Reliability of the Conversational Interaction Coding Form When Applied to Natural Conversation of Individuals With Aphasia

2010 ◽  
Vol 20 (4) ◽  
pp. 125-135 ◽  
Author(s):  
Ashley Pozzolo Coote ◽  
Jane Pimentel
Keyword(s):  
Best Practice ◽  
Interobserver Reliability ◽  
Training Session ◽  
Clinical Tool ◽  
Group Setting ◽  
Conversational Interaction ◽  
Video Recordings ◽  
Aphasia Therapy ◽  
Natural Conversation ◽  
Point To Point

Purpose: Development of valid and reliable outcome tools to document social approaches to aphasia therapy and to determine best practice is imperative. The aim of this study is to determine whether the Conversational Interaction Coding Form (CICF; Pimentel & Algeo, 2009) can be applied reliably to the natural conversation of individuals with aphasia in a group setting. Method: Eleven graduate students participated in this study. During a 90-minute training session, participants reviewed and practiced coding with the CICF. Then participants independently completed the CICF using video recordings of individuals with non-fluent and fluent aphasia participating in an aphasia group. Interobserver reliability was computed using matrices representative of the point-to-point agreement or disagreement between each participant's coding and the authors' coding for each measure. Interobserver reliability was defined as 80% or better agreement for each measure. Results: On the whole, the CICF was not applied reliably to the natural conversation of individuals with aphasia in a group setting. Conclusion: In an extensive review of the turns that had high disagreement across participants, the poor reliability was attributed to inadequate rules and definitions and inexperienced coders. Further research is needed to improve the reliability of this potentially useful clinical tool.

It may help you to know. . .": The early phase qualitative development of a rheumatoid arthritis goal elicitation tool

2021 ◽  
pp. jrheum.201615
Author(s):  
Julie Kahler ◽  
Ginnifer Mastarone ◽  
Rachel Matsumoto ◽  
Danielle ZuZero ◽  
Jacob Dougherty ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Decision Making ◽  
Shared Decision Making ◽  
Treatment Guidelines ◽  
Training Session ◽  
Clinic Visit ◽  
Shared Decision ◽  
Communication Tool ◽  
Group Setting ◽  
Patient Goals

Objective Treatment guidelines for rheumatoid arthritis (RA) include a patient-centered approach and shared decision making which includes a discussion of patient goals. We describe the iterative early development of a structured goal elicitation tool to facilitate goal communication for persons with RA and their clinicians. Methods Tool development occurred in three phases: 1) clinician feedback on the initial prototype during a communication training session; 2) semi-structured interviews with RA patients; and 3) community stakeholder feedback on elements of the goal elicitation tool in a group setting and electronically. Feedback was dynamically incorporated into the tool. Results Clinicians (n=15) and patients (n=10) provided feedback on the tool prototypes. Clinicians preferred a shorter tool de-emphasizing goals outside of their perceived treatment domain or available resources, highlighted the benefits of the tool to facilitate conversation but raised concern regarding current constraints of the clinic visit. Patients endorsed the utility of such a tool to support agenda setting and prepare for a visit. Clinicians, patients, and community stakeholders reported the tool was useful but identified barriers to implementation that the tool could itself resolve. Conclusion A goal elicitation tool for persons with RA and their clinicians was iteratively developed with feedback from multiple stakeholders. The tool can provide a structured way to communicate patient goals within a clinic visit and help overcome reported barriers, such as time constraints. Incorporating a structured communication tool to enhance goal communication and foster shared decision making may lead to improved outcomes and higher quality care in RA.

Novel prognostic histopathological grading system in oral squamous cell carcinoma based on tumour budding and cell nest size shows high interobserver and intraobserver concordance

2018 ◽  
Vol 72 (4) ◽  
pp. 285-294 ◽  
Author(s):  
Melanie Boxberg ◽  
Christine Bollwein ◽  
Korinna Jöhrens ◽  
Peer-Hendrik Kuhn ◽  
Bernhard Haller ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Interobserver Reliability ◽  
Training Session ◽  
Nest Size ◽  
Grading System ◽  
Tumour Entity ◽  
Aggressive Clinical Course ◽  
Tumour Budding

AimsSquamous cell carcinoma of the oral cavity (OSCC) is a common tumour entity with a variable, partially highly aggressive clinical course. Recently, we proposed a novel (three-tiered) clinically useful grading scheme strongly associated with patient outcome in OSCC, consisting of a sum score of the histomorphological patterns tumour budding and cell nest size which outperforms WHO based grading algorithms currently in use. The aim of our study was to probe for interobserver and intraobserver reliability of this novel grading system.Methods108 OSCC were retrospectively scored according to the proposed grading scheme by three independent pathologists—two experienced head and neck pathologists and one pathologist in training—blinded to each other’s scoring results.ResultsThe Cohen’s Kappa (κ) values for concordance rates between experienced pathologists were κ=0.97 for the overall grade, κ=0.97 for budding activity and κ=0.91 for cell nest size, indicating a strong interobserver reliability of our proposed grading system. Initial interobserver agreement was markedly lower with the pathologist in training (κ=0.55 for overall grade) but improved significantly after a training session (κ=0.87 for overall grade). Intraobserver concordance was high (κ=0.95 for overall grade), indicating a high reproducibility of the algorithm.ConclusionsIn conclusion, our study indicates that OSCC grading based on our proposed novel scheme yields an excellent inter-reader and intrareader agreement, further supporting the suitability of this grading system for routine pathological practice.

Examining Psychological Factors during Injury Rehabilitation

1997 ◽  
Vol 6 (4) ◽  
pp. 355-363 ◽  
Author(s):  
Yannis Theodorakis ◽  
Anastasia Beneca ◽  
Parascevi Malliou ◽  
Marios Goudas
Keyword(s):  
Goal Setting ◽  
Self Efficacy ◽  
Training Session ◽  
Rehabilitation Program ◽  
Control Group ◽  
Group Setting ◽  
Psychological Variables ◽  
Injury Rehabilitation ◽  
Performance Results ◽  
Experimental Group

The aim of this study was to examine the effectiveness of goal setting on performance and on a number of psychological variables such as self-efficacy, pretesting anxiety, and self-satisfaction during an injury rehabilitation program. An experimental group (n = 20) and a control group (n = 17) of injured physical education students were studied. Both groups underwent a 4-week quadriceps strengthening program on an isokinetic dynamometer, with the experimental group setting specific personal goals in each training session. The experimental group improved in performance significantly more than the control group. Although both groups exhibited an increase in self-efficacy and a decrease in pretesting anxiety, only the experimental group had an increase in self-satisfaction with performance. Results confirm that incorporating goal setting in the rehabilitation process enhances rehabilitation results.

scholarly journals Direct current electrocorticography for clinical neuromonitoring of spreading depolarizations

2016 ◽  
Vol 37 (5) ◽  
pp. 1857-1870 ◽  
Author(s):  
Jed A Hartings ◽  
Chunyan Li ◽  
Jason M Hinzman ◽  
C William Shuttleworth ◽  
Griffin L Ernst ◽  
...  
Keyword(s):  
Direct Current ◽  
Clinical Decision Making ◽  
Tissue Injury ◽  
Interobserver Reliability ◽  
Electrical Potential ◽  
Training Session ◽  
Clinical Decision ◽  
Platinum Electrodes ◽  
Slow Potentials ◽  
The Impact

Spreading depolarizations cause cortical electrical potential changes over a wide spectral range that includes slow potentials approaching the direct current (or 0 Hz) level. The negative direct current shift (<0.05 Hz) is an important identifier of cortical depolarization and its duration is a measure of potential tissue injury associated with longer lasting depolarizations. To determine the feasibility of monitoring the full signal bandwidth of spreading depolarizations in patients, we performed subdural electrocorticography using platinum electrode strips and direct current-coupled amplifiers in 27 patients with acute brain injury at two neurosurgical centers. While large baseline direct current offsets developed, loss of data due to amplifier saturation was minimal and rates of baseline drift throughout recordings were generally low. Transient negative direct current shifts of spreading depolarizations were easily recognized and in 306/551 (56%) cases had stereotyped, measurable characteristics. Following a standardized training session, novice scorers achieved a high degree of accuracy and interobserver reliability in identifying depolarizations, suggesting that direct current-coupled recordings can facilitate bedside diagnosis for future trials or clinical decision-making. We conclude that intracranial monitoring of slow potentials can be achieved with platinum electrodes and that unfiltered, direct current-coupled recordings are advantageous for identifying and assessing the impact of spreading depolarizations.

Defining the Volume and Intensity of Sport Participation in Adolescent Rugby Union Players

2008 ◽  
Vol 3 (1) ◽  
pp. 94-106 ◽  
Author(s):  
Timothy B. Hartwig ◽  
Geraldine Naughton ◽  
John Searl
Keyword(s):  
Physical Activity ◽  
Best Practice ◽  
Sport Participation ◽  
Training Session ◽  
Rugby Union ◽  
Gps Tracking ◽  
Training Adaptations ◽  
And Performance ◽  
Tracking Devices ◽  
And Training

Purpose:Investigating adolescent training loads might help us understand optimal training adaptations. GPS tracking devices and training diaries were used to quantify weekly sport and other physical activity demands placed on adolescent rugby union players and profile typical rugby training sessions.Methods:Participants were 75 males age 14 to 18 y who were recruited from rugby teams representing 3 levels of participation: schoolboy, national representative, and a selective sports school talent squad.Results:Schoolboy players covered a distance of (mean ± SD) 3511 ± 836 m, representative-squad players 3576 ± 956 m, and talent-squad players 2208 ± 637 m per rugby training session. The representative squad recorded the highest weekly duration of sport and physical activity (515 ± 222 min/wk), followed by the talent squad (421 ± 211 min/week) and schoolboy group (370 ± 135 min/wk). Profiles of individual players identified as group outliers showed participation in up to 3 games and up to 11 training sessions per week, with twice the weekly load of the team averages.Conclusion:Optimal participation and performance of adolescent rugby union players might be compromised by many high-load, high-impact training sessions and games and commitments to other sports and physical activities. An improved understanding of monitoring and quantifying load in adolescent athletes is needed to facilitate best-practice advice for player management and training prescription.

scholarly journals Increased competency of dietitian nutritionists’ physical examination skill after a simulation-based education in the United States

2020 ◽  
Vol 17 ◽  
pp. 40
Author(s):  
Elizabeth L. MacQuillan ◽  
Jennifer Ford ◽  
Kristin Baird
Keyword(s):  
Clinical Skill ◽  
Training Session ◽  
The United States ◽  
Registered Dietitian ◽  
Video Recordings ◽  
Physical Examination Skill ◽  
Simulation Based ◽  
Before And After ◽  
Examination Skill ◽  
Registered Dietitian Nutritionists

Purpose: This study aimed to translate simulation-based dietitian nutritionist education to clinical competency attainment in a group of practicing Registered Dietitian Nutritionists (RDNs). Using a standardized instrument to measure performance on the newly-required clinical skill, Nutrition Focused Physical Exam (NFPE), competence was measured both before and after a simulation-based education (SBE) session. Methods: Total 18 practicing RDNs were recruited by their employer Spectrum Health system. Following a pre-brief session, participants completed an initial 10-minute encounter, performing NFPE on a standardized patient (SP). Next, participants completed a 90-minute SBE training session on skills within NFPE, including hands-on practice and role play, followed by a post-training SP encounter. Video recordings of the SP encounters were scored to assess competence on seven skill areas within the NFPE. Scores were for initial competence and change in competence.. Results: Initial competence rates ranged from 0- 44% of participants across the seven skills assessed. The only competency where participants scored in the “meets expectations” range initially was “approach to the patient(. When raw competence scores were assessed for change from pre- to post-SBE training, a paired t-test indicated significant increased in all seven competency areas following the simulation-based training (P< .001). Conclusion: This study showed the effectiveness of a SBE training for increased competence scores of practicing dietitian nutritionist on a defined clinical skill.

scholarly journals The Training and Development of Elite Sprint Performance: an Integration of Scientific and Best Practice Literature

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Thomas Haugen ◽  
Stephen Seiler ◽  
Øyvind Sandbakk ◽  
Espen Tønnessen
Keyword(s):  
Best Practice ◽  
Training Session ◽  
Training And Development ◽  
Sprint Performance ◽  
Future Research ◽  
Plyometric Training ◽  
Sprint Training ◽  
Genetic Traits ◽  
Training Principles ◽  
Practice Literature

AbstractDespite a voluminous body of research devoted to sprint training, our understanding of the training process leading to a world-class sprint performance is limited. The objective of this review is to integrate scientific and best practice literature regarding the training and development of elite sprint performance. Sprint performance is heavily dependent upon genetic traits, and the annual within-athlete performance differences are lower than the typical variation, the smallest worthwhile change, and the influence of external conditions such as wind, monitoring methodologies, etc. Still, key underlying determinants (e.g., power, technique, and sprint-specific endurance) are trainable. In this review, we describe how well-known training principles (progression, specificity, variation/periodization, and individualization) and varying training methods (e.g., sprinting/running, technical training, strength/power, plyometric training) are used in a sprint training context. Indeed, there is a considerable gap between science and best practice in how training principles and methods are applied. While the vast majority of sprint-related studies are performed on young team sport athletes and focus on brief sprints with maximal intensity and short recoveries, elite sprinters perform sprinting/running over a broad range of distances and with varying intensity and recovery periods. Within best practice, there is a stronger link between choice of training component (i.e., modality, duration, intensity, recovery, session rate) and the intended purpose of the training session compared with the “one-size-fits-all” approach in scientific literature. This review provides a point of departure for scientists and practitioners regarding the training and development of elite sprint performance and can serve as a position statement for outlining state-of-the-art sprint training recommendations and for generation of new hypotheses to be tested in future research.

Modelling rein tension during riding sessions using the generalised additive modelling technique

2018 ◽  
Vol 14 (4) ◽  
pp. 209-221 ◽  
Author(s):  
A. Egenvall ◽  
A. Byström ◽  
L. Roepstorff ◽  
M. Rhodin ◽  
M. Eisersiö ◽  
...  
Keyword(s):  
Fixed Effects ◽  
Stride Length ◽  
Time Series Data ◽  
Training Session ◽  
Series Data ◽  
Video Recordings ◽  
Exploratory Technique ◽  
Tension Curve ◽  
Using Data ◽  
The Right

General additive modelling (GAM-modelling) is an exploratory technique that can be used on longitudinal (time series) data, e.g. rein tension, over a period of time. The aim was to apply GAM-modelling to investigate changes in rein tension during a normal flatwork training session. Six riders each rode two or three of their horses (n=17 horses) during a normal flatwork/dressage training session with video recordings and rein tension measurements (128 Hz). Training sessions were classified according to rider position, stride length and whether horses were straight, bent to the left or bent to the right. The rein tension data were split into strides and for each stride minimal (MIN) and maximal (MAX) rein tension were determined and the area under the rein tension curve (AUC) was calculated. Using data on a contact the three outcome variables MIN, MAX and AUC rein tension were modelled by horse and rein (left/right), and time within the session was modelled as a smooth function. Two additional sets of models were constructed; one set using data within-rein with gait as a fixed effect and one set with rein and gait as fixed effects. Mean ± standard deviation values were MIN: 8.0±7.7 N, AUC: 180±109 Ns, and MAX: 49±31 N. GAM-modelling extracted visually interpretable information from the originally chaotic rein tension signals. Modelled data suggest that MIN, AUC and MAX follow the same pattern within horse. In general, rein tension was lowest in walk, intermediate in trot and highest in canter. Evaluating the entire ride, 12/17 horses systematically showed higher tension in the right rein. It is concluded that GAM-models may be useful for detecting patterns through time in biomechanical data.

02 ‘Have you had the surgery?’: A survey of transgender and non-binary patients’ experiences of interacting with the ambulance service

2019 ◽  
Vol 36 (10) ◽  
pp. e2.2-e2
Author(s):  
Chloé Barley ◽  
Alec Tooms
Keyword(s):  
Best Practice ◽  
Small Sample Size ◽  
Demographic Data ◽  
Training Session ◽  
Small Sample ◽  
Ambulance Service ◽  
Free Text ◽  
Health Issues ◽  
Positive Experiences ◽  
Survey Responses

BackgroundPre-hospital research around the experience of transgender and non-binary (TNB) patients is scarce, with existing articles lacking input from TNB patients. This research aimed to collate TNB patients’ experiences of interacting with the ambulance service. A secondary aim was to gather TNB patients’ opinions regarding the education of ambulance clinicians on TNB health issues.MethodAn online-based, mixed-methods survey was created. A range of free text, multiple choice and Likert-scaled questions were used. Advertisement on social media was tailored to target TNB individuals who have had patient contact with the ambulance service. All respondents were anonymous and voluntary. This survey was conducted by TNB individuals in a personal capacity, without funding.Results72% of the 25 respondents rated their experience as satisfactory or above. 40% reported that identifying as TNB affected the way they were treated and 40% reported that they were asked about their gender by the ambulance crew. In free text answers, the main themes identified were the misidentification of gender, the use of incorrect pronouns, hospital handovers, intrusive/irrelevant questioning and the need for training.ConclusionsThe responses suggest that TNB patients feel that being asked about their gender is important however ambulance staff sometimes struggled to address this sensitively. Positive experiences included having gender and pronouns addressed in hospital handover which can form a recommendation for best practice. Negative experiences were associated with being misgendered, using incorrect pronouns and intrusive/irrelevant questioning. Survey responses led to practical recommendations for ambulance staff interacting with TNB patients, including the authors creating a training session which has received positive feedback from clinicians. Limitations include small sample size, potential for response bias due to survey being self-selecting and missing demographic data. Recommendations for further research are to provide a more in-depth exploration of TNB experience and of ambulance staff views.

A snapshot of the training schedule for 8 professional riders riding dressage

2015 ◽  
Vol 11 (1) ◽  
pp. 35-45 ◽  
Author(s):  
M. Eisersiö ◽  
L. Roepstorff ◽  
M. Rhodin ◽  
A. Egenvall
Keyword(s):  
Educational Level ◽  
Large Scale ◽  
Random Effect ◽  
Training Session ◽  
Epidemiological Studies ◽  
Video Recordings ◽  
Upper Level ◽  
One Year ◽  
The Right ◽  
Orthopaedic Injuries

The aim of this study was to document and categorise riding sessions, carried out by professional riders, by describing the riding sessions according to gait, ridden track, lateral movements, rider position in the saddle and rein length. These data were then analysed relative to horse and rider characteristics, e.g. educational level of horse and rider, time in training and laterality of the horse. Eight professional riders riding 3 familiar horses each participated in the study and the riders were asked to demonstrate their normal routine for flatwork/dressage with each horse. The whole training session was video recorded. Video recordings were scrutinised and data were categorised and analysed. Mixed models were used for the statistical analysis, including rider as random effect. The median length of the riding sessions were 31 min. The riders spent 38% of the riding session at the walk, 39% at the trot, 8% at left lead canter and 9% at the right lead canter. The riders devoted 28-29% of the riding session to riding straight, turning left and turning right and 8% to riding lateral movements. The ridden exercises performed and the duration of the exercises was to a large extent connected to the educational level of the horse and its time in training with the rider. More work at the canter and lateral movements at the trot were included for upper level horses compared to lower level horses. Horses in training for more than one year, compared to less than one year, were ridden for longer durations at the canter and shorter durations at the trot. The disposition of riding sessions needs further investigation. In particular, large scale epidemiological studies of orthopaedic injuries need to consider the daily riding sessions in detail.

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