scholarly journals Utilities Measured by Rating Scale, Time Trade-off, and Standard Gamble: Review and Reference for Health Care Professionals.

2002 ◽  
Vol 12 (2) ◽  
pp. 160-178 ◽  
Author(s):  
Takeshi Morimoto ◽  
Tsuguya Fukui
2019 ◽  
Author(s):  
Miguel Ángel Amor-García ◽  
Roberto Collado-Borrell ◽  
Vicente Escudero-Vilaplana ◽  
Alejandra Melgarejo-Ortuño ◽  
Ana Herranz-Alonso ◽  
...  

BACKGROUND The large number of available cancer apps and their impact on the population necessitates a transparent, objective, and comprehensive evaluation by app experts, health care professionals, and users. To date, there have been no analyses or classifications of apps for patients with genitourinary cancers, which are among the most prevalent types of cancer. OBJECTIVE The objective of our study was to analyze the quality of apps for patients diagnosed with genitourinary cancers using the Mobile Application Rating Scale (MARS) and identify high-quality apps. METHODS We performed an observational cross-sectional descriptive study of all smartphone apps for patients diagnosed with genitourinary cancers available on iOS and Android platforms. In July 2019, we searched for all available apps for patients with genitourinary cancers (bladder, prostate, cervical, uterine, endometrial, kidney, testicular, and vulvar) or their caregivers. Apps were downloaded and evaluated, and the general characteristics were entered into a database. The evaluation was performed by 2 independent researchers using the MARS questionnaire, which rates 23 evaluation criteria clustered in 5 domains (Engagement, Functionality, Esthetics, Information, and Subjective Quality) on a scale from 1 to 5. RESULTS In total, 46 apps were analyzed. Of these, 31 (67%) were available on Android, 6 (13%) on iOS, and 9 (20%) on both platforms. The apps were free in 89% of cases (41/46), and 61% (28/46) had been updated in the previous year. The apps were intended for prostate cancer in 30% of cases (14/46) and cervical cancer in 17% (8/46). The apps were mainly informative (63%, 29/46), preventive (24%, 11/46), and diagnostic (13%, 6/46). Only 7/46 apps (15%) were developed by health care organizations. The mean MARS score for the overall quality of the 46 apps was 2.98 (SD 0.77), with a maximum of 4.63 and a minimum of 1.95. Functionality scores were quite similar for most of the apps, with the greatest differences in Engagement and Esthetics, which showed acceptable scores in one-third of the apps. The 5 apps with the highest MARS score were the following: “Bladder cancer manager,” “Kidney cancer manager,” “My prostate cancer manager,” “Target Ovarian Cancer Symptoms Diary,” and “My Cancer Coach.” We observed statistically significant differences in the MARS score between the operating systems and the developer types (<i>P</i>&lt;.001 and <i>P</i>=.01, respectively), but not for cost (<i>P</i>=.62). CONCLUSIONS MARS is a helpful methodology to decide which apps can be prescribed to patients and to identify which features should be addressed to improve these tools. Most of the apps designed for patients with genitourinary cancers only try to provide data about the disease, without coherent interactivity. The participation of health professionals in the development of these apps is low; nevertheless, we observed that both the participation of health professionals and regular updates were correlated with quality.


2001 ◽  
Vol 53 (10) ◽  
pp. 1275-1285 ◽  
Author(s):  
Karon F Cook ◽  
Carol M Ashton ◽  
Margaret M Byrne ◽  
Baruch Brody ◽  
Jane Geraci ◽  
...  

1998 ◽  
Vol 5 ◽  
pp. S291-S296 ◽  
Author(s):  
Stacey J. Ackerman ◽  
Kathleen M. Beusterien ◽  
Michael S. Mafilios ◽  
Martha R. Wood

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Enea Parimbelli ◽  
Caterina Pistarini ◽  
Gabriella Fizzotti ◽  
Carla Rognoni ◽  
Giampiero Olivieri ◽  
...  

Objectives. Our aims were to (1) measure quality of life (QoL) in spinal cord injury (SCI) patients using different methods and analyze differences; (2) enable targeted treatments by identifying variables that affect QoL; and (3) provide decision-makers with useful data for cost-utility analyses in SCI population.Methods. Seventy-one participants were enrolled. The computer-based tool UceWeb was used to elicit QoL in terms of utility coefficients, through the standard gamble, time trade-off, and rating scale methods. The SF36 questionnaire was also administered. Statistical analyses were performed to find predictors of QoL among collected variables.Results. Median values for rating scale, time trade-off, and standard gamble were 0.60, 0.82, and 0.85, respectively. All scales were significantly correlated. Rating scale and SF36 provided similar values, significantly lower than the other methods. Impairment level, male gender, older age, living alone, and higher education were correlated with lower QoL but accounted for only 20% of the variation in utility coefficients.Conclusions. Demographic and clinical variables are useful to predict QoL but do not completely capture utility coefficients variability. Therefore, direct preference-based utility elicitation should be strengthened. Finally, this is the first study providing data that can be used as a reference for cost-utility analyses in the Italian SCI population.


2008 ◽  
Vol 13 (3) ◽  
pp. 112-117 ◽  
Author(s):  
Chou I. Eyberg ◽  
Janine Pyrek

Abstract Products and technologies that aid health care professionals in vascular access practice save staff time, and while promoting patient safety and prevention of infection can provide excellent opportunities for evaluations to support evidence-based practice. This was an industry sponsored, prospective, single site, controlled, randomized clinical evaluation pilot study of two catheter dressings, 3M™ Tegaderm™ Chlorhexidine Gluconate (CHG) IV Securement Dressing (CHG gel dressing) (3M Health Care, St. Paul, MN) and BIOPATCH® Antimicrobial Dressing with Chlorhexidine Gluconate (BIOPATCH® Protective Disk with CHG, Johnson & Johnson, Somerville, NJ). Twelve intravascular (IV) therapy health care professionals (Clinicians) were asked for their professional evaluations of the catheter dressings: the ease of application and performance factors featured in specific questions. Catheters were secured on 12 healthy volunteers to simulate inserted jugular catheters (IJ) and peripherally inserted central catheters (PICC) using StatLock® PICC Plus and 3M™ Steri-Strip™. Each clinician applied and removed one CHG gel dressing and one CHG disk on one simulated PICC and one simulated IJ site, according to the manufacturers' instructions. The clinicians concluded, based upon a 1 to 5 rating scale, that the CHG gel dressing is better in regard to ease of application, ease of applying correctly, ease of removal, ability to visualize the insertion site, ease of training another clinician to apply the dressing, and more intuitive application. Twelve out of 12 clinicians favored the CHG gel dressing over the CHG disk in overall performance.


2020 ◽  
Author(s):  
Chelsea Jones ◽  
Kaitlin O'Toole ◽  
Kevin Jones ◽  
Suzette Brémault-Phillips

BACKGROUND Military personnel have an elevated risk of sustaining mild traumatic brain injuries (mTBI) and postconcussion symptoms (PCS). Smartphone apps that provide psychoeducation may assist those with mTBI or PCS to overcome unique barriers that military personnel experience with stigma and access to health care resources. OBJECTIVE This study aims to (1) use the Mobile Application Rating Scale (MARS) to evaluate smartphone apps purporting to provide psychoeducation for those who have sustained an mTBI or a PCS; (2) explore the relevance, utility, and effectiveness of these apps in facilitating symptom management and overall recovery from mTBI and PCS among military personnel; and (3) discuss considerations pertinent to health care professionals and patients with mTBI when considering the use of mobile health (mHealth), including apps for mTBI psychoeducation. METHODS A five-step systematic search for smartphone apps for military members with mTBI or PCS was conducted on January 31, 2020. Cost-free apps meeting the inclusion criteria were evaluated using the MARS and compared with evidence-based best practice management protocols for mTBI and PCS. RESULTS The search yielded a total of 347 smartphone apps. After applying the inclusion and exclusion criteria, 13 apps were subjected to evaluation. Two apps were endorsed by the US Department of Veterans Affairs and the US Department of Defense; all the others (n=11) were developed for civilians. When compared with evidence-based best practice resources, the apps provided various levels of psychoeducational content. There are multiple considerations that health care professionals and those who sustain an mTBI or a PCS have to consider when choosing to use mHealth and selecting a specific app for mTBI psychoeducation. These may include factors such as the app platform, developer, internet requirement, cost, frequency of updates, language, additional features, acknowledgment of mental health, accessibility, military specificity, and privacy and security of data. CONCLUSIONS Psychoeducational interventions have a good evidence base as a treatment for mTBI and PCS. The use of apps for this purpose may be clinically effective, cost-effective, confidential, user friendly, and accessible. However, more research is needed to explore the effectiveness, usability, safety, security, and accessibility of apps designed for mTBI management.


2006 ◽  
Vol 86 (3) ◽  
pp. 337-344 ◽  
Author(s):  
Mau-Roung Lin ◽  
Hei-Fen Hwang ◽  
Kuo-Piao Chung ◽  
Chingchaw Huang ◽  
Chih-Yi Chen

Abstract Background and Purpose. The rating scale (RS), standard gamble (SG), and time trade-off (TTO) for people with traumatic spinal cord injuries (SCIs) have not been reported. This study compared psychometric performances of these preference-based measures among people with SCIs in Taiwan. Subjects and Methods. In total, 187 subjects from a nationwide registry of people with traumatic SCIs were interviewed by telephone. Score distributions, interrater reliability, discriminant ability, and convergent validity for the RS, SG, and TTO were compared. Results. The mean (median) values of the RS, SG, and TTO were 0.67 (0.70), 0.64 (0.75), and 0.53 (0.50), respectively, and their corresponding intraclass correlation coefficients for intrarater and interrater test-retest reliability were .92 and .89, .78 and .73, and .91 and .78. Compared with the SG and TTO, the RS had fewer floor and ceiling values as well as percent changes, more missing observations, a larger effect size, and better discrimination ability. The results of Spearman correlation and factor analysis showed that the SG strongly converged with the TTO (r=.65, and in a single common factor), but they weakly converged with the RS (r=.33 with the SG and r=.27 with the TTO). In the linear regression models, the RS was significantly associated with neurological severity, employment, educational level, and self-care ability; the SG was associated with neurological severity and employment; and the TTO was associated only with neurological severity. Discussion and Conclusion. The RS generally performed better than the SG and TTO among people with traumatic SCIs; however, the underlying construct measured by the RS differed considerably from those measured by the SG and TTO. [Lin MR, Hwang HF, Chung KP, et al. Rating scale, standard gamble, and time trade-off for people with traumatic spinal cord injuries.


Author(s):  
A P Rajalakshmy ◽  
R A Lokeshmaran ◽  
Dr K Renuka

Background: The importance of including Nutrition in the training of health care professionals remains low priority. However, many health care providers are not adequately trained to address lifestyle recommendations that include Nutrition and Physical activity behaviours. This study sought to assess the Knowledge, Attitude and Practice (KAP) on Nutritional Awareness among health care professionals. A descriptive study focuses on the group of Health Care Professionals which includes Physicians, Dentists and Nursing faculty. Interested 90 Participants who fulfilled the inclusion criteria have been chosen through purposive sampling technique. The KAP of Health Care Professional related to Nutritional aspects were collected using   structural Questionnaire for assessing Knowledge, Rating Scale for assessing Attitude and checklist for assessing Practice used respectively. Results: Knowledge, Attitude and Practice of the Health Care Professionals likely Physicians, Dentists and Nurses were evaluated on Nutritional awareness.  Out of 90 overall 15.5% of participants has inadequate, 43.3% has moderate and 41.1 % has adequate knowledge. All 100% of participants has positive attitude. In case of Practices 1% has fair, 42.2 % has good and 47.7% has excellent practices. There is a statistical Correlations found between KAP in all participants. This study concludes that even though many sources are available to gain Awareness on Nutrition. Since, the knowledge among health care professionals needs to be improved.


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