scholarly journals Evaluation of intra- and inter-rater reliability and concurrent validity of the Italian version of the Jebsen–Taylor Hand Function Test in adults with rheumatoid arthritis

Hand Therapy ◽  
2019 ◽  
Vol 24 (2) ◽  
pp. 48-54 ◽  
Author(s):  
Andrea Savona ◽  
Luca Ferralis ◽  
Marco Saffioti ◽  
Marco Tofani ◽  
Marta Nobilia ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Correlation Coefficient ◽  
Concurrent Validity ◽  
Hand Function ◽  
Intraclass Correlation ◽  
Dominant Hand ◽  
Italian Version ◽  
Rater Reliability ◽  
Function Test ◽  
Pearson's Correlation

Introduction In rheumatoid arthritis, a reduction in hand function can lead to a decrease in health, with a consequent limitation of daily life activities and restriction in social participation. Evaluation plays a decisive role in the functional recovery process and in rehabilitation programs. The Jebsen–Taylor Hand Function Test is one of the most widely used non-diagnosis-specific assessment tools in rehabilitation. The aim of the study was to evaluate the intra-rater and inter-rater reliability and concurrent validity of the Italian version of the Jebsen–Taylor Hand Function Test (JTHFT-IT) in a population with rheumatoid arthritis. Methods The test’s reliability and validity were assessed by following international guidelines. Its internal consistency and intra- and inter-rater reliability were examined using Cronbach’s alpha coefficient and the intraclass correlation coefficient, respectively. Its concurrent validity was evaluated using Pearson’s correlation coefficient with a dynamometer instrument. Results The test was given to 108 people with rheumatoid arthritis. Cronbach’s alpha reported a value of 0.91 for the dominant hand and 0.87 for the non-dominant hand. Intra- and inter-rater reliability were evaluated with a subgroup of 30 individuals. Intraclass correlation coefficients ranged from 0.46 to 1.00 in the dominant and non-dominant hands. Pearson’s correlation between subtests and the dynamometer ranged from –0.14 to –0.59. Conclusions The present study supports the use of the JTHFT-IT as a measure of hand functionality in people with rheumatoid arthritis. It is an important tool for Italian professionals and it can be useful both in clinical practice to evaluate improvement after rehabilitation treatments and for research in hand rehabilitation.

Examining Reliability and Validity of the Jebsen-Taylor Hand Function Test Among Children With Cerebral Palsy

2020 ◽  
Vol 127 (4) ◽  
pp. 684-697
Author(s):  
M. Tofani ◽  
E. Castelli ◽  
M. Sabbadini ◽  
A. Berardi ◽  
M. Murgia ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Correlation Coefficient ◽  
Internal Consistency ◽  
Assessment Tool ◽  
Hand Function ◽  
Manual Dexterity ◽  
Pearson’S Correlation Coefficient ◽  
Children With Cerebral Palsy ◽  
Function Test ◽  
Pearson's Correlation

Manual dexterity has strongly predicted functional independence for daily life activities among children with cerebral palsy (CP). The Jebsen-Taylor Hand Function Test (JTHFT) is the most widely used assessment tool for exploring manual dexterity in the CP population, though no research has yet examined its psychometric properties for this use. This cross-sectional study explored the validity and internal consistency of the JTHFT in an Italian sample of inpatient and outpatient children with CP aged between 6-18 years (35 girls and 49 boys). We calculated internal consistency with Cronbach’s alpha and tested validity against the Manual Ability Classification System (MACS) using Pearson’s correlation coefficient. To better understand how the JTHFT compares with different levels of the MACS, we performed dominant hand timing variability for each test item. Results showed excellent internal consistency with a Cronbach’s alpha of .944 and .911, respectively, for nondominant and dominant hands. There was also a statistically significant positive linear Pearson’s correlation coefficient between the JTHFT and the MACS ( p <  .01). We observed high variability in writing performance (Item 1 of the JTHFT) within this sample for each level of the MACS. This study confirms that the JTHFT is a valid assessment tool when used in children with CP aged 6-18 years.

scholarly journals Reliability and concurrent validity of the iPhone® Compass application to measure thoracic rotation range of motion (ROM) in healthy participants

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4431 ◽  
Author(s):  
James Furness ◽  
Ben Schram ◽  
Alistair J. Cox ◽  
Sarah L. Anderson ◽  
Justin Keogh
Keyword(s):  
Correlation Coefficient ◽  
Thoracic Spine ◽  
Concurrent Validity ◽  
Measurement Techniques ◽  
Intraclass Correlation ◽  
Smart Phone ◽  
The Body ◽  
Rater Reliability ◽  
Healthy Participants

Background Several water-based sports (swimming, surfing and stand up paddle boarding) require adequate thoracic mobility (specifically rotation) in order to perform the appropriate activity requirements. The measurement of thoracic spine rotation is problematic for clinicians due to a lack of convenient and reliable measurement techniques. More recently, smartphones have been used to quantify movement in various joints in the body; however, there appears to be a paucity of research using smartphones to assess thoracic spine movement. Therefore, the aim of this study is to determine the reliability (intra and inter rater) and validity of the iPhone® app (Compass) when assessing thoracic spine rotation ROM in healthy individuals. Methods A total of thirty participants were recruited for this study. Thoracic spine rotation ROM was measured using both the current clinical gold standard, a universal goniometer (UG) and the Smart Phone Compass app. Intra-rater and inter-rater reliability was determined with a Intraclass Correlation Coefficient (ICC) and associated 95% confidence intervals (CI). Validation of the Compass app in comparison to the UG was measured using Pearson’s correlation coefficient and levels of agreement were identified with Bland–Altman plots and 95% limits of agreement. Results Both the UG and Compass app measurements both had excellent reproducibility for intra-rater (ICC 0.94–0.98) and inter-rater reliability (ICC 0.72–0.89). However, the Compass app measurements had higher intra-rater reliability (ICC = 0.96 − 0.98; 95% CI [0.93–0.99]; vs. ICC = 0.94 − 0.98; 95% CI [0.88–0.99]) and inter-rater reliability (ICC = 0.87 − 0.89; 95% CI [0.74–0.95] vs. ICC = 0.72 − 0.82; 95% CI [0.21–0.94]). A strong and significant correlation was found between the UG and the Compass app, demonstrating good concurrent validity (r = 0.835, p < 0.001). Levels of agreement between the two devices were 24.8° (LoA –9.5°, +15.3°). The UG was found to consistently measure higher values than the compass app (mean difference 2.8°, P < 0.001). Conclusion This study reveals that the iPhone® app (Compass) is a reliable tool for measuring thoracic spine rotation which produces greater reproducibility of measurements both within and between raters than a UG. As a significant positive correlation exists between the Compass app and UG, this supports the use of either device in clinical practice as a reliable and valid tool to measure thoracic rotation. Considering the levels of agreement are clinically unacceptable, the devices should not be used interchangeably for initial and follow up measurements.

scholarly journals Translation and cross-cultural adaptation into Italian of the self-administered FLARE-RA questionnaire for rheumatoid arthritis

Reumatismo ◽  
2020 ◽  
Vol 72 (1) ◽  
pp. 21-30
Author(s):  
N. Ughi ◽  
T. Schioppo ◽  
I. Scotti ◽  
V. Merlino ◽  
A. Murgo ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Construct Validity ◽  
Disease Activity ◽  
Correlation Coefficient ◽  
Cultural Adaptation ◽  
Intraclass Correlation ◽  
Cross Cultural ◽  
Global Score ◽  
Italian Version ◽  
Cross Cultural Adaptation

The aim was to provide a translation into Italian with cross-cultural adaptation of the French FLARE-Rheumatoid Arthritis (RA) questionnaire, and to test its acceptability, feasibility, reliability and construct validity in a single-centre cohort study. The French version of the FLARE-RA questionnaire was cross-culturally adapted and translated into Italian following an established forward–backward translation procedure, with independent translations and backtranslations. To validate the Italian version we tested the internal validity with Cronbach’s alpha, test-retest reliability with the intraclass correlation coefficient, agreement between assessments with Bland-Altman plots and construct validity with Spearman’s correlation coefficients. The questionnaire was tested on 283 consecutive RA outpatients (mean age 56.1±13.9 years, 226/283 females, median disease duration 12.6 years ranging from 0.2 to 70.6). For the global score (11 items) the Cronbach’s alpha coefficient was 0.94. The intraclass correlation coefficient was 0.87 (95% CI, 0.76-0.96). The correlation of FLARE-RA global score was 0.59 (95% CI, 0.50-0.66) with the Disease Activity Score on 28 joints, 0.63 (95% CI, 0.55-0.71) with the Simplified Disease Activity Index, 0.77 (95% CI, 0.71-0.83) with the RA Impact of Disease and 0.67 (95% CI, 0.59-0.73) with the Health Assessment Questionnaire. The Italian version of the FLARE-RA is feasible, brief and easy to administer. The translated and cross-cultural adapted showed accordingly to be valid and reliable. This questionnaire has some practical advantages, such as clarity, comprehensiveness, simplicity, and a minimum filling time. The development of cross-cultural adapted questionnaires in different languages is of pivotal importance to obtain standardized and comparable data across countries.

Italian version of the cornell musculoskeletal discomfort questionnaire (CMDQ-I): Translation, cultural adaptation and validation

Work ◽  
2021 ◽  
pp. 1-7
Author(s):  
F. Magnifica ◽  
F. Colagrossi ◽  
A. Aloisi ◽  
S. Politi ◽  
A. Peretti ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Cultural Adaptation ◽  
Italian Version ◽  
Cronbach’S Alpha ◽  
Musculoskeletal Discomfort ◽  
Pearson’S Correlation ◽  
Pearson’S Correlation Coefficient ◽  
Cronbach's Alpha ◽  
Pearson's Correlation ◽  
Pearson's Correlation Coefficient

BACKGROUND: Almost 25%of workers in the European Union suffer from back pain, and 23%complain of muscle pain. Sixty-two percent of workers carry out repetitive operations with their hands or arms, 46%work in painful or tired positions and 35%carry or handle loads. OBJECTIVE: This study aimed to translate, culturally adapt and validate the Italian version of the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ-I). METHODS: Translation and cultural adaptation procedures followed international guidelines. Participants were recruited from among the personnel components of the Italian Air Force, who were between 18 and 65 years old. Cronbach’s alpha and the intraclass correlation coefficient (ICC) were calculated to assess internal consistency and stability, respectively. The CDMQ-I was administered together with the Visual Analogic Scale (VAS), and the validity was evaluated using Pearson’s correlation coefficient. RESULTS: All CDMQ-I items were either identical or similar in meaning to the original version’s items. The scale was administered twice with a retest after seven to 10 days to 66 participants. Cronbach’s alpha was higher than 0.761, and the ICC ranged between 0.737 and 0.952. Pearson’s correlation coefficient showed positive and significant correlations (p >  0.01). CONCLUSIONS: The study produced an Italian version of the CMDQ with good reliability and validity. This scale is a useful tool to investigate the frequency and intensity of musculoskeletal disorders in various categories of workers.

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 Intra-rater reliability of transversus abdominis measurement by a novice examiner: Comparison of “freehand” to “probe force device” method of real-time ultrasound imaging

Ultrasound ◽  
2019 ◽  
Vol 27 (3) ◽  
pp. 156-166 ◽  
Author(s):  
Vanessa L Kennedy ◽  
Carol A Flavell ◽  
Kenji Doma
Keyword(s):  
Measurement Error ◽  
Real Time ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Coefficient Of Variation ◽  
Repeated Measures ◽  
Intraclass Correlation ◽  
Transversus Abdominis ◽  
Rater Reliability ◽  
Transverse Abdominis

A “free hand” real-time-ultrasound method is commonly applied to measure transversus abdominis. Potentially, this increases transversus abdominis measurement error due to uncontrolled variability in probe to skin force, inclination, and roll, particularly for novice examiners. This single-group repeated-measures reliability study compared the intra-rater reliability of transversus abdominis thickness and activation measurement by a novice examiner between free hand and a standardized probe force device method. The examiner captured ultrasound videos of transversus abdominis in a single session in healthy participants ( n =  33). Free hand ultrasound featured uncontrolled probe force, inclination, and roll, while probe force device method ultrasound standardized these parameters. Images of transversus abdominis at rest and contracted were measured and transversus abdominis activation calculated. Intraclass correlation coefficient, coefficient of variation, standard error of measurement, and worthwhile differences were calculated. The probe force device method resulted in greater reliability (intraclass correlation coefficient = 0.75–0.96) and lower measurement error (coefficient of variation = 8.89–28.7%) compared to free hand (intraclass correlation coefficient = 0.63–0.93; coefficient of variation = 6.52–29.4%). Reliability was good for all measurements except free hand TrA-C, which was moderate. TrA-C had the lowest reliability, followed by contracted thickness of the transverse abdominis, with resting thickness of the transverse abdominis being highest. Worthwhile differences were lower using a probe force device method versus free hand for resting thickness of the transverse abdominis and contracted thickness of the transverse abdominis and similar for TrA-C. Standardization using probe force device method ultrasound to measure transversus abdominis improved intra-rater reliability in a novice examiner. Use of a probe force device method is recommended to improve reliability through reduced sources of measurement error. Probe force device method intra- and inter-rater reliability in examiners of varying experience, in clinical populations, and to visualize other structures merits exploration.

scholarly journals Validity and reliability of assessing diaphragmatic mobility by area on X-rays of healthy subjects

2018 ◽  
Vol 44 (3) ◽  
pp. 220-226 ◽  
Author(s):  
Aline Pedrini ◽  
Márcia Aparecida Gonçalves ◽  
Bruna Estima Leal ◽  
Michelle Gonçalves de Souza Tavares ◽  
Wellington Pereira Yamaguti ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation ◽  
X Rays ◽  
Altman Analysis ◽  
Validity And Reliability ◽  
Anthropometric Parameters ◽  
Rater Reliability ◽  
Bland Altman Analysis ◽  
Left Hemidiaphragm ◽  
The Right

ABSTRACT Objective: To investigate the concurrent validity, as well as the intra- and inter-rater reliability, of assessing diaphragmatic mobility by area (DMarea) on chest X-rays of healthy adults. Methods: We evaluated anthropometric parameters, pulmonary function, and diaphragmatic mobility in 43 participants. Two observers (rater A and rater B) determined diaphragmatic mobility at two time points. We used Pearson’s correlation coefficient to evaluate the correlation between DMarea and the assessment of diaphragmatic mobility by distance (DMdist). To evaluate intra- and inter-rater reliability, we used the intraclass correlation coefficient (ICC [2,1]), 95% CI, and Bland-Altman analysis. Results: A significant correlation was found between the DMarea and DMdist methods (r = 0.743; p < 0.0001). For DMarea, the intra-rater reliability was found to be quite high for the right hemidiaphragm (RHD)-ICC (2,1) = 0.92 (95% CI: 0.86-0.95) for rater A and ICC (2,1) = 0.90 (95% CI: 0.84-0.94) for rater B-and the left hemidiaphragm (LHD)-ICC (2,1) = 0.96 (95% CI: 0.93-0.97) for rater A and ICC (2,1) = 0.91 (95% CI: 0.81-0.95) for rater B-(p < 0.0001 for all). Also for DMarea, the inter-rater reliability was found to be quite high for the first and second evaluations of the RHD-ICC (2,1) = 0.99 (95% CI: 0.98-0.99) and ICC (2,1) = 0.95 (95% CI: 0.86-0.97), respectively-and the LHD-ICC (2,1) = 0.99 (95% CI: 0.98-0.99) and ICC (2,1) = 0.94 (95% CI: 0.87-0.97)-(p < 0.0001 for both). The Bland-Altman analysis showed good agreement between the mobility of the RHD and that of the LHD. Conclusions: The DMarea method proved to be a valid, reliable measure of diaphragmatic mobility.

scholarly journals The Brazilian version of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C): reliability and validity in dementia

2013 ◽  
Vol 25 (9) ◽  
pp. 1503-1511 ◽  
Author(s):  
Florindo Stella ◽  
Orestes Vicente Forlenza ◽  
Jerson Laks ◽  
Larissa Pires de Andrade ◽  
Michelle A. Ljubetic Avendaño ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Convergent Validity ◽  
Rating Scale ◽  
Neuropsychiatric Symptoms ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Neuropsychiatric Inventory ◽  
Rater Reliability ◽  
Clinician Rating

ABSTRACTBackground:Patients with dementia may be unable to describe their symptoms, and caregivers frequently suffer emotional burden that can interfere with judgment of the patient's behavior. The Neuropsychiatric Inventory-Clinician rating scale (NPI-C) was therefore developed as a comprehensive and versatile instrument to assess and accurately measure neuropsychiatric symptoms (NPS) in dementia, thereby using information from caregiver and patient interviews, and any other relevant available data. The present study is a follow-up to the original, cross-national NPI-C validation, evaluating the reliability and concurrent validity of the NPI-C in quantifying psychopathological symptoms in dementia in a large Brazilian cohort.Methods:Two blinded raters evaluated 312 participants (156 patient-knowledgeable informant dyads) using the NPI-C for a total of 624 observations in five Brazilian centers. Inter-rater reliability was determined through intraclass correlation coefficients for the NPI-C domains and the traditional NPI. Convergent validity included correlations of specific domains of the NPI-C with the Brief Psychiatric Rating Scale (BPRS), the Cohen-Mansfield Agitation Index (CMAI), the Cornell Scale for Depression in Dementia (CSDD), and the Apathy Inventory (AI).Results:Inter-rater reliability was strong for all NPI-C domains. There were high correlations between NPI-C/delusions and BPRS, NPI-C/apathy-indifference with the AI, NPI-C/depression-dysphoria with the CSDD, NPI-C/agitation with the CMAI, and NPI-C/aggression with the CMAI. There was moderate correlation between the NPI-C/aberrant vocalizations and CMAI and the NPI-C/hallucinations with the BPRS.Conclusion:The NPI-C is a comprehensive tool that provides accurate measurement of NPS in dementia with high concurrent validity and inter-rater reliability in the Brazilian setting. In addition to universal assessment, the NPI-C can be completed by individual domains.

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