Validation of the Drexel University ACT/tCBT adherence and competence rating scale: revised for use in a clinical population

2021 ◽  
Author(s):  
Kathleen Bridget McGrath
2021 ◽  
Vol 34 (1) ◽  
Author(s):  
Evandro Morais Peixoto ◽  
Daniela Sacramento Zanini ◽  
Josemberg Moura de Andrade

Abstract Background The Kessler Distress Scale (K10) is a self-report scale for the assessment of non-specific psychological distress in the general and clinical population. Because of its ease of application and good psychometric properties, the K10 has been adapted to several cultures. The present study seeks to adapt the K10 to Brazilian Portuguese and estimate its validity evidence and reliability. Methods A total of 1914 individuals from the general population participated in the study (age = 34.88, SD = 13.61, 77.7% female). The adjustment indices were compared among three different measurement models proposed for the K10 through confirmatory factor analysis (CFA). The items’ properties were analyzed by Andrich’s Rating Scale Model (RSM). Furthermore, evidence based on relations to other variables (depression, stress, anxiety, positive and negative affects, and satisfaction with life) was estimated. Results CFA indicated the adequacy of the bifactor model (CFI= 0.985; TLI= 0.973; SMR= 0.019; RMSEA= 0.050), composed of two specific factors (depression and anxiety) and one general factor (psychological distress), corresponding to the theoretical hypothesis. Additionally, it was observed multiple-group invariance by gender and age range. The RSM provided an understanding of the organization of the continuum represented by the psychological distress construct (items difficulty), which varied from −0.89 to 1.00; good adjustment indexes; infit between 0.67 and 1.32; outfit between 0.68 and 1.34; and desirable reliability, α= 0.87. Lastly, theoretically coherent associations with the external variables were observed. Conclusions It is concluded that the Brazilian version of the K10 is a suitable measure of psychological distress for the Brazilian population.


2020 ◽  
Vol 35 (7) ◽  
pp. 1094-1108
Author(s):  
Morgan E Nitta ◽  
Brooke E Magnus ◽  
Paul S Marshall ◽  
James B Hoelzle

Abstract There are many challenges associated with assessment and diagnosis of ADHD in adulthood. Utilizing the graded response model (GRM) from item response theory (IRT), a comprehensive item-level analysis of adult ADHD rating scales in a clinical population was conducted with Barkley's Adult ADHD Rating Scale-IV, Self-Report of Current Symptoms (CSS), a self-report diagnostic checklist and a similar self-report measure quantifying retrospective report of childhood symptoms, Barkley's Adult ADHD Rating Scale-IV, Self-Report of Childhood Symptoms (BAARS-C). Differences in item functioning were also considered after identifying and excluding individuals with suspect effort. Items associated with symptoms of inattention (IA) and hyperactivity/impulsivity (H/I) are endorsed differently across the lifespan, and these data suggest that they vary in their relationship to the theoretical constructs of IA and H/I. Screening for sufficient effort did not meaningfully change item level functioning. The application IRT to direct item-to-symptom measures allows for a unique psychometric assessment of how the current DSM-5 symptoms represent latent traits of IA and H/I. Meeting a symptom threshold of five or more symptoms may be misleading. Closer attention given to specific symptoms in the context of the clinical interview and reported difficulties across domains may lead to more informed diagnosis.


1992 ◽  
Vol 36 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Indramani L. Singh ◽  
Robert Molloy ◽  
Raja Parasuraman

In the present studies, a scale was developed for measuring attitudes toward automation technology that reflect a potential for complacency. In the first, developmental study, a 20-item questionnaire consisting of statements concerning various aspects of automation was administered to 139 undergraduates at Catholic University. Factor analysis of the complacency potential rating scale (CPRS) revealed five independent factors, namely: general, confidence- reliance-, trust-, and safety-related complacency. The internal consistency reliability coefficients of the five factors and the scale as a whole were found to be high, and the scales revealed satisfactory test-retest reliabilities. The pattern of correlations among CPRS score, age, gender, computer use, and computer experience were consistent with previous studies examining attitudes toward microcomputer usage (Igbaria and Parasuraman, 1991). In the second, validation study, the 20-item CPRS was cross-validated on a sample of 175 undergraduate students at Drexel University. Factor analysis similarly revealed five factors with high alphas. The results indicate that the potential for complacency can be evaluated by assessing attitudes towards automation technology.


1976 ◽  
Vol 21 (7) ◽  
pp. 473-476 ◽  
Author(s):  
Rosina Schnurr ◽  
P.C.S. Hoaken ◽  
F.J. Jarrett

Summary Using a general hospital psychiatric population (CN =158) the following psychometric measures of depression were assessed: Minnesota Multiphasic Personality Inventory, D. Scale; Hamilton Rating Scale for Depression; Beck Inventory for Measuring Depression; Wechsler Depression Rating Scale; and Zung Self-Rating Depression Scale. The patients were grouped according to diagnoses in The Diagnostic and Statistical Manual of Mental Disorders (DSM II): Depressive Neurosis; Severe Depression (Manic-Depressive, Depressed and Psychotic Depressive Reaction); Schizophrenia and Organic Brain Syndrome; Personality Disorder; and Neuroses other than Depressive (mainly anxiety). A group comprising those who attempted suicide was also formed from the above groups. All the measures correlated well with one another. Younger patients tended to score higher on the Zung SDS and the Beck. Females scored higher on the D Scale (MMPI) and males scored higher on the Beck. The group of suicidal patients were predominantly young females. The Hamilton and the D Scale differentiated the groups clinically. These two scales and the Wechsler may be the inventories of choice, expecially since the Hamilton and Wechsler have the advantage of being completed by a psychiatrist.


2021 ◽  
Vol 15 (5) ◽  
pp. 1108-1111
Author(s):  
Fauzia Malik ◽  
Anila Kamal

Background: Hoarding Rating Scale Interview (HRS-I) is a brief five item instrument to assess symptoms of hoarding in both clinical and non-clinical population. Aim: To adapt and validate HRS-I in Urdu language for its convenient use in Pakistan. Methods: Sample consisted of 112 adults from both clinical and a control group. The scale was translated in Urdu following standard translation procedure and data was collected to determine the psychometric properties of translated version. Reliability and validity estimates were established using different statistical analysis. Results: Cronbach alpha value (.82) suggested an acceptable level of internal consistency. Factor structure was found to be consistent with original English version of HRS-I and correlations were found to be high for like subscales than other subscales except for a positive but non-significant correlation between acquisition item of HRS-I and acquisition subscale of SI-R. Though it significantly correlated with total scale score on HRS-I. Conclusion: The results of the study provide evidence for preliminary acceptable psychometric properties of Urdu version of Hoarding Rating Scale-Interview and proves it to be a time efficient and promising tool to assess hoarding in cultural context of Pakistan. MeSH words: HRS-I, Validation study, Assessment of Hoarding, Cultural adaptation


2019 ◽  
Vol 28 (4) ◽  
pp. 1381-1387
Author(s):  
Ying Yuan ◽  
Jie Wang ◽  
Dongyu Wu ◽  
Dahua Zhang ◽  
Weiqun Song

Purpose Severe dysphagia with weak pharyngeal peristalsis after dorsal lateral medullary infarction (LMI) requires long-term tube feeding. However, no study is currently available on therapeutic effectiveness in severe dysphagia caused by nuclear damage of vagus nerve after dorsal LMI. The purpose of the present investigation was to explore the potential of transcutaneous vagus nerve stimulation (tVNS) to improve severe dysphagia with weak pharyngeal peristalsis after dorsal LMI. Method We assessed the efficacy of 6-week tVNS in a 28-year-old woman presented with persisting severe dysphagia after dorsal LMI who had been on nasogastric feeding for 6 months. tVNS was applied for 20 min twice a day, 5 days a week, for 6 weeks. The outcome measures included saliva spitted, Swallow Function Scoring System, Functional Oral Intake Scale, Clinical Assessment of Dysphagia With Wallenberg Syndrome, Yale Pharyngeal Residue Severity Rating Scale, and upper esophagus X-ray examination. Results After tVNS, the patient was advanced to a full oral diet without head rotation or spitting. No saliva residue was found in the valleculae and pyriform sinuses. Contrast medium freely passed through the upper esophageal sphincter. Conclusion Our findings suggest that tVNS might provide a useful means for recovery of severe dysphagia with weak pharyngeal peristalsis after dorsal LMI. Supplemental Material https://doi.org/10.23641/asha.9755438


2015 ◽  
Vol 25 (1) ◽  
pp. 50-60
Author(s):  
Anu Subramanian

ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client and clinician is the use of outcome questionnaires. In the current study, eight parents of toddlers who attended therapy sessions at a university clinic responded to a session outcome questionnaire that included both rating scale and descriptive questions. Six graduate students completed a survey that included a question about the utility of the questionnaire. Results indicated that the descriptive questions added value and information compared to using only the rating scale. The students were varied in their responses regarding the effectiveness of the questionnaire to increase their comfort with parents. Information gathered from the questionnaire allowed for specific feedback to graduate students to change behaviors and created opportunities for general discussions regarding effective therapy techniques. In addition, the responses generated conversations between the client and clinician focused on clients' concerns. Involving the stakeholder in identifying both effective and ineffective aspects of therapy has advantages for clinical practice and education.


2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.


1968 ◽  
Vol 11 (1) ◽  
pp. 5-17 ◽  
Author(s):  
Martin A. Young ◽  
Tom D. Downs

Ratings by observers are often used in speech pathology to measure complex speech dimensions; this seems reasonable since a speech “disorder” represents the product of an observer’s evaluation and a speaker’s performance. An index of the validity of these evaluations may be estimated by the amount of agreement among the observers. In this paper, the semi-interquartile range and the intraclass correlation are discussed as possible indices of agreement, and another index is suggested, based on the range of observer ratings. Under the assumption that the distribution of ratings is uniform when ratings are randomly assigned, that is, the observers show no agreement, tables were constructed to indicate the probability of any range for selected numbers of observers and rating scale categories. Some applications for this index concern the training of observers, estimating the number of observers needed, and the construction of master scales.


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