A Novel Web Based Modified Rankin Scale Program for Certification and Patient Self Assessment Scoring in the Antihypertensive Treatment in Acute Cerebral Hemorrhage (ATACH II) Trial (P07.231)

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P07.231-P07.231
Author(s):  
E. Maland ◽  
R. Khatri ◽  
B. Connelly ◽  
S. Chaudhry ◽  
E. Abbott ◽  
...  
Keyword(s):  
Cerebral Hemorrhage ◽  
Antihypertensive Treatment ◽  
Modified Rankin Scale ◽  
Self Assessment ◽  
Web Based ◽  
Patient Self Assessment

Abstract 3701: A Novel Web based modified Rankin Scale program for certification and patient self assessment scoring in the Antihypertensive Treatment in Acute Cerebral Hemorrhage (ATACH II) Trial

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Rakesh Khatri ◽  
Bo Connelly ◽  
Saqib Chaudhry ◽  
Erik Maland ◽  
Emily Abbott ◽  
...  
Keyword(s):  
Visual Assessment ◽  
Pass Rate ◽  
Educational Video ◽  
Modified Rankin Scale ◽  
Self Assessment ◽  
Web Based ◽  
Clinical Interviews ◽  
Certification Programs ◽  
Power Point ◽  
Patient Self Assessment

Background: The modified Rankin Scale (mRS) is a commonly used disability scale in clinical trials pertaining to acute stroke. Previous studies suggest that requiring the use of certification programs can improve the accuracy of mRS grading. We developed two mRS video tools for use in the multinational ATACH II trial. These tools train medical professionals on assessing mRS and enable patients, or their caregivers, to ascertain their own mRS score. Methods: After conducting a thorough literature review and interviewing numerous accomplished neurologists, we focused the development of our mRS resources around two concepts: key differentiating points and standard interview questions. The certification program consists of two elements: an educational video and an assessment. The educational video describes the mRS scale in four formats: Power Point slides with narrator explanation, simulated clinical interviews, videos of patients outside of the clinical setting, and narrator overview of specific levels. After watching this video, users proceed to the assessment where they are asked to assess the mRS score of six patients based on visual assessment and specific answers to the six foundation interview questions. Users are required to assess all six scenarios correctly in order to pass. Results: To date 61 individuals have taken the certification course and test. 54 passed (88.5%) and 7 failed (11.4%) the test. The pass rate was very high in physicians and study coordinators (95.7% and 80.6%). Conclusion: A novel web based tool for mRS certification is described. We are currently designing validation studies for each of these tools. Pilot study is undergoing to validate the patient self assessment grading.

scholarly journals Initial Experience with a COVID-19 Web-Based Patient Self-assessment Tool

2020 ◽  
Vol 35 (9) ◽  
pp. 2821-2822 ◽  
Author(s):  
William M. Mehring ◽  
Andrew Poksay ◽  
Jesse Kriege ◽  
Rithvik Prasannappa ◽  
Michael D. Wang ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Initial Experience ◽  
Self Assessment ◽  
Web Based ◽  
Patient Self Assessment

Abstract 3740: Using Standardized Web-based Tests in Clinical Trials to Improve Investigator and Coordinator Protocol Familiarity: Experience from Antihypertensive Treatment of Acute Cerebral Hemorrhage II trial

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Catherine Dillon ◽  
Bo Connelly ◽  
Jaemyung Kim ◽  
Lynn Patterson ◽  
Yuko Y Palesch ◽  
...  
Keyword(s):  
Cerebral Hemorrhage ◽  
Antihypertensive Treatment ◽  
Multiple Choice ◽  
Steering Committee ◽  
Pass Rate ◽  
First Year ◽  
Multiple Choice Questions ◽  
Trial Management ◽  
Web Based ◽  
Initiation Process

Background: Prior to site initiations, the Antihypertensive Treatment of Acute Cerebral Hemorrhage II (ATACH-II) trial steering committee require that all investigators and coordinators participating in the trial pass a multiple choice web based test that assesses the individual’s knowledge of the trial protocol and manual of procedures. Requiring a test of this nature was expected to increase the probability that key individuals participating in the trial at various clinical sites had acquired protocol familiarity that would enable them to conduct the trial properly. This benefit was weighed against the additional burden imposed on the site initiation process. Methods: The steering committee developed a bank of 38 multiple choice questions based on the ATACH-II protocol and manual of procedures (MoP). These questions were identified as appropriate for an investigator, a coordinator, or both. The test was programmed by the ATACH-II Data Coordination Unit and hosted on a web page linked to the ATACH-II Clinical Trial Management System (CTMS). Each time a user registers to take the test a random selection of 14 questions appropriate for that user type (investigator or coordinator) is generated. When a user passes the test, the test certification document is automatically created and uploaded into the ATACH-II CTMS. Results: In the first year of the trial the test has been taken 418 times. Users are required to answer 12 questions correctly in order to pass. Users registered as investigators have taken the test 263 times with a 55.9% pass rate. Users registered as coordinators or other study team members have taken the test 155 times with a 56.1% pass rate. The pass ratio has increased from 49.5% at the end of the first quarter to 56.0% at the end of the last quarter of the first year. The mean score is 10/14 and the median score is 12/14 among all participants taking the test. Conclusion: Requiring each investigator and coordinator to become certified by passing this test adds substantial burden to the site initiation process. However, the 56% pass rate observed provides evidence that such efforts may be required to promote the necessary familiarity with the protocol and MoP for this trial.

Web-Based Peer and Self-Assessment System Design and Development for Elementary School Students

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Mehmet EMIN KORTAK
Keyword(s):  
Elementary School ◽  
Elementary School Students ◽  
Primary Schools ◽  
Peer Assessment ◽  
Assessment System ◽  
Assessment Process ◽  
School Students ◽  
Self Assessment ◽  
Web Based ◽  
User Friendly

This research aimed at designing and improving the web-based integrated peer and self- assessment. WesPASS (web-based peer-assessment system), developed in this research, allows students to assess their own or their peers’ performance and project assignments and to report about the result of these assessments so that they correct their assignments. This study employed design-based research. The participants included 102 fourth grade primary school students and their 4 teachers from 2 state and 2 private primary schools in Ankara, Kecioren (Turkey) who employed the system and were engaged in a questionnaire survey to assess its quality. The findings were analyzed through quantitative data analysis. The findings revealed that the system can be used by elementary school students for peer and self-assessment system. The participants stated that WesPASS is simple and user-friendly, and it accelerates the assessment process by employing information technology and allows to share opinions 

Patient Self-Assessed Passive Range of Motion of the Knee Cannot Replace Health Professional Measurements

2017 ◽  
Vol 30 (08) ◽  
pp. 829-834
Author(s):  
Frank Madsen ◽  
Anders Odgaard ◽  
Jens Borgbjerg
Keyword(s):  
Range Of Motion ◽  
Knee Extension ◽  
Flexion Contracture ◽  
Patient Assessment ◽  
Limits Of Agreement ◽  
Self Assessment ◽  
Knee Motion ◽  
Bland Altman Method ◽  
Flexion And Extension ◽  
Patient Self Assessment

AbstractThe purpose of this study was to investigate whether patients can accurately self-assess their knee passive range of motion (PROM). A picture-based questionnaire for patient self-assessment of knee PROM was developed and posted to patients. The self-assessed PROM from 58 patients was compared with surgeon-assessed PROM using a short-arm goniometer. Agreement between the measurement methods was calculated with the Bland-Altman method. We calculated the sensitivity and specificity of patient-assessed PROM in dichotomously detecting knee motion impairment in both flexion (≤ 100 degrees) and extension (≥ 10-degree flexion contracture). Surgeon- and patient-assessed knee PROM showed a mean difference (95% limits of agreement) of −2.1 degrees (−42.5 to 38.3 degrees) for flexion and −8.1 degrees (−28.8 to 12.7 degrees) for extension. The sensitivity of patient self-assessed PROM in identifying knee flexion and extension impairments was 86 and 100%, respectively, whereas its specificity was 84 and 43%, respectively. Although wide limits of agreement were observed between surgeon- and patient-assessed knee PROM, the picture-based questionnaire for patient assessment of knee ROM was found to be a valid tool for dichotomously detecting knee motion impairment in flexion (≤ 100 degrees). However, the specificity of the questionnaire for detection of knee extension impairments (≥ 10-degree flexion contracture) was low, which limits is practical utility for this purpose.

Development and validation of a tool for patient reporting of symptoms and signs of the post-thrombotic syndrome

2016 ◽  
Vol 115 (02) ◽  
pp. 361-367 ◽  
Author(s):  
Kristin Kornelia Utne ◽  
Waleed Ghanima ◽  
Siv Foyn ◽  
Susan Kahn ◽  
Per Morten Sandset ◽  
...  
Keyword(s):  
Reference Method ◽  
Patient Reporting ◽  
Self Assessment ◽  
Post Thrombotic Syndrome ◽  
Supplementary Material ◽  
Development And Validation ◽  
Kappa Agreement ◽  
Symptoms And Signs ◽  
Patient Self Assessment

SummaryPost-thrombotic syndrome (PTS) is a long-term complication of deepvein thrombosis (DVT). The Villalta scale is the recommended tool for diagnosing PTS, but requires a clinician’s assessment in addition to patient self-assessment. In the present study, we validated a self-administered tool for patient reporting of leg symptoms and signs as a mean to assess PTS. We first validated a form for patient self-reported Villalta (PRV1), then developed and validated a visually assisted form (PRV2). The validity of PRV1 and PRV2 was assessed in patients diagnosed with DVT between 2004 and 2012. Median time from DVT to inclusion was 5.1 and 3.5 years for PRV1 (n=162) and PRV2 (n=94), respectively. Patients were requested to complete the PRV form before a scheduled visit. PTS diagnosed by the original Villalta scale during the visit served as the reference method. PRV1 showed only moderate agreement for diagnosing PTS compared with the original Villalta scale (kappa agreement 0.60, 95 % CI 0.48–0.72), whereas PRV2 showed very good agreement (0.82, 95 % CI 0.71–0.94). In the validation of PRV2, PTS was diagnosed in 54 (57 %) patients according to the original Villalta scale and in 60 (64 %) by PRV2. The sensitivity of PRV2 to detect PTS was 98 % and the specificity was 83 %. We conclude that the visually assisted form for PRV is a valid and sensitive tool for diagnosing PTS. Such a tool could be applied in further clinical studies of PTS, making studies less resource demanding by reducing the need for in-person clinic visits.Supplementary Material to this article is available online at www.thrombosis-online.com.

Voice disorders after total thyroidectomy: Prospective patient self-assessment in comparison with traditional and alternative methods of examining the vocal folds

2020 ◽  
Author(s):  
Alexander Shulutko ◽  
Vasiliy Semikov ◽  
Andrey Moiseev ◽  
Elkhan Osmanov ◽  
Yulia Boblak ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Vocal Folds ◽  
Indirect Laryngoscopy ◽  
Alternative Methods ◽  
Original Form ◽  
Self Assessment ◽  
The Third ◽  
The Mean ◽  
The Voice ◽  
Patient Self Assessment

Abstract Background Voice alterations after thyroidectomy with mobile vocal folds are common. Ultrasonography has been used to assess the mobility of the vocal folds after thyroidectomy. Methods 54 patients underwent thyroidectomy. Indirect laryngoscopy, ultrasonography and GRBAS scoring were performed preoperatively,3 days, 2 and 6 months postoperatively. Results On the third postoperative day, the mobility of the vocal folds was preserved in 52 patients and paresis were recorded in 2 patients. All patients after total thyroidectomy noted the presence of voice alteration in the absence of the postoperative paresis of the vocal folds. On the third postoperative day, the voice was impaired by all criteria of the GRBAS scale, but mainly due to roughness (85%). Sixth month postoperatively 62% of the subjects considered the voice to be altered. Asthenia was observed in 39%. On the third postoperative day indirect laryngoscopy revealed the unchanged vocal folds, the symmetrical edema and the shortening of one of the vocal folds in 56%,42% and 1.9%. Six months postoperatively, the vocal folds returned to their original form. Ultrasonography was well correlated to the results of indirect laryngoscopy. Patients with edema of the vocal folds had a significantly higher mean GRBAS grade than patients without edema. The mean GRBAS score decreased from 3.36 to 0.90, 3 days and 6 months postoperatively. Conclusion Voice alteration after total thyroidectomy is always present. Postoperative edema represents a likely main cause of voice alteration and resolves within 6 months. Ultrasonography is recommended as alternative to indirect laryngoscopy in assessing of the vocal folds in thyroid surgery patients.

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