scholarly journals Η στάθμιση της κλίμακας CAN στον ελληνικό πληθυσμό και η εκτίμηση των αναγκών των χρονίως και σοβαρά ψυχικά πασχόντων

2014 ◽  
Author(s):  
Πενταγιώτισσα Στεφανάτου

Σκοπός της μελέτης η οποία διενεργήθηκε ήταν να ελέγξει τις ψυχομετρικές ιδιότητες της ελληνικής μετάφρασης του Camberwell Assessment of Need (CAN), ενός εργαλείου το οποίο κατασκευάστηκε προκειμένου να εκτιμά σε ατομικό επίπεδο τις σύνθετες κλινικές, κοινωνικές και βασικές ανθρώπινες ανάγκες ατόμων με σοβαρή ψυχική διαταραχή. Για τη διεξαγωγή της μελέτης χρησιμοποιήθηκε η ελληνική μετάφραση της ερευνητικής έκδοσης του εργαλείου: CAN–R 3.0. Επιμέρους στόχοι της μελέτης ήταν: 1) να ελεγχθεί η αξιοπιστία μεταξύ βαθμολογητών (interrater reliability) και η αξιοπιστία ελέγχου-επανελέγχου (test-retest reliability) του εργαλείου, 2) να ελεγχθεί η συγχρονική εγκυρότητα (concurrent validity) του εργαλείου με την χρήση ως εξωτερικών κριτηρίων εργαλείων υποκειμενικής εκτίμησης της ποιότητας ζωής και της αναπηρίας - συγκεκριμένα με την χρήση των κλιμάκων WHOQOL-BREF και WHODAS 2.0, 3) να διερευνηθούν οι σχέσεις μεταξύ των αναγκών, της ποιότητας ζωής, της αναπηρίας/λειτουργικότητας & της ψυχοπαθολογίας, 4) να εντοπιστούν οι πιθανές διαφορές του προφίλ των αναγκών έτσι όπως εκτιμάται αφενός από τους ίδιους τους ασθενείς και αφετέρου από τους επαγγελματίες υγείας. Χορηγήσαμε το CAN-R σε δυο διαφορετικά χρονικά διαστήματα, με απόσταση 15 ημερών, σε 53 πάσχοντες από σχιζοφρένεια όπως και στους επαγγελματίες υγείας/ πρόσωπα αναφοράς, των ασθενών αυτών. Επιπλέον, στους 53 ασθενείς του δείγματός μας χορηγήσαμε τις κλίμακες WHOQOL-BREF, WHODAS 2.0 και PANSS. Σύμφωνα με τα ευρήματα της μελέτης μας: 1) προέκυψε ότι η ελληνική μετάφραση του CAN διαθέτει εξαιρετική αξιοπιστία μεταξύ βαθμολογητών και αξιοπιστία ελέγχου-επανελέγχου, 2) τεκμηριώθηκε ισχυρότερα η συγχρονική εγκυρότητα του CAN-R γενικότερα, δηλαδή η εδραίωση της δεν περιορίζεται αποκλειστικά στην ελληνική μετάφραση του εργαλείου, 3) βρέθηκε ότι όσο αυξάνει ο αριθμός των αναγκών που δεν καλύπτονται τόσο υποβαθμίζεται η ποιότητα ζωής των ασθενών, 4) οι στατιστικά σημαντικές αρνητικές συσχετίσεις που προέκυψαν μεταξύ αναγκών και αναπηρίας όπως και μεταξύ αναγκών και ψυχοπαθολογίας παραπέμπουν σε μια πιθανή αιτιολογική σχέση μεταξύ των ανωτέρω δεικτών θεραπευτικού αποτελέσματος 5) βρέθηκε υψηλή συμφωνία μεταξύ προσωπικού και ασθενών ως προς την εκτίμηση των αναγκών των τελευταίων σε αντίθεση με τα ευρήματα των περισσοτέρων προηγούμενων μελετών, πιθανά εξαιτίας της σταθερότητας της θεραπευτικής σχέσης και της συχνής παρακολούθησης για το 65% των υποκειμένων του δείγματός μας.O έλεγχος των ψυχομετρικών ιδιοτήτων του CAN-R απέδειξε ότι η ελληνική μετάφραση του εργαλείου διαθέτει εξαιρετική αξιοπιστία και εγκυρότητα. Η χορήγηση του CAN θα επιτρέψει την διεξαγωγή αξιόπιστων και έγκυρων εκτιμήσεων των αναγκών στον ελληνικό χώρο σε ερευνητικό επίπεδο και σε κλινικό επίπεδο. Η παρούσα μελέτη αλλά και όσες ακολουθήσουν με τη χρήση του CAN-R αναμένεται να συμβάλλουν στην ενίσχυση του κινήματος για την ισότιμη συμμετοχή των χρηστών των υπηρεσιών στη λήψη αποφάσεων, από τον θεραπευτικό σχεδιασμό σε ατομικό επίπεδο ως την χάραξη της κοινωνικής πολιτικής στο χώρο της ψυχικής υγείας, με απώτερο στόχο την διασφάλιση της ποιότητας ζωής τους. .

2000 ◽  
Vol 177 (S39) ◽  
pp. s34-s40 ◽  
Author(s):  
Paul McCrone ◽  
Morven Leese ◽  
Graham Thornicroft ◽  
Aart H. Schene ◽  
Helle Charlotte Knudsen ◽  
...  

BackgroundThe five-country European Psychiatric Services: Inputs Linked to Outcome Domains and Needs (EPSILON) Study aimed to develop standardised and reliable outcome instruments for people with schizophrenia. This paper reports reliability findings for the Camberwell Assessment of Need – European Version (CAN-EU).MethodThe CAN – EU was administered in each country, at two points in time to assess test – retest reliability, and was rated by two interviewers at the first administration. Cronbach's α, test–retest reliability and interrater reliability were compared between the five sites. Reliability coefficients and standard errors of measurement for summary scores were estimated.ResultsSites varied in levels and spread of needs. Alphas were 0.48, 0.58 and 0.64 for total, met and unmet needs respectively. Test–retest reliability estimates, pooled over sites, were 0.85 for the total needs, 0.69 for met needs and 0.78 for unmet needs. Pooled estimates for interrater reliability were higher, at 0.94, 0.85 and 0.79 for total, met and unmet needs respectively. There were statistically significant differences in interrater reliability between sites.ConclusionThe results confirm the feasibility of using CAN–EU across sites in Europe and its psychometric adequacy.


2000 ◽  
Vol 176 (5) ◽  
pp. 444-452 ◽  
Author(s):  
Tom Reynolds ◽  
Graham Thornicroft ◽  
Melanie Abas ◽  
Bob Woods ◽  
Juanita Hoe ◽  
...  

BackgroundThere exists no instrument specifically designed to measure comprehensively the needs of older people with mental disorders.AimTo develop such an instrument which would take account of patients', staff and carers' views on needs.MethodFollowing an extensive development process, the assessment instrument was subjected to a test–retest and interrater reliability study, while aspects of validity were addressed both during development and with data provided by sites in the UK, Sweden and the USA.ResultsThe Camberwell Assessment of Need for the Elderly (CANE) comprises 24 items (plus two items for carer needs), and records staff, carer and patient views. It has good content, construct and consensual validity. It also demonstrates appropriate criterion validity. Reliability is generally very high: κ > 0.85 for all staff ratings of interrater reliability. Correlations of interrater and test–retest reliability of total numbers of needs identified by staff were 0.99 and 0.93, respectively.ConclusionsThe psychometric properties of the CANE seem to be highly acceptable. It was easily used by a wide range of professionals without formal training.


1995 ◽  
Vol 167 (5) ◽  
pp. 589-595 ◽  
Author(s):  
Michael Phelan ◽  
Mike Slade ◽  
Graham Thornicroft ◽  
Graham Dunn ◽  
Frank Holloway ◽  
...  

BackgroundPeople with severe mental illness often have a complex mixture of clinical and social needs. The Camberwell Assessment of Need (CAN) is a new instrument which has been designed to provide a comprehensive assessment of these needs. There are two versions of the instrument: the clinical version has been designed to be used by staff to plan patients' care; whereas the research version is primarily a mental health service evaluation tool. The CAN has been designed to assist local authorities to fulfil their statutory obligations under the National Health Service and Community Care Act 1990 to assess needs for community services.MethodA draft version of the instrument was designed by the authors. Modifications were made following comments from mental health experts and a patient survey. Patients (n = 49) and staff (n = 60) were then interviewed, using the amended version, to assess the inter-rater and test-retest reliability of the instrument.ResultsThe mean number of needs identified per patient ranged from 7.55 to 8.64. Correlations of the inter-rater and test-retest reliability of the total number of needs identified by staff were 0.99 and 0.78 respectively. The percentage of complete agreement on individual items ranged from 100–81.6% (inter-rater) and 100–58.1% (test-retest).ConclusionsThe study suggests that the CAN is a valid and reliable instrument for assessing the needs of people with severe mental illness. It is easily learnt by staff from a range of professional backgrounds, and a complete assessment took, on average, around 25 minutes.


2019 ◽  
Vol 9 (17) ◽  
pp. 3481 ◽  
Author(s):  
Saranda Bekteshi ◽  
Marco Konings ◽  
Ioana Gabriela Nica ◽  
Sotirios Gakopoulos ◽  
Inti Vanmechelen ◽  
...  

The majority of individuals with dyskinetic cerebral palsy cannot use powered mobility with a joystick, due to the lack of manual abilities by the severe presence of dystonia and choreoathetosis. Reliable measurements of these movement disorders is indispensable for good evaluation towards evidence–based insights during powered mobility. This study aimed to develop and assess the Dyskinesia Impairment Mobility Scale (DIMS), a video–based tool to measure presence and severity of dystonia and choreoathetosis during powered mobility. DIMS was measured for the neck and arms region during five mobility tasks. Interrater reliability, test–retest reliability, internal consistency and concurrent validity of the DIMS were assessed. Interrater reliability coefficients ranged between 0.68 and 0.87 for the total DIMS, and the dystonia and choreoathetosis subscales. Test–retest reliability was moderate to excellent (range 0.51–0.93) while Cronbach’s alpha was good (range 0.69–0.81) for the total scale and subscale scores. Concurrent validity showed during mobility tasks significant correlations with rest postures in the arm region, and with requested but voluntary activity in the neck region. The DIMS reliably measures the presence and severity of the movement disorders during powered mobility, increasing insights into the underlying mechanisms of independent mobility. This scale may therefore be a promising tool to evaluate mobility training.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Widjane Sheila Ferreira Goncalves ◽  
Rebecca Byrne ◽  
Pedro Israel Cabral de Lira ◽  
Marcelo Tavares Viana ◽  
Stewart G. Trost

Abstract Background Childhood obesity has increased remarkably in low and middle-income (LMIC) countries. Movement behaviors (physical activity, screen time, and sleep) are crucial in the development of overweight and obesity in young children. Yet, few studies have investigated the relationship between children’s movement behaviors and parenting practices because validated measures for use among families from LMIC are lacking. This study evaluated the psychometric properties of previously validated measures of young children’s physical activity, screen time, and sleep and parenting practices, translated and culturally adapted to Brazilian families. Methods A total of 78 parent-child dyads completed an interviewer-administered survey twice within 7 days. Child physical activity, sedentary time and sleep were concurrently measured using a wrist-worn accelerometer. Internal consistency and test-retest reliability was assessed using McDonald’s Omega and Intraclass Correlation Coefficients (ICC’s). Concurrent validity was evaluated by calculating Spearman correlations between parent reported child behaviors and accelerometer measured behaviors. Results Seventeen of the 19 parenting practices scales exhibited acceptable internal consistency reliability (Ω ≥ 0.70). Test-retest reliability ICC’s were acceptable and ranged from 0.82 - 0.99. Parent reported child physical activity was positively correlated with objectively measured total movement (rho= 0.29 - 0.46, p < .05) and energetic play (rho= 0.29 – 0.40, p < .05). Parent reported child screen time was positively correlated with objectively measured sedentary time; (rho = 0.26, p < .05), and inversely correlated with total movement (rho = - 0.39 – - 0.41, p < .05) and energetic play (rho = - 0.37 – - 0.41, p < .05). Parent reported night-time sleep duration was significantly correlated with accelerometer measured sleep duration on weekdays (rho = 0.29, p < .05), but not weekends. Conclusions Measurement tools to assess children’s movement behaviors and parenting practices, translated and culturally adapted for use in Brazilian families, exhibited acceptable evidence of concurrent validity, internal consistency, and test-retest reliability.


Scientifica ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Mostafa Sadeghi ◽  
Homayoun Sadeghi-Bazargani ◽  
Shahrokh Amiri

Background. The Barkley Adult Attention Deficit/Hyperactivity Disorder (ADHD) Rating Scale-IV (BAARS-IV) was developed, and it demonstrated good psychometric properties. The BAARS-IV includes 27 questions on the symptoms of adult ADHD. The purpose of the present study is to investigate the psychometric testing of the Persian version of BAARS-IV among the elderlies in Tabriz City. Method. This cross-sectional study was conducted in Tabriz City—in the west of Iran—in 2015 via enrolling of 121 old-aged people. We did the process of translation and adaptation of BAARS-IV and examined its concurrent validity, internal consistency, and test-retest reliability. Result. The BAARS-IV demonstrated good internal consistency and test-retest reliability. Correlations between the BAARS-IV and the CAARS-S: SV were high and evidence supporting concurrent validity was revealed. Cronbach’s alpha for the overall scale and subscales stood at 0.89, 0.81, 0.66, 0.56, and 0.82, respectively. Conclusion. The Persian BAARS-IV showed acceptable reliability and validity. BAARS-IV was determined to be composed of internally consistent and psychometrically sound items.


2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Pongrác Ács ◽  
Réka Veress ◽  
Paulo Rocha ◽  
Tamás Dóczi ◽  
Bence László Raposa ◽  
...  

Abstract Background Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. Methods In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire – short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. Results The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111–0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788–0.981, p < 0.001). Conclusion The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.


2021 ◽  
Vol 12 ◽  
Author(s):  
Wei Xia ◽  
William Ho Cheung Li ◽  
Tingna Liang ◽  
Yuanhui Luo ◽  
Laurie Long Kwan Ho ◽  
...  

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.


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