Review of Food Intake Difficulty Assessment Tools for People with Dementia

2020 ◽  
pp. 019394592097966
Author(s):  
Jia Ci Spencer ◽  
Riris Damanik ◽  
Mu-Hsing Ho ◽  
Jed Montayre ◽  
Victoria Traynor ◽  
...  
Keyword(s):  
Clinical Utility ◽  
Assessment Tools ◽  
Future Research ◽  
Research Needs ◽  
Validity And Reliability ◽  
Rater Reliability ◽  
Feeding Difficulties ◽  
People With Dementia ◽  
Feeding Difficulty ◽  
Difficulty Index

This review aimed to summarise the validity and reliability of feeding difficulties assessment tools for Individual with dementia. PubMed, PsycINFO, MEDLINE, CINAHL and Scopus were searched for feeding difficulty measurements studies published between 1990 and 2019. Sixteen publications were included and identified three tools: Edinburgh Feeding Evaluation in Dementia (EdFED), Feeding Behaviour Inventory (FBI), and Feeding Difficulty Index (FDI). Results showed the EdFED was translated and tested in various languages. The EdFED and FDI demonstrated high content and construct validity. The FBI was not validated. The EdFED had high inter-rater reliability, with Cronbach’s alpha ranging from 0.75 to 0.90. The FDI and FBI showed moderate inter-rater reliability. Although the EdFED has been tested and widely used, unlike FDI, which addresses multi-aspects of feeding difficulty. The FDI have higher clinical utility but future research needs to test the psychometric properties of FDI to determine its effectiveness in assessing feeding difficulties.

Assessing capacity to consent to treatment with cholinesterase inhibitors in dementia using a specific and standardized version of the MacArthur Competence Assessment Tool (MacCAT-T)

2016 ◽  
Vol 29 (2) ◽  
pp. 333-343 ◽  
Author(s):  
Tanja Mueller ◽  
Julia Haberstroh ◽  
Maren Knebel ◽  
Frank Oswald ◽  
Roman Kaspar ◽  
...  
Keyword(s):  
Informed Consent ◽  
Cholinesterase Inhibitors ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Competence Assessment ◽  
Rater Reliability ◽  
Capacity To Consent ◽  
People With Dementia ◽  
Hypothetical Treatment ◽  
Consent To Treatment

ABSTRACTBackground:The use of assessment tools has been shown to improve the inter-rater reliability of capacity assessments. However, instrument-based capacity assessments of people with dementia face challenges. In dementia research, measuring capacity with instruments like the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) mostly employ hypothetical treatment vignettes that can overwhelm the abstraction capabilities of people with dementia and are thus not always suitable for this target group. The primary aim of this study was to provide a standardized real informed consent paradigm that enables the dementia-specific properties of capacity to consent to treatment in people with dementia to be identified in a real informed consent process that is both externally valid and ethically justifiable.Methods:The sample consisted of 53 people with mild to moderate dementia and a group of 133 people without cognitive impairment. Rather than using a hypothetical treatment vignette, we used a standardized version of the MacCAT-T to assess capacity to consent to treatment with cholinesterase inhibitors in people with dementia. Inter-rater reliability, item statistics, and psychometric properties were also investigated.Results:Intraclass correlations (ICCs) (0.951–0.990) indicated high inter-rater reliability of the standardized real informed consent paradigm. In the dementia group, performance on different items of the MacCAT-T varied. Most people with dementia were able to express a treatment choice, and were aware of the need to take a tablet. Further information on the course of the disorder and the benefits and risks of the treatment were less understood, as was comparative reasoning regarding treatment alternatives.Conclusion:The standardized real informed consent paradigm enabled us to detect dementia-specific characteristics of patients’ capacity to consent to treatment with cholinesterase inhibitors. In order to determine suitable enhanced consent procedures for this treatment, we recommend the consideration of MacCAT-T results on an item level. People with dementia seem to understand only basic information. Our data indicate that one useful strategy to enhance capacity to consent is to reduce attention and memory demands as far as possible.

scholarly journals Development and Psychometric Evaluation of the Chinese Feeding Difficulty Index (Ch-FDI) for People with Dementia

PLoS ONE ◽  
2015 ◽  
Vol 10 (7) ◽  
pp. e0133716
Author(s):  
Megan F. Liu ◽  
Nae-Fang Miao ◽  
I-Hui Chen ◽  
Yen-Kuang Lin ◽  
Mu-Hsing Ho ◽  
...  
Keyword(s):  
Psychometric Evaluation ◽  
People With Dementia ◽  
Feeding Difficulty ◽  
Difficulty Index

Factor Structure and Basic Psychometric Properties of the Transition Assessment and Goal Generator

2017 ◽  
Vol 41 (2) ◽  
pp. 99-110 ◽  
Author(s):  
Maeghan N. Hennessey ◽  
Robert Terry ◽  
James E. Martin ◽  
Amber E. McConnell ◽  
Donna M. Willis
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Students With Disabilities ◽  
Factor Structure ◽  
Special Educators ◽  
Family Members ◽  
Future Research ◽  
Research Needs ◽  
Validity And Reliability ◽  
Confirmatory Factor

We examined the theoretical factor structure fit and psychometric properties of the Transition Assessment and Goal Generator (TAGG). In the first study, 349 transition-aged students with disabilities, their special educators, and family members completed TAGG assessments, and using exploratory factor analysis (EFA)/confirmatory factor analysis (CFA), a simple eight-factor structure emerged. In 2 subsequent years, independent samples of students with disabilities (Study II, N = 257; Study III, N = 846), their special educators, and family members completed the TAGG, and the TAGG structure replicated in both years across all versions using CFAs. The results provide evidence of construct validity and reliability. We discuss implications of the results and identify future research needs.

scholarly journals RELIABILITY OF NOVEL ULTRASOUND MEASUREMENT FOR DETERMINING PATELLA POSITION

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0002
Author(s):  
Elliot Greenberg ◽  
Nicole Rotunno ◽  
Naomi Brown
Keyword(s):  
Patellar Tendon ◽  
Intraclass Correlation ◽  
Cost Effective ◽  
Ultrasound Measurement ◽  
Future Research ◽  
Trochlear Groove ◽  
Validity And Reliability ◽  
Rater Reliability ◽  
Patella Position ◽  
Knee Pathology

Background: Patellar dislocations are common among youth athletes. A detailed understanding of patellofemoral anatomy is critical to determine patient prognosis and guide treatment and decision making. Recent literature suggests that measures of patella position relative to the trochlear groove may help identify individuals at risk of repetitive dislocations. While these measures were described using MRI, it is plausible that ultrasound imaging can be utilized to provide similar information in a more cost-effective and time-efficient manner. Purpose: To determine intra and inter-rater reliability of two newly described ultrasound-based measures of patella positioning within two novice examiners. Methods: Subjects were seated with the limb supported in full knee extension and neutral rotation. (Figure 1a) The examiners independently gathered all images and were blinded to each other’s measures for the duration of the study. The transducer was positioned transversely, on the anterior aspect of the knee such that the lateral trochlear ridge, center of trochlear groove, and proximal portion of the patellar tendon were all visible in cross-section. (Figure 1b) Two linear measures were obtained, representing the distance from midpoint of the patellar tendon to a) the center of trochlear groove (MPT-CTG) and b) the lateral trochlear ridge (MPT-LTR). Reliability was assessed using intraclass correlation coefficients (ICC). The average of two measures were used for data analysis. There was a minimum of 1 week between assessments for those subjects with repeated testing. Results: A total of 11 subjects (mean age 15.3) without history of knee pathology were included. There were no significant differences (p>0.05) in either measurement between limbs with MPT-CTG and MPT-LTR values (mean±sd) as follows: MPT-CTG right 8.4mm ± 3.0, left 8.4mm ± 3.3; MPT-LTR right 12.2mm ± 2.7, left 11.6mm ± 2.3. For reliability analysis, each knee served as a discrete variable, yielding a total of 22 data points for evaluation. Inter-rater reliability (n=22) was moderate to good for both measures, with ICC values of 0.724 and 0.814 for MPT-CTG and MPT-LTR, respectively. Intra-rater reliability (n=10) was good to excellent with ICC values of 0.913 and 0.794 for MPT-CTG and MPT-LTR, respectively. (Table 1) Conclusions: This new measure of patella positioning demonstrated moderate to excellent reliability and may be a practical, cost-effective alternative to MRI. While it is encouraging that the subjects in this sample demonstrated no side-to-side differences in either measure, future research should focus on establishing criterion validity and reliability amongst individuals with patellar instability. [Figure: see text][Table: see text]

Self-management and social participation in community-dwelling people with mild dementia: a review of measuring instruments

2019 ◽  
Vol 31 (9) ◽  
pp. 1267-1285 ◽  
Author(s):  
Floriana Mangiaracina ◽  
Franka Meiland ◽  
Yvonne Kerkhof ◽  
Martin Orrell ◽  
Maud Graff ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Social Participation ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Social Health ◽  
Self Management ◽  
Future Research ◽  
Measuring Instruments ◽  
Mild Dementia ◽  
People With Dementia

ABSTRACTBackground:In order to evaluate interventions promoting social health in people with dementia it is essential to have reliable and valid measures. The present review aims to provide an overview of available instruments for the assessment of two domains of social health in community-dwelling people with mild dementia, i.e., the ability to manage life with some degree of independence (self-management) and participation in social activities.Methods:An electronic search was conducted in the following databases: PubMed, CINAHL, and PsycINFO. Characteristics of the instruments, feasibility and psychometric properties of the instruments included are reported on.Results:We identified eight instruments measuring aspects of self-management and three instruments measuring social participation. Validity and reliability of self-management instruments varied between moderate and good. Little information was found on the psychometric properties of the instruments for social participation. In general, feasibility and responsiveness data regarding application in community-dwelling people with dementia were scarce for both types of instruments.Conclusions:Future research into assessment tools for social health should focus on the development of instruments for self-management that also cover the areas of coping with and adapting to the emotional consequences of the disease; instruments for social participation covering the involvement in social interactions that are experienced as meaningful by the person; and on the psychometric properties and responsiveness of instruments. More attention should also be given to the feasibility (ease of use) of these instruments for people with mild dementia, professionals, and researchers.

Understanding Limited Use of Amplification in Infants and Children Who Are Hard of Hearing

2015 ◽  
Vol 25 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Ryan W. McCreery ◽  
Elizabeth A. Walker ◽  
Meredith Spratford
Keyword(s):  
Hard Of Hearing ◽  
Hearing Aid ◽  
Management Strategies ◽  
Infants And Children ◽  
Future Research ◽  
Research Needs ◽  
Case Examples ◽  
Hearing Aid Use ◽  
Wide Range ◽  
In Infants And Children

The effectiveness of amplification for infants and children can be mediated by how much the child uses the device. Existing research suggests that establishing hearing aid use can be challenging. A wide range of factors can influence hearing aid use in children, including the child's age, degree of hearing loss, and socioeconomic status. Audiological interventions, including using validated prescriptive approaches and verification, performing on-going training and orientation, and communicating with caregivers about hearing aid use can also increase hearing aid use by infants and children. Case examples are used to highlight the factors that influence hearing aid use. Potential management strategies and future research needs are also discussed.

Locus of Control, Safety Attitudes and Involvement in Hazardous Events in Indian Army Aviators

2013 ◽  
Vol 3 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Catherine Joseph ◽  
Suhasini Reddy ◽  
Kanwal Kashore Sharma
Keyword(s):  
Locus Of Control ◽  
Future Research ◽  
Research Needs ◽  
Negative Attitudes ◽  
Human Errors ◽  
Safety Attitudes ◽  
Positive Correlation ◽  
Self Confidence

Locus of control (LOC), safety attitudes, and involvement in hazardous events were studied in 205 Indian Army aviators using a questionnaire-based method. A positive correlation was found between external LOC and involvement in hazardous events. Higher impulsivity and anxiety, and decreased self-confidence, safety orientation, and denial were associated with a greater number of hazardous events. Higher external LOC was associated with higher impulsivity, anxiety, and weather anxiety and with lower self-confidence, safety orientation, and denial. Internal LOC was associated with increased self-confidence, safety orientation, and denial. Hazardous events and self-confidence were higher in those involved in accidents than those not involved in accidents. Future research needs to address whether training can effectively modify LOC and negative attitudes, and whether this would cause a reduction in, and better management of, human errors.

PENGEMBANGAN SKALA LOCUS OF CONTROL

2017 ◽  
Vol 2 (3) ◽  
pp. 417-424
Author(s):  
Hendryadi Hendryadi
Keyword(s):  
Locus Of Control ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Short Form ◽  
Employee Selection ◽  
Future Research ◽  
Validity And Reliability ◽  
Control Scale ◽  
Two Stages

This article aims to develop a short form of the locus of control scale. The study was conducted in two stages: a study of 66 respondents as pilot testing which aims to test content validity, structure validity, and internal consistency. Study 2 was conducted on 328 respondents used to test the validity and reliability of the scale evaluated by the PLS-SEM method (such as internal consistency, convergent validity, and discriminant validity). The analysis concludes that the 8-item locus of control scales tested have adequate validity and reliability. A short form locus of control scale was developed and validated in this study, so it can be used in future research and evaluation for HR management practitioners in employee selection Keywords: locus of control, EFA, CFA, scale construction

Collaborative Remembering in Dementia: A Focus on Joint Activities

2018 ◽  
Author(s):  
Lars-Christer Hydén ◽  
Mattias Forsblad
Keyword(s):  
Everyday Life ◽  
Past Research ◽  
Research Field ◽  
Future Research ◽  
Research Needs ◽  
Joint Activities ◽  
Do So ◽  
Dementia Diseases

In this chapter we consider collaborative remembering and joint activates in everyday life in the case of people living with dementia. First, we review past research of practices that scaffolds the participation of persons with dementia in everyday chores under different stages of dementia diseases. We do so by suggesting three analytical types of scaffolding: when the scaffolding practices (i) frame the activity, (ii) guide actions, or (iii) are part of repair activities. Second, we review two aspects of collaborative remembering that are especially important in the case of dementia: training of scaffolding practices, and the sustaining and presentation of identities through collaborative storytelling. Finally, theoretical and methodological tendencies of the research field are summarized and future research needs are formulated.

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