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1.
Praxis (Bern 1994) ; 109(2): 97-103, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-32019458

RESUMEN

Fitness to Drive from a Neuropsychological Point of View Abstract. Driving a car is an important issue for many people concerning participation in social and professional life. On the other hand, there is the need of society for a high level of security in road traffic. Neuropsychological deficits as a result of different neurological diseases can affect the fitness to drive for a certain time or permanently. In this article, we first provide a brief description of the legal framework. In the following section we summarize aspects of the driving behavior of different neurological patient groups and give an overview of procedures of neuropsychological examination and evaluation of fitness to drive. Apart from the psychometric methods there will also be a focus on the meaning of compensation and awareness. Finally, various treatment options are presented.


Asunto(s)
Conducción de Automóvil , Determinación de la Elegibilidad , Pruebas Neuropsicológicas , Concienciación , Ejercicio , Humanos , Psicometría
2.
Medicine (Baltimore) ; 99(6): e18480, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028385

RESUMEN

This study aimed to synthetically evaluate the impact of intensive patients' education program (IEP) on anxiety, depression and patient global assessment (PGA) in diabetic foot ulcer (DFU) patients.One hundred eighty DFU patients with Wagner grade 1 and Wagner grade 2 were consecutively recruited in this randomized, controlled study and randomly assigned to IEP group (N = 90) or control group (N = 90) as 1:1 ratio. In the IEP group, patients received the IEP and usual care, and patients in the control group received usual care only. IEP included educating patients and their family members, supervising patients' harmful habits and diets, psychological care for the patients and establishing a patient-physician-nurse WeChat group. Hospital Anxiety and Depression Scale-anxiety/depression (HADS-A/D) and Zung Self-Rating Anxiety/depression Scale (SAS/SDS) were applied to assess anxiety/depression at M0-M3. PGA score was also assessed at M0-M3.For anxiety assessment, IEP group presented decreased HADS-A/SAS scores at M2/M3 and increased HADS-A/SAS score changes (M3-M0) compared to control group. For depression assessment, IEP group displayed reduced HADS-D/SDS scores at M2/M3 and raised SDS score change (M3-M0) compared to control group. Moreover, IEP group exhibited reduced PGA score at M1/M2/M3 and elevated PGA score change (M3-M0) compared to control group. Further subgroup analyses disclosed that IEP reduced HADS-A/SAS/HADS-D/PGA scores at M3 and elevated these score changes (M3-M0) in patients with Wagener grade 2 but not Wagener grade 1.IEP ameliorates anxiety, depression and PGA in DFU patients with Wagner grade 2 but not Wagner grade 1.


Asunto(s)
Trastornos de Ansiedad/terapia , Trastorno Depresivo/terapia , Pie Diabético/psicología , Educación del Paciente como Asunto , Pie Diabético/patología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
3.
Medicine (Baltimore) ; 99(6): e18774, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028389

RESUMEN

BACKGROUND/OBJECTIVE: The study's objective was to determine the efficacy of guided internet-assisted intervention (GIAI) on depression reduction among educational technology students of Nigerian universities. METHODS: The design of the study was a 10-weeks group-randomized trial (GRT) which involved a pre-test, post-test, and follow-up assessment. A total of 192 educational technology students who were identified as having depression formed the sample of the study. Beck's Depression Inventory-II (BDI-II) was the measure used for data collection in the study. Data collected were analyzed using ANOVA with repeated measures. RESULTS: The initial assessment results showed that the participants in both treatment and usual-care control groups had depression. After 10-weeks participation in GIAI, the assessment results showed a significant reduction in depression among students in the treatment group when compared to those in the usual-care control group. The follow-up assessment indicated a further significant reduction in the depression among participants in the treatment group when compared to those in the usual-care control group. CONCLUSION: The authors concluded that GIAI was significantly effective in reducing depression among university students in the treatment group compared to those in the usual-care control group. Therefore, educational technologists, counselors, psychologists, health workers, and other social workers should adopt educational intervention using GIAI in helping university students undergo depression reduction.


Asunto(s)
Trastorno Depresivo/terapia , Estudiantes/psicología , Telemedicina , Adolescente , Adulto , Terapia Cognitivo-Conductual , Tecnología Educacional , Femenino , Humanos , Internet , Masculino , Nigeria , Psicometría , Resultado del Tratamiento , Universidades , Adulto Joven
4.
Adv Exp Med Biol ; 1216: 9-19, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31894542

RESUMEN

The general notion of frailty is widely understood to be a state of increased vulnerability to stressors, following age-related declines in function and reserves across multiple physiological systems. Frailty is clinically characterised by slower and/or incomplete recovery from stressors such as infection, injury, surgery or psychosocial distress. There is however no consensus on a single operational definition. Numerous assessment tools and scores are promoted to detect or measure frailty but two have widest research background and acceptance, the Frailty Phenotype and the deficit based Frailty Index. We describe these and other approaches in the context of a description of the psychometric properties, types of scaling, uses and misuses of assessment tools. We advocate the choice of an appropriate measurement tool be based on the population characteristics and the purpose for which it is to be used and illustrate how an understanding of the properties of different tools helps to inform this choice.


Asunto(s)
Anciano Frágil , Fragilidad/diagnóstico , Evaluación Geriátrica , Anciano , Anciano de 80 o más Años , Humanos , Fenotipo , Psicometría
5.
J Nurs Adm ; 50(2): 104-108, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31929344

RESUMEN

OBJECTIVE: The aim of this study was to develop a valid, reliable instrument to measure the effectiveness of shared governance councils BACKGROUND: The work of shared governance, that is, the decisions, takes place in its structures, notably, the councils. A literature search yielded no formal instrument for evaluating how these councils function. METHODS: A 4-phase process was used to generate valid items to measure shared governance council effectiveness, including content validity by experts, a pilot for feasibility, a larger pilot for internal consistency, and an exploratory factor analysis to delineate a final instrument. RESULTS: More than a dozen experts and participants from nearly 30 healthcare organizations contributed to the final development of the 25-item Council Health Survey instrument. Items for measuring council effectiveness at either the unit or division level were grouped in areas of structure, activities, and membership. CONCLUSIONS: When evaluating shared governance, nurses should focus on councils themselves, in which much of the work of shared governance occurs.


Asunto(s)
Gestión Clínica/organización & administración , Eficiencia Organizacional , Consejo Directivo/organización & administración , Colaboración Intersectorial , Atención de Enfermería/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
6.
Gerodontology ; 37(1): 87-92, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31943327

RESUMEN

BACKGROUND AND OBJECTIVE: Ageism is a major barrier for age-appropriate care. The aim of this study was to translate and perform a preliminary validation of an ageism scale for dental students (ASDS) in Brazil (ASDS-Braz). METHODS: The 27-item original ageism scale was translated from English into Brazilian Portuguese. A panel of five Brazilian dental educators revised the scale to establish content validity. The translated version was completed by 156 dental students in the Federal University of Pelotas in Brazil. Principal component analysis, internal consistency reliability and discriminant validity were estimated. RESULTS: All items in the Brazilian Portuguese version received a content validity index score ≥0.80 indicating that they were relevant to the topic. The principal component analysis produced a 12-item scale with three components that accounted for 51% of the overall variance. The first component contained six items associated with a negative view of older adults; the second component contained three items dealing with the complexity of providing care for older adults; and the third component contained three items associated with a positive view of older people. Discriminant validity did not show any differences related to demographic factors, the semester of studies and history of living with older people. CONCLUSIONS: The preliminary validation of the ASDS-Braz produced a 12-item scale with three components with acceptable validity and reliability. Future research in a larger, multi-institutional sample is now warranted.


Asunto(s)
Ageísmo , Estudiantes de Odontología , Anciano , Anciano de 80 o más Años , Brasil , Humanos , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
7.
BMC Oral Health ; 20(1): 21, 2020 01 28.
Artículo en Inglés | MEDLINE | ID: mdl-31992291

RESUMEN

BACKGROUND: The current study was performed; to validate the Arabic version of WHO child oral health assessment tool (A-OHAT), to assess the oral health status of Arab school children and finally to identify the important risk factors associated with the poor teeth and gum conditions of school children. METHODS: A cross-sectional study with two-staged simple random sampling technique was implemented. A-OHAT, a self-assessment tool was subjected to psychometric analyses with the respondents being high school children. The Cronbach's alpha and the Intra class correlation values were computed. Paired t-test was performed to identify the differences between the readings after repeated administration, followed by the analysis for convergent validity. This tested Arabic-WHO Child-OHAT was administered to collect the data. Univariate, bivariate and logistic regression analyses were performed to report on the potential risk factors associated with poor teeth and poor gum conditions of school children. RESULTS: Psychometric analyses revealed that the Arabic Child Oral Health Assessment Tool (A-OHAT) was reliable and valid. A total of 478 (N) high school children were subjected to the tested tool, of which 66.5% were male and 33.5% were female with a mean age of 16.28 + 1.04 years. 80.3% of school children had poor teeth condition and 36.2% of school children had often experienced toothache. Children had 1.5 times higher odds of having poor teeth condition if they had increased frequency of sweet and candy consumption. It was also seen that increased frequency of sweets and candy consumption by school children had put them at nearly 20% higher risk of having poor gum condition. Finally, children with the habit of using toothbrush had nearly 50% lower chance of having poor gum condition in contrast to the school children who do not use toothbrush. CONCLUSION: To conclude, the study provides a reliable and valid tool to assess the oral health status of Arab adolescents. Improper oral hygiene habits and diet were identified as the plausible risk factors for poor teeth and gum condition.


Asunto(s)
Árabes , Encuestas de Salud Bucal/normas , Salud Bucal , Higiene Bucal/estadística & datos numéricos , Psicometría/estadística & datos numéricos , Encuestas y Cuestionarios/normas , Adolescente , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Enfermedades de la Boca/diagnóstico , Reproducibilidad de los Resultados , Arabia Saudita , Autoinforme , Odontopatías/diagnóstico , Traducciones
8.
J Sports Sci ; 38(2): 130-139, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31696778

RESUMEN

The Acute Recovery and Stress Scale (ARSS) and the Short Recovery and Stress Scale (SRSS) are well-established monitoring tools in German-speaking countries. This study aimed at validating them for English-speaking populations. Overall, 996 athletes (536 males, 24.9 ± 9.1 years) of Australia/New Zealand (n = 380), the United Kingdom (n = 316), and North America (n = 300) participated. The 32-item ARSS consists of eight scales. These scales constitute the eight items of the SRSS with the corresponding ARSS items as descriptors. Confirmatory factor analysis (CFA), internal consistency (α), and discriminatory power of the items (rit) were calculated for the total and subsamples separately. Satisfactory discriminatory power (rit > .30) for all ARSS and SRSS items and acceptable internal consistency (α > .70) was achieved. CFA indicated good fit indices for the total sample and subsamples, and strong measurement invariance was found across subsamples and gender. Correlations between corresponding scales and items (rs = .68 - .78) support theoretical congruency as well as independent usage of both questionnaires. Construct validity of both tools is shown through hypothesis-conforming correlations with the Recovery-Stress Questionnaire for Athletes. Future studies may apply the ARSS and SRSS as monitoring tools in English-speaking regions worldwide.


Asunto(s)
Acondicionamiento Físico Humano/psicología , Estrés Psicológico , Encuestas y Cuestionarios , Adulto , Análisis Factorial , Femenino , Humanos , Lenguaje , Masculino , Psicometría , Adulto Joven
9.
J Sports Sci ; 38(2): 177-186, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31703541

RESUMEN

Background: The Canadian Assessment of Physical Literacy (CAPL) accurately and reliably assesses the physical literacy level of young children. However, in preliminary analyses ceiling effects were noted among 183 older children. The purposes of this study were to assess the validity of a modified CAPL designed for older children (CAPL 789) and to offer descriptive results.Methods: CAPL 789 assessed the physical literacy of Canadian children in grades 7-9. Data were collected from schools and recreation facilities in the provinces of Alberta and Ontario (Canada), yielding a new sample of 245 participants (129 girls, 13.7 ± 0.9 years). Descriptive statistics were calculated for all CAPL domains. Age and gender effects were examined to support the validity.Results: Physical competence score (/32) increased with age (F = 4.90, p < 0.05), the means in grades 7-9 being 18.9 ± 3.2, 20.9 ± 4.4 and 21.2 ± 3.4, respectively. Girls scored significantly higher (t = -2.29, p < 0.05) than boys (6.6 ± 1.2 vs 6.3 ± 1.3) in the knowledge assessment (/10).Conclusion: The CAPL 789 was feasible among children from grades 7-9. Additional research is required to establish the psychometric properties in children 12 to 16 years.


Asunto(s)
Conducta del Adolescente , Conducta Infantil , Ejercicio/psicología , Conductas Relacionadas con la Salud , Educación y Entrenamiento Físico/métodos , Encuestas y Cuestionarios , Adolescente , Factores de Edad , Composición Corporal , Niño , Femenino , Humanos , Masculino , Motivación , Actividad Motora , Educación y Entrenamiento Físico/estadística & datos numéricos , Psicometría , Reproducibilidad de los Resultados , Factores Sexuales
10.
J Oral Rehabil ; 47(2): 187-195, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31520535

RESUMEN

OBJECTIVE: The purpose of this study is to develop an index to measure oral and maxillofacial frailty in older adults as an acceptable screening tool. METHODS: Three hundred adults (aged ≥ 50 years) participated in this study by telephone interview. Ten candidate items for the Oral and Maxillofacial Frailty Index (OMFI) and 20 matched detailed items for oral and maxillofacial functions were asked. Information about sociodemographic and oral health-related variables was also obtained. The test-retest reliability of the 10 candidate items was determined. Correlations of the 10 candidate items with the 20 detailed items or sociodemographic and oral health-related variables were analysed to test the validity of the candidate items. To suggest optimal items for the OMFI, five different models with different numbers of items were constructed and evaluated based on their associations with main variables. RESULTS: The overall internal consistency of the 10 candidate items was .704, and the Cronbach's alpha value of each item was .23-.55. The test-retest reliability was excellent. There were significant correlations between the 10 candidate and 20 matched detailed items. The score of the 10 candidate items was significantly different according to gender, education level and oral health-related variables. The final five items for the OMFI were difficulties in chewing, the necessity of water when eating dry food, difficulties in jaw or tongue movements, difficulties in speaking or pronunciation and difficulties in facial expression. CONCLUSIONS: The five items could be used as a screening tool for evaluating oral and maxillofacial frailty in older adults.


Asunto(s)
Fragilidad , Anciano , Humanos , Persona de Mediana Edad , Salud Bucal , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
11.
J Oral Pathol Med ; 49(1): 55-62, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31605549

RESUMEN

BACKGROUND: The adoption of the Chronic Oral Mucosal Disease Questionnaire (COMDQ) into clinical practice has been low, despite its rigorous development process. A potential limitation of the COMDQ is the high response burden to patients. Therefore, the aim of the present study was to develop and validate a short version of the 26-item COMDQ. METHODS: The COMDQ data of 520 patients with chronic oral mucosal diseases were randomly divided into two subsamples. Descriptive item analysis and exploratory factor analysis (EFA) were performed using data from the first subsample for item reduction and development of the shortened COMDQ. The resulting short version was then validated using confirmatory factor analysis (CFA) on the other subsample. Internal consistency reliability of the short-form COMDQ was assessed using Cronbach's alpha. Criterion validity of this new scale was examined against its original version. RESULTS: Based upon item analysis, 11 items were dropped. EFA results on the remaining 15 items extracted four factors consistent with the original COMDQ, and CFA results displayed acceptable goodness-of-fit indices of this factor structure on different sample. The COMDQ-15 was then created. Cronbach's alpha of four subscale scores ranged from 0.7 to 0.91, indicating good internal consistency reliability of the COMDQ-15. Correlations between total and subscale scores of the COMDQ-15 and its parent scale were high, supporting good criterion validity of this shortened scale. CONCLUSION: The COMDQ-15 is a brief, valid and reliable instrument that can give an overview of the patient's quality of life related to their chronic oral mucosal conditions.


Asunto(s)
Calidad de Vida , Análisis Factorial , Humanos , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
12.
Odontology ; 108(1): 109-116, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31444594

RESUMEN

The aim was to explore the predictive value of objective treatment need, impaired quality of life, and parental influence on orthodontic treatment demand in preadolescents and adolescents. A secondary goal was to validate 16-item Child Perceptions Questionnaire for the 11-14 year age group (CPQ11-14): item-impact and stepwise-regression short-forms. A convenience sample of 287 participants (55% female) was used for validation. Internal consistency, test-retest reliability, and convergent validity were evaluated. Predictors of treatment demand were explored in 197 orthodontic patients: 93 preadolescents (51% females), 104 adolescents (55% females). Hierarchical linear regression and multilevel logistic regression models were used to explore the predictive power of age, gender, objective treatment need, impaired quality of life and parental influence on treatment demand. CPQ11-14 regression short-form had acceptable psychometric properties. Significant linear predictors of treatment demand were impaired emotional well-being (EW) (ß = 0.335, p = 0.002), parental influence (ß = 0.221, p = 0.002), and malocclusion severity (ß = 0.152, p = 0.025). In logistic regression, parental influence was revealed as the most important predictor of treatment demand in preadolescents, OR = 7.7 (95% confidence interval CI 2.4-25.1; p = 0.001); objective treatment need in adolescents, OR = 4.5 (95% CI 1.5-12.9; p = 0.006). The increase of impairment in EW by one scalar point increased treatment demand by 1.4 (95% CI 1.1-1.9; p = 0.017) in preadolescents; 1.3 (95% CI 1.0-1.7; p = 0.021) in adolescents. Greater parental agreement and motivation for treatment could result in higher preadolescents' cooperation. Orthodontic treatment in adolescents might be more effective with the patient-oriented approach.


Asunto(s)
Maloclusión , Calidad de Vida , Adolescente , Niño , Femenino , Humanos , Masculino , Padres , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
13.
J Clin Nurs ; 29(1-2): 107-118, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31531995

RESUMEN

AIMS AND OBJECTIVES: To develop and evaluate the psychometric properties of a self-report instrument measuring 6- to 12-year-old children's own experiences of participation in health care. BACKGROUND: Validated measures to evaluate children's participation in health care can play a critical role in strategic work towards supporting children's participation at an individual level and in working towards quality improvements at an organisational level. There are, however, no available instruments to achieve this. METHODS: An instrument development design was used, together with the TRIPOD checklist. Item construction was based on research about children's perspectives on participation in health care and Shier's model for participation. The face and content validity was evaluated by 14 healthy children, 9 paediatric nurses and 8 children with different diseases. The construct validity, internal consistency and stability reliability were evaluated based on data from 138 children visiting a paediatric clinic. RESULTS: The testing of the face and content validity resulted in an instrument with child-friendly language, additional instructions and visual attractive presentation. The principle component analysis resulted in the four-factor solution: "To be included," "To trust professionals," "To take control," and "To understand information." Internal consistency and intraclass correlation coefficients were acceptable. CONCLUSION: We conclude that the child participation in health care (ChiPaC) instrument has adequate reliability and validity when used to evaluate children's participation in health care. The involvement of children in the development of ChiPaC resulted in a brief, colourful and user-friendly instrument for use in paediatric health care. RELEVANCE TO CLINICAL PRACTICE: This new questionnaire, ChiPaC, is adapted for children between 6-12 years measuring participation in health care from a child perspective. ChiPaC can be used in the practical work of supporting individual children's participation in health care as well as in the strategical work towards quality improvements on an organisational level.


Asunto(s)
Participación del Paciente , Autoinforme/normas , Adolescente , Niño , Femenino , Humanos , Masculino , Enfermería Pediátrica/métodos , Psicometría/instrumentación , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
14.
Accid Anal Prev ; 134: 105351, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31715548

RESUMEN

INTRODUCTION: Mindful organizing (also known as collective mindfulness) is a team level construct that is said to underpin the principles of high-reliability organizations (HROs), as it has shown to lead to almost error-free performance. While mindful organizing research has proliferated in recent years, studies on how to measure mindful organizing are scarce. Vogus and Sutcliffe (2007) originally validated a nine-item "Mindful Organizing Scale" but few subsequent validation studies of this scale exist. The present study aimed to validate a Spanish version of the Mindful Organizing Scale. METHOD: The sample included 47 teams (comprising of a total of 573 workers with an average team size of 12.19) from a Spanish nuclear power plant. A confirmatory factor analysis (CFA), reliability analysis, and an analysis of aggregation indices were carried out. A correlation analysis and CFA were used to further validate the scale in terms of its distinctiveness from, and relationship with, other team-related variables such as safety culture, team safety climate, and team learning. Finally, evidence of criterion-related validity was collected by testing the incremental validity of the mindful organizing scale in the association with various workplace safety outcomes (safety compliance and safety participation). RESULTS: The results confirmed a unidimensional structure of the scale and indicated satisfactory internal consistency. Aggregation of the scores to the team level was justified while significant positive correlations between mindful organizing and other team-related variables (safety culture, team safety climate, team learning) were found. Moreover, mindful organizing showed distinctiveness from safety culture, team safety climate and team learning. Finally, incremental validity of the scale was supported, as it shows to be associated with safety compliance and safety participation above and beyond other related constructs. CONCLUSIONS: The Spanish version of the Mindful Organizing Scale has shown to be a valid and reliable scale that can be used to measure mindful organizing. CONTRIBUTIONS: The validation of the unidimensional Spanish version of Vogus and Sutcliffe's (2007) Mindful Organizing Scale provides researchers and practitioners with a reliable and valid tool to use in Spanish speaking organizations to measure mindful organizing, which has been shown to result in more reliable performance. Theoretically, this study offers four contributions. Firstly, it validates a scale that operationalizes the 'mindful organizing' construct in a traditional high-reliability organization (nuclear power plant) which has never been done before. Secondly, it offers evidence that a mindful organizing scale can be validated in a new cultural context and language (Spanish) to any of the previous studies done before it. Thirdly, it adds to our understanding of mindful organizing's nomological network by distinguishing it from other team and safety-related variables. Lastly, it builds on current research showing sound psychometric properties of a one-dimensional, quantitative measure of mindful organizing.


Asunto(s)
Atención Plena , Administración de la Seguridad/organización & administración , Encuestas y Cuestionarios/normas , Adulto , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Plantas de Energía Nuclear/organización & administración , Psicometría , Reproducibilidad de los Resultados , Traducciones
15.
Spec Care Dentist ; 40(1): 71-78, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31858622

RESUMEN

AIMS: The dental activities test (DAT), designed to assess individuals' ability to perform oral health-related activities, was initially tested among 90 assisted living residents with normal to severely impaired cognition. This study aimed to examine the reliability (internal consistency), convergent validity, and structural validity of DAT among individuals with stroke. METHODS AND RESULTS: This study was a secondary analysis of data collected for a cross-sectional study that aimed to understand oral disease patterns among 207 individuals with stroke from three hospitals in China. Convergent validity was examined using Spearman's Correlation coefficient (rs ) for correlation between DAT scores and the assessments of physical function and cognition. Structural validity was examined using Confirmatory Factor Analysis (CFA). The DAT demonstrated good estimates for internal consistency (Kuder Richardson-20 = 0.85, 95% confidence of interval [CI] = 0.82, 0.88), convergent validity (rs range: 0.43-0.61, all P < .001), and good structural validity with a one-factor structure. CONCLUSION: Findings supported the reliability and validity of DAT as a unidimensional construct in measuring the ability to perform oral health-related activities in persons with stroke. Further testing among different patient populations and care settings is needed to accumulate evidence and expand the use of the test.


Asunto(s)
Accidente Cerebrovascular , China , Estudios Transversales , Análisis Factorial , Humanos , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
16.
J Oral Rehabil ; 47(1): 1-8, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31378989

RESUMEN

BACKGROUND: Oro-facial function is usually impaired by temporomandibular disorders (TMDs). Several studies on TMDs have used the Jaw Functional Limitation Scale (JFLS) to assess mandibular dysfunction. However, it was originally created in English and hence needs to be validated for use among Chinese people. OBJECTIVE: To develop a Chinese version of the JFLS for Chinese TMD patients and to investigate the validity and reliability of the scale. METHODS: Content validity and temporal stability were evaluated at two different occasions. The reliability and validity of the JFLS were tested in 483 TMD patients. Cronbach's alpha coefficient and split-half reliability were used to assess internal consistency, while the validity was evaluated by factor analysis. RESULTS: Three factors were extracted during exploratory factor analysis, accounting for 62.39% of the variance. The three-factor model was then measured using confirmatory factor analysis (χ2 /df = 3.6, root mean square error of approximation = 0.091, comparative fit index = 0.896). Internal (coefficient alpha values of .906 for all items and Guttman split-half reliability of 0.756) and test-retest (intra-class correlation coefficient = .851-.897, 95% confidence interval = 0.656-0.950) reliabilities were excellent. CONCLUSION: The Chinese version of the JFLS is reliable and valid for use in Chinese TMD patients.


Asunto(s)
Trastornos de la Articulación Temporomandibular , Humanos , Maxilares , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
17.
Zh Nevrol Psikhiatr Im S S Korsakova ; 119(9. Vyp. 2): 25-31, 2019.
Artículo en Ruso | MEDLINE | ID: mdl-31825386

RESUMEN

AIM: To study clinical characteristics of dementia with Lewy bodies (DLB) depending on neuropsychological, neuroimaging and concomitant cerebrovascular changes as well as on the character of disease onset. MATERIAL AND METHODS: Forty-five patients with DLB (25 men and 20 women, men age 72.9±7.2 years, illness duration 2.9±2.2) were studied. The diagnosis was made according to international criteria (McKeith, et al, 2017). MRI, clinical/neurological examination and psychometric scales were used. RESULTS AND CONCLUSION: Clinical, neuropsychological and neuroimaging results reveal the heterogeneity of DLB, which remains poorly investigated. An analysis of the clinical picture, cognitive profile, neuropsychiatric changes and MRI results identified three subtypes of DLB course: 1) typical; 2) with early psychotic manifestation; 3) atypical (mixed). This approach may improve the diagnosis of DLB, prognosis of disease course and treatment effectiveness.


Asunto(s)
Enfermedad por Cuerpos de Lewy , Imagen por Resonancia Magnética , Anciano , Progresión de la Enfermedad , Femenino , Humanos , Enfermedad por Cuerpos de Lewy/diagnóstico por imagen , Masculino , Neuroimagen , Pruebas Neuropsicológicas , Psicometría
18.
Braz Oral Res ; 33: e113, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31800864

RESUMEN

The objective of this study was to compare the scores of the Helplessness, Magnification, Rumination, and Catastrophizing factors of the Pain Catastrophizing Scale (PCS) between samples with different pain characteristics. The psychometric properties of the PCS were evaluated in 1,151 Brazilian adults (78.9% female; 38.6 (SD = 10.8) years): 335 had no pain, 390 had been in pain for less than 3 months, 250 had been in recurring pain for more than 3 months, and 176 had been in continuous pain for more than 3 months. Confirmatory factor analysis (CFA) was conducted to verify the fit of the PCS models. Convergent validity and reliability were evaluated. Multi-group analysis was used to estimate the invariance of the factorial model. The global score for the PCS factors was obtained using the regression weight matrix for estimating factor scores from CFA. Analysis of variance was used to compare scores between samples. After excluding three items, the tri-factorial model showed adequate fit. The model parameters were invariant (Δχ2(λ,i,ß,Res); p≥0.05). Individuals experiencing pain showed higher scores for catastrophic thoughts. Individuals with pain for less than 3 months had the highest scores for Rumination (p < 0.001). The PCS showed valid, reliable, and invariant results for the sample of Brazilian adults in no pain or with different pain conditions. The PCS adequately discriminated individuals in pain from those without pain. Among those in pain, Rumination was the only discriminating factor.


Asunto(s)
Catastrofización/psicología , Desamparo Adquirido , Dimensión del Dolor/psicología , Dolor/psicología , Rumiación Cognitiva , Brote de los Síntomas , Adulto , Análisis de Varianza , Brasil , Estudios Transversales , Análisis Factorial , Femenino , Humanos , Masculino , Dimensión del Dolor/métodos , Escalas de Valoración Psiquiátrica , Psicometría , Valores de Referencia , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
19.
Epidemiol Psychiatr Sci ; 29: e80, 2019 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-31839026

RESUMEN

AIMS: No instrument has been developed to explicitly assess the professional culture of mental health workers interacting with severely mentally ill people in publicly or privately run mental health care services. Because of theoretical and methodological concerns, we designed a self-administered questionnaire to assess the professional culture of mental health services workers. The study aims to validate this tool, named the Mental Health Professional Culture Inventory (MHPCI). The MHPCI adopts the notion of 'professional culture' as a hybrid construct between the individual and the organisational level that could be directly associated with the professional practices of mental health workers. METHODS: The MHPCI takes into consideration a multidimensional definition of professional culture and a discrete number of psychometrically derived dimensions related to meaningful professional behaviour. The questionnaire was created and developed by a conjoint Italian-Canadian research team with the purpose of obtaining a fully cross-cultural questionnaire and was pretested in a pilot study. Subsequently, a validation survey was conducted in northern Italy and in Canada (Montreal area, Quebec). Data analysis was conducted in different steps designed to maximise the cross-cultural adaptation of the questionnaire through a recursive procedure consisting of performing a principal component analysis (PCA) on the Italian sample (N = 221) and then testing the resulting factorial model on the Canadian sample (N = 237). Reliability was also assessed with a test-retest design. RESULTS: Four dimensions emerged in the PCA and were verified in the confirmatory factor analysis: family involvement, users' sexuality, therapeutic framework and management of aggression risk. All the scales displayed good internal consistency and reliability. CONCLUSIONS: This study suggests the MHPCI could be a valid and reliable instrument to measure the professional behaviour of mental health services workers. The content of the four scales is consistent with the literature on psychosocial rehabilitation, suggesting that the instrument could be used to evaluate staff behaviour regarding four crucial dimensions of mental health care.


Asunto(s)
Actitud del Personal de Salud/etnología , Competencia Cultural , Asistencia Sanitaria Culturalmente Competente , Personal de Salud/psicología , Servicios de Salud Mental/normas , Encuestas y Cuestionarios/normas , Adulto , Canadá , Comparación Transcultural , Humanos , Italia , Salud Mental , Persona de Mediana Edad , Cultura Organizacional , Psicometría , Reproducibilidad de los Resultados
20.
Rev Med Chil ; 147(7): 914-921, 2019 Jul.
Artículo en Español | MEDLINE | ID: mdl-31859990

RESUMEN

BACKGROUND: Self-efficacy refers to people's expectations about personal resources available for goal achievement. Higher self-efficacy expectations are correlated with higher academic performance. AIM: To analyze the psychometric properties of the Academic Behavior Self-Efficacy Scale (ABSES) and to describe Self-efficacy expectations of students from health-related careers. MATERIAL AND METHODS: A non-probabilistic sample of 479 first- and second-year students from Nursing, Physiotherapy, Medicine, Nutrition and Medical Technology in a public university in Chile, answered the ABSES. Results were analyzed by Exploratory Factor Analysis and its reliability was evaluated using Cronbach's alpha. Also a descriptive analysis and a non-parametric relational analysis were performed. RESULTS: Two factors were identified: Attention and Participation. Attention obtained significantly higher scores than Participation (p < 0.001). Compared to their second-year counterparts, first year students had higher scores in Attention (p < 0.001) and Participation (p < 0.01). Medicine students had higher scores in Participation than students from other careers. CONCLUSIONS: A two factor solution was identified for ABSES. Surveyed students had a predominantly passive Self-efficacy, focused in attention. Also, a reduction in self efficacy was noted among second year students.


Asunto(s)
Autoeficacia , Estudiantes del Área de la Salud , Encuestas y Cuestionarios , Chile , Estudios Transversales , Femenino , Humanos , Masculino , Psicometría , Universidades , Adulto Joven
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