scholarly journals A standardized system and App for continuous patient symptom logging in gastroduodenal disorders: design, implementation, and validation

2021 ◽  
Author(s):  
Gabrielle Sebaratnam ◽  
Nikita Karulkar ◽  
Stefan Calder ◽  
Jonathan S T Woodhead ◽  
Celia Keane ◽  
...  
Keyword(s):  
Content Validity ◽  
Concurrent Validity ◽  
Convergent Validity ◽  
Qualitative Interviews ◽  
Symptom Burden ◽  
Symptom Reporting ◽  
Test Protocol ◽  
Patient Symptom ◽  
Chronic Nausea ◽  
Gastroduodenal Disorders

Background Functional gastroduodenal disorders include functional dyspepsia, chronic nausea and vomiting syndromes, and gastroparesis. These disorders are common, but their overlapping symptomatology poses challenges to diagnosis, research, and therapy. This study aimed to introduce and validate a standardized patient symptom-logging system and App to aid in the accurate reporting of gastroduodenal symptoms for clinical and research applications. Methods The system was implemented in an iOS App including pictographic symptom illustrations, and two validation studies were conducted. To assess convergent and concurrent validity, a diverse cohort with chronic gastroduodenal symptoms undertook App-based symptom logging for 4-hours after a test meal. Individual and total post-prandial symptom scores were averaged and correlated against two previously validated instruments: PAGI-SYM (for convergent validity) and PAGI-QOL (for concurrent validity). To assess face and content validity, semi-structured qualitative interviews were conducted with patients. Key Results App-based symptom reporting demonstrated robust convergent validity with PAGI-SYM measures of nausea (rS=0.68), early satiation (rS=0.55), bloating (rS=0.48), heartburn (rS=0.47), upper gut pain (rS=0.40) and excessive fullness (rS=0.40); all p<0.001 (n=79). The total App-reported Gastric Symptom Burden Score correlated positively with PAGI-SYM (rS=0.56; convergent validity; p<0.001), and negatively with PAGI-QOL (rS=-0.34; concurrent validity; p=0.002). Interviews demonstrated that the pictograms had adequate face and content validity. Conclusions and Inferences The continuous patient symptom-logging App demonstrated robust convergent, concurrent, face, and content validity when used within a 4-hour post-prandial test protocol. The App will enable standardized symptom reporting and is anticipated to provide utility in both research and clinical practice.

Detection of Malingered Neurocognitive Dysfunction Among Patients with Acquired Brain Injuries

2013 ◽  
Vol 29 (4) ◽  
pp. 253-262 ◽  
Author(s):  
Omer Hegedish ◽  
Dan Hoofien
Keyword(s):  
Response Bias ◽  
Concurrent Validity ◽  
Convergent Validity ◽  
Brain Injuries ◽  
Neurocognitive Dysfunction ◽  
Word Memory Test ◽  
Malingered Neurocognitive Dysfunction ◽  
Compensation Seeking ◽  
Seeking Behavior ◽  
Verbal Test

The Word Memory Test (WMT) is one of the most sensitive forced-choice tests available designed to evaluate negative response bias (NRB). Presently there is no valid verbal test designed to evaluate NRB for Hebrew-speaking patients. The aims of the present study were to validate the response bias measures of the WMT among Hebrew-speaking patients with acquired brain injuries and to reveal the malingering base rate among Israeli patients involved in compensation-seeking. Participants were 112 patients. The Test of Memory Malingering (TOMM) was used for convergent validity and injury related variables were used for concurrent validity. A translated version of the WMT had high split-half reliability. Regarding convergent validity, WMT effort measures had high positive correlations with the TOMM. Moreover, based on TOMM cutoff scores for classification, the WMT had reasonable classification rates. Regarding concurrent validity, multivariate logistic regression revealed that failure in the WMT was significantly predicted by normal brainscans and involvement in compensation-seeking behavior. The baserate of probable malingering was 34%. These findings emphasize the universality of the WMT in detecting NRB and establishing a malingered neurocognitive dysfunction baserate among Israeli patients involved in compensation-seeking.

Comparing Traumatic Brain Injury Symptoms Reported via Questionnaires Versus a Novel Structured Interview

2021 ◽  
pp. 1-11
Author(s):  
Natalie A. Emmert ◽  
Georgia Ristow ◽  
Michael A. McCrea ◽  
Terri A. deRoon-Cassini ◽  
Lindsay D. Nelson
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Response Bias ◽  
Minnesota Multiphasic Personality Inventory ◽  
Assessment Tool ◽  
Symptom Burden ◽  
Structured Interview ◽  
Self Report ◽  
Symptom Reporting ◽  
Clinical Interviews

Abstract Objective: Mild traumatic brain injury (mTBI) symptoms are typically assessed via questionnaires in research, yet questionnaires may be more prone to biases than direct clinical interviews. We compared mTBI symptoms reported on two widely used self-report inventories and the novel Structured Interview of TBI Symptoms (SITS). Second, we explored the association between acquiescence response bias and symptom reporting across modes of assessment. Method: Level 1 trauma center patients with mTBI (N = 73) were recruited within 2 weeks of injury, assessed at 3 months post-TBI, and produced nonacquiescent profiles. Assessments collected included the SITS (comprising open-ended and closed-ended questions), Rivermead Post Concussion Symptoms Questionnaire (RPQ), Sport Concussion Assessment Tool-3 (SCAT-3) symptom checklist, and Minnesota Multiphasic Personality Inventory-2 Restructured Form True Response Inconsistency (TRIN-r) scale. Results: Current mTBI symptom burden and individual symptom endorsement were highly concordant between SITS closed-ended questions, the RPQ, and the SCAT-3. Within the SITS, participants reported significantly fewer mTBI symptoms to open-ended as compared to later closed-ended questions, and this difference was weakly correlated with TRIN-r. Symptom scales were weakly associated with TRIN-r. Conclusions: mTBI symptom reporting varies primarily by whether questioning is open- vs. closed-ended but not by mode of assessment (interview, questionnaire). Acquiescence response bias appears to play a measurable but small role in mTBI symptom reporting overall and the degree to which participants report more symptoms to closed- than open-ended questioning. These findings have important implications for mTBI research and support the validity of widely used TBI symptom inventories.

scholarly journals Psychometric Testing of the Spanish Modified Version of the Mini-Suffering State Examination

2021 ◽  
Vol 18 (15) ◽  
pp. 7821
Author(s):  
Daniel Gutiérrez-Sánchez ◽  
Rafael Gómez-García ◽  
Isabel María López-Medina ◽  
Antonio I. Cuesta-Vargas
Keyword(s):  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Informal Caregivers ◽  
Psychometric Testing ◽  
Spanish Version ◽  
Measurement Properties ◽  
Quality Of Dying ◽  
State Examination

Background: The mini-suffering state examination is a valid and reliable measure that have been used to assess suffering in patients with advanced cancer. The aim of this study was to carry out a psychometric analysis of the Spanish version of the mini-suffering state examination. Method: A validation study was conducted. Seventy-two informal caregivers of deceased patients in palliative care were included in this study. A psychometric testing of content validity, internal consistency, and convergent validity with the Spanish version of the quality of dying and death questionnaire was performed. Results: The original instrument was modified to be used by informal caregivers. The content validity was acceptable (0.96), and the internal consistency was moderate (α = 0.67). Convergent validity was demonstrated (r = −0.64). Conclusion: The Spanish modified version of the MSSE showed satisfactory measurement properties. The Spanish modified version of MSSE can be useful to facilitate screening, monitor progress, and guide treatment decisions in end-of-life cancer patients.

Psychometric Properties of the Persian Version of the 11-Item de Jong Gierveld Loneliness Scale in Iranian Older Adults

2021 ◽  
pp. 016327872110157
Author(s):  
Reza Hosseinabadi ◽  
Mahshid Foroughan ◽  
Gholamreza Ghaedamini Harouni ◽  
Mohammad-Sajjad Lotfi ◽  
Yadollah Pournia
Keyword(s):  
Older Adults ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Content Validity ◽  
Concurrent Validity ◽  
Persian Version ◽  
Loneliness Scale ◽  
Two Factors ◽  
Back Translation ◽  
The Face

Loneliness is usually a chronic condition which may lead to physical and psychological undesirable consequences, and requires measurement and intervention. This study was conducted with the aim of preparing a Persian version of the 11-item de Jong Gierveld Loneliness Scale and evaluating its psychometric properties among the Iranian older adults. After applying the translation-back translation method, the prepared script was subjected to the face and content validity evaluations and a Persian version of the scale was prepared. Factor analysis, concurrent validity, internal consistency, and test-retest methods were used to validate the scale. The Persian version of the 11-item de Jong Gierveld Loneliness Scale showed acceptable content validity. The negative and significant correlations between the loneliness scores and the Philadelphia Geriatric Center Morale Scale indicated that the questionnaire had acceptable concurrent validity. The results of confirmatory factor analysis confirmed two factors for the scale. Also, the results of the intra-class correlation coefficient and Cronbach’s alpha coefficient demonstrated that the scale had acceptable reliability. The Persian version of the 11-item de Jong Gierveld Loneliness Scale is an appropriate tool for measuring loneliness in the Iranian older adults.

Translation and initial validation of the occupational balance questionnaire to Arabic—Occupational Balance Questionnaire-A

2021 ◽  
pp. 030802262110394
Author(s):  
Brightlin N Dhas ◽  
Petra Wagman ◽  
Firas A Marji ◽  
Carita Håkansson ◽  
Ricardo Carrasco
Keyword(s):  
Quality Of Life ◽  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Occupational Therapists ◽  
Health Indicators ◽  
Family Quality Of Life ◽  
Cognitive Debriefing ◽  
Arabic Speaking

Introduction Occupational balance (OB) is related to many health indicators, including quality of life. The Occupational Balance Questionnaire (OBQ11) was developed to measure OB, and to date, no Arabic translations of the questionnaire exist. The aim of the study was to describe the translation process of OBQ11 to Arabic and to evaluate its content validity, internal consistency, construct validity, and convergent validity. Methods OBQ11 was translated to Arabic (OBQ11-A) following standard guidelines. Content validity feedback was obtained from ten Arabic-speaking occupational therapists and in a cognitive debriefing with seven volunteers. In addition, OBQ11-A and the Family Quality of Life Survey-2006 were administered to 67 Arabic-speaking participants from a larger study about OB among parents. Results High level of agreement was found on the content of OBQ11-A from the occupational therapists. Cognitive debriefing interviews indicated that OBQ11-A was easy to understand. Cronbach’s alpha for the total OBQ11-A score was 0.864 indicating good internal consistency. Exploratory factor analysis showed acceptable factor loadings for all items. The total scores showed positive statistically significant associations with Family Quality of Life Scores ( r = 0.561, p < 0.001). Conclusions OBQ11-A may prove useful for assessing OB in Arabic-speaking populations. Further research is needed to establish its reliability.

scholarly journals Design and psychometric properties of BAtSS: A new tool to assess human attitudes towards bats.

2020 ◽  
Author(s):  
Beatriz Pérez ◽  
Boris Álvarez ◽  
Alex Boso ◽  
Fulgencio Lisón
Keyword(s):  
Psychometric Properties ◽  
Item Response ◽  
Content Validity ◽  
Concurrent Validity ◽  
Level Of Education ◽  
Conservation Policies ◽  
Standard Scale ◽  
Conservation Actions ◽  
Pilot Sample ◽  
Adequate Internal Consistency

Abstract Despite the benefits that bats offer the ecosystem, these animals are feared due to mythological beliefs and their association with dirt and disease. The COVID-19 pandemic has aggravated this situation, exacerbating the already habitual attacks on these creatures. Today there is an urgent need to address the human-bat conflict in order to develop conservation policies. Understanding peoples' attitudes towards bats is a key part of this process. The object of this study was to design the Bats Attitudes Standard Scale (BAtSS) and analyse its psychometric properties. We developed an initial version of the scale in which we established the content validity; we analysed the items and structure in a pilot sample. In the next phase, we analysed psychometric properties in a sample of 1639 Chilean people. The final BAtSS consists of 34 Likert-type items configured in an oblique-hierarchical structure of 4 factors (Scientistic, Positivistic, Negativistic and Myths) and 3 facets (Negativistic-Emotional, Negativistic-Behavioural and Negativistic-Cognitive). It presents adequate internal consistency and the analysis of concurrent validity confirms the capacity of the scale to discriminate between groups. Women and participants with a lower level of education are more Negativistic and less Positivistic. People with a higher level of education have a less mythological view of bats. We also analysed the items which would be more/less difficult to change under the assumptions of Item Response Theory (IRT). Finally, BAtSS is a robust tool to assess the human attitudes and could help to understand and solve human-wildlife conflicts and therefore, improving the conservation actions

scholarly journals Adaptation and Psychometric Evaluation of the Chinese Counseling Competencies Scale-Revised

2021 ◽  
Vol 12 ◽  
Author(s):  
Wei Xia ◽  
William Ho Cheung Li ◽  
Tingna Liang ◽  
Yuanhui Luo ◽  
Laurie Long Kwan Ho ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Psychometric Evaluation ◽  
Counseling Competencies ◽  
Counselors In Training ◽  
Rater Reliability ◽  
Retest Reliability ◽  
Test Retest Reliability

Objectives: This study conducted a linguistic and psychometric evaluation of the Chinese Counseling Competencies Scale-Revised (CCS-R).Methods: The Chinese CCS-R was created from the original English version using a standard forward-backward translation process. The psychometric properties of the Chinese CCS-R were examined in a cohort of 208 counselors-in-training by two independent raters. Fifty-three counselors-in-training were asked to undergo another counseling performance evaluation for the test-retest. The confirmatory factor analysis (CFA) was conducted for the Chinese CCS-R, followed by internal consistency, test-retest reliability, inter-rater reliability, convergent validity, and concurrent validity.Results: The results of the CFA supported the factorial validity of the Chinese CCS-R, with adequate construct replicability. The scale had a McDonald's omega of 0.876, and intraclass correlation coefficients of 0.63 and 0.90 for test-retest reliability and inter-rater reliability, respectively. Significantly positive correlations were observed between the Chinese CCS-R score and scores of performance checklist (Pearson's γ = 0.781), indicating a large convergent validity, and knowledge on drug abuse (Pearson's γ = 0.833), indicating a moderate concurrent validity.Conclusion: The results support that the Chinese CCS-R is a valid and reliable measure of the counseling competencies.Practice implication: The CCS-R provides trainers with a reliable tool to evaluate counseling students' competencies and to facilitate discussions with trainees about their areas for growth.

scholarly journals Using an Interactive App for Symptom Reporting and Management Following Pancreatic Cancer Surgery to Facilitate Person-Centered Care: Descriptive Study

10.2196/17855 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e17855 ◽  
Author(s):  
Tina Gustavell ◽  
Kay Sundberg ◽  
Ann Langius-Eklöf
Keyword(s):  
Health Care ◽  
Pancreatic Cancer ◽  
Self Care ◽  
Symptom Burden ◽  
Symptom Reporting ◽  
Activity Levels ◽  
Care Needs ◽  
Person Centered Care ◽  
Centered Care ◽  
Care Activity

Background Pancreatic and periampullary cancers are rare but have high mortality rates. The only hope for cure is surgical removal of the tumor. Following pancreatic surgery, the patients have a great deal of responsibility for managing their symptoms. Patients report a lack of sufficient knowledge of self-care and unmet supportive care needs. This necessitates a health care system responsive to these needs and health care professionals who pay close attention to symptoms. Person-centered care is widely encouraged and means a shift from a model in which the patient is the passive object of care to a model involving the patient as an active participant in their own care. To address the challenges in care following pancreatic cancer surgery, an interactive app (Interaktor) was developed in which patients regularly report symptoms and receive support for self-care. The app has been shown to reduce patients’ symptom burden and to increase their self-care activity levels following pancreaticoduodenectomy due to cancer. Objective The aim of the study was to describe how patients used the Interaktor app following pancreaticoduodenectomy due to cancer and their experience with doing so. Methods A total of 115 patients were invited to use Interaktor for 6 months following pancreaticoduodenectomy. Of those, 35 declined, 8 dropped out, and 46 did not meet the inclusion criteria after surgery, leaving 26 patients for inclusion in the analysis. The patients were instructed to report symptoms daily through the app for up to 6 months following surgery. In case of alerting symptoms, they were contacted by their nurse. Data on reported symptoms, alerts, and viewed self-care advice were logged and analyzed with descriptive statistics. Also, the patients were interviewed about their experiences, and the data were analyzed using thematic analysis. Results The patients’ median adherence to symptom reporting was 82%. Fatigue and pain were the most reported symptoms. Alerting symptoms were reported by 24 patients, and the most common alert was fever. There were variations in how many times the patients viewed the self-care advice (range 3-181 times). The most commonly viewed advice concerned pancreatic enzyme supplements. Through the interviews, the overarching theme was “Being seen as a person,” with the following 3 sub-themes: “Getting your voice heard,” “Having access to an extended arm of health care,” and “Learning about own health.” Conclusions Interaktor proved to be well accepted. It made patients feel reassured at home and offered support for self-care. The app facilitated person-centered care by its multiple features targeting individual supportive care needs and enabled participation in their own care. This supports our recent studies showing that patients using the app had less symptom burden and higher self-care activity levels than patients receiving only standard care.

Psychometric Analysis of Persian Version of Patient Safety Competency Self-Evaluation in Psychiatric Wards

2021 ◽  
Vol 15 (6) ◽  
pp. 2048-2053
Author(s):  
Mahya Torkaman ◽  
Marzieh Momennasab ◽  
Shahrzad Yektatalab ◽  
Mahin Eslamishahrbabaki
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Psychiatric Hospitals ◽  
Psychiatric Ward ◽  
Self Evaluation ◽  
Persian Version

Background: Assessment of the patient safety competency is necessary for the growth of nursing and safe care profession as well as evaluation of the nurses' educational needs. To this end, valid and reliable tools are required. Aim:The present study was conducted to determine psychometric properties of the Persian version of the patient safety competency self-evaluation (PSCSE) tool in Iranian psychiatric wards. Methods: All nurses (n = 209) working in two psychiatric hospitals of Kerman, Iran were included in the present cross-sectional study using census method. Followed by administering the Persian version of PSCSE to the participants, its internal consistency and reliability were assessed by test-retest method with an interval of 14 days. Other psychometric properties such as content, construct, and convergent validity of the tool were also examined. Results:The content validity index was 0.65 and the content validity ratio was 0.89. Item 14 was removed from the skill domain because it was not related to the psychiatric ward. According to the results of factor analysis, 40 items and three domains of knowledge (6 items), attitude (14 items), and skills (20 items) were confirmed with acceptable values. In terms of its convergent validity, PSCSE had a moderate correlation (r = 0.57) with the Assessment of the Safe Nursing Care (ASNC) scale. The correlation coefficient for test-retest was ICC = 0.92 for the whole instrument and 0.89, 0.89, and 0.92 for the domains of knowledge, attitude, and skill, respectively. The internal consistency coefficient (Cronbach's alpha) of the whole tool was 0.95 and 0.95, 0.79, and 0. 95 for the domains of knowledge, attitude, and skill, respectievly. Conclusion: Persian version of the nurses' competency tool in ensuring patient safety in psychiatric wards has acceptable psychometric characteristics. Keywords: Validity, Reliability, Confirmatory factor analysis, Patient safety competency, psychiatric nurse

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