Development and preliminary validation of the Chronic Pain Acceptance Questionnaire for Clinicians

2020 ◽  
Vol 20 (4) ◽  
pp. 673-682
Author(s):  
Martin Rabey ◽  
Mark Catley ◽  
Kevin Vowles ◽  
Damien Appleton ◽  
Richard Bennett ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Standard Error ◽  
Rasch Analysis ◽  
Intraclass Correlation ◽  
Healthcare Providers ◽  
Test Reliability ◽  
Good Reliability ◽  
Pain Acceptance ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

AbstractBackground and AimsHigher chronic pain acceptance is associated with lower pain and disability. Clinician beliefs are associated with patients’ beliefs. This study therefore aimed to develop the Chronic Pain Acceptance Questionnaire for Clinicians (CPAQ-C) to measure clinicians’ beliefs regarding the importance of levels of acceptance in patients with chronic pain, and to examine the questionnaire’s psychometric properties.MethodsPhase one: the CPAQ-C was adapted from the Chronic Pain Acceptance Questionnaire. Data on 162 completed questionnaires were analysed using Rasch analysis. Phase Two: the cohort completed the Healthcare Providers Pain and Impairment Relationship Scale, and the association (Pearson’s correlation co-efficient) between these questionnaires examined to assist CPAQ-C validation. Twenty-four participants completed the CPAQ-C one-week later. Test re-test reliability was examined using intraclass correlation co-efficient (2,1) and standard error of measurement. Phase Three: to examine responsiveness 17 clinicians attending a workshop on Acceptance and Commitment Therapy completed the CPAQ-C before and immediately after the workshop, and six-months later. The Skillings Mack test was used to determine whether CPAQ-C scores differed across different timepoints.ResultsRasch analysis supported two subscales: activity engagement and pain willingness. Five poorly functioning items were excluded. There was good correlation between the CPAQ-C and Healthcare Providers Pain and Impairment Relationship Scale (-.54). The CPAQ-C demonstrated good reliability (ICC (2,1): .81; standard error of measurement: 4.76). There was significant improvement in CPAQ-C scores following the workshop (p=<.001).ConclusionsThe CPAQ-C appears a valid, reliable and responsive measure of clinicians’ beliefs regarding the importance of levels of acceptance in patients with chronic pain.ImplicationsWhere the CPAQ-C reveals that clinicians have low perceived levels of importance regarding acceptance in patients with chronic pain those clinicians may benefit from specific education, however, this requires further examination.

Interpretation of the Standard Error of Measurement when True Scores and Error Scores on Mental Tests are Not Independent

1966 ◽  
Vol 19 (2) ◽  
pp. 611-617 ◽  
Author(s):  
Donald W. Zimmerman ◽  
Richard H. Williams
Keyword(s):  
Standard Deviation ◽  
Standard Error ◽  
Test Score ◽  
Test Reliability ◽  
True Score ◽  
Observed Score ◽  
Standard Error Of Measurement ◽  
True Scores ◽  
Modified Equation ◽  
Error Of Measurement

It is shown that for the case of non-independence of true scores and error scores interpretation of the standard error of measurement is modified in two ways. First, the standard deviation of the distribution of error scores is given by a modified equation. Second, the confidence interval for true score varies with the individual's observed score. It is shown that the equation, so=√[(N−O/a]+[so2(roō−roo)/roō]̄, where N is the number of items, O is the individual's observed score, a is the number of choices per item, so2 is observed variance, roo is test reliability as empirically determined, and roō is reliability for the case where only non-independent error is present, provides a more accurate interpretation of the test score of an individual.

Assessment of Knee Laxity Following Anterior Cruciate Ligament Reconstruction

1993 ◽  
Vol 2 (2) ◽  
pp. 97-103 ◽  
Author(s):  
Kelly R. Holcomb ◽  
Cheryl A. Skaggs ◽  
Teddy W. Worrell ◽  
Mark DeCarlo ◽  
K. Donald Shelbourne
Keyword(s):  
Anterior Cruciate Ligament ◽  
Standard Error ◽  
Cruciate Ligament ◽  
Intraclass Correlation ◽  
Knee Laxity ◽  
Testing Procedures ◽  
Kt 1000 ◽  
Anterior Cruciate ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

A paucity of information exists concerning reliability of the KT-1000 knee arthrometer (MEDmetric Corp., San Diego, CA) when used by different clinicians to assess the same anterior cruciate ligament-deficient patient. The purpose of this study was to determine the reliability and standard error of measurement of four clinicians who routinely report KT-1000 arthrometer values to referring orthopedic surgeons. Two physical therapists and two athletic trainers performed anterior laxity tests using the KT-1000 on 19 subjects. Intraclass correlation coefficients (ICC) and standard error of measurement (SEM) were used to determine reliability. Intratester ICC ranged from .98 to 1.0 and intratesterSEMranged from 0.0 to .28 mm. Intertester ICC andSEMfor all four testers were .53 and 1.2 mm, respectively. A 95% confidence interval (M ± 1.96 ×SEM) of the intertester variability ranged from −0.18 to 4.52 mm. Therefore, large intertester variation existed in KT-1000 values. Each facility should standardize testing procedures and establish intratester and intertester reliability for all clinicians reporting KT-1000 values.

scholarly journals Measurement of Sacroiliac Joint Dysfunction: A Multicenter Intertester Reliability Study

1999 ◽  
Vol 79 (12) ◽  
pp. 1134-1141 ◽  
Author(s):  
Janet K Freburger ◽  
Daniel L Riddle
Keyword(s):  
Standard Error ◽  
Sacroiliac Joint ◽  
Intraclass Correlation ◽  
Kappa Coefficient ◽  
Outpatient Clinics ◽  
Reliability Study ◽  
Kappa Value ◽  
The Subject ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Abstract Background and Purpose. Previous research suggests that visual estimates of sacroiliac joint (SIJ) alignment are unreliable. The purpose of this study was to determine whether handheld calipers and an inclinometer could be used to obtain reliable measurements of SIJ alignment in subjects suspected of having SIJ dysfunction. Subjects. Seventy-three subjects, evaluated at 1 of 5 outpatient clinics, participated in the study. Methods. A total of 23 therapists, randomly paired for each subject, served as examiners. The angle of inclination of each innominate was measured while the subject was standing. The position of the innominates relative to each other was then derived. An intraclass correlation coefficient (ICC), the standard error of measurement (SEM), and a kappa coefficient were calculated to examine the reliability of the derived measurements. Results. The ICC was .27, the SEM was 5.4 degrees, and the kappa value was .18. Conclusion and Discussion. Measurements of SIJ alignment were unreliable. Therapists should consider procedures other than those that assess SIJ alignment when evaluating the SIJ.

scholarly journals Upper-Extremity Volume Measurements in Women With Lymphedema: A Comparison of Measurements Obtained Via Water Displacement With Geometrically Determined Volume

2002 ◽  
Vol 82 (12) ◽  
pp. 1201-1212 ◽  
Author(s):  
Antoinette P Sander ◽  
Nicole M Hajer ◽  
Kristie Hemenway ◽  
Amy C Miller
Keyword(s):  
Upper Extremity ◽  
Standard Error ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Strongly Correlated ◽  
Water Displacement ◽  
Volume Measurements ◽  
Water Volumes ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Abstract Background and Purpose. Upper-extremity (UE) swelling following breast cancer treatment is a frequent manifestation of lymphedema. In order to document outcomes from lymphedema treatments, reliable, valid, and practical measurements of UE swelling are necessary. The purpose of this study was to compare geometric methods of determining UE volumes with water displacement methods. Subjects. The edematous hand, forearm, and upper arm of 50 women with UE swelling secondary to lymphedema were measured. Methods. Upper-extremity volumes were determined by water displacement using arm and hand volumeters. Displaced water was weighed to determine volume. Circumferential girth measurements were taken. Width and depth measurements of the hand were taken with a tension-controlled caliper. Geometric volume formulas for a cylinder, frustum, rectangular solid, and trapezoidal solid were used to calculate volumes of the arm and hand at different measurement intervals. Results. Intraclass correlation coefficients [2,1] for interrater and intrarater reliability of all water and geometric measurements of the arm and hand were .91 to .99 and .92 to .99, respectively. Water displacement correlated with geometric measurements in the arm (r=.97–.98) and in the hand (r=.81–.91). The limits of agreement (LOA) indicated that water and geometric measurements of arm volume differed by 479 to 655 mL. Scatterplots of the LOA data indicated in that geometric volumes were either larger or smaller than water volumes. The smallest standard error of measurement for the arm measurements was for the 6-cm frustum method at 115 mL; for the hand measurements, the smallest standard error of measurement was for the frustum method at 16 mL. Discussion and Conclusion. Volume of an edematous UE calculated by geometric formulas correlated strongly with volume determined by water displacement. Although strongly correlated, the measurements obtained by the 2 methods did not agree.

Intrarater and Interrater Reliability of First Metatarsophalangeal Joint Dorsiflexion

2012 ◽  
Vol 102 (4) ◽  
pp. 290-298 ◽  
Author(s):  
Angela M. Jones ◽  
Sarah A. Curran
Keyword(s):  
Standard Error ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Metatarsophalangeal Joint ◽  
Visual Estimation ◽  
First Metatarsophalangeal Joint ◽  
Real Size ◽  
Continued Use ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Background: Visual estimation (VE) and goniometric measurement (GM) are commonly used to assess first metatarsophalangeal joint dorsiflexion. The purposes of this study were to determine the intrarater and interrater reliability of VE and GM and to establish whether reliability was influenced by the experience of the examiner. Methods: Ten experienced and ten inexperienced examiners evaluated three real-size photographs of a first metatarsophalangeal joint positioned in various degrees of dorsiflexion on two separate occasions. Results: Experienced examiners demonstrated excellent intrarater and interrater reliability for GM (intraclass correlation coefficient [ICC], &gt;0.953; standard error of measurement [SEM], 1.8°–2.5°) compared with inexperienced examiners, who showed fair-to-good intrarater and interrater reliability (ICC, 0.322–0.597; SEM, 2.0°–3.0°). For VE, inexperienced examiners demonstrated fair-to-good interrater and excellent intra-rater reliability (ICC, 0.666–0.808), which was higher compared with experienced examiners (ICC, 0.167–0.672). The SEM (2.8°–4.4°) was less varied than that of experienced examiners (SEM, 3.8°–6.4°) for VE, but neither group’s SEMs were clinically acceptable. Conclusions: Although minimal differences between intrarater and interrater reliability of GM and VE are noted, this study suggests that GM is more reliable than VE is when used by experienced examiners. These findings support the continued use of GM for first metatarsophalangeal joint dorsiflexion assessment. (J Am Podiatr Med Assoc 102(4): 290–298, 2012)

Assessing Reliability and Precision of Measurement: An Introduction to Intraclass Correlation and Standard Error of Measurement

1993 ◽  
Vol 2 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Craig R. Denegar ◽  
Donald W. Ball
Keyword(s):  
Clinical Practice ◽  
Analysis Of Variance ◽  
Standard Error ◽  
Sports Medicine ◽  
Intraclass Correlation ◽  
Research Project ◽  
Variance Estimates ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

The reliability and precision of measurement in sports medicine are of concern in both research and clinical practice. The validity of conclusions drawn from a research project and the rationale for decisions made about the care of an injured athlete are directly related to the precision of measurement. Through analysis of variance, estimates of reliability and precision of measurement can be quantified. The purpose of this manuscript is to introduce the concepts of intraclass correlation as an estimate of reliability and standard error of measurement as an estimate of precision. The need for a standardized set of formulas for intraclass correlation is demonstrated, and it is urged that the standard error of measurement be included when estimates of reliability are reported. In addition, three examples are provided to illustrate important concepts and familiarize the reader with the process of calculating these estimates of reliability and precision of measurement.

Errors in Measuring Glenohumeral Arthrokinematics With 2-Dimensional Fluoroscopy

2020 ◽  
pp. 1-6
Author(s):  
Meena Makhija ◽  
Jasobanta Sethi ◽  
Chitra Kataria ◽  
Harpreet Singh ◽  
Paula M. Ludewig ◽  
...  
Keyword(s):  
Standard Error ◽  
Humeral Head ◽  
Intraclass Correlation ◽  
Optical Distortion ◽  
Small Magnitude ◽  
Standard Error Of Measurement ◽  
Scapular Plane ◽  
Error Of Measurement

Two-dimensional fluoroscopic imaging allows measurement of small magnitude humeral head translations that are prone to errors due to optical distortion, out-of-plane imaging, repeated manual identification of landmarks, and magnification. This article presents results from in vivo and in vitro fluoroscopy-based experiments that measure the errors and variability in estimating the humeral head translated position in true scapular plane and axillary views. The errors were expressed as bias and accuracy. The variability with repeated digitization was calculated using the intraclass correlation coefficient (ICC) and the standard error of measurement. Optical distortion caused underestimation of linear distances. The accuracy was 0.11 and 0.43 mm for in vitro and in vivo experiments, respectively, for optical distortion. The intrarater reliability was excellent for both views (ICC = .94 and .93), and interrater reliability was excellent (ICC = .95) for true scapular view but moderate (ICC = .74) for axillary views. The standard error of measurement ranged from 0.27 to 0.58 mm. The accuracy for the humeral head position in 10° out of true scapular plane images ranged from 0.80 to 0.87 mm. The current study quantifies the magnitude of error. The results suggest that suitable measures could be incorporated to minimize errors and variability for the measurement of glenohumeral parameters.

scholarly journals Short version of the Depression Anxiety Stress Scale-21: is it valid for Brazilian adolescents?

2016 ◽  
Vol 14 (4) ◽  
pp. 486-493 ◽  
Author(s):  
Hítalo Andrade da Silva ◽  
◽  
Muana Hiandra Pereira dos Passos ◽  
Valéria Mayaly Alves de Oliveira ◽  
Aline Cabral Palmeira ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Standard Error ◽  
Intraclass Correlation ◽  
Short Version ◽  
Detectable Change ◽  
Depression Anxiety Stress Scale ◽  
Stress Scale ◽  
Minimum Detectable Change ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

ABSTRACT Objective To evaluate the interday reproducibility, agreement and validity of the construct of short version of the Depression Anxiety Stress Scale-21 applied to adolescents. Methods The sample consisted of adolescents of both sexes, aged between 10 and 19 years, who were recruited from schools and sports centers. The validity of the construct was performed by exploratory factor analysis, and reliability was calculated for each construct using the intraclass correlation coefficient, standard error of measurement and the minimum detectable change. Results The factor analysis combining the items corresponding to anxiety and stress in a single factor, and depression in a second factor, showed a better match of all 21 items, with higher factor loadings in their respective constructs. The reproducibility values for depression were intraclass correlation coefficient with 0.86, standard error of measurement with 0.80, and minimum detectable change with 2.22; and, for anxiety/stress: intraclass correlation coefficient with 0.82, standard error of measurement with 1.80, and minimum detectable change with 4.99. Conclusion The short version of the Depression Anxiety Stress Scale-21 showed excellent values of reliability, and strong internal consistency. The two-factor model with condensation of the constructs anxiety and stress in a single factor was the most acceptable for the adolescent population.

scholarly journals The Isometric Horizontal Push Test: Test–Retest Reliability and Validation Study

2020 ◽  
Vol 15 (4) ◽  
pp. 581-584 ◽  
Author(s):  
Antonio Dello Iacono ◽  
Stephanie Valentin ◽  
Mark Sanderson ◽  
Israel Halperin
Keyword(s):  
Strain Gauge ◽  
Standard Error ◽  
Intraclass Correlation ◽  
Force Plate ◽  
Ease Of Use ◽  
Peak Force ◽  
Retest Reliability ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Purpose: To investigate the test–retest reliability and criterion validity of the isometric horizontal push test (IHPT), a newly designed test that selectively measures the horizontal component of maximal isometric force. Methods: Twenty-four active males with ≥3 years of resistance training experience performed 2 testing sessions of the IHPT, separated by 3 to 4 days of rest. In each session, subjects performed 3 maximal trials of the IHPT with 3 minutes of rest between them. The peak force outputs were collected simultaneously using a strain gauge and the criterion equipment consisting of a floor-embedded force plate. Results: The test–retest reliability of peak force values was nearly perfect (intraclass correlation coefficient = ∼.99). Bland–Altman analysis showed excellent agreement between days with nearly no bias for strain gauge 1.2 N (95% confidence interval [CI], −3 to 6 N) and force plate 0.8 N (95% CI, −4 to 6 N). A nearly perfect correlation was observed between the strain gauge and force plate (r = .98, P < .001), with a small bias of 8 N (95% CI, 1.2 to 15 N) in favor of the force plate. The sensitivity of the IHPT was also good, with smallest worthwhile change greater than standard error of measurement for both the strain gauge (smallest worthwhile change: 29 N; standard error of measurement: 17 N; 95% CI, 14 to 20 N) and the force plate (smallest worthwhile change: 29 N; standard error of measurement: 18 N; 95% CI, 14 to 19 N) devices. Conclusions: The high degree of validity, reliability, and sensitivity of the IHPT, coupled with its affordability, portability, ease of use, and time efficacy, point to the potential of the test for assessment and monitoring purposes.

scholarly journals Using Unilateral Strength, Power and Reactive Strength Tests to Detect the Magnitude and Direction of Asymmetry: A Test-Retest Design

Sports ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 58 ◽  
Author(s):  
Chris Bishop ◽  
Paul Read ◽  
Shyam Chavda ◽  
Paul Jarvis ◽  
Anthony Turner
Keyword(s):  
Intraclass Correlation ◽  
Test Reliability ◽  
Systematic Bias ◽  
Paired Samples ◽  
Strength Tests ◽  
Limb Asymmetry ◽  
Healthy Athlete ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

The aims of the present study were to determine test-retest reliability for unilateral strength and power tests used to quantify asymmetry and determine the consistency of both the magnitude and direction of asymmetry between test sessions. Twenty-eight recreational trained sport athletes performed unilateral isometric squat, countermovement jump (CMJ) and drop jump (DJ) tests over two test sessions. Inter-limb asymmetry was calculated from both the best trial and as an average of three trials for each test. Test reliability was computed using the intraclass correlation coefficient (ICC), coefficient of variation (CV) and standard error of measurement (SEM). In addition, paired samples t-tests were used to determine systematic bias between test sessions and Kappa coefficients to report how consistently asymmetry favoured the same side. Within and between-session reliability ranged from moderate to excellent (ICC range = 0.70–0.96) and CV values ranged from 3.7–13.7% across tests. Significant differences in asymmetry between test sessions were seen for impulse during the isometric squat (p = 0.04; effect size = –0.60) but only when calculating from the best trial. When computing the direction of asymmetry across test sessions, levels of agreement were fair to substantial for the isometric squat (Kappa = 0.29–0.64), substantial for the CMJ (Kappa = 0.64–0.66) and fair to moderate for the DJ (Kappa = 0.36–0.56). These results show that when asymmetry is computed between test sessions, the group mean is generally devoid of systematic bias; however, the direction of asymmetry shows greater variability and is often inter-changeable. Thus, practitioners should consider both the direction and magnitude of asymmetry when monitoring inter-limb differences in healthy athlete populations.

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