scholarly journals Patient-Reported Dysphagia in Adults with Eosinophilic Esophagitis: Translation and Validation of the Swedish Eosinophilic Esophagitis Activity Index

Dysphagia ◽  
2021 ◽  
Author(s):  
Sofie Albinsson ◽  
Lisa Tuomi ◽  
Christine Wennerås ◽  
Helen Larsson
Keyword(s):  
Eosinophilic Esophagitis ◽  
Activity Index ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Control Group ◽  
Cronbach’S Alpha ◽  
Intraclass Correlation Coefficients ◽  
Cronbach's Alpha ◽  
Patient Reported ◽  
Eortc Qlq

AbstractThe lack of a Swedish patient-reported outcome instrument for eosinophilic esophagitis (EoE) has limited the assessment of the disease. The aims of the study were to translate and validate the Eosinophilic Esophagitis Activity Index (EEsAI) to Swedish and to assess the symptom severity of patients with EoE compared to a nondysphagia control group. The EEsAI was translated and adapted to a Swedish cultural context (S-EEsAI) based on international guidelines. The S-EEsAI was validated using adult Swedish patients with EoE (n = 97) and an age- and sex-matched nondysphagia control group (n = 97). All participants completed the S-EEsAI, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Oesophageal Module 18 (EORTC QLQ-OES18), and supplementary questions regarding feasibility and demographics. Reliability and validity of the S-EEsAI were evaluated by Cronbach’s alpha and Spearman correlation coefficients between the domains of the S-EEsAI and the EORTC QLQ-OES18. A test–retest analysis of 29 patients was evaluated through intraclass correlation coefficients. The S-EEsAI had sufficient reliability with Cronbach’s alpha values of 0.83 and 0.85 for the “visual dysphagia question” and the “avoidance, modification and slow eating score” domains, respectively. The test–retest reliability was sufficient, with good to excellent intraclass correlation coefficients (0.60–0.89). The S-EEsAI domains showed moderate correlation to 6/10 EORTC QLQ-OES18 domains, indicating adequate validity. The patient S-EEsAI results differed significantly from those of the nondysphagia controls (p < 0.001). The S-EEsAI appears to be a valid and reliable instrument for monitoring adult patients with EoE in Sweden.

Are PROMs passing the message? A reflection with real-life migraine patients

Cephalalgia ◽  
2021 ◽  
pp. 033310242110345
Author(s):  
Raquel Gil-Gouveia ◽  
António Gouveia Oliveira
Keyword(s):  
Clinical Practice ◽  
Outcome Measures ◽  
Intraclass Correlation ◽  
Real Life ◽  
Correlation Coefficients ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Intraclass Correlation Coefficients ◽  
Patient Reported ◽  
Repeated Applications

Background Several patient-reported outcome measures are available to monitor headache impact, but are those reliable in real-life clinical practice? Methods Two identical patient-reported outcome measures (HALT-90 and MIDAS) were applied simultaneously in each clinical visit to a series of patients treated with monoclonal antibodies for migraine and intra-individual agreement was evaluated using the intraclass correlation coefficients. Results Our sample included 92 patients, 92.4% females, 45 years old on average. Moderate (0.50 to 0.75) and even poor (<0.50) ICC were observed in all but the first item of these patient-reported outcome measures in at least one evaluation. Over time, missing data were more frequent and no learning effect was detected. Discussion We observed intra-personal variation in reliability when answering patient-reported outcome measures, persisting in repeated applications, and a decrease in the motivation to respond, which should alert clinicians for these additional challenges in real-life clinical practice.

scholarly journals Validity and Reliability of the Self-Reported Physical Fitness (SRFit) Survey

2014 ◽  
Vol 11 (4) ◽  
pp. 853-859 ◽  
Author(s):  
NiCole R. Keith ◽  
Daniel O. Clark ◽  
Timothy E. Stump ◽  
Douglas K. Miller ◽  
Christopher M. Callahan
Keyword(s):  
Physical Fitness ◽  
Clinical Care ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Physical Competence ◽  
Fitness Test ◽  
Cronbach's Alpha ◽  
Sf 36

Background:An accurate physical fitness survey could be useful in research and clinical care.Purpose:To estimate the validity and reliability of a Self-Reported Fitness (SRFit) survey; an instrument that estimates muscular fitness, flexibility, cardiovascular endurance, BMI, and body composition (BC) in adults ≥ 40 years of age.Methods:201 participants completed the SF-36 Physical Function Subscale, International Physical Activity Questionnaire (IPAQ), Older Adults’ Desire for Physical Competence Scale (Rejeski), the SRFit survey, and the Rikli and Jones Senior Fitness Test. BC, height and weight were measured. SRFit survey items described BC, BMI, and Senior Fitness Test movements. Correlations between the Senior Fitness Test and the SRFit survey assessed concurrent validity. Cronbach’s Alpha measured internal consistency within each SRFit domain. SRFit domain scores were compared with SF-36, IPAQ, and Rejeski survey scores to assess construct validity. Intraclass correlations evaluated test-retest reliability.Results:Correlations between SRFit and the Senior Fitness Test domains ranged from 0.35 to 0.79. Cronbach’s Alpha scores were .75 to .85. Correlations between SRFit and other survey scores were –0.23 to 0.72 and in the expected direction. Intraclass correlation coefficients were 0.79 to 0.93. All P-values were 0.001.Conclusion:Initial evaluation supports the SRFit survey’s validity and reliability.

An Italian Validation of ABILHAND-Kids for Children With Cerebral Palsy

2021 ◽  
pp. 003151252110497
Author(s):  
Marco Tofani ◽  
Giulia Blasetti ◽  
Luca Lucibello ◽  
Anna Berardi ◽  
Giovanni Galeoto ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Internal Consistency ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Cronbach’S Alpha ◽  
Retest Reliability ◽  
Cronbach's Alpha ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability

Limitations in hand function are common among children with cerebral palsy (CP), with almost 50% presenting an arm–hand dysfunction. However, there is no standardized assessment tool available in Italian for evaluating bimanual performance for this population. Our objective in this study was to evaluate the psychometric properties of an Italian translation of the ABILHAND-Kids (ABILHAND-Kids-IT) among children with CP. We examined internal consistency using Cronbach’s Alpha and Omega coefficients, and we investigated test-retest reliability with intraclass correlation coefficients (ICC). We performed explorative factor analysis (EFA) to investigate structural validity. We calculated Pearson’s correlation coefficients between the ABILAND-Kids IT and the Manual Ability Classification System (MACS) to assess criterion validity; and, to demonstrate the score variability of the ABILHAND-Kids-IT, we used analyses of variance (ANOVAs) to compare the 181 children with CP in this sample with their levels on the MACS. We enrolled 181 children with CP in the study. EFA confirmed a uni-dimensional scale. We obtained internal consistency on both Cronbach’s Alpha and Omega coefficient of 0.98, and a one-week test-retest reliability analysis revealed an ICC with 95% of confidence interval of .992. The ANOVA revealed significant score variability ( p < 0.01) and the Pearson correlation coefficient comparing the ABILHAND-Kids-It score with the MACS was –0.929 ( p < 0.01). We conclude that the ABILHAND-Kids-IT is valid and reliable for use with Italian children with CP.

scholarly journals Leadership Observation and Feedback Tool: A Novel Instrument for Assessment of Clinical Leadership Skills

2018 ◽  
Vol 10 (5) ◽  
pp. 573-582 ◽  
Author(s):  
Sandra K. Oza ◽  
Sandrijn van Schaik ◽  
Christy K. Boscardin ◽  
Read Pierce ◽  
Edna Miao ◽  
...  
Keyword(s):  
Leadership Skills ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Assessment Tools ◽  
Cronbach’S Alpha ◽  
Clinical Leadership ◽  
Rigorous Approach ◽  
Cronbach's Alpha ◽  
Modified Delphi ◽  
Delphi Approach

ABSTRACT Background  While leadership training is increasingly incorporated into residency education, existing assessment tools to provide feedback on leadership skills are only applicable in limited contexts. Objective  We developed an instrument, the Leadership Observation and Feedback Tool (LOFT), for assessing clinical leadership. Methods  We used an iterative process to develop the tool, beginning with adapting the Leadership Practices Inventory to create an open-ended survey for identification of clinical leadership behaviors. We presented these to leadership experts who defined essential behaviors through a modified Delphi approach. In May 2014 we tested the resulting 29-item tool among residents in the internal medicine and pediatrics departments at 2 academic medical centers. We analyzed instrument performance using Cronbach's alpha, interrater reliability using intraclass correlation coefficients (ICCs), and item performance using linear-by-linear test comparisons of responses by postgraduate year, site, and specialty. Results  A total of 377 (of 526, 72%) team members completed the LOFT for 95 (of 519, 18%) residents. Overall ratings were high—only 14% scored at the novice level. Cronbach's alpha was 0.79, and the ICC ranged from 0.20 to 0.79. Linear-by-linear test comparisons revealed significant differences between postgraduate year groups for some items, but no significant differences by site or specialty. Acceptability and usefulness ratings by respondents were high. Conclusions  Despite a rigorous approach to instrument design, we were unable to collect convincing validity evidence for our instrument. The tool may still have some usefulness for providing formative feedback to residents on their clinical leadership skills.

scholarly journals Reliability of the Scale of Barriers for Cardiac Rehabilitation in the Colombian Population

2021 ◽  
Vol 18 (8) ◽  
pp. 4351
Author(s):  
Adriana Marcela Jácome Hortúa ◽  
Adriana Angarita-Fonseca ◽  
Carmen Juliana Villamizar Jaimes ◽  
Rocio del Pilar Martínez Marín ◽  
Hugo Celso Dutra de Souza ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Internal Consistency ◽  
Scientific Evidence ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Rehabilitation Program ◽  
Drop Out ◽  
Self Report ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

Cardiac rehabilitation is supported by the highest level of scientific evidence. However, less than 25% of those eligible to participate in a cardiac rehabilitation program initiate it; and of these, 50% drop out prematurely. A modified Spanish Cardiac Rehabilitation Barriers Scale (CRBS) has been translated, culturally adapted and validated in Colombia, however, the reliability remains to be evaluated. This study aimed to determine the internal consistency and test–retest reliability of the CRBS in a Colombian population. In total, 193 patients (67% men, average age = 65 ± 12 years) completed the scale twice, with an average of eight days between applications. Cronbach’s Alpha and intraclass correlation coefficients (ICC) were calculated. The internal consistency of the Colombian version of the CRBS was acceptable (Cronbach’s alpha = 0.84). The ICC of the CRBS was 0.69 (95% CI 0.61–0.76); 0.78 (95% CI 0.71–0.84) when the CRBS was completed by interview; and 0.47 (95% CI 0.21–0.67) when the CRBS was self-reported. The reliability of the interview version of the CRBS was substantial in the Colombian population; however, the reliability of the self-report version was lower. The use of this scale will allow developing strategies to increase participation and adherence to cardiac rehabilitation programs.

scholarly journals Evaluation of different recall periods for the US National Cancer Institute’s PRO-CTCAE

2017 ◽  
Vol 14 (3) ◽  
pp. 255-263 ◽  
Author(s):  
Tito R Mendoza ◽  
Amylou C Dueck ◽  
Antonia V Bennett ◽  
Sandra A Mitchell ◽  
Bryce B Reeve ◽  
...  
Keyword(s):  
Adverse Events ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Recall Period ◽  
Self Report ◽  
Response Scale ◽  
Intraclass Correlation Coefficients ◽  
Patient Reported ◽  
The Us ◽  
Mean Differences

Aims: The US National Cancer Institute recently developed the PRO-CTCAE (Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events). PRO-CTCAE is a library of questions for clinical trial participants to self-report symptomatic adverse events (e.g. nausea). The objective of this study is to inform evidence-based selection of a recall period when PRO-CTCAE is included in a trial. We evaluated differences between 1-, 2-, 3-, and 4-week recall periods, using daily reporting as the reference. Methods: English-speaking patients with cancer receiving chemotherapy and/or radiotherapy were enrolled at four US cancer centers and affiliated community clinics. Participants completed 27 PRO-CTCAE items electronically daily for 28 days, and then weekly over 4 weeks, using 1-, 2-, 3-, and 4-week recall periods. For each recall period, mean differences, effect sizes, and intraclass correlation coefficients were calculated to evaluate agreement between the maximum of daily ratings and the corresponding ratings obtained using longer recall periods (e.g. maximum of daily scores over 7 days vs 1-week recall). Analyses were repeated using the average of daily scores within each recall period rather than the maximum of daily scores. Results: A total of 127 subjects completed questionnaires (57% male; median age: 57). The median of the 27 mean differences in scores on the PRO-CTCAE 5-point response scale comparing the maximum daily versus the longer recall period (and corresponding effect size) was −0.20 (−0.20) for 1-week recall, −0.36 (−0.31) for 2-week recall, −0.45 (−0.39) for 3-week recall, and −0.47 (−0.40) for 4-week recall. The median intraclass correlation across 27 items between the maximum of daily ratings and the corresponding longer recall ratings for 1-week recall was 0.70 (range: 0.54–0.82), for 2-week recall was 0.74 (range: 0.58–0.83), for 3-week recall was 0.72 (range: 0.61–0.84), and for 4-week recall was 0.72 (range: 0.64–0.86). Similar results were observed for all analyses using the average of daily scores rather than the maximum of daily scores. Conclusion: A 1-week recall corresponds best to daily reporting. Although intraclass correlations remain stable over time, there are small but progressively larger differences between daily and longer recall periods at 2, 3, and 4 weeks, respectively. The preferred recall period for the PRO-CTCAE is the past 7 days, although investigators may opt for recall periods of 2, 3, or 4 weeks with an understanding that there may be some information loss.

Reliability and Validity of the Japanese Version of the Michigan Hand Outcomes Questionnaire: A Comparison with the DASH and SF-36 Questionnaires

2016 ◽  
Vol 21 (01) ◽  
pp. 72-77 ◽  
Author(s):  
Takashi Oda ◽  
Yukio Abe ◽  
Yasukazu Katsumi ◽  
Hiroyuki Ohi ◽  
Toshiyasu Nakamura ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Rank Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Japanese Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Spearman’S Rank Correlation ◽  
Sf 36 ◽  
Dash Questionnaire

Background: The Michigan Hand Outcomes Questionnaire (MHQ) has shown reliability, validity and responsiveness and has been used to assess surgical outcomes mainly in North America. We established a Japanese version of the MHQ and evaluated its reliability and validity compared with both the short-form 36 (SF-36) questionnaire and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire in a Japanese-speaking population. Methods: The MHQ was cross-culturally adapted to a Japanese version according to guidelines. Sixty-eight patients with hand conditions were enrolled in this study and answered the MHQ, DASH questionnaire and SF-36 questionnaire. The MHQ was completed again with an interval of one or two weeks. Reproducibility and internal consistency were statistically assessed by the test-retest method and calculating Cronbach's alpha. Spearman's rank correlation was calculated to assess associations between the MHQ and the SF-36 questionnaire as well as the DASH questionnaire. Results: The intraclass correlation coefficients of MHQ subscales ranged from 0.68 to 0.93. Aesthetics subscale of the left hand showed the lowest intraclass correlation but still a good correlation. Cronbach's alpha values of the MHQ ranged from 0.81 to 0.96 for all subscales. The absolute values of Spearman's rank correlation coefficient between MHQ subscales and DASH function/symptoms scores ranged from 0.49 to 0.82. Spearman's correlation coefficients of the MHQ total score to subscales of the SF-36 questionnaire ranged from 0.42 to 0.68. The strongest correlations were found between work performance of the MHQ and rolephysical of the SF-36 questionnaire. Conclusions: The Japanese version of the MHQ has adequate instrument properties for assessing hand outcomes compared with the SF-36 questionnaire as well as the DASH questionnaire.

scholarly journals Validity and Cross-Cultural Adaptation of the Persian Version of the Oxford Elbow Score

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mohammad H. Ebrahimzadeh ◽  
Amir Reza Kachooei ◽  
Ehsan Vahedi ◽  
Ali Moradi ◽  
Zeinab Mashayekhi ◽  
...  
Keyword(s):  
Construct Validity ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Intraclass Correlation ◽  
Social Psychological ◽  
Cronbach’S Alpha ◽  
Retest Reliability ◽  
Cronbach's Alpha ◽  
Patient Reported ◽  
Test Retest Reliability

Oxford Elbow Score (OES) is a patient-reported questionnaire used to assess outcomes after elbow surgery. The aim of this study was to validate and adapt the OES into Persian language. After forward-backward translation of the OES into Persian, a total number of 92 patients after elbow surgeries completed the Persian OES along with the Persian DASH and SF-36. To assess test-retest reliability, 31 randomly selected patients (34%) completed the Persian OES again after three days while abstaining from all forms of therapeutic regimens. Reliability of the Persian OES was assessed by measuring intraclass correlation coefficient (ICC) for test-retest reliability and Cronbach’s alpha for internal consistency. Spearman’s correlation coefficient was used to test the construct validity. Cronbach’s alpha coefficient was 0.92 showing excellent reliability. Cronbach’s alpha for function, pain, and social-psychological subscales was 0.95, 0.86, and 0.85, respectively. Intraclass correlation coefficient (ICC) was 0.85 for the overall questionnaire and 0.90, 0.76, and 0.75 for function, pain, and social-psychological subscales, respectively. Construct validity was confirmed as the Spearman correlation between OES and DASH was 0.80. Persian OES is a valid and reliable patient-reported outcome measure to assess postsurgical elbow status in Persian speaking population.

Presentation of the Coding and Assessment System for Narratives of Trauma (CASNOT): Application in Spanish Battered Women and Preliminary Analyses

2017 ◽  
Vol 20 ◽  
Author(s):  
Violeta Fernández-Lansac ◽  
María Crespo
Keyword(s):  
Battered Women ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Assessment System ◽  
Control Group ◽  
Coding System ◽  
Autobiographical Memories ◽  
Trauma Narratives ◽  
Intraclass Correlation Coefficients ◽  
Lack Of Control

AbstractThis study introduces a new coding system, the Coding and Assessment System for Narratives of Trauma (CASNOT), to analyse several language domains in narratives of autobiographical memories, especially in trauma narratives. The development of the coding system is described. It was applied to assess positive and traumatic/negative narratives in 50 battered women (trauma-exposed group) and 50 nontrauma-exposed women (control group). Three blind raters coded each narrative. Inter-rater reliability analyses were conducted for the CASNOT language categories (multirater Kfree coefficients) and dimensions (intraclass correlation coefficients). High levels of inter-rater agreement were found for most of the language domains. Categories that did not reach the expected reliability were mainly those related to cognitive processes, which reflects difficulties in operationalizing constructs such as lack of control or helplessness, control or planning, and rationalization or memory elaboration. Applications and limitations of the CASNOT are discussed to enhance narrative measures for autobiographical memories.

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