scholarly journals 538 - Approach to Understanding the ‘Meaning’ of Behaviors in NCD: Beyond PIECES and GPA. Luthra’s Behavioral Assessment and Intervention Response Paradigm (LuBAIR™ Paradigm). Dr.

2021 ◽  
Vol 33 (S1) ◽  
pp. 82-82
Author(s):  
Atul Sunny Luthra

ABSTRACTBackground:With the incidence, prevalence, and cost of dementia care expected to rise, it has become crucial to develop a practical approach for managing behaviors in dementia. Presently non-pharmacological interventions, both interpersonal and environmental, are the gold standard for managing Behavioral and Psychological Symptoms of Dementia (BPSD). The purpose of the presentation is to reveal the reasons for paucity in developing effective pharmacological treatments for BPSD in moderate to advanced dementia and propose a new theoretical framework for labeling and classifying behaviors in moderate to advanced dementia. The LuBAIR paradigm will be less labor-intensive, more comprehensive, and improve the categorization of behaviors into clinically meaningful categories. It was also found that the LuBAIR Inventory has comparable inter-and intra-rater reliability and Construct and Criteria validity in comparison to BEHAV-AD and Cohen-Mansfield Agitation Inventory (CMAI).Methods:The literature on BPSD reviewed, focusing on terminology, models of behaviors, and identified deficiencies in both.Results:Terminology to describe moderate to advanced dementia behaviors lacks consistency, accuracy, and reliability in both research and clinical settings. Standardized scales currently utilized to diagnose clinical conditions also lack validity and reliability in moderate to advanced dementia. Models for understanding the occurrence of behaviors in dementia are dichotomized along the biological versus psychosocial paradigm. The reliability and validity of the LuBAIR Inventory were established in an earlier study and workshops, where it found that the LuBAIR was less labor-intensive, more comprehensive, and offered improved categorization of behaviors into clinically meaningful categories. It was also found that the LuBAIR Inventory has comparable inter-and intra-rater reliability and Construct and Criteria validity in comparison to BEHAV-AD and Cohen-Mansfield Agitation Inventory (CMAI).Conclusions:Deficiencies in existing terminology, assessment scales, and models are acknowledged. There are twelve newly formed behavioral categories to classify behaviors in moderate to advanced Dementia. These categories were used to develop a new behavioral assessment inventory titled LuBAIR (Luthra’s Behavioral Assessment and Intervention Response). The LuBAIR model will help clinical staff to understand the 'meaning’ of behaviors in persons with Dementia (PwD).

1981 ◽  
Vol 138 (1) ◽  
pp. 15-16 ◽  
Author(s):  
A. H. W. Smith ◽  
B. R. Ballinger ◽  
A. S. Presly

SummaryThe Clifton Assessment Schedule and the Shortened Stockton Rating Scale were administered to 38 elderly, mentally handicapped patients. Inter-rater reliability was high and the CAS was found to be a useful measure of cognitive ability. The tests measure different features of patients, but both correlated significantly with estimated levels of independence.


Author(s):  
Sarvesh Vivekanand Rasal ◽  
Abhijit D. Diwate ◽  
Deepak B. Anap

Background: Maximum Inspiratory Pressure (MIP) measures inspiratory force generated by respiratory muscles. MIP is measured with non-invasive pressure transducer device which has mouthpiece, pressure gauge, and dial showing readings. Respiratory muscle weakness is a common sign depicted in conditions like neuromuscular disorders, cardiovascular disease, and other respiratory pathologies which affect the individual’s lung volume and capacity. The devices available in the market to measure the MIP are costly. Aim: This study was undertaken to find out inter-rater and intra-rater reliability and validity of therapist made instrument in rural set up to measure maximum inspiratory pressure (DMIPD). Method: This cross-sectional study was carried out in 40 normal healthy individuals without lung diseases were recruited as per inclusion criteria. MIP values were noted by two raters using the DMIPD and were then compared between two rater values to that of the gold standard values. Validity and reliability were calculated using interclass correlation coefficients (ICC) and p-value. Result: Statistical analysis for inter-rater reliability by Kappa using SPSS 1.000 showing almost perfect agreement as per Kappa interpretation also for intra-rater analysis an ICC value of 0.96 depicting excellent validity and Cronbach alpha value of 0.97 thereby proving it to have excellent reliability. Conclusion: We conclude that DMIPD has excellent reliability and validity.


Work ◽  
2020 ◽  
Vol 67 (2) ◽  
pp. 387-394
Author(s):  
Hamid Reza Mokhtarinia ◽  
Sahar Abazarpour ◽  
Charles Philip Gabel

BACKGROUND: The Quick Exposure Check (QEC) is an instrument to identify occupational risk factors, and to screen subjects for the risk of musculoskeletal disorders in their workplace. OBJECTIVES: The aim of this prospective observational study was the cross-cultural adaptation of the QEC for Persian (QEC-Pr) speaking workers and the determination of the minimally required psychometric properties, including reliability and validity, in a Persian population. METHODS: The forward-backward translation was completed according to the published guidelines. A total of 217 male construction workers were recruited. The Rapid Upper Limb Assessment (RULA) tool was used as the criterion. The Inter- and intra-rater reliability was performed respectively in a sub-sample of n = 50 and n = 30. Convergent validity was determined from the correlation between the QEC-Pr and the RULA. Internal consistency was assessed using Cronbach’s α. RESULTS: High levels of inter-rater reliability (ICC2.1 range = 0.79–0.93), intra-rater reliability (ICC2.1 range = 0.74–0.89) and internal consistency (α= 0.74) were obtained. Concurrent validity between the different sections of the QEC and RULA scores were determined to be fair but below the desired level (range r = 0.41–0.44). CONCLUSIONS: The QEC-Pr can be applied as a specific risk assessment instrument for different occupational situations, such as the construction industry, in Persian language populations.


2021 ◽  
pp. 089011712110229
Author(s):  
Enid Chung Roemer ◽  
Karen B. Kent ◽  
Ron Z. Goetzel ◽  
Chris Calitz ◽  
Drew Mills

Objective: To test the validity and reliability of the American Heart Association’s (AHA) updated Workplace Health Achievement Index (WHAI). Methods: We piloted the updated WHAI with respondent pairs at 94 organizations, and examined the inter-rater reliability (percent agreement) for each item on the survey. To evaluate face and content validity, we conducted preliminary focus groups pre-survey, and follow-up cognitive interviews post-survey administration. Results: Respondents found the updated WHAI to be comprehensive and useful in identifying gaps and opportunities for improving their health and wellbeing programs. The mean percent agreement on all items was 73.1%. Only 9% (or 14 items out of 146) had poor inter-rater reliability (below 61 percent agreement), but through follow-up cognitive interviews we determined that most were due to artifacts of the study design or were resolved through minor revisions to the survey question, instructions, and/or adding examples for clarity. Only 1 question was deleted due to lack of relevance. Conclusion: The updated WHAI is a valid and reliable tool for employers to assess how well they promote the health and wellbeing of their employees.


2021 ◽  
Vol 6 ◽  
Author(s):  
Harzurita Hassan ◽  
Zaini Said ◽  
Norhayati Ibrahim

This pilot study was conducted to test the reliability and validity of the instrument to be used to assess the level of depression among public servants in the state of Selangor, Malaysia. The instrument used is the Beck Depression Inventory Bahasa Melayu Version. This instrument has two parts: Part A collects the demographic information and Part B has 21 items to measure depression. Although the basis of the existence of BDI is for use in clinical settings, there are many studies which have used BDI in non-clinical settings such as among university students and the general public. The BDI is empirically proven to be fit for use in both settings. A total of 30 public servants, who have been identified as a low performer at the Office of the State Secretary of Selangor, participated in this study. The Rasch Measurement Model using the Winsteps software version 3.72.3 was used to analyse the results. This Rasch analysis has shown that the reliability index of the Respondent obtained was 0.76 and the item reliability index was 0.83.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhihua Zhang ◽  
Tianwei Qian ◽  
Bijun Zhu ◽  
Haiyun Liu ◽  
Xiaodong Sun ◽  
...  

Abstract Background Microsurgery training has become an important part of ophthalmology teaching and one of the main topics of examination. Accurate and effective evaluation of microsurgery skills is vital for the training and teaching of residents. In this study, we aimed to establish a pterygium surgery assessment scale for use by ophthalmic residents and evaluate its reliability and validity. Methods Based on a literature search, experienced pterygium surgeons developed the preliminary scale according to the standard surgical procedure. The preliminary scale and a questionnaire were sent to teaching and research experts in the field for feedback. Face and content validity and reliability of the scale were determined by rounds of modifications based on expert feedback. For construct validity, existing assessment scales were obtained and a range of factors were tested. Results Nineteen expert surgeons completed the questionnaire and modifications were made until all surgeons agreed on the final scale. Good construct validity was found by evaluation against 257 existing scales. For reliability, 280 evaluation scales were completed. Inter- and intra-rater reliability analysis both found Intraclass Correlation Coefficient (ICC) > 0.8 for all items and total scores. Conclusion The pterygium surgery assessment scale developed in this study has good reliability and validity, and is an effective measurement tool for the evaluation of ophthalmology residents’ pterygium surgical skills.


2017 ◽  
Vol 38 (2) ◽  
pp. 83-93
Author(s):  
Jeffrey M. Cucina ◽  
Nicholas L. Vasilopoulos ◽  
Arwen H. DeCostanza

Abstract. Varimax rotated principal component scores (VRPCS) have previously been offered as a possible solution to the non-orthogonality of scores for the Big Five factors. However, few researchers have examined the reliability and validity of VRPCS. To address this gap, we use a lab study and a field study to investigate whether using VRPCS increase orthogonality, reliability, and criterion-related validity. Compared to the traditional unit-weighting scoring method, the use of VRPCS enhanced the reliability and discriminant validity of the Big Five factors, although there was little improvement in criterion-related validity. Results are discussed in terms of the benefit of using VRPCS instead of traditional unit-weighted sum scores.


2021 ◽  
Author(s):  
Qi Zhang ◽  
Ke Zhang ◽  
Miao Li ◽  
Jiaxin Gu ◽  
Xintong Li ◽  
...  

Abstract Objectives To examine the validity and reliability of the Mandarin version of the Treatment Burden Questionnaire (TBQ) among stroke patients. Background Stroke patients need long-term management of symptoms and life situation, and treatment burden has recently emerged as a new concept that can influence the health outcomes during the rehabilitation process. Methods The convenience sampling method was used to recruit 187 cases of stroke patients in a tertiary grade hospital in Tianjin for a formal investigation. Item analysis, reliability and validity tests were carried out. The reliability test included internal consistency and test–retest reliability. And as well as content, structure and convergent validity were performed for the validity test. Results Of the 187 completed questionnaires, only 180 (96.3%) were suitable for analysis. According to the experts’ evaluation, the I-CVI of each item was from 0.833 to 1.000, and the S-CVI was 0.967. The exploratory factor analysis yielded three-factor components with a cumulative variation of 53.054%. Convergent validity was demonstrated using measures of Morisky’s Medication Adherence Scale 8 (r = –0.450, P < 0.01). All correlations between items and global scores ranged from 0.403 to 0.638. Internal consistency reliability and test–retest reliability were found to be acceptable, as indicated by a Cronbach’s α of 0.824 and an intraclass correlation coefficient of 0.846, respectively. Conclusions The Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.


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