Iowa's Severity Rating Scales for Communication Disabilities

PL 94-142 mandates that all pupils who are handicapped receive an appropriate program in the least restrictive environment. In implementing both federal and state laws, it was necessary to depart from the traditional methods of service delivery, and so a continuum of services concept was adopted. Attached to the continuum of services are severity rating scales that indicate milestones along the continuum. A severity rating scale was developed for articulation, language, fluency, and voice. Although providing direction for the speech-language pathologist, clinical judgment was not compromised. The severity rating scale assists the clinician in case selection and suggests the intensity of the service delivery model. Data obtained from use of the scale can be employed to appropriately assign staff. Each scale is reproduced in an appendix to this article.

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Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2006000300011 ◽

2006 ◽

Vol 64 (2b) ◽

pp. 407-411 ◽

Cited By ~ 43

Author(s):

Cláudia Débora Silberman ◽

Jerson Laks ◽

Cláudia Figueiredo Capitão ◽

Cláudia Soares Rodrigues ◽

Irene Moreira ◽

...

Keyword(s):

Clinical Judgment ◽

Rating Scales ◽

Rating Scale ◽

Kappa Statistic ◽

Roc Curves ◽

Operating Characteristics ◽

Predictive Values ◽

Clinical Diagnoses ◽

Similar Accuracy ◽

Kappa Agreement

This study aimed to find cut-off scores for the Montgomery-Asberg rating scale (MADRS) and the Beck depression inventory (BDI) that can relate to specific clinical diagnoses of depression in Parkinson´s disease (PD). Mild and moderate PD patients (n=46) were evaluated for depression according to the DSM IV criteria. All patients were assessed with the MADRS and the BDI. A "receiver operating characteristics" (ROC) curve was obtained and the sensibility, specificity, positive and the negative predictive values were calculated for different cut-off scores of the MADRS and the BDI. The Kappa statistic was calculated for different cut-off scores to assess the agreement between the clinical judgment and both scales. Depression was present in 18 patients. MADRS cut-off scores of 6 and 10 showed Kappa 0.5 and 0.56, respectively. Specificity of cut-off score of 6 was 78.6% and of cut-off score of 10 was 96.4%. Kappa agreement of BDI cut-off scores of 10 and 18 were 0.36 and 0.62, respectively. Specificity was 60.7% for 10 and 92.9% for 18. Both rating scales show similar accuracy within the ROC curves (84.3% for MADRS and 79.7% for BDI). The MADRS and the BDI show a good accuracy and correlation to the clinical diagnosis when a cut-off score of 10 is used to MADRS and a cut-off score of 18 is used to BDI to recognize depression in mild to moderate PD patients. This may help clinicians to recognize depression in PD.

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Rasch calibration and optimal categorization of the sport fandom questionnaire

International Journal of Sports Marketing and Sponsorship ◽

10.1108/ijsms-11-2020-0208 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Han Soo Kim ◽

Minsoo Kang ◽

Minjung Kim

Keyword(s):

Rasch Analysis ◽

Design Methodology ◽

Rating Scales ◽

Rating Scale ◽

Calibration Model ◽

Fit Indices ◽

Category Rating ◽

Large Variability ◽

Content Type ◽

The Continuum

PurposeThe purpose of this study is to evaluate the category function of the sport fandom questionnaire (SFQ), determine the optimal categorization of the SFQ and calibrate the measurement qualities of the newly modified rating scale option using Rasch analysis.Design/methodology/approachThis paper relies on the Rasch analysis to validate the SFQ. A series of studies are performed based on analysis procedures for the responses from 244 (study 1) and 477 (study 2) participants.FindingsThe results revealed that the original SFQ consisting of the eight-category rating scale is flagged due to irregular observation distribution and disordering of thresholds, whereas both six-category and seven-category rating scales meet the guidelines for the optimal categorization. However, only the seven-category rating scale showed desirable model-data fit indices. Furthermore, the results of the Rasch calibration model showed that all items of the SFQ have large variability, and a person's ability level varied moderately along the continuum.Originality/valueUnlike previous studies, examining the psychometric properties of the SFQ, the current study provides information about the optimal categorization and presents a novel reconstruction category in measuring individuals' sport fandom level. In measuring the level of sport fandom, the authors suggest the use of a seven-category rating scale that the current study found to exhibit reliability and construct validity.

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Symptom rating scales for schizophrenia and other primary psychotic disorders in ICD-11

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796017000270 ◽

2017 ◽

Vol 27 (3) ◽

pp. 219-224 ◽

Cited By ~ 8

Author(s):

J. W. Keeley ◽

W. Gaebel

Keyword(s):

Negative Symptoms ◽

Rating Scales ◽

Psychotic Disorders ◽

Rating Scale ◽

Field Testing ◽

International Classification Of Diseases ◽

Severity Rating ◽

Classification Of Diseases ◽

The Cost ◽

Symptom Rating

The subtype system for categorising presentations of schizophrenia will be removed from International Classification of Diseases 11th Revision. In its place will be a system for rating six domains of psychotic disorder pathology: positive symptoms, negative symptoms, depressive symptoms, manic symptoms, psychomotor symptoms and cognitive symptoms. This paper outlines the rationale and description of the proposed symptom rating scale, including current controversies. In particular, the scale could adopt either a 4-point severity rating or a 2-point presence/absence rating. The 4-point scale has the advantage of gathering more information, but potentially at the cost of reliability. The paper concludes by describing the field testing process for evaluating the proposed scale.

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Introduction, development, and evaluation of the miniclinical evaluation exercise in postgraduate education of chiropractors

Journal of Chiropractic Education ◽

10.7899/jce-14-14 ◽

2015 ◽

Vol 29 (1) ◽

pp. 22-28 ◽

Cited By ~ 3

Author(s):

Inga Paravicini ◽

Cynthia K. Peterson

Keyword(s):

Correlation Coefficient ◽

Clinical Judgment ◽

Rating Scales ◽

Rating Scale ◽

Clinical Performance ◽

Intraclass Correlation ◽

Postgraduate Education ◽

Clinical Encounter ◽

Formative Feedback ◽

Evaluation Exercise

Objective To determine if the clinical evaluation exercise (CEX) format is reliable, applicable and useful for evaluating clinical competency in the postgraduate chiropractic program as formative feedback. Methods Twelve mini-CEX clinical encounters were evaluated by 2 assessors per clinical encounter (7 assessors per session) in 23 chiropractic residents over a 12-month period. Two different rating scales (9 point and 5 point) were used, and the 2 assessors completed the forms independently. Individual competencies assessed consisted of history taking, physical examination, organization/efficiency, clinical judgment, professionalism/communication, counseling, and overall clinical performance. Interassessor reliability was calculated using κ and intraclass correlation coefficient statistics. Cronbach α assessed internal consistency of the mini-CEX. Spearman correlation coefficient evaluated correlation between the various competencies. The Mann-Whitney U test evaluated differences between the assessors' median numerical scores. Results The κ value for the 9-point rating scale was 0.31 (fair) and for the 5-point scale was 0.42 (moderate) with statistically significant intraclass correlation values (p < .05) for 4 of the 6 competencies. High correlation coefficients (p = .0001) were found when comparing the various competencies at each clinical encounter. There were no significant differences between the 2 assessors per clinical encounter for the scores awarded to the residents. Conclusions The mini-CEX is a reliable and useful tool to provide valuable formative feedback to postgraduate chiropractic residents. The 5-point grading scale was more user-friendly with better reliability.

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A Classroom Sign Communication Program for the Severely Handicapped

Language Speech and Hearing Services in Schools ◽

10.1044/0161-1461.1204.233 ◽

1981 ◽

Vol 12 (4) ◽

pp. 233-239

Author(s):

Linda Goodman ◽

Robin Kroc

Keyword(s):

Service Delivery ◽

Speech Language Pathologist ◽

Communication Program ◽

Severely Handicapped

This article describes a strategy used to teach sign communication to severely handicapped students in the classroom. It recommends that the speech-language pathologist adopt a consultant role in service delivery.

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Dysarthria Profiles in Adults With Hereditary Ataxia

American Journal of Speech-Language Pathology ◽

10.1044/2018_ajslp-msc18-18-0114 ◽

2019 ◽

Vol 28 (2S) ◽

pp. 915-924 ◽

Cited By ~ 2

Author(s):

Kristie A. Spencer ◽

Mallory Dawson

Keyword(s):

Rating Scales ◽

Feedforward Control ◽

Hereditary Ataxia ◽

Severity Rating ◽

Visual Analog Scales ◽

Speech Characteristics ◽

Ataxic Dysarthria ◽

Preliminary Study

Purpose This preliminary study examined whether speech profiles exist for adults with hereditary ataxia based on 2 competing frameworks: a pattern of instability/inflexibility or a pattern of differential subsystem involvement. Method Four dysarthria experts rated the speech samples of 8 adults with dysarthria from hereditary ataxia using visual analog scales and presence/severity rating scales of speech characteristics. Speaking tasks included diadochokinetics, sustained phonation, and a monologue. Results Speech profiles aligned with the instability/inflexibility framework, with the pattern of instability being the most common. Speech profiles did not emerge for the majority of speakers using the differential subsystem framework. Conclusions The findings extend previous research on pure ataxic dysarthria and suggest a possible framework for understanding the speech heterogeneity associated with the ataxias. The predominance of the instability profile is consistent with the notion of impaired feedforward control in speakers with cerebellar disruption.

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AAC Collaboration Using the Self-Anchored Rating Scales (SARS): An Aphasia Case Study

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac21.4.136 ◽

2012 ◽

Vol 21 (4) ◽

pp. 136-143

Author(s):

Lynn E. Fox

Keyword(s):

Augmentative And Alternative Communication ◽

Rating Scales ◽

Rating Scale ◽

Therapeutic Process ◽

Family Counseling ◽

The Self ◽

Alternative Communication ◽

Her Family ◽

Solution Focused

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.

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Childbirth and Posttraumatic Stress Responses

European Journal of Psychological Assessment ◽

10.1027/1015-5759.22.4.259 ◽

2006 ◽

Vol 22 (4) ◽

pp. 259-267 ◽

Cited By ~ 40

Author(s):

Eelco Olde ◽

Rolf J. Kleber ◽

Onno van der Hart ◽

Victor J.M. Pop

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Responses ◽

Rating Scales ◽

Rating Scale ◽

Stress Disorder ◽

Traumatic Experience ◽

Event Scale ◽

Self Rating ◽

The Impact

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.

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D-test: A New Test for Analyzing Scale Invariance Using Symbolic Dynamics and Symbolic Entropy

Methodology ◽

10.1027/1614-2241/a000026 ◽

2011 ◽

Vol 7 (3) ◽

pp. 88-95 ◽

Cited By ~ 2

Author(s):

Jose A. Martínez ◽

Manuel Ruiz Marín

Keyword(s):

Symbolic Dynamics ◽

Scale Invariance ◽

Rating Scales ◽

Rating Scale ◽

Marketing Research ◽

Response Patterns ◽

Measurement Scales ◽

Improve Measurement ◽

Entropy Measures ◽

The Difference

The aim of this study is to improve measurement in marketing research by constructing a new, simple, nonparametric, consistent, and powerful test to study scale invariance. The test is called D-test. D-test is constructed using symbolic dynamics and symbolic entropy as a measure of the difference between the response patterns which comes from two measurement scales. We also give a standard asymptotic distribution of our statistic. Given that the test is based on entropy measures, it avoids smoothed nonparametric estimation. We applied D-test to a real marketing research to study if scale invariance holds when measuring service quality in a sports service. We considered a free-scale as a reference scale and then we compared it with three widely used rating scales: Likert-type scale from 1 to 5 and from 1 to 7, and semantic-differential scale from −3 to +3. Scale invariance holds for the two latter scales. This test overcomes the shortcomings of other procedures for analyzing scale invariance; and it provides researchers a tool to decide the appropriate rating scale to study specific marketing problems, and how the results of prior studies can be questioned.

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