scholarly journals Psychometric properties of cognitive screening for patients with cerebrovascular diseases A systematic review

2019 ◽  
Vol 13 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Jaqueline de Carvalho Rodrigues ◽  
Natália Becker ◽  
Carolina Luísa Beckenkamp ◽  
Camila Schorr Miná ◽  
Jerusa Fumagalli de Salles ◽  
...  

ABSTRACT. Screening instruments are ideal for acute clinical settings because they are easy to apply, fast, inexpensive and sensitive for specific samples. However, there is a need to verify the psychometric properties of screening in stroke patients. Objective: This study investigated the psychometric properties (methodological procedures) of cognitive screening for patients with cerebrovascular diseases. Methods: A systematic review of papers published on PsycINFO, Web of Knowledge, PubMed and Science Direct (2005 to 2016) was performed. Results: A total of 55 articles remained after applying exclusion criteria. The samples ranged from 20 to 657 patients. Most articles evaluated elderly individuals with four to 13 years of education who had experienced ischemic or hemorrhagic stroke. There was a tendency to find evidence of validity for criteria and to analyze the sensitivity/specificity of the instruments. Although the studies frequently used the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) to seek evidence of validity and reliability, the use of these instruments among stroke patients has been criticized due to their psychometric properties and the neuropsychological functions evaluated. Conclusion: Although there is no gold standard screen for assessing adults post-stroke, instruments devised specifically for this population have shown promise. This review helps both researchers and clinicians to select the most appropriate screen for identifying cognitive impairment in adults post-stroke.

2021 ◽  
Author(s):  
Sergio Marin ◽  
Mateu Serra-Prat ◽  
Omar Ortega ◽  
Pere Clavé

Abstract Background and purpose: Oropharyngeal Dysphagia (OD) affects 40-81% of patients after stroke. A recent systematic review on the costs of OD and it’s main complications showed higher acute and long-term costs for those patients who developed OD, malnutrition and pneumonia after stroke. These results suggest that appropriate management of post-stroke OD could lead to reduction of clinical complications and significant cost savings. The purpose of this systematic review is to assess the available literature exploring the efficiency or cost-effectiveness of available healthcare interventions on the appropriate management of OD. Methods: A systematic review on economic evaluations of health care interventions on post-stroke patients with OD following PRISMA recommendations will be performed. MEDLINE, Embase, the National Health Service Economic Evaluation Database and the Cost-Effectiveness Analysis Registry Database will be searched and a subsequent reference check will be done. English and Spanish literature will be included without date restrictions. Studies will be included if they refer to economic evaluations or studies in which cost savings were reported in post-stroke patients suffering OD. Studies will be excluded if they are partial economic evaluation studies, if they refer to esophageal dysphagia, or if OD is caused by causes different from stroke. Evidence will be presented and synthetized with a narrative method and using tables. Quality evaluation will be done using Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Statement. Discussion: The protocol for this systematic review is the first step to assess the cost-effectiveness of the healthcare interventions that have been described as potential treatments for post-stroke OD. This systematic review will summarize the current evidence on the relation between cost and benefits associated with the appropriate management of OD in post-stroke patients. Systematic review registration: PROSPERO CRD42020136245


2020 ◽  
Author(s):  
Tahereh Mokhtarian-Gilani ◽  
Nourossadat kariman ◽  
Hamid Sharif-Nia ◽  
Mahbobeh Ahmadi-Doulabi ◽  
Malihe Nasiri

Abstract Background:The postpartum quality of life refers to women's understanding of their standing in the postpartum crisis that differs depending on their health status, social support, cultural status and values, attitudes, goals and standards. The present systematic review will identify, describe, and critically assess the psychometric properties of postpartum quality of life questionnaires.Methods/Design:A systematic review will be conducted in databases including PubMed, Embase, Scopus, Web of Science, PsycINFO, and CINAHL from January 2000 to January 2020. The psychometric properties (validity and reliability) of the instruments used in the primary studies will be assessed, and the selection, methodological quality assessment and data extraction processes of the studies will be independently assessed by two reviewers with expertise in conducting systematic reviews, so as to minimize potential personal bias. Eligible resources are selected after any lack of consensus is put to debate.The risk of bias is assessed using the COSMIN RISK of Bias checklist, and to evaluate the quality of the studies, the protocol is written based on the PRISMA-P1 standards. The results of the studies will be judged based on good measurement properties, and the results of all the studies are qualitatively summarized to produce a reference for the general quality of the results. The general quality of the evidence will be determined using a modified GRADE method.Discussion:This study assessed the psychometric properties of questionnaires used for assessing postpartum quality of life and its results can be used to identify the most appropriate tool for health applications in measuring postpartum quality of life. Systematic review registration: reference number in PROSPRO CRD42020166301


2019 ◽  
Vol 35 ◽  
pp. 22-32 ◽  
Author(s):  
Mian Wang ◽  
Zi-wen Pei ◽  
Bei-dou Xiong ◽  
Xian-mei Meng ◽  
Xiao-li Chen ◽  
...  

2020 ◽  
Author(s):  
Aline Rissatto Teixeira ◽  
Daniela Bicalho ◽  
Betzabeth Slater ◽  
Tacio de Mendonça Lima

AbstractBackgroundCulinary skills and food practices are important objects of study in the field of Public Health. Studies that propose to develop instruments for assessing such constructs show lack of methodological uniformity to provide evidence of validity and reliability of their instruments.ObjectiveTo identify studies that have developed instruments to measure culinary skills and other related concepts in adult population, and critically assess their psychometric properties.DesignA systematic review was conducted. A literature search was performed in PubMed/Medline, Scopus, LILACS, and Web of Science databases until June 2019. The Directory of Open Access Journals and Google Scholar databases were searched to identify relevant grey literature. Searching, selecting and reporting were done according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. Two reviewers were independently involved in study selection, data extraction, and instrument quality assessment. A third reviewer resolved all disagreements.ResultsThe search identified 1428 potentially relevant studies, out of which 18 had potentially relevant records and 8 met the inclusion criteria. Studies used literature, experts’ judgement, or qualitative interviews to develop the instruments. No studies received positive scores for all validity criteria. Although most studies received positive scores for internal consistency, none of them received positive scores for stability or presented evidence for content validity. One study showed positive results for construct validity. Two studies reported criterion validity, whose scores were deemed negative.ConclusionsMany studies that surveyed culinary skills and related latent phenomena were identified. The overall quality of the psychometric properties of most instruments was considered insufficient, especially for validity measures. A universal definition of culinary skills as an overarching construct is recommended. The flaws observed in these studies show that there is a need for ongoing research in the area of the psychometric properties of instruments assessing these constructs.


2014 ◽  
Vol 26 (11) ◽  
pp. 1783-1804 ◽  
Author(s):  
Juliana Emy Yokomizo ◽  
Sharon Sanz Simon ◽  
Cássio Machado de Campos Bottino

ABSTRACTBackground:Identifying dementia in primary care could minimize the impact of a late intervention; however, it shows high rates of misdiagnosis. One of the reasons seems to be the lack of knowledge of adequate cognitive screening instruments. This is a systematic review of the available instruments for the primary care context.Method:For this systematic review, articles were collected according to the following combined key terms: “cognitive screening” and “dementia” and “primary care” and “review”. Studies should be reviews focusing on cognitive screening instruments best used in primary care setting.Results:Thirteen reviews were selected. In total, it was considered 34 cognitive screening instruments. Half of the instruments can be applied in an adequate time-limit for primary care context. Memory is the most commonly assessed cognitive function (91%). Almost half of the tests are mentioned to have influence of education or cultural factors (44%).Conclusion:Tests such as 6CIT, AMT, GPCOG, Mini-Cog, MIS, MoCA, and STMS seem to be good alternatives to the use of the Mini-Mental State Examination when considering factors such as application time, sensitivity, specificity, and number of studies. However, there is a wide range of tests with different characteristics, therefore it is recommended that the professional gets some expertise in a few number of instruments in order to be able to choose which to use, or use in combination, depending on the setting and the profile of the patient.


2021 ◽  
Vol 34 (1) ◽  
Author(s):  
Mylena Aparecida Rodrigues Alves ◽  
Marcus Vinicius de Souza Lencina ◽  
Mayara Juliana Paes ◽  
Joice Mara Facco Stefanello

AbstractCollective efficacy, defined as a group’s shared belief about its conjoint capability to organize and execute courses of action, plays a pivotal role in understanding the dynamics of sports teams, since it influences what individuals choose to do as team members, how much they invest in motivational terms to perform actions, how much they work collectively, and for how long they persist despite failure. Through a systematic review, it was investigated how collective efficacy has been assessed in the context of soccer and which indicators, attributes, and psychometric properties have been contemplated in the instruments used. Following the PRISMA guidelines, 22 articles were retrieved through electronic databases (APA PsycINFO; SPORTDiscus; Science Direct; BVS; Web of Science; Scopus; PubMed; and Scielo), using as descriptors, in English, Spanish, and Portuguese, collective efficacy and soccer, combined by the Boolean operators AND and OR. The study did not delimit the initial year of publication for the searches carried out, including all articles found until January 14, 2021 (date of the last update). The following eligibility criteria were adopted: scientific articles published in journals; original studies, which specified the instrument used to assess collective efficacy and carried out with soccer athletes. Five instruments (FCEQ, CEQS, CEI, CEC, and CEQsoccer) that evaluated technical-tactical and psychological attributes associated with collective efficacy in soccer players were identified. In most studies, psychometric properties were restricted to content validity and reliability (internal consistency), and there were no suitable validation processes for the instruments used to measure collective efficacy, which can be considered a limiting factor for understanding this psychological construct in soccer modality.


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