External Validation and Test-Retest Reliability of Postpartum Bonding Questionnaire in Spanish Mothers

2021 ◽  
Vol 24 ◽  
Author(s):  
Anna Torres-Giménez ◽  
Alba Roca-Lecumberri ◽  
Bàrbara Sureda ◽  
Susana Andrés-Perpiña ◽  
Bruma Palacios-Hernández ◽  
...  
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Characteristic Curve ◽  
External Validation ◽  
Area Under The Curve ◽  
Retest Reliability ◽  
Outpatient Unit ◽  
Auc Value ◽  
Postpartum Bonding ◽  
Test Retest Reliability

Abstract The aim of the present study was to validate the Spanish Postpartum Bonding Questionnaire (PBQ) against external criteria of bonding disorder, as well as to establish its test-retest reliability. One hundred fifty-six postpartum women consecutively recruited from a perinatal mental health outpatient unit completed the PBQ at 4–6 weeks postpartum. Four weeks later, all mothers completed again the PBQ and were interviewed using the Birmingham Interview for Maternal Mental Health to establish the presence of a bonding disorder. Receiver operating characteristic curve analysis revealed an area under the curve (AUC) value for the PBQ total score of 0.93, 95% CI [0.88, 0.98], with the optimal cut-off of 13 for detecting bonding disorders (sensitivity: 92%, specificity: 87%). Optimal cut-off scores for each scale were also obtained. The test-retest reliability coefficients were moderate to good. Our data confirm the validity of PBQ for detecting bonding disorders in Spanish population.

scholarly journals ShareDisk: A novel visual tool to assess perceptions about who should be responsible for supporting persons with mental health problems

2020 ◽  
Vol 66 (4) ◽  
pp. 411-418
Author(s):  
Srividya N Iyer ◽  
Megan A Pope ◽  
Gerald Jordan ◽  
Greeshma Mohan ◽  
Heleen Loohuis ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Clinical Utility ◽  
Mental Health Problems ◽  
Health Problems ◽  
Language And Literacy ◽  
Retest Reliability ◽  
Visual Tool ◽  
Test Retest Reliability ◽  
High Test

Objectives: Views on who bears how much responsibility for supporting individuals with mental health problems may vary across stakeholders (patients, families, clinicians) and cultures. Perceptions about responsibility may influence the extent to which stakeholders get involved in treatment. Our objective was to report on the development, psychometric properties and usability of a first-ever tool of this construct. Methods: We created a visual weighting disk called ‘ShareDisk’, measuring perceived extent of responsibility for supporting persons with mental health problems. It was administered (twice, 2 weeks apart) to patients, family members and clinicians in Chennai, India ( N = 30, 30 and 15, respectively) and Montreal, Canada ( N = 30, 32 and 15, respectively). Feedback regarding its usability was also collected. Results: The English, French and Tamil versions of the ShareDisk demonstrated high test–retest reliability ( rs = .69–.98) and were deemed easy to understand and use. Conclusion: The ShareDisk is a promising measure of a hitherto unmeasured construct that is easily deployable in settings varying in language and literacy levels. Its clinical utility lies in clarifying stakeholder roles. It can help researchers investigate how stakeholders’ roles are perceived and how these perceptions may be shaped by and shape the organization and experience of healthcare across settings.

Histopathological analysis of retrieved thrombi from patients with acute ischemic stroke with malignant tumors

2021 ◽  
pp. neurintsurg-2020-017195
Author(s):  
Yuko Kataoka ◽  
Kazutaka Sonoda ◽  
Jun C Takahashi ◽  
Hatsue Ishibashi-Ueda ◽  
Kazunori Toyoda ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Malignant Tumors ◽  
Characteristic Curve ◽  
Cerebral Arteries ◽  
Treatment Strategies ◽  
Area Under The Curve ◽  
Histopathological Analysis ◽  
Thrombotic Risk ◽  
Patients With Cancer ◽  
Auc Value

BackgroundThe procoagulant state in cancer increases the thrombotic risk, and underlying cancer could affect treatment strategies and outcomes in patients with ischemic stroke. However, the histopathological characteristics of retrieved thrombi in patients with cancer have not been well studied. This study aimed to assess the histopathological difference between thrombi in patients with and without cancer.MethodsWe studied consecutive patients with acute major cerebral artery occlusion who were treated with endovascular therapy between October 2010 and December 2016 in our single-center registry. The retrieved thrombi were histopathologically investigated with hematoxylin and eosin and Masson’s trichrome staining. The organization and proportions of erythrocyte and fibrin/platelet components were studied using a lattice composed of 10×10 squares.ResultsOf the 180 patients studied, 17 (8 women, age 76.5±11.5 years) had cancer and 163 (69 women, age 74.1±11.2 years) did not. Those with cancer had a higher proportion of fibrin/platelets (56.6±27.4% vs 40.1±23.9%, p=0.008), a smaller proportion of erythrocytes (42.1±28.3% vs 57.5±25.1%, p=0.019), and higher serum D-dimer levels (5.9±8.2 vs 2.4±4.3 mg/dL, p=0.005) compared with the non-cancer cases. Receiver operating characteristic curve analysis showed the cut-off ratio of fibrin/platelet components related to cancer was 55.7% with a sensitivity of 74.8%, specificity 58.8% and area under the curve (AUC) value of 0.67 (95% CI 0.53 to 0.81), and the cut-off ratio of erythrocyte components was 44.7% with a sensitivity of 71.2%, specificity 58.9% and AUC value of 0.66 (95% CI 0.51 to 0.80).ConclusionsThromboemboli of major cerebral arteries in patients with cancer were mainly composed of fibrin/platelet-rich components.

Novel patient-specific visual analogue survey (PVS) is validated in patients treated with collagenase injection for Dupuytren’s disease

2019 ◽  
Vol 5 (1) ◽  
pp. 3-9
Author(s):  
Stephen L Lyman ◽  
Jayme Burket Kotsov ◽  
Chisa Hidaka ◽  
Quynh Tran ◽  
Naomi Roselaar ◽  
...  
Keyword(s):  
Effect Size ◽  
External Validation ◽  
Patient Specific ◽  
Dupuytren’S Contracture ◽  
Post Injection ◽  
Retest Reliability ◽  
Dupuytren's Contracture ◽  
Number Of Patients ◽  
Patient Reported ◽  
Test Retest Reliability

ObjectivesWe developed and validated an electronically administered patient-specific visual analogue survey (PVS) to evaluate changes in hand function after treatment with injectable collagenase clostridium histolyticum (CCH) in Dupuytren’s contracture. The items in the PVS were authored and ranked in importance by the patients.MethodsIn an open-label trial for patients with Dupuytren’s contracture receiving CCH injection, 109 patients completed the PVS on the day of injection, day of manipulation and 30-day follow-up. For external validation, patients also completed standard patient-reported outcome measures, the Overall Treatment Effects Scale and QuickDASH, and underwent physician assessment of contracture via goniometry and the table top test.ResultsResponses were highly individualised with no single activity being chosen as important by more than 8% of patients. Sports-related activities were mentioned most often (23%). The PVS was highly responsive to changes in patients’ conditions with CCH injection (effect size=1.49), much more so than the QuickDASH (effect size=0.50). Additionally, the PVS had no floor or ceiling effects, whereas the QuickDASH ceiling approached 20% post-injection. The PVS had excellent internal consistency (Cronbach’s α=0.95) and correlated strongly with the QuickDASH post-injection (Spearman’s=−0.67). PVS scores were significantly higher for patients reporting their condition had improved versus those reporting no change after injection. The test–retest reliability of the PVS was poor to fair, in part due to allowing patients to choose different activities at test and retest. However, test–retest reliability was good (intraclass correlation coefficient >0.7) and better than QuickDASH among patients who rated the same activities at test and retest.ConclusionsThe PVS is simple to administer and enables individualised assessment in a large number of patients. It is also readily adaptable for use in other diseases, particularly within musculoskeletal medicine.Level of evidenceTherapeutic II: Prospective cohort.

scholarly journals Validation of the Strengths and Difficulties Self-Report in Norwegian Sign Language

2019 ◽  
Vol 25 (1) ◽  
pp. 91-104 ◽  
Author(s):  
Chris Margaret Aanondsen ◽  
Thomas Jozefiak ◽  
Kerstin Heiling ◽  
Tormod Rimehaug
Keyword(s):  
Mental Health ◽  
Sign Language ◽  
Internal Consistency ◽  
Mental Health Problems ◽  
Health Problems ◽  
Self Report ◽  
Equation Modeling ◽  
Retest Reliability ◽  
Strengths And Difficulties ◽  
Test Retest Reliability

Abstract The majority of studies on mental health in deaf and hard-of-hearing (DHH) children report a higher level of mental health problems. Inconsistencies in reports of prevalence of mental health problems have been found to be related to a number of factors such as language skills, cognitive ability, heterogeneous samples as well as validity problems caused by using written measures designed for typically hearing children. This study evaluates the psychometric properties of the self-report version of the Strengths and Difficulties Questionnaire (SDQ) in Norwegian Sign Language (NSL; SDQ-NSL) and in written Norwegian (SDQ-NOR). Forty-nine DHH children completed the SDQ-NSL as well as the SDQ-NOR in randomized order and their parents completed the parent version of the SDQ-NOR and a questionnaire on hearing and language-related information. Internal consistency was examined using Dillon–Goldstein’s rho, test–retest reliability using intraclass correlations, construct validity by confirmatory factor analysis (CFA), and partial least squares structural equation modeling. Internal consistency and test–retest reliability were established as acceptable to good. CFA resulted in a best fit for the proposed five-factor model for both versions, although not all fit indices reached acceptable levels. The reliability and validity of the SDQ-NSL seem promising even though the validation was based on a small sample size.

Validation of the Vertical Facial Growth Screening Test

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1187-1193
Author(s):  
Christian Calvo-Henriquez ◽  
Silvia Martins-Neves ◽  
Gabriel Martinez-Capoccioni ◽  
Daniela Neves-Leal ◽  
Alberto Ruano-Ravina ◽  
...  
Keyword(s):  
Screening Test ◽  
Characteristic Curve ◽  
Area Under The Curve ◽  
Ease Of Use ◽  
Facial Growth ◽  
The Face ◽  
Patients At Risk ◽  
Low Sensitivity ◽  
Dentofacial Orthopedics ◽  
Test Retest Reliability

Background. Vertical facial growth has a high prevalence. Nonspecialized professionals have shown low sensitivity to identify patients at risk. In the face of this difficulty, we designed and validated a screening checklist for vertical facial growth. Methods. A multidisciplinary team of 5 members developed the Vertical Facial Growth Screening Test. A sample of 160 evaluations was obtained. We consider as the gold standard the evaluation of 2 specialists in dentofacial orthopedics. Results. Consistency measured with Cronbach α was .675 for 10 items. Test-retest reliability was .956. The interobserver concordance was .886. The receiver operating characteristic curve has .987 area under the curve. Conclusion. This is the first study to design and validate a screening checklist for vertical facial growth for nonexpert evaluators. We think that given its good performance, ease of use, inexpensiveness, and availability, the test could be useful for nontrained professionals dealing with children.

The Radiographic Union Score for HUmeral fractures (RUSHU) predicts humeral shaft nonunion

2019 ◽  
Vol 101-B (10) ◽  
pp. 1300-1306 ◽  
Author(s):  
William M. Oliver ◽  
Thomas J. Smith ◽  
Jamie A. Nicholson ◽  
Sam G. Molyneux ◽  
Tim O. White ◽  
...  
Keyword(s):  
Predictive Value ◽  
Characteristic Curve ◽  
External Validation ◽  
Intraclass Correlation ◽  
Area Under The Curve ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Fractures ◽  
Humeral Shaft ◽  
Radiographic Union

Aims The primary aim of this study was to develop a reliable, effective radiological score to assess the healing of humeral shaft fractures, the Radiographic Union Score for HUmeral fractures (RUSHU). The secondary aim was to assess whether the six-week RUSHU was predictive of nonunion at six months after the injury. Patients and Methods Initially, 20 patients with radiographs six weeks following a humeral shaft fracture were selected at random from a trauma database and scored by three observers, based on the Radiographic Union Scale for Tibial fractures system. After refinement of the RUSHU criteria, a second group of 60 patients with radiographs six weeks after injury, 40 with fractures that united and 20 with fractures that developed nonunion, were scored by two blinded observers. Results After refinement, the interobserver intraclass correlation coefficient (ICC) was 0.79 (95% confidence interval (CI) 0.67 to 0.87), indicating substantial agreement. At six weeks after injury, patients whose fractures united had a significantly higher median score than those who developed nonunion (10 vs 7; p < 0.001). A receiver operating characteristic curve determined that a RUSHU cut-off of < 8 was predictive of nonunion (area under the curve = 0.84, 95% CI 0.74 to 0.94). The sensitivity was 75% and specificity 80% with a positive predictive value (PPV) of 65% and a negative predictive value of 86%. Patients with a RUSHU < 8 (n = 23) were more likely to develop nonunion than those with a RUSHU ≥ 8 (n = 37, odds ratio 12.0, 95% CI 3.4 to 42.9). Based on a PPV of 65%, if all patients with a RUSHU < 8 underwent fixation, the number of procedures needed to avoid one nonunion would be 1.5. Conclusion The RUSHU is reliable and effective in identifying patients at risk of nonunion of a humeral shaft fracture at six weeks after injury. This tool requires external validation but could potentially reduce the morbidity associated with delayed treatment of an established nonunion. Cite this article: Bone Joint J 2019;101-B:1300–1306

Preliminary Evaluation of the Italian Version of the Inspire Measure of Staff Support for Personal Recovery

2016 ◽  
Vol 33 (S1) ◽  
pp. S489-S489
Author(s):  
N. Ratti ◽  
B. Mattioli ◽  
L. Mellini ◽  
I. Negri ◽  
A. Mastrocola
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Personal Recovery ◽  
Italian Version ◽  
Staff Support ◽  
Retest Reliability ◽  
Functional Features ◽  
Test Retest Reliability

IntroductionSupporting personal recovery has become the main aim for mental health services in many countries nowadays. In particular, the relationship between individual service users and staff members can be the key issue in supporting recovery and this requires specific measures in order to identify and evaluate the orientation of services in this process of change. INSPIRE is a standardized questionnaire developed by King's College, London that represents a service user-rated measure of staff support for personal recovery in the UK.ObjectiveAlthough there is a number of instruments aimed at monitoring recovery in the clinical and functional features, there is still lack of measures for personal recovery and recovery orientation of services in the Italian background.AimsThe aim of this study is to evaluate the psychometric properties of the Italian version of INSPIRE as it is applied in the Italian mental health services.MethodsTwo rounds of data were collected from a sample of 79 inpatients and outpatients of rehabilitation centers and consultant service of the municipality of Ravenna. Analysis was undertaken using SPSS. The main issues investigated were internal consistency, test-retest reliability and exploratory factor analysis.ResultsThe results in the present studies indicate that the Italian version of the INSPIRE measure had a very good internal consistency and a satisfactory test-retest reliability.ConclusionsWhile further studies testing the instrument in larger and more diverse clinical contexts are needed, INSPIRE can be considered a relevant and feasible instrument to use in supporting the development of a recovery-oriented system in Italy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant’s Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study

2021 ◽  
Vol 18 (16) ◽  
pp. 8517
Author(s):  
Łucja Bieleninik ◽  
Karolina Lutkiewicz ◽  
Mariusz Cieślak ◽  
Joanna Preis-Orlikowska ◽  
Mariola Bidzan
Keyword(s):  
Mental Health ◽  
Maternal Stress ◽  
Maternal Mental Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Relationships ◽  
Early Postpartum ◽  
Postpartum Bonding ◽  
The Impact

(1) Background: There is a continuing discussion concerning the impact of preterm birth on Maternal-Infant bonding with inconsistent results. The large burden of preterm births calls for research to evaluate the impact of it on material psychological outcome in the early postpartum period. Thus, the aim of this study was to evaluate the relationship between maternal postpartum bonding with maternal mental health, socio-demographical factors, and child’s characteristics. (2) Methods: A cross-sectional study design was used. In total, 72 women (a mean age of 31.44 years old) of preterm infants (mean gestational age = 33.54; range 24–36) filled out socio-demographic questionnaires, Postpartum Bonding Questionnaire (PBQ), Edinburgh Postpartum Depression Scale (EPDS), Postpartum Depression Screening Scale (PDSS), Generalized Anxiety Disorder Assessment (GAD-7), and Parental Stress Scale (PSS) 1–3 days post-delivery; (3) Results: The results analyses have shown positive correlations between the overall result of maternal postpartum bonding with stress (p < 0.01), maternal educational level (p < 0.01), maternal age (p < 0.05) and the number of children (p < 0.01). However, there were no significant relationships between other investigated variables. The results of linear regression have revelated the important role of the overall scores in experience of stress among mothers (explaining 49% of the variability). The mediating role of maternal stress on maternal postpartum bonding was not found. That relationship of maternal postpartum bonding and maternal stress was not moderated through socio-demographic variables. (4) Conclusions: In this study mothers of prematurely born children had a good level of Maternal-Infant bonding. Maternal stress was found to be a predictor of maternal postpartum bonding among the tested variables. Surprisingly, the study results did not show significant relationships between maternal postpartum bonding and maternal mental health (depression and anxiety).

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