Systematic review of the psychometric properties of patient-reported outcome measures for foot and ankle in rheumatoid arthritis

Background Foot problems and pain are common in patients with rheumatoid arthritis. Patient-reported outcome measures provide a standardized method of capturing patients’ perspectives of their functional status and wellbeing. There are many instruments specific to people with feet affected by rheumatoid arthritis but knowledge of their psychometric validation or methodological quality is lacking Objectives To identify patient-reported outcome measures specific to the foot and ankle and rheumatoid arthritis and investigate their methodological quality and psychometric properties Design Systematic review. Data source : A search was conducted for psychometric or validation studies on patient-reported outcomes in Rheumatoid Arthritis published in different languages, by examining the Pubmed; Scopus, CINAHL; PEDro and Google Scholar databases. Review methods . The systematic review performed was based on the following inclusion criteria: psychometric or clinimetric validation studies on patient-reported outcomes specific to the foot and ankle that included patients with Rheumatoid arthritis. Two authors independently assessed the quality of the studies and extracted datas Results Of the initial 431 studies, fourteen instruments met the inclusion criteria. Significant methodological flaws were detected in most with only SEFAS met the COSMIN quality criteria. Conclusion SEFAS had the best quality and was ranked most appropriate for use with patients living with Rheumatoid Arthriti

Identifying High Potential Police Officers and Role Characteristics.

Project commissioned in 2000 by the Metropolitan Police Service to carry out a psychometric assessment validation study as part of a career Pathways Project

Validation of the Mothers’ Object Relations Scales Short-form (MORS-SF)

A 14-item questionnaire, MORS-SF, was developed in a previous study to assess mothers’ representations of their infants. It was found to have good psychometric properties, being sufficiently reliable and internally valid to enable the further validation of the instrument with additional independently collected datasets. This paper reports the successful validation of MORS-SF against other measures in both the original Hungarian and British samples and also in new samples in both countries, showing predicted relationships with other measures in the original and the independent validation datasets. It is concluded that this is a valid tool, with uses in research and health practice

Validation of the Mothers’ Object Relations Scales Short-form (MORS-SF)

A 14-item questionnaire, MORS-SF, was developed in a previous study to assess mothers’ representations of their infants. It was found to have good psychometric properties, being sufficiently reliable and internally valid to enable the further validation of the instrument with additional independently collected datasets. This paper reports the successful validation of MORS-SF against other measures in both the original Hungarian and British samples and also in new samples in both countries, showing predicted relationships with other measures in the original and the independent validation datasets. It is concluded that this is a valid tool, with uses in research and health practice

Development and Validation of the FSIQ-RMS: A New Patient-Reported Questionnaire to Assess Symptoms and Impacts of Fatigue in Relapsing Multiple Sclerosis

Objectives: A new patient-reported outcome (PRO) instrument to measure fatigue symptoms and impacts in relapsing multiple sclerosis (RMS) was developed in a qualitative stage, followed by psychometric validation and migration from paper to an electronic format. Methods: Adult patients with relapsing-remitting multiple sclerosis (RRMS) were interviewed to elicit fatigue-related symptoms and impacts. A draft questionnaire was debriefed in cognitive interviews with further RRMS patients, and revised. Content confirmation interviews were conducted with patients with progressive-relapsing multiple sclerosis (PRMS) and relapsing secondary-progressive multiple sclerosis (RSPMS). Psychometric analyses used data from adult patients with different RMS subtypes and matched non-RMS controls in a multicenter, observational study. After item reduction, the final instrument was migrated to a smartphone (eDiary) and usability was confirmed in interviews with additional adult RMS patients. Results: The qualitative stage included 37 RRMS, 5 PRMS, and 5 RSPMS patients. Saturation of concepts was reached during concept elicitation. Cognitive interviews confirmed that participants understood the instructions, items, and response options of the instrument—named FSIQ-RMS—as intended. Psychometric validation included 164 RMS and 74 control patients. Internal consistency and test–retest reliability were demonstrated. The symptoms domain discriminated along the RMS symptom-severity continuum and between patients and controls. Patients were able to attribute fatigue-related symptoms to RMS. Usability and conceptual equivalence of the eDiary were confirmed (n = 10 participants). Conclusions: With 7 symptom items and 13 impact items (in 3 impacts subdomains: physical, cognitive and emotional, and coping) after item reduction, the FSIQ-RMS is a comprehensive, valid, and reliable measure of fatigue-related symptoms and impacts in RMS patients

Health-related quality of life in the WA HIV Cohort: 2008

Quality of life (QOL) is an important outcome of HIV treatment and a priority in the management of HIV. A new Patient-Reported Outcomes (PRO) questionnaire to measure the QOL in people living with HIV/AIDS (PLWHA) from different cultures and language groups has been developed. The instrument, PROQOL-HIV, has undergone psychometric validation in 791 individuals from 8 countries including 99 people from the WA HIV Cohort Study

Assessing safety climate in acute hospital settings: a systematic review of the adequacy of the psychometric properties of survey measurement tools

Background: The perceived importance of safety culture in improving patient safety and its impact on patient outcomes has led to a growing interest in the assessment of safety climate in healthcare organizations; however, the rigour with which safety climate tools were developed and psychometrically tested was shown to be variable. This paper aims to identify and review questionnaire studies designed to measure safety climate in acute hospital settings, in order to assess the adequacy of reported psychometric properties of identified tools. Methods: A systematic review of published empirical literature was undertaken to examine sample characteristics and instrument details including safety climate dimensions, origin and theoretical basis, and extent of psychometric evaluation (content validity, criterion validity, construct validity and internal reliability). Results: Five questionnaire tools, designed for general evaluation of safety climate in acute hospital settings, were included. Detailed inspection revealed ambiguity around concepts of safety culture and climate, safety climate dimensions and the methodological rigour associated with the design of these measures. Standard reporting of the psychometric properties of developed questionnaires was variable, although evidence of an improving trend in the quality of the reported psychometric properties of studies was noted. Evidence of the theoretical underpinnings of climate tools was limited, while a lack of clarity in the relationship between safety culture and patient outcome measures still exists. Conclusions: Evidence of the adequacy of the psychometric development of safety climate questionnaire tools is still limited. Research is necessary to resolve the controversies in the definitions and dimensions of safety culture and climate in healthcare and identify related inconsistencies. More importance should be given to the appropriate validation of safety climate questionnaires before extending their usage in healthcare contexts different from those in which they were originally developed. Mixed methods research to understand why psychometric assessment and measurement reporting practices can be inadequate and lacking in a theoretical basis is also necessary

Facial emotion recognition: spanish psychometric validation of a NIMSTIM stimuli subset.

Treball Final de Grau en Psicologia. Codi: PS1048. Curs: 2018/2019.Facial expressions are used to guide us and make us to understand the experiences that others have towards us, and also to lead our behavior in an adaptive way. Facial expressions have a communicative value as Darwin said, and their interpretation is of interest to researches because of the links between emotional experience and facial expressions (Tottenham et al., 2009). Nowadays, several sets of emotional facial pictures sets are currently available (Adolph & Georg, 2010). However, these pictures sets are anything but uniform and vary extensively in terms of physical characteristics. One of the most used databases is the NimSim set of facial expressions (Tottenham et al., 2009). The purpose of this study is the psychometric validation of a 367 stimuli from the NimStim into the Spanish population for the emotional facial recognition. In this study, 127 students (105 women) participated. The task consisted of the emotional facial recognition of the six basic emotions and one neutral expression. Repeated measures ANOVA showed that type of motion, the type of mouth, and the interaction betweenthem, were statistically significant variables for the emotional facial expressions recognition. The results showed that: a) The Spanish and American population follow the same pattern of emotional facial expressions recognition (happiness is the best recognized emotion, and fear the worst); 2) the type of mouth is an important moderator variable for the facial emotional expressions recognition; and c) there are not significant gender differences in the facial emotional recognition. The results of the present research empirically corroborate the validity of the NimStim for its use in Spanish samples in the affective neuroscientific research, particularly in the emotional facial expressions recognition field.Las expresiones faciales nos sirven para guiarnos y hacernos comprender las experiencias que tienen los demás hacia nosotros, y también para dirigir nuestra conducta de manera adaptativa. Darwin argumentaba que las expresiones faciales tenían un valor comunicativo y la interpretación de éstas es de interés para los investigadores debido a la relación entre la experiencia emocional y las expresiones faciales (Tottenham et al., 2009). Actualmente son varios los conjuntos de imágenes de expresiones faciales emocionales que están disponibles (Adolph & Georg, 2010). Sin embargo, estas bases de datos no son uniformes y varían ampliamente en sus parámetros físicos. Una de las bases de datos más utilizada en la investigación afectiva es el the NimSim set of facial expressions (Tottenham et al., 2009). El propósito de este estudio es la validación psicométrica de un subconjunto de 367 estímulos del NimStim en la población española para el reconocimiento de expresiones faciales emocionales. En este estudio participaron 127 estudiantes (105 mujeres). La tarea consistía en el reconocimiento de la expresión facial de las seis emociones básicas y una neutra. El ANOVA de medidas repetidas mostró que el tipo de emoción, la forma de la boca y, especialmente, la interacción entre ambas, son variables estadísticamente significativas para el reconocimiento de expresiones faciales emocionales. Los resultados mostraron que: a) el patrón de reconocimiento de las distintas emociones obtenido en la muestra española es muy similar al publicado para muestras norteamericanas (la alegría fue la mejor reconocida y el miedo la peor); b) la forma de la boca al expresar una emoción es una importante variable moduladora para el reconocimiento de la expresión faciales emocionales (especialmente, para el miedo y la tristeza); y c) no hay diferencias significativas entre hombres y mujeres a la hora de reconocer expresiones faciales emocionales. Los resultados de la presente investigación corroboran empíricamente la validez del NimStim para su uso en muestras españolas en investigaciones en el ámbito de la neurociencia afectiva, particularmente en el reconocimiento de expresiones faciales emocionales

Initial Validation of a Brief Pictorial Measure of Caregiver Aggression: The Family Aggression Screening Tool

In the present study, we report on the development and initial psychometric properties of the Family Aggression Screening Tool (FAST). The FAST is a brief, self-report tool that makes use of pictorial representations to assess experiences of caregiver aggression, including direct victimization and exposure to intimate partner violence. It is freely available on request and takes under 5 minutes to complete. Psychometric properties of the FAST were investigated in a sample of 168 high-risk youth aged 16 to 24 years. For validation purposes, maltreatment history was assessed using the Childhood Trauma Questionnaire; levels of current psychiatric symptoms were also assessed. Internal consistency of the FAST was good. Convergent validity was supported by strong and discriminative associations with corresponding Childhood Trauma Questionnaire subscales. The FAST also correlated significantly with multi-informant reports of psychiatric symptomatology. Initial findings provide support for the reliability and validity of the FAST as a brief, pictorial screening tool of caregiver aggression

Development of a patient-reported palliative care-specific health classification system: the POS-E

BackgroundGeneric preference-based measures are commonly used to estimate quality-adjusted life-years (QALYs) to inform resource-allocation decisions. However, concerns have been raised that generic measures may be inappropriate in palliative care.ObjectiveOur objective was to derive a health-state classification system that is amenable to valuation from the ten-item Palliative Care Outcome Scale (POS), a widely used patient-reported outcome measure in palliative care.MethodsThe dimensional structure of the original POS was assessed using factor analysis. Item performance was assessed, using Rasch analysis and psychometric criteria, to enable the selection of items that represent the dimensions covered by the POS. Data from six studies of patients receiving palliative care were combined (N = 1011) and randomly split into two halves for development and validation. Analysis was undertaken on the development data, and results were validated by repeating the analysis with the validation dataset.ResultsFollowing Rasch and factor analyses, a classification system of seven items was derived. Each item had two to three levels. Rasch threshold map helped identify a set of 14 plausible health states that can be used for the valuation of the instrument to derive a preference-based index.ConclusionCombining factor analysis and Rasch analysis with psychometric criteria provides a valid method of constructing a classification system for a palliative care-specific preference-based measure. The next stage is to obtain preference weights so the measure can be used in economic evaluations in palliative care