scholarly journals Comparison of content and psychometric properties for assessment tools used for brain tumor patients: a scoping review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Lelde Ģiga ◽  
Anete Pētersone ◽  
Silva Čakstiņa ◽  
Guna Bērziņa

Abstract Aims To determine the most frequently utilized functional status assessment instruments for patients with brain tumors, compare their contents, using the International Classification of Functioning, Disability and Health (ICF), and their psychometric properties. Methods A scoping review was conducted to explore possible assessment instruments and summarize the evidence. A systematic literature search was performed for identification of the frequently used functional assessment tool in clinical trials in PubMed, ScienceDirect, and ProQuest databases. The content of most used instruments was linked to the ICF categories. The psychometric qualities of these assessment tools were systematically searched and analyzed. Results Nine most used assessment tools in clinical trials were identified. The most frequently used assessment instrument is the Karnofsky Performance Scale, which is developed for a general assessment of oncological patients. Out of four self-assessment tools, two were disease-specific (EORTC QLQ-BN20 and FACT-Br), EORTC QLQ-C30 has been shown good psychometric properties in patients with brain tumors as well as in patients with various oncological diseases, similar to the SF-36, it is used in patients with brain tumors as well as in patients with various diseases. The Functional Independence Measure and the Barthel Index were two objective assessment tools that described functioning, but two were neuropsychological tests (MMSE and Trial Making Test). Two hundred eighty-three meaningful concepts were identified and linked to 102 most relevant second-level categories covering all components of the ICF. Forty-nine studies reporting psychometric properties of those nine assessment tools were identified, indicating good reliability and validity for all the instruments. Conclusion Nine most frequently utilized functional status assessment instruments for patients with brain tumors represent all components of the ICF and have good psychometric properties. However, the choice of the tool depends on the clinical question posed and the aim of its use.

2020 ◽  
Author(s):  
Lelde Ģiga ◽  
Anete Pētersone ◽  
Silva Čakstiņa ◽  
Guna Bērziņa

Abstract Aims: To determine the most frequently utilized functional status assessment instruments for patients with brain tumors, compare their contents, using the International Classification of Functioning, Disability and Health (ICF), and their psychometric properties.Methods: a systematic literature search was performed for identification of the frequently used functional assessment tool in clinical trials in PubMed, ScienceDirect and ProQuest databases. The content of most used instruments was linked to the ICF categories. Psychometric qualities of these assessment tools were systematically searched and analyzed.Results: Nine most used assessment tools in clinical trials were identified. The Karnofsky Performance Scale was the only generic tool for oncologic patients. Out of four self-assessment tools, three were disease-specific (EORTC QLQ-C30, EORTC QLQ-BN20 and FACT-Br) and one used for different diagnosis (SF-36). The Functional Independence Measure and the Barthel Index were two objective assessment tools that described functioning, but two were neuropsychological tests (MMSE and Trial Making Test). Two hundred eighty-three meaningful concepts were identified and linked to 102 most relevant second-level categories covering all components of the ICF. Forty-nine studies reporting psychometric properties of those nine assessment tools were identified, indicating good reliability and validity for all the instruments.Conclusion: Nine most frequently utilized functional status assessment instruments for patients with brain tumors represent all components of the ICF and have good psychometric properties. However, the choice of the tool depends on the clinical question posed and the aim of its use.


2021 ◽  
pp. 030802262110378
Author(s):  
Annelize Kruger ◽  
Monique Strauss ◽  
Marieta Visser

Aim Accurate assessment of in-hand manipulation is imperative when treating children with fine motor delays. A clinically suitable instrument for in-hand manipulation is required to inform the paediatric developmental and rehabilitation context. Critical evaluation of the available instrument is required to make an informed decision and direct future research. The aim of the study was to assess the available literature with a view to writing a scoping review on in-hand manipulation assessment instruments for children. Methods The Arskey and O'Malley six-stage scoping review was applied. Fifteen databases were sourced for articles published between 1 January 1990 and 31 December 2020. After identifying 33 eligible articles that met the inclusion criteria, the data obtained from the articles were charted. Results Eleven in-hand manipulation assessment instruments were identified and summarised according to (i) the constructs of in-hand manipulation included; (ii) clinical utility aspects of applicability and practicality and (iii) psychometric properties. Conclusion At the time of the review, none of the instruments had comprehensively completed the instrument development process to the point of standardisation with evaluated psychometric properties. Further research is recommended for the development of a gold standard in-hand manipulation assessment instrument.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0258946
Author(s):  
Maria V. Ivanova ◽  
Yulia S. Akinina ◽  
Olga A. Soloukhina ◽  
Ekaterina V. Iskra ◽  
Olga V. Buivolova ◽  
...  

The lack of standardized language assessment tools in Russian impedes clinical work, evidence-based practice, and research in Russian-speaking clinical populations. To address this gap in assessment of neurogenic language disorders, we developed and standardized a new comprehensive assessment instrument–the Russian Aphasia Test (RAT). The principal novelty of the RAT is that each subtest corresponds to a specific level of linguistic processing (phonological, lexical-semantic, syntactic, and discourse) in different domains: auditory comprehension, repetition, and oral production. In designing the test, we took into consideration various (psycho)linguistic factors known to influence language performance, as well as specific properties of Russian. The current paper describes the development of the RAT and reports its psychometric properties. A tablet-based version of the RAT was administered to 85 patients with different types and severity of aphasia and to 106 age-matched neurologically healthy controls. We established cutoff values for each subtest indicating deficit in a given task and cutoff values for aphasia based on the Receiver Operating Characteristic curve analysis of the composite score. The RAT showed very high sensitivity (> .93) and specificity (> .96), substantiating its validity for determining presence of aphasia. The test’s high construct validity was evidenced by strong correlations between subtests measuring similar linguistic processes. The concurrent validity of the test was also strong as demonstrated by a high correlation with an existing aphasia battery. Overall high internal, inter-rater, and test-retest reliability were obtained. The RAT is the first comprehensive aphasia language battery in Russian with properly established psychometric properties. It is sensitive to a wide range of language deficits in aphasia and can reliably characterize individual profiles of language impairments. Notably, the RAT is the first comprehensive aphasia test in any language to be fully automatized for administration on a tablet, maximizing further standardization of presentation and scoring procedures.


2014 ◽  
Vol 63 (2) ◽  
pp. 154-164 ◽  
Author(s):  
Bárbara Backes ◽  
Bruna Gomes Mônego ◽  
Cleonice Alves Bosa ◽  
Denise Ruschel Bandeira

Objective To systematically review the scientific literature on the psychometric properties of international instruments for the assessment of autism spectrum disorder (ASD) in the Brazilian population. Methods A search of bibliographic references was conducted in six electronic databases: PsycINFO, PubMed, IndexPsi, Lilacs, Capes (theses and dissertations) and SciELO. The studies were selected by two independent researchers. Results The procedure identified 11 studies of the Brazilian population that encompassed six ASD assessment tools. Given the information provided, the adaptation of the M-CHAT, a screening instrument, was the best conducted. All steps of the adaptation process were described and the changes made to the final version of the instrument were presented, which was not addressed in other studies. In terms of reliability, all of the instruments that assessed internal consistency showed adequate values. In addition, the ADI-R and the CARS adaptations also satisfactorily contemplated inter-rater reliability and test-retest indices, respectively. Finally, all studies aiming to validate instruments showed evidence of validity and sensitivity, and specificity values above 0.90 were observed in the ASQ, ADI-R and ABC. Conclusion Considering both the psychometric aspects and the copyright information, the screening instrument that currently appears to be best indicated for clinical and research use is the M-CHAT. It was also noticed that there are still no specific ASD diagnostic tools available for use in Brazil. This lack of diagnostic instruments consists in a critical situation for the improvement of clinical practice and the development of research in this area.


2021 ◽  
Vol 12 ◽  
Author(s):  
Lindy J. Williams ◽  
Jocelyn Kernot ◽  
Susan L. Hillier ◽  
Tobias Loetscher

Objective: The objective of this scoping review was to capture the reported definitions for the subtypes of neglect post stroke and map the range of assessment tools employed for each neglect subtype.Methods: EMBASE, Emcare, Medline, and psychINFO were searched from database inception. Searching included all allied terms and mesh headings for stroke, spatial neglect, measurement, screening tools, psychometric properties. Two reviewers independently screened studies for inclusion. Primary studies with documented protocols of a spatial neglect tool for adults post stroke, with some aspect of validity or reliability were included. Two reviewers independently reviewed the documented protocols of each tool to determine the underlying subtypes and disagreements were resolved through discussion.Results: There were 371 articles included with 292 tools used for the screening or diagnosis of neglect. The majority of studies (67%) included a tool that did not specify the neglect subtype being assessed, therefore an analysis of the underlying subtypes for each tool is presented.Conclusions: There is no consistency with the terms used to refer to the syndrome of spatial neglect with over 200 different terms used within the included studies to refer to the syndrome as a whole or one of its subtypes. It is essential to unify the terminology and definition for each neglect subtype. There are hundreds of neglect tools available, however many are not able to differentiate presenting subtypes. It is important for clinicians and researchers to critically evaluate the neglect tools being used for the screening and diagnosis of neglect.


1997 ◽  
Vol 12 (4) ◽  
pp. 183-189 ◽  
Author(s):  
J.D. Guelfi ◽  
E Corruble

SummaryDysthymia clinical trials raise several methodological issues. The validity of the concept remains a matter of concern, as does the need for specific instruments, the difficulties in assessment of change and long-term assessments. Diagnostic criteria for inclusion should be used in a polydiagnostic approach. This paper summarises the main assessment tools and diagnostic criteria used in clinical trials on dysthymia. Severity criterion for inclusion could be a Hamilton Depression Rating Scale score (HAMD-17) between 13 and 17. The main response criteria should be a decrease of at least 50% of the total score on this scale and a final score under a predetermined limit. However, other response criteria may be useful: depression self-ratings, global assessments, general psychopathology assessments, personality and defense mechanisms, quality of life, psychosocial and functional impairment, diagnostic criteria (presence or absence) and side-effect assessment.


2016 ◽  
Vol 2 (2) ◽  
pp. 334
Author(s):  
ANA PUJI ASTUTI

ABSTRAK: Penelitian pengembangan ini bertujuan menghasilkan sebuah produk yang berupa instrumen penilaian kompetensi membaca pelajaran Bahasa Indonesia kelas VII berbasis Quipper School. Penelitian ini difokuskan pada aspek struktur, isi, dan bahasa yang menggunakan Quipper School sebagai media online dengan teknik tes objektif. Pengembangan produk yang berupa instrumen menggunakan model R2D2 (recursive, reflective, design, and development).  Metode penelitian  pengembangan juga  didasarkan pada pendapat Sugiyono (2013:407) bahwa metode penelitian digunakan untuk menghasilkan produk tertentu dan menguji keefektifan produk tersebut. Instrumen penilaian yang digunakan memiliki tiga fokus kerja, yaitu (1) penetapan, (2) desain dan pengembangan, dan (3) diseminasi. Produk yang dikembangkan adalah instrumen penilaian kompetensi membaca kelas VII berbasis Quipper School dengan hasil telaah berupa  (1) penilaian, (2) masukan kritik dan saran dengan fokus pembahasan pada tiga aspek, yaitu struktur, isi, dan bahasa.yang melibatkan tim ahli dan praktisi. Produk pengembangan ini memiliki struktur (1) soal semester gasal dan (2) soal semester genap. Kajian terhadap produk hasil penelitian dan pengembangan ini difokuskan terhadap keunggulan produk, kelemahan produk, dan antisipasi kelemahan produk. Kata kunci: Pengembangan Instrumen Penilaian, Kompetensi Membaca, Quipper School.ABSTRACT: The study was based on an assessment conducted in SMP Muhammadiyah 8 Stone still conventional and not utilizing internet technology. Determination of reading skills as competence taught in schools has implications for the development of assessment instruments are made. Indonesian Teachers need to develop appropriate assessment tools to assess student achievement in reading aspect. Moreover, in 2015 the government has held a UN (National Examination) for students of SMP / MTs and SMA / MA online special at some designated schools. Therefore, this study aimed to produce a product in the form of reading competence assessment instruments Indonesian Language class VII School Quipper based on aspects of the structure and contents, as well as aspects of the language. The product development process is using the working principle of R2D2 (recursive, reflective design and development). Competency assessment instrument reading in class VII-based Quipper School has three foci of work, namely (1) the determination, (2) design and development, and (3) dissemination. Products developed through this research is a standard assessment instrument grade reading competency-based Quipper VII School. Because based Quipper School, there are two aspects that are reviewed by experts, namely (1) the structure and content and (2) language. Data on each aspect is divided into two kinds, including (1) the review of the form of assessment and (2) the review of the form of input criticisms and suggestions. Discussion on the development of products focused on three aspects, namely the structure, content and language. The products developed are standards of competency assessment tools to read in Indonesian Language class VII. This product has the structure (1) about the odd semester and (2) about the second semester. The study on product research and development is focused on product excellence, product weaknesses, and the anticipated weakness of the product. Keywords: Development of Assessment Tools, Competency Reading, Quipper School.


2018 ◽  
Vol 21 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Megan Brenkel ◽  
Kimberley Whaley ◽  
Nathan Herrmann ◽  
Kerri Crawford ◽  
Elias Hazan ◽  
...  

BackgroundWith an increasingly aged, frail population that holds a disproportionate amount of wealth, clinicians (especially those with expertise in older adults) may be asked with more frequency to offer a clinical opinion on testamentary capacity (TC), the mental capacity to make a will.MethodThis paper reviews the legal criteria as well as the empirical research on assessment tools for determining testamentary capacity (TC). We also review the relevance of instruments used for the assessment of other decisional capacities in order to evince the potential value of developing a standardized assessment of TC for clinician experts.ResultsThe legal criteria, often referred to as a “test”, for determining requisite TC (Banks v. Goodfellow) have remained much the same since 1870 with minimal clinical input and, as such, there has been little development in TC assessment instruments. Decisional instruments designed to assess Consent to Treatment may have relevance for TC.ConclusionWe make the case for a semi-structured interview that includes standardized criteria for the legal test for TC, supplemented by a validated brief neuropsychological assessment, which together comprise a Contemporaneous Assessment Instrument (CAI) for TC.


Author(s):  
Sam Choi, Ph.D., M.S.W.

Reviews of literature reveal that there is recognition of the importance of development women-sensitive drug assessment instrument. However, validating existing drug assessment instruments with women and development of women-sensitive assessment tools remain in opaque areas for scholarly inquiry. The purposes of this paper are twofold: 1) to investigate outcomes of evaluation studies of existing drug abuse assessment instruments in woman population samples; 2) to examine the status of the empirical studies on psychometric properties among those instruments. This review investigates four drug assessment instruments including ASI, DAST, DUSI, and MMPI-s. A review of literature yields little evidence that research has been responding to ensure gender differences in drug assessment instruments. This study finding suggests the great demands of further research on validating existing drug assessment instruments and development of women-sensitive assessment instruments.


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