scholarly journals Comprehensive Rehabilitation Outcome Measurement Scale (CROMS); Development and Preliminary Validation of An Interdisciplinary Measure for Rehabilitation Outcomes

Author(s):  
Muhammed Rashid ◽  
Sandeep PH ◽  
Akshaiya Kalidas ◽  
Jerin Mathew ◽  
kavitha Raja

Abstract Introduction: Comprehensive and interdisciplinary measurement of rehabilitation outcome is an essential part in the assessment and prognosis of a patient. This requires input from various disciplines working with the patient and the rehabilitation team. Moreover, the evaluation measures should consider the cultural compatibility, cost, and comprehensiveness of the contextual factors of the region and as of the country.Methods: The new tool was developed through consensus and followed Delphi process incorporating various rehabilitation professionals. The validity, reliability of the tool was tested on 30 patients and their rehabilitation professionals. The tool was also validated in two native languages and back translated considering the semantics. The construct validity was analyzed using interclass correlation co-efficient (ICC), internal consistency was analyzed using Cronbach’s alpha. Results: The final Comprehensive Rehabilitation Outcome Measurement Scale (CROMS) carries 30 items which can be completed by the person with disability and the professional team. The final tool holds an overall ICC of 0.93 with a Cronbach's Alpha of 0.92 for both patient and therapist reported measures. Conclusion: The 30 item CROMS is a reliable and valid tool that can potentially be used to evaluate functional independence of various patient populations.

2019 ◽  
Vol 20 (5) ◽  
pp. 1292-1310
Author(s):  
Md. Moddassir Alam ◽  
Arun Mittal ◽  
Deepak Chawla

The study intends to develop and validate a scale to gauge the perception of patients towards branded and generic medicines in an emerging economy like India. Items were generated through literature review and exploratory semi-structured interview with patients and physicians. In the way of establishing generic medicines in the market, patients’ acceptability is very much essential. However, with the advent of information age, the patients are now becoming more conscious and aware regarding the generic medicines, and there is an improvement in the acceptability of generic medicines. Hence, the measurement of their perception towards generic medicines becomes an important issue for various stakeholders of the medical world—physicians, government, pharmaceutical companies and chemists. However, no studies regarding the measurement of perception towards the branded and generic have been conducted to develop and validate measurement scale. The present study is an attempt towards fulfilling this gap. A total of 361 valid responses were obtained using purposive sampling. Exploratory factor analysis (EFA) was carried out through principal component analysis (PCA) followed by confirmatory factor analysis (CFA) to establish the validity of the proposed measurement model. The five factors extracted from EFA were named as quality (Cronbach’s alpha: 0.887), trust (Cronbach’s alpha: 0.919), sustained effectiveness (Cronbach’s alpha: 0.832), reputation (Cronbach’s alpha: 0.881) and psychological benefits (Cronbach’s alpha: 0.737). The obtained factors were found reliable and valid for measuring perception of the patients towards generic and branded medicines in emerging market settings. Convergent and discriminant validity of the scale was also established.


2021 ◽  
Vol 6 (2) ◽  
pp. 179-195
Author(s):  
Iredho Fani Reza

The purpose of this study is to develop a measurement scale for phone snubbing among Moslem youth in the era of the industrial revolution 4.0. This research is used a quantitative survey research with the number of respondents N = 503 who were Moslem youths at a university in the Republic of Indonesia which was determined by multistage sampling technique. The instrument used is the Phone Snubbing Scale (Phub-S) which consists of three dimensions - ignore others, dependency on gadgets and social disconnectedness. In analyzing the data through the process of building validity consisting of confirmatory factor analysis and total correlation of corrected items, analyzing internal consistency reliability using Cronbach's alpha technique. The results showed that the Phone Snubbing Scale (Phub-S) has a good item validity and reliability test as a measurement scale for phone insulting behavior young Moslems in the era of the industrial revolution 4.0. The recommended Phub-S items totaling 45 items that have been fulfilled are valid based on testing confirmatory factor analysis (CFA) technique (standardized solution (SS) > 0.4 and T-Values > 1.96), Corrected Item-Total Correlation ≥ 0.30 and with a scale reliability value. 0.932 (Cronbach's Alpha value> 0.8).


2019 ◽  
pp. 18-28
Author(s):  
María de los Ángeles Flores-Aguilar

The objective is to validate the content of the information collection instrument, through expert judgement and pilot testing. Methodology: Non-experimental, correlational research with a cross-sectional design. The first sample of the expert judgment was composed of 8 experts, the second of 27 employees was used for the pilot test. Unit of measurement: Employees from four Technological Universities of Puebla, studying empowerment, leadership, work routine, collaborative work and innovation. The methodology of the analysis included the Kendall Concordance Coefficient (W), to decide the level of correlation between the experts and we used Cronbach’s Alpha for the statistical analysis of the pilot test to measure the reliability of the measurement scale. The results of the expert judgement showed changes that would improve the clarity of the instrument. The wording would be expressed in third person, the use of technical language would be avoided, with the aim of generalizing understanding in the wording. The identification data would be defined according to the organizational structure of the media unit. Kendall's coefficient and Cronbach's Alpha showed acceptable agreement. Discussion. It is important to control the application of these tests with strict adherence to the methodology, minimizing human bias. It is concluded that the content validity represents an elemental tool to evidence the dominance and representativeness of the constructs. If the results are not reached, it is possible to repeat the process until acceptable values are reached. It is proposed to improve the instrument as a result of the experts' judgment and check the concordance between experts.


2021 ◽  
Author(s):  
Qian Liu ◽  
Hui Zhou ◽  
Heng Qiu ◽  
Chen Huang ◽  
Lijie Jiang ◽  
...  

Abstract Purpose. We examined the reliability and validity of the Healthy Fitness Measurement Scale Version 1.0 (HFMS V1.0) specifically on elderly people in China.Methods. We carried out a cross-sectional study in December 2020 and enrolled 800 elderly people through stratified sampling technique. The level of healthy fitness was measured using the HFMS V1.0. The Cronbach's alpha coefficient, split-half reliability, test-retest reliability, convergent and discriminant construct validity, exploratory factor and confirmatory factor were calculated for assessing the reliability and validity of HFMS V1.0.Results. The valid samples were comprised of 777 samples (with a mean age of 71.81 ±8.36 years), 382(49.2 %) were women. HFMS V1.0 consists of 8 dimensions and 38 items. The scale had acceptable reliability (Cronbach's alpha = 0.920, split-half = 0.946, test-retest = 0.878). The correlation of each item, dimension and subscales ranged from 0.528 to 0.888 (p < 0.001). Exploratory factor analysis uncovered 11 factors with the cumulative contribution rate of 68.09% and all factor loads over 0.40. The item distribution was consistent with the initial expectation of the scale. The confirmatory factor analysis indicated good fit: CMIN/DF=2.773, RMSEA=0.048, IFI=0.915, TLI=0.904, CFI=0.915.Conclusion. HFMS V1.0 was shown to have acceptable reliability and validity. Collectively, HFMS V1.0 is reliable and efficient to measure the healthy fitness of elderly people.


2021 ◽  
Vol 11 (3) ◽  
pp. 338
Author(s):  
Piotr Gerreth ◽  
Karolina Gerreth ◽  
Mateusz Maciejczyk ◽  
Anna Zalewska ◽  
Katarzyna Hojan

The study’s aim was a clinical observation concerning the influence of oral health on functional status in stroke patients undergoing neurorehabilitation. This pilot cross-sectional clinical study was performed in 60 subacute phase stroke patients during 12 weeks of treatment. The program was patient-specific and consisted of neurodevelopmental treatment by a comprehensive rehabilitation team. The functional assessment was performed using the Barthel index (BI), Berg balance scale (BBS), functional independence measure (FIM), and Addenbrooke’s cognitive examination III (ACE III) scales. Oral health was assessed according to World Health Organization (WHO) criteria, and it was presented using DMFT, DMFS, gingival index (GI), and plaque index (PlI). Significant improvement in many functional scales was noticed. However, important differences in most dental parameters without relevant changes in GI and PlI after the study were not observed. Reverse interdependence (p < 0.05) was shown between physical functioning (BI, FIM, or BBS) with GI and PlI results, and most dental parameters correlated with ACE III. Using multivariate regression analysis, we showed that ACE III and BI are predictive variables for DMFT, just as FIM is for DS (p < 0.05). The present research revealed that poor oral health status in patients after stroke might be associated with inpatient rehabilitation results.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qian Liu ◽  
Hui Zhou ◽  
Heng Qiu ◽  
Chen Huang ◽  
Lijie Jiang ◽  
...  

Abstract Purpose We examined the reliability and validity of the Healthy Fitness Measurement Scale Version 1.0 (HFMS V1.0) specifically on elderly people in China. Methods We carried out a cross-sectional study in December 2020 and enrolled 800 elderly people through stratified sampling technique, including 777 valid samples (with a mean age of 71.81 ± 8.36 years), of which 382 cases (49.2%) were women. The level of healthy fitness was measured using the HFMS V1.0. The Cronbach’s alpha coefficient, split-half reliability, test-retest reliability, convergent and discriminant validity, exploratory factor and confirmatory factor were calculated for assessing the reliability and validity of HFMS V1.0. Results HFMS V1.0 consists of 8 dimensions and 38 items. The scale had acceptable reliability (Cronbach’s alpha = 0.920, split-half = 0.946, test-retest = 0.878). Exploratory factor analysis showed KMO value =0.927, and uncovered 10 factors with the cumulative contribution rate of 65.71% and all factor loads over 0.40. The item distribution was consistent with the initial expectation of the scale. The confirmatory factor analysis indicated good fit: CMIN/DF = 2.796, RMSEA = 0.048, IFI =0.914, TLI = 0.902, CFI = 0.913. Conclusion HFMS V1.0 was shown to have acceptable reliability and validity indices for this sample. Collectively, HFMS V1.0 is reliable and efficient to measure the healthy fitness of elderly people. It is recommended to use it among the elderly in other Chinese cities in the future to ensure uniformity and objectivity. This scale can be carried out to evaluate of the effectiveness of public health measures in improving the healthy fitness level of the elderly and optimizing public health policies.


2016 ◽  
Vol 6 (3) ◽  
pp. 168-173
Author(s):  
Ebru Turhan ◽  
Tacettin Inandi

Introduction: Personal hygiene is one of the most important determinants of health. A scale of personal hygiene is a useful tool to evaluate effects of health care interventions. The aim of this study was to develop a new, reliable, and valid measurement scale which can be used to evaluate the hygiene status of children, as well as the effects of the interventions.Methods: A total of 248 students and their parents, from Hatay Province in Turkey, participated in this school-based, cross-sectional study. An item pool was created for the Antioch Child Hygiene Scale (ACHS). Same questions were asked both for children (ACHS-C) and parents (ACHS-P) Data were collected in September 2013. Face validity, Cronbach's alpha, split-half, test-retest, factor analysis, and parallel form reliability were determined for the ACHS.Results: Twelve items that showed a weak correlation were removed from the ACHS. The mean score (standard deviation) was 159.4 ± 9.2 for ACHS-C and 152.2 ± 16.9 for ACHS-P. Cronbach's alpha for ACHS-C was 0.82 in the first test and 0.87 in the retest. Cronbach's alpha for ACHS-P was 0.91 in the first test and 0.94 in the retest. Split-half correlation was 0.59 for ACHS-C and 0.75 for ACHS-P. Correlation between pre-test and post-test scores was 0.54 for ACHS-C and 0.64 for ACHS-P (p < 0.001). In the principle component analysis, (Eigen value was taken greater than 1), 20 components for ACHS-C and 13 components for ACHS-P were extracted. Conclusions: Although both ACHS forms (i.e., ACHS-C and ACHS-P) were reliable in assessing the hygiene status of children, the reliability was higher for ACHS-P. In addition, validity should be improved in both forms of the ACHS. Nevertheless, both scales can be used to assess the hygiene status in school children.


2020 ◽  
pp. 073346482090456
Author(s):  
Avital Hershkovitz ◽  
Ran Nissan

Antipsychotic (AP) use may lead to numerous side effects which may affect rehabilitation outcomes. A retrospective cohort study was carried out on 448 hip fractured patients admitted to a post-acute geriatric rehabilitation center. Functional improvement was measured by the Functional Independence Measure (FIM), motor FIM (mFIM), and mFIM effectiveness. A multiple linear regression model and regression analysis was used to evaluate the level of association between AP use and achievement of favorable functional gain. AP users exhibited lower functional ability on admission and at discharge, achieved a significantly lower functional gain and required longer rehabilitation time compared with nonusers. AP use by post-acute hip fractured patients negatively affects their chances of achieving favorable rehabilitation outcome after adjustment for confounders.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e040816
Author(s):  
Marja Van Vliet ◽  
Brian M Doornenbal ◽  
Simone Boerema ◽  
Elske M van den Akker-van Marle

ObjectivesThe My Positive Health (MPH) dialogue tool is increasingly adopted by healthcare professionals in the Netherlands as well as abroad to support people in their health. Given this trend, the need arises to measure effects of interventions on the Positive Health dimensions. However, the dialogue tool was not developed for this purpose. Therefore, this study aims to work towards a suitable measurement scale using the MPH dialogue tool as starting point.DesignA cross-sectional study design.Participants and settingsA total of 708 respondents, who were all members of the municipal health service panel in the eastern part of the Netherlands, completed the MPH dialogue tool.MethodsThe factor structure of the MPH dialogue tool was explored through exploratory factor analysis using maximum likelihood extraction. Next, the fit of the extracted factor structure was tested through confirmatory factor analysis. Reliability and discriminant validity of both a new model and the MPH scales were assessed through Cronbach’s alpha tests.ResultsSimilar to the MPH dialogue tool, the extracted 17-item model has a six-factor structure but named differently, comprising the factors physical fitness, mental functions, future perspectives, contentment, social relations and health management. The reliability tests suggest good to very good reliability of the aimed measurement tool and MPH model (Cronbach’s alpha values ranging from, respectively, 0.820 to 0.920 and 0.882 to 0.933). The measurement model shows acceptable discriminant validity, whereas the MPH model suggests overlap between domains.ConclusionThe results suggest that the current MPH dialogue tool seems reliable as a dialogue, but it is not suitable as a measurement scale. We therefore propose a 17-item model with improved, acceptable psychometric properties which can serve as a basis for further development of a measurement scale.


2021 ◽  
Vol 36 (6) ◽  
pp. 1211-1211
Author(s):  
Jesus M Rivera ◽  
Travis M Scott ◽  
J Kaci Fairchild ◽  
Brian P Yochim ◽  
Michelle R Madore

Abstract Objective The Verbal Naming Test (VNT), a validated non-visual measure of word-finding ability in older adults, was designed to include words from distinct lexical (i.e., verbs vs. nouns) and semantic (i.e., action vs. object) categories to better capture various naming deficits. This study examined specific contributions of lexical and semantic categories to the convergent and discriminant validity of the VNT, and to how well it detects Mild Cognitive Impairment (MCI). Method The sample of older Veterans included 157 healthy controls (mean age = 74.23, SD = 6.67; range:60–89) and 39 diagnosed with MCI (mean age = 72.97, SD = 8.24; range:60–88). VNT item subscales were constructed for verbs/actions (ActionW) and nouns/objects presented either with (Obj+) or without (ObjW) an action component in the prompt. Correlations were calculated between VNT total/subscales and several other neuropsychological measures. ROC analyses compared relative contributions of each VNT subscale in detecting MCI. Results The ActionW subscale showed poor reliability (Cronbach’s alpha = 0.303) and did not correlate with any other measures. The ObjW, and Obj + subscales showed better reliability (Cronbach’s alpha&gt;0.62) and correlated with age, measures of memory, and the Boston Naming Test. The Area Under the Curve (AUC) for detection of MCI was as follows: ActionW = 0.616; Obj + =0.635; ObjW = 0.689; and 50items = 0.690. Conclusions Lexical and semantic categories differentially affect VNT detection of MCI in older veterans. Object words, especially those without associated action components, provide the best measurement scale. Although still clinically relevant in detecting MCI, the poor reliability of verbs/action words suggests revising the VNT may improve its psychometric properties. Future research should replicate these results in a clinical sample.


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