scholarly journals Psychometric properties of three single-item pain scales in patients with rheumatoid arthritis seen during routine clinical care: a comparative perspective on construct validity, reproducibility and internal responsiveness

RMD Open ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. e000140 ◽  
Author(s):  
Melanie Sendlbeck ◽  
Elizabeth G Araujo ◽  
Georg Schett ◽  
Matthias Englbrecht
Keyword(s):  
Rheumatoid Arthritis ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Clinical Care ◽  
Comparative Perspective ◽  
Single Item ◽  
Routine Clinical Care ◽  
Pain Scales

Considerations for Evaluating and Recommending Worker Productivity Outcome Measures: An Update from the OMERACT Worker Productivity Group

2019 ◽  
Vol 46 (10) ◽  
pp. 1401-1405 ◽  
Author(s):  
Suzanne M.M. Verstappen ◽  
Diane Lacaille ◽  
Annelies Boonen ◽  
Reuben Escorpizo ◽  
Catherine Hofstetter ◽  
...  
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Outcome Measures ◽  
Worker Productivity ◽  
Single Item ◽  
Retest Reliability ◽  
Test Retest Reliability

Objective.The Outcome Measures in Rheumatology (OMERACT) Worker Productivity Group continues efforts to assess psychometric properties of measures of presenteeism.Methods.Psychometric properties of single-item and dual answer multiitem scales were assessed, as well as methods to evaluate thresholds of meaning.Results.Test-retest reliability and construct validity of single item global measures was moderate to good. The value of measuring both degree of difficulty and amount of time with difficulty in multiitems questionnaires was confirmed. Thresholds of meaning vary depending on methods and external anchors applied.Conclusion.We have advanced our understanding of the performance of presenteeism measures and have developed approaches to describing thresholds of meaning.

Measuring Adolescent Birth Trauma: Development, Adaptation, and Evaluation of the Psychometric Properties for the Childbirth Trauma Index

2020 ◽  
pp. JNM-D-19-00012
Author(s):  
Cheryl A. Anderson ◽  
John P. Connolly
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Rating Scales ◽  
Negative Consequences ◽  
Validity And Reliability ◽  
Subjective Distress ◽  
Single Item ◽  
Childbirth Trauma ◽  
Measurement Tools ◽  
Adolescent Birth

Background and Purpose:Childbirth can have negative consequences; however, measurement tools to assess this event are limited; and none consider the adolescent’s birth. This study assessed the psychometric properties of the childbirth trauma index (CTI).Methods:Construct validity and reliability of the CTI was assessed via a field test involving 160 adolescents 3 days postpartum.Results:A modified 8-item version of the original CTI exhibited acceptable construct validity and reliability criteria. The CTI was found to link with birth appraisal, but not subjective distress measurements.Conclusions:The CTI may be a more robust means of assessing birth appraisal than use of single-item measures. Recommendations for practice suggest use of the modified CTI to assess birth appraisal, or use in combination with single-item rating scales

scholarly journals Use of a “critical difference” statistical criterion improves the predictive utility of the Health Assessment Questionnaire-Disability Index score in patients with rheumatoid arthritis

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Frank Behrens ◽  
Michaela Koehm ◽  
Eva C. Schwaneck ◽  
Marc Schmalzing ◽  
Holger Gnann ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Health Assessment Questionnaire ◽  
Clinical Care ◽  
Health Assessment ◽  
Critical Difference ◽  
Routine Clinical Care ◽  
Therapeutic Outcomes ◽  
Assessment Questionnaire ◽  
Questionnaire Disability

Abstract Background The Health Assessment Questionnaire-Disability Index (HAQ-DI) is used to assess functional status in rheumatoid arthritis (RA), but the change required for meaningful improvements remains unclear. A minimum clinically important difference (MCID) of 0.22 is frequently used in RA trials. The aim of this study was to determine a statistically defined critical difference for HAQ-DI (HAQ-DI-dcrit) and evaluate its association with therapeutic outcomes. Methods We retrospectively analyzed data from adult German patients with RA enrolled in a multicenter observational trial in which they received adalimumab therapy at the decision of the treating clinician during routine clinical care. The HAQ-DI-dcrit, defined as the minimum change that can be reliably discriminated from random long-term variations in patients on stable therapy, was determined by evaluating intra-individual variation in patient scores. Other outcomes of interest included Disease Activity Score-28 joints and patient-reported pain and fatigue. Results The HAQ-DI-dcrit was calculated as an improvement (decrease) from baseline of 0.68 in a discovery cohort (N = 1645) of RA patients on stable therapy and with moderate disease activity (mean DAS28 [standard deviation] of 4.4 [1.6]). In the full patient cohort (N = 2740), 22.1% of patients achieved a HAQ-DI-dcrit improvement at month 6. Compared with patients with a small improvement in HAQ-DI (decrease of ≥0.22 to < 0.68) or no improvement (< 0.22), patients achieving a HAQ-DI-dcrit at month 6 had better therapeutic outcomes at months 12 and 24, including stable functional improvements. Change in pain was the most important predictor of HAQ-DI improvement during the first 6 months of therapy. Conclusions A HAQ-DI-dcrit of 0.68 is a reliable measure of functional improvement. This measure may be useful in routine clinical care and clinical trials. Trial registration ClinicalTrials.gov NCT01076205. Registered on February 26, 2010 (retrospectively registered).

scholarly journals Evaluation of the Single-Item Self-Rating Adherence Scale for Use in Routine Clinical Care of People Living with HIV

2012 ◽  
Vol 17 (1) ◽  
pp. 307-318 ◽  
Author(s):  
B. J. Feldman ◽  
R. J. Fredericksen ◽  
P. K. Crane ◽  
S. A. Safren ◽  
M. J. Mugavero ◽  
...  
Keyword(s):  
Clinical Care ◽  
People Living With Hiv ◽  
Single Item ◽  
Routine Clinical Care ◽  
Self Rating ◽  
Adherence Scale ◽  
Living With Hiv

Shared decision making in routine clinical care of patients with rheumatoid arthritis: an assessment of audio-recorded consultations

2019 ◽  
Vol 79 (2) ◽  
pp. 170-175 ◽  
Author(s):  
Elke G E Mathijssen ◽  
Johanna E Vriezekolk ◽  
Calin D Popa ◽  
Bart J F van den Bemt
Keyword(s):  
Rheumatoid Arthritis ◽  
Decision Making ◽  
Shared Decision Making ◽  
Clinical Care ◽  
Statistical Significance ◽  
Treatment Decision ◽  
Multilevel Modelling ◽  
Shared Decision ◽  
Routine Clinical Care ◽  
Training Programmes

ObjectivesAlthough shared decision making (SDM) is advocated in rheumatoid arthritis (RA) treatment, it is largely unclear when, how and to what extent SDM is applied in routine clinical care of patients with RA. This study aimed to investigate the level of SDM in RA treatment from an observer perspective and to assess associations between the level of SDM and characteristics of the clinician, patient and consultation.MethodsThe level of SDM was investigated by scoring audio-recordings of 168 routine consultations with unique patients with the observer patient involvement (OPTION) scale (scale 0–100, higher OPTION scores indicating higher levels of SDM). Associations between the level of SDM and characteristics of the clinician, patient and consultation were assessed using multilevel modelling. Statistical significance was set at p<0.05.ResultsThe mean OPTION score was 28.3 (SD=15.1). The multilevel model included four characteristics: clinician age, patient age, consultation duration and type of treatment decision. There were significant, positive associations between the level of SDM and the consultation duration (b=0.63, 95% CI 0.16 to 1.11), decision for stopping and/or starting medication (b=14.30, 95% CI 5.62 to 22.98), decision for adjusting medication doses (b=8.36, 95% CI 3.92 to 12.81) and decision for administering single dose glucocorticoids (b=15.03, 95% CI 9.12 to 20.93). Thus, a higher level of SDM was significantly associated with a longer consultation duration and the type of treatment decision. No other significant associations were found.ConclusionsOverall, the level of SDM in RA treatment leaves room for improvement. To foster SDM in routine clinical care, training programmes on patient-centred communication skills may be helpful.

Sign in / Sign up

Export Citation Format

Share Document