The Validity, Reliability, and Feasibility of Measurement Tools Used to Assess Sleep of Pre-school Aged Children: A Systematic Rapid Review

Background: Sleep of pre-school aged children is important for their health and development, but there are currently no standards for measuring sleep in this age group. We aimed to examine the validity, reliability and feasibility of tools used to assess sleep of pre-school aged children.Methods: Studies were eligible for inclusion if they examined the validity and/or reliability and/or feasibility of a measurement tool used to examine sleep of pre-school aged children (aged 3–7 years). We systematically searched six electronic databases, grey literature and trial registries. We manually searched topic specific journals, reference and citations of included studies, and reference lists of existing reviews. We extracted data and conducted a risk of bias assessment on the included studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias checklist. We used a narrative synthesis to present the results.Results: Sixteen studies met the inclusion criteria: these explored accelerometers (n = 3) and parental reported tools (n = 13; nine questionnaires, six diaries). Studies assessed construct validity (n = 3), criterion validity (n = 1), convergent validity (n = 13), test-retest reliability (n = 2), internal consistency (n = 4) and feasibility (n = 12). Most studies assessed the convergent validity of questionnaires and diaries compared with accelerometers, but the validity of accelerometers for sleep in this age group is unknown. Of studies with a low risk of bias, one sleep diary was shown to be valid for measuring sleep duration. No measurement tools were appropriate for determining sleep quality. Reporting of reliability and feasibility was minimal.Discussion: The evidence base in this field is limited, and most studies had high risk of bias. Future research on sleep in pre-school aged children should focus on assessing the validity, reliability and feasibility of accelerometers, which in turn will improve the quality of studies that assess questionnaires and diaries against accelerometers.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021230900; PROSPERO: CRD42021230900.

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Measures of central sensitisation and their measurement properties in the adult musculoskeletal trauma population: a protocol for a systematic review and data synthesis

BMJ Open ◽

10.1136/bmjopen-2018-023204 ◽

2019 ◽

Vol 9 (3) ◽

pp. e023204 ◽

Cited By ~ 1

Author(s):

Nicola Middlebrook ◽

Alison B Rushton ◽

Nicola R Heneghan ◽

Deborah Falla

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Grey Literature ◽

Risk Of Bias ◽

Measurement Properties ◽

Measurement Instruments ◽

Health Measurement ◽

Central Sensitisation ◽

Trauma Population ◽

Musculoskeletal Trauma

IntroductionPain following musculoskeletal trauma is common with poor outcomes and disability well documented. Pain is complex in nature and can include the four primary mechanisms of pain: nociceptive, neuropathic, inflammatory and central sensitisation (CS). CS can be measured in multiple ways; however, no systematic review has evaluated the measurement properties of such measures in the musculoskeletal trauma population. This systematic review aims to evaluate the measurement properties of current measures of CS in this population.Methods/analysisThis protocol is informed and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis-P. MEDLINE, EMBASE, CINAHL, ZETOC, Web of Science, PubMed and Google Scholar as well as key journals and grey literature will be searched in two stages to (1) identify what measures are being used to assess CS in this population and (2) evaluate the measurement properties of the identified measures. Two independent reviewers will conduct the search, extract the data, assess risk of bias for included studies and assess overall quality. The Consensus-based Standards for the selection of Health Measurement Instruments Risk of Bias Checklist and a modified Grading of Recommendations, Assessment, Development and Evaluation guidelines will be used. Meta-analysis will be conducted if deemed appropriate. Alternatively, a narrative synthesis will be conducted and summarised per measurement property per outcome measure.Ethics and disseminationThis review will aid clinicians in using the most appropriate tool for assessing central sensitisation in this population and is the first step towards a more standardised approach in pain assessment. The results of this study will be submitted to a peer reviewed journal and presented at conferences.PROSPERO registrationnumberCRD42018091531.

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Psychometric properties of the Jefferson Scale of Empathy: a COSMIN systematic review protocol

Systematic Reviews ◽

10.1186/s13643-019-1240-0 ◽

2019 ◽

Vol 8 (1) ◽

Cited By ~ 1

Author(s):

Brett Williams ◽

Bronwyn Beovich

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Methodological Quality ◽

Grey Literature ◽

Risk Of Bias ◽

Measurement Properties ◽

Future Research ◽

Health Measurement ◽

Jefferson Scale Of Empathy

Abstract Background Empathy is an important characteristic to possess for healthcare professionals. It has been found to improve communication between professionals and patients and to improve clinical health outcomes. The Jefferson Scale of Empathy (JSE) was developed to measure this quality and has been used extensively, and psychometrically appraised, with a variety of cohorts and in different cultural environments. However, no study has been undertaken to systematically examine the methodological quality of studies which have assessed psychometric factors of the JSE. This systematic review will examine the quality of published papers that have reported on psychometric factors of the JSE. Methods A systematic review of studies which report on the psychometric properties of the JSE will be conducted. We will use a predefined search strategy to identify studies meeting the following eligibility criteria: original data is reported on for at least one of the psychometric measurement properties described in the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Risk of Bias checklist, examines the JSE in a healthcare cohort (using the student, physician or health profession versions of the JSE), and is published from January 2001 and in the English language. Conference abstracts, editorials and grey literature will be excluded. Six electronic databases (Medline, EMBASE, PsychInfo, PubMed, Web of Science and CINAHL) will be systematically searched for articles meeting these criteria and studies will be assessed for eligibility by two review authors. The methodological quality of included papers will be examined using the COSMIN Risk of Bias checklist. Discussion A narrative description of the findings will be presented along with summary tables. Recommendations for use of the JSE with various cohorts and circumstances will be offered which may inform future research in this field. Systematic review registration PROSPERO CRD42018111412

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Clinicians’ Experience of Providing Care: A Rapid Review

10.21203/rs.3.rs-26639/v3 ◽

2020 ◽

Author(s):

Maha Pervaz Iqbal ◽

Elizabeth Manias ◽

Laurel Mimmo ◽

Stephen Mears ◽

Briony Jack ◽

...

Keyword(s):

Health Care ◽

Health System ◽

Care Delivery ◽

Grey Literature ◽

Clinical Work ◽

Models Of Care ◽

Rapid Review ◽

Measurement Tools ◽

Clinician Experience ◽

System Sustainability

Abstract BackgroundHealth care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation.Methods:A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health.Results:Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion:Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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A systematic review of the validity, reliability, and feasibility of measurement tools used to assess the physical activity and sedentary behaviour of pre-school aged children

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-021-01132-9 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Sophie M. Phillips ◽

Carolyn Summerbell ◽

Matthew Hobbs ◽

Kathryn R. Hesketh ◽

Sonia Saxena ◽

...

Keyword(s):

Physical Activity ◽

Heart Rate ◽

Sedentary Behaviour ◽

Outcome Measures ◽

Contextual Information ◽

Measurement Properties ◽

Measurement Tool ◽

School Aged Children ◽

Measurement Tools ◽

Important Health

AbstractPhysical activity (PA) and sedentary behaviour (SB) of pre-school aged children are associated with important health and developmental outcomes. Accurate measurement of these behaviours in young children is critical for research and practice in this area. The aim of this review was to examine the validity, reliability, and feasibility of measurement tools used to assess PA and SB of pre-school aged children.Searches of electronic databases, and manual searching, were conducted to identify articles that examined the measurement properties (validity, reliability or feasibility) of measurement tools used to examine PA and/or SB of pre-school aged children (3–7 years old). Following screening, data were extracted and risk of bias assessment completed on all included articles.A total of 69 articles, describing 75 individual studies were included. Studies assessed measurement tools for PA (n = 27), SB (n = 5), and both PA and SB (n = 43). Outcome measures of PA and SB differed between studies (e.g. moderate to vigorous activity, step count, posture allocation). Most studies examined the measurement properties of one measurement tool only (n = 65). Measurement tools examined included: calorimetry, direct observation, combined heart rate and accelerometry, heart rate monitors, accelerometers, pedometers, and proxy report (parent, carer or teacher reported) measures (questionnaires or diaries). Studies most frequently assessed the validity (criterion and convergent) (n = 65), face and content validity (n = 2), test-retest reliability (n = 10) and intra-instrument reliability (n = 1) of the measurement tools. Feasibility data was abstracted from 41 studies.Multiple measurement tools used to measure PA and SB in pre-school aged children showed some degree of validity, reliability and feasibility, but often for different purposes. Accelerometers, including the Actigraph (in particular GT3X versions), Actical, ActivPAL and Fitbit (Flex and Zip), and proxy reported measurement tools used in combination may be useful for a range of outcome measures, to measure intensity alongside contextual information.

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Creative Atmosphere in Creative Tourism Destinations: Conceptualizing and Scale Development

Journal of Hospitality & Tourism Research ◽

10.1177/10963480211012459 ◽

2021 ◽

pp. 109634802110124

Author(s):

Tien-Ming Cheng ◽

Mei-Tsun Chen

Keyword(s):

Factor Analysis ◽

Convergent Validity ◽

Discriminant Validity ◽

Measurement Tool ◽

Tourist Destinations ◽

Five Factors ◽

Confirmatory Factor ◽

Measurement Tools ◽

Tourism Destinations ◽

Depth Interviews

Creating a creative atmosphere (CA) is the core value of creative tourism. The purpose of this study is conceptualize a construct of CA in “creative tourism destinations,” as well as to establish a set of reliable and valid measurement tools. In Study 1, we generated initial items through in-depth interviews and content analysis. In Study 2, we collected the first sample and investigated scale factor structure through exploratory factor analysis to obtain five factors: novel atmosphere, joyful atmosphere, artistic atmosphere, hedonic atmosphere, and distinctive atmosphere. A second sample was collected in Study 3 to verify the reliability of the CA scale with confirmatory factor analysis, convergent validity, and discriminant validity. This process netted 23 items. A major contribution of this study is to develop a multidimensional scale for CA consisting of the five factors—novel atmosphere, pleasurable atmosphere, artistic atmosphere, hedonic atmosphere, and distinctive atmosphere. The results of this study can be applied as a reference measurement tool for designing creative tourism at tourist destinations.

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From screen time to the digital level of analysis: a scoping review of measures for digital media use in children and adolescents

BMJ Open ◽

10.1136/bmjopen-2020-046367 ◽

2021 ◽

Vol 11 (5) ◽

pp. e046367

Author(s):

Dillon Thomas Browne ◽

Shealyn S May ◽

Laura Colucci ◽

Pamela Hurst-Della Pietra ◽

Dimitri Christakis ◽

...

Keyword(s):

Digital Media ◽

Scoping Review ◽

Screen Time ◽

Media Use ◽

Grey Literature ◽

Well Being ◽

Assessment Method ◽

Measurement Tool ◽

Original Research ◽

Measurement Tools

ObjectivesThis scoping review aims to facilitate psychometric developments in the field of digital media usage and well-being in young people by (1) identifying core concepts in the area of “screen time” and digital media use in children, adolescents, and young adults, (2) synthesising existing research paradigms and measurement tools that quantify these dimensions, and (3) highlighting important areas of need to guide future measure development.DesignA scoping review of 140 sources (126 database, 14 grey literature) published between 2014 and 2019 yielded 162 measurement tools across a range of domains, users, and cultures. Database sources from Ovid MEDLINE, PsycINFO and Scopus were extracted, in addition to grey literature obtained from knowledge experts and organisations relevant to digital media use in children. To be included, the source had to: (1) be an empirical investigation or present original research, (2) investigate a sample/target population that included children or young persons between the ages of 0 and 25 years of age, and (3) include at least one assessment method for measuring digital media use. Reviews, editorials, letters, comments and animal model studies were all excluded.MeasuresBasic information, level of risk of bias, study setting, paradigm, data type, digital media type, device, usage characteristics, applications or websites, sample characteristics, recruitment methods, measurement tool information, reliability and validity.ResultsSignificant variability in nomenclature surrounding problematic use and criteria for identifying clinical impairment was discovered. Moreover, there was a paucity of measures in key domains, including tools for young children, whole families, disadvantaged groups, and for certain patterns and types of usage.ConclusionThis knowledge synthesis exercise highlights the need for the widespread development and implementation of comprehensive, multi-method, multilevel, and multi-informant measurement suites.

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Clinicians’ experience of providing care: a rapid review

BMC Health Services Research ◽

10.1186/s12913-020-05812-3 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Maha Pervaz Iqbal ◽

Elizabeth Manias ◽

Laurel Mimmo ◽

Stephen Mears ◽

Briony Jack ◽

...

Keyword(s):

Health Care ◽

Health System ◽

Health Care Services ◽

Care Delivery ◽

Grey Literature ◽

Clinical Work ◽

Models Of Care ◽

Rapid Review ◽

Measurement Tools ◽

Clinician Experience

Abstract Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation. Methods A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. Seventy-nine studies retrieved from the literature were included in the review. Fourteen articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health. Results Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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Low-value injury care in the adult orthopaedic trauma population: a protocol for a rapid review

BMJ Open ◽

10.1136/bmjopen-2019-033453 ◽

2020 ◽

Vol 10 (3) ◽

pp. e033453

Author(s):

Mélanie Bérubé ◽

Lynne Moore ◽

Stéphane Leduc ◽

Imen Farhat ◽

Martin Lesieur ◽

...

Keyword(s):

Systematic Reviews ◽

Risk Of Bias ◽

Rapid Review ◽

Measurement Tool ◽

Controlled Trials ◽

Cochrane Central Register ◽

Orthopaedic Trauma ◽

Trauma Population ◽

Hospital Practices ◽

Orthopaedic Injuries

IntroductionOrthopaedic injuries affect almost 90% of trauma patients. A previous scoping review and expert consultation survey identified 15 potential low-value intra-hospital practices in the adult orthopaedic trauma population. Limiting the frequency of such practices could reduce adverse events, improve clinical outcomes and free up resources. The aim of this study is to synthesise the evidence on intra-hospital practices for orthopaedic injuries, previously identified as potentially of low value.Methods and analysisWe will search Medline, Excerpta Medica Database (EMBASE), the Cochrane Central Register of Controlled Trials and Epistemonikos to identify systematic reviews, randomised controlled trials (RCTs), quasi-RCTs, cohort studies and case–control studies that evaluate selected practices according to a priori PICOS statements (Population–Intervention–Comparator–Outcome–Study design) . We will evaluate the methodological quality for systematic reviews using the Measurement Tool to Assess Systematic Reviews version 2 (AMSTAR-2). Risk of bias in original studies will be evaluated with the Cochrane revised tool for RCTs (RoB2) and with the risk of bias in non-randomised studies of interventions (ROBINS-I) tool. If for a given practice, more than two original studies on our primary outcome are identified, we will conduct meta-analysis using a random effects model and assess heterogeneity using the I2index. We will assess credibility of evidence (I–IV) based on statistical significance, sample size, heterogeneity and bias as per published criteria.Ethics and disseminationEthics approval is not required as original data will not be collected. Knowledge users from three level I trauma centres are involved in the design and conduct of the study in accordance with an integrated knowledge translation approach. Findings related to the rapid review will be available in May 2020. They will be presented to key stakeholders to inform discussions and raise awareness on low-value injury care. In addition, results will be disseminated in a peer-reviewed journal, at national and international scientific meetings and to healthcare associations.

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Clinicians’ Experience of Providing Care: A Rapid Review

10.21203/rs.3.rs-26639/v2 ◽

2020 ◽

Author(s):

Maha Pervaz Iqbal ◽

Elizabeth Manias ◽

Laurel Mimmo ◽

Stephen Mears ◽

Briony Jack ◽

...

Keyword(s):

Health Care ◽

Health System ◽

Health Care Services ◽

Care Delivery ◽

Grey Literature ◽

Clinical Work ◽

Models Of Care ◽

Rapid Review ◽

Measurement Tools ◽

Clinician Experience

Abstract Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation.Methods A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health.Results Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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Clinicians’ Experience of Providing Care: A Rapid Review

10.21203/rs.3.rs-26639/v1 ◽

2020 ◽

Author(s):

Maha Pervaz Iqbal ◽

Elizabeth Manias ◽

Laurel Mimmo ◽

Stephen Mears ◽

Briony Jack ◽

...

Keyword(s):

Health Care ◽

Health System ◽

Health Care Services ◽

Care Delivery ◽

Grey Literature ◽

Clinical Work ◽

Models Of Care ◽

Rapid Review ◽

Measurement Tools ◽

Clinician Experience

Abstract Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation. Methods: A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health. Results: Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion: Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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