scholarly journals Grounding the Connection Between Psyche and Soma: Creating a Reliable Observation Tool for Grounding Assessment in an Adult Population

2021 ◽  
Vol 12 ◽  
Author(s):  
Einat Shuper Engelhard ◽  
Michal Pitluk ◽  
Michal Elboim-Gabyzon
Keyword(s):  
Assessment Tool ◽  
Emotional Experience ◽  
Adult Population ◽  
Intraclass Correlation ◽  
The Body ◽  
Dance Movement ◽  
Theoretical Understanding ◽  
Foot Placement ◽  
Therapeutic Goals

The concept of grounding is accepted and common among dance movement therapists and body psychotherapists. It expresses a stable physical and emotional presence – “supported by the ground.” The assumption is that embodied emotional knowledge is expressed through the manner of physical holding and in the emotional experience in the world. However, along with the clinical use of the term, an empirical tool for examining grounding is lacking. The goal of the study was to examine the reliability and validity of an observation tool for assessing the quality of grounding, the Grounding Assessment Tool (GAT), which was created for the present study on the basis of theory, research, and clinical knowledge in the field. Forty three adult participants (age, M = 28.2 years, SD = 8.54) were recruited for an experimental and controlled session, the session included guided movement for approximately 10 min. The movement was recorded on video. The quality of the movement was rated by two raters and was scored using the GAT. The study findings indicated that the GAT is a reliable and valid tool – with good internal consistency (α = 0.850) and high interrater and intrarater reliability (Kendall’s ’range from 0.789 to 0.973 and intraclass correlation coefficient range from 0.967 to 1.00, respectively). The exploratory factor analysis showed that four factors are involved in the assessment of grounding quality: fluid and rhythmic movement, emotional expression in movement, pattern of foot placement, and lack of stability and weightiness. The results of this study expand the theoretical understanding of the concept of grounding. They contribute to the understanding of the benefits of body focus, dance and movement in psychotherapy and to validating body psychotherapy and dance movement therapy (DMT). The existence of a reliable and valid tool is essential for assessment and diagnostic processes, for formulating therapeutic goals focused on the body, and for examining their effectiveness.

Systematically Reviewing the Efficacy of Mindfulness-Based Interventions for Enhanced Athletic Performance

2015 ◽  
Vol 9 (3) ◽  
pp. 232-262 ◽  
Author(s):  
Ryan Sappington ◽  
Kathryn Longshore
Keyword(s):  
Sport Psychology ◽  
Performance Enhancement ◽  
Assessment Tool ◽  
Skills Training ◽  
Sport Performance ◽  
The Body ◽  
Psychological Skills ◽  
Psychological Skills Training ◽  
Quality Of Research

The field of applied sport psychology has traditionally grounded its performance enhancement techniques in the cognitive-behavioral elements of psychological skills training. These interventions typically advocate for controlling one’s cognitive and emotional processes during performance. Mindfulness-based approaches, on the other hand, have recently been introduced and employed more frequently in an effort to encourage athletes to adopt a nonjudgmental acceptance of all thoughts and emotions. Like many applied interventions in sport psychology, however, the body of literature supporting the efficacy of mindfulness-based approaches for performance enhancement is limited, and few efforts have been made to draw evidence-based conclusions from the existing research. The current paper had the purpose of systematically reviewing research on mindfulness-based interventions with athletes to assess (a) the efficacy of these approaches in enhancing sport performance and (b) the methodological quality of research conducted thus far. A comprehensive search of relevant databases, including peer-reviewed and gray literature, yielded 19 total trials (six case studies, two qualitative studies, seven nonrandomized trials, and four randomized trials) in accordance with the inclusion criteria. An assessment tool was used to score studies on the quality of research methodology. While a review of this literature yielded preliminary support for the efficacy of mindfulness-based performance enhancement strategies, the body of research also shows a need for more methodologically rigorous trials.

scholarly journals Effectiveness of trauma centers verification: Protocol for a systematic review

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Brice Batomen ◽  
Lynne Moore ◽  
Mabel Carabali ◽  
Pier-Alexandre Tardif ◽  
Howard Champion ◽  
...  
Keyword(s):  
Systematic Review ◽  
Trauma Center ◽  
Assessment Tool ◽  
Meta Analysis ◽  
The Body ◽  
World Health ◽  
Trauma Patients ◽  
Assessment Development ◽  
Health Organization

Abstract Background The implementation of trauma systems in many high-income countries over the last 50 years has led to important reductions in injury mortality and disability in many healthcare jurisdictions. Injury organizations including the American College of Surgeons and the Trauma Association of Canada as well as the World Health Organization provide consensus-based recommendations on resources and processes for optimal injury care. Many hospitals treating trauma patients seek verification to demonstrate that they meet these recommendations. This process may be labeled differently across jurisdictions. In Canada for example, it is called accreditation, but it has the same objective and very similar modalities. The objective of the study described in this protocol is to systematically review evidence on the effectiveness of trauma center verification for improving clinical processes and patient outcomes in injury care. Methods We will perform a systematic review of studies evaluating the association between trauma center verification and hospital mortality (primary outcome), as well as morbidity, resource utilization, and processes of care (secondary outcomes). We will search CINAHL, EMBASE, HealthStar, MEDLINE, and ProQuest databases, as well as key injury organization websites for gray literature. We will assess the methodological quality of studies using the Risk Of Bias In Non-randomized Studies – of Interventions (ROBINS-I) assessment tool. We are planning to conduct a meta-analysis if feasible based on the number of included studies and their heterogeneity. We will evaluate the quality of cumulative evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group methodology. Discussion This review will provide a synthesis of the body of evidence on trauma center verification effectiveness. Results could reinforce current verification modalities and may suggest ways to optimize them. Results will be published in a peer-reviewed journal and presented at an international clinical conference. Systematic review registration PROSPERO CRD42018107083.

scholarly journals Practical Advice Regarding the Reliability of the Patient Educational Materials Assessment Tool for Health Educators

2021 ◽  
pp. 152483992098479
Author(s):  
Joseph G. L. Lee ◽  
Mahdi Sesay ◽  
Paula A. Acevedo ◽  
Zachary A. Chichester ◽  
Beth H. Chaney
Keyword(s):  
Patient Education ◽  
Interrater Reliability ◽  
Assessment Tool ◽  
Health Workers ◽  
Intraclass Correlation ◽  
Health Educators ◽  
Educational Materials ◽  
Practical Advice ◽  
Highly Sensitive

The quality of patient education materials is an important issue for health educators, clinicians, and community health workers. We describe a challenge achieving reliable scores between coders when using the Patient Educational Materials Assessment Tool (PEMAT) to evaluate farmworker health materials in spring 2020. Four coders were unable to achieve reliability after three attempts at coding calibration. Further investigation identified improvements to the PEMAT codebook and evidence of the difficulty of achieving traditional interrater reliability in the form of Krippendorff’s alpha. Our solution was to use multiple raters and average ratings to achieve an acceptable score with an intraclass correlation coefficient. Practitioners using the PEMAT to evaluate materials should consider averaging the scores of multiple raters as PEMAT results otherwise may be highly sensitive to who is doing the rating. Not doing so may inadvertently result in the use of suboptimal patient education materials.

scholarly journals Targets of Psychological Work for High Alexithymia People

2019 ◽  
Vol 16 (1) ◽  
pp. 55-70 ◽  
Author(s):  
Emma V Gaus ◽  
Evgeny A Pronenko ◽  
Olga S Vasilyeva
Keyword(s):  
Interpersonal Relations ◽  
Empirical Studies ◽  
The Body ◽  
Theoretical Understanding ◽  
The People ◽  
Psychological Assistance ◽  
The Moment ◽  
High Level ◽  
Psychosomatic Diseases

The article reviewed the modern empirical studies of alexithymia, summarized the theoretical understanding of the phenomenon of alexithymia, describes the difficulties faced by the people with a high level of alexithymia and suggested tips on psychological work with the alexithymic people. The novelty of this research consists in the formulation of the aspects of the practical work of a psychologist in order to increase the level of the adaptation of the alexithymics and improve the quality of their life. At the moment, this problem is covered in only a small amount of research. The main result of the article is the identification of the areas of psychological work with the alexithymics: (1) the improvement of the connection with the body; (2) the correction of personality problems; (3) the psychological assistance in the harmonization of the interpersonal relations. It has been shown that disrupted connection with the body is one of the most significant problems of the alexithymics and the factor which contributes to the development of psychosomatic diseases. For the improvement of the connection with the body the authors suggest such types of psychological work as the differentiation of physical feelings, a fuller understanding of the body map, the ability to control the condition of the body, the acceptance of the body and the increase in the satisfaction with it. The ways of working with the most significant personality problems of the alexithymics are singled out (correction of non-adaptive coping-strategies, low level of life satisfaction, rigidity, and instability of the emotional sphere). The areas of work on improving the relations of the alexithymics with the surrounding people are highlighted (gaining more knowledge about the emotional sphere, working with friends and relatives, teaching communication skills, taking into account the influence of alexithymia). Finally, the conclusion is made about the importance of the integrated psychological work with the people with a high level of alexithymia in order to develop the specific tools for comprehensive assistance to alexithymics.

scholarly journals Taking care of a real self - description of the psychotherapeutic process of a patient with narcissistic personality disorders in the field of dance/movement psychotherapy

2022 ◽  
Vol 0 (0) ◽  
Author(s):  
Ewelina Drzał
Keyword(s):  
Personality Disorders ◽  
Personal Development ◽  
The Body ◽  
Emotional States ◽  
Authentic Movement ◽  
Inner Life ◽  
Dance Movement ◽  
Psychotherapeutic Process ◽  
Therapeutic Goals ◽  
Icd 10

Abstract Introduction: Dance/movement psychotherapy (DMT) is a psychotherapeutic trend that belongs to the approaches that involve working with the body. Thinking about a wider perspective, DMT belongs to the group of action-oriented psychotherapies. It assumes that the person, while moving, can show his/her emotional states. Additionally, it can lead to development and personal integration. The goal is to deepen awareness. Psychotherapy with dance and movement is practiced among psychotic patients, patients suffering from neurotic or personality disorders, and as a method of personal development. The aim of the work is to describe the psychotherapeutic process of an individual client in the field of dance/movement psychotherapy as a method in which dance leads to development and personal integration. Material and method: Working with a client, Beata, took place in a strictly defined setting. Meetings took place once a week in the same office during 55 minutes. They were of an individual nature. First, Beata was diagnosed according to the DSM-5 [1] and ICD-10 [2] classification, which was supplemented with the PDM-2 diagnosis [3]. During the therapeutic work, the phenomena of transference and countertransference were taken into account, the patient’s behavior was interpreted according to John Bowlby’s attachment theory and mentalization. During practicing DMT it is important to take care of Authentic Movement method, observation of movement using the Laban Bartenieff Movement System (LBMS) method and the Kastenberg Movement Profile (KMP). Results: The changes that DMT psychotherapy started to bring were observed both in the client’s movement and in the verbal layer. The client has acquired the ability to observe her feelings and needs. This influenced her perception of announcement heard from different people and the decisions she made. The DMT therapy with Beata is not over yet, which makes it possible to take a deeper look at topics related to therapeutic goals. Conclusions: Dance/movement psychotherapy has proved to be an effective method of working with patients with personality disorders psychopathology of the narcissistic type. This method makes it possible to build a sense of the patient’s boundaries and needs, and to strengthen self-esteem. Sessions seem to be very helpful in integrating inner life, feelings and experience. In addition, it helps in dealing with the internal tension of patients and gives the opportunity to expand ranges of movement. In the verbal part, it is possible to discuss the problems that the client carries within himself, which cause him fear, anxiety and other unpleasant emotions.

scholarly journals Interrater Reliability of the Star Excursion Balance Test

2013 ◽  
Vol 48 (5) ◽  
pp. 621-626 ◽  
Author(s):  
Phillip A. Gribble ◽  
Sarah E. Kelly ◽  
Kathryn M. Refshauge ◽  
Claire E. Hiller
Keyword(s):  
Postural Control ◽  
Interrater Reliability ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Preliminary Evidence ◽  
The Body ◽  
Leg Length ◽  
Balance Test ◽  
Star Excursion Balance Test

Context: Dynamic postural control has gained popularity as a more useful assessment of function than static postural control. One measurement of dynamic postural control that has increased in frequency of use is the Star Excursion Balance Test (SEBT). Although the intrarater reliability of the SEBT is excellent, few authors have determined interrater reliability. Preliminary evidence has shown poor reliability between assessors. Objective: To determine interrater reliability using a group of investigators at 2 testing sites. A corollary purpose was to examine the interrater reliability when using normalized and nonnormalized performance scores on the SEBT. Design: Descriptive laboratory study. Setting: University research laboratory. Patients or Other Participants: A total of 29 healthy participants between 18 and 50 years of age. Intervention(s): Participants were evaluated by 5 raters at 2 testing sites. After participants performed 4 practice trials, each rater assessed 3 test trials in the anterior, posteromedial, and posterolateral reaching directions of the SEBT. Main Outcome Measure(s): Normalized and nonnormalized (leg-length) reaching distances were analyzed. Additionally, the mean and maximum values from the 3 test trials were analyzed, producing a total of 16 variables. Results: For all 16 measures, the interrater reliability was excellent. For the normalized maximum excursion distances, the intraclass correlation coefficients (1,1) ranged from 0.86 to 0.92. Reliability for the nonnormalized measurements was stronger, ranging from 0.89 to 0.94. Conclusions: When the raters have been trained by an experienced rater, the SEBT is a test with excellent reliability when used across multiple raters in different settings. This information adds to the body of knowledge that exists regarding the usefulness of the SEBT as an assessment tool in clinical and research practice. Establishing excellent interrater reliability with normalized and nonnormalized scores strengthens the evidence for using the SEBT, especially at multiple sites.

Using validated assessment tools in stoma care: a case study of an ileostomate with an inward body profile

2021 ◽  
Vol 19 (2) ◽  
pp. 20-27
Author(s):  
Paul Russell-Roberts ◽  
Diane Kay
Keyword(s):  
Quality Of Life ◽  
Assessment Tool ◽  
The Body ◽  
Assessment Tools ◽  
Mental Wellbeing ◽  
Peristomal Skin ◽  
The Impact ◽  
Stoma Care

The impact of having a stoma on an individual's quality of life (QoL) can be significantly worsened by leakage and consequent peristomal skin complications. Therefore, ostomates require individualised, person-centred and evidence-based care. Stoma care nurses can facilitate this using stoma-specific validated assessment tools, including the Body Profile Assessment Tool, Stoma Quality of Life Tool, Ostomy Skin Tool and Ostomy Leakage Impact Tool. These provide precise, repeatable quantitative data, which avoids reliance on vague language and allows for baseline comparisons to measure progression. This case study describes a female ileostomate who faced a number of stoma-related complications, including body image and confidence. Initial trial-and-error attempts to find an effective combination of products were fragmentary and failed to provide an effective long-term solution. During the COVID-19 pandemic, the patient underwent a remote telephone consultation, aided by digital photography. The stoma care nurse used validated assessment tools to determine the patient's needs. Based on this, she was recommended a new pouching routine suited to her inward body profile, and her progress was measured using the assessment tools. These showed sustained and considerable improvements in peristomal skin health, mental wellbeing and overall QoL. The patient's prescription costs were also dramatically reduced.

CODEM Instrument

GeroPsych ◽  
2014 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Anne Kuemmel (This author contributed eq ◽  
Julia Haberstroh (This author contributed ◽  
Johannes Pantel
Keyword(s):  
Convergent Validity ◽  
Interrater Reliability ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Well Being ◽  
Communication Behavior ◽  
People With Dementia ◽  
Pearson's R ◽  
Pearson’S R

Communication and communication behaviors in situational contexts are essential conditions for well-being and quality of life in people with dementia. Measuring methods, however, are limited. The CODEM instrument, a standardized observational communication behavior assessment tool, was developed and evaluated on the basis of the current state of research in dementia care and social-communicative behavior. Initially, interrater reliability was examined by means of videoratings (N = 10 people with dementia). Thereupon, six caregivers in six German nursing homes observed 69 residents suffering from dementia and used CODEM to rate their communication behavior. The interrater reliability of CODEM was excellent (mean κ = .79; intraclass correlation = .91). Statistical analysis indicated that CODEM had excellent internal consistency (Cronbach’s α = .95). CODEM also showed excellent convergent validity (Pearson’s R = .88) as well as discriminant validity (Pearson’s R = .63). Confirmatory factor analysis verified the two-factor solution of verbal/content aspects and nonverbal/relationship aspects. With regard to the severity of the disease, the content and relational aspects of communication exhibited different trends. CODEM proved to be a reliable, valid, and sensitive assessment tool for examining communication behavior in the field of dementia. CODEM also provides researchers a feasible examination tool for measuring effects of psychosocial intervention studies that strive to improve communication behavior and well-being in dementia.

Sign in / Sign up

Export Citation Format

Share Document