scholarly journals Inter and Intra-rater Reliability and Validity of an instrument made in rural set up to measure Maximum Inspiratory Pressure termed as Dhiraj Maximum Inspiratory Pressure Device

2020 ◽  
pp. 13-17
Author(s):  
Sarvesh Vivekanand Rasal ◽  
Abhijit D. Diwate ◽  
Deepak B. Anap
Keyword(s):  
Neuromuscular Disorders ◽  
Pressure Gauge ◽  
Reliability And Validity ◽  
Inspiratory Pressure ◽  
P Value ◽  
Validity And Reliability ◽  
Perfect Agreement ◽  
Rater Reliability ◽  
Maximum Inspiratory Pressure ◽  
Set Up

Background: Maximum Inspiratory Pressure (MIP) measures inspiratory force generated by respiratory muscles. MIP is measured with non-invasive pressure transducer device which has mouthpiece, pressure gauge, and dial showing readings. Respiratory muscle weakness is a common sign depicted in conditions like neuromuscular disorders, cardiovascular disease, and other respiratory pathologies which affect the individual’s lung volume and capacity. The devices available in the market to measure the MIP are costly. Aim: This study was undertaken to find out inter-rater and intra-rater reliability and validity of therapist made instrument in rural set up to measure maximum inspiratory pressure (DMIPD). Method: This cross-sectional study was carried out in 40 normal healthy individuals without lung diseases were recruited as per inclusion criteria. MIP values were noted by two raters using the DMIPD and were then compared between two rater values to that of the gold standard values. Validity and reliability were calculated using interclass correlation coefficients (ICC) and p-value. Result: Statistical analysis for inter-rater reliability by Kappa using SPSS 1.000 showing almost perfect agreement as per Kappa interpretation also for intra-rater analysis an ICC value of 0.96 depicting excellent validity and Cronbach alpha value of 0.97 thereby proving it to have excellent reliability. Conclusion: We conclude that DMIPD has excellent reliability and validity.

Adaptation and Validation of a Nutrition Environment Measures Survey for University Grab-and-Go Establishments

2016 ◽  
Vol 77 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Brian K.C. Lo ◽  
Leia Minaker ◽  
Alicia N.T. Chan ◽  
Jessica Hrgetic ◽  
Catherine L. Mah
Keyword(s):  
Construct Validity ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Comparison Method ◽  
Nutrition Information ◽  
Perfect Agreement ◽  
Cross Sectional ◽  
Rater Reliability ◽  
University Of Toronto ◽  
Nutrition Environment

Purpose: To adapt and validate a survey instrument to assess the nutrition environment of grab-and-go establishments at a university campus. Methods: A version of the Nutrition Environment Measures Survey for grab-and-go establishments (NEMS-GG) was adapted from existing NEMS instruments and tested for reliability and validity through a cross-sectional assessment of the grab-and-go establishments at the University of Toronto. Product availability, price, and presence of nutrition information were evaluated. Cohen’s kappa coefficient and intra-class correlation coefficients (ICC) were assessed for inter-rater reliability, and construct validity was assessed using the known-groups comparison method (via store scores). Results: Fifteen grab-and-go establishments were assessed. Inter-rater reliability was high with an almost perfect agreement for availability (mean κ = 0.995) and store scores (ICC = 0.999). The tool demonstrated good face and construct validity. About half of the venues carried fruit and vegetables (46.7% and 53.3%, respectively). Regular and healthier entrée items were generally the same price. Healthier grains were cheaper than regular options. Six establishments displayed nutrition information. Establishments operated by the university’s Food Services consistently scored the highest across all food premise types for nutrition signage, availability, and cost of healthier options. Conclusions: Health promotion strategies are needed to address availability and variety of healthier grab-and-go options in university settings.

scholarly journals Validity and Reliability of the Nepali Version of the General Oral Health Assessment Index (Gohai) in Nepali Population

2020 ◽  
Vol 5 (2) ◽  
pp. 1016-1021
Author(s):  
Tanuja Singh ◽  
Tika Ram Ghimire
Keyword(s):  
Oral Health ◽  
Discriminant Validity ◽  
Adult Population ◽  
Age Groups ◽  
Health Assessment ◽  
Reliability And Validity ◽  
World Health ◽  
P Value ◽  
Validity And Reliability ◽  
Assessment Index

Introduction: Oral health problems are more chronic and severe. Various instruments have been developed to measure Oral Health Quality of Life. General Oral Health Assessment Index (GOHAI) is a well-established, frequently used questionnaire for measuring OHQoL for geriatric and general population.  Objectives: The objective of the study is to translate the GOHAI in Nepali and to assess its reliability and validity.  Methodology: This study was conducted on the patient attending department of Prosthodontics, Kathmandu University School of Medical Sciences from March 2017 to February 2018. The GOHAI questionnaire was translated into Nepali version from English and back translated. Nepali version of GOHAI was pilot tested on 50 adult population to test the comprehensibility of the questionnaire, and then required alterations were done. The final Nepali version of GOHAI was administered to 301 (aged 20-70 years) adults along with the self-informed questionnaire. Clinical examination was done on the same day by a single examiner using World Health Organization (WHO) criteria. Reliability was analyzed using test-retest, cronbach alpha and split half reliability. For validity, discriminant validity and construct validity were calculated.  Results: Cronbach's alpha was 0.749, which indicated good overall internal consistency and homogeneity. For test-retest, the spearman's rho correlation coefficient between visits ranged from 0.641-0.952 for all twelve questionnaires indicating strong correlation with p-value< 0.001.  Conclusion Nepali version of the GOHAI exhibited acceptable reliability and validity in the people of Kathmandu valley, Nepal. This instrument can be applied to evaluate OHRQoL of different age groups as it was carried out in all the age groups.

scholarly journals Reliability and Validity of the Filipino Sino-Nasal Outcome Test (SNOT) 22

2018 ◽  
Vol 33 (1) ◽  
pp. 17-20
Author(s):  
Christine Anne C. Maningding ◽  
Rodante A. Roldan
Keyword(s):  
Nasal Polyposis ◽  
Pearson Correlation ◽  
Reliability And Validity ◽  
Validity Study ◽  
P Value ◽  
Z Score ◽  
Validity And Reliability ◽  
U Value ◽  
Snot 22

Objective: To translate the Sino-Nasal Outcome Test (SNOT)  22 into Filipino, and establish the validity and reliability of the Filipino version of the Sino-Nasal Outcome Test (SNOT)  22.   Methods: Design:           Prospective Cohort Setting:           Tertiary Government Training Hospital Participants: Twenty one (21) patients with rhinosinusitis with or without nasal polyposis were administered the Filipino SNOT 22 to determine reliability. Sixty three (63) patients with rhinosinusitis with or without nasal polyps and forty eight (48) controls were recruited for the validity study.   Results: The Filipino SNOT 22 had a Pearson correlation of 0.618 significant at the 0.01 level and a Cronbach’s alpha of 0.76. The calculated Z-Score was 7.21 with p-value < .00001 significant at p < .05. The value of U was 300 with a critical U value at 1512.   Conclusion: The self administered Filipino SNOT 22 is a reliable and valid tool for measuring QOL among Filipino patients with rhinosinusitis.   Keywords: sinusitis, reliability and validity, quality of life, sino-nasal outcome test 22    

scholarly journals Reliability of radiographic measurements of knee motion following knee arthroplasty for use in a virtual knee clinic

2012 ◽  
Vol 94 (7) ◽  
pp. 506-512 ◽  
Author(s):  
A Phillips ◽  
A Goubran ◽  
S Naim ◽  
D Searle ◽  
V Mandalia ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Radiographic Measurement ◽  
Perfect Agreement ◽  
Rater Reliability ◽  
Active Flexion ◽  
Radiographic Measurements ◽  
Set Up

INTRODUCTION We sought to validate radiographic measurements of range of motion of the knee after arthroplasty as part of a new system of virtual clinics. METHODS The range of motion of 52 knees in 45 patients was obtained by 2 clinicians using standardised techniques and goniometers. Inter-rater reliability and intraclass correlation coefficients (ICCs) were calculated. Radiographs of these patients’ knees in full active flexion and extension were also used to calculate intra and inter-rater reliability compared with clinical measurements using four different methods for plotting angles on the radiographs. RESULTS The ICC for inter-rater reliability using the goniometer was very high. The ICC was 0.91 in extension and 0.85 in flexion while repeatability was 8.49° (-8.03–8.99°) in extension and 5.23° (-4.54–5.74°) in flexion. The best ICC for radiographic measurement in extension was 0.86, indicating ‘near perfect’ agreement, and repeatability was 5.43° (-4.04–6.12°). The best ICC in flexion was 0.95 and repeatability was 5.82° (-3.38–6.55°). The ICC for intrarater reliability was 0.98 for extension and 0.99 for flexion on radiographic measurements. CONCLUSIONS Validating the use of radiographs to reliably measure range of motion following knee arthroplasty has allowed us to set up a ‘virtual knee clinic’. Combining validated questionnaires and radiographic measurement of range of motion, we aim to maintain high quality patient surveillance following knee arthroplasty, reduce our ratio for new to follow-up patients in line with Department of Health guidelines and improve patient satisfaction through reduced travel to hospital outpatients.

Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation

2012 ◽  
Vol 18 (7) ◽  
pp. 413-418 ◽  
Author(s):  
Hannah Lade ◽  
Stephanie McKenzie ◽  
Leah Steele ◽  
Trevor G Russell
Keyword(s):  
Physical Examination ◽  
Elbow Joint ◽  
Test Results ◽  
Validity And Reliability ◽  
Single Session ◽  
Substantial Agreement ◽  
Perfect Agreement ◽  
Rater Reliability ◽  
Face To Face ◽  
Examination Methods

We examined the validity and reliability of a physiotherapy examination of the elbow, using telerehabilitation. The patho-anatomical diagnoses, systems diagnosis and physical examination findings of face-to-face physiotherapy examinations were compared with telerehabilitation examinations. Ten participants attended a single session, during which they were interviewed, a face-to-face physical examination was performed and a remote physical examination was conducted, guided by an examiner at a different location via a telerehabilitation system. Conventional face-to-face physiotherapy physical examination test results, diagnoses and systems diagnoses were compared to those produced by an examiner using the telerehabiliation system. There was substantial agreement for systems diagnosis (73%; P = 0.013) for validity and almost perfect agreement for intra-rater reliability (90%; P = 0.001). The inter-rater reliability had a weaker and non-significant agreement (64%; P = 0.11). Physical examination data demonstrated >68% agreement across all three datasets, between the examination methods. Performing a telerehabilitation physical examination to determine a musculoskeletal diagnosis of the elbow joint complex is both valid and reliable.

Validity and reliability of the Persian version of the Quick Exposure Check (QEC) in Iranian construction workers

Work ◽  
2020 ◽  
Vol 67 (2) ◽  
pp. 387-394
Author(s):  
Hamid Reza Mokhtarinia ◽  
Sahar Abazarpour ◽  
Charles Philip Gabel
Keyword(s):  
Internal Consistency ◽  
Convergent Validity ◽  
Reliability And Validity ◽  
Construction Workers ◽  
Assessment Instrument ◽  
Validity And Reliability ◽  
Rater Reliability ◽  
Occupational Risk Factors ◽  
Persian Language ◽  
Risk Assessment Instrument

BACKGROUND: The Quick Exposure Check (QEC) is an instrument to identify occupational risk factors, and to screen subjects for the risk of musculoskeletal disorders in their workplace. OBJECTIVES: The aim of this prospective observational study was the cross-cultural adaptation of the QEC for Persian (QEC-Pr) speaking workers and the determination of the minimally required psychometric properties, including reliability and validity, in a Persian population. METHODS: The forward-backward translation was completed according to the published guidelines. A total of 217 male construction workers were recruited. The Rapid Upper Limb Assessment (RULA) tool was used as the criterion. The Inter- and intra-rater reliability was performed respectively in a sub-sample of n = 50 and n = 30. Convergent validity was determined from the correlation between the QEC-Pr and the RULA. Internal consistency was assessed using Cronbach’s α. RESULTS: High levels of inter-rater reliability (ICC2.1 range = 0.79–0.93), intra-rater reliability (ICC2.1 range = 0.74–0.89) and internal consistency (α= 0.74) were obtained. Concurrent validity between the different sections of the QEC and RULA scores were determined to be fair but below the desired level (range r = 0.41–0.44). CONCLUSIONS: The QEC-Pr can be applied as a specific risk assessment instrument for different occupational situations, such as the construction industry, in Persian language populations.

Reliability and Validity of the American Heart Association’s Workplace Health Achievement Index

2021 ◽  
pp. 089011712110229
Author(s):  
Enid Chung Roemer ◽  
Karen B. Kent ◽  
Ron Z. Goetzel ◽  
Chris Calitz ◽  
Drew Mills
Keyword(s):  
American Heart ◽  
Reliability And Validity ◽  
Cognitive Interviews ◽  
Validity And Reliability ◽  
Workplace Health ◽  
Rater Reliability ◽  
Survey Question ◽  
Health And Wellbeing ◽  
Percent Agreement

Objective: To test the validity and reliability of the American Heart Association’s (AHA) updated Workplace Health Achievement Index (WHAI). Methods: We piloted the updated WHAI with respondent pairs at 94 organizations, and examined the inter-rater reliability (percent agreement) for each item on the survey. To evaluate face and content validity, we conducted preliminary focus groups pre-survey, and follow-up cognitive interviews post-survey administration. Results: Respondents found the updated WHAI to be comprehensive and useful in identifying gaps and opportunities for improving their health and wellbeing programs. The mean percent agreement on all items was 73.1%. Only 9% (or 14 items out of 146) had poor inter-rater reliability (below 61 percent agreement), but through follow-up cognitive interviews we determined that most were due to artifacts of the study design or were resolved through minor revisions to the survey question, instructions, and/or adding examples for clarity. Only 1 question was deleted due to lack of relevance. Conclusion: The updated WHAI is a valid and reliable tool for employers to assess how well they promote the health and wellbeing of their employees.

scholarly journals 538 - Approach to Understanding the ‘Meaning’ of Behaviors in NCD: Beyond PIECES and GPA. Luthra’s Behavioral Assessment and Intervention Response Paradigm (LuBAIR™ Paradigm). Dr.

2021 ◽  
Vol 33 (S1) ◽  
pp. 82-82
Author(s):  
Atul Sunny Luthra
Keyword(s):  
Psychological Symptoms ◽  
Behavioral Assessment ◽  
Reliability And Validity ◽  
Clinical Settings ◽  
Advanced Dementia ◽  
Validity And Reliability ◽  
Rater Reliability ◽  
Managing Behaviors ◽  
Clinical Conditions ◽  
Assessment Scales

ABSTRACTBackground:With the incidence, prevalence, and cost of dementia care expected to rise, it has become crucial to develop a practical approach for managing behaviors in dementia. Presently non-pharmacological interventions, both interpersonal and environmental, are the gold standard for managing Behavioral and Psychological Symptoms of Dementia (BPSD). The purpose of the presentation is to reveal the reasons for paucity in developing effective pharmacological treatments for BPSD in moderate to advanced dementia and propose a new theoretical framework for labeling and classifying behaviors in moderate to advanced dementia. The LuBAIR paradigm will be less labor-intensive, more comprehensive, and improve the categorization of behaviors into clinically meaningful categories. It was also found that the LuBAIR Inventory has comparable inter-and intra-rater reliability and Construct and Criteria validity in comparison to BEHAV-AD and Cohen-Mansfield Agitation Inventory (CMAI).Methods:The literature on BPSD reviewed, focusing on terminology, models of behaviors, and identified deficiencies in both.Results:Terminology to describe moderate to advanced dementia behaviors lacks consistency, accuracy, and reliability in both research and clinical settings. Standardized scales currently utilized to diagnose clinical conditions also lack validity and reliability in moderate to advanced dementia. Models for understanding the occurrence of behaviors in dementia are dichotomized along the biological versus psychosocial paradigm. The reliability and validity of the LuBAIR Inventory were established in an earlier study and workshops, where it found that the LuBAIR was less labor-intensive, more comprehensive, and offered improved categorization of behaviors into clinically meaningful categories. It was also found that the LuBAIR Inventory has comparable inter-and intra-rater reliability and Construct and Criteria validity in comparison to BEHAV-AD and Cohen-Mansfield Agitation Inventory (CMAI).Conclusions:Deficiencies in existing terminology, assessment scales, and models are acknowledged. There are twelve newly formed behavioral categories to classify behaviors in moderate to advanced Dementia. These categories were used to develop a new behavioral assessment inventory titled LuBAIR (Luthra’s Behavioral Assessment and Intervention Response). The LuBAIR model will help clinical staff to understand the 'meaning’ of behaviors in persons with Dementia (PwD).

scholarly journals The Effects of Inspiratory Muscle Training in Neuromuscular Disorders: Review Article

2019 ◽  
Vol 7 (01) ◽  
pp. 57
Author(s):  
Okta Hariza ◽  
Budiati Lasmitasari ◽  
Siti Chandra Widjanantie ◽  
Nury Nusdwinuringtyas
Keyword(s):  
Neuromuscular Disorders ◽  
Review Article ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Inspiratory Pressure ◽  
Muscle Training ◽  
Maximum Inspiratory Pressure ◽  
Inspiratory Muscles ◽  
Load Intensity ◽  
Searching Method

Introduction: Progressive inspiratory muscles weakness in neuromuscular disorders (NMD) can lead to respiratory impairments, from restrictive lung to respiratory failure. Inspiratory muscle training (IMT) is an exercise with a device to increase inspiratory muscles strength and/or endurance. This article wasaimed to review the effect and prescription of IMT in NMD subjects.Methods: Searching method was done in PubMed and Google Scholar using keywords: “inspiratory muscle training” AND “neuromuscular disorders” AND “MIP” OR “PImax”.Results: Seven related studies were found. These studies shown that IMT increased inspiratory muscles strength and/or endurance in chronic progressive NMD. Most studies used threshold type. The intensities varied from 30% through 70% of maximum inspiratory pressure (MIP), minimum twice a day. Therepetition for strengthening was 10 times with 20-seconds rest between repetitions. Endurance trainings were done in 10 cycles of 1-minute breathing or for total 20 m inutes.Conclusion: Several evidences reported that IMT significantly improve strength and endurance of inspiratory muscles in chronic progressive NMD. It was effective in earlier phase of NMD. The minimum load intensity was 30% MIP.Keywords: Inspiratory muscle training (IMT), neuromuscular disorders (NMD), maximum inspiratory pressure (MIP)

scholarly journals Importance of establishing validity and reliability of reading test

2021 ◽  
Vol 27 (1) ◽  
pp. 31-37
Author(s):  
Berikbol AKEBAI ◽  
◽  
Chimedlkham ERDENEBAATAR ◽  
Keyword(s):  
Test Scores ◽  
Item Difficulty ◽  
Item Analysis ◽  
Reliability And Validity ◽  
Reading Test ◽  
P Value ◽  
Validity And Reliability ◽  
Discrimination Analysis ◽  
Detailed Assessment

This study presents the processes of developing and establishing reliability and validity of a reading test. In this respect, the study was conducted among 43 undergaduate students at Mongolian University of Science and Technology. Such detailed assessment is highly recommended for researchers who are in need of preparing pre and post tests which are different from each other. The results of students’ achievement in this test were utilized to determine the quality of each particular item in terms of item difficulty and item discrimination analysis. Item difficulty, commonly known as p-value refers to the proportion of examinees that responded to the item correctly. To test the reliability of the reading test, item analysis was employed in terms of item difficulty, discrimination, average and variance of the test scores. The quality of the item as a whole indicates a reliable value Kuder-Richardson 20 (KR20) value of 0.71.

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