Japanese Translation and Validation of the Environmental Assessment Tool–Higher Care

2021 ◽  
pp. 193758672110078
Author(s):  
Sumiyo Brennan ◽  
Therese Doan ◽  
Kirsty Bennett ◽  
Yumiko Hashimoto ◽  
Richard Fleming
Keyword(s):  
Environmental Assessment ◽  
Content Validity ◽  
Concurrent Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Group Living ◽  
Japanese Version ◽  
Assessment Tools ◽  
Small Scale ◽  
Forward Translation

Objective: The purpose of this study was to translate the Environmental Assessment Tool–Higher Care (EAT-HC) into Japanese and validate its use in small-scale group living facilities in Japan. Background: Environment of a facility is shown to improve its residents’ quality of life (QOL). Japan’s “welfare-based nursing homes for the elderly” are gradually shifting to a small-scale group living concept called group care units (GCUs). However, there is no appropriate environmental tool available for evaluating GCUs. The application of valid environmental assessment tools brings about a better understanding of the nature of good environments and the relationship between environments and outcomes for residents living with dementia. Methods: The study had a mixed method design conducted in several steps, covering translation and adaptation. The translation phase involved (1) forward translation and (2) backward translation. The adaptation phase involved (3) content validity and homogeneity reliability and (4) concurrent validity and interrater reliability. Results: 71 Items (92%) met the acceptable level of content validity (item-content validity index [CVI] > .79) and had good scale-CVI of .88. Concurrent validity was confirmed between .65 and .78 ( p < .001). For reliability test, the internal consistency of six subscales was between .88 and .98. Overall interobserver agreement was 90.3%. Intraclass correlation coefficients were .80–.98 ( p < .001), and homogeneity reliability coefficient for all items was >.76 ( p < .01). Conclusions: Validation of the EAT-HC-Japanese Version (EAT-HC-JV) was confirmed as an appropriate tool for environmental assessment to enhance the QOL in Japan’s GCUs. For future study, we plan to modify the EAT-HC-JV to adapt to Japanese cultural aspects in order to increase its usability in Japan.

Cultural Adaptation and Testing of the Italian Version of the Edmonton Functional Assessment Tool-2 (EFAT2-I)

2021 ◽  
pp. 082585972110593
Author(s):  
Andrea Magrelli ◽  
Paolo Scannavini ◽  
Daniela D’Angelo ◽  
Chiara Maria Latini ◽  
Silvia Felli ◽  
...  
Keyword(s):  
Palliative Care ◽  
Psychometric Properties ◽  
Functional Assessment ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Concurrent Validity ◽  
Assessment Tool ◽  
Italian Version ◽  
Validity Assessment ◽  
Forward Translation

Background Physiotherapy in Palliative Care (PC) is effective in the management of a series of respiratory, circulatory and motor symptoms, and often has a positive impact on the patient's mood. The Edmonton Functional Assessment Tool (EFAT) is the only existing validated tool specifically designed for functional assessment in PC, and its use has been recommended in clinical practice. To date, no Italian version of the tool has been validated. The aim of this study was to translate, cross-culturally adapt, and evaluate the psychometric properties of the Italian version of the EFAT2. Method After receiving formal permission from the author, Beaton guidelines for cross-cultural adaptation were followed, namely: (1) forward translation; (2) a multidisciplinary focus group (including 4 physiotherapists, 1 physician, 3 nurses, 1 occupational therapist, 1 psychologist) to assess semantic, idiomatic, experiential, and conceptual equivalence; (3) backward translation. The Content Validity Index (CVI) was used to assess content validity of the tool. Construct and concurrent validity were also evaluated. To evaluate the reliability of the EFAT2-I, reliability was measured using Cronbach alfa, item-total correlation, and Cohen's Kappa. Results 119 patients admitted to a Palliative Care Unit (Italy) agreed to participate in the study. The EFAT2-I mean score was 11.3, ranging from 0 to 30. Very good CVI scores were achieved, both in terms of single item validity (I-CVI) and of whole scale validity (S-CVI). Positive results were obtained from construct, concurrent validity assessment and measures of reliability. Discussion The EFAT2-I showed good psychometric properties and can be used as a rehabilitation assessment tool in palliative care settings. The validation of the Italian version will allow comparison of different centres and palliative care facilities on national and international levels.

scholarly journals Dementia-friendly wards

2017 ◽  
Vol 22 (1) ◽  
pp. 25-36 ◽  
Author(s):  
Amy Jayne Eastham ◽  
Diane Cox
Keyword(s):  
Environmental Assessment ◽  
Daily Activity ◽  
Assessment Tool ◽  
Well Being ◽  
Positive Influence ◽  
Small Scale ◽  
Activity Engagement ◽  
Content Type ◽  
Staff Members ◽  
Patient Interaction

Purpose The purpose of this paper, practice-based mixed methods small-scale study, is to explore the design features of a “dementia friendly” acute ward environment and, staff views on the implications of daily activity engagement for patients with dementia. Design/methodology/approach Eight staff members of the multidisciplinary team who work full time on an acute “dementia friendly” ward completed semi-structured questionnaires. Thematic analysis explored responses to the open-ended questions, and a further environmental assessment tool rated features of the “dementia friendly” ward design, on promoting aspects of well-being in patients with dementia. Findings Six overarching themes were found. These included: contrasting ward colours; clear ward signage; positive staff interaction; memorabilia, and activity rooms and items, had a positive influence on patient interaction, well-being and engagement in daily activities. The audit scores were rated highly for various aspects of the ward design. These included: the ward design promoting patient interaction, well-being, mobility, orientation, continence, eating and drinking and calm and security. Research limitations/implications This practice-based small-scale study highlights the importance that a “dementia friendly” ward environment may have on patient engagement and well-being, from a daily activity perspective. Further research into the key aspects of design that enable meaningful daily activity engagement is required. Practical implications This study supports staff perceived views of the positive influence that “dementia friendly” design may have for patients with dementia. Both the physical design modifications of the ward and staff interaction were highlighted as positively influencing patient well-being, and daily activity engagement. Staff members also felt that they needed to balance the clinical ward priorities, with the contextual requirements of patients with dementia, to establish an effective “dementia friendly” ward. Originality/value The value of this research is the combined consideration of an environmental assessment tool and qualitative interviews with members of the multidisciplinary team.

scholarly journals Development and reliability of the Korean version of the Feeding Abilities Assessment

2019 ◽  
Vol 32 (1) ◽  
pp. 69-74
Author(s):  
Seul Gi Koo ◽  
Hae Yean Park ◽  
Jongbae Kim ◽  
Areum Han
Keyword(s):  
Correlation Coefficient ◽  
Internal Consistency ◽  
Content Validity ◽  
Assessment Tool ◽  
High Reliability ◽  
Intraclass Correlation ◽  
Rater Reliability ◽  
Retest Reliability ◽  
Korean Version ◽  
Test Retest Reliability

Objective The purpose of this study is to introduce a standardised assessment tool by verifying the reliability of the translated Korean version of the Feeding Abilities Assessment (K-FAA), which was developed to suit Korean culture. Methods The research subjects were 65 patients with dementia living in nursing homes. The K-FAA was completed by verifying the suitability of translation and reverse translation. The validity of the K-FAA was established through content validity, while its reliability was analysed based on internal consistency reliability for the items, test–retest reliability and inter-rater reliability. Results The content validity index determined, based on the assessment of professors, occupational therapists, and nurses, was more than .70. Cronbach’s α was more than .929, showing good internal consistency. A test–retest reliability of .884 was derived using Pearson’s correlation coefficient (p < .01), and an inter-rater reliability of .800 was derived using the kappa coefficients; intraclass correlation coefficient was .897, which also indicated good reliability. Conclusion The K-FAA was modified to fit the Korean domestic situation, and this assessment had high reliability. Therefore, K-FAA can evaluate the feeding ability of patients with dementia. Future studies should focus on providing evidence-based data to maintain or supplement the feeding ability of patients with dementia in Korea.

Development of a Simulation Scenario Evaluation Tool (SSET): modified Delphi study

2019 ◽  
Vol 6 (6) ◽  
pp. 344-350
Author(s):  
Jessica Hernandez ◽  
Alise Frallicciardi ◽  
Nur-Ain Nadir ◽  
M David Gothard ◽  
Rami A Ahmed
Keyword(s):  
Content Validity ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Evaluation Instrument ◽  
Evaluation Tool ◽  
Delphi Approach ◽  
Scenario Evaluation ◽  
Simulation Scenario ◽  
Written Simulation

IntroductionOne critical aspect of successful simulation facilitation is development of written scenarios. However, there are no validated assessment tools dedicated to the evaluation of written simulation scenarios available. Our aim was to develop a tool to evaluate the quality of written simulation demonstrating content validity.MethodsA comprehensive literature search did not yield a validated assessment tool dedicated for the evaluation of written simulation scenarios. A subsequent search yielded six templates published for written simulation scenario design. From these templates, critical scenario elements were identified to create an evaluation instrument with six components of scenario quality with corresponding anchors and rating scale. Subsequently, a national group of simulation experts were engaged via survey methodology to rate the content of the proposed instrument. Ultimately, a modified two-round Delphi approach was implemented to demonstrate consensus of the final assessment tool.Results38 responses were obtained in round 1, while 22 complete responses were obtained in round 2. Round 1 kappa values ranged from 0.44 to 1.0, indicating moderate to almost perfect rater agreement for inclusion of the six proposed components. Kappa values specifically regarding scale and anchors ranged from 0 to 0.49. After revisions, there was a significant level of agreement (p<0.05) of all items of the proposed assessment tool in the second-round survey except for item 10. Of note, all initial respondents indicated that they had never evaluated written scenarios with an assessment tool.ConclusionsThe Simulation Scenario Evaluation Tool, developed using a national consensus of content experts, is an instrument demonstrating content validity that assesses the quality of written simulation scenarios. This tool provides a basis to guide structured feedback regarding the quality of written simulation scenarios.

The development of environmental assessment tools to support the creation of dementia friendly care environments: Innovative practice

Dementia ◽  
2016 ◽  
Vol 16 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Sarah Waller ◽  
Abigail Masterson ◽  
Simon C Evans
Keyword(s):  
Patient Outcomes ◽  
Environmental Assessment ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Care Homes ◽  
Staff Morale ◽  
Department Of Health ◽  
Health Centres ◽  
Hospital Wards ◽  
Positive Effect

The need for more dementia friendly design in hospitals and other care settings is now widely acknowledged. Working with 26 NHS Trusts in England as part of a Department of Health commissioned programme, The King’s Fund developed a set of overarching design principles and an environmental assessment tool for hospital wards in 2012. Following requests from other sectors, additional tools were developed for hospitals, care homes, health centres and housing with care. The tools have proven to be effective in both disseminating the principles of dementia friendly design and in enabling the case to be made for improvements that have a positive effect on patient outcomes and staff morale. This paper reports on the development, use and review of the environmental assessment tools, including further work that is now being taken forward by The Association for Dementia Studies, University of Worcester.

scholarly journals The Development of Leisure Participation Assessment Tool for the Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Eun-Hwa Jeong ◽  
Eun-Young Yoo ◽  
Jong-Bae Kim ◽  
Jung-Ran Kim ◽  
Dae-Sung Han ◽  
...  
Keyword(s):  
Content Validity ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Leisure Activities ◽  
Intraclass Correlation ◽  
The Elderly ◽  
Delphi Survey ◽  
Qualitative Assessment ◽  
Interference Factor ◽  
Leisure Participation

Objectives. This study is aimed at developing multidimensional leisure participation assessment tool for the elderly to achieve quantitative and qualitative assessment of leisure participation and leisure exploration. Methods. This study collected preliminary items through literature review, statistical office data, and survey of the elderly’s leisure activities and considered the list of leisure activities as assessment items by conducting a Delphi survey. Reliability was verified through internal consistency and test-retest reliability. The assessment tool was finally confirmed using content validity and discriminant validity. Results. A total of 81 leisure items classified into 8 categories and 22 subcategories were obtained through data collection and Delphi survey. Cronbach’s α value was 0.939, and Intraclass Correlation Coefficient was 0.941. A content validity test was confirmed by validating that I-CVI was 0.78 or more and the S-CVI was 0.95. According to the result of discriminant validity, there was a difference in the number of participating leisure activities and leisure activities with participation intention by age. Conclusion. The leisure participation assessment tool for the elderly developed in this study can obtain information on the overall view of the leisure of the elderly by measuring leisure exploration, leisure participation, and interference factor affecting leisure participation.

scholarly journals Preliminary assessment of two novel mechanical colonoscopic polypectomy simulators: Description, evaluation and validation

2020 ◽  
Vol 08 (10) ◽  
pp. E1522-E1529
Author(s):  
Eckart Frimberger ◽  
Peter Klare ◽  
Bernhard Haller ◽  
Mayada Elnegouly ◽  
Monther Bajbouj ◽  
...  
Keyword(s):  
Construct Validity ◽  
Content Validity ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Skill Assessment ◽  
Face Validity ◽  
Colonoscopic Polypectomy ◽  
Technical Problems ◽  
Preliminary Validation ◽  
Frequency Current

Abstract Background and study aims Colonoscopic polypectomy is an essential endoscopic skill. The simulators available for training are limited and based on raw porcine colons. Animal intestines are inconvenient and offer limited advantages for polypectomy training. These limitations are avoided by two novel mechanical simulators — the magnetic system based simulator (MSPS) and the simulator for polypectomy with high frequency current (HFPS) — described here. They are equipped to demonstrate self-repair of polyps after making a cut and hybrid polyps. The aim of this study was to describe and establish face, content, and construct validity of the two simulators and to assess their perceived utility as training and assessment tools. Methods Ten novice, seven intermediate, and 10 advanced endoscopists participated in this study. Each one performed two polypectomies in MSPS and then one polypectomy and polyp retrieval in HFPS. The median times were compared among the three groups to preliminarily assess construct validity as a primary outcome. To establish face validity, the novices and intermediates completed a questionnaire about the credibility of each simulator after finishing the tasks. For content validity, the experts completed a questionnaire grading different aspects of the simulators’ realism and their usefulness for training. Results All 27 participants completed the modules. Median times needed to complete the tasks in both simulators differed significantly between the participants with different levels of experience (P < 0.05). Both MSPS and HFPS received favorable scores regarding face and content validity. No technical problems were encountered. Conclusion This study provides preliminary validation for MSPS and HFPS as useful training tools in a preclinical setting as well as during colonoscopy training. Moreover, we demonstrated the construct validity of both simulators, which confirms their use as a skill assessment tool during a colonoscopy training program.

The Neonatal Eating Assessment Tool: Development and Content Validation

2017 ◽  
Vol 36 (6) ◽  
pp. 359-367 ◽  
Author(s):  
Britt F. Pados ◽  
Hayley H. Estrem ◽  
Suzanne M. Thoyre ◽  
Jinhee Park ◽  
Cara McComish
Keyword(s):  
Infant Feeding ◽  
Content Validity ◽  
Assessment Tool ◽  
Phase 1 ◽  
Bottle Feeding ◽  
Assessment Tools ◽  
Outcome Variable ◽  
Phase 2 ◽  
Phase 3 ◽  
Validity Indices

AbstractPurpose: To develop and content validate the Neonatal Eating Assessment Tool (NeoEAT), a parent-report measure of infant feeding.Design: The NeoEAT was developed in three phases. Phase 1: Items were generated from a literature review, available assessment tools, and parents’ descriptions of problematic feeding in infants. Phase 2: Professionals rated items for relevance and clarity. Content validity indices were calculated. Phase 3: Parent understanding was explored through cognitive interviews.Sample: Phase 1: Descriptions of infant feeding were obtained from 12 parents of children with diagnosed feeding problems and 29 parents of infants younger than seven months. Phase 2: Nine professionals rated items. Phase 3: Sixteen parents of infants younger than seven months completed the cognitive interview.Main Outcome Variable: Content validity of the NeoEAT.Results: Three versions were developed: NeoEAT Breastfeeding (72 items), NeoEAT Bottle Feeding (74 items), and NeoEAT Breastfeeding and Bottle Feeding (89 items).

scholarly journals Development and administration of a postural and ergonomic assessment tool: a pilot study

2015 ◽  
Vol 28 (3) ◽  
pp. 509-523
Author(s):  
Renata Chlalup Silveira ◽  
Marcelo La Torre ◽  
Isabel Guglielmone
Keyword(s):  
Content Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
Sitting Posture ◽  
Prevention And Health Promotion ◽  
Quantitative Descriptive ◽  
High Degree

AbstractIntroduction Prevention of occupational diseases depends on the identification of risk factors, which can be complemented by the functional assessment of workers.Objective The aim of this study was to develop a postural and ergonomic assessment tool for the analysis of subjects’ sitting posture at the computer workstation.Materials and methods This is a quantitative, descriptive, observational, cross-sectional study. Eighty-two employees in the administrative sector of FIERGS were invited to participate in the study. The mean age was 32.8 ± 7.7 years. The IAPE (Instrumento de Avaliação Postural Ergonômica [Postural and Ergonomic Assessment Tool]) development and administration process was performed in four stages: 1) observation of the most commonly adopted postures by employees in the workplace; 2) development of the first version of the IAPE; 3) content validation by two ergonomics experts and content validity index (CVI) calculation; 4) inter-evaluator reproducibility assessment. Reproducibility was assessed by Wilcoxon test and intraclass correlation coefficient (ICC) (p < 0.05).Results The results obtained from the calculation of the CVI showed that the IAPE possesses a high degree of content validity (CVI = 1). Inter-evaluator reproducibility assessment showed no differences between evaluators (p < 0.05) and ICC values above 0.80 (p < 0.05). This shows an adequate inter-evaluator reproducibility of the tool.Conclusion Based on the results of the IAPE development process, it can be concluded that the tool has content validity and adequate inter-evaluator reproducibility. This tool can aid in the development of occupational disease prevention and health promotion strategies.

scholarly journals Reliability and Feasibility of the Self-Administered ISTH-Bleeding Assessment Tool

TH Open ◽  
2019 ◽  
Vol 03 (04) ◽  
pp. e350-e355 ◽  
Author(s):  
Marieke C. Punt ◽  
Maaike W. Blaauwgeers ◽  
Merel A. Timmer ◽  
Paco M.J. Welsing ◽  
Roger E.G. Schutgens ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Intraclass Correlation ◽  
Clinic Visit ◽  
The Self ◽  
Assessment Tools ◽  
Bleeding Tendency ◽  
Roc Curve Analysis ◽  
Paper Version ◽  
Sensitivity Specificity ◽  
Assessing Sensitivity

Abstract Introduction Standardized bleeding assessment tools (BATs), such as the International Society for Thrombosis and Hemostasis (ISTH)-BAT, are screening instruments used during the diagnostic workup of suspected bleeding disorders. A self-administered ISTH-BAT (self-BAT) would enhance screening and save time during an outpatient clinic visit. Aim This study was aimed to investigate the reliability and feasibility of the self-BAT. Methods The electronic self-BAT was created from the ISTH-BAT and paper-version of self-BAT and optimized by patients and physicians. Patients with a (suspected) congenital platelet defect (CPD), who had previously undergone physician-administered ISTH-BAT assessment, were invited to complete the self-BAT. Optimal self-BAT cut-off values to detect a bleeding tendency, as defined by the ISTH-BAT, were evaluated by receiver operator characteristic (ROC) curve analysis to reach a sensitivity ≥95%. Reliability was tested by assessing sensitivity, specificity, and intraclass correlation (ICC). Feasibility was evaluated on comprehension and length of self-BAT. Results Both versions of the BAT were completed by 156 patients. Optimal cut-off values for self-BAT to define a bleeding tendency were found to be identical to those of the ISTH-BAT. Normal/abnormal scores of the ISTH-BAT and self-BAT were agreed in 88.5% (138/156, 95% confidence interval [CI]: 0.83–0.93) of patients. The sensitivity and specificity of the self-BAT to detect a bleeding tendency were 96.9 and 48.1%, respectively. The ICC was 0.73. Self-BAT questions were graded by 96.8% (151/156) as “very easy,” “easy,” and “satisfactory” and questionnaire length as “exactly right” by 91% (142/156) of patients. Conclusion In patients with a (suspected) CPD, the self-BAT is sufficiently reliable and feasible to detect a bleeding tendency, which supports its use as a screening tool.

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