A psychometric examination of the knowledge of ADHD scale

Saskatchewan-based pre-service and in-service teachers’ knowledge of ADHD was assessed and data was collected to accumulate psychometric evidence for the modified K-ADHD (Jerome, Gordon, & Hustler, 1994) scale. Using results from a questionnaire administered to pre-service (n = 100) and in-service (n = 66) teachers, the current study did find a significant difference on the K-ADHD (Jerome et al., 1994) scale between groups. Divergent and convergent validity evidence was found for the K-ADHD (Jerome et al., 1994) for both groups. However, reliability estimates were questionable between in-service (á = .66) and pre-service (á = .82) teachers, possibly due to asymmetric outlier contamination. The evidence found for the K-ADHD (Jerome et al., 1994) scale suggests problems with the psychometrics of the instrument. Future implications and research are discussed

Indicators and measurement tools for health system integration : a knowledge synthesis

Background: Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care. Methods: We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools. Findings: From 7,133 abstracts, we retrieved 114 unique tools. We found many quality tools to measure care coordination, patient engagement and team effectiveness/performance. In contrast, there were few tools in the domains of performance measurement and information systems, alignment of organizational goals and resource allocation. The search yielded 12 tools that measure overall integration or three or more indicator domains. Discussion: Our findings highlight a continued gap in tools to measure foundational components that support integrated care. In the absence of such targeted tools, “overall integration” tools may be useful for a broad assessment of the overall state of a system. Conclusions: Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework