Validity and Reliability of the Persian Version of Language Screening Test (LAST) for Patients in the Acute Phase of Stroke

Background & Objectives: Aphasia is one of the most common consequences of a stroke; thus, screening tests for early diagnosis of the problem are necessary when dealing with aphasia patients. One of these screening tests is the Language Screening Test (LAST). The purpose of this study was to translate, validate, and utilize this test in the Persian language for patients after stroke. Methods: The original version of LAST was translated into Persian, and then administrated on 100 patients in the acute phase by two examiners at the patient’s bedside in order to check the inter-rater reliability. To assess the agreement between the two forms (a and b) of the LAST, Concordance Correlation Coefficient (CCC), weighted Kappa, and Intraclass Correlation Coefficient (ICC) were used. Also, the Persian version of LAST and the Western Aphasia Battery (WAB) were performed at the chronic phase with two independent examiners with blind scoring. Results: Inter-rater reliability between Rater 1 and Rater 2 on LAST-a and LAST-b score were very good for both phases. The CCC for LAST-a and LAST-b, respectively, were 0.874 and 0.865 for the acute phase and 0.923 and 0.927 for the chronic phase. The weighted Kappa for LAST-a and LAST-b, respectively, were 0.750 and 0.740 for the acute phase, and 0.822 and 0.846 for the chronic phase. Conclusion: The obtained results showed that LAST is a very simple, fast, and valid test and can be used as a reliable tool in stroke patients. Lack of cultural and language dependency are the advantages of using this test.

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Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards

BMJ Quality & Safety ◽

10.1136/bmjqs-2017-006513 ◽

2017 ◽

Vol 27 (5) ◽

pp. 365-372 ◽

Cited By ~ 8

Author(s):

Julian Edbrooke-Childs ◽

Jacqueline Hayes ◽

Evelyn Sharples ◽

Dawid Gondek ◽

Emily Stapley ◽

...

Keyword(s):

Case Management ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Situation Awareness ◽

Assessment Tool ◽

Intraclass Correlation ◽

Weighted Kappa ◽

Observational Assessment ◽

Rater Reliability ◽

Team Processes

Background‘Situation Awareness For Everyone’ (SAFE) was a 3-year project which aimed to improve situation awareness in clinical teams in order to detect potential deterioration and other potential risks to children on hospital wards. The key intervention was the ‘huddle’, a structured case management discussion which is central to facilitating situation awareness. This study aimed to develop an observational assessment tool to assess the team processes occurring during huddles, including the effectiveness of the huddle.MethodsA cross-sectional observational design was used to psychometrically develop the ‘Huddle Observation Tool’ (HOT) over three phases using standardised psychometric methodology. Huddles were observed across four NHS paediatric wards participating in SAFE by five researchers; two wards within specialist children hospitals and two within district general hospitals, with location, number of beds and length of stay considered to make the sample as heterogeneous as possible. Inter-rater reliability was calculated using the weighted kappa and intraclass correlation coefficient.ResultsInter-rater reliability was acceptable for the collaborative culture (weighted kappa=0.32, 95% CI 0.17 to 0.42), environment items (weighted kappa=0.78, 95% CI 0.52 to 1) and total score (intraclass correlation coefficient=0.87, 95% CI 0.68 to 0.95). It was lower for the structure and risk management items, suggesting that these were more variable in how observers rated them. However, agreement on the global score for huddles was acceptable.ConclusionWe developed an observational assessment tool to assess the team processes occurring during huddles, including the effectiveness of the huddle. Future research should examine whether observational evaluations of huddles are associated with other indicators of safety on clinical wards (eg, safety climate and incidents of patient harm), and whether scores on the HOT are associated with improved situation awareness and reductions in deterioration and adverse events in clinical settings, such as inpatient wards.

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Translation, Validity, and Reliability of the Persian Version of Aphasia Rapid Test for Acute Stroke

Function and Disability Journal ◽

10.32598/fdj.3.15 ◽

2020 ◽

Vol 3 (1) ◽

pp. 101-110

Author(s):

Seyyedeh Zohreh Mousavi ◽

◽

Reyhaneh Jafari ◽

Saman Maroufizadeh ◽

Mohammad Moez Shahramnia ◽

...

Keyword(s):

Acute Stroke ◽

Acute Phase ◽

Language Disorder ◽

Rapid Test ◽

Predictive Ability ◽

Screening Tests ◽

Validity And Reliability ◽

Rater Reliability ◽

Persian Version

Background & Objectives: Aphasia is an acquired language disorder that affects daily communication and quality of life. Early diagnosis and the treatment of aphasia are important. In this regard, one of the screening tests is the Aphasia Rapid Test (ART). This study aimed to investigate the validity and reliability of this test and extend the use of ART in the acute phase for patients with aphasia. Methods: The original version of ART was translated to Persian and 100 acute stroke patients were evaluated by ART. Besides, all the patients were assessed again after eight days by two independent raters to evaluate inter-rater reliability. Also, 70 patients were chosen to examine ART’s predictive ability; they were assessed using the Persian version of Western Aphasia Battery, after three months. Results: On day eight of the study, the Mean±SD ART was 11.26±2.03 for rater 1 and 11.44±2.04 for rater 2. Inter-rater reliability was good with the concordance correlation coefficient of 0.959 (95% CI: 0.939-0.972). Also, the Bland-Altman plot showed good agreement between raters without any significant trend/bias. Conclusion: The ART is a test that includes features, such as reproducibility, predictability, and inter-rater reliability. This test is short and can be used in the acute phase of aphasia in patients with stroke.

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Proposing a new short screening test for upper limb apraxia

British Journal of Occupational Therapy ◽

10.1177/0308022621998564 ◽

2021 ◽

pp. 030802262199856

Author(s):

Mai Yamada ◽

Masahiko Koyanagi ◽

Miyo Kawaguchi ◽

Yuki Sato ◽

Mitsuhiro Tsujihata ◽

...

Keyword(s):

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Upper Limb ◽

Screening Test ◽

Intraclass Correlation ◽

Stroke Patients ◽

Special Equipment ◽

Rater Reliability ◽

Verbal Instructions ◽

Limb Apraxia

Background Apraxia has a major impact on activities of daily living in stroke patients. The proper assessment and treatment of apraxia is important for maintaining a good quality of life. We developed a short evaluation test for upper limb apraxia. Patients and Methods The present Screening Test of Gestures for Stroke consists of 10 items for each verbal instruction and imitation. Each item includes three meaningless gestures, three meaningful gestures and four pantomimes. The Screening Test of Gestures for Stroke is scored based on a 3-point system: 10, 5 or 0 (maximum score: 200). The test took approximately 2–5 min to complete. We recruited 65 patients admitted to our hospital with left hemisphere stroke and 50 healthy subjects. Results The reliability of the Screening Test of Gestures for Stroke was as follows: the intraclass correlation coefficient of intra-rater reliability was 0.93 for both verbal instructions and imitations, and the intraclass correlation coefficient total scores for inter-rater reliability for verbal instructions and for imitations were 0.97 and 0.95, respectively. The alpha coefficient was ≥0.80. Conclusions The Screening Test of Gestures for Stroke is a reliable and valid bedside test that has a short assessment time, does not require special equipment and can evaluate upper limb apraxia in stroke patients from the acute to the chronic phase.

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Sport and exercise medicine consultants are reliable in assessing tendon neovascularity using ultrasound Doppler

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2017-000298 ◽

2018 ◽

Vol 4 (1) ◽

pp. e000298 ◽

Cited By ~ 5

Author(s):

James Watson ◽

Robert M Barker-Davies ◽

Alexander N Bennett ◽

Daniel T P Fong ◽

Patrick C Wheeler ◽

...

Keyword(s):

Correlation Coefficient ◽

Lower Limb ◽

Intraclass Correlation ◽

Power Doppler ◽

Weighted Kappa ◽

Treatment Modalities ◽

Rater Reliability ◽

Exercise Medicine ◽

Sport And Exercise ◽

Kappa Agreement

ObjectiveSeveral lower limb tendinopathy treatment modalities involve identification of pathological paratendinous or intratendinous neovascularisation to target proposed co-location of painful neoneuralisation. The ability to reliably locate and assess the degree of neovascularity is therefore clinically important. The Modified Ohberg Score (MOS) is frequently used to determine degree of neovascularity, but reliability has yet to be established among Sport and Exercise Medicine (SEM) consultants. This study aims to determine inter-rater and intra-rater reliability of an SEM consultant cohort when assessing neovascularity using the 5-point MOS.MethodEleven participants (7 male and 4 female) provided 16 symptomatic Achilles and patella tendons. These were sequentially examined using power Doppler (PD) enabled ultrasound (US) imaging by 6 SEM consultants who rated neovascular changes seen using the MOS. Representative digital scan images were saved for rescoring 3 weeks later. Inter-rater and intra-rater reliability of the MOS was examined using intraclass correlation coefficient (ICC) and Kappa Agreement scores.ResultsNeovascular changes were reported in 65.6% of 96 scans undertaken. ICC for inter-rater reliability was 0.86 and Fleiss Kappa 0.52. ICC for intra-rater reliability was 0.95 and Weighted Kappa 0.91.ConclusionsNeovascular changes were present in two-thirds of symptomatic tendons. Excellent SEM consultant inter-rater and intra-rater reliability was demonstrated. These findings support the use of PD-enabled US to assess neovascularity by appropriately experienced SEM consultants. Furthermore, future interventional research using a similarly experienced SEM consultant cohort can be undertaken with assurance that assessment of neovascularity will be reliable.

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Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project

Nutrients ◽

10.3390/nu13041163 ◽

2021 ◽

Vol 13 (4) ◽

pp. 1163

Author(s):

Suzana Shahar ◽

Mohd Razif Shahril ◽

Noraidatulakma Abdullah ◽

Boekhtiar Borhanuddin ◽

Mohd Arman Kamaruddin ◽

...

Keyword(s):

Vitamin C ◽

Correlation Coefficient ◽

Food Frequency Questionnaire ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Weighted Kappa ◽

Dietary Intakes ◽

Food Frequency ◽

Relative Validity ◽

Spearman’S Correlation

Measuring dietary intakes in a multi-ethnic and multicultural setting, such as Malaysia, remains a challenge due to its diversity. This study aims to develop and evaluate the relative validity of an interviewer-administered food frequency questionnaire (FFQ) in assessing the habitual dietary exposure of The Malaysian Cohort (TMC) participants. We developed a nutrient database (with 203 items) based on various food consumption tables, and 803 participants were involved in this study. The output of the FFQ was then validated against three-day 24-h dietary recalls (n = 64). We assessed the relative validity and its agreement using various methods, such as Spearman’s correlation, weighed Kappa, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Spearman’s correlation coefficient ranged from 0.24 (vitamin C) to 0.46 (carbohydrate), and almost all nutrients had correlation coefficients above 0.3, except for vitamin C and sodium. Intraclass correlation coefficients ranged from −0.01 (calcium) to 0.59 (carbohydrates), and weighted Kappa exceeded 0.4 for 50% of nutrients. In short, TMC’s FFQ appears to have good relative validity for the assessment of nutrient intake among its participants, as compared to the three-day 24-h dietary recalls. However, estimates for iron, vitamin A, and vitamin C should be interpreted with caution.

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Translation and Cross-Cultural Adaptation of the Persian Version of Minnesota Living With Heart Failure Questionnaire (MLHFQ)

ACTA MEDICA IRANICA ◽

10.18502/acta.v57i7.2330 ◽

2020 ◽

Author(s):

Behrouz Attarbashi Moghadam ◽

Hasan Tamartash ◽

Sara Fereydunnia ◽

Mahdieh Ravand

Keyword(s):

Heart Failure ◽

Correlation Coefficient ◽

Short Form ◽

Intraclass Correlation ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Persian Version ◽

Sf 36 ◽

Heart Failure Questionnaire

The Minnesota Living with Heart Failure Questionnaire (MLHFQ) has been developed to measure health-related quality of life (HRQoL) status of Heart Failure (HF) patients. The aim of this study was to translate MLHFQ into the Persian version and assess the validity and reliability of the translated version. We used a forward-backward procedure for translation. In a cross-sectional study, 105 HF patients and 50 healthy subjects were selected to assess the reliability and construct validity of the instrument. The face and content validity were used to assess the questionnaire validity. Validity was examined on the HF patients group, using the Persian version of the Short form-36 health survey (SF-36) Questionnaire. In order to assess the questionnaire’s reliability, the Intraclass correlation coefficient (ICC) and Cronbach’s alpha were calculated. Test-retest reliability was examined by re-administering the MLHFQ after 2 weeks. Test-retest results demonstrated that the Persian version has excellent reliability (ICC for all 2 domains were higher than 0.91, P≤0.000). Internal consistency for Physical domain (PD), emotional domain (ED) and total scores using Cronbach’s alpha were 0.90, 0.84 and 0.92, respectively. ICC for PD, ED and total scores were 0.95, 0.94, and 0.97, respectively. Good and very good Pearson's Correlation Coefficient was seen between MLHFQ and SF-36 (r= -0.47 to -0.775, P≤0.000 for PD; r= -0.47 to -0.65, P≤0.000 for ED). The Persian version of the MLHFQ had satisfactory reliability and validity for assessing HRQoL status of Iranian HF patients. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(7):435-441.

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Intra-rater reliability of transversus abdominis measurement by a novice examiner: Comparison of “freehand” to “probe force device” method of real-time ultrasound imaging

Ultrasound ◽

10.1177/1742271x19831720 ◽

2019 ◽

Vol 27 (3) ◽

pp. 156-166 ◽

Cited By ~ 1

Author(s):

Vanessa L Kennedy ◽

Carol A Flavell ◽

Kenji Doma

Keyword(s):

Measurement Error ◽

Real Time ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Coefficient Of Variation ◽

Repeated Measures ◽

Intraclass Correlation ◽

Transversus Abdominis ◽

Rater Reliability ◽

Transverse Abdominis

A “free hand” real-time-ultrasound method is commonly applied to measure transversus abdominis. Potentially, this increases transversus abdominis measurement error due to uncontrolled variability in probe to skin force, inclination, and roll, particularly for novice examiners. This single-group repeated-measures reliability study compared the intra-rater reliability of transversus abdominis thickness and activation measurement by a novice examiner between free hand and a standardized probe force device method. The examiner captured ultrasound videos of transversus abdominis in a single session in healthy participants ( n = 33). Free hand ultrasound featured uncontrolled probe force, inclination, and roll, while probe force device method ultrasound standardized these parameters. Images of transversus abdominis at rest and contracted were measured and transversus abdominis activation calculated. Intraclass correlation coefficient, coefficient of variation, standard error of measurement, and worthwhile differences were calculated. The probe force device method resulted in greater reliability (intraclass correlation coefficient = 0.75–0.96) and lower measurement error (coefficient of variation = 8.89–28.7%) compared to free hand (intraclass correlation coefficient = 0.63–0.93; coefficient of variation = 6.52–29.4%). Reliability was good for all measurements except free hand TrA-C, which was moderate. TrA-C had the lowest reliability, followed by contracted thickness of the transverse abdominis, with resting thickness of the transverse abdominis being highest. Worthwhile differences were lower using a probe force device method versus free hand for resting thickness of the transverse abdominis and contracted thickness of the transverse abdominis and similar for TrA-C. Standardization using probe force device method ultrasound to measure transversus abdominis improved intra-rater reliability in a novice examiner. Use of a probe force device method is recommended to improve reliability through reduced sources of measurement error. Probe force device method intra- and inter-rater reliability in examiners of varying experience, in clinical populations, and to visualize other structures merits exploration.

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Comparison of Kristjansson Respiratory Score and Wang Respiratory Score in infants with bronchiolitis in a hospital emergency department

Hong Kong Physiotherapy Journal ◽

10.1142/s1013702520500146 ◽

2020 ◽

Vol 40 (02) ◽

pp. 145-153

Author(s):

Frederico Ramos Pinto ◽

Liane Correia-Costa ◽

Inês Azevedo

Keyword(s):

Emergency Department ◽

Emergency Room ◽

Internal Consistency ◽

Health Professionals ◽

Prospective Observational Study ◽

Intraclass Correlation ◽

Weighted Kappa ◽

Hospital Emergency ◽

Rater Reliability ◽

Hospital Emergency Room

Objective: Several respiratory scores have been created to evaluate bronchiolitis’ severity level, but it is still not clear which is the best score. The aim of this study is to compare the Wang Respiratory Score (WRS) and the Kristjansson Respiratory Score (KRS) in the setting of an emergency room. Methods: We performed a prospective observational study with 60 infants with bronchiolitis admitted to a paediatric emergency department. For both scores, we assessed inter-rater reliability between two different health professionals (physician and physiotherapist), internal consistency, and correlation with SpO2 testing the intraclass-correlation coefficient (ICC), weighted kappa, Cronbach [Formula: see text] coefficient and Spearman tests, respectively. Results: The inter-rater reliability was higher in KRS (ICC 0.79) and the Cronbach [Formula: see text] and weighted kappa had similar values in KRS versus WRS. The correlation between the KRS/WRS and SpO2 was poor/moderate upon admission and discharge for the first observer and the second observer. Conclusions: While the internal consistency was similar in both scores, inter-rater reliability of KRS was higher than WRS, which allows us to conclude that it would have more consistent results when used to assess bronchiolitis’ level of severity by health personnel in a busy hospital emergency room.

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Validity and reliability of assessing diaphragmatic mobility by area on X-rays of healthy subjects

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562016000000131 ◽

2018 ◽

Vol 44 (3) ◽

pp. 220-226 ◽

Cited By ~ 1

Author(s):

Aline Pedrini ◽

Márcia Aparecida Gonçalves ◽

Bruna Estima Leal ◽

Michelle Gonçalves de Souza Tavares ◽

Wellington Pereira Yamaguti ◽

...

Keyword(s):

Correlation Coefficient ◽

Intraclass Correlation ◽

X Rays ◽

Altman Analysis ◽

Validity And Reliability ◽

Anthropometric Parameters ◽

Rater Reliability ◽

Bland Altman Analysis ◽

Left Hemidiaphragm ◽

The Right

ABSTRACT Objective: To investigate the concurrent validity, as well as the intra- and inter-rater reliability, of assessing diaphragmatic mobility by area (DMarea) on chest X-rays of healthy adults. Methods: We evaluated anthropometric parameters, pulmonary function, and diaphragmatic mobility in 43 participants. Two observers (rater A and rater B) determined diaphragmatic mobility at two time points. We used Pearson’s correlation coefficient to evaluate the correlation between DMarea and the assessment of diaphragmatic mobility by distance (DMdist). To evaluate intra- and inter-rater reliability, we used the intraclass correlation coefficient (ICC [2,1]), 95% CI, and Bland-Altman analysis. Results: A significant correlation was found between the DMarea and DMdist methods (r = 0.743; p < 0.0001). For DMarea, the intra-rater reliability was found to be quite high for the right hemidiaphragm (RHD)-ICC (2,1) = 0.92 (95% CI: 0.86-0.95) for rater A and ICC (2,1) = 0.90 (95% CI: 0.84-0.94) for rater B-and the left hemidiaphragm (LHD)-ICC (2,1) = 0.96 (95% CI: 0.93-0.97) for rater A and ICC (2,1) = 0.91 (95% CI: 0.81-0.95) for rater B-(p < 0.0001 for all). Also for DMarea, the inter-rater reliability was found to be quite high for the first and second evaluations of the RHD-ICC (2,1) = 0.99 (95% CI: 0.98-0.99) and ICC (2,1) = 0.95 (95% CI: 0.86-0.97), respectively-and the LHD-ICC (2,1) = 0.99 (95% CI: 0.98-0.99) and ICC (2,1) = 0.94 (95% CI: 0.87-0.97)-(p < 0.0001 for both). The Bland-Altman analysis showed good agreement between the mobility of the RHD and that of the LHD. Conclusions: The DMarea method proved to be a valid, reliable measure of diaphragmatic mobility.

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Cross-Cultural Adaptation, Validity, and Reliability of the Persian Version of the Orebro Musculoskeletal Pain Screening Questionnaire

Asian Spine Journal ◽

10.4184/asj.2017.11.4.520 ◽

2017 ◽

Vol 11 (4) ◽

pp. 520-530 ◽

Cited By ~ 7

Author(s):

Asrin Shafeei ◽

Hamid Reza Mokhtarinia ◽

Azam Maleki-Ghahfarokhi ◽

Leila Piri

Keyword(s):

Correlation Coefficient ◽

Musculoskeletal Pain ◽

Cultural Adaptation ◽

Convergent Validity ◽

Intraclass Correlation ◽

Cross Cultural ◽

Face Validity ◽

Screening Questionnaire ◽

Cross Cultural Adaptation ◽

Persian Version

<sec><title>Study Design</title>Observational study.</sec><sec><title>Purpose</title>To cross-culturally translate the Orebro Musculoskeletal Pain Screening Questionnaire (OMPQ) into Persian and then evaluate its psychometric properties (reliability, validity, ceiling, and flooring effects).</sec><sec><title>Overview of Literature</title>To the authors' knowledge, prior to this study there has been no validated instrument to screen the risk of chronicity in Persian-speaking patients with low back pain (LBP) in Iran. The OMPQ was specifically developed as a self-administered screening tool for assessing the risk of LBP chronicity.</sec><sec><title>Methods</title>The forward–backward translation method was used for the translation and cross-cultural adaptation of the original questionnaire. In total, 202 patients with subacute LBP completed the OMPQ and the pain disability questionnaire (PDQ), which was used to assess convergent validity. 62 patients completed the OMPQ a week later as a retest.</sec><sec><title>Results</title>Slight changes were made to the OMPQ during the translation/cultural adaptation process; face validity of the Persian version was obtained. The Persian OMPQ showed excellent test–retest reliability (intraclass correlation coefficient=0.89). Its internal consistency was 0.71, and its convergent validity was confirmed by good correlation coefficient between the OMPQ and PDQ total scores (<italic>r</italic>=0.72, <italic>p</italic><0.05). No ceiling or floor effects were observed.</sec><sec><title>Conclusions</title>The Persian version of the OMPQ is acceptable for the target society in terms of face validity, construct validity, reliability, and consistency. It is therefore considered a useful instrument for screening Iranian patients with LBP.</sec>

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