scholarly journals Home-Based Pediatric Teleneuropsychology: A validation study

2020 ◽  
Vol 35 (8) ◽  
pp. 1266-1275 ◽  
Author(s):  
Lana Harder ◽  
Ana Hernandez ◽  
Cole Hague ◽  
Joy Neumann ◽  
Morgan McCreary ◽  
...  
Keyword(s):  
Validation Study ◽  
Careful Consideration ◽  
Assessment Tools ◽  
Neuropsychological Battery ◽  
Future Studies ◽  
Home Based ◽  
Level Of Satisfaction ◽  
Size Diversity ◽  
Practical Factors ◽  
Demyelinating Disorders

Abstract Objective To evaluate home-based teleneuropsychology in a pediatric cohort to determine if assessment via in-person and home-based videoconference yield similar results. The second objective was to determine the level of satisfaction with videoconference-based assessment among participants and caregivers. Method Fifty-eight participants, aged 6–20 years, were recruited through specialty programs for pediatric demyelinating disorders. Each participant was administered the same brief neuropsychological battery of common measures twice, once during an in-person session and once during a remote home-based videoconference session. Order of sessions was counterbalanced and time between assessments ranged from 1 to 50 days. It was hypothesized that results obtained through in-person vs. remote videoconference sessions would not be significantly different and that most participants and caregivers would rate the experience with teleneuropsychology as satisfactory. Results Mann–Whitney U tests showed no significant differences in results obtained in the in-person first vs. remote videoconference first sessions or the change in performance across sessions. Satisfaction ratings by participants and caregivers were largely favorable for the use of the videoconference testing format. Conclusions The current study is the first to validate home-based teleneuropsychology and is the first to validate teleneuropsychological assessment in a pediatric sample. Future studies should replicate these findings as well as expand on sample size, diversity of populations evaluated, and the assessment tools administered. Careful consideration of ethical and practical factors should be given before providing pediatric teleneuropsychology services.

The Importance of Tough-Love Mentoring to Doctoral Student Success: Instruments to Measure the Doctoral Student/Proteges’ Perspective

10.28945/4630 ◽  
2020 ◽  
Vol 15 ◽  
pp. 485-516
Author(s):  
Laura Roberts
Keyword(s):  
Doctoral Students ◽  
Graduation Rates ◽  
Validation Study ◽  
Doctoral Student ◽  
Doctoral Program ◽  
The United States ◽  
Assessment Tools ◽  
Unique Contribution ◽  
Program Administrators ◽  
High Standards

Aim/Purpose: The purpose of this study is to examine tough-love mentoring theory (TLM) as a potential way to address the problem of low graduation rates among doctoral students. Background: In order to address this purpose, the researcher presents the following: a) a validation study for assessment tools pertaining to TLM and b) a validation study of TLM theory and its two sub-theories: mentor integrity and trustworthiness sub-theory (MIT) and the mentor high standards sub-theory (MHS). Methodology: The researcher tested the validity of the mentor integrity and trustworthiness scale from the protégés’ perspective (MIT-P), the mentor high standards scale from the protégés’ perspective (MHS-P) and the protégés’ perceptions of their own independence (PPI) scale. The sample consisted of 31 doctoral protégés recruited with multi-phase sampling at four education-related doctoral programs in the eastern part of the United States. Contribution: The study provides evidence to support TLM as a strategy to address the problem of low graduation rates among doctoral students. In addition, the study contributes validation of assessment tools that can be used to measure doctoral protégés’ perceptions of their mentors. Findings: For each scale, the data show acceptable levels of internal consistency and evidence of content validity. The data are consistent with the TLM theory and its two sub-theories. The unique contribution of the current study is that it draws from the protégés’ perspective. Recommendations for Practitioners: The researcher presents a) strategies protégés can use to find trustworthy mentors with high standards and b) strategies program administrators can use for professional development of doctoral mentors. The researcher also provides the Right Angle Research Alignment (RARA) table to help protégés organize and manage the research methods section of their dissertation. Recommendation for Researchers: It is recommended that researchers use experimental methods to test TLM theory and the sub-theories, MIT and MHS. Impact on Society: This theory may be useful in business and in the arts and in other teaching relationships such as coaching and tutoring. The researcher encourages scholars to test TLM theory in these other contexts. Future Research: Further research questions that arise from this study are as follows: How can protégés find mentors who have high standards and who are trustworthy? What can doctoral program administrators do to help mentors develop high standards and trustworthiness?

Biomarkers of vincristine neuropathy in Kenyan children.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 2601-2601
Author(s):  
Jodi L Skiles ◽  
ChienWei Chiang ◽  
Claire Li ◽  
Lang Li ◽  
Gilbert Olbara ◽  
...  
Keyword(s):  
Plasma Concentrations ◽  
Assessment Tools ◽  
Indiana University ◽  
Children With Cancer ◽  
Future Studies ◽  
Cyp3a5 Genotype ◽  
Severity Scores ◽  
Dosing Strategies ◽  
Finger Stick ◽  
Vincristine Neuropathy

2601 Background: In a U.S. population, cytochrome P450 (CYP) 3A5 high-expressers metabolize vincristine (VCR) more efficiently than low-expressers and vincristine-induced peripheral neuropathy (VIPN) is less common in African-Americans than Caucasians. We test the hypothesis that more children in Kenya are CYP3A5 high-expressers compared to U.S. children and as such experience less VIPN. Methods: This study was conducted in Kenyan children with cancer (n=78) being treated with VCR at Moi University AMPATH Oncology Institute in partnership with Indiana University. Saliva Oragene kits for DNA extraction and genotyping were obtained. Whole blood was collected via finger stick on Whatman protein saver dried blood spot cards for analysis of VCR concentrations. VIPN was assessed prospectively using two neuropathy assessment tools (Modified Total Neuropathy Score (TNS) and National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), version 4.0). Results: Compared to 14% in the U.S. sample, 94% of Kenyan subjects are CYP3A5 high-expressers (p<2.2x10-16). Kenyan children have significantly lower VCR plasma concentrations (11.15ng/ml/mg ± 1.051) compared to US (primarily Caucasian) children (13.26ng/ml/mg ± 2.897) one hour following the administration of VCR (p=0.011). By TNS VIPN assessment, 71% of Kenyan children developed VIPN compared to 100% of U.S. children (p=8.8x10-7). CYP3A5 high-expresser genotype is associated with lower TNS VIPN severity scores than low-expresser genotypes (p=0.006). TNS VIPN assessments show that height is positively correlated with severity of VIPN (p=0.025). CTCAE VIPN assessments also showed a positive correlation with height (p=0.036), but did not show any association with CYP3A5 genotype. Conclusions: Kenyan children are more likely to be CYP3A5 high-expressers than U.S. children and as such may metabolize VCR more efficiently. Supporting these data is that Kenyan children experience significantly less VIPN than U.S. children. CYP3A5 genotype and height are independent predictors of VIPN in Kenyan children with cancer. The CTCAE may lack sufficient sensitivity to detect VIPN for use in future studies aimed at optimizing VCR dosing strategies.

scholarly journals The Role of Mathmatics Courses in the Assessment Process of Engineering ABET-Outcomes

2015 ◽  
Vol 2015 ◽  
pp. 1-13
Author(s):  
Salah-Addin B. Al-Omari ◽  
Qasem M. Al-Mdallal ◽  
Youssef El-Khatib ◽  
Basim Abu-Jdayil
Keyword(s):  
United Arab Emirates ◽  
Engineering Students ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Assessment Process ◽  
Performance Criteria ◽  
Mathematics Courses ◽  
Level Of Satisfaction ◽  
United Arab Emirates University ◽  
Course Outcomes

This paper deals with the mathematics courses offered to the engineering students at the United Arab Emirates University (UAEU). The paper focuses essentially on the level of achievement by the students of the outcomes of the mathematics and how this reflects on the satisfaction of the engineering ABET-outcomes. Mapping between the course outcomes of the different math courses offered at UAEU to engineering students and the engineering ABET criteria ((a)–(k)) was made. It is found that most of the ABET-outcomes are to a great extent in-line with the outcomes of our mathematics courses. This encourages us to use the achievement of the courses outcomes as an assessment tool for the engineering ABET-outcomes. We considered both direct and indirect assessment tools to assess the level of satisfaction of the math courses outcomes. The performances of the students according to both methods are then used to assess the achievements of the ABET-outcomes. The results generally show very good level of achievement of the outcomes, although few ABET-outcomes were not achieved well according to our performance criteria. Accordingly, we provide some comments and recommendations aiming at the improvement of the program.

Measurement of Physiological Monitor Alarm Accuracy and Clinical Relevance in Intensive Care Units

2018 ◽  
Vol 27 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Halley Ruppel ◽  
Marjorie Funk ◽  
Robin Whittemore
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Clinical Relevance ◽  
Intervention Studies ◽  
Careful Consideration ◽  
Contextual Data ◽  
Alarm Fatigue ◽  
Future Studies ◽  
Monitor Alarms

Background Alarm fatigue threatens patient safety by delaying or reducing clinician response to alarms, which can lead to missed critical events. Interventions to reduce alarms without jeopardizing patient safety target either inaccurate or clinically irrelevant alarms, so assessment of alarm accuracy and clinical relevance may enhance the rigor of alarm intervention studies done in clinical units. Objectives To (1) examine approaches used to measure accuracy and/or clinical relevance of physiological monitor alarms in intensive care units and (2) compare the proportions of inaccurate and clinically irrelevant alarms. Methods An integrative review was used to systematically search the literature and synthesize resulting articles. Results Twelve studies explicitly measuring alarm accuracy and/or clinical relevance on a clinical unit were identified. In the most rigorous studies, alarms were annotated retrospectively by obtaining alarm data and parameter waveforms rather than being annotated in real time. More than half of arrhythmia alarms in recent studies were inaccurate. However, contextual data were needed to determine alarms’ clinical relevance. Proportions of clinically irrelevant alarms were high, but definitions of clinically irrelevant alarms often included inaccurate alarms. Conclusions Future studies testing interventions on clinical units should include alarm accuracy and/or clinical relevance as outcome measures. Arrhythmia alarm accuracy should improve with advances in technology. Clinical interventions should focus on reducing clinically irrelevant alarms, with careful consideration of how clinical relevance is defined and measured.

scholarly journals Internet of things-based telemonitoring rehabilitation system for knee injuries

2020 ◽  
Vol 9 (6) ◽  
pp. 2658-2666
Author(s):  
Muheeb Musaed M. Al-Omri ◽  
Nayef Abdulwahab Mohammed Alduais ◽  
Mohamad Nazib Adon ◽  
Abdul-Malik H. Y. Saad ◽  
Antar Shaddad H. Abdul-Qawy ◽  
...  
Keyword(s):  
Internet Of Things ◽  
Knee Injuries ◽  
Maximum Error ◽  
Assessment Tools ◽  
Biomedical Science ◽  
Current Status ◽  
Physical Treatment ◽  
Research Areas ◽  
Home Based ◽  
Active Research

Rehabilitation engineering, as one of the active research areas in biomedical science, needs further investigations and improvements. The process of rehabilitation, whether after a stroke, ligament, or accident-related injuries, is commonly based on clinical assessment tools, which can be executed, either by self-reported (home-based) treatment or through observer-rated therapy. However, people with reduced mobility (e.g., stroke, surgical, and ligament patients) can benefit from rehabilitation programs only if effective and appropriate assistive tools are provided. In this paper, a new internet of things (IoT)-based telemonitoring system is introduced for knee injuries’ rehabilitation (Knee-Rehab). The proposed system is a real-time rehabilitation and monitoring framework designed to be a portable, home-based, and online-based instrument comprised of bio-mechanical, bio-instrumentation and IoT-based elements. The system helps patients to rest at home after surgeries or physical treatment, do their rehab-exercises, and receive suggestions form their advisors, which gain the ability to monitor the situation over the exercising time and propose necessary medication/activities to be followed by the patients accordingly, based on their current status. The experimental measurements show the high accuracy achieved by the developed system in terms of monitored knee joint angle, where the maximum error is 3.5° compared to manual goniometer measurements.

Assessment, treatment and the importance of early intervention of childhood hoarding

2020 ◽  
Vol 45 (3) ◽  
pp. 145-152
Author(s):  
Davíð R. M. A. Højgaard ◽  
Gudmundur Skarphedinsson
Keyword(s):  
Behavioral Therapy ◽  
Contingency Management ◽  
Treatment Strategies ◽  
Behavioural Therapy ◽  
Assessment Tools ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Home Based ◽  
Cognitive Behavioural ◽  
General Data

Abstract Hoarding disorder (HD) is characterised by difficulties in discharging or parting with possessions irrespective of their actual value, urges to save and acquire new items and excessive clutter in living areas. There is an urgent need to advance the understanding of HD in child and adolescent populations. The aim of this paper is to cover the assessment, treatment strategies and tools currently available. In general, data on assessment of paediatric HD are scant. Only one psychometrically sound scale, the Child Savings Inventory, which is a parent-rated scale used to assess the severity of hoarding symptoms, was found. However, this scale is not sufficient to produce a diagnosis of HD. Regarding treatment, there was only a limited number of case studies suggesting the effectiveness of cognitive behavioural therapy that includes exposure to discarding and not collecting new items, using contingency management for exposure and oppositional behaviour, cognitive training and instructing parents to assist with home-based exposures. In conclusion, there is an urgent need for properly validated Diagnostic and Statistical Manual of Mental Disorders assessment tools, and we encourage practitioners and researchers to develop and test a Cognitive behavioral therapy (CBT) protocol for paediatric HD based on the aforementioned components.

Predictors of Attitudes toward Gifted Education: A Review of the Literature and a Blueprint for Future Research

1994 ◽  
Vol 17 (2) ◽  
pp. 161-179 ◽  
Author(s):  
Jean Bégin ◽  
Françoys Gagné
Keyword(s):  
Gifted Education ◽  
Future Research ◽  
Single Variable ◽  
Review Of The Literature ◽  
Future Studies ◽  
Statistical Procedures ◽  
Potential Sources ◽  
Size Diversity ◽  
The Subject ◽  
People’S Attitudes

Over thirty studies have been published concerning the predictors of people's attitudes toward the education of the gifted. About 50 variables have been examined as potential sources of these individual differences. The analysis of the results of past studies forces us to conclude that not a single variable consistently emerges as a substantial explanatory factor. To explain this lack of significant results, four major problem areas are identified pertaining to the methodology of these studies: (a) the diversity of the attitude questionnaires used; (b) the size, diversity, and nonrepresentativeness of the samples used; (c) the small number of predictors introduced, as well as the diversity in their operationalization; (d) inadequacies in statistical procedures. Concrete methodological proposals are given to maximize the chances of obtaining significant and generalizable results in future studies on the subject.

Abstract NS12: Stroke Mobile: Implementing A Novel Family Centered, Home-Based Post-Discharge System of Care

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Bethany Jennings ◽  
Lynn Eckhardt ◽  
Raymond Egger ◽  
Antonio Batiquin ◽  
Aaron Bridges ◽  
...  
Keyword(s):  
Stroke Care ◽  
System Of Care ◽  
Assessment Tools ◽  
Stroke Recurrence ◽  
Post Discharge ◽  
Discharge System ◽  
Effective Prevention ◽  
Post Stroke ◽  
Home Based ◽  
Family Centered

Total annual costs of stroke-related care and loss of post-stroke productivity are projected to reach $241 billion by 2030, an increase of 129% since 2010. Although comprehensive stroke care programs have contributed to reductions in recurrent strokes, readmissions, and stroke-related complications, this population is vulnerable to non-adherence to the plan of care during the first year. Innovative in-home programs that coordinate team-based care hold promise for positively impacting this public health threat through greater emphasis on effective prevention, adherence, and optimizing outcomes. Purpose: The purpose of this project was to evaluate the implementation of a home-based post-discharge stroke mobile program to existing comprehensive stroke care. Methods: An inter-professional team of stroke specialists (physicians, advanced practice nurses, registered nurses), and administrative and financial specialists collaborated to develop an innovative, family-centered, home-based approach to post-discharge stroke care. The team identified project goals, assessment tools, and 12-month post-discharge outcome metrics. Telemedicine technology enabled a direct link between the mobile team, patient, and an APN or Neurologist to reduce office/emergency visits, and lower costs. Results: Training of the home-based team included stroke specific education, along with training in communication skills and family-based interventions. Home visits were structured to occur once per month for 1 year post stroke. Each visit was designed to impact specific elements related to enhancing physical recovery, preventing readmissions and stroke recurrence, improving medication compliance, risk factor management, and caregiver support. Fifteen of 24 (63%) received all scheduled visits, and all planned visits did not occur in 9/24 (37%) due to patient’s schedule. Only 2/24 (8%) were readmitted for stroke recurrence. Lessons learned include need to validate contact information before discharge; develop a brochure that targets program enrollment; and explore options to visit in other settings. Conclusion: A family centered, home-based, post-discharge system of care is a viable solution to addressing the complex needs of the stroke patient.

The level of basic hope, the sense of coherence and life satisfaction in mothers of an adolescent only child with moderate intellectual disability

2017 ◽  
Vol LXXVIII (2) ◽  
pp. 85-95
Author(s):  
Marta Kimszal ◽  
Jarosław Rola
Keyword(s):  
Life Satisfaction ◽  
Intellectual Disabilities ◽  
Sense Of Coherence ◽  
Assessment Tools ◽  
Specific Situation ◽  
Only Child ◽  
Only Children ◽  
Level Of Satisfaction ◽  
Adolescents And Adults ◽  
Adults With Intellectual Disabilities

Analysis of Polish statistical, demographic and sociological data confirms the growing need for research on only children and their families. Over the last few years, however, with the growth in the number of only children, researchers have been showing little interest in the functioning of children, adolescents and adults with intellectual disabilities who have no siblings, and their families' members.The theoretical part of the article presents the functioning and problems of parents of adolescent children with intellectual disabilities. The specific situation of mothers is taken into consideration. The empirical part presents the findings of a study on the level of basic hope, the sense of coherence and life satisfaction in mothers of an adolescent only child with moderate intellectual disability.Three assessment tools were used in the study: the Basic Hope Inventory - a revised version (BHI-R) – by J. Trzebiński and M. Zięba, the Sense of Coherence Scale (SOC-29) by A. Antonovsky, and the Satisfaction with Individual Life Domains Scale by J. Czapiński. The study covered two 36-person groups of mothers with one child and mothers with more than one child aged 15-19 with moderate intellectual disabilities.The findings showed that there were no significant differences between the mothers with one child and the mothers with more than one child in the level of basic hope, the sense of coherence and its components, and life satisfaction. However, the mothers with one child had higher scores on all variables studied. The mothers with one child differed from the mothers with more than one child in a statistically significantly higher level of satisfaction with their education. Mothers of adolescents with multiple disabilities had significantly lower scores for the level of basic hope and significantly higher scores for the level of work satisfaction.

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