Development of the Caregiver Confidence using Music Scale

2021 ◽  
Vol 13 (4) ◽  
Author(s):  
David Kim ◽  
Brandon Ruan ◽  
Lee Bartel ◽  
Bev Foster ◽  
Chelsea Mackinnon

Music serves as an important tool to improve the health and wellness of individuals in healthcare settings. In times of high caregiver burnout, therapeutic outlets such as music for care receivers and providers are becoming increasingly important. This paper presents the first iteration of the Caregiver Confidence using Music Scale (CCuMS), an assessment tool designed to evaluate caregivers’ readiness to adopt music care. Music care is defined as the informed and intentional use of music by anyone to improve the quality of care. The CCuMS was derived from a hierarchical cluster analysis of the Music Care Training program’s Level 1 post-evaluation survey (Post-MCTL1). Thematic interpretation of the statistical outputs from the cluster analysis was completed, resulting in the first iteration of the CCuMS. Initial validation methods that were feasible with current data were conducted. Specifically, face validity, content validity and convergent validity were calculated using Pearson correlations. The CCuMS shows promise as a measurement tool for use in healthcare settings due to the moderate correlation between the Post-MCTL1 and the CCuMS scale (r=0.524), and the strong correlation between the music care training thematic questionnaire and the CCuMS (r=0.970).

Author(s):  
Dabney P. Evans ◽  
Casey D. Xavier Hall ◽  
Raiza Wallace Guimarães da Rocha ◽  
Sandra Marques Prado ◽  
Marcos C. Signorelli

Abstract Purpose The purpose of this mixed-methods triangulation study was to assess the face validity and comprehension of a femicide risk assessment tool, the Danger Assessment-Brazil (DA-Brazil) among women seeking care in a one stop center for abused women in Curitiba, Brazil. Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting. Method Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed. Results The vast majority of women described the DA-Brazil instrument as being easy to comprehend (n = 41, 73.2%). Nearly half of participants (n = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making. Conclusion The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk.


2013 ◽  
Vol 37 (4) ◽  
pp. 349-356 ◽  
Author(s):  
Jie He ◽  
Peihua Qiu ◽  
Ka Young Park ◽  
Qinmei Xu ◽  
Michael Potegal

A hierarchical cluster analysis of the time course of the videotaped reactions of 75 Chinese 2–4-year olds to mothers’ toy-removal identified Distress, Low Anger, and High Anger behavior clusters. Anger often begins at low intensity; some children then escalate. The face-validity of Low and High Anger-cluster classifications was supported in that High Anger was displayed by a subset of the children who had first showed Low Anger. The three clusters had different and interpretable correlations with mothers’ temperament ratings. Developmentally, 2-year-olds displayed more Distress, including crying; 3-year-olds showed more Low Anger, including stamp-jump. While Low Anger is predominant during toy-removal in Chinese children, it is, contrastingly, the least-frequent component in the tantrums of North American children.


2016 ◽  
Vol 8 (2) ◽  
pp. 54 ◽  
Author(s):  
Emidio Arimatea ◽  
Mirta Vernice ◽  
Matteo Giordani ◽  
Andres Moltedo-Perfetti ◽  
Bernardo Nardi

<p>Starting from the epistemology of complexity and subjectivity, a new instrument has been devised to investigate the subjective ways in which experiences are self referred at the level of immediate experience. The construction and validation process of the Post-Rationalist Projective Reactive (PRPR) are described, the first cognitive post-rationalist projective tool. It investigates Personal Meaning Organizations (PMOs) according to the adaptive and evolutionary post-rationalist approach.</p><p>Using 20 stimulus tables, it allows respondents to go deeper into the specific narrative plots of their personality and to understand their inner film, to focus on their subjective feelings. PRPR was administered to a cohort of 294 subjects. A Reliability Analysis and a Cluster Analysis were carried out.</p><p>Cluster analysis identified four clusters that overlapped with the theoretical PMOs description. PRPR pictures showed good internal consistency as Reliability Analysis. Significant convergent validity correlations were found with the results of the Mini Questionnaire of Personal Organization (MQPO; r = .71, p &lt; .001) and of clinical interviews (r = .76, p &lt; .001).</p><p>The PRPR proved to be both a valuable support for the PMO construct and an effective assessment tool capable of delving into the processes of subjective meaning construction to understand the cognitive organizational closure, reducing the distance between immediate experience and its explanations.</p>


Author(s):  
Matthew L. Hall ◽  
Stephanie De Anda

Purpose The purposes of this study were (a) to introduce “language access profiles” as a viable alternative construct to “communication mode” for describing experience with language input during early childhood for deaf and hard-of-hearing (DHH) children; (b) to describe the development of a new tool for measuring DHH children's language access profiles during infancy and toddlerhood; and (c) to evaluate the novelty, reliability, and validity of this tool. Method We adapted an existing retrospective parent report measure of early language experience (the Language Exposure Assessment Tool) to make it suitable for use with DHH populations. We administered the adapted instrument (DHH Language Exposure Assessment Tool [D-LEAT]) to the caregivers of 105 DHH children aged 12 years and younger. To measure convergent validity, we also administered another novel instrument: the Language Access Profile Tool. To measure test–retest reliability, half of the participants were interviewed again after 1 month. We identified groups of children with similar language access profiles by using hierarchical cluster analysis. Results The D-LEAT revealed DHH children's diverse experiences with access to language during infancy and toddlerhood. Cluster analysis groupings were markedly different from those derived from more traditional grouping rules (e.g., communication modes). Test–retest reliability was good, especially for the same-interviewer condition. Content, convergent, and face validity were strong. Conclusions To optimize DHH children's developmental potential, stakeholders who work at the individual and population levels would benefit from replacing communication mode with language access profiles. The D-LEAT is the first tool that aims to measure this novel construct. Despite limitations that future work aims to address, the present results demonstrate that the D-LEAT represents progress over the status quo.


GeroPsych ◽  
2014 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Anne Kuemmel (This author contributed eq ◽  
Julia Haberstroh (This author contributed ◽  
Johannes Pantel

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.


2015 ◽  
pp. 125-138 ◽  
Author(s):  
I. V. Goncharenko

In this article we proposed a new method of non-hierarchical cluster analysis using k-nearest-neighbor graph and discussed it with respect to vegetation classification. The method of k-nearest neighbor (k-NN) classification was originally developed in 1951 (Fix, Hodges, 1951). Later a term “k-NN graph” and a few algorithms of k-NN clustering appeared (Cover, Hart, 1967; Brito et al., 1997). In biology k-NN is used in analysis of protein structures and genome sequences. Most of k-NN clustering algorithms build «excessive» graph firstly, so called hypergraph, and then truncate it to subgraphs, just partitioning and coarsening hypergraph. We developed other strategy, the “upward” clustering in forming (assembling consequentially) one cluster after the other. Until today graph-based cluster analysis has not been considered concerning classification of vegetation datasets.


Author(s):  
Nikunj D. Patel ◽  
Niranjan S. Kanaki

Background: Numerous Ayurvedic formulations contains tugaksheeree as key ingredient. Tugaksheereeis the starch gained from the rhizomes of two plants, Curcuma angustifoliaRoxb. (Zingiberaceae) and Marantaarundinacea (MA) Linn. (Marantaceae). Objective: The primary concerns in quality assessment of Tugaksheeree occur due to adulteration or substitution. Method: In current study, Fourier transform infrared (FTIR) technique with attenuated total reflectance (ATR) facility was used to evaluate tugaksheeree samples. Total 10 different samples were studied and transmittance mode was kept to record the spectra devoid of pellets of KBR. Further treatment was given with multi component tools by considering fingerprint region of the spectra. Multivariate analysis was performed by various chemometric methods. Result: Multi component methods like Principal Component Analysis (PCA), and Hierarchical Cluster Analysis (HCA)were used to discriminate the tugaksheeree samples using Minitab software. Conclusion: This method can be used as a tool to differentiate samples of tugaksheeree from its adulterants and substitutes.


Homeopathy ◽  
2020 ◽  
Vol 109 (04) ◽  
pp. 191-197
Author(s):  
Chetna Deep Lamba ◽  
Vishwa Kumar Gupta ◽  
Robbert van Haselen ◽  
Lex Rutten ◽  
Nidhi Mahajan ◽  
...  

Abstract Objectives The objective of this study was to establish the reliability and content validity of the “Modified Naranjo Criteria for Homeopathy—Causal Attribution Inventory” as a tool for attributing a causal relationship between the homeopathic intervention and outcome in clinical case reports. Methods Purposive sampling was adopted for the selection of information-rich case reports using pre-defined criteria. Eligible case reports had to fulfil a minimum of nine items of the CARE Clinical Case Reporting Guideline checklist and a minimum of three of the homeopathic HOM-CASE CARE extension items. The Modified Naranjo Criteria for Homeopathy Inventory consists of 10 domains. Inter-rater agreement in the scoring of these domains was determined by calculating the percentage agreement and kappa (κ) values. A κ greater than 0.4, indicating fair agreement between raters, in conjunction with the absence of concerns regarding the face validity, was taken to indicate the validity of a given domain. Each domain was assessed by four raters for the selected case reports. Results Sixty case reports met the inclusion criteria. Inter-rater agreement/concordance per domain was “perfect” for domains 1 (100%, κ = 1.00) and 2 (100%, κ = 1.00); “almost perfect” for domain 8 (97.5%, κ = 0.86); “substantial” for domains 3 (96.7%, κ = 0.80) and 5 (91.1%, κ = 0.70); “moderate” for domains 4 (83.3%, κ = 0.60), 7 (67.8%, κ = 0.46) and 9 (99.2%, κ = 0.50); and “fair” for domain 10 (56.1%, κ = 0.38). For domains 6A (46.7%, κ = 0.03) and 6B (50.3%, κ = 0.18), there was “slight agreement” only. Thus, the validity of the Modified Naranjo Criteria for Homeopathy tool was established for each of its domains, except for the two that pertain to direction of cure (domains 6A and 6B). Conclusion The Modified Naranjo Criteria for Homeopathy—Causal Attribution Inventory was identified as a valid tool for assessing the likelihood of a causal relationship between a homeopathic intervention and clinical outcome. Improved wordings for several criteria have been proposed for the assessment tool, under the new acronym “MONARCH”. Further assessment of two MONARCH domains is required.


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