estimativas de ingestão mais altas como mais baixas do que a média dos inquéritos recordatórios de 24 horas. O coeficiente de correlação médio entre cada questionário e os inquéritos recordatórios de 24 horas foi de 0,39 para o questionário de frequência alimentar 1, e de 0,40 para o questionário de frequência alimentar 2. Os coeficientes de correlação foram iguais ou maiores que 0,40 para 9 grupos alimentares no questionário de frequência alimentar 1, e para 11 grupos no questionário de frequência alimentar 2. Os percentuais médios de classificação no mesmo terço, pelos dois métodos, foram 49% para o questionário de frequência alimentar 1, e 48% para o questionário de frequência alimentar 2. Os valores de Kappa ponderado variaram de -0,04 (bebidas não-alcoólicas) a 0,69 (leite e derivados light), considerando ambos os questionários. CONCLUSÃO: O questionário de frequência alimentar baseado em grupos de alimentos representa uma boa alternativa para avaliar o hábito alimentar, com a vantagem de ter uma lista reduzida de itens alimentares. Abstract in english OBJECTIVE: To test reproducibility and validity of a food frequency questionnaire based in food groups developed for adults living in Southern Brazil. METHODS: Two food frequency questionnaire (food frequency questionnaire 1 and food frequency questionnaire 2) and three 24-hour dietary recalls (24h-R) were applied to 128 participants (20-69 years). The foods were grouped in 19 groups previously defined. Analyses were performed for crude data and adjusted for energy. RESUL (more) TS: Statistically significant differences in the estimates of intake between two food frequency questionnaire were observed for the group of leafy vegetables and legumes. The energy-adjusted correlation coefficients between questionnaires ranged from 0.53 (sausages and hams) to 0.85 (alcoholic beverages and low-fat dairy). As to the validity, both questionnaires showed higher and lower estimates of intake in relation to 24-hour dietary recalls. The mean correlation coefficient between each food frequency questionnaire and 24h-R was 0.39 (food frequency questionnaire 1) and 0.40 (food frequency questionnaire 2). The correlation coefficients were equal to or greater than 0.40 for nine food groups in the food frequency questionnaire 1 and for eleven food groups in the food frequency questionnaire 2. The average classification percentages in the same tertile, by the two methods, were 49% (food frequency questionnaire 1) and 48% (food frequency questionnaire 2). The weighted kappa values ranged from -0.04 (non-alcoholic beverages) to 0.69 (milk and light derived) for both food frequency questionnaire. CONCLUSION: This food frequency questionnaire based food group represents a good alternative for assessing the food habits, with the advantage of having a short list of food items.
Background There is a large amount of research into and promotion of rational prescribing, but there is a comparative lack of investigation into deprescribing. The success of deprescribing is likely to be dependent on both medical and patient factors. Objective The aim of this study was to develop and validate a tool to capture the views and beliefs of patients regarding cessation of medications. Setting Participants were recruited from a multidisciplinary clinic at the Royal Adelaide Hospital and Hampstead Rehabilitation Centre. Methods The patients' attitudes towards deprescribing (PATD) questionnaire was developed through expert opinion and piloting. Psychometric testing included face, content and criterion validity, sensitivity and test-retest reliability. Results A final 15 item questionnaire was produced. Through piloting, expert review and gamma rank correlation with the previously validated beliefs about medicines questionnaire, the PATD was determined to be valid. Test-retesting resulted in a total concordance of 71.3 % (95 % confidence interval, 64.1-78.5 %). Conclusion The PATD has acceptable psychometric properties and has potential for future use in research and practice to not only determine patients' willingness towards deprescribing, but also uncover what beliefs may influence this. PMID:23054137
In this study, the prevalence of attention-deficit hyperactivity disorder (ADHD) in kindergarten children in northeast Iran was investigated, and the criterion validity of Conners' parent-teacher questionnaire was evaluated through the use of clinical interviews. This study was a cross-sectional descriptive research project with children in kindergartens that was supported by the Behzisti Organization, which included 155 kindergartens and 4143 children. To study the prevalence of ADHD, cluster random sampling was used; 1083 children were chosen as a reference, and random sampling was used to determine the criterion validity. Twenty-two children scoring below a specified cut-off score and 32 children scoring above the cut-off score were interviewed. In the first stage, ADHD was assessed using Conners' parent-teacher questionnaire, and in the second stage, it was assessed with a clinical interview based on DSM-IV-TR criteria. Finally, the prevalence rate was evaluated with descriptive parameters, and the criterion validity was assessed using the tetracoric correlation coefficient. The prevalence of ADHD was estimated at 12.3% [plus or minus] 2.12%. Moreover, test sensitivity and specificity were evaluated at 90.3% and 81.2%, respectively. Therefore, the criterion validity with [alpha] = 0.05 is 90.3%. The prevalence of ADHD among children was high, suggesting a need to screen all children for ADHD before school age. The Conners' questionnaire proved to be a good test for the primary screening of ADHD among kindergarten children. (Contains 2 tables and 1 figure.)
Background: : An asthma-specific questionnaire, the Asthma Health Questionnaire (AHQ) was developed for Japanese asthmatic patients. A self-administered 37-item version (AHQ-37) consisting of 36 disease-specific items and a Face Scale was designed for socially active patients. Methods: : Exploratory factor analysis, test-retest reliability, internal consistency, concurrent validity and longitudinal validity were evaluated. A total of 326 asthma patients (202 men; range of age from 18 to 65 years) answered the AHQ-37 twice. Results: : Each item of the AHQ-37 was well accepted by the patients with answering rates of 95 to 100%. Six subscales (Asthmatic Symptoms, Emotion, Daily Activity, Factors which Worsened Symptoms, Social Activity and Economics) were extracted by factor analysis. Psychometric testing showed high feasibility, good repeatability and good internal consistency. The Face Scale moderately correlated with all subscales except for Economics, indicating that the Face Scale alone could measure global quality of life (QOL) functioning of asthmatic patients. Concurrent validity with peak-flow values was insufficient (Spearman's correlation coefficient = 0.05—0.27), showing that the peak flow alone could not estimate QOL. In longitudinal validity, however, changes in peak-flow values had an impact on the Asthmatic Symptoms, Daily Activity and Factors which Worsened Symptoms (P = 0.000—0.419), indicating that changes in peak-flow were important to asthmatic patients' QOL. Conclusions: : The QOL of asthmatic patients must be evaluated by asthma-specific questionnaires, such as the AHQ-37.
BACKGROUND: Cough is a distressing symptom and has a significant effect on many children and their families. Quality-of-life (QOL) measures provide important outcome indicators for clinicians and aid in evaluating the efficacy of interventions. OBJECTIVE: The aim of this study was to develop and validate a short cough-specific QOL questionnaire for pediatric use. METHOD: Two sources provided data to establish a shortened version of the Parent Cough-specific Quality of Life (PC-QOL) questionnaire. The first (n = 240, 137 boys; median age, 29 months [interquartile range, 14-64 months]) was used for development and cross-validation. Stepwise regression was used to select the reduced set of items, and analyses of reliability, validity, and minimally important differences determined psychometric strength and sensitivity to change. The second independent dataset (n = 320, 190 boys; median age, 39.5 months [interquartile range, 16-77 months]) was used as a confirmatory sample. RESULTS: Forward-step regression identified 8 items that accounted for 95% of the variance in the full-scale PC-QOL questionnaire. This shortened version (PC-QOL-8) was internally consistent (Cronbach ? = 0.84), had good test-retest reliability (intraclass correlation coefficient = 0.66), and demonstrated strong validity (significant correlations with a cough verbal category descriptor score, cough visual analog scale, and subscales of the Short Form-12 General Health scale, the Pediatric Quality of Life Inventory, and the Depression, Anxiety, and Stress Scale). The reduced scale was responsive to change, and a minimally important difference of 0.9 was suggested. These findings were confirmed with the second dataset. CONCLUSION: The PC-QOL-8 questionnaire is a short, reliable, and valid instrument for assessing the effect of a child's chronic cough. It demonstrated sensitivity to change, and its length and psychometric properties should enhance its potential uptake and routine use in clinical practice and research. PMID:23146374
Objectives: The aim of the present study was to translate, adapt and validate the Effort-Reward Imbalance (ERI) questionnaire in a sample of Greek healthcare professionals. Methods: An internationally recommended methodology was followed to perform translation of the ERI instrument into the Greek language. The questionnaire was then randomly administered to 600 Greek physicians, nurses, physiotherapists and laboratory staff, and 456 questionnaires with no missing data on the ERI items were returned (76% response rate). Tool validation included assessment of internal consistency, factorial structure, discriminant validity and presence of floor or ceiling effects. Criterion validity was demonstrated by investigating the association of theoretically relevant ERI summary measurements with respondents’ self-rated health. Results: The Greek version of the ERI questionnaire showed good psychometric properties. Cronbach’s alpha values were 0.79, 0.72 and 0.75 for the three ERI scales of effort, reward and overcommitment respectively. Exploratory factor analysis yielded a 5-factor solution that closely reflected the original theoretical ERI model. Significant associations were found between respondents’ age, gender and specific occupation with ERI scores. ERI ratio and “overcommitment” scores in the highest tertiles were associated with elevated odds ratios (OR) of below-average self-rated health (OR=5.38, 95% confidence intervals 1.77 to 16.38, p=0.003, and OR=3.41, 95% confidence intervals 1.39 to 8.38, p=0.007, respectively). Conclusions: The translated and adapted Greek version is comparable with the original ERI instrument in terms of validity and factorial structure and is suitable for assessment of the psychosocial work environment of Greek healthcare professionals.
Objectives: The aim of the present study was to translate, adapt and validate the Effort-reward imbalance (ERI) questionnaire in a sample of Greek healthcare professionals. Methods: An internationally recommended methodology was followed to perform translation of the ERI instrument into the Greek language. The questionnaire was then randomly administered to 600 Greek physicians, nurses, physiotherapists and laboratory staff, and 456 questionnaires with no missing data on the ERI items were returned (76% response rate). Tool validation included assessment of internal consistency, factorial structure, discriminant validity and presence of floor or ceiling effects. Criterion validity was demonstrated by investigating the association of theoretically relevant ERI summary measurements with respondents’ self-rated health. Results: The Greek version of the ERI questionnaire showed good psychometric properties. Cronbach’s alpha values were 0.79, 0.72 and 0.75 for the three ERI scales of effort, reward and overcommitment respectively. Exploratory factor analysis yielded a 5-factor solution that closely reflected the original theoretical ERI model. Significant associations were found between respondents’ age, gender and specific occupation with ERI scores. ERI ratio and “overcommitment” scores in the highest tertiles were associated with elevated odds ratios (OR) of below-average self-rated health (OR=5.38, 95% confidence intervals 1.77 to 16.38, p=0.003, and OR=3.41, 95% confidence intervals 1.39 to 8.38, p=0.007, respectively). Conclusions: The translated and adapted Greek version is comparable with the original ERI instrument in terms of validity and factorial structure and is suitable for assessment of the psychosocial work environment of Greek healthcare professionals.
Purpose: To present an implementation of generalized cross validation (GCV) for automatically determining the regularization parameter—i.e., the threshold value in deconvolution analysis based on truncated singular value decomposition (TSVD) of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) data—and to investigate the usefulness of this approach in comparison with TSVD with a fixed threshold value (TSVD-F). Methods: Using computer simulations, we generated a time-dependent concentration of the contrast agent in the volume of interest (VOI) from the arterial input function (AIF) modeled as a gamma-variate function under various cerebral blood flows (CBFs), cerebral blood volumes (CBVs), and signal-to-noise ratios (SNRs) for three different types of residue functions (exponential, triangular, and box-shaped). We also considered the effects of delay and dispersion in AIF. The TSVD with GCV (TSVD-G) and TSVD-F with a fixed threshold value of 0.2 were used to estimate CBF values from the simulated concentration-time curves in the VOI and AIF, and the estimated values were compared with the assumed values. Additionally, the optimal threshold value was determined from the threshold value in TSVD-F giving the mean CBF value closest to the assumed value and was compared with the threshold value determined with TSVD-G. Results: With TSVD-G, the CBF estimation was substantially improved over a wide range of CBFs for all types of residue functions at the cost of more noise than was seen with TSVD-F. The dependency of the threshold value determined with TSVD-G on the CBF, CBV, and SNR was similar to that of the optimal threshold value, with some discrepancy being observed for the box-shaped residue function, although they did not always agree in terms of absolute value. Conclusion: Given an improved SNR, TSVD-G is useful for quantification of CBF with deconvolution analysis of DCE-MRI data.
ABSTRACT: BACKGROUND: Healthcare professional response rates to postal questionnaires are declining and this may threaten the validity and generalisability of their findings. Methods to improve response rates do incur costs (resources) and increase the cost of research projects. The aim of these randomised controlled trials (RCTs) was to assess whether 1) incentives, 2) type of reminder and/or 3) reduced response burden improve response rates; and to assess the cost implications of such additional effective interventions. METHODS: Two RCTs were conducted. In RCT A general dental practitioners (dentists) in Scotland were randomised to receive either an incentive; an abridged questionnaire or a full length questionnaire. In RCT B non-responders to a postal questionnaire sent to general medical practitioners (GPs) in the UK were firstly randomised to receive a second full length questionnaire as a reminder or a postcard reminder. Continued non-responders from RCT B were then randomised within their first randomisation to receive a third full length or an abridged questionnaire reminder. The cost-effectiveness of interventions that effectively increased response rates was assessed as a secondary outcome. RESULTS: There was no evidence that an incentive (52% versus 43%, Risk Difference (RD) -8.8 (95%CI [MINUS SIGN]22.5, 4.8); or abridged questionnaire (46% versus 43%, RD [MINUS SIGN]2.9 (95%CI [MINUS SIGN]16.5, 10.7); statistically significantly improved dentist response rates compared to a full length questionnaire in RCT A. In RCT B there was no evidence that a full questionnaire reminder statistically significantly improved response rates compared to a postcard reminder (10.4% versus 7.3%, RD 3 (95%CI [MINUS SIGN]0.1, 6.8). At a second reminder stage, GPs sent the abridged questionnaire responded more often (14.8% versus 7.2%, RD [MINUS SIGN]7.7 (95%CI [MINUS SIGN]12.8, -2.6). GPs who received a postcard reminder followed by an abridged questionnaire were most likely to respond (19.8% versus 6.3%, RD 8.1%, and 9.1% for full/postcard/full, three full or full/full/abridged questionnaire respectively). An abridged questionnaire containing fewer questions following a postcard reminder was the only cost-effective strategy for increasing the response rate ([POUND SIGN]15.99 per response). CONCLUSIONS: When expecting or facing a low response rate to postal questionnaires, researchers should carefully identify the most efficient way to boost their response rate. In these studies, an abridged questionnaire containing fewer questions following a postcard reminder was the only cost-effective strategy. An increase in response rates may be explained by a combination of the number and type of contacts. Increasing the sampling frame may be more cost-effective than interventions to prompt non-responders. However, this may not strengthen the validity and generalisability of the survey findings and affect the representativeness of the sample. PMID:22891875
Summary Background Non-adherence to 5-aminosalicylic acid (5-ASA) medication can limit the established benefits of this therapy in ulcerative colitis (UC). Aim To determine rates and predictors of non-adherence to 5-ASA therapy in UC patients. Methods Medication adherence was assessed using self-report data and urinary drug excretion measurements. Participants completed a study-specific questionnaire and two validatedquestionnaires: Beliefs about Medicine Questionnaire (BMQ)-Specific and Satisfaction with Information about Medicines Scale. Results A total of 169 participants provided self-report adherence data; 151 also provided urine samples. Adherence rates were 111/151 (68%) according to self-report and 90/151 (60%) according to urine analysis, but the two measures were not correlated ...
Background.- Migraine is frequently undertreated. The 4-item Migraine Assessment of Current Therapy (Migraine-ACT) questionnaire is a simple and reliable tool to identify patients requiring a change in current acute migraine treatment. Objective.- To investigate the responsiveness of the Migraine-ACT tool, and compare it with that of the Migraine Disability Assessment (MIDAS) questionnaire, for patients with migraine at 1100 primary care sites in Spain. Methods.- Patients eligible for this open-label, 2-visit prospective study reported migraine for >1 year and ?1 migraine attack per month and were new to the clinic or on follow-up care for <6 months. Validated Spanish versions of the Migraine-ACT and MIDAS questionnaires were administered, and patient satisfaction with treatment was rec...
The objective of this study was to test the reliability of the Turkish version of PRTEE (PRTEE-T) as a specific scale for LE, and to investigate the validity of this version by correlating and comparing its outcomes with those of the scales DASH (the Disabilities of the Arm, Shoulder, and Hand questionnaire) and Quick DASH (QDASH), pain (VAS), tenderness, and maximal grip strength (MGS). Fifty patients (14 males and 36 females) with the diagnosis of lateral epicondylitis were included in this study. PRTEE Questionnaire was translated into Turkish according to the guideline for the cross-cultural adaptation process. All patients filled the PRTEE-T questionnaire. Maximal grip strength, pain, and tenderness were measured. Next, the patients filled the DASH forms. The patients were asked to re...
This article reports on research using a convenient questionnaire designed to allow mathematics teachers to assess teacher-student interpersonal behaviour in their classrooms. The various forms of the Questionnaire on Teacher Interaction (QTI) are discussed, and its use in past research is summarised. The article provides validation data for the first use of the QTI with a large sample of mathematics classrooms and examines the relation of teacher-student interpersonal behaviour to student attitude. It also describes how mathematics teachers can and have used the questionnaire to assess perceptions of their own teacher-student interpersonal behaviour, and how they have used such assessments as a basis for reflecting on their own teaching. The QTI may thus provide a basis for systematic attempts to improve one's own teaching practice.
Children with developmental disorders may present with listening and/or speech discrimination difficulties. This study explores whether teachers can identify these difficulties, using a questionnaire that rates children's listening, speech discrimination and comprehension abilities. The questionnaire was given to class-teachers of 52 pupils, aged four to five years, who had failed at least one of two formal assessments of comprehension and speech discrimination. Results showed significant correlation between teacher ratings of verbal comprehension and attentive listening and test scores for verbal comprehension. There was no significant correlation between ratings and test scores for speech discrimination skills. The questionnaire's internal consistency was found to be reliable overall, but validity in measuring speech discrimination was poor. (Contains 6 tables, 1 figure, and 2 appendices.)
Background Although there is a wide range of specific health-related quality of life (HRQoL) measures for Parkinson?s disease (PD), their psychometric attributes have never been compared. Objective To compare the psychometric characteristics of the Parkinson?s Disease Questionnaire-39 items (PDQ-39) and Parkinson?s Disease Quality of Life Questionnaire (PDQL). Methods The PDQ-39 and PDQL were simultaneously applied to 187 PD patients. Additional assessments included Hoehn and Yahr staging, Schwab and England Scale (SES), Unified Parkinson?s Disease Rating Scale, Pfeiffer?s Short Portable Mental Status Questionnaire (SPMSQ) and Hospital Anxiety and Depression Scale (HADS). Criteria for acceptability, scaling assumptions, reliability, construct validity and precision were drawn up. Results B...
Objective To evaluate feasibility, internal consistency, test?retest reliability, and concurrent and discriminative validity of the Infant and Toddler Quality of Life Questionnaire (ITQOL) for parents of pre-school children with 12 scales (103-items) covering physical and psychosocial domains and impact of child health on parents, in comparison with the TNO-AZL Pre-school Children Quality of Life Questionnaire (TAPQOL). Methods Parents of children from a random general population sample (2?months?4?years old; n?=?500) and of an outpatient clinic sample of children with respiratory disease (5?months? Formula Not Shown ?years old; n?=?217) were mailed ITQOL and TAPQOL questionnaires; a retest was sent after two weeks. Results Feasibility: The response was ?80% with few missing and non-unique...
Objective: With more children receiving cochlear implants at an early age, there is a need for evaluation and assessment of early auditory behavior. We present the translation of the LittlEARS^(R) Auditory Questionnaire into Hebrew and into Arabic. First the validation of the LittlEARS^(R) Auditory Questionnaire in normal hearing children was evaluated. Second, the auditory behavior and the progress in hearing skills of a group of children with cochlear implants were assessed. Methods: A ''back-translation'' method was used to translate and adapt the LittlEARS^(R) Auditory Questionnaire into Hebrew and into Arabic. Normal hearing participants included 70 Hebrew speaking and 97 Arabic speaking parents of children from 1 to 24 months of age with normal hearing. An additional group of 42 pare...
Purpose The OUT-PATSAT35 CT questionnaire evaluates satisfaction with care expressed by cancer outpatients receiving chemotherapy. This study assesses the psychometric properties of the OUT-PATSAT35 CT when applied to a sample of Spanish patients. Methods One hundred seventy-six patients with different tumour sites and disease stages completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ)-C30, the OUT-PATSAT35 CT, the Oberst patients? perception of care quality and satisfaction scales (OS) and the item on intention to recommend the hospital (IR). Psychometric evaluation of the structure, reliability and validity of the questionnaire was conducted. Results Multitrait scaling analysis showed that 32 of 34 item-scale correlation coefficient...
Dietary fat is a fundamental contributor to the selection of food largely due to its pleasant orosensory characteristics. Consequently high fat foods are often over eaten leading to weight gain and in severe cases, obesity. This paper presents two studies investigating preference for fat. Study 1 is a large-scale questionnaire study which produced both UK normative data for the Fat Preference QuestionnaireCopyright and the first normative data for males. The results suggest that the Fat Preference QuestionnaireCopyright is a reliable and valid measure of fat preference in a UK population, although some changes to the measure are recommended. Female data was found to closely mirror the existing US data. Sex differences were established in scores of preference for high fat foods and quantiti...
Abstract Aim:- To investigate the perspectives of older, single-living New Zealand men towards healthy eating. Methods:- Twelve semistructured interviews with men aged 75 to 89-years using mixed methods and a general inductive analysis approach. To enrich description, participants were assessed for nutrition risk using a validatedquestionnaire, Seniors in the Community: Risk Evaluation for Eating and Nutrition, and nutrition knowledge using the General Nutrition Knowledge Questionnaire. Results:- Six of the men were assessed to be at high nutrition risk. Eating alone was the most common nutrition risk factor. The mean score for the nutrition knowledge questionnaire was 58.3 12.7 out of maximum score of 110. Three core themes related to healthy eating practices emerged from the analysis. F...
Background: The adoption of the Bologna system in 2006 emphasized academic teaching in physiotherapy in Switzerland. This had lead to a discussion on direct access to physiotherapy. Aim: The aim of this study was to evaluate the current attitude of physical therapists working in Switzerland towards direct access and if they feel up to the task of the providing direct access. Methodology: The study was based on questionnaires. After cross-cultural validation, the questionnaires were sent to all members of the Swiss Physical Therapy Association in May 2010. Twenty-seven percent of questionnaires were returned completed. Results: The survey shows that the majority (86%) of physical therapists favors direct access and 84% feel competent to provide direct access. Sixty percent of participants m...
The aim of this study is to research the degree of correlation between the Spanish version of the questionnaire YPAS and the 6-minute walking test (6MWT) in women over 60. In addition, the authors analyzed the relationship between the variables age and body mass index (BMI) and the walked distance. The study was carried out with 44 elderly women (68.1 ± 5.4 years) who filled in the questionnaire and immediately afterwards performed the 6MWT. Total time and energy expenditure (EE) values obtained in the questionnaire are significantly correlated with the 6MWT (p=0.02; p=0.01, respectively), while BMI and age showed an inverse association (r=-0.433; r=-0.318, respectively) with the walked distance. The Spanish version of YPAS is beginning to be considered as a valid and useful tool for habitual physical activity (PA) measurement and can be used among elderly Spanish speaking women. PMID:21763012
Abstract Purpose To validate two established questionnaires [Morisky and Medication Adherence Report Scale (MARS-5)] for the measurement of medical adherence of patients treated with antihypertensive drugs in primary care in Germany. Setting General practitioners (GPs) and their patients in North Rhine-Westphalia, Germany. Methods GPs were asked to recruit 12 consecutive patients using blood-pressure-lowering medication for at least 12 months. Patients were asked to fill out both the Morisky and MARS-5 questionnaires. The medication possession ratio (MPR) was calculated as reference standard for patients' medication adherence by using GPs' electronic patient records. The results of the questionnaires were then compared with the reference standard. Results A total of 14 GPs recruited 163 pa...
Objective Although epilepsy affects men and women equally, there are many women's health issues in epilepsy. These issues challenge both the woman with epilepsy and the many health care professionals involved in her care. As antiepileptic drugs (AEDs) play a major role in the treatment of epilepsy, pharmacists can serve an important function in the health care of patients with this chronic disease. The goal of this educational project was to assess pharmacists' knowledge of women's issues in epilepsy using the Knowledge of Women's Issues and Epilepsy II (KOWIE-II) questionnaire. Methods In this cross-sectional study we used the valid and reliable KOWIE-II questionnaire, a 10-item questionnaire on women's issues in general as well as pregnancy-related issues. A random sample of pharmacists ...
Vitamin D deficiency is common in older women and can negatively impact bone status. A simple method by which clinicians and researchers can evaluate a patient's vitamin D dietary intake could help identify individuals at risk for vitamin D deficiency. This study was done to validate a short dietary vitamin D questionnaire. Postmenopausal women (n=122), with a mean age of 63.9±7.8 years, completed a Brief Vitamin D Questionnaire (BVDQ), the Block Health History and Habits Questionnaire 1998 (BHHHQ98), a 3-day food record, and an evaluation of serum 25 hydroxyvitamin D (25[OH]D) levels. Data were analyzed using Pearson correlation coefficients, Wilcoxon signed ranks tests, and Bland-Altman analyses to compare the performance of the BVDQ to the BHHHQ98 and to the diet record. As asses...
Purpose - To provide reliable and valid constructs of total quality management (TQM) and a measurement instrument in the context of manufacturing industries in newly industrialized countries for evaluating the TQM implementation process and to target improvement areas. Design/methodology/approach - Based on a review of TQM literature and expert opinions, ten TQM constructs (nine implementation constructs and one outcome construct) were identified. A detailed questionnaire was developed with the items for ten TQM constructs along with the questions on quality performance and information about the respondents. The questionnaire was then sent to randomly selected ISO 9000 certified manufacturing companies in Thailand. Out of 1,000 questionnaires sent, 275 usable samples were returned giving a...
AbstractAims Quality of life is an important outcome measure in studies of urinary incontinence. Electronic collection of data has several advantages. We examined the reliability of the Swedish version of the highly recommended condition-specific quality of life questionnaire International Consultation on Incontinence Modular Questionnaire-Lower Urinary Tract Symptoms Quality of Life (ICIQ-LUTSqol), in paper and web-based formats in women with stress urinary incontinence. Methods Women aged 18-70 years, with stress urinary incontinence at least once weekly, were recruited via the project's website and answered the ICIQ-LUTSqol questionnaire. Respondents completed either the paper version twice (n-=-78), or paper and web-based versions once each (n-=-54). The ICIQ validation protocol was fo...
This paper describes a novel method to acquire efficient decision rules from questionnaire data using both simulated breeding and inductive learning techniques. The basic ideas of the method are that simulated breeding is used to get the effective features from the questionnaire data and that inductive learning is used to acquire simple decision rules from the data. The simulated breeding is one of the Genetic Algorithm (GA) based techniques to subjectively or interactively evaluate the qualities of offspring generated by genetic operations. In this paper, we show a basic interactive version of the method and two variations: the one with semi-automated GA phases and the one with the relatively evaluation phase via the Analytic Hierarchy Process (AHP). The proposed method has been qualitatively and quantitatively validated by a case study on consumer product questionnaire data.
The aim of the study is to validate the four-dimensional structure of the Drinking Motive Questionnaire Revised Short Form (DMQ-R SF) in a sample of Italian adolescents and to investigate associations of these motives with frequency of alcohol use and sensation seeking. The data were gathered through self-administered questionnaires in classrooms. The questionnaires were filled out by a representative sample of 2725 (56.4% males; mean age=16.2) 8th to 13th grade alcohol-using students. Confirmatory factor analysis and structural equation models were applied. The four-dimensional structure of the DMQ-R SF was confirmed in the general sample and among subgroups defined by gender and age. Furthermore, enhancement, social and coping motives were found to be positively related to sensation seek...
The purpose of the study was to identify physical activity questionnaires for older adults that might be suitable outcome measures in clinical trials of fall-injury-prevention intervention and to undertake a systematic quality assessment of their measurement properties. PubMed, CINAHL, and PsycINFO were systematically searched to identify measurements and articles reporting the methodological quality of relevant measures. Quality extraction relating to content, population, reliability, validity, responsiveness, acceptability, practicality, and feasibility was undertaken. Twelve outcome measures met the inclusion criteria. There is limited evidence about the measures' properties. None of the measures is entirely satisfactory for use in a large-scale trial at present. There is a need to develop suitable measures. The Stanford 7-day Physical Activity Recall Questionnaire and the Community Health Activities Model Program for Seniors questionnaire might be appropriate for further development. The results have implications for the designs of large-scale trials investigating many different geriatric syndromes. PMID:16301756
Purpose - The purpose of this paper is to investigate the use of scholarly electronic journals at the Indian Institute of Science. Design/methodology/approach - The paper examines the methodology and results from a questionnaire-based survey of networked electronic services in India at the Indian Institute of Science (IISc) libraries, serving a variety of disciplines. A random sample of the main cohort was selected and, during five months from January 2004 until May 2004, 700 copies of the questionnaire were distributed among 40 departments of IISc; 397 completed and validquestionnaires (56.7 per cent) were received. Findings - The results showed a growing interest in electronic journals among the users at IISc. Electronic journals were mostly used for research needs and PDF was the most ...
Aims The aim of this study was to validate the ambulatory automatic atrial threshold monitoring algorithm by comparing the measurements assessed by the automatic system and those evaluated manually by the physician at discharge, 2- and 8-month follow-up sessions. Methods and results This is an observational multicentric prospective study of 352 patients implanted with EnPulse® DR pacemakers. Mean age was 76.3 ± 9.4 years. Indications of pacing were atrio-ventricular block (AVB) (64%) and sinus dysfunction (SD) or brady–tachy syndrome (36%). The automatic atrial threshold monitoring function was maintained at nominal programming state with daily measurement scheduled at 1:00 am. Ambulatory automatic atrial threshold assessment was possible for 91.5%...
One chapter states that there are common misconceptions or ''myths'' about radiation. Myth 9 is ''there could well be a safe threshold for radiation exposure - a dose below which the body repairs all injury.'' What follows is a mythical criticism which states that the dose-response for cancer in the low dose range is supralinear and that an argument for threshold is untenable. According to the authors, the data are convincing down to doses as low as 0.25 rad. The authors are actually setting the stage to foster a new myth that ''evidence'' shows and virtually proves the validity of a linear and perhaps a supralinear dose-response model with no threshold.
Larson (1981) first noted a scaling relation between masses and sizes in molecular clouds that implies that these objects have approximately constant column densities. This original claim, based upon millimeter observations of carbon monoxide lines, has been challenged by many theorists, arguing that the apparent constant column density observed is merely the result of the limited dynamic range of observations, and that in reality clouds have column density variations over two orders of magnitudes. In this letter we investigate a set of nearby molecular clouds with near-infrared excess methods, which guarantee very large dynamic ranges and robust column density measurements, to test the validity of Larson's third law. We verify that different clouds have almost identical average column densities above a given extinction threshold; this holds regardless of the extinction threshold, but the actual average surface mass density is a function of the specific threshold used. We show that a second version of Larson'...
With using artificial neural networks (ANNs), an analytical study related to the heated length effect on critical heat flux (CHF) has been carried out to make an improvement of the CHF prediction accuracy based on local condition correlations or table. It has been carried out to suggest a feasible criterion of the threshold length-to-diameter (L/D) value in which heated length could affect CHF. And within the criterion, a L/D correction factor has been developed through conventional regression. In order to validate the developed L/D correction factor, CHF experiments for various heated lengths have been carried out under low and intermediate pressure conditions. The developed threshold L/D correlation provides a new feasible criterion of L/D threshold value. The developed correction factor gives a reasonable accuracy for the original database, showing the error of -2.18% for average and 27.75% for RMS, and promising results for new experimental data. 7 refs., 12 figs., 1 tab. (Author)
The catastrophic senescence of the Pacific salmon is among the initial tests used to validate the Penna aging model. Based on the mutation accumulation theory, the sudden decrease in fitness following reproduction may be solely attributed to the semelparity of the species. In this work, we report other consequences of mutation accumulation. Contrary to earlier findings, such dramatic manifestation of aging depends not only on the choice of breeding strategy but also on the value of the reproduction age, R, and the mutation threshold, T. Senescence is catastrophic when T\\leq R. As the organism's tolerance for harmful genetic mutations increases, the aging process becomes more gradual. We observe senescence that is threshold dependent whenever T>R. That is, the sudden drop in survival rate occurs at age equal to the mutation threshold value.
In this paper we deal with a single server retrial queue with vacations. The server serves the customers until the system becomes empty, then it takes a vacation. The system consists of two types of costs. The blocking cost is considered whenever a customer is blocked either because of the server is busy or off. There is also a cost each time the server is turned on. The problem is to find an effective policy for turning on the dormant server. We propose a Fuzzy Based Threshold Policy (FBTP) to control the server, substitute for conventional threshold policies. The FBTP is based on four input parameters, an inference stage and it is tuned up using a stochastic List Based Threshold Accepting (LBTA) algorithm. Simulation models are developed to validate the fuzzy controller. Numerical experi...
In this paper we obtain near threshold fatigue crack growth (FCG) data for several carbon steels and type 304 stainless steel by the K{sub max}-constant method. Since the FCG rate obtained by the K{sub max}-constant method is considered to give the upper limit of the FCG data obtained by the stress ratio-constant method, this data was compared with the FCG evaluation diagrams given in the ASME and Japan Society of Mechanical Engineers (JSME) pressure vessel post-construction codes to ensure their validity. Though the FCG rate for carbon steel S55C was somewhat affected by the K{sub max} value, the results show that the obtained near threshold FCG data is close to the upper bound of the JSME code diagram, which is an extrapolation of the ASME FCG diagram to the near threshold region.
Abstract Three studies are reported assessing the validity of AMTAS, an automated method for obtaining an audiogram, including air- and bone-conduction thresholds (stimuli delivered by a forehead-placed transducer) with masking noise presented to the non-test ear. In Study 1, six subjects at each of three sites were tested using manual audiometry by two audiologists at each site. The mean differences between the audiograms for the paired audiologists provided a measure of the reliability of traditional audiometry. In Study 2, thirty subjects (5 normal hearing, 25 hearing impaired) were tested using AMTAS and manual audiometry. For air-conduction thresholds, AMTAS-manual differences were similar to inter-tester differences in Study 1, but for bone-conduction thresholds, the former were larg...
A two-dimensional (2D) model for the threshold voltage of the short-channel double-gate (DG) metal-oxide-semiconductor field-effect transistors (MOSFETs) with a vertical Gaussian-like doping profile is proposed in this paper. The evanescent mode analysis has been used to solve the 2D Poisson's equation to obtain the channel potential function of the device. The minimum surface potential has been used to model the threshold voltage of the DG MOSFETs. Threshold voltage variations against channel length for different device parameters have been demonstrated. The validity of the proposed model is shown by comparing the results with the numerical simulation data obtained by using the commercially available ATLAS™, a 2D device simulator from SILVACO.
Developmental thresholds and thermal requirements for development of post-dormancy larvae of Monochamus galloprovincialis (Olivier) (Cerambycidae; Monochamini) were studied at ten constant temperatures ranging from 7 to 35°C. The relationship between temperature and development duration in days was linear between 15 and 30°C (r 2 = 0.98). The lower threshold for development was determined to be 12.2 ± 0.8°C and an average of 822 degree-days (DD) above that value was required for 50% adult emergence under laboratory conditions. The rate of larval development decreased above 30°C and the lethal upper threshold was between 32 and 35°C. Degree-day rate summation was initiated in the first of March and model predictions were validated with records of field emergence for the years 2001 to 2004....
Occupational diving is associated with hearing loss, but the cause is disputed. Our aim was to follow a cohort of divers through the first 6?years of their career in order to look for evidence of permanent threshold shift associated with diving activity, occupational noise exposure or acute injuries. Hearing was measured by pure tone audiometry in 67 participants at a basic course for working divers. Hearing thresholds were adjusted for age (ISO 7029). The subjects were examined and interviewed by an otologist. Additional medical and exposure data were recorded in questionnaires and personal logbooks. The procedure was repeated after 3 and 6?years. None of the subjects suffered inner ear barotrauma or inner ear decompression sickness during follow-up. Middle ear barotrauma was common. The ...
Thirty-five patients who were to undergo radiotherapy and 13 normal subjects were evaluated with taste questionnaires, taste acuity tests, and plasma zinc analyses. The studies were repeated on the patients in the fifth week of radiotherapy. The mean taste thresholds for NaCl (salt), sucrose (sweet), HCl (sour), and urea (bitter) were elevated and the plasma zinc levels were lower (77.2 +/- 11.8 vs. 94.6 +/- 30.1 g/100 ml, p = 0.055) for the patients than for the controls. However, there was not a significant correlation between the taste thresholds and plasma zinc levels at any time. The mean weight loss experienced by the 14 patients who reported subjective taste alteration in the fifth week was 3.1 kg versus 0.1 kg (p = 0.005) for those who did not report taste alteration. The data suggest that alterations in taste acuity, but not plasma zinc levels, are associated with weight loss during radiotherapy.
The effectiveness of bone anchored hearing aid (BAHA) for the patients with congenital aural atresia was evaluated by multicenter clinical study in Japan. Twenty patients (17 bilateral and 3 hemilateral) of congenital auricular atresia were registered for this study and finally, 18 of them (15 bilateral and 3 unilateral) were subjected to further evaluation. Primary endpoint of this study was free sound-field pure-tone audiometory and speech threshold hearing test in quiet and noisy circumstances. Secondary endpoint of this study was patient's satisfaction based upon APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire survey. These results were compared between before and 12 weeks after BAHA surgery. Both hearing level of pure tone and speech threshold significantly improved after BAHA surgery. APHAB scores also suggested the improvement of the QOL after BAHA usage, except for the scores that concerned with unpleasantness of noisy sound. BAHA is one of the useful options for the treatment of congenital auricular atresia. PMID:22073602
The objectives of this study are to determine the prevalence of hand-arm vibration syndrome (HAVS) and the characteristics of the vibrotactile perception threshold (VPT) among users of hand-held vibrating tools working in a tropical environment. A cross sectional study was done among 47 shipyard workers using instruments and a questionnaire to determine HAVS related symptoms. The vibration acceleration magnitude was determined using a Human Vibration Meter (Maestro). A P8 Pallesthesiometer (EMSON-MAT, Poland) was used to determine the VPT of index and little finger at frequencies of 31.5 Hz and 125 Hz. The mean reference threshold shift was determined from the reference threshold shift derived from the VPT value. The results show a moderate prevalence of HAVS (49%) among the shipyard workers. They were exposed to the same high intensity level of HAVS (mean = 4.19 ± 1.94 m/s2) from the use of vibrating hand-held tools. The VPT values were found to be higher for both fingers and both frequencies (index, 31.5 Hz = 110.91 ± 7.36 dB, 125 Hz = 117.0 ± 10.25 dB; little, 31.5 Hz = 110.70 ± 6.75 dB, 125 Hz = 117.71 ± 10.25 dB) compared to the normal healthy population with a mean threshold shift of between 9.20 to 10.61 decibels. The frequency of 31.5 Hz had a higher percentage of positive mean reference threshold shift (index finger=93.6%, little finger=100%) compared to 125 Hz (index finger=85.1%, little finger=78.7%). In conclusion, the prevalence of HAVS was lower than those working in a cold environment; however, all workers had a higher mean VPT value compared to the normal population with all those reported as having HAVS showing a positive mean reference threshold shift of VPT value.
Abstract in portuguese OBJETIVO: Desenvolver e investigar a confiabilidade e a validade da versão brasileira do Questionário de Função Visual de 25 Itens do National Eye Institute. MÉTODOS: A versão brasileira do questionário foi desenvolvida e aplicada em pacientes com doenças oculares crônicas e controles sadios. A confiabilidade foi calculada pelo coeficiente alfa de Cronbach de correlação intraclasse e de confiabilidade entre examinadores. Foi usado o questionário "The Medical O (more) utcomes Study Short Form-36". A validade foi calculada pela correlação entre as escalas dos questionários e entre as 12 subescalas do questionário, a pontuação das subescalas e a acuidade visual, a pontuação das subescalas de pacientes e controles e a análise fatorial. A validação do questionário foi calculada em grupo de pacientes antes e após cirurgia de catarata. RESULTADOS: O coeficiente de alfa de Cronbach, de correlação intraclasse e de variação entre entrevistadores, e os testes de validade da versão brasileira foram significantes. A responsividade foi confirmada pela melhora na qualidade de vida visual no grupo submetido à cirurgia de catarata. CONCLUSÃO: A versão brasileira do Questionário de Função Visual de 25 Itens apresenta propriedades psicométricas válidas e confiáveis e pode ser aplicado em pesquisa de qualidade de vida visual. Abstract in english PURPOSE: To develop and investigate the reliability and validity of a Brazilian version of the 25-Item National Eye Institute Visual Function Questionnaire. METHODS: A Brazilian version of the questionnaire was developed and applied to patients with chronic eye diseases and healthy controls. Reliability was assessed by Cronbach's alpha coefficient, intraclass correlation coefficient and interrater reliability coefficient. Participants were submitted to the Medical Outcome (more) s Study Short Form-36 Questionnaire. Validity was estimated by the correlation between the questionnaires and among the 12 subscales of the questionnaire, subscales scores and visual acuity, patients' and controls' subscales scores, and the factor analysis. Responsiveness of the questionnaire was assessed in a group of patients before and following cataract surgery. RESULTS: Cronbach's alpha, intraclass correlation and interrater reliability coefficients were highly significant. Validity was well established in all tests. In patients who underwent cataract surgery, a better vision-related quality of life was observed following surgery. CONCLUSION: The Brazilian version of the 25-Item National Eye Institute Visual Function Questionnaire has valid and reliable psychometric properties and can be applied to vision-related quality of life research.
The literature on current techniques for evaluating the masticatory capacity leads to categorizing them into two groups: objective masticatory tests and questionnaires that evaluate the subject masticatory capacity. This study examines how a simple questionnaire on the reported capacity to chew certain food can predict the masticatory performance of edentulous elderly patients. The masticatory performance of 367 completely edentulous elderly persons was measured with the Swallowing Threshold Test Index and compared with their reported masticatory capacity previously measured with a questionnaire on the capacity of the individual to chew nine food items. A total of 47.4% of the individuals had a low masticatory performance. This problem was more frequent in women (51.7%) than in men (41.8%). In measuring the reported masticatory performance with seven of the nine food items listed in the questionnaire, this indicator predicted the masticatory performance with a sensitivity of 65.5% and a specificity of 81.9%. However, even though the measure of prosthesis retention/stability is related to the masticatory performance, it was not a good predictor. PMID:8667279
OBJECTIVE --To study the association between specific clinical symptoms (e.g. low libido and erectile dysfunction) and testosterone levels and age in order to define symptom-specific testosterone thresholds. MATERIALS AND METHODS --Serum samples for testosterone determination were obtained from 675 healthy men. --Participants underwent urological examination and completed the Aging Males Symptoms scale, the Beck Depression Index and the International Index of Erectile Function. Overall scores and those from individual questions from the questionnaires were evaluated. --Testosterone levels in men with symptoms were compared with those in men without symptoms. --The risks of clinical symptoms were evaluated using univariate, multiple multinomial regression analyses and Bonferroni correction....
Psychological contracts are a powerful concept in research on organizational behaviour. Substantial negative reactions towards perceived breaches to the psychological contract have been reported in many studies. There are sound theoretical arguments for the existence of a point in the continuous perception of contract breach, where sudden changes in attitudes occur in the relationship between breach and outcomes (i.e., thresholds). Using questionnaire data from 592 employees working in more than 30 different organizations across Germany, segmented regression models were tested against curvilinear effects for the relationship between breach of the psychological contract and job satisfaction, affective organizational commitment, intention to quit, violation, and trust. This study provides em...
Abstract Children with problematic severe asthma (PA) have persistent symptoms and/or severe exacerbations despite treatment with several drugs. Classification of asthma severity is currently based on level of treatment and assessment of asthma control, but objective biomarkers of asthma severity are needed. To investigate the clinical relevance of basophil allergen threshold sensitivity (CD-sens) as a measure of allergen sensitivity in a well-characterized cohort of children with different manifestations of persistent allergic asthma. Cat-allergic children (6-18-yr) with problematic severe asthma (n-=-11) according to GINA were compared with eleven age-matched children with controlled, but persistent asthma (CA). The protocol included standardized questionnaires, asthma control test (ACT)...
Abstract Bilateral amplification seems to be the best solution for bilaterally hearing-impaired persons. Nevertheless, some individuals are unsuccessful with this strategy. The goals of the present study were to develop tests to improve the diagnostic test battery before rehabilitation of hearing-impaired persons with bilateral or unilateral amplification, and to evaluate the tests with normally-hearing subjects and with two groups of hearing-impaired persons. The latter two groups contained 11 successful and 11 unsuccessful users of bilateral amplification respectively. Hearing thresholds, speech recognition in noise, signal analysis ability, binaural abilities, and dichotic tests were used in the investigation. The subjects answered a questionnaire and hearing aid gain curves were measur...
Scand J Caring Sci; 2012; Psychometric properties of the Norwegian Person-centred Climate Questionnaire from a nursing home context Background:? The physical and psychosocial environments in nursing homes influence the residents' everyday life as well as their well-being and thriving. The staff's perceptions of and relationships with the residents are crucially important to quality care. Quality care is described often as person-centred. Few measurement tools exist that focus on person-centred care in nursing homes. Objective:? The aim of this study was to evaluate the psychometric properties of the Norwegian version of the Person-centred Climate Questionnaire-Staff version (PCQ-S). Design:? This study had a cross-sectional survey design. Participants and Settings:? Two hundred and nine healthcare and support staff in five nursing homes in the eastern part of Norway. Methods:? The Swedish PCQ-S was translated into Norwegian with forward and backward translation. The relevance of the items included in the questionnaire was assessed by an expert panel of 10 nursing home care staff, because the questionnaire has not been used in this context previously. A psychometric evaluation using statistical estimates of validity and reliability was performed. The discriminatory capacity of the questionnaire was also tested. Results:? The content validity index was satisfactory (0.78). The PCQ-S showed high internal consistency reliability in that Cronbach's ? was satisfactory for the total scale (0.92) and the three subscales (0.81, 0.89 and 0.87). The test-retest reliability was also satisfactory as evident from a Spearman's correlation coefficient of 0.76 (p?0.01) between the total PCQ scores at test and retest. The Norwegian version retained the original factor structure of the Swedish version. Conclusion:? As the psychometric evaluation showed satisfactory validity and reliability scores, this study supports the Norwegian version of the PCQ-S when applied to a sample of nursing home staff. PMID:22380607
Abstract Objective To assess adherence to community-based directly observed treatment (DOT) among Tanzanian tuberculosis patients using the Medication Event Monitoring System (MEMS) and to validate alternative adherence measures for resource-limited settings using MEMS as a gold standard. Methods This was a longitudinal pilot study of 50 patients recruited consecutively from one rural hospital, one urban hospital and two urban health centres. Treatment adherence was monitored with MEMS and the validity of the following adherence measures was assessed: isoniazid urine test, urine colour test, Morisky scale, Brief Medication Questionnaire, adapted AIDS Clinical Trials Group (ACTG) adherence questionnaire, pill counts and medication refill visits. Findings The mean adherence rate in the study population was 96.3% (standard deviation, SD: 7.7). Adherence was less than 100% in 70% of the patients, less than 95% in 21% of them, and less than 80% in 2%. The ACTG adherence questionnaire and urine colour test had the highest sensitivities but lowest specificities. The Morisky scale and refill visits had the highest specificities but lowest sensitivities. Pill counts and refill visits combined, used in routine practice, yielded moderate sensitivity and specificity, but sensitivity improved when the ACTG adherence questionnaire was added. Conclusion Patients on community-based DOT showed good adherence in this study. The combination of pill counts, refill visits and the ACTG adherence questionnaire could be used to monitor adherence in settings where MEMS is not affordable. The findings with regard to adherence and to the validity of simple adherence measures should be confirmed in larger populations with wider variability in adherence rates. PMID:9167458
The WOMAC Osteoarthritis Index and Lequesne Algofunctional Index have not been translated and validated for Iranian patients with osteoarthritis (OA) of the knee or hip. The aim of this study was to validate the Persian form of WOMAC OA Index and Lequesne Algofunctional Index and to assess their test-retest reliability and convergent validity. Forward/backward translations and consensus panels were conducted to obtain the Persian versions of WOMAC OA Index and Lequesne Algofunctional Index. A non-probability sample of 116 patients with knee/hip osteoarthritis was asked to complete the WOMAC OA Index and Lequesne Algofunctional Index as well as Medical Outcomes Study-20-Item Short Form (SF-20) questionnaires, a visual analogue scales (VAS) of pain and demographic information form. Internal consistency (using Cronbach's alpha) and convergent validity (by examining the Pearson's correlation coefficients) were evaluated to determine the psychometric properties of the questionnaires. In order to evaluate test-retest reliability, 20 randomly selected patients completed the questionnaires, on a second occasion, 7-10 days later. Cronbach's alpha coefficients and intraclass correlation coefficients for the WOMAC OA Index and Algofunctional Index subscales ranged from 0.63 to 0.94 and from 0.53 to 0.96, respectively. Statistically significant correlations were found between WOMAC OA Index, Algofunctional Index and SF-20 subscales and VAS for pain. The Persian version of WOMAC demonstrated a more acceptable validity, internal consistency and reliability compared with the Lequesne Algofunctional Index. However, both indices are valid and reliable instruments for evaluating the OA severity of knee/hip in Iran. PMID:22526476
The Falls Efficacy Scale-International (FES-I) is a highly reliable questionnaire for assessing fear of falling in elderly individuals with increased fall risk and has low or no convergent validity with balance performance tests and health-related quality of life (HRQL) among elderly women with osteoporosis, which indicates that both measurements should be included as they are measuring different components. INTRODUCTION: Fear of falling is increased in elderly individuals with osteoporosis and FES-I is a widely used questionnaire to assess fear of falling. There is limited evidence of the reliability and convergent validity in elderly with increased risk of falling and osteoporosis. METHODS: Reliability and validity study of the FES-I. Community-dwelling elderly with increased fall risk, 59 subjects, were recruited to the reliability assessment, and 81 women with osteoporosis, in the validity assessment. For the reliability assessment, two postal surveys were used. For the validity assessment, we used baseline data from an on-going study in women with osteoporosis. The FES-I was correlated to a single-item question regarding fear of falling, self-reported history of falls, balance performance tests and health-related quality of life. RESULTS: The FES-I had very good relative reliability (intra-class correlation 0.88) and internal consistency reliability (Cronbach's alpha 0.94). The value for absolute reliability was a standard error of measure 2.9 (10.6 %), smallest real difference 7.9 (29 %). There was "little if any" to "low" correlation between the FES-I and the single-item question regarding fear of falling and self-reported history of falls, HRQL and balance performance tests. CONCLUSION: The FES-I seems to be a highly reliable questionnaire for assessing fear of falling in elderly with increased fall risk but has low relation to/convergent validity with balance performance and HRQL among elderly women with osteoporosis. PMID:23124715
Objective The objective of this study was to define the minimum academic content required for pediatricians to recognize the risk of kernicterus. Methods A questionnaire was developed on the basis of American Academy of Pediatrics guidelines seeking to develop a consensus for pediatricians in training on the theoretical content about neonatal hyperbilirubinemia. To validate the instrument, we used the Delphi consensus method. The 14 invited experts interviewed, eminent Brazilian researchers of neonatal hyperbilirubinemia, analyzed the questions posed in accordance with the literature and validated the instrument Findings An assessment instrument, the Student Questionnaire (SQ), was developed on the basis of indicators of risk of neonatal hyperbilirubinemia obtained from the literature. A panel of academic experts, composed of the leading researchers of neonatal hyperbilirubinemia in Brazil according to research rankings of the Brazilian government's Lattes Platform, was assembled for consensus validation of the assessment instrument. Validation of the SQ was achieved after two rounds of the Delphi technique. Finally, the SQ itself was validated with the medical education content required for recognition of kernicterus risk. Conclusion The consensus among experts stressed the need to identify the primary epidemiologic risk factors for significant hyperbilirubinemia associated with neonatal jaundice and to characterize risk of bilirubin encephalopathy according to the literature. The minimum capacity required of physicians in training is that they have the insight to consult the reference material specific to each clinical situation in which hyperbilirubinemia may be involved. The present study emphasized the need for knowledge of the four variables related to management of neonatal jaundice: gestational age, birth weight, infant age, and total serum bilirubin. This validatedquestionnaire can be a useful tool to prepare pediatricians to recognize the possibility of bilirubin encephalopathy in neonates and prescribe intervention as necessary. PMID:17251080
Objective: Unhelpful behavior related to irritable bowel syndrome (IBS) is often targeted and expected to change in treatments such as cognitive behavioral therapies. However, no scale has previously been produced to assess these dimensions. The aim of this study was to develop and validate an IBS-specific behavioral responses questionnaire. Methods: A total of 153 patients with IBS as diagnosed by a general practitioner completed the 28-item Irritable Bowel Syndrome-Behavioral Responses Questionnaire (IBS-BRQ). A total of 117 persons without IBS also completed the IBS-BRQ and were used as a control group. Tests of internal consistency and principal components analyses (PCAs) were performed on both sets of data. Results: The scale was found to be both reliable and valid with a high degree ...
Introduction Daily function plays an important role in the quality of life for patients suffering from pathology of the upper extremity. The recovery of functions of daily living determines the success or failure of the treatment for the patient. The goal of this study was to establish and validate a score set measuring quality of life, and objective and subjective function in general elbow pathologies. Methods A literature review was performed, in order to find a patient-based elbow specific questionnaire. The score set was tested and validated in a cross-sectional setting. Results The patient-rated elbow evaluation (PREE) was chosen as the patient-based elbow specific questionnaire. For measuring general health and subjective arm function, the short form-36 mental health (SF-36 MH) and t...
Background and purpose The aims of this study were the following: (1) to develop a Turkish version of the Checklist Individual Strength Questionnaire (CIS-T); (2) to evaluate the reliability and validity of the CIS-T; and (3) to compare the fatigue levels between musculoskeletal physical therapy patients and healthy subjects. Methods: The questionnaire was adapted to Turkish using a `back translation' method. Fifty healthy subjects and 165 musculoskeletal physical therapy patients (128 outpatients and 37 inpatients) were evaluated. To validate the CIS-T, all participants answered both the CIS-T and the Short Form-36 (SF-36). The CIS was re-administered one week later for test-retest reliability. Results: The internal consistency reliability of the CIS-T was Cronbach's a = 0.87 and the inte...
The purpose of this paper was to determine the criteria that reflect the quality of care provided by long-term care institutions. Research was conducted using a two-step procedure that first utilized the SERVQUAL model with Fuzzy Delphi Method to establish the proper criteria by which service quality could be measured. A total of 200 questionnaires were mailed to expert respondents, of which 89 were returned and 77 deemed valid for use in this study. We then applied the Multi-Criteria Decision Making Process to determine the degree of importance of each criterion to long-term care institution service quality planning work. Secondly, 200 questionnaires were distributed and 74 valid responses were returned. Based on the 5 SERVQUAL model constructs, this study found 17 of the 28 criteria, to be pertinent to nursing care quality, with those in the Responsiveness and Empathy domains being the ones most critical. PMID:18080970
Large population-based studies using validated olfactory tests have shown that about 20 % of individuals aged 20 to 90 years have impaired olfactory function. The goal of the present study was the development of an easy to administer and reliable questionnaire to assess self-reported olfactory functioning in patients suffering from problems with the sense of smell. A cross-sectional, psychometric study using factor analysis and internal consistency methodology was performed to develop the 12-item questionnaire for the assessment of self-reported olfactory functioning and olfaction-related quality of life (ASOF). Discriminative validity of the three ASOF scales was assessed by comparing healthy controls and patients with problems with the sense of smell. Three hundred and thirteen normal co...
Purpose The Pittsburgh Sleep Quality Index (PSQI) is a self-reported questionnaire that measures sleep quality during the previous month. The aims of this study were to analyze the reliability and validity of the Korean version of the PSQI (PSQI-K) and to evaluate its usefulness. Methods We developed the PSQI-K, which involved translating the original PSQI into Korean and then translating back into English to check its accuracy. We tested the validity of the PSQI-K on a total of 394 individuals: 261 with poor sleep (primary insomnia, n?=?211; narcolepsy, n?=?50) and 133 with good sleep. All subjects completed the PSQI-K, 285 had overnight nocturnal polysomnography, and 53 were randomly selected for a retest with the questionnaire after 2?4?weeks without any intervening treatment. The mean ...
Abstract Purpose: We validated the Korean version of the Ureteral Stent Symptoms Questionnaire (USSQ) in patients with an indwelling ureteral stent. Materials and Methods: Linguistic validation of the original USSQ was performed through a standard process including translation, back translation, and pilot study. A total of 65 patients who underwent ureteroscopic surgery were asked to complete the Korean USSQ as well as EuroQOL (male and female), the International Prostate Symptom Score (male), and Urogenital Distress Inventory-6 (female). Patients were evaluated at weeks 1 and 2 after stent placement and at week 4 after removal. Sixty-four healthy subjects without a ureteral stent were also asked to complete the Korean USSQ once. The psychometric properties of the questionnaire were analyz...
The Alzheimer Questionnaire (AQ) has been established as a valid and accurate informant-based screening questionnaire for Alzheimer disease and amnestic mild cognitive impairment. Although the AQ's validity and diagnostic accuracy has been established, its performance in comparison with other instruments has not. Thirty-nine amnestic mild cognitive impairment cases and 34 Alzheimer disease cases were matched on the basis of age, education, and sex to 73 cognitively normal individuals. The sample had a mean age of 82.54±7.77 years and a mean education level of 14.61±2.61 years. The diagnostic accuracy of the CDR Sum of Boxes, Mini Mental State Exam (MMSE), and Montreal Cognitive Assessment (MoCA) were compared with the AQ. The AQ correlated strongly with the CDR Sum of Boxes (r=0.79) and demonstrated similar diagnostic accuracy with the MoCA and MMSE. These results suggest that the AQ is comparable with other established informant-based and patient-based measures. PMID:23138174
The purpose of this study was to examine the psychometric properties of the Group Environment Questionnaire (GEQ) adapted to the Greek language. The sample consisted of 586 male and female volleyball players of elite and regional level status. Data were analysed from three time points of a competitive season. For each time point, seven competing first-order and second-order factor structures were subjected to confirmatory factor analyses. The results revealed that the Greek GEQ demonstrated high internal reliability coefficients, good convergent validity and, for most of the competing models, acceptable fit indices. However, very high factor correlations rendered problematic the discriminant validity of the questionnaire. Multisample analyses examining the invariance of the seven models across competitive level and gender revealed that the models were largely invariant. Further psychometric testing is needed to examine whether the Greek GEQ relates to conceptually important personal and team correlates of group cohesion. (Contains 4 tables, 2 figures and 1 note.)
Evaluation of therapeutic benefits from the patient?s perspective is important in medical decision-making and reimbursement. This study aimed at developing and validating an instrument on patient-defined needs and benefits in dermatology. The questionnaire was developed according to international guidelines. The benefit assessment consists of two steps: before treatment, every patient defines his treatment needs according to a standardized list. After treatment, the patient rates the degree of benefits achieved. A ?patient benefit index?? (PBI) is calculated by averaging the preference-weighed results of all items. The PBI questionnaire was validated in a sample of 500 patients with ten skin diseases and in a treatment study on 906 patients with acne. The patients defined a broad spectrum ...
Abstract The purpose of this study was to analyse the Questionnaire on Hypersensitivity to Sound (GUF; Nelting & Finlayson, 2004) and to improve its validity based on the analysis of intercorrelations (single item level) with other methods of assessing hyperacusis (uncomfortable loudness level, individual loudness function, self-rated severity of hyperacusis). Subjects consisted of 91 inpatients with tinnitus and hyperacusis. The GUF showed a good reliability (a = .92). The factorial structure of the questionnaire reported by Nelting et al (2002) was not completely supported by the evidence in this study. The total score and the single items showed small to moderate correlations with the other modes of measuring hyperacusis. Evidence for convergent and discriminant validity were found, but...
This article concerns a parent-report repeat questionnaire to evaluate the quality of multiprofessional early intervention following early identification of deafness. It discusses the rationale for the design of the instrument, its theoretical underpinnings, its psychometric properties, and its usability. Results for the validity and reliability of the instrument are based on completion by 82 parents. The questionnaire is divided into four sections. "The description of the structure of professional services" demonstrated good face and content validity; the "content of intervention scale" yielded high internal consistency (Cronbachs a = 0.88) and reliability (6-month test-retest correlations, rho = 0.88, r = .68; 12-month test-retest correlations, rho = 0.60, r = .82); the "process of inter...
Objective Instruments such as the Radboud Skills Questionnaire [RASQ] and the Disability of Arm Shoulder and Hand Questionnaire [DASH] are not commonly used in general practice because they take too much time to complete. By assessing the concurrent validity, we examined whether the Visual Analog Scale [VAS] could serve as an alternative simple proxy to measure functional limitations in patients suffering from complex regional pain syndrome 1 [CRPS 1] of the upper extremities. Methods We asked patients afflicted with CRPS 1 of the upper extremities to indicate their functional limitations on the VAS and assessed the concurrent validity by comparing the results with the scores from the RASQ and the DASH. Results Fifty-seven patients [37 females] with a median disease duration of 1.9 years [...
Vestergren, P., Rnnlund, M., Nyberg, L. & Nilsson, L.-G. (2012). Multigroup confirmatory factor analysis of the Cognitive Dysfunction Questionnaire: Instrument refinement and measurement invariance across age and sex. Scandinavian Journal of Psychology 53, 390-400. The study adopted Confirmatory Factor Analysis (CFA) to investigate the factorial structure and reduce the number of items of the Cognitive Dysfunction Questionnaire (CDQ). The analyses were based on data for a total of 1,115 participants from population based samples (mean age: 63.0--14.5-years, range: 25-95) randomly split into a refinement (N-=-569) and a cross-validation (N-=-546) sample. Equivalence of the measurement and structural portions of the refined model was demonstrated across the refinement and cross-validation sa...
Abstract Aim:- The aim of this study was to estimate the dental students- perceptions of their educational environment and to identify any differences related both to their gender and semester of studies. Materials and methods:- The translated and validated in Greek Dundee Ready Education Environment Measure (DREEM) questionnaire was distributed to all 2nd- to 5th-year students of the Athens Dental School. The questionnaire consisted of 50 statements organised in five subscales (perceptions of learning, teachers, atmosphere, academic self-perceptions and social self-perceptions). Internal validity was checked with Cronbach alpha. Confirmatory factor analysis (CFA) was performed under the same conditions as the original inventory. Mean statement, subscale and overall scores were calculated ...
The Auditory Behavior Questionnaire (ABQ) evaluates abnormal behavioral responses to auditory stimulation in children with Autism Spectrum Disorder (ASD). This study reports preliminary reliability, construct validity and standardization of the ABQ. Parents of children with ASD aged 7-21 years (n = 165) completed the ABQ on-line. Cronbach's alpha was 0.94 indicating strong internal consistency. Factor analysis revealed a four-factor structure supporting previous theoretical discussion of global sensory processing difficulties and the construct validity of the ABQ. The 4-factors, (1) Difficulty in Background Noise, (2) Aversive Reactions, (3) Unresponsiveness, and (4) Stereotypic/Repetitive Behaviors, are very similar to Dunning's (Development of a questionnaire to assess auditory behaviors in children diagnosed with autism spectrum disorders, The Ohio State University, Columbus, 2003) hypothesized factor domains. Standard factor scores for children with ASD are reported. PMID:22890403
Abstract Reports about excessive Internet use, possibly amounting to an addiction, have increased. Progress with research and treatment of this phenomenon requires valid standardized assessment instruments. A frequently used questionnaire is the Internet Addiction Test (IAT) by Kimberly Young. The 20-item questionnaire is well established in a number of languages, but a German validation was lacking so far. An online (ON) sample (n=1,041, age 24.2?7.2 years, 46.7 percent men) completed an Internet version of the IAT and a student sample (offline [OF] sample, n=841, age: 23.5?3.0 years, 46.8 percent men) filled in a paper/pencil version. The participants also answered questions regarding their Internet use habits. A further sample of 108 students (21.5?2.0 years, 25.7 percent men) completed...
The objective of the study was to evaluate patient benefit and health-related quality of life after use of botulinum neurotoxin (BoNT) A for various otorhinolaryngological, functional (non-cosmetic) indications. The design consisted of a survey study of a patient cohort (n?=?40) treated with BoNT A for functional indications. Patients were asked to answer the Glasgow Benefit Inventory (GBI), a retrospective questionnaire well validated for measuring the effect of otorhinolaryngological interventions on the health-related quality of life. GBI scores can range from ?100 (maximal adverse effect), through 0 (no effect), to 100 (maximal positive effect). A total of 29 patients (72.5%) returned a validquestionnaire. Mean total GBI scores for the particular indications were 1.2 (sialorrhea, n?=?...
Abstract The COPD Assessment Test (CAT) was validated in English showing good psychometric properties. The objective of this study is to assess the capacity of the CAT to detect changes in health status in patients experiencing COPD exacerbations (ECOPD) and to further explore the validity of the Spanish version. An observational study was conducted in 49 Spanish centres. Patients hospitalised because of ECOPD (n = 224) completed the CAT, the St. George's Respiratory Questionnaire-adapted for COPD (SGRQ-C) and the London Chest Activities of Daily Living (LCADL) questionnaire during the first 48 hours of admission and 4 +- 1 weeks after discharge. Stable patients (n = 153) also completed these at recruitment and 4 +- 1 weeks later. Over 90% of patients were male. The CAT discriminated betwe...
Background Until recently, no Japanese versions have existed of the more popular, patient-reported disability questionnaires for neck pain. This study aimed to test the reliability, validity, and responsiveness of the Japanese version of the Neck Pain and Disability Scale (NPDS), one of the most widely used questionnaires in patients with neck pain. Methods In this validation study, 167 outpatients with neck pain participated. Patients received the NPDS and the Medical Outcome Study Short Form 36-item Health Survey (SF-36), and used Visual Analog Scales (VASs) to assess pain and global health. To examine test-retest reliability, patients who were considered stable by clinicians were given the NPDS 2?weeks after baseline. To examine responsiveness, patients who had not undergone treatment a...
ACCESSIBLE SUMMARY: •? A questionnaire to measure the verbal and social interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities has been developed from an earlier version for use in forensic psychiatric settings. •? The aim of the present study was to investigate how valid and reliable this new adapted version of the questionnaire is for use in supported housing facilities. •? A factor analysis was performed resulting in six factors. The number of items was reduced from the original 47 to 30. The resulting six factors and the items were compared to the conceptual model and four of the six factors corresponded well with the categories in this original theoretical model. •? The questionnaire can be a useful contribution to the study of interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities. ABSTRACT: A questionnaire to measure the verbal and social interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities has been developed. It is an adaptation of a questionnaire originally used in a forensic psychiatric setting. The aim of the present study was thus to investigate the construct validity and the reliability of this new version of the Verbal and Social Interactions questionnaire for use in supported housing facilities (VSI-SH). Two hundred and twenty-three carers from municipal and privately run housing facilities completed the questionnaire. A factor analysis was performed, which resulted in six factors. The number of items was reduced from the original 47 to 30 in order to minimize factorial complexity and multiple loadings. The reliability was tested with Cronbach's alpha and good internal consistency for the questionnaire and five of the six factors was found. The resulting six factors and the items were compared to the conceptual model and four of the six factors corresponded well with the categories in this original theoretical model. The questionnaire can be a useful contribution to the study of interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities. PMID:22607221
In order to develop criteria for the range of data points used for regression line fitting in sweep visually evoked potential (sVEP), which would be objective, clearly specified and give good repeatability and validity, and in order to investigate the effect of luminance on sVEP measurement, visual acuity (VA) and contrast sensitivity (CS) were measured with sVEP in adults aged 17?30 years and children aged 6?8 years. Six to ten participants took part in each experiment. Five criteria (C0?C4) for fitting the regression line were implemented. Test?retest repeatability and validity against psychophysical thresholds at three luminance levels were considered for thresholds and the number of acceptable readings. There were significant effects of criteria (repeated measures ANOVAs, P P > 0.05). ...
Abstract in english This paper proposes an alternate method to detect forbidden doping substances present in biological matrices of horseracing. The method was fully validated for caffeine, identified as the most frequent forbidden substance in the analysis conducted by the Antidoping Laboratory of the Brazilian Jockey Club, which adopts a zero threshold limit according to national and international horseracing practices. The metrological reliability of the method applied to toxicological an (more) alysis in biological matrices is discussed. Although the analytical method proposed for detection of a zero threshold level of the doping substance is qualitative, it was validated for the determination of the limiting value (also known as quantification limit value) introducing a criterion that prevents the issuing of incorrect results ("false-positives" and "false-negatives").
This report presents the testing and analyses of a foam projectile impacting onto thirteen 6x6 inch flat panels at a 90 degrees incidence angle. The panels tested in this investigation were fabricated of Reinforced-Carbon-Carbon material and were used to aid in the validation of an existing material model, MAT58. The computational analyses were performed using LS-DYNA, which is a physics-based, nonlinear, transient, finite element code used for analyzing material responses subjected to high impact forces and other dynamic conditions. The test results were used to validate LS-DYNA predictions and to determine the threshold of damage generated by the MAT58 cumulative damage material model. The threshold of damage parameter represents any external or internal visible RCC damage detectable by nondestructive evaluation techniques.
Summary Mastitis in cows can be defined as a binary trait, reflecting presence or absence of clinical mastitis (CM), or as a count variable, number of mastitis cases (NCM), within a defined time interval. Many different models have been proposed for genetic analyses of mastitis, and the objective of this study was to evaluate the predictive ability and sire predictions of a set of models for genetic evaluation of CM or NCM. Linear- and threshold liability models for CM, and linear, censored ordinal threshold, and zero-inflated Poisson (ZIP) models for NCM were compared in a cross-validation study. To assess the ability of these models to predict future data, records from 620-492 first-lactation Norwegian Red cows, which were daughters of 3064 sires, were evaluated in a fourfold cross-valid...
Non-exercise equations developed from self-reported physical activity can estimate maximal oxygen uptake (VO[subscript 2]max) as well as sub-maximal exercise testing. The International Physical Activity Questionnaire is the most widely used and validated self-report measure of physical activity. This study aimed to develop and test a VO[subscript 2]max estimation equation derived from the International Physical Activity Questionnaire--Short Form. College-aged males and females (n = 80) completed the International Physical Activity Questionnaire--Short Form and performed a maximal exercise test. The estimation equation was created with multivariate regression in a gender-balanced subsample of participants, equally representing five levels of fitness (n = 50) and validated in the remaining participants (n = 30). The resulting equation explained 43% of the variance in measured VO[subscript 2]max (standard error of estimate = 5.45 ml[middle dot]kg[superscript -1][middle dot]min[superscript -1]). Estimated VO[subscript 2]max for 87% of individuals fell within acceptable limits of error observed with sub-maximal exercise testing (20% error). The International Physical Activity Questionnaire--Short Form can be used to successfully estimate VO[subscript 2]max as well as sub-maximal exercise tests. Development of other population-specific estimation equations is warranted. (Contains 5 tables and 1 figure.)
Objective: To assess the validity of a questionnaire for evaluating the physical activity of young children as reported by parents. Methods: Twenty-one male 1st grade elementary school children were the study subjects. The questionnaire contained 3 questions relating to the physical activity of children and was completed by their parents. These questions were: preference for physical activity: like very much, like, don't like; physical activity compared to peers: more than, the same as, less than peers; time spent on exercise activity per day: <30 min, 30—60 min, 60 min or more. We also assessed physical activity more objectively, using a small instrument for calculating total steps, energy expenditure originating from exercise, and total energy expenditure per day. The contribution of the questionnaire items to the objective indices was evaluated by linear regression analysis. Results: Preference for physical activity was significantly associated with all the objective indices. Physical activity compared with peers had links with total energy expenditure. Time spent in activity was related to total steps and energy expenditure from exercise. Conclusion: All the questionnaire items were valid measures for evaluating the physical activity level in young children and could be applied to a large epidemiological survey.
Introduction: The objective was to develop and psychometrically evaluate (feasibility, reliability, validity) a questionnaire-based multisource feedback (MSF) system for quality improvement (QI) for occupational therapists (OTs). Methods: Surveys were developed for assessment of OTs by clients, co-workers, and themselves, respectively, using 5-point scales with an "unable to assess" category. A sample of 238 OTs participated. Results: The number of respondents for the co-worker questionnaire was 2621, and for the client questionnaire it was 2881. The mean ratings ranged from 4 to 5 for each item on each scale. All of the instruments' full scales had very high Cronbach's [alpha] greater than 0.92. The factor analyses revealed a 7-factor solution (66.3% of the total variance) for the co-worker survey, and a 4-factor solution for the client questionnaire (73.2% of the variance). Discussion: An MSF system employing surveys that have high reliability, validity, and feasibility was developed to provide feedback to OTs on core competencies and skills. It is suggested that similar MSF systems are feasible for health professionals in general. (Contains 3 tables, 1 figure and 2 footnotes.)
This study aims to adapt and validate the Spanish version of the Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) questionnaire. The OAKHQOL was adapted into Spanish using a forward?backward translation methodology. The Spanish version was then validated in a prospective, mixed-design study of 759 patients with hip or knee osteoarthritis (OA). Patients completed the OAKHQOL, Short Form 36 (SF-36), Western Ontario and McMaster Universities Osteoarthritis Index, and the EQ-5D. The internal consistency was evaluated using Cronbach?s alpha. Convergent validity was assessed by examining correlations between the OAKHQOL and other patient-reported instruments; known groups? validity was assessed by determining the capacity of the OAKHQOL to discriminate between patients with different levels...
Abstract Questionnaires used in health promotion programs are too rarely subjected to tests of reliability and validity prior to their use. Without such tests, any information gathered must be suspect. The complexity of such tests is illustrated by the investigation of the validity of a revised version of the Multidimensional Health Locus of Control (MHLC) Scales. Confirmatory maximum-likelihood factor analysis was used to analyze data from 519 elementary school students. The concurrent validity of the revised MHLC was also evaluated by conducting an interbattery factor analysis that included data from selected "marker" items from the measure developed by Parcel and his colleagues. The results supported the validity of the revised MLHC Scales when used with children. PMID:22206282
The impact of biotechnologies on peoples' everyday lives continuously increases. Measuring young peoples' attitudes toward biotechnologies is therefore very important and its results are useful not only for science curriculum developers and policy makers, but also for producers and distributors of genetically modified products. Despite of substantial number of instruments which focused on measuring student attitudes toward biotechnology, a majority of them were not rigorously validated. This study deals with the development and validation of an attitude questionnaire toward biotechnology. Detailed information on development and validation process of the instrument is provided. Data gathered from 326 university students provided evidence for the validity and reliability of the new instrument which consists of 28 attitude items on a five point likert type scale. It is believed that the instrument will serve as a valuable tool for both instructors and researchers in science education to assess students' biotechnology attitudes.
Zero suppression of the TRT data is foreseen already at the ROD level. Valid straws will be identified by applying a gate of tunable position and width to the low threshold data bits. Various schemes have been proposed for the encoding of data from valid straws. The schemes are answering the requirements posed by the different running modes of LHC/ATLAS: low luminosity, low luminosity b-physics programme, and high luminosity. This note presents a Monte Carlo study of the validity gate approach and of the proposed encoding schemes. Results are presented on the obtainable efficiency and background suppression as function of the validity gate position and width. The different encoding schemes are investigated and estimates of the output data volumes are presented for different luminosities.
Abstract Emotion regulation is widely studied in many areas of psychology and the number of publications on emotion regulation has increased exponentially over the past few decades. Additionally, interest in the relationships between emotion dysregulation processes and psychopathology has drastically increased in recent years. The Emotion Regulation Questionnaire (ERQ) was developed to measure two specific constructs related to emotion control: reappraisal and suppression (Gross & John, 2003). In its initial validation study and subsequent analyses, the instrument was shown to possess sound psychometric properties, but, to date, inquiry regarding the measure's characteristics has been limited. Factor analytic examinations of commonly used instruments are recommended to validate the propert...
The present study investigated the validity of the German version of the Somatoform Dissociation Questionnaire (SDQ-20), a scale designed to measure somatoform dissociative symptoms. Somatoform dissociation involves physical manifestations of a dissociation of the personality and is considered a unique entity in the phenomenological spectrum of dissociation. The validity and reliability of the German version of the SDQ-20 was examined using a sample of 225 patients with (n = 39) and without dissociative disorders who were recruited from several in- and outpatient psychiatric clinics. Patients were assessed using structured diagnostic interviews; diagnostic checklists; and self-rating scales for dissociation, and posttraumatic stress. Patients with dissociative disorders reported significan...
ABSTRACT Objective: To assess individualized satisfaction with migraine treatment, patient expectations, importance rankings, treatment outcomes, and overall satisfaction were combined using a four-part conceptual model. This article describes the measurement properties of the Migraine Treatment Satisfaction Measure (MTSM) using participants from a randomized controlled trial evaluating a Headache Management Program (HMP). Methods: Participants completed the first two parts of the MTSM upon enrollment and the final two parts at 6 months. Internal consistency reliability was computed within each of the four modules. Discriminant validity was ascertained using Migraine Disability Assessment Survey (MIDAS), Patient Health Questionnaire-9, and MSFB scores. Convergent validity was established b...
Objective:To describe the design, measurements and fieldwork of the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) physical activity and body composition validation study, and to determine the potential and limitations of the data obtained.Design:Multicentre validation study.Subjects:A total of 98 children from four different European countries (age: 4–10 years).Methods:An 8-day measurement protocol was carried out in all children using a collaborative protocol. Reference methods were the doubly labelled water method for physical activity, and a three- and a four-compartment model for body composition. Investigated field methods were accelerometers, a physical activity questionnaire and various anthropometric measureme...
Patient satisfaction is a valid indicator for measurement of service quality. Patients' opinions are important because dissatisfaction suggests opportunities for improvement. We evaluated the satisfaction of patients with nursing care in a regional university hospital in southern Spain and determined the relevant sociodemographic and attendance characteristics. A cross-sectional descriptive study was undertaken using the SERVQUAL questionnaire. Reliability and validity of the SERVQUAL instrument were established. The only interaction considered was gender and education level. Analysis of covariance showed that the only factors significantly associated with lower patient satisfaction were female gender, higher educational level, lower overall satisfaction with the hospital, and not knowing the name of the nurse. PMID:15686078
A screening tool (in Chinese) for maladaptive internet use was developed in two stages. Thirty-five factors were first extracted from data obtained from 378 adolescents with a 179-item questionnaire. Nine higher-order factors were then obtained from 35 factors. A 26-item screen that measures both endogenous and exogenous factors was constructed on the basis of the nine higher-order factors. The screen's split-half validity and concurrent criterion-related validity were ascertained with a new sample of 3,523 adolescents. The screen may be used to classify adolescent internet-users into four categories. Its endogenous part may be used to identify potential problem internet users.
Little is known about parent and peer relationships in immigrant adolescents due to a dearth of culturally sensitive measures. We adapted the Family Peer Relationship Questionnaire (FPRQ) for Arab immigrant mothers and their adolescents. Mothers and adolescents completed parallel versions of the Arab FPRQ and measures of child behavior problems, child social relations, and maternal depression. Data analyses included confirmatory factor analysis and concurrent validity. The proposed four-factor structure was replicated in both the mother and child forms. Scores from the Arab FPRQ subscales and the other measures provided evidence of concurrent and discriminant validity, suggesting that the Arab FPRQ is a viable assessment tool.
Background: Prior studies indicate that the biochemical alterations of depressive episodes result in decreased serum zinc concentrations. Given these findings, it is plausible that consistently low dietary zinc intakes contribute to depressive symptoms, yet epidemiological data are lacking. The authors tested the hypothesis that low zinc intake is associated with depressive symptoms using cross-sectional data from the population-based Boston Area Community Health survey (2002-2005). Methods: Dietary and supplement use data were collected by validated food frequency questionnaire. Current depressive symptoms were assessed by the abridged validated Center for Epidemiologic Studies Depression scale and analyzed using multivariate logistic regression, adjusting for sociodemographic, health and...
Construct validity of the Offer Self-Image Questionnaire (OSIQ) was studied in a sample of 194 normal Finnish adolescents from 14 to 16 years of age. Confirmatory factor analysis provided support for the hierarchical structure of adolescents' self-image with 5 lower-order factors loading on a single higher-order factor. Lower-order factors were Personally Anxious Self, Social Relationships, Sexual Attitudes, Family Relationships, and Social Conscience. The relationships between the self-image areas of the OSIQ, global self-esteem, depression, and ego development were also examined. The results support the construct, convergent, and discriminant validity of the presented structure of the OSIQ.
Abstract Objectives: This paper describes the further development and psychometric properties of an instrument to measure cancer patients' reasons to want complete or limited information: the Considerations Concerning Cancer Information questionnaire (CCCI). Understanding cancer patients' reasons to want complete or limited information will provide the physician with information that enables him or her to tailor information giving. Methods: CCCI's content validity, internal structure, and convergent validity were investigated among 145 cancer patients, new to radiotherapy. Results: Underlying reasons for information preference among cancer patients were derived from existing qualitative studies, narratives, and interviews. This resulted in the CCCI containing two parts: reasons to favor co...
BackgroundIn high-income countries, depression is prevalent in HIV patients and is associated with lower medication adherence and clinical outcomes. Emerging evidence from low-income countries supports similar relationships. Yet little research has validated rapid depression screening tools integrated into routine HIV clinical care. MethodsUsing qualitative methods, we adapted the Patient Health Questionnaire-9 (PHQ-9) depression screening instrument for use with Cameroonian patients. We then conducted a cross-sectional validity study comparing an interviewer-administered PHQ-9 to the reference standard Composite International Diagnostic Interview in 400 patients on antiretroviral therapy attending a regional HIV treatment center in Bamenda, Cameroon. ResultsThe prevalence of major depress...
Although pediatric obesity is prevalent in low-income and African American and Hispanic communities, validated measures of child eating habits are lacking for these communities. In this study, confirmatory factor analysis was used to validate the hypothesized 7-factor structure of the Children's Eating Behaviour Questionnaire (CEBQ). The sample included 229 parent-child pairs, the majority low-income and Hispanic (57%) or African American (25%). The a priori structure of the CEBQ failed to replicate. Exploratory factor analysis revealed 3 factors: Disinhibition, Food interest, and Undereating, none predicting child BMI. Although limited by the observational, cross-sectional design, results indicate that the CEBQ needs additional study. PMID:22664409
Although pediatric obesity is prevalent in low-income and African American and Hispanic communities, validated measures of child eating habits are lacking for these communities. In this study, confirmatory factor analysis was used to validate the hypothesized 7-factor structure of the Children's Eating Behaviour Questionnaire (CEBQ). The sample included 229 parent-child pairs, the majority low-income and Hispanic (57%) or African American (25%). The a priori structure of the CEBQ failed to replicate. Exploratory factor analysis revealed 3 factors: Disinhibition, Food interest, and Undereating, none predicting child BMI. Although limited by the observational, cross-sectional design, results indicate that the CEBQ needs additional study.
Aside from test anxiety scales, measurement instruments assessing students' achievement emotions are largely lacking. This article reports on the construction, reliability, internal validity, and external validity of the Achievement Emotions Questionnaire (AEQ) which is designed to assess various achievement emotions experienced by students in academic settings. The instrument contains 24 scales measuring enjoyment, hope, pride, relief, anger, anxiety, shame, hopelessness, and boredom during class, while studying, and when taking tests and exams. Scale construction used a rational-empirical strategy based on Pekrun's (2006) control-value theory of achievement emotions and prior exploratory research. The instrument was tested in a study using a sample of university students (N=389). Finding...
Background Patient experience is an established indicator of quality of care. Validated tools that measure both experiences and priorities are lacking for chronic dialysis care, hampering identification of negative experiences that patients actually rate important. Methods We developed two Consumer Quality (CQ) index questionnaires, one for in-centre haemodialysis (CHD) and the other for peritoneal dialysis and home haemodialysis (PHHD) care. The instruments were validated using exploratory factor analyses, reliability analysis of identified scales and assessing the association between reliable scales and global ratings. We investigated opportunities for improvement by combining suboptimal experience with patient priority. Results Sixteen dialysis centres participated in our study. The pil...
Purpose - The purpose of this paper is to explore how multichannel customers evaluate overall satisfaction across distribution channels and what the antecedents are of such satisfaction. Design/methodology/approach - A survey of bank customers in Taiwan was conducted. The total number of validquestionnaires was 479. Reliability and validity were tested. Maximum likelihood procedure of LISREL 8.8 was used to test the hypothesized structural equation model. Findings - The findings indicate that the overall satisfaction in the multichannel environment is a critical determinant of customer retention and participation. The present study also develops the antecedents of multichannel satisfaction. In the multichannel environment, perceived multichannel service quality is positively related to sa...
Objectiveto develop a scale to measure maternal satisfaction with birth to evaluate women's experiences in labour and the early postpartum period. Designdevelopment and psychometric assessment of a multidimensional maternal satisfaction questionnaire. Settingmaternity unit of a university hospital in Istanbul. Participants500 healthy postpartum women. Methodsfive steps were taken in development of the scale: literature review, generating item pool, content validity testing, administration of draft scale and psychometric testing. Two versions of the scale were developed: the Scale for Measuring Maternal Satisfaction–normal birth and the Scale for Measuring Maternal Satisfaction–caesarean birth. Content validity was evaluated by experts. The appropriate draft scale an...
Introduction: Satisfaction with care has become a central dimension of quality assurance in mental health care. Assessments of patient satisfaction, however, are hampered by a lack of well-validated and reliable satisfaction tools. Objectives: This study examines the applicability and results of a validated satisfaction questionnaire (WPI-Vienna Patient Satisfaction Inventory) developed for routine outcome measurement among chronically mentally ill outpatients. Methods: Users of eight outpatient clinics who attended these clinics within a period of three consecutive months rated (a) satisfaction with received treatment and (b) perceived importance of specific treatment aspects. Sociodemographic and clinical information such as gender, age, and diagnosis was also collected. Results: A total...
Objective: Sensation seeking is a personality attribute associated with injury in school-age children, adolescents, and adults. This study aimed to develop and evaluate the psychometric properties of a questionnaire measure of sensation seeking for young children 2-5 years of age. Methods: Items tapping aspects of sensation seeking (Novelty Seeking, Behavioral Intensity, Thrill Seeking) were developed, content validation was completed by child development experts, and 72 parents then completed the Sensation Seeking Scale for Young Children (SSSYC) twice (3 months intervening) to establish internal and test-retest reliabilities. To assess criterion validity, scores were related to children's preferences for high versus low sensation seeking activities, their free play behavior in an indoor ...
Background/Objectives:To validate 24?h dietary recall of fruit intake by measuring the total 24?h excretion of 10 different flavonoids in 24?h urine during an intervention with free fruit at workplaces.Subjects/Methods:Employees at workplaces offering a free-fruit program, consisting of daily free and easy access to fresh fruit, and controls employees at workplaces with no free-fruit program were enrolled in this validation study (n=103). Dietary intake was assessed by using a 24?h dietary recall questionnaire at baseline and approximately 5 months later. Ten flavonoids, quercetin, isorhamnetin, tamarixetin, kaempferol, hesperetin, naringenin, eriodictyol, daidzein, genistein, and phloretin, were measured using HPLC–electrospray ionization–MS.Results:The...
This paper is intended to examine the validity of Big 5 Personality test inventory of 44 questions with 5-Likert Scale measurement. Confirmatory factory analysis (CFA) was conducted to determine the good fit indices of the 5 personality types. Those types are 1) extraversion, 2) agreeableness, 3) conscientiousness, 4) openness and 5) neuroticism. The data was collected from a self-reported questionnaire administered to 207 undergraduate students. The results of CFA found the inventory to be a valid and reliable measurement for types of personality except for neuroticism. Also, the measurement was found to be applicable across gender. (Contains 2 figures and 1 table.)
This article reports about the development and validation of a measurement instrument assessing elementary school students' achievement emotions (Achievement Emotions Questionnaire-Elementary School, AEQ-ES). Specifically, the instrument assesses students' enjoyment, anxiety, and boredom pertaining to three types of academic settings (i.e., attending class, doing homework, and taking tests and exams). Scale construction was based on Pekrun's (2006) control-value theory of achievement emotions. The instrument was tested using samples from German and American elementary school classrooms. The results of Study 1 (German sample) corroborate the reliability and structural validity of the new emotion measure. Moreover, they show that students' achievement emotions were linked with their control ...
Some gradual solar energetic particle events show unusual features at high energies that are typically associated with impulsive events. Proposed reasons for these hybrid events are superposed individual impulsive and gradual events, and shock acceleration of a compound seed population consisting of typical coronal/solar wind material and ions preaccelerated by flares. We investigate the validity and limitations of the latter proposal using test particle simulations of diffusive shock acceleration. We find that the observed abundance enhancements can only be produced under a restricted set of physical input parameters. We also derive an injection threshold speed for the diffusive shock acceleration, valid under weakly turbulent conditions.
The present study applied item response theory (IRT) to the NEO five factor inventory (NEO-FFI) completed by a community based sample of adolescents. The results revealed that many of these personality items may not be discriminating well, with some traits demonstrating greater reliability than others. Furthermore, the threshold values highlighted that the majority of the items had skewed responses, suggesting a limited utility of some response categories. Generally, removing poorly discriminating items does not harm external validity, suggesting IRT reduces measurement error and increases reliability without compromising validity. PMID:23049153
The present study applied item response theory (IRT) to the NEO five factor inventory (NEO-FFI) completed by a community based sample of adolescents. The results revealed that many of these personality items may not be discriminating well, with some traits demonstrating greater reliability than others. Furthermore, the threshold values highlighted that the majority of the items had skewed responses, suggesting a limited utility of some response categories. Generally, removing poorly discriminating items does not harm external validity, suggesting IRT reduces measurement error and increases reliability without compromising validity.
OBJECTIVES: To evaluate the validity and reliability of a cognitive test battery and questionnaires administered by telephone. DESIGN: Observational study; 110 participants randomly assigned to receive two administrations of the same cognitive test battery 6 months apart in one of four combinations (Time 1 administration/Time 2 administration): telephone/telephone, telephone/face to face, face to face/telephone, face to face/face to face. SETTING: Academic medical center. PARTICIPANTS: One hundred ten women aged 65 to 90 without dementia. MEASUREMENTS: The battery included tests of attention; verbal learning and memory; verbal fluency; executive function; working memory; global cognitive functioning; and self-reported measures of perceived memory problems, depressive symptoms, sleep disturbance, and health-related quality of life. Test-retest reliability, concurrent validity, relative bias associated with telephone administration, and change scores were evaluated. RESULTS: There were no statistically significant differences in scores on any of the cognitive tests or questionnaires between participants randomly assigned to telephone or face-to-face administration at the Time 1 assessment, indicating equivalence across administration modes. There was no significant bias for tests or questionnaires administered by telephone (P's > .01), nor was there a difference in mean change scores between administration modes except for Category Fluency (P = .01) and California Verbal Learning Test long-delay free recall (P = .004). Mean test-retest coefficients for the battery were not significantly different between groups, although individual test-retest correlation coefficients were generally higher within modes than between modes. CONCLUSION: Telephone administration of cognitive tests and questionnaires to older women is reliable and valid. Use of telephone batteries can substantially reduce the cost and burden of cognitive assessments and increase enrollment, retention, and data completeness, thereby improving study validity. PMID:22985137
Experiments in the engineering education play important roles in motivating students to study voluntarily. A trial aiming to enhance this effect in the experiment of vibration at Mechanical System Engineering, Kumamoto University is introduced. The trial consists of 1) oral presentation by students, 2) web-based learning system and 3) feedback through reports. An evaluation by questionnaire was conducted to show the validity of this trial. This result revealed that the trial succeeded to encourage students.
Abstract The authors devised and validated a questionnaire assessing the various possible motivations for learning and using hypnosis and administered it to 125 Israeli psychologists, physicians, and dentists who study and/or use hypnosis in their clinical work. The results suggest that most professionals were motivated by a desire to improve their professional performance and that a majority of professionals were primarily influenced in their desire to learn hypnosis by colleagues in academically or clinically oriented settings. PMID:23153386
Objectives The Women's Health Questionnaire has been developed for the assessment of symptom perception in mid-aged women. It explores a range of psychological and physical symptoms and is one of the most used health-related quality of life measures. It was developed in the English language and is available in several other languages. The aim of this study was to evaluate the psychometric properties of the Tunisian-Arabic version of the questionnaire. Methods A Tunisian-Arabic translation of the original version of the Women's Health Questionnaire (36-item WHQ) was produced using the forward-backward translation method recommended by the designers. A total of 1231 women were anonymously recruited from the general population using the quota method of sampling. All women were administered the WHQ as part of a broader questionnaire; 1150 records were finally retained for analysis. Psychometric evaluation was performed for the original version of the WHQ (36 items) and then for the 23-item revised version proposed by the MAPI Research Institute. Results The acceptability and comprehensibility of the scale were good. The 36-item version showed overall good reliability, but some subscales lacked internal consistency. The validity was explored by principal component analysis and showed significant differences with the original English instrument and some deficiencies in its dimensional structure. The validity of the 23-item revised version was better. Finally, we suggest some adjustments to improve the reliability and validity of the instrument. Conclusion The Tunisian-Arabic version of the WHQ is globally reliable and valid, but we recommend the use of an improved shortened version, more specific to mid-aged women. PMID:23113876
In this study, we found that almost all institutions conducting animal experiments, such as universities, corporations, and research laboratories, also conducted memorial services for the animals sacrificed during animal experimentation. A questionnaire survey was conducted among 120 institutions. A total of 83 (69.1%) valid responses were obtained from the participating institutions. Memorial services were held at 79 institutions (95.1%). Memorial services for laboratory animals have been mainly conducted to show appreciation, comfort the spirit, and console the souls.
A submodel for internal nutrients, critical to prediction of phytoplankton growth dynamics, is described. Process equations were developed to represent storage of nutrients with separate mechanisms for nutrient uptake and assimilation, multiple-nutrient limitation by the threshold hypothesis, and light-dependent photorespiration. These have been incorporated into the ecosystem model MS. CLEANER and calibrated for Ovre Heimdalsvatn, Norway, an ultra-oligotropic, subarctic lake. The model has been validated for Vorderer Finstertaler See, Austria.
Validity of simpler approaches for elastic and inelastic photon scattering by atoms and ions is assessed by comparison with second-order S-matrix predictions. A simple scheme for elastic scattering based on angle-independent anomalous scattering factors has been found to give useful predictions near and below photoeffect thresholds. In inelastic scattering, major deviations are found from A{sup 2}-based calculations. Extension of free-atom and free-ion cross sections to the dense plasma regime is discussed. 20 refs., 6 figs.
This review examines the validity of the Michigan Alcoholism Screening Test (MAST) as a screening instrument for alcohol problems. Studies that compare the MAST-questionnaire with other defined diagnostic criteria of alcohol problems were retrieved through MEDLINE and a cross-bibliographic check. A total of 20 validity studies were included. The studies varied considerably regarding the prevalence of alcohol problems, the diagnostic criteria, and the examined patient categories. The MAST compared with other diagnostic criteria of alcohol problems gave validity measures with the following span: predictive positive value (PVpos) 0.24-0.96, predictive negative value (PVneg) 0.78- approximately 1, sensitivity 0.36- approximately 1, and specificity 0.36-0.96. It appears that the PVneg are high. Except from one study, the sensitivities (0.57- approximately 1) are also high. The PVpos and the specificities show substantial variations. The variables that seem to have the largest influence on the PVpos seem to be the prevalence of alcohol problems, the diagnostic method against which the MAST-questionnaire is validated, and the populations on which the MAST is applied. The MAST should in the future be validated against internationally accepted diagnostic methods on populations with representative prevalences of alcohol problems.
Abstract in spanish Objetivo. Diseñar y validar un cuestionario de trastornos de salud mental en niños de 6 a 12 años, para ser utilizado en centros de atención primaria por personal no especializado en psiquiatría infantil. Diseño. Estudio transversal de validación de un instrumento. Emplazamiento. El estudio se realizó en dos instituciones de salud: Consulta de Atención Primaria y Consulta Externa del Hospital Psiquiatrico Infantil de la Ciudad de México. Participantes. Se incluy (more) ó población infantil entre 6 y 12 años y padres o tutores asistentes a las consultas externas de las instituciones de salud mencionadas. Mediciones Principales. Se diseño el Cuestionario de acuerdo a los criterios establecidos en el Manual Estadístico de las Enfermedades Mentales (DSM-IV) y la Clasificación Internacional de la Enfermedades (CIE-10). El estudio fue realizado en tres fases: 1. validación de contenido a través de jueces. 2. prueba piloto. 3. análisis factorial de componentes principales. Resultados y Conclusiones. El cuestionario mostró ser válido para 10 trastornos, lo que corresponde a un total de 41 ítems. El coeficiente Alpha de Cronbach fue mayor de 0,8 para cada trastorno. En conclusión, el Cuestionario resultó ser válido y confiable para ser utilizado como una prueba de cribado de trastornos de salud mental para niños en centros de atención primaria. Abstract in english Objective. Design, validity and reliability of a self-report questionnaire for mental health disorders in 6-12 year old children, to be used by general practitioners at primary care centers. Design. Cross-sectional study, validity of an instrument. Place. The study was conducted in two health services: A Primary Care Center and the outpatient department of the Child Psychiatric Hospital of Mexico City. Participants. Children between 6 and 12 years and parents or child-car (more) ers at the outpatient visits of the previously mentioned health services. Principal Measures. The questionnaire was designed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and International Classification of Diseases (ICD-10). The study was carried out in three stages:1. Content validity through judges agreement. 2. Pilot questionnaire. 3. Construct validity was estimated through factorial analysis of main components. Results and conclusions: The questionnaire was shown to be valid for 10 disorders which correspond to a total of 41 items. The Chronbach´s coefficient was over 0.8 for each disorder. In conclusion, the questionnaire may be considered a valid, reliable instrument for use in the screening of mental health problems in children in Primary Care Centers.
Four-dimensional (4D) computed tomography (CT) imaging has found increasing importance in the localization of tumor and surrounding normal structures throughout the respiratory cycle. Based on such tumor motion information, it is possible to identify the appropriate phase interval for respiratory gated treatment planning and delivery. Such a gating phase interval is determined retrospectively based on tumor motion from internal tumor displacement. However, respiratory-gated treatment is delivered prospectively based on motion determined predominantly from an external monitor. Therefore, the simulation gate threshold determined from the retrospective phase interval selected for gating at 4D CT simulation may not correspond to the delivery gate threshold that is determined from the prospective external monitor displacement at treatment delivery. The purpose of the present work is to establish a relationship between the thresholds for respiratory gating determined at CT simulation and treatment delivery, respectively. One hundred fifty external respiratory motion traces, from 90 patients, with and without audio-visual biofeedback, are analyzed. Two respiratory phase intervals, 40%-60% and 30%-70%, are chosen for respiratory gating from the 4D CT-derived tumor motion trajectory. From residual tumor displacements within each such gating phase interval, a simulation gate threshold is defined based on (a) the average and (b) the maximum respiratory displacement within the phase interval. The duty cycle for prospective gated delivery is estimated from the proportion of external monitor displacement data points within both the selected phase interval and the simulation gate threshold. The delivery gate threshold is then determined iteratively to match the above determined duty cycle. The magnitude of the difference between such gate thresholds determined at simulation and treatment delivery is quantified in each case. Phantom motion tests yielded coincidence of simulation and delivery gate thresholds to within 0.3%. For patient data analysis, differences between simulation and delivery gate thresholds are reported as a fraction of the total respiratory motion range. For the smaller phase interval, the differences between simulation and delivery gate thresholds are 8{+-}11% and 14{+-}21% with and without audio-visual biofeedback, respectively, when the simulation gate threshold is determined based on the mean respiratory displacement within the 40%-60% gating phase interval. For the longer phase interval, corresponding differences are 4{+-}7% and 8{+-}15% with and without audio-visual biofeedback, respectively. Alternatively, when the simulation gate threshold is determined based on the maximum average respiratory displacement within the gating phase interval, greater differences between simulation and delivery gate thresholds are observed. A relationship between retrospective simulation gate threshold and prospective delivery gate threshold for respiratory gating is established and validated for regular and nonregular respiratory motion. Using this relationship, the delivery gate threshold can be reliably estimated at the time of 4D CT simulation, thereby improving the accuracy and efficiency of respiratory-gated radiation delivery.
Today, we can say that almost everything is having "electronic" prefix and the way to access to information has changed substantially because of the many factors like fast advancements in computer technology and internet which is getting more and more widespread everyday. Although some people stick to printed resources, the fact that electronic resources offer innovation and irresistible options in terms of cost and time is obvious. The aim of this survey study is to detect some data that can be generalized about the graduate students' state of using printed and electronic resources. A questionnaire, developed by Ebrary, one of the largest e-book suppliers of the world, was used as the data gathering tool. After the studies for improving the reliability and validity of the questionnaire, a questionnaire form with 16 items was obtained. 634 questionnaires were sent to graduate students via e-mail, 130 of them were sent back and 125 questionnaires were evaluated for the study. Concerning all the data, it was concluded that majority of the graduate students are aware of the comfort of the e-resources and prefer to use these resources academically. (Contains 15 tables.)
The aim of this study was to design a concise, focused questionnaire to measure individuals' perceptions of the impact of their renal condition on their quality of life, taking account of the importance of life domains relevant for the individual. The design of the renal-dependent quality of life (RDQoL) questionnaire was based on that of the Audit of Diabetes Dependent Quality of Life (ADDQoL) diabetes-specific individualized quality of life questionnaire, which was influenced by patient-centered principles underlying the interview method of McGee et al. The questionnaires specify life domains, and the respondents rate personally applicable domains for the importance and impact of the renal condition. Observation in eight U.K. renal clinics, together with 40 in-depth interviews with peritoneal dialysis, hemodialysis, and transplant patients, provided the basis for item selection for the RDQoL. The results of the study were as follows: each of the 13 ADDQoL items was relevant and important for renal patients. Additional suggestions for items included physical appearance, dependency, freedom, restrictions of fluid intake, and societal prejudice. In conclusion, unlike other quality of life measures, the RDQoL is an individualized questionnaire measure of the impact of renal disease and its treatment on quality of life. Face and content validity is established for adult renal patients, and the RDQoL is being further evaluated for research and clinical use. PMID:9360663
The health-related quality of life (HRQoL) is assessed using instruments that have been validated scientifically. From the viewpoint of assessment, they are different from other clinical indices because the subjects themselves evaluate their own HRQoL (the patients in many clinical settings). As an index for evaluating health care services or outcomes, the HRQoL is as important as life expectancy. These instruments can be classified into generic and disease-specific instruments. There are numerous disease-specific instruments that can be used for patients with asthma, such as Juniper et al.'s Asthma Quality of Life Questionnaire (AQLQ), the Living with Asthma Questionnaire (LWAQ), the St. George's Respiratory Questionnaire (SGRQ), and Marks et al.'s Asthma Quality of Life Questionnaire (AQLQ). The characteristics of each instrument should be considered in the selection of specific HRQoL questionnaires for clinical research. Generally, the HRQoL is more disturbed in patients with severe asthma, and has been considered to be an important end-point in randomized controlled trials that involve asthma patients. We expect that further studies will also be performed in Japan.
The purpose of the study was to develop an improved teaching evaluation questionnaire based on students' learning experiences and selected teacher characteristics identified as indicators of teaching quality. Teaching evaluation questionnaires are commonly designed either based on agreed indicators of teaching excellence, students' suggestions of characteristics of excellence, or dimensions identified from interviews conducted with excellent teachers. In this study, however, students' evaluation of their own learning experiences in learner centered classes and a hypothesized framework derived from the literature were used to develop the items for the questionnaire. Students attended to courses designed in a learner centered paradigm and evaluated their learning experiences. Based on the hypothesized framework and students' reflections of their experiences, items were designed and validated at various levels. Exploratory factor analysis resulted in a 24-item Student Evaluation of Learning and Teaching Questionnaire (SELTQ) that comprises four factors: assessment and feedback; course organization and presentation; student self evaluation; and students' level of engagement. As opposed to the questionnaire widely used in higher education institutions in Ethiopia that focuses on the evaluation of selected teacher characteristics, the new measure enables students to evaluate teaching in terms of their own learning progress. (Contains 1 table.)
We compared three common user involvement methods in revealing barriers and facilitators from intended users that might influence their use of a new genetic test. The study was part of the development of a new genetic test on the susceptibility to hand eczema for nurses. Eighty student nurses participated in five focus groups (n?=?33), 15 interviews (n?=?15) or questionnaires (n?=?32). For each method, data were collected until saturation. We compared the mean number of items and relevant remarks that could influence the use of the genetic test obtained per method, divided by the number of participants in that method. Thematic content analysis was performed using MAXQDA software. The focus groups revealed 30 unique items compared to 29 in the interviews and 21 in the questionnaires. The interviews produced more items and relevant remarks per participant (1.9 and 8.4 pp) than focus groups (0.9 and 4.8 pp) or questionnaires (0.7 and 2.3 pp). All three involvement methods revealed relevant barriers and facilitators to use a new genetic test. Focus groups and interviews revealed substantially more items than questionnaires. Furthermore, this study suggests a preference for the use of interviews because the number of items per participant was higher than for focus groups and questionnaires. This conclusion may be valid for other genetic tests as well. PMID:22318407
PURPOSE: The qualitative attributes and quantitative measurement properties of physical activity questionnaires are equally important considerations in questionnaire appraisal, yet fundamental aspects such as question comprehension are not often described in the literature. Here we describe the use of cognitive interviewing to evaluate the Sedentary Time and Activity Reporting Questionnaire (STAR-Q), a self-administered questionnaire designed to assess overall activity energy expenditure and sedentary behaviour. METHODS: Several rounds of one-on-one interviews were conducted by an interviewer trained in qualitative research methods. Interviewees included a convenience sample of volunteers and participants in the Tomorrow Project, a large cohort study in Alberta, Canada. Following each round of interviews the STAR-Q was revised and cognitively tested until saturation was achieved. RESULTS: Six rounds of cognitive interviewing in 22 adults (5 males, 17 females) aged 23 to 74 years, led to revisions involving i) use of recall aids, ii) ambiguous terms and iii) specific tasks such as averaging across multiple routines, reporting time asleep and self-care, and reporting by activity domain. CONCLUSIONS: Cognitive interviewing is a critical step in questionnaire development. Knowledge gained in this study led to revisions that improved respondent acceptability and comprehension of the STAR-Q and will complement ongoing validity testing. PMID:22820674
In 2001, Elliot and McGregor proposed a 2 x 2 (mastery-performance x approach- avoidance) achievement goal frameworks and developed a questionnaire to measure four goals (mastery-approach, mastery-avoidance, performance-approach, and performance-avoidance goals). This study examines the dual meanings of items in 2 x 2 achievement goal questionnaires by confirmatory factor analysis with an uncorrelated-trait and uncorrelated-method model and multidimensional scaling technique. A total of 2,111 freshmen completed the Achievement Goal Questionnaire for General Academics, and a total of 1,014 university students in Taiwan provided their ratings on the Chinese Achievement Goal Questionnaire for Physical Education. Confirmatory factor analysis results show that the uncorrelated-trait and uncorrelated-method model is better than the 2 x 2 four-factor model, supporting the dual meanings of items. In addition, multidimensional scaling results show that items can be plotted on a two-dimensional (mastery-performance and approach-avoidance) map, in which four quadrants represent one type of goal. The evidence indicates that the items in the Chinese Achievement Goal Questionnaire for Physical Education have adequate construct validity in their dual meanings derived from the combinations of mastery-performance and approach-avoidance dimensions. (Contains 2 tables and 3 figures.)
In structural vibration tests, one of the main factors which disturb the reliability and accuracy of the results are the noise signals encountered. To overcome this deficiency, this paper presents a discrete wavelet transform (DWT) approach to denoise the measured signals. The denoising performance of DWT is discussed by several processing parameters, including the type of wavelet, decomposition level, thresholding method, and threshold selection rules. To overcome the disadvantages of the traditional hard- and soft-thresholding methods, an improved thresholding technique called the sigmoid function-based thresholding scheme is presented. The procedure is validated by using four benchmarks signals with three degrees of degradation as well as a real measured signal obtained from a three-story reinforced concrete scale model shaking table experiment. The performance of the proposed method is evaluated by computing the signal-to-noise ratio (SNR) and the root-mean-square error (RMSE) after denoising. Results reveal that the proposed method offers superior performance than the traditional methods no matter whether the signals have heavy or light noises embedded. PMID:23112652
The performance of different models for genetic analyses of clinical mastitis in Austrian Fleckvieh dual-purpose cows was evaluated. The main objective was to compare threshold sire models (probit and logit) with linear sire and linear animal models using REML algorithm. For comparison, data were also analyzed using a Bayesian threshold sire model. The models were evaluated with respect to ranking of sires and their predictive ability in cross-validation. Only minor differences were observed in estimated variance components and heritability from Bayesian and REML probit models. Heritabilities for probit and logit models were 0.06 and 0.08, respectively, whereas heritabilities for linear sire and linear animal models were lower (0.02). Correlations among ranking of sires from threshold and linear sire models were high (>0.99), whereas correlations between any sire model (threshold or linear) and the linear animal model were slightly lower (0.96). The worst sires were ranked very similar across all models, whereas for the best sires some reranking occurred. Further, models were evaluated based on their ability to predict future data, which is one of the main concerns of animal breeders. The predictive ability of each model was determined by using 2 criteria: mean squared error and Pearson correlation between predicted and observed value. Overall, the 5 models did not differ in predictive ability. In contrast to expectations, sire models had the same predictive ability as animal models. Linear models were found to be robust toward departures from normality and performed equally well as threshold models. PMID:20723708
The purpose of this study was to evaluate the feasibility of using localized harmonic motion (LHM) to monitor and control focused ultrasound surgery (FUS) in VX2 tumors in vivo. FUS exposures were performed on 13 VX2 tumors implanted in nine rabbits. The same transducer induced coagulation and generated a localized oscillatory motion by periodically varying the radiation force. A separate diagnostic ultrasound transducer tracked motion by cross-correlating echo signals at different instances. A threshold in motion amplitude was instituted to cease exposure. Coagulation was confirmed by T2-weighted MR images, thermal dose obtained through MR thermometry and histological examinations. For tumor locations achieving coagulation, the LHM amplitude was 9% (p = 0.04) to 57% (p < 0.0001) lower than that before exposure. Control was successful for 74 (69%) out of 108 cases, with 52 (48%) reaching the threshold and achieving coagulation and 22 (21%) never reaching threshold nor coagulating. For the 34 (31%) unsuccessful exposures, 16 (15%) never reached the threshold but coagulation occurred, and 18 (16%) reached threshold without coagulation confirmed. Noise or radio-frequency signal changes explained motion over- or underestimation in 24 (22%) cases; the remaining 10 (9%) had other causes of error. The control was generally successful, but sudden change or noise in the acquired echo signal caused failure. Coagulation after exposure could be validated by comparing amplitudes before and after exposure.
The purpose of this study was to evaluate the feasibility of using localized harmonic motion (LHM) to monitor and control focused ultrasound surgery (FUS) in VX2 tumors in vivo. FUS exposures were performed on 13 VX2 tumors implanted in nine rabbits. The same transducer induced coagulation and generated a localized oscillatory motion by periodically varying the radiation force. A separate diagnostic ultrasound transducer tracked motion by cross-correlating echo signals at different instances. A threshold in motion amplitude was instituted to cease exposure. Coagulation was confirmed by T2-weighted MR images, thermal dose obtained through MR thermometry and histological examinations. For tumor locations achieving coagulation, the LHM amplitude was 9% (p = 0.04) to 57% (p < 0.0001) lower than that before exposure. Control was successful for 74 (69%) out of 108 cases, with 52 (48%) reaching the threshold and achieving coagulation and 22 (21%) never reaching threshold nor coagulating. For the 34 (31%) unsuccessful exposures, 16 (15%) never reached the threshold but coagulation occurred, and 18 (16%) reached threshold without coagulation confirmed. Noise or radio-frequency signal changes explained motion over- or underestimation in 24 (22%) cases; the remaining 10 (9%) had other causes of error. The control was generally successful, but sudden change or noise in the acquired echo signal caused failure. Coagulation after exposure could be validated by comparing amplitudes before and after exposure.
The purpose of this study was to assess the reliability of the RIII reflex threshold and Pain threshold in three repeated trials using electrocutaneous stimuli. Each trial was separated by a mean of 4.3 +/- 2.9 days (between-trials) and included two repeated measurements (within-trial) of the RIII reflex threshold (RIII-T) and the Pain threshold (PT) separated by 20 min. The participants were 14 healthy males (mean age +/- SD, 23.5 +/- 5.3 years). There was a significant difference between the RIII-T and PT. The reliability of the RIII-T and PT shows a between-trials coefficient of variance (CV(SEM)) of 16.1 and 16.9%, respectively. The within-trial CV(SEM) for RIII-T and PT was 5.4 and 4.3%, respectively. There was a significant correlation between the RIII-T threshold and PT. The parallel association and correlation of the RIII-T with the PT suggests that the RIII-T is valid in experimental pain studies under standardised resting conditions. PMID:18818941
This study aimed to assess the reliability, validity, and factor structure of the Greek translation of the Patient Health Questionnaire (PHQ) in a sample of Cypriot, Greek-speaking university students. This is the first study to examine PHQ psychometric properties in Greek and to investigate the factor structure of the PHQ subscales. A total of 520 participants (73.9% women; M(Age) = 21.57; SD, 4.94) completed the PHQ and assessment tools used for convergent validity analysis. Patient Health Questionnaire was translated and culturally adapted according to international standards. Overall, PHQ subscales in Greek language demonstrated good internal consistency (mean Cronbach ? = .75, P Disorders Identification Test, Beck Depression Inventory, Psychiatric Diagnostic Screening Questionnaire (panic disorder, somatization, bulimia, and binge eating), and Anxiety Sensitivity Index (overall mean, r = 0.52; P eating disorders, panic disorder, and somatization difficulties exhibited 2-, 3-, and 4-factor structures, respectively. Overall, PHQ subscales demonstrated good psychometric properties, with the exception of the subscale examining problematic alcohol use. Overall, PHQ demonstrates good reliability, validity, and appropriate factor structure in a Greek-speaking college population. Psychometric research is needed on the Greek PHQ in primary care settings. PMID:22901833
To adapt the Western Ontario Rotator Cuff (WORC) index for use in Turkey and to investigate its reliability and validity; the Turkish version of the WORC was developed according to the guidelines in the literature. Seventy-two patients with rotator cuff disease were administered the questionnaire and were also evaluated by using the University of California Los Angeles (UCLA) shoulder rating scale, Constant score, and Short Form (SF)-36 to test validity. The WORC questionnaire was repeated in 35 patients after a mean interval of 2.9 days (range 2-7 days) to evaluate test-retest reliability. Cronbach's alpha was calculated as 0.92 for the total questionnaire. The intraclass correlation coefficients were very high and ranged between 0.96 and 0.98 for each section. There was a significant negative correlation between the Turkish version of WORC and UCLA (r = -0.598, P < 0.01), Constant score (r = -0.630, P < 0.01), and all subscales of SF-36 (P < 0.01). The Turkish version of the WORC index is a reliable and valid instrument for use in clinical trials in patients with rotator cuff disorders. PMID:16799776
The knowledge of having only a 50% chance of receiving an active drug can result in reduced efficacy in blinded randomized clinical trials (RCTs) compared to clinical practice (reduced external validity). Moreover, minor onset sensations associated with the drug (but not with an inert placebo) can further challenge the attribution of group differences to drug-specific efficacy (internal validity). We used a randomized experimental study with inert placebos (inert substance) vs active placebos (inducing minor sensations), and different instructions about group allocation (probability of receiving drug: 0%, 50%, 100%). One hundred forty-four healthy volunteers were informed that a new application method for a well-known painkiller would be tested. Pain thresholds were assessed before and after receiving nasal spray. Half of the nasal sprays were inert placebos (sesame oil), while the other half were active placebos inducing prickling nasal sensations (sesame oil with 0.014% capsaicin). The major outcome was pain threshold after placebo application. A substantial expectation effect was found for the inert placebo condition, with participants who believed they had received an active drug reporting the highest pain thresholds. Active placebos show substantial differences to passive placebos in the 50% chance group. Therefore, patient expectations are significantly different in placebo-controlled clinical trials (50% chance) vs clinical practice (100% chance). Moreover, minor drug onset sensations can challenge internal validity. Effect sizes for these mechanisms are medium, and can substantially compete with specific drug effects. For clinical trials, new study designs are needed that better control for these effects. PMID:23084328
We performed error analysis of tumor blood flow (TBF) measurement using dynamic contrast-enhanced data and model-independent deconvolution analysis, based on computer simulations. For analysis, we generated a time-dependent concentration of the contrast agent in the volume of interest (VOI) from the arterial input function (AIF) consisting of gamma-variate functions using an adiabatic approximation to the tissue homogeneity model under various plasma flow (F{sub p}), mean capillary transit time (T{sub c}), permeability-surface area product (PS) and signal-to-noise ratio (SNR) values. Deconvolution analyses based on truncated singular value decomposition with a fixed threshold value (TSVD-F), with an adaptive threshold value (TSVD-A) and with the threshold value determined by generalized cross validation (TSVD-G) were used to estimate F{sub p} values from the simulated concentration-time curves in the VOI and AIF. First, we investigated the relationship between the optimal threshold value and SNR in TSVD-F, and then derived the equation describing the relationship between the threshold value and SNR for TSVD-A. Second, we investigated the dependences of the estimated F{sub p} values on T{sub c}, PS, the total duration for data acquisition and the shape of AIF. Although TSVD-F with a threshold value of 0.025, TSVD-A with the threshold value determined by the equation derived in this study and TSVD-G could estimate the F{sub p} values in a similar manner, the standard deviation of the estimates was the smallest and largest for TSVD-A and TSVD-G, respectively. PS did not largely affect the estimates, while T{sub c} did in all methods. Increasing the total duration significantly improved the variations in the estimates in all methods. TSVD-G was most sensitive to the shape of AIF, especially when the total duration was short. In conclusion, this study will be useful for understanding the reliability and limitation of model-independent deconvolution analysis when applied to TBF measurement using an extravascular contrast agent.
We performed error analysis of tumor blood flow (TBF) measurement using dynamic contrast-enhanced data and model-independent deconvolution analysis, based on computer simulations. For analysis, we generated a time-dependent concentration of the contrast agent in the volume of interest (VOI) from the arterial input function (AIF) consisting of gamma-variate functions using an adiabatic approximation to the tissue homogeneity model under various plasma flow (Fp), mean capillary transit time (Tc), permeability-surface area product (PS) and signal-to-noise ratio (SNR) values. Deconvolution analyses based on truncated singular value decomposition with a fixed threshold value (TSVD-F), with an adaptive threshold value (TSVD-A) and with the threshold value determined by generalized cross validation (TSVD-G) were used to estimate Fp values from the simulated concentration-time curves in the VOI and AIF. First, we investigated the relationship between the optimal threshold value and SNR in TSVD-F, and then derived the equation describing the relationship between the threshold value and SNR for TSVD-A. Second, we investigated the dependences of the estimated Fp values on Tc, PS, the total duration for data acquisition and the shape of AIF. Although TSVD-F with a threshold value of 0.025, TSVD-A with the threshold value determined by the equation derived in this study and TSVD-G could estimate the Fp values in a similar manner, the standard deviation of the estimates was the smallest and largest for TSVD-A and TSVD-G, respectively. PS did not largely affect the estimates, while Tc did in all methods. Increasing the total duration significantly improved the variations in the estimates in all methods. TSVD-G was most sensitive to the shape of AIF, especially when the total duration was short. In conclusion, this study will be useful for understanding the reliability and limitation of model-independent deconvolution analysis when applied to TBF measurement using an extravascular contrast agent.
Abstract in english The Delphi technique has been used since the 1950s to collect the opinions of experts; to gauge their indications, and in some instances, to develop a consensus. This systematic collection and aggregation of informed judgments from a group of experts on specific questions or issues is a highly efficient and cost-effective means to establish guidelines and policies, when compared to other strategies, such as committee meetings or personal interviews. OBJECTIVE: Examine the (more) content validation process of the proposed criteria of the American Society of Health System Pharmacists (ASHP) for amikacin use in hospital settings. MATERIAL AND METHODS: The Delphi technique was applied using the proposed ASHP criteria questionnaire containing 102 specific questions related to the nosocomial use of amikacin by individual patients. The questionnaire contained six groups of questions: 1) Identification and basic demographic data, 2) Relevant data for the use of amikacin, 3) Justification of its usage, 4) Critical parameters of amikacin use, 5) Complications, 6) Measurement of results. Eight hospital specialist medical doctors were selected, including five in the area of infectious diseases, one surgeon, one nephrologist and one in critical care medicine. The questionnaire was e-mailed to the doctors and they were asked for their opinion about the appropriateness of the questions. They were to say whether the general concept seemed totally or partially adequate to the proposed process, what grade (0 to 10) they would give to each section, and if there were any perceived deficiencies, they could add, omit or modify individual questions. A second questionnaire containing the questions for which there had been no consensus based on the answers to the previous one was re-sent to the participants for consolidation. RESULTS: Feedback revealed an agreement of 75% concerning the utility and appropriateness of sections 1 and 2. The section about the justification of amikacin usage was agreed on by 50%. There was a total agreement of 62% for the critical parameters of amikacin use, and a partial agreement of 37%. The complication of usage of the questionnaire was agreed upon by 50% of the participants, and positive measurement of the results was totally agreed on by 62%, and partially by 37%. The overall score for the questionnaire was 8.77 ± 0.25. CONCLUSION: The usage criteria for amikacin recommended by ASHP were validated by the Delphi technique for utilization in Brazilian hospital settings. The Delphi technique applied to validate a questionnaire instrument for monitoring the correct use of a specific strategic antibiotic indicated for the treatment and prophylaxis of serious antibiotic-resistant Gram-negative bacteria, proved to be a reliable and simple tool for designing guidelines and a consensus document for hospital use of antibiotics.
Background and purpose A questionnaire was introduced by the New Zealand Arthroplasty Registry for use when evaluating the outcome of total ankle replacement surgery. We evaluated the reliability, validity, and responsiveness of the modified Swedish version of the questionnaire (SEFAS) in patients with osteoarthritis or inflammatory arthritis before and/or after their ankle was replaced or fused. Patients and methods The questionnaire was translated into Swedish and cross-culturally adapted according to a standardized procedure. It was sent to 135 patients with ankle arthritis who were scheduled for or had undergone surgery, together with the foot and ankle outcome score (FAOS), the short form 36 (SF-36) score, and the EuroQol (EQ-5D) score. Construct validity was evaluated with Spearman’s correlation coefficient when comparing SEFAS with FAOS, SF-36, and EQ-5D, content validity by calculating floor and ceiling effects, test-retest reliability with intraclass correlation coefficient (ICC), internal consistency with Cronbach’s alpha (n = 62), agreement by Bland-Altman plot, and responsiveness by effect size and standardized response mean (n = 37). Results For construct validity, we correlated SEFAS with the other scores and 70% or more of our predefined hypotheses concerning correlations could be confirmed. There were no floor or ceiling effects. ICC was 0.92 (CI 95%: 0.88–0.95), Cronbach’s alpha 0.96, effect size was 1.44, and the standardized response mean was 1.00. Interpretation SEFAS is a self-reported foot and ankle score with good validity, reliability and responsiveness, indicating that the score can be used to evaluate patients with osteoarthritis or inflammatory arthritis of the ankle and outcome of surgery. PMID:16437758
AIMS AND OBJECTIVES: To evaluate the internal reliability and validity of the Brazilian Portuguese version of the Family Questionnaire among families of schizophrenia outpatients. BACKGROUND: The main studies about the family environment of schizophrenia patients are related to the concept of Expressed Emotion. There is currently no instrument to evaluate this concept in Brazil that is easily applicable and comparable with studies from other countries. DESIGN: Methodological and cross-sectional research design. METHOD: A convenience sample of 130 relatives of schizophrenia outpatients was selected. The translation and cultural adaptation of the instrument involved experts in mental health and experts in the German language and included back translation, semantic evaluation of items and pretesting of the instrument with 30 relatives of schizophrenia outpatients. The psychometric properties of the instrument were studied with another 100 relatives, which fulfilled the requirements for the Brazilian Portuguese version of the instrument. The psychometric properties of the instrument were assessed by construct validity (using an analysis of its key components, comparisons between distinct groups-convergent validity with the Antonovsky's Sense of Coherence Scale) and reliability (checking the internal consistency of its items and its test-retest reproducibility). RESULTS: The analysis of main components confirmed dimensionality patterns that were comparable between the original and adapted versions. In two domains of the instrument, critical comments and emotional over-involvement had moderate and significant correlations, respectively, with Antonovsky's Sense of Coherence Scale, appropriate values of Cronbach's alpha and strong and significant correlations, respectively, in test-retest reproducibility. We observed significant differences between distinct groups of parents in the category of emotional over-involvement. CONCLUSION: We conclude that the Portuguese-adapted version of the Family Questionnaire is valid and reliable for the study sample. RELEVANCE TO CLINICAL PRACTICE: This study provided evidence that the Family Questionnaire is a reliable and valid instrument for assessing expressed emotion. It is easy and practical to use and is acceptable for use in a Brazilian cultural population. PMID:23134331
Objectives Advances in biopsychosocial science have underlined the importance of taking social history and life course perspective into consideration in primary care. For both clinical and research purposes, this study aims to develop and validate a standardised instrument measuring both material and social deprivation at an individual level. Methods We identified relevant potential questions regarding deprivation using a systematic review, structured interviews, focus group interviews and a think-aloud approach. Item response theory analysis was then used to reduce the length of the 38-item questionnaire and derive the deprivation in primary care questionnaire (DiPCare-Q) index using data obtained from a random sample of 200 patients during their planned visits to an ambulatory general internal medicine clinic. Patients completed the questionnaire a second time over the phone 3?days later to enable us to assess reliability. Content validity of the DiPCare-Q was then assessed by 17 general practitioners. Psychometric properties and validity of the final instrument were investigated in a second set of patients. The DiPCare-Q was administered to a random sample of 1898 patients attending one of 47 different private primary care practices in western Switzerland along with questions on subjective social status, education, source of income, welfare status and subjective poverty. Results Deprivation was defined in three distinct dimensions: material (eight items), social (five items) and health deprivation (three items). Item consistency was high in both the derivation (Kuder-Richardson Formula 20 (KR20) =0.827) and the validation set (KR20 =0.778). The DiPCare-Q index was reliable (interclass correlation coefficients=0.847) and was correlated to subjective social status (rs=?0.539). Conclusion The DiPCare-Q is a rapid, reliable and validated instrument that may prove useful for measuring both material and social deprivation in primary care. PMID:11393594
Abstract in portuguese O objetivo deste estudo foi traduzir e adaptar o McGill Pain Questionnaire para a Língua Portuguesa falada no Brasil, visando sua validação científica. Inicialmente o questionário original foi traduzido por três tradutores juramentados, fluentes em Inglês e Português falado no Brasil. Estas três traduções foram meticulosamente analisadas por cinco profissionais da saúde (três cirurgiões-dentistas, um médico e um estudante de medicina), que selecionaram para (more) cada descritor de dor, a tradução que melhor correspondia com o termo original em Inglês. O questionário resultante foi então aplicado a 80 sujeitos (20 professores, 20 graduandos, 20 funcionários e 20 pacientes, todos ligados à Faculdade de Odontologia de Ribeirão Preto - USP). Após adaptações visando um melhor entendimento dos descritores de dor, uma adaptação dos valores de intensidade de cada descritor de dor foi feita por 20 pós-graduandos e 20 graduandos em Odontologia, os quais foram solicitados a registrar a intensidade da dor para cada um dos descritores, com base na sua opinião pessoal. Além disso, eles preencheram a versão final do questionário traduzido a fim de identificar a persistência de possíveis dúvidas. O McGill Pain Questionnaire se mostrou um instrumento bastante útil na mensuração da dor, e a sua tradução e adaptação o tornou válido para sua utilização como instrumento de mensuração da dor em Português. Abstract in english The purpose of this study was to the present a translated version of the McGill Pain Questionnaire to Brazilian Portuguese that adapted the original pain descriptors according to the Brazilian culture, aiming at its scientific validation. Initially, the original questionnaire was translated by 3 legally recognized translators fluent in English and in Brazilian Portuguese. The translations were meticulously assessed by 5 health professionals (3 dentists, 1 physician and 1 (more) medical student) who were asked to choose the best translation for each pain descriptor of the original questionnaire in English. The resulting questionnaire was applied to 80 subjects (20 professors, 20 dental students, 20 employees and 20 patients, all related to the School of Dentistry of Ribeirão Preto, University of São Paulo). After some adjustments to improve the understanding of the pain descriptors, an adaptation of the intensity values of each pain descriptor was done by 20 postgraduate dental students and 20 undergraduate dental students, who were asked to record, for each word, the pain intensity value based on their personal opinion. In addition, they were asked to fill out the final version of the questionnaire to identify any doubts. The McGill Pain Questionnaire proved to be a very useful tool for measuring pain, and its version in Brazilian Portuguese was validated to be used as an important diagnostic resource.
Acupuncture points (APs) are well known to be small regions of local or referred pain that are more sensitive than surrounding tissue. Based on bibliographical and clinical data, specific conditions are commonly believed to change the pain sensitivity at corresponding APs. The aim of the present study was to investigate whether the pressure pain threshold (PPT) of specific APs is associated with the severity of premenstrual syndrome. The 46 participants were female students attending a middle school. Premenstrual syndrome (PMS) was measured using a structured questionnaire, the menstruation distress questionnaire (MDQ). High PMS (HP) and low PMS (LP) groups were divided based on their MDQ scores. The PPTs at sites in the leg (the APs SP6, GB39, and LR3 and a non-AP 2-cm anterior to SP6) and in the arm (the APs PC6, TE5, and LI4 and a non-AP 2-cm proximal to PC6) were measured using an algometer. The PPT of the HP group at SP6 was significantly lower than that of the LP group (13.50 ± 0.73 vs. 16.30 ± 0.66 kilopascals, P < 0.05), but not at other APs or at non-APs. The findings of our study support the hypothesis that the alteration of pain threshold at specific APs is associated with the severity of corresponding diseases. Further studies are needed to determine whether an observation of pain sensitivity at the APs could be used as an adjunctive tool for the diagnosis of a clinical problem.
We have designed a screening system to diagnose unruptured aneurysms, including the use of digital subtraction angiography (DSA). We surveyed 115 patients who had undergone clipping procedures after subarachnoid hemorrhage (SAH) and questioned them with regard to the subjective symptoms. Sixty-eight of 92 patients who returned the questionnaire reported, prior to rupture, headache,eye pain, and neck pain most frequently, and also impairment of extraocular movements, ptosis, visual field defects, and motor and sensory disturbances. Nineteen (47.5%) of 40 patients who had complete pain relief after surgery complained of headache from 1 week to 1 month before SAH. In addition, nine patients (22.5%) complained of headache for several years, and were also pain-free after surgery. For the indication of DSA, we employed an expert system based on fuzzy set theory. Seven groups of parameters are: Group 1, a basic questionnaire concerning age, sex, and past and family histories; Group 2, 15 warning signs selected on the basis of retrospective study; and Groups 3-7, detailed questions concerning each sign. Scoring weights assigned to each condition based on the results of the retrospective study, and threshold values were determined by several neurosurgeons. The certainty factors for intermediate hypotheses were calculated from these weights and threshold values and summed up, from which the conclusion was obtained. Twelve new cases of unruptured cerebral aneurysm were diagnosed using this screening system. This system may improve the ability to diagnose cerebral aneurysms before rupture. (author).
ABSTRACT Background: The assessment of social anxiety in late life has been examined in few studies (e.g. Gretarsdottir et al., 2004; Ciliberti et al., 2011). The present study describes the creation and initial psychometric evaluation of a new, content valid measure of social anxiety for older adults, the Older Adult Social-Evaluative Situations Questionnaire (OASES). Methods: Psychometric properties of the OASES were evaluated in a community dwelling sample of older adults (N = 137; 70.8% female). Convergent validity was established by examining the relation between the OASES and the Liebowitz Social Anxiety Scale (LSAS), Social Phobia and Anxiety Inventory (SPAI), and Beck Anxiety Inventory (BAI). Discriminant validity was established by examining the relation between the OASES and measures of depression (Geriatric Depression Scale, GDS), perceived health status (Short Form Health Survey, SF-12), and demographic variables. The validity analyses of the OASES were based on a smaller sample with n values ranging from 98 to 137 depending on missing data on each questionnaire. Results: Internal consistency, measured by Cronbach's ?, for the OASES total score was 0.96. All items on the OASES were endorsed by participants. Convergent validity was demonstrated by medium to large correlations with the SPAI, LSAS, and BAI. Support for discriminant validity was evidenced by small to medium correlations between the OASES and GDS, SF-12, and demographic variables. Conclusions: Evidence in support of convergent and discriminant validity of the OASES is discussed. Although the results from the present study suggest that this measure may assess anxiety in and avoidance of social situations salient to older adults, future studies are needed to further examine the psychometric properties of the OASES and replicate these results in both clinical and more diverse samples of older adults. PMID:22846411
Abstract in portuguese O objetivo deste estudo foi verificar a validade (critério) e a generalidade (validade cruzada) dos limiares de acelerômetros para distinguir diferentes intensidades de atividade física em crianças e adolescentes. Uma busca sistemática da literatura foi conduzida nas bases de dados Pubmed, Scopus, Sports Discus e Web of Science. Os critérios de inclusão foram: a) derivação e/ou validação de limiares de acelerômetros relacionados à intensidade da atividade fí (more) sica em jovens (2 a 18 anos); b) uso da calorimetria indireta ou a observação direta como método de referência e; c) estudos em língua inglesa, espanhola ou portuguesa. Dezenove estudos foram selecionados. Os acelerômetros mais investigados foram o ActiGraph, o RT3 e o Actical. Os limiares apresentaram boa a moderada validade na fase de calibração (sensibilidade = 68-100%; especificidade = 61-100%). A generalidade dos limiares foi maior quando estes foram testados em amostras independentes (Kappa = 0,72-0,91; sensibilidade = 79-94%; especificidade = 72-98%) do que em atividades independentes (Kappa = 0,46-0,71; sensibilidade = 27-97%; especificidade = 52-95%). Um único estudo de calibração testou a validade dos limiares em amostras e atividades independentes e apenas um estudo de validação de limiares foi localizado. Em conclusão, limitada informação foi constatada quanto à generalidade dos limiares de acelerômetros para o monitoramento da atividade física habiltual de crianças e adolescentes. Estudos de validação são necessários para identificar limiares apropriados para cada modelo de acelerômetro. Abstract in english The aim of this study was to verify the criterion and cross-validity of accelerometer thresholds for distinguishing different physical activity intensities and identifying sedentary behavior in children and adolescents. A systematic literature review was conducted using the PubMed, Scopus, Sports Discus and Web of Science databases. Inclusion criteria were: a) derivation and/or validation of accelerometer thresholds related to intensity of physical activity in youth (age (more) 2 to 18 years); b) use of indirect calorimetry or direct observation as the reference method; c) original research articles published in English, Portuguese or Spanish. Nineteen studies were selected. The accelerometers most often investigated were ActiGraph, RT3 and Actical. Thresholds showed good to moderate validity in the calibration phase (sensitivity = 68 to 100%; specificity = 61 to 100%). Generalizability of the thresholds was higher when they were tested on independent samples (Kappa = 0.72 to 0.91; sensitivity = 79 to 94%; specificity = 72 to 98%) than during independent activities (Kappa = 0.46 to 0.71; sensitivity = 27 to 97%; specificity = 52 to 95%). One calibration study tested the validity of thresholds in independent samples and activities, and only one thresholdvalidation study was found. In conclusion, limited information is available on the generality of accelerometer thresholds for physical activity monitoring in children and adolescents. Validation studies are needed to identify appropriate thresholds for each type of accelerometer.
Purpose: The study aimed to validate the Danish version of the Canadian the "McGill Ingestive Skills Assessment" (MISA-DK) for measuring dysphagia in frail elders. Method: One-hundred and ten consecutive older medical patients were recruited to the study. Reliability was assessed by internal consistency (Chronbach's alpha). External construct validity (convergent and known-groups validity) was evaluated against theoretical constructs assessing the complex concept of ingestive skills. Internal construct validity was tested using Rasch analysis. Results: High internal consistency reliability with Chronbach's alpha of 0.77-0.95 was evident. External construct validity was supported by expected high correlations with most of the constructs related to ingestive skills (r(s)¿=¿0.53 to r(s)¿=¿0.66). The MISA-DK discriminated significantly between known-groups. Fit to the Rasch model (x(2) (df)¿=¿12 (12), p¿=¿0.424) and unidimensionality of the MISA-DK was confirmed after resolving disordered thresholds for 11 items and adjustment of local dependency. Conclusion: The psychometric properties of the MISA-DK equal the original Canadian version. Assessment of internal construct validity indicated multidimensionality due to local dependency. Although achieving good fit to the Rasch model after adjustments, additional studies are needed to establish cross-cultural validity. Finally, establishment of the inter- and intra-rater reliability of the MISA-DK is also needed. [Box: see text].
RADIANCE extracts CT dose parameters from dose sheets using optical character recognition and stores the data in a relational database. To facilitate validation of RADIANCE's performance, a simple user interface was initially implemented and about 300 records were evaluated. Here, we extend this interface to achieve a wider variety of functions and perform a larger-scale validation. The validator uses some data from the RADIANCE database to prepopulate quality-testing fields, such as correspondence between calculated and reported total dose-length product. The interface also displays relevant parameters from the DICOM headers. A total of 5,098 dose sheets were used to test the performance accuracy of RADIANCE in dose data extraction. Several search criteria were implemented. All records were searchable by accession number, study date, or dose parameters beyond chosen thresholds. Validated records were searchable according to additional criteria from validation inputs. An error rate of 0.303% was demonstrated in the validation. Dose monitoring is increasingly important and RADIANCE provides an open-source solution with a high level of accuracy. The RADIANCE validator has been updated to enable users to test the integrity of their installation and verify that their dose monitoring is accurate and effective.
Objective: Early diagnosis is central to the management of chronic obstructive pulmonary disease (COPD). In time-constrained clinical situations, a pre-interview questionnaire can be a useful method for alerting both clinicians and patients with COPD, particularly for elderly patients. To screen subjects who might have COPD, we have developed an efficient pre-interview questionnaire. Methods: In study I, we developed an 11-item questionnaire (11-Q) to alert primary care providers to the possibility of COPD, and the validity of this questionnaire was investigated. In study II, a randomized and prospective cross-sectional study was performed on a total of 245 subjects with or without respiratory symptoms. Results: Good test-retest reliability and validity were shown in study I; the internal consistency of 11-Q was highly preserved (Cronbach ? value of 0.867), with a high reproducibility of responses by inter- and intra examinees. Study II showed that the 11-Q in COPD patients with more than moderate severity was significantly higher than that in bronchial asthma or non-cardiopulmonary subjects (both, p<0.0001). Among the COPD patients, the total score significantly distinguished the severity of COPD as mild or more than moderate. Conclusion: The pre-interview questionnaire, 11-Q, was found to be a useful tool to alert primary care providers to subjects with COPD and could also be used to distinguish COPD with a more than moderate severity from bronchial asthma. The 11-Q can be used as a simple and inexpensive method of predicting COPD, thus being a useful tool to alert primary care providers to patients with suspected COPD, particularly among the elderly.
Abstract in spanish Dada la diversidad de cuestionarios empleados en el estudio de la epidemiología analítica de las lesiones por tráfico, realizamos una revisión de los estudios publicados al respecto entre 1989 a 2011, con objeto de identificar sus fortalezas y debilidades. Dicha revisión puso de relieve que la mayor parte de los cuestionarios se centran en el factor humano sobre el riesgo de accidente, pero son muy pocos los que incluyen la intensidad de exposición y la asociación (more) de ésta con otros factores de riesgo de la accidentalidad. Muchos cuestionarios poseen un elevado número de ítems y complejas escalas de valoración. Además, en España son escasos los cuestionarios validados sobre la exposición y la accidentalidad por tráfico. Por todo ello, es necesario trabajar en el diseño y la validación de cuestionarios que recojan de forma sencilla información integral sobre la epidemiología de las lesiones por tráfico de cara a su mayor conocimiento y prevención. Abstract in english Given the diversity of questionnaires currently being used in the study of the analytic epidemiology of traffic injuries, we made a review of studies on this question published between 1989 and 2011 in order to identify their advantages and disadvantages. We were able to observe that most of the questionnaires were focused on the human factor regarding the risk of road crashes, but very few of them included intensity of exposure and its association with other risk factors (more) in road crashes. Many questionnaires have a high number of items and complex rating scales. Furthermore, in Spain there are few validatedquestionnaires which contain complete information about exposure and road crashes. In Spain we should work on the design and validation of questionnaires containing questions aimed at obtaining complete and easy information about the epidemiology of traffic injuries. In this way we would be able to increase our awareness of traffic injuries and how to prevent them.
Objectives: Interest in workplace bullying and harassment has been increasing in Japan. At present, the Negative Acts Questionnaire (NAQ) is one of the most frequently used questionnaires for assessing these issues. The purpose of this study was to develop a Japanese version of the NAQ. Methods: We translated the original version of the NAQ using a back-translation method. Participants in this study were recruited from 737 workers at a manufacturing company in Japan. Data were obtained from questionnaires completed by 517 respondents (response rate: 70.1%). Results: We used a cross-validation approach. A three-factor model was obtained from exploratory factor analyses. The confirmatory factor analysis for this model revealed values of 0.94, 0.91, 0.95, and 0.054 for the goodness-of-fit index, the adjusted goodness-of-fit index, the comparative fit index, and the root mean square error of approximation, respectively. Pearson's correlation coefficients for the NAQ scores with the Job Content Questionnaire (JCQ) support scores and the Effort-Reward Imbalance Questionnaire scores for respect and job security were significant (p<0.001) and the direction of these associations were consistent with our expectations, with the exceptions of the correlations between the NAQ sexual harassment score and the JCQ support scores. Cronbach's alpha coefficients for the scores on the entire NAQ scale and on three subscales (person-related bullying, work-related bullying, and sexual harassment) were 0.90, 0.84, 0.60, and 0.60, respectively. Conclusions: A Japanese version of the NAQ was developed and it appears to have acceptable levels of internal consistency reliability and factor- and construct-validity.
Abstract? The aim of this study was to assess occurrence of dampness and mold in school buildings in three European countries (the Netherlands, Spain, and Finland), representing different climatic regions. An assessment was performed utilizing both questionnaires and on-site building investigations, and the agreement between these two methods was evaluated for validation purposes. On the basis of questionnaire data from a representative sample of schools, different types of moisture problems were reported in 24-47% of all school buildings at the time of the study. Most commonly reported was dampness in the Netherlands, moisture/water damage in Spain, and mold odor in Finland. Subsequently, 20-24 schools per country were selected for on-site inspections by trained staff. The overall agreement between the questionnaire and inspection data was good (kappa-value 0.62), however, with large differences (0.39-0.91) between countries. Extrapolating from the inspection data, the minimum estimates for prevalence of moisture problems in school buildings are 20% in the Netherlands, 41% in Spain, and 24% in Finland. In conclusion, moisture problems (such as moisture damage, dampness, and mold) are relatively common in schools. The occurrence and severity may vary across geographical areas, which can be partly explained by building characteristics. PRACTICAL IMPLICATIONS: On the basis of this study, the prevalence of verified moisture problems in school buildings was highest in Spain, but lower and similar in Finland and the Netherlands. Questionnaire-based surveys can be used to assess moisture problems in school buildings, but because of large variation in agreement with inspection data, the questionnaire needs to be validated by on-site inspections in a subsample of the surveyed buildings. PMID:22404345
Abstract in spanish Se expone el desarrollo y validación factorial del Cuestionario de Acoso Psicológico en el Trabajo (CAPT), analizando la estructura del mismo, examinando su validez factorial, la consistencia interna de sus escalas (alfa de Cronbach) y la interdependencia estructural existente entre ellas. El cuestionario fue aplicado a una muestra de 103 trabajadores de la Comunidad de Madrid. Tanto los análisis factoriales exploratorios como los confirmatorios indican que el modelo d (more) e tres factores del CAPT presenta un buen ajuste a los datos, con dos índices (CFI y GFI) cerca de 1.00 y con el RMSEA y el RMR por debajo de 0.05. Se hallaron índices de fiabilidad elevados para casi la totalidad de las escalas del CAPT, evidenciándose relaciones entre ellas que confirman la estructura teórica planteada. Las tres dimensiones del cuestionario explicaron el 72.6% de la varianza total. En general, el CAPT parece ser una medida válida y fiable para evaluar acoso psicológico. Abstract in english The present study shows the development and the factorial validation of the Mobbing at Work Questionnaire (MWQ), analyzing the internal structure of the questionnaire, as well as the internal consistency (Cronbach’s alpha) of its different scales and the structural interdependence between them. The questionnaire was completed by 103 Spanish employees of the Community of Madrid. Both exploratory and confirmatory factor analyses indicated that the three factor model o (more) f the MWQ provided a good fit to the data, with two indices (CFI and GFI) near 1,00 and the RMSEA and RMR below 0.05. Cronbach’s alphas were high for the different scales. The relations between them confirm the theoretical structure proposed in the questionnaire. Together, the three dimensions of the questionnaire were able to explain 72.6% of the variance. So far, present study shows that MWQ seems to be a valid and a reliable measure for mobbing.
Abstract in spanish Se expone el desarrollo y validación factorial del Cuestionario de Acoso Psicológico en el Trabajo (CAPT), analizando la estructura del mismo, examinando su validez factorial, la consistencia interna de sus escalas (alfa de Cronbach) y la interdependencia estructural existente entre ellas. El cuestionario fue aplicado a una muestra de 103 trabajadores de la Comunidad de Madrid. Tanto los análisis factoriales exploratorios como los confirmatorios indican que el modelo d (more) e tres factores del CAPT presenta un buen ajuste a los datos, con dos índices (CFI y GFI) cerca de 1.00 y con el RMSEA y el RMR por debajo de 0.05. Se hallaron índices de fiabilidad elevados para casi la totalidad de las escalas del CAPT, evidenciándose relaciones entre ellas que confirman la estructura teórica planteada. Las tres dimensiones del cuestionario explicaron el 72.6% de la varianza total. En general, el CAPT parece ser una medida válida y fiable para evaluar acoso psicológico. Abstract in english The present study shows the development and the factorial validation of the Mobbing at Work Questionnaire (MWQ), analyzing the internal structure of the questionnaire, as well as the internal consistency (Cronbach's alpha) of its different scales and the structural interdependence between them. The questionnaire was completed by 103 Spanish employees of the Community of Madrid. Both exploratory and confirmatory factor analyses indicated that the three factor model of (more) the MWQ provided a good fit to the data, with two indices (CFI and GFI) near 1,00 and the RMSEA and RMR below 0.05. Cronbach's alphas were high for the different scales. The relations between them confirm the theoretical structure proposed in the questionnaire. Together, the three dimensions of the questionnaire were able to explain 72.6% of the variance. So far, present study shows that MWQ seems to be a valid and a reliable measure for mobbing.
Abstract in spanish Objetivo Analizar las evidencias de validez y fiabilidad de un cuestionario de satisfacción de pacientes con el servicio de indicación en las farmacias comunitarias argentinas. Material y Métodos Estudio descriptivo de corte transversal. Participaron todos los pacientes o sus cuidadores que concurrieron a las farmacias durante el período de estudio (marzo y abril de 2006) y que supieran leer y escribir. Resultados Se obtuvieron 289 cuestionarios. El análisis factoria (more) l reveló un único componente explicando el 52,2 % de la varianza total. Se obtuvo un coeficiente alfa de Cronbach de 0,89. Los pacientes expresaron comentarios adicionales en 87 cuestionarios (30,1 %) que se relacionaron con la calidad de la atención recibida y con otros aspectos de la asistencia. Discusión El cuestionario mostró evidencias de validez de contenido, validez como estructura interna y fiabilidad para valorar la satisfacción de pacientes con el servicio de indicación en las farmacias comunitarias argentinas. Abstract in english Objective Analysing the evidence regarding the validity and reliability of a patient-satisfaction questionnaire about professional advice received for minor illness in Argentinean community pharmacies. Methods This was a descriptive, cross-sectional study. All patients or their caregivers who visited the pharmacies during the study period (March and April, 2006) and knew how to read and write were included. Results 289 questionnaires were completed. Factorial analysis rev (more) ealed one single component explaining 52.2 % of total variance. A 0.89 Cronbach's alpha coefficient was obtained. Patients made additional comments on 87 questionnaires (30.1 %) concerning the quality of care received and other aspects. Discussion By presenting evidence of content validity, validity as internal structure and reliability the questionnaire could assess patient-satisfaction with the advice received for minor illness in Argentinean community pharmacies.
Scand J Caring Sci; 2012 The Mother and Baby Interaction Scale: a valid broadband instrument for efficient screening of postpartum interaction? A preliminary validation in a Norwegian community sample Background and aims:? The mother-infant relationship may represent a risk or a protective factor for child development. Hence, an early focus on the relationship may be a worthwhile preventive measure. A simple 10-item instrument, the Mother and Baby Interaction Scale, could be a convenient screening instrument for early bonding failure. In this pilot study, preliminary indications of the internal consistency, stability, principal components validity of the Mother and Baby Interaction Scale were investigated. Methods:? Seventy-six postpartum women participated. The Mother and Baby Interaction Scale and Postpartum Bonding Questionnaire were completed together with the Edinburgh Postnatal Depression Scale. The internal reliability of the Mother and Baby Interaction Scale, and its correlations with the Postpartum Bonding Questionnaire and Edinburgh Postnatal Depression Scale, was examined. Principal component analysis of the Mother and Baby Interaction Scale was conducted, and the emerging subscales were compared with the Postpartum Bonding Questionnaire. Results:? The principal component analysis yielded four subscales: Bonding problems, Worries about caretaking, Regulation and routine and Sensitivity and separation. We found acceptable internal consistency of the Mother and Baby Interaction Scale. The total score of the Mother and Baby Interaction Scale correlated better (r?=?0.72) with the Postpartum Bonding Questionnaire than the four subscales. The correlation between the total scores of the Edinburgh Postnatal Depression Scale and the Mother And Baby Interaction Scale was r?=?0.49. Conclusions:? The total score of the Mother and Baby Interaction Scale is a promising measure for early screening of the quality of the mother-infant relationship and is suitable for general practitioners, midwives and other health workers dealing with postpartum women and their children. PMID:22892011
INTRODUCTION: The aim of the study was to assess the validity and reliability of the SF-12 questionnaire in a sample of Iranian patients undergoing hemodialysis. MATERIALS AND METHODS: One hundred and forty-four hemodialysis patients were included from dialysis centers in Zanjan, Iran, and were asked to complete the SF-12 and SF-36 questionnaires. An initial test-retest reliability evaluation was performed on a sample of 70 patients from the total group, with a retest interval of 14 days. Reliability was estimated by internal consistency and validity was assessed using known-group comparisons and construct validity on the patient group as a whole. A linear regression analysis was used to assess any variation in the physical component summary and mental component summary scores of the SF-36 with the respective component summary scores of the SF-12. In addition, the factor structure of the questionnaire was extracted by performing a confirmatory factor analysis. RESULTS: Cronbach alpha for physicaland mental component summaries were 0.89 and 0.90, respectively. The SF-12 showed a good discriminatory ability between subgroups of patients based on demographic and clinical variables. The confirmatory factor analysis for the original two-factor structure showed a good fit index (chi2 = 23.30, degrees of freedom = 13), goodness-of-fit index = 0.96, and root mean squared error of approximation = 0.079). CONCLUSIONS: In general, the SF-12 has good psychometric properties and can be used as a shorter version of the SF-36 questionnaire in future studies involving Iranian patients undergoing hemodialysis.
Abstract in spanish Antecedentes: La evaluación de la calidad de atención, integrando la opinión de los usuarios, es uno de los parámetros a considerar al momento de evaluar los servicios en salud. No existen instrumentos validados a nivel nacional que permitan evaluar la calidad de la atención en patologías del programa AUGE. Objetivos: Crear y validar un instrumento para medir calidad de atención en el programa AUGE cáncer cérvicouterino. Método: El análisis fue realizado en un (more) grupo de 364 mujeres pertenecientes al programa. Para la validación del instrumento se utilizó análisis factorial exploratorio, y la confiabilidad fue medida por alpha de Cronbach. Resultados: El instrumento final denominado INCA-AUGE presenta 19 ítems distribuidos en 5 dominios: funcionamiento del programa AUGE, relación usuaria-profesional, infraestructura, recurso humano, educación sobre la patología AUGE, y recursos materiales. Conclusión: El instrumento INCA-AUGE pretende ser una herramienta útil en su aplicación, asegurando una medición válida de los parámetros para recoger objetivamente la evaluación de las usuarias del programa. Abstract in english Background: Quality of care evaluation, considering the opinion of the users, is one of the parameters to consider at the time of evaluating the services in health. Objectives: Because the absence of validated and reliable national questionnaires, this article describes the development and testing of a new questionnaire to measure quality of care in cervical cancer AUGE program. Method: The analysis was done in a group of 364 women. Exploratory factor analysis was used to (more) validate the questionnaire and Cronbach alpha to measure reliability. Results: The final instrument named INCA-AUGE has 19 items with 5 domains: operation of AUGE program, relationship healthcare worker- patient, infrastructure and human resource, education on AUGE disease, and material resources. Conclusion: INCA-AUGE questionnaire will be a useful tool, assuring a validated and reliable measurement on the patients of AUGE program.
Objective. Sasang typology is a traditional Korean medicine based on the biopsychosocial perspectives of Neo-Confucianism and utilizes medical herbs and acupuncture for type-specific treatment. This study was designed to develop and validate the Sasang Personality Questionnaire (SPQ) for future use in the assessment of personality based on Sasang typology. Design and Methods. We selected questionnaire items using internal consistency analysis and examined construct validity with explorative factor analysis using 245 healthy participants. Test-retest reliability as well as convergent validity were examined. Results. The 14-item SPQ showed acceptable internal consistency (Cronbach's alpha = .817) and test-retest reliability (r = .837). Three extracted subscales, SPQ-behavior, SPQ-emotionality, and SPQ-cognition, were found, explaining 55.77% of the total variance. The SPQ significantly correlated with Temperament and Character Inventory novelty seeking (r = .462), harm avoidance (r = ?.390), and NEO Personality Inventory extraversion (r = .629). The SPQ score of the So-Eum (24.43 ± 4.93), Tae-Eum (27.33 ± 5.88), and So-Yang (30.90 ± 5.23) types were significantly different from each other (P < .01). Conclusion. Current results demonstrated the reliability and validity of the SPQ and its subscales that can be utilized as an objective instrument for conducting personalized medicine research incorporating the biopsychosocial perspective. PMID:20440971
Objective. Sasang typology is a traditional Korean medicine based on the biopsychosocial perspectives of Neo-Confucianism and utilizes medical herbs and acupuncture for type-specific treatment. This study was designed to develop and validate the Sasang Personality Questionnaire (SPQ) for future use in the assessment of personality based on Sasang typology. Design and Methods. We selected questionnaire items using internal consistency analysis and examined construct validity with explorative factor analysis using 245 healthy participants. Test-retest reliability as well as convergent validity were examined. Results. The 14-item SPQ showed acceptable internal consistency (Cronbach's alpha = .817) and test-retest reliability (r = .837). Three extracted subscales, SPQ-behavior, SPQ-emotionality, and SPQ-cognition, were found, explaining 55.77% of the total variance. The SPQ significantly correlated with Temperament and Character Inventory novelty seeking (r = .462), harm avoidance (r = -.390), and NEO Personality Inventory extraversion (r = .629). The SPQ score of the So-Eum (24.43 ± 4.93), Tae-Eum (27.33 ± 5.88), and So-Yang (30.90 ± 5.23) types were significantly different from each other (P < .01). Conclusion. Current results demonstrated the reliability and validity of the SPQ and its subscales that can be utilized as an objective instrument for conducting personalized medicine research incorporating the biopsychosocial perspective. PMID:22567034
Background:Measuring patient-reported outcomes has become increasingly important in cosmetic and reconstructive breast surgery. There is no validatedquestionnaire in Turkish to evaluate quality-of-life issues for patients with mammary hypertrophy.Objectives:The authors describe the reliability and validity of a translated Breast Reduction Assessed Severity Scale (BRASS) in evaluating Turkish patients.Methods:The BRASS, developed by Sigurdson et al, was translated into Turkish adhering strictly to the guidelines of questionnaire translations. Statistical analysis was carried out with Cronbach's ? to test the internal consistency and intraclass correlation coefficient for test-retest reliability. Exploratory factor analysis was carried out using principal component analysis with oblimin rotation to test its construct validity. Correlations between subscales identified in the factor analysis and corresponding domains in the Short Form-36 and Rosenberg Self-Esteem Scale were analyzed.Results:The total instrument was found to have an ? coefficient of 0.92 and subscale ? coefficients ranging from 0.76 to 0.87. Intraclass correlation coefficient was 0.93 for the total scale and ranged from 0.81 to 0.91 for the subscales. Exploratory factor analysis resulted in a 5-factor structure: physical implications, body pain, physical appearance, poor self-concept, and negative social interactions.Conclusions:With this study, the reliability and validity of the Turkish version of the BRASS were revealed. This translated version can be used to evaluate the effect of mammary hypertrophy on quality of life in Turkish patients. PMID:23193165
Designed for use by Michigan community colleges wishing to conduct a self-study of their occupational programs, this manual provides step-by-step instructions and instrumentation for implementing the Program Review in Occupational Education (PROE) model. PROE is a component of the Michigan Community College Occupational Education Evaluation System (MCCOEES). An initial overview describes PROE, explains how it works, and discusses the additional option of an outside validation team's visit. The next section details the steps involved in a PROE self-study: (1) advance planning, which includes steps such as identifying programs and participants to be involved and events to be scheduled; (2) orientation for self-study participants; (3) completion of PROE questionnaires by faculty, students, and advisory committee members; (4) tabulation and analysis of data to create a program profile; (5) preparation of a written report; and (6) development of a college action plan. The validation visit is described in the next section, which focuses on the selection of the site visit validation team, preparation for the team visit, the validation visit, and the team's written report. The bulk of the manual consists of appendices, which include a suggested schedule and sample procedures for PROE self-studies; an agenda for the orientation meeting; a press release; PROE questionnaires; a suggested report format; and other relevant forms and guidelines. (LL)
Reliability and validity of the Japanese-translated version of the Swedish Demand-Control-Support Questionnaire (J-DCSQ) was examined. The subjects comprised 212 women working in nursery schools. The 17-item J-DCSQ consists of three subscales: psychological demands (PD), decision latitude (DL), and social support (SS). With regard to reliability, one-week test-retest reliability and internal consistency were proved at a sufficient level. Weighted kappa coefficients were near or greater than 0.60 for all items. Intraclass correlation coefficients were greater than 0.80 for all subscales. Cronbach’s alphas (mean inter-item correlation) were 0.64 (0.26), 0.63 (0.22), and 0.86 (0.50) for PD, DL, and SS respectively. The scaling and concurrent validity was also established at a satisfactory level. Ceiling or floor effects were not found for any subscales. The J-DCSQ helped us obtain accurate estimates on extreme response distribution. By using the Japanese version of the Job Content Questionnaire for comparison, Spearman’s correlation coefficients were estimated to be 0.74, 0.60, and 0.59 for PD, DL, and SS respectively. In contrast, the factorial validity was not shown as originally hypothesized. Factor analysis did not reveal that PD and DL were definitely separated. In addition, both a PD item and a DL item indicated low factor loadings. In conclusion, the present findings exhibited sufficient reliability of the J-DCSQ, while further studies are needed to establish its validity.
The purpose of this study was to develop and test the construct validity and reliability of a self-report measure of self-regulated practice behaviors for beginning and intermediate instrumentalists. A questionnaire was designed to assess the motive, method, behavior, time management, and social influences dimensions of the theoretical model of self-regulation proposed by McPherson and Zimmerman. The questionnaire's construct validity was tested using confirmatory factor analysis, and a preliminary assessment of predictive validity was estimated by correlating the measure with self-reported practice habits. The measure's reliability in regard to internal consistency and consistency over time was assessed as well. The sample consisted of middle school band students in grades 6 to 8 (N = 302). Confirmatory factor analyses indicated that a model including factors representing the dimensions self-efficacy, method/behavior combined, time management, and social influences was the best fit. Cronbach's alpha and test-retest reliability results indicated good to excellent consistency across all self-regulation subscales, with coefficients ranging from 0.76 to 0.90. Significant correlations (p less than 0.001) between the self-regulation subscales and self-reported practice habits (i.e., time spent practicing, average daily practice efficiency, percentage of time spent on formal practice) provided preliminary evidence of predictive validity of the measure. (Contains 3 tables.)
ABSTRACT: BACKGROUND: The adequate information about the functional capacity of elderly populations is a key for the comprehensive assessment of their health status and autonomy. The Lawton IADL (instrumental activities of daily living) Scale is a very often used scale to assess independent living skills, but has never been validated for its use in Spanish-speaking populations. The purpose of this study was to assess the validity, the reliability, and responsiveness of this widely used scale. METHODS: The validation was based on a prospective cohort of 1,965 patients aged 65 or over who suffered an accidental fall with a hip or wrist fracture as a result. These patients were followed up six months after the production of the fracture. Cronbach's alpha was used to assess reliability, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) for the construct validity. Convergent and discriminant validity were examined by the correlation of the IADL Scale with the Barthel Index, SF-12, WOMAC short form, and QuickDASH questionnaires. Known-groups validity was also studied comparing IADL Scale according to different groups, and responsiveness was assessed by means of effect sizes. RESULTS: The mean age was 80.04 years (SD 8.04). The Cronbach alpha coefficient was 0.94. In the EFA, factor loadings ranged from 0.67 to 0.90, and CFA confirmed the homogeneity of the construct. Regarding the convergent validity, all correlation coefficients were higher than 0.40. Significant differences were found according to different groups, supporting known-groups validity. Responsiveness parameters showed moderate to large changes (effect sizes, 0.79 and 0.84 among patients classified as worsened). CONCLUSIONS: These results confirm that the Spanish version of the Lawton IADL Scale has excellent reliability and validity and a moderate to large sensitivity to change. This study provides a proper validation, not only of the Spanish version of the Lawton IADL Scale, but also of the original instrument. PMID:23110491
Background The WOMAC is the most widely used self-report measure to evaluate physical functioning in hip or knee osteoarthritis, however its ability to discriminate pain and physical functioning (i.e. discriminate validity) has repeatedly been questioned. Little to no data is available on the discriminant validity of alternative questionnaires that measure the same construct, for instance the Hip and Knee Osteoarthritis Outcome Score (HOOS and KOOS, respectively) and the Lower Extremity Function Scale (LEFS). Therefore, we translated the LEFS to Dutch and studied its psychometric properties (i.e. validity, reliability and responsiveness). In addition, we assessed the discriminate validity of the LEFS, HOOS and KOOS. Methods After translation with a forward/backward protocol, 401 individuals with hip or knee osteoarthritis completed the LEFS, HOOS/KOOS, SF-36, Hospital Anxiety and Depression Scale and Checklist Individual Strength questionnaires. To assess reliability and responsiveness, a sample of 106 and 108 patients completed a comparable set of questionnaires within 3?weeks and 3?months, respectively. Feasibility, validity, reliability and responsiveness were evaluated. Discriminant validity of the LEFS, HOOS and KOOS was examined by contrasting the scales’ correlations with the physical functioning subscale of the SF-36 with the scales’ correlations with the bodily pain subscale of the SF-36. Results The Dutch version of the LEFS was feasible, had good internal consistency (0.96), good reliability (ICC?=?0.86), good construct and discriminant validity, and showed no floor or ceiling effects. The minimal detectable change (MDC90) was ten points. Area under the receiver operating characteristic curve (AUC) analyses revealed good (AUC?=?0.76) and fair (AUC?=?0.63) responsiveness for the LEFS in improved and worsened patients, respectively. Discriminant validity for pain was apparent for the LEFS (p?0.01), but not for the HOOS and KOOS (p?=?0.21 and p?=?0.20, respectively). Conclusions Considering the LEFS’ good psychometric qualities and ability to discriminate between pain and functioning, we recommend the LEFS as the outcome measure of choice to assess self-reported physical functioning in individuals with hip or knee osteoarthritis. PMID:8129049
The relationship between surface electromyography (SEMG) amplitude and the ventilatory threshold has been extensively studied. However, previous studies of muscle fiber conduction velocity (MFCV) are scarce and present insufficient evidence concerning the relationship between MFCV and metabolic responses during cycling. Based on that fact, the purpose of this study is twofold: (1) to investigate the existence of a MFCV threshold (MFCVT) during cycling and (2) to verify if this possible breakpoint is correlated with the ventilatory threshold (VT) and the SEMG threshold (SEMGT). Eight trained male cyclists (age 36.0±9.7years) performed an incremental cycling test with initial workload of 150W gradually incremented by 20Wmin(-1) until the exhaustion. Gas analyses were conducted using a breath-by-breath open-circuit spirometry and SEMG were registered from vastus lateralis in each pedaling cycle with a linear array of electrodes. A bi-segmental linear regression computer algorithm was used to estimate VT, MFCVT and SEMGT respectively in the carbon dioxide production (VCO(2)), MFCV and electromyography root mean square (EMG RMS) curves. The one way ANOVA for repeated measures did not reveal any significant difference among VT (77.1±7.5% of VO(2)max), MFCVT (80.3±10.4% of VO(2)max) and SEMGT (81.9±11.7% of VO(2)max). The Bland and Altman procedure confirmed a good concordance between SEMGT and VT (Bias=5.5 of %VO(2)max) as well as MFCVT and VT (Bias=5.2 of %VO(2)max). The present findings suggest that muscle fiber conduction velocity threshold is a valid and reliable non-invasive tool to obtain information about ventilatory threshold in trained cyclists. PMID:23142531
Despite the recognized importance of emotion regulation (ER) for healthy psychological development, ER research has focused predominantly on the developmental periods of infancy, early childhood, and adulthood, while the middle childhood to adolescence years have been relatively neglected. An obstacle to ER research during these periods is the paucity of valid age-appropriate measures. This study reports on the psychometric evaluation of the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA), a revision of the adult measure. The ERQ-CA was evaluated with a sample of 827 participants aged between 10 and 18 years. Results indicate sound internal consistency as well as stability over a 12-month period. Sound construct and convergent validity are also demonstrated. It is concluded that the ERQ-CA is a valid age-appropriate measure for investigating the use of 2 specific strategies of ER during the childhood and adolescence developmental periods. PMID:22023559
Abstract Objectives: The present study was conducted to examine the reliability and validity of a Phlegm Pattern Questionnaire (PPQ) that was developed within the context of Traditional Chinese Medicine. Methods: A total of 292 normal subjects and 61 inpatients were asked to complete the PPQ. Among the 292 normal subjects, 73 college students were additionally asked to complete the Profile of Mood States (POMS) and the Chalder Fatigue Scale (CFS). Three (3) clinicians determined whether the 61 inpatients exhibited the Phlegm Pattern (PP). The authors estimated the internal consistency and construct validity for the PPQ using data from the normal and inpatient subjects. The POMS and CFS data were used to evaluate the concurrent validity of the PPQ. PPQ data and the clinicians' diagnoses of ...
Objective.- To provide evidence for the reliability and validity of the Migraine-Specific Quality of Life Questionnaire Version 2.1 (MSQ) for use in chronic migraine (CM) in adults. Background.- MSQ is one of the most frequently utilized disease-specific tools assessing impact of migraine on health-related quality of life (HRQL). However, evidence for its reliability and validity are based on studies in episodic migraine (EM) populations. Additional studies assessing the reliability and validity of the MSQ in patients with CM are needed. Methods.- Cross-sectional data were collected via web-based survey in 9 countries/regions. Participants were classified as having CM (-15 headache days/month) or EM (<15 headache days/month). Three MSQ domains - Role Function-Preventive (RP), Role Function...
Background There is an urgent need for developing reliable, valid and practical instruments that assess and classify the support needed by persons with disability to function in their chosen living, working and social environments. I-CAN is an instrument that addresses the frequency and level of support needed (not individual skills or deficits) for each individual with a disability. Method Studies were conducted to assess the test-retest reliability and inter-rater reliability. Concurrent validity was investigated by exploring the relationship between the I-CAN domain scales and the Inventory for Client and Agency Planning (ICAP) ( Bruininks et al. 1986 ) and the Quality of Life Questionnaire (QOL-Q) ( Schalock &Keith 1993). Predictive validity studies were undertaken using day- and night...
As most research exploring nurses??? perceptions on the topic of spiritual care was conducted in Western countries, these findings may not be applicable in Iran because of cultural and health system differences. Therefore, a new survey instrument was developed for the Iranian context. The study was conducted in two steps: (1) development and validation of items for perception scale and (2) distribution of the questionnaire among nursing students to determine scale reliability and construct validity. The preliminary scale consisted of 50 items designed to measure the participants??? perception of spiritual care. Construct validity of the scale was examined on the remaining 33 items. On interpretation of the items, the following four components were identified: (1) meeting patient as a being...
Purpose This research describes the development and validation of the Civility Norms Questionnaire-Brief (CNQ-B), a 4-item measure designed to assess workgroup climate for civility. Climate for civility is defined as employee perceptions of norms supporting respectful treatment among workgroup members. Design/Methodology/Approach Five samples (N?=?2,711) of adult employees, including two from distinct organizations and three from multiple organizations, responded to the CNQ-B and additional measures. Findings Evidence for the internal consistency, and convergent and discriminant validity of the CNQ-B was observed. Additionally, evidence for the criterion-related and incremental validity of the CNQ-B was demonstrated as it was a significant predictor of later-assessed incivility experiences...
Purpose This research describes the development and validation of the Civility Norms Questionnaire-Brief (CNQ-B), a 4-item measure designed to assess workgroup climate for civility. Climate for civility is defined as employee perceptions of norms supporting respectful treatment among workgroup members. Design/Methodology/Approach Five samples (N = 2,711) of adult employees, including two from distinct organizations and three from multiple organizations, responded to the CNQ-B and additional measures. Findings Evidence for the internal consistency, and convergent and discriminant validity of the CNQ-B was observed. Additionally, evidence for the criterion-related and incremental validity of the CNQ-B was demonstrated as it was a significant predictor of later-assessed incivility experiences...
The purpose of this study was to investigate the factor validity of the Motivated Strategies for Learning Questionnaire (MSLQ) in asynchronous online learning environments. In order to check the factor validity, confirmatory factor analysis (CFA) was conducted with 193 cases. Using CFA, it was found that the original measurement model fit for motivation and learning strategies scales of the MSLQ was not satisfactory in asynchronous online learning environments. Exploratory factor analysis (EFA) was conducted to find alternative factors of the MSLQ in asynchronous online learning environments. EFA with motivation and learning strategies scales of the MSLQ revealed five and four latent factors respectively. Finally, issues and implications to improve the factor validity of the MSLQ for an asynchronous online learning environment were discussed. (Contains 3 tables.)
AbstractObjective: The YBC-EDS is a semistructured interview assessing core preoccupations and rituals related to eating disorders. Method: We developed and conducted an examination of the reliability and validity of a self-report questionnaire (SRQ) version of the YBC-EDS. Convergent validity of YBC-EDS-SRQ with the YBC-EDS was examined for 112 eating disordered patients. Results: All subscales and total scores were significantly intercorrelated. Thirty-one additional patients completed YBC-EDS-SRQ at admission and again 1 week later. All correlations revealed significant test-retest reliability. Discriminant validity of the SRQ was evaluated for a smaller subset of participants who completed the Beck Depression Inventory (BDI) and State Trait Anxiety Inventory (STAI). There were no signi...
Purpose: The purpose of this study was to develop a Japanese version of the Self-Perceived Burden Scale (SPBS) for patients with cancer, to confirm its validity and reliability, and to elucidate the features of Self-Perceived Burden in Japanese patients with cancer. Methods: Firstly, study team members carried out repeated translation and back translation. After that, scale development involved several phases including item development, construct validity testing, criterion-related validity testing, and reliability testing. A questionnaire that included the SPBS was distributed to 310 patients with cancer. Responses were received from 226 (72.9%) patients and final analysis was performed on data from 210 of these. Results: Exploratory factor analysis indicated that the 18-item version (@a ...
Background: The temperament evaluation of the Memphis, Pisa, Paris and San Diego questionnaire (TEMPS), in its rater-wise and its self-evaluation forms, has been designed to evaluate temperamental characteristics in clinical and non-clinical populations. The validation process is currently in progress in various countries. In order to improve this validation process we have extended the area of correlations of its self-evaluation form (TEMPS-A[P]) to MMPI, and to a special RS that allows assessment of the emotional-affective state following a stressful situation. Methods: In 693 candidates applying to become cadets in the Italian Air Force we have assessed the correlation between the TEMPS-A[P] and the MMPI validity and clinical scales, and administered an emotional-affective state questio...
Objectives This study aimed to evaluate the diagnostic validity of the Beck Depression Inventory (BDI) in the elderly and to suggest an optimal cut-off score in order to screen major depressive disorder. Methods The BDI and an elderly health questionnaire were administered to 2729 subjects over the age of 60 chosen by stratified random sampling in a Ansan City, South Korea. The BDI and geriatric depression scale (GDS) were examined at about a two-year interval. A reliability and validity test, a factor analysis and an ROC curve analysis were performed. Results Eighty-four subject had depression and 2645 subjects were rated as normal. The BDI showed significant positive internal consistency (r = 0.88) and test-retest reliability (r = 0.60). Convergent validity with GDS was significantly pos...
Objective To report on assessments of face, content, and construct validity for the commercially available da Vinci Skills Simulator (dVSS). Methods A total of 38 subjects participated in this prospective study. Participants were classified as novice (0 robotic cases performed), intermediate (1-74 robotic cases), or expert (?75 robotic cases). Each subject completed 5 exercises. Using the metrics available in the simulator software, the performances of each group were compared to evaluate construct validation. Immediately after completion of the exercises, each subject completed a questionnaire to evaluate face and content validation. Results The novice group consisted of 18 medical students and 1 resident. The intermediate group included 6 residents, 1 fellow, and 2 faculty urologi...
Objective: The 28-item Childhood Trauma Questionnaire - Short Form (CTQ-SF) has been translated into at least 10 different languages. The validity of translated versions of the CTQ-SF, however, has generally not been examined. The objective of this study was to investigate the factor structure, internal consistency reliability, and known-groups validity of the Dutch CTQ-SF. Methods: A total of 261 patients receiving mental health treatment and 227 non-clinical controls were administered the Dutch CTQ-SF. Confirmatory factor analysis (CFA) was done with Mplus for ordinal data to test the 5-factor structure of the CTQ-SF. Cronbach's alpha was computed, and known-groups validity was assessed by comparing CFA latent factor levels between clinical and non-clinical respondents. Results: The 5-fa...
Expressed emotion (EE), a strong predictor of relapse of schizophrenia, has significant clinical implications. The study aims to validate a concise Chinese version of the 60-item Level of Expressed Emotion Scale (LEE). A questionnaire survey was conducted with 188 schizophrenic patients. The battery of validation scales included Hospital Anxiety and Depression Scale (HADS) and 12-item Short Form Health Survey (SF-12). Exploratory factor analysis revealed a 3-factor, 12-item solution. Factor explication named the three factors Criticism, Over-Involvement, and Hostility. Cronbach's alpha of the whole scale was .84 and the three sub-scales were .75 to .77. Regarding convergence and divergence construct validity, the Concise Chinese LEE Scale has significant positive correlations with the anxi...
We report the development of the Assessment of Individual Motives-Questionnaire (AIM-Q), a new instrument based on an evolutionary psychology theory of human motivation. It provides multitrait-multimethod (MTMM) assessment of individual differences on 15 motive scales. A total heterogeneous sample of N = 1,251 participated in eight studies that evaluated the homogeneity, internal consistency, test-retest reliability, and MTMM convergent and discriminant validities of the AIM-Q's three methods. These studies generally support the overall strategy of assessing individual differences in multiple evolutionary-based motives with multiple methods. Additional validity studies are underway and, when validated further, the AIM-Q may offer a promising option for evolutionary psychologists and behavioral geneticists wanting to incorporate individual differences into their research but have had to use existing self-report measures of personality, which were not designed for such a purpose. It may also offer clinical and counseling psychologists an additional approach to personality measures for the prediction of behavior. (Contains 12 tables.)
The purpose of this study is to develop a survey of technological pedagogical and content knowledge (TPACK). The survey consists of seven subscales forming the TPACK model: 1) technology knowledge (TK), 2) pedagogy knowledge (PK), 3) content knowledge (CK), 4) technological pedagogical knowledge (TPK), 5) technological content knowledge (TCK), 6) pedagogical content knowledge (PCK), and 7) TPACK. This study is conducted in five phases: 1) item pool, 2) validity and reliability, 3) discriminant validity, 4) test-retest reliability, and 5) translation of the TPACK survey. To examine language equivalence, both Turkish and English versions of the TPACK survey are administered to preservice teachers studying English language education. It is determined the questionnaire meets the language equivalence. Results demonstrate the TPACK survey is a valid and reliable measure. (Contains 1 figure and 6 tables.)
Introduction and hypothesis Currently, there is no global outcome assessment index in prolapse research. Patient Global Impression of Improvement (PGI-I) has only been validated in incontinence. Our aim was to validate its use following prolapse surgery. Methods Women with prolapse were recruited from waiting lists and assessed objectively (pelvic organ prolapse quantification system (POP-Q)). Quality of life (QoL) was assessed with prolapse QoL questionnaire (pQoL). Patient goal achievement (visual analogue scale (VAS)) determined subjective satisfaction and PGI-I indicated overall satisfaction. We established construct validity of PGI-I by correlating final PGI-I response with other measures of response, measured at 1?year: (POP-Q/pQoL/VAS) Results There was excellent test?retest reliabi...
There has been growing interest in comparing achievement goal orientations across ethnic groups. Such comparisons, however, cannot be made until validity evidence has been collected to support the use of an achievement goal orientation instrument for that purpose. Therefore, this study investigates the measurement invariance of a particular measure of achievement goal orientation, the modified Achievement Goal Questionnaire (AGQ-M), across African American and White university students. Confirmatory factor analyses support measurement invariance across the two groups. These findings provide additional validity evidence for the newly conceptualized 2 x 2 framework of achievement goal orientation and for the equivalence of functioning of the AGQ-M across these distinct groups. Because this level of invariance is established, researchers can make more valid inferences about differences in the AGQ-M scores across African American and White students. (Contains 5 tables.)
The WOMAC Osteoarthritis Index and Lequesne Algofunctional Index have not been translated and validated for Iranian patients with osteoarthritis (OA) of the knee or hip. The aim of this study was to validate the Persian form of WOMAC OA Index and Lequesne Algofunctional Index and to assess their test?retest reliability and convergent validity. Forward/backward translations and consensus panels were conducted to obtain the Persian versions of WOMAC OA Index and Lequesne Algofunctional Index. A non-probability sample of 116 patients with knee/hip osteoarthritis was asked to complete the WOMAC OA Index and Lequesne Algofunctional Index as well as Medical Outcomes Study?20-Item Short Form (SF-20) questionnaires, a visual analogue scales (VAS) of pain and demographic information form. Internal ...
STUDY QUESTION Can the modified polycystic ovary syndrome health-related quality-of-life questionnaire (MPCOSQ) be validated in Iranian patients with polycystic ovary syndrome (PCOS) to provide an instrument for future outcome studies in these patients? SUMMARY ANSWER We show initial reliability and validity of the Iranian version of the MPCOSQ as a specific instrument to measure health-related quality of life (QOL) in patients with PCOS in Iran. WHAT IS KNOWN ALREADY The prevalence of PCOS in Iran is relatively high and studying QOL in these patients is important. The PCOSQ has previously been translated and validated in Iran but no studies had examined the psychometric properties of the MPCOSQ in Iran. STUDY DESIGN, SIZE, AND DURATION This was a cross-sectional study. After linguistic va...
To clarify the effects of alcohol consumption on hepatocellular injury, we examined aspartate and alanine aminotransferases (AST and ALT), and ?-glutamyltransferase (GGT), together with weekly alcohol consumption calculated from a self-rating questionnaire, in 1113 Japanese salesmen. The thresholds of associations between alcohol consumption and liver markers were estimated by the benchmark dose (BMD) method. The AST, ALT and GGT were positively correlated with alcohol intake (p<0.001), as well as age and body mass index (BMI); the relations to alcohol were statistically significant even when controlling for age, BMI and smoking habit. Although the AST and GGT were associated with four types of alcoholic beverage (p<0.01), it was only whisky that had close relation to the ALT (p<0.05). The thresholds of alcohol consumption (ethanol g/week), i.e., 95% lower confidence limits of the BMD, were 362 for AST, 660 for ALT, and 252 for GGT. The thresholds for GGT and AST in Japanese men seem to be somewhat higher than those reported in Western countries. It is suggested that hepatocellular injury (i.e., AST elevation) in Japanese men may emerge at the ethanol level of more than 50 g/day.
Local dependence (LD) refers to the violation of the local independence assumption of most item response models. Statistics that indicate LD between a pair of items on a test or questionnaire that is being fitted with an item response model can play a useful diagnostic role in applications of item response theory. In this article, a new score test statistic, S[subscript b], based on the bifactor logistic model is described. To compare the performance of S[subscript b] with the score test statistic (S[subscript t]) based on the threshold shift model, and the LD X[squared] statistic, data were simulated under locally independent, bifactor, and threshold shift conditions. The results summarize the null distributions of all three diagnostic statistics, and their power for various degrees of bifactor and threshold shift LD. Future research directions are discussed, including the straightforward generalization of S[subscript b] for polytomous item response models, and the challenges involved in the corresponding generalizations of S[subscript t] and LD X[squared]. (Contains 8 notes, 3 tables and 9 figures.)