Abstract 2173: Abbreviated 7-Item NIHSS for Inpatient Acute Stroke Management

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Jennifer Parreira ◽  
Julie Nauser

Background: Each year, nearly 800,000 people experience a new or recurrent stroke. To assess changes in neurological status during hospitalization, nurses are required to complete the 15-item National Institute of Health Stroke Scale (NIHSS), which is time consuming and therefore, may not be completed as thoroughly as it should. To ensure these patients are being effectively and adequately assessed, there is a need for an abbreviated NIHSS, which can be completed in a shorter time frame. Purpose: The purpose of this study was to determine the merits of an abbreviated NIHSS using seven items considered to be key to determining changes in neurological status. Methods: Over a six month period, 100 scores from the 15-item NIHSS were collected on a sample of 92 acute care stroke patients who had a mean age of 64.2; 52% were female. Seven items were calculated, which included level of consciousness, left and right arm motor movement, left and right leg motor movement, speech fluency, and speech clarity. To assess internal consistency reliability of the 7-item NIHSS, Cronbach's α was computed. To assess criterion validity, the 7-item NIHSS and 15-item NIHSS were correlated using Pearson's r . Results: The 15-item NIHSS ranged from 1 to 37, with a mean of 8.6. The 7-item NIHSS ranged from 0 to 24, with a mean of 4.9. For the 7-item NIHSS, Cronbach's α was .82 and Pearson's r was .96 (p<.001), when correlated with the 15-item NIHSS. Conclusions: Assessment of the acute stroke patient using the 15-item NIHSS is time-consuming, and therefore, may be underutilized. An abbreviated 7-item NIHSS demonstrated satisfactory evidence of internal consistency reliability and criterion validity, when correlated with the 15-item NIHSS, suggesting the 7-item version may be a suitable alternative to the longer version. More psychometric testing is warranted to fully evaluate reliability and validity of the 7-item NIHSS.

2012 ◽  
Vol 111 (2) ◽  
pp. 575-584 ◽  
Author(s):  
Asli Bugay ◽  
Ayhan Demir ◽  
Raquel Delevi

The current study investigated the reliability and validity of the Turkish version of the Heartland Forgiveness Scale (HFS). The Turkish version of the HFS, the Ruminative Response Scale (RRS), and the Satisfaction with Life Scale (SWLS) were administered to 796 Turkish university students (430 women, 366 men) with a mean age of 20.6 yr. ( SD = 2.1). Internal consistency reliability was calculated and Cronbach alpha coefficients ranged between .71 and .82. Criterion validity (Pearson correlation) between the HFS and other scales ranged from −.09 to .34. Additionally, a confirmatory factor analysis was conducted to assess the fit of the standard three-factor solution of the HFS. The results suggested that the Turkish version of the HFS had adequate internal consistency, criterion validity, and reflected the standard three-factor structure, indicating that it can be reliably used to measure forgiveness among a Turkish sample.


2015 ◽  
Vol 24 (1) ◽  
pp. 36-42
Author(s):  
Jenny E. Bashiruddin ◽  
Widayat Alviandi ◽  
Alvin Reinaldo ◽  
Eka D. Safitri ◽  
Yupitri Pitoyo ◽  
...  

Background: To translate and assess the validity and reliability of the Indonesian version of Tinnitus Handycap Inventory (THI) as an psychometric instrument for evaluating the quality of life in tinnitus patients. This instrument will support the clinicians to determine the appropriate tinnitus management for them.Methods: A cross-sectional psychometric validation study was performed to assess the internal consistency, reliability and validity of the Indonesian version of THI in 50 subjective tinnitus patients at ENT outpatient clinic of Cipto Mangunkusumo Hospital between May-August 2010. 25 question items of original THI were translated, back-translated and validated using the transcultural validation by WHO.Results: The validity test demonstrated a significant correlation in the emotional and the catastrophic scale whilst there was no significant correlation in the functional scale for item F2 and particularly for item F15. Nevertheless, the validity test on the functional scale showed a good result. This study also showed high internal consistency and reliability for the total scale (Cronbach-α = 0.91)Conclusion: The evaluation result indicated that the reliability of adapted Indonesian version of the THI in our study is relatively high and could be applied in clinical examination or further otolaryngology study by both specialists and general physicians.


1993 ◽  
Vol 73 (3_part_1) ◽  
pp. 995-1004
Author(s):  
Jane L. Garthoeffner ◽  
Carolyn S. Henry ◽  
Linda C. Robinson

This study was designed to evaluate a modification of the Interpersonal Relationship Scale and to establish subscales representing dimensions of intimacy (N = 356). The initial self-report scale was tested for internal consistency reliability. Next, subscales were identified using principal components factoring with varimax rotation. Internal consistency reliability and concurrent validity of the modified over-all scale and subscales were examined. The modified scale and subscales provided reliable and valid measures of the quality of interpersonal relationships in young adults.


2019 ◽  
Vol 35 (04) ◽  
pp. 397-399 ◽  
Author(s):  
Sercan Gode ◽  
Arin Ozturk ◽  
Mustafa Sahin ◽  
Veysel Berber ◽  
Fazil Apaydin

AbstractThe objective of this study is to provide a valid and reliable Turkish version of the original Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). The SCHNOS questionnaire was translated from English to Turkish using standardized guidelines. Participants completed the questionnaire twice, with an interval of 7 to 10 days. Reliability and validity analyses were performed based on these answers. Differences between the rhinoplasty and control groups, the internal consistency of the instrument (Cronbach's alpha coefficient), and the strength of association between the two repeated measures (Pearson's correlation coefficient) were analyzed. Of the 188 included individuals (106 females, 82 males; mean age 28 ± 8.4 years), 97 were in the rhinoplasty group and 91 were in the control group. The mean total SCHNOS scores were 0.6 ± 0.4 and 29.4 ± 8.9 in the control and rhinoplasty groups, respectively, and there was a statistically significant difference in total scores between the groups (p < 0.001). The internal consistency reliability of the scale was found to be highly significant (Cronbach's alpha = 0.96, with a lower 95% confidence interval of 0.89). The test–retest correlation value was 0.95 for the total score, and each item had a strong test–retest correlation, ranging from 0.92 to 0.96. The Turkish version of the SCHNOS is a valid and reliable scale for evaluating both functional and cosmetic outcomes in Turkish-speaking patients undergoing rhinoplasty.


2009 ◽  
Vol 17 (3) ◽  
pp. 232-246 ◽  
Author(s):  
Kari Sand-Jecklin

The Student Evaluation of Clinical Education Environment (SECEE) instrument was developed to provide information about the quality of the student clinical learning environment to assist clinical agencies, nursing faculty, and administers in selecting clinical sites that best promote student learning. The SECEE Version 3 was used in all clinical courses at a large mid-Atlantic university from 2001 to 2005. Data from more than 2,700 inventories were analyzed to assess instrument reliability and validity. Internal consistency reliability based on coefficient alpha was .94, with subscale alphas ranging from .82 to .94. Comparisons by analysis of variance revealed significant differences in student evaluations based on both clinical sites and clinical faculty. Confirmatory factor analysis supported the predetermined three factors (subscales) and subscale item content, except for two items. The SECEE Version 3 demonstrated strong internal consistency reliability and the ability to discriminate between student evaluations of distinct clinical sites and faculty and provided practically useful information to both faculty and agency staff.


1998 ◽  
Vol 82 (1) ◽  
pp. 255-258 ◽  
Author(s):  
Robert G. Green ◽  
Debra Woody ◽  
Susan Maxwell ◽  
Rachel Mercer ◽  
Susette Williams

An analysis of the internal consistency and criterion validity of the Kansas Marital Satisfaction Scale in a sample of 299 African-American wives and 589 African-American husbands provided support for the use of this global measure with African-American couples. Results of the same psychometric tests with comparison groups of Caucasian husbands ( n = 1, 511) and wives ( n = 1, 818) were strikingly similar.


2007 ◽  
Vol 15 (2) ◽  
pp. 133-144 ◽  
Author(s):  
Mei-Hua Lee ◽  
William L. Holzemer ◽  
Julia Faucett

The purpose of this study was to translate the Nursing Stress Scale (NSS) into Chinese and test its reliability and validity among Chinese nurses in Taiwan. Potential participants were asked to self-administer a Chinese version of the NSS. The agreement estimation was used to determine the equivalence of the meaning between the Chinese and original English versions and was rated by five bilingual nurses as 92% accurate for the 34 items. The test-retest reliability for the NSS at 2 weeks was .71 (p = .022, n = 10). Internal consistency reliability and factor analysis were tested with 770 nurses from 65 inpatient units at a medical center in Taiwan. The internal consistency of the Chinese version of the NSS for an overall coefficient alpha is .91 for the total scale, and ranges from .67 to .79 for the subscales. The Chinese version of the NSS explains 53.77% of the variance in work stressors among Chinese nurses in Taiwan. Overall, the Chinese version of the NSS is internally consistent but may not be stable over 2 weeks. There was adequate evidence of the reliability and validity of the NSS-Chinese as an instrument appropriate to measure work stress among Chinese nurses. The translated NSS could be a useful tool for examining the frequency and major sources of stress experienced by Chinese nurses in hospital settings, and for the development of appropriate interventions for stress reduction.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Carolyn Ingram ◽  
Yanbing Chen ◽  
Conor Buggy ◽  
Vicky Downey ◽  
Mary Archibald ◽  
...  

Abstract Background Despite widespread COVID-19 vaccination programs, there is an ongoing need for targeted disease prevention and control efforts in high-risk occupational settings. This study aimed to develop, pilot, and validate an instrument for surveying occupational COVID-19 infection prevention and control (IPC) measures available to workers in diverse geographic and occupational settings. Methods A 44-item online survey was developed in English and validated for face and content validity according to literature review, expert consultation, and pre-testing. The survey was translated and piloted with 890 workers from diverse industries in Canada, Ireland, Argentina, Poland, Nigeria, China, the US, and the UK. Odds ratios generated from univariable, and multivariable logistic regression assessed differences in ‘feeling protected at work’ according to gender, age, occupation, country of residence, professional role, and vaccination status. Exploratory factor analysis (EFA) was conducted, and internal consistency reliability verified with Cronbach’s alpha. Hypothesis testing using two-sample t-tests verified construct validity (i.e., discriminant validity, known-groups technique), and criterion validity. Results After adjustment for occupational sector, characteristics associated with feeling protected at work included being male (AOR = 1.88; 95% CI = 1.18,2.99), being over 55 (AOR = 2.17; 95% CI = 1.25,3.77) and working in a managerial position (AOR = 3.1; 95% CI = 1.99,4.83). EFA revealed nine key IPC domains relating to: environmental adjustments, testing and surveillance, education, costs incurred, restricted movements, physical distancing, masking, isolation strategies, and areas for improvement. Each domain showed sufficient internal consistency reliability (Cronbach’s alpha ≥0.60). Hypothesis testing revealed differences in survey responses by country and occupational sector, confirming construct validity (p < 0.001), criterion validity (p = 0.04), and discriminant validity (p < 0.001). Conclusions The online survey, developed in English to identify the COVID-19 protective measures used in diverse workplace settings, showed strong face validity, content validity, internal consistency, criterion validity, and construct validity. Translations in Chinese, Spanish, French, Polish, and Hindi demonstrated adaptability of the survey for use in international working environments. The multi-lingual tool can be used by decision makers in the distribution of IPC resources, and to guide occupational safety and health (OSH) recommendations for preventing COVID-19 and future infectious disease outbreaks.


2021 ◽  
Vol 12 ◽  
Author(s):  
Darko Jekauc ◽  
Lea Mülberger ◽  
Susanne Weyland ◽  
Fabienne Ennigkeit ◽  
Kathrin Wunsch ◽  
...  

Until recently, emotional processes have played little role in personality psychology. Based on neuroscientific findings, Davidson and colleagues proposed a theory of emotional styles, postulating six dimensions of emotional life: outlook, resilience, social intuition, self-awareness, sensitivity to context, and attention. Recently, an English version of the Emotional Style Questionnaire (ESQ) was developed and tested for reliability and validity. The aim of the present work was to test the test–retest reliability, internal consistency, construct validity, and criterion validity of the German version of the ESQ. Two separate samples consisting of 365 and 344 subjects took part in an online survey. The results of the two studies indicated satisfactory test–retest reliability and internal consistency. Regarding the construct validity, the results from Study 1 to Study 2 indicate good model fit indices. Although there was a high correlation between the subscales outlook and resilience, the analyses supported the six-factor structure postulated by Davidson and colleagues. Substantial correlations were found between the dimensions of the ESQ and other validated scales, confirming the criterion validity of the questionnaire. Our results suggest that the German version of the ESQ is a reliable and valid measurement of emotional styles. It is a feasible and economical questionnaire that can be applied in various psychology disciplines, such as personality psychology, clinical psychology, industrial psychology or sport and exercise psychology.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255618
Author(s):  
Paula Barreto da Rocha ◽  
Bernd Driessen ◽  
Sue M. McDonnell ◽  
Klaus Hopster ◽  
Laura Zarucco ◽  
...  

Proper pain therapy requires adequate pain assessment. This study evaluated the reliability and validity of the Unesp-Botucatu horse acute pain scale (UHAPS), the Orthopedic Composite Pain Scale (CPS) and unidimensional scales in horses admitted for orthopedic and soft tissue surgery. Forty-two horses were assessed and videotaped before surgery, up to 4 hours postoperatively, up to 3 hours after analgesic treatment, and 24 hours postoperatively (168 video clips). After six evaluators viewing each edited video clip twice in random order at a 20-day interval, they chose whether analgesia would be indicated and applied the Simple Descriptive, Numeric and Visual Analog scales, CPS, and UHAPS. For all evaluators, intra-observer reliability of UHAPS and CPS ranged from 0.70 to 0.97. Reproducibility was variable among the evaluators and ranged from poor to very good for all scales. Principal component analysis showed a weak association among 50% and 62% of the UHAPS and CPS items, respectively. Criterion validity based on Spearman correlation among all scales was above 0.67. Internal consistency was minimally acceptable (0.51–0.64). Item-total correlation was acceptable (0.3–0.7) for 50% and 38% of UHAPS and CPS items, respectively. UHAPS and CPS were specific (90% and 79% respectively), but both were not sensitive (43 and 38%, respectively). Construct validity (responsiveness) was confirmed for all scales because pain scores increased after surgery. The cut-off point for rescue analgesia was ≥ 5 and ≥ 7 for the UHAPS and CPS, respectively. All scales presented adequate repeatability, criterion validity, and partial responsiveness. Both composite scales showed poor association among items, minimally acceptable internal consistency, and weak sensitivity, indicating that they are suboptimal instruments for assessing postoperative pain. Both composite scales require further refinement with the exclusion of redundant or needless items and reduction of their maximum score applied to each item or should be replaced by other tools.


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