Validation of a Hidradenitis Suppurativa Self-Assessment Tool

2019 ◽  
Vol 23 (4) ◽  
pp. 388-390 ◽  
Author(s):  
Aditi Senthilnathan ◽  
Sree S. Kolli ◽  
Leah A. Cardwell ◽  
Irma Richardson ◽  
Steven R. Feldman ◽  
...  

Background: Hidradenitis suppurativa (HS) is a debilitating dermatologic condition presenting with recurrent abscesses. While there are multiple scales to determine HS severity, none are designed for self-administration. A validated severity self-assessment tool may facilitate survey research and improve communication by allowing patients to objectively report their HS severity between clinic visits. Objectives: The purpose of this study was to assess a self-administered HS measure. Methods: An HS self-assessment tool (HSSA) with 10 photographs of different Hurley stages was developed. The tool was administered to patients diagnosed with HS who visited the Wake Forest Baptist Health dermatology clinic over a span of 2 months. Physician-administered Hurley stage was recorded to determine criterion validity. To assess test-retest reliability of the measure, patients completed the HSSA again at least 30 minutes after the first completion. Results: Twenty-four patients completed the measure, and 20 of these patients completed it twice. Agreement between physician-determined Hurley stage and self-determined Hurley stage was 66.7% with a weighted kappa of 0.57 (95% confidence interval [CI]: 0.30-0.84). The weighted kappa for agreement between patients’ initial and second completion of the HSSA was 0.81 (95% CI: 0.64-0.99). Conclusions: The self-administered measure provides moderate agreement with physician-determined Hurley stage and good test-retest reliability.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bouwien C. M. Smits-Engelsman ◽  
Eline Smit ◽  
Rosemary Xorlanyo Doe-Asinyo ◽  
Stella Elikplim Lawerteh ◽  
Wendy Aertssen ◽  
...  

Abstract Background The Performance and Fitness (PERF-FIT) test battery for children is a recently developed, valid assessment tool for measuring motor skill-related physical fitness in 5 to 12-year-old children living in low-income settings. The aim of this study was to determine: (1) inter-rater reliability and (2) test-retest reliability of the PERF-FIT in children from 3 different countries (Ghana, South Africa and the Netherlands). Method For inter-rater reliability 29 children, (16 boys and 13 girls, 6–10 years) were scored by 2 raters simultaneously. For test–retest reliability 72 children, (33 boys and 39 girls, 5–12 years) performed the test twice, minimally 1 week and maximally 2 weeks apart. Relative and absolute reliability indices were calculated. ANOVA was used to examine differences between the three assessor teams in the three countries. Results The PERF-FIT demonstrated excellent inter-rater reliability (ICC, 0.99) and good test-retest reliability (ICC, ≥ 0.80) for 11 of the 12 tasks, with a poor ICC for the Jumping item, due to low spread in values. A significant difference between first and second test occasion was present on half of the items, but the differences were small (Cohen’s d 0.01–0.17), except for Stepping, Side jump and Bouncing and Catching (Cohen’s d 0.34, 0.41 and 0.33, respectively). Overall, measurement error, Limits of Agreement and Coefficient of Variation had acceptable levels to support clinical use. No systematic dissimilarities in error were found between first and second measurement between the three countries but for one item (Overhead throw). Conclusions The PERF-FIT can reliably measure motor skill related fitness in 5 to 12-year-old children in different settings and help clinicians monitor levels of fundamental motor skills (throwing, bouncing, catching, jumping, hopping and balance), power and agility.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Somaya H. Malkawi ◽  
Sana M. N. Abu-Dahab ◽  
Ahmad F. Amro ◽  
Nihad A. Almasri

Background. The Preschool Activity Card Sort (PACS) is an interview-based assessment tool to measure participation of preschool children with age range from 3 to 6 years. Objective of Study. The purpose of this study was to establish the psychometric properties of the recently translated Arabic PACS (A-PACS). Methods. One hundred fifty-one Jordanian parents participated in the study representing different geographical areas. Children were almost equally distributed between males and females and into three age groups. Construct and concurrent validity were examined as well as the internal consistency of the scale and the test-retest reliability. Findings. The A-PACS was able to differentiate between the participation level of young and old children in the domains of education, community mobility, and low demand leisure of the A-PACS giving evidence to its construct validity and it significantly correlated with some aspects of the Vineland Adaptive Behavior Scale (VABS) giving evidence to its concurrent validity. The A-PACS showed excellent overall internal consistency (α=.859) for all domains and good test-retest reliability (r=.976, p<.001). Conclusion. The A-PACS can be considered as a valid and reliable tool to measure participation of preschool children with normal development from Arabic cultures. Future studies should focus on the validity of the A-PACS for use with children with disabilities.


2021 ◽  
Vol 8 (8) ◽  
pp. 377-384
Author(s):  
Gita Jyoti Ojha ◽  
Ruchi Nagar Buckshee

Objective: To develop a self-report questionnaire to measure functional limitation in children aged 7- 12 years with physical dysfunction. Study design: Methodological research design Method: The study was conducted in phases: drafting of the questionnaire, content validation, pilot testing, revision of the questionnaire, field testing and test-retest reliability. A total of 66 items were generated through a review of the literature and interviews of twenty five children, their parents and health-care professionals. Qualitative and quantitative content validation through expert review and item reduction resulted in a 59-item questionnaire which was pilot tested on a sample of 10 children with physical dysfunction. With further inputs the questionnaire was revised. Thus, the final questionnaire with 60 items in two versions (a child and a caregiver’s version) in both Hindi and English was developed. Results: Qualitative review and Content validity was established for the Children’s Functional Limitation Scale. The questionnaire demonstrated high internal consistency (Cronbach’s alpha=0.91), moderate agreement between parents and children (weighted kappa= 0.718) and good test-retest reliability (weighted kappa=0.88). Conclusion: “Children’s Functional Limitation Scale” is a valid and reliable tool for documenting difficulties perceived by children with physical dysfunction. Also, the study demonstrates ability of children to reliably report their limitations. Keywords: Functional limitation, Activities of Daily living, Self-Report, Questionnaire, Children with physical dysfunctions


2020 ◽  
Author(s):  
Bouwien Smits-Engelsman ◽  
Eline Smit ◽  
Rosemary Xorlanyo Doe-Asinyo ◽  
Stella Elikplim Lawerteh ◽  
Wendy Aertssen ◽  
...  

Abstract Background: The Performance and Fitness (PERF-FIT) test battery for children is a recently developed, valid assessment tool for measuring motor skill-related physical fitness in 5 to 12-year-old children living in low-income settings. The aim of this study was to determine: (1) inter-rater agreement and (2) test-retest reliability of the PERF-FIT in children from 3 different countries (Ghana, South Africa and the Netherlands). Method: For inter-rater reliability 29 children, (16 boys and 13 girls, 6-10 years) were scored by 2 raters simultaneously. For test–retest reliability 72 children, (33 boys and 39 girls, 5-12 years) performed the test twice, minimally one week and maximally two weeks apart. Relative and absolute reliability indices were calculated. ANOVA was used to examine differences between the three assessor teams in the three countries.Results: The PERF-FIT demonstrated excellent inter-rater reliability (ICC, 0.99) and good test-retest reliability (ICC, ≥ 0.80) for 11 of the 12 tasks. a poor ICC was found for the Jumping item only, due to low spread in values. Overall, measurement error, Limits of Agreement and Coefficient of Variation had acceptable levels to support clinical use. No systematic differences were found between first and second measurement between the three countries but for one item (Overhead throw). Conclusions: The PERF-FIT can reliably measure motor skill related fitness in 5 to 12-year-old children in different settings and help clinicians monitor levels of power and agility, and fundamental motor skills (throwing, bouncing, catching, jumping, hopping and balance).


Author(s):  
Matthew L. Hall ◽  
Stephanie De Anda

Purpose The purposes of this study were (a) to introduce “language access profiles” as a viable alternative construct to “communication mode” for describing experience with language input during early childhood for deaf and hard-of-hearing (DHH) children; (b) to describe the development of a new tool for measuring DHH children's language access profiles during infancy and toddlerhood; and (c) to evaluate the novelty, reliability, and validity of this tool. Method We adapted an existing retrospective parent report measure of early language experience (the Language Exposure Assessment Tool) to make it suitable for use with DHH populations. We administered the adapted instrument (DHH Language Exposure Assessment Tool [D-LEAT]) to the caregivers of 105 DHH children aged 12 years and younger. To measure convergent validity, we also administered another novel instrument: the Language Access Profile Tool. To measure test–retest reliability, half of the participants were interviewed again after 1 month. We identified groups of children with similar language access profiles by using hierarchical cluster analysis. Results The D-LEAT revealed DHH children's diverse experiences with access to language during infancy and toddlerhood. Cluster analysis groupings were markedly different from those derived from more traditional grouping rules (e.g., communication modes). Test–retest reliability was good, especially for the same-interviewer condition. Content, convergent, and face validity were strong. Conclusions To optimize DHH children's developmental potential, stakeholders who work at the individual and population levels would benefit from replacing communication mode with language access profiles. The D-LEAT is the first tool that aims to measure this novel construct. Despite limitations that future work aims to address, the present results demonstrate that the D-LEAT represents progress over the status quo.


Author(s):  
Helmut Schröder ◽  
Isaac Subirana ◽  
Julia Wärnberg ◽  
María Medrano ◽  
Marcela González-Gross ◽  
...  

Abstract Background Validation of self-reported tools, such as physical activity (PA) questionnaires, is crucial. The aim of this study was to determine test-retest reliability, internal consistency, and the concurrent, construct, and predictive validity of the short semi-quantitative Physical Activity Unit 7 item Screener (PAU-7S), using accelerometry as the reference measurement. The effect of linear calibration on PAU-7S validity was tested. Methods A randomized sample of 321 healthy children aged 8–16 years (149 boys, 172 girls) from the nationwide representative PASOS study completed the PAU-7S before and after wearing an accelerometer for at least 7 consecutive days. Weight, height, and waist circumference were measured. Cronbach alpha was calculated for internal consistency. Test-retest reliability was determined by intra-class correlation (ICC). Concurrent validity was assessed by ICC and Spearman correlation coefficient between moderate to vigorous PA (MVPA) derived by the PAU-7S and by accelerometer. Concordance between both methods was analyzed by absolute agreement, weighted kappa, and Bland-Altman statistics. Multiple linear regression models were fitted for construct validity and predictive validity was determined by leave-one-out cross-validation. Results The PAU-7S overestimated MVPA by 18%, compared to accelerometers (106.5 ± 77.0 vs 95.2 ± 33.2 min/day, respectively). A Cronbach alpha of 0.76 showed an acceptable internal consistency of the PAU-7S. Test-retest reliability was good (ICC 0.71 p < 0.001). Spearman correlation and ICC coefficients of MVPA derived by the PAU-7S and accelerometers increased from 0.31 to 0.62 and 0.20 to 0.62, respectively, after calibration of the PAU-7S. Between-methods concordance improved from a weighted kappa of 0.24 to 0.50 after calibration. A slight reduction in ICC, from 0.62 to 0.60, yielded good predictive validity. Multiple linear regression models showed an inverse association of MVPA with standardized body mass index (β − 0.162; p < 0.077) and waist to height ratio (β − 0.010; p < 0.014). All validity dimensions were somewhat stronger in boys compared to girls. Conclusion The PAU-7S shows a good test-retest reliability and acceptable internal consistency. All dimensions of validity increased from poor/fair to moderate/good after calibration. The PAU-7S is a valid instrument for measuring MVPA in children and adolescents. Trial registration Trial registration numberISRCTN34251612.


2016 ◽  
Vol 24 (1) ◽  
pp. 54-68 ◽  
Author(s):  
Kathleen A. Calzone ◽  
Stacey Culp ◽  
Jean Jenkins ◽  
Sarah Caskey ◽  
Pamela B. Edwards ◽  
...  

Background and Purpose: Assessment of nursing genomic competency is critical given increasing genomic applications to health care. The study aims were to determine the test–retest reliability of the Genetics and Genomics in Nursing Practice Survey (GGNPS), which measures this competency, and to revise the survey accordingly. Methods: Registered nurses (n = 232) working at 2 Magnet-designated hospitals participating in a multiinstitutional genomic competency study completed the GGNPS. Cohen’s kappa and weighted kappa were used to measure the agreement of item responses between Time 1 and Time 2. Survey items were revised based on the results. Results: Mean agreement for the instrument was 0.407 (range = 0.150–1.000). Moderate agreement or higher was achieved in 39% of the items. Conclusions: GGNPS test–retest reliability was not optimal, and the instrument was refined based on the study findings. Further testing of the revised instrument is planned to assess the instrument performance.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500023p1-7512500023p1
Author(s):  
Shu-Chun Lee ◽  
Yi-Ching Wu ◽  
David Leland Roberts ◽  
Kuang-Pei Tseng ◽  
Wen-Yin Chen

Abstract Date Presented 04/19/21 The Social Cognition Screening Questionnaire–Taiwan version (SCSQT) was designed to assess multiple domains of social cognition in people with schizophrenia in Taiwan. The SCSQT contains five subscales and provides estimates of the core domains of mentalizing and social perception and an overall social cognition score. Our validation of SCSQT indicated that the SCSQT had good test–retest reliability, acceptable random measurement error, and negligible practice effects. Primary Author and Speaker: Shu-Chun Lee Additional Authors and Speakers: Trudy Mallinson Contributing Authors: Alison M. Cogan, Ann Guernon, Katherine O'Brien, and Piper Hansen


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Adam Polnay ◽  
Helen Walker ◽  
Christopher Gallacher

Purpose Relational dynamics between patients and staff in forensic settings can be complicated and demanding for both sides. Reflective practice groups (RPGs) bring clinicians together to reflect on these dynamics. To date, evaluation of RPGs has lacked quantitative focus and a suitable quantitative tool. Therefore, a self-report tool was designed. This paper aims to pilot The Relational Aspects of CarE (TRACE) scale with clinicians in a high-secure hospital and investigate its psychometric properties. Design/methodology/approach A multi-professional sample of 80 clinicians were recruited, completing TRACE and attitudes to personality disorder questionnaire (APDQ). Exploratory factor analysis (EFA) determined factor structure and internal consistency of TRACE. A subset was selected to measure test–retest reliability. TRACE was cross-validated against the APDQ. Findings EFA found five factors underlying the 20 TRACE items: “awareness of common responses,” “discussing and normalising feelings;” “utilising feelings,” “wish to care” and “awareness of complicated affects.” This factor structure is complex, but items clustered logically to key areas originally used to generate items. Internal consistency (α = 0.66, 95% confidence interval (CI) = 0.55–0.76) demonstrated borderline acceptability. TRACE demonstrated good test–retest reliability (intra-class correlation = 0.94, 95% CI = 0.78–0.98) and face validity. TRACE indicated a slight negative correlation with APDQ. A larger data set is needed to substantiate these preliminary findings. Practical implications Early indications suggested TRACE was valid and reliable, suitable to measure the effectiveness of reflective practice. Originality/value The TRACE was a distinctive measure that filled a methodological gap in the literature.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (5) ◽  
pp. 735-739 ◽  
Author(s):  
William B. Carey ◽  
Sean C. McDevitt

The Infant Temperament Questionnaire, originally published in 1970, has been revised to improve its psychometric characteristics. The number of items was increased from 70 to 95, rating options were increased from three to six, more items have high-low reversals, and they are randomized as to content area. The new form was standardized on 203 4- to 8-month-old infants. Good test-retest reliability was maintained and internal consistency of the nine categories was raised to a higher level, thereby assuring a greater reliability of the instrument. These improvements should enhance the questionnaire's use in clinical and research applications.


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