Validity

有效性
  • 文章类型: Journal Article
    为了评估婴儿可用发育评估的心理测量特性,年龄0-24个月。
    使用PRISMA扩展范围审查作为指南进行了范围审查。以下四个数据库:Medline,CINAHL,Embase,和WebofScience被用来检索文章。对评估的信度和效度进行了心理测量特性分析。结果:根据20篇文章的心理测量特性,确定并评估了15项发展评估。
    三项评估,包括Bayley婴儿和幼儿发展量表第三版(BSID-III),看护者报告的早期开发工具(CREDI),年龄和阶段问卷第三版(ASQ-3),被认定拥有最有力的证据.
    本研究为临床医生提供了全面的婴儿发育评估的最新列表。某些评估需要有关其心理测量特性的其他证据来证实其临床实用性。
    UNASSIGNED: To assess the psychometric properties of available developmental assessments for infants, aged 0-24 months.
    UNASSIGNED: A scoping review was conducted using the PRISMA Extension for Scoping Reviews as a guideline. The following four databases: Medline, CINAHL, Embase, and Web of Science were used to retrieve articles. Assessments were analyzed for psychometric properties of reliability and validity. Results: Fifteen developmental assessments were identified and evaluated based on their psychometric properties from 20 number of articles.
    UNASSIGNED: Three assessments including Bayley Scales of Infant and Toddler Development 3rd Edition (BSID-III), Caregiver Reported Early Development Instruments (CREDI), and Ages and Stages Questionnaire 3rd Edition (ASQ-3), were identified to have the most supporting evidence.
    UNASSIGNED: This study provided clinicians with an updated list of all-encompassing infant developmental assessments. Certain assessments require additional evidence regarding their psychometric properties to substantiate their clinical utility.
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  • 文章类型: Journal Article
    本研究旨在系统回顾现有社会支持量表在难民安置研究中的应用现状。评估他们的质量,并找出测量方面的差距,以加强研究和实践。对2023年3月之前出版的现有文献进行了范围审查。一组研究人员进行了搜索,排序,和数据提取过程遵循规模开发和验证的最佳实践。在搜索过程中收集的1185项研究中,最终分析保留了41篇文章,从中确定了在重新安置的难民研究中使用的17种不同的社会支持工具。对所有17种仪器的评估显示存在与构建体相关的一个或多个限制,判据,convergent,和/或判别效度。在所有研究中都评估了可靠性测试,范围为0.80至0.90。我们的发现表明,评估重新安置的难民中社会支持的大多数研究都是在没有在重新安置背景下充分验证的测量工具的情况下进行的。这一分析强调了需要严格开发的社会支持量表,以反映生活经验,需要,以及重新安置难民的优先事项。
    This study aimed to systematically review current research on the application of existing social support scales in research with refugees in resettlement, assess their quality, and identify gaps in measurement to enhance research and practice. A scoping review was conducted on the extant literature published until March 2023. A team of researchers conducted search, sorting, and data extraction processes following best practices for scale development and validation. Of the 1185 studies collected from the search process, 41 articles were retained in the final analysis, from which 17 distinct social support instruments used in research with resettled refugees were identified. An assessment of all 17 instruments showed the presence of one or more limitations associated with construct, criterion, convergent, and/or discriminant validity. Test of reliability was assessed in all studies, with a range of 0.80 to 0.90. Our findings show that most of the research evaluating social support among resettled refugees is conducted without measurement instruments adequately validated in the resettlement context. This analysis highlights the need for rigorously developed social support scales that reflect the lived experiences, needs, and priorities of resettled refugees.
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  • 文章类型: Journal Article
    (1)背景:基于标记的3D运动捕捉系统(MBS)被认为是步态分析中的黄金标准。然而,基于无标记相机的3D运动捕捉系统(MCBS)可以提供解决方案。本系统综述和荟萃分析的目的是比较准确性,有效性,MCBS和MBS的可靠性。(2)方法:根据PRISMA指南,于2024年2月7日在两个不同的数据库中系统地检索了2047篇论文:Pubmed(1339)和WoS(708)。使用COSMIN工具和EBRO指南评估偏倚风险和证据水平。(3)结果:经过全文筛选,包括22篇论文。时空参数总体上表现出良好的准确性,有效性,和可靠性。对于运动学变量,髋关节和膝关节在系统之间显示出中等到极好的一致性,而对于踝关节,测量了较差的并发效度和信度。在所有情况下,步行速度的准确性和并发有效性都被认为是极好的,只有很小的偏差。步行速度的评分者间信度和并发效度的荟萃分析,步进时间,和步长导致良好到优异的组内相关系数(ICC)(0.81;0.98)。(4)讨论和结论:MCBS在准确性方面具有可比性,并发有效性,时空参数对MBS的可靠性。此外,髋关节和膝关节在矢状面的运动学参数被认为是最有效和可靠的,但缺乏有效和准确的测量结果在横向和额面。方法学程序的定制和标准化对于未来的研究是必要的,以充分比较临床环境中的方案。更多关注患者群体。
    (1) Background: Marker-based 3D motion capture systems (MBS) are considered the gold standard in gait analysis. However, they have limitations for which markerless camera-based 3D motion capture systems (MCBS) could provide a solution. The aim of this systematic review and meta-analysis is to compare the accuracy, validity, and reliability of MCBS and MBS. (2) Methods: A total of 2047 papers were systematically searched according to PRISMA guidelines on 7 February 2024, in two different databases: Pubmed (1339) and WoS (708). The COSMIN-tool and EBRO guidelines were used to assess risk of bias and level of evidence. (3) Results: After full text screening, 22 papers were included. Spatiotemporal parameters showed overall good to excellent accuracy, validity, and reliability. For kinematic variables, hip and knee showed moderate to excellent agreement between the systems, while for the ankle joint, poor concurrent validity and reliability were measured. The accuracy and concurrent validity of walking speed were considered excellent in all cases, with only a small bias. The meta-analysis of the inter-rater reliability and concurrent validity of walking speed, step time, and step length resulted in a good-to-excellent intraclass correlation coefficient (ICC) (0.81; 0.98). (4) Discussion and conclusions: MCBS are comparable in terms of accuracy, concurrent validity, and reliability to MBS in spatiotemporal parameters. Additionally, kinematic parameters for hip and knee in the sagittal plane are considered most valid and reliable but lack valid and accurate measurement outcomes in transverse and frontal planes. Customization and standardization of methodological procedures are necessary for future research to adequately compare protocols in clinical settings, with more attention to patient populations.
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  • 文章类型: Journal Article
    自我报告的身高和体重测量通常用于大型流行病学研究。然而,对这些自我报告措施的有效性和可靠性仍然存在担忧。本系统评价的目的是总结和评估测量和自我报告的体重和身高数据的比较有效性,并推荐策略,以提高跨研究的自我报告数据收集的可靠性。本系统审查采用了PRISMA指南。四个在线来源,包括PubMed,Medline,谷歌学者,和CINAHL,被利用了。共筛选17800篇,根据确定的纳入和排除标准,有10项研究符合纳入SLR的条件.研究结果表明,根据类内相关系数和Bland-Altman地块,测量和自我报告的体重和身高之间具有良好的一致性。总的来说,测量的体重和身高具有更高的有效性和可靠性(ICC>0.9;LOA<1SD)。然而,由于社会压力和自尊问题等偏见,女性低估了她们的体重,而男人夸大了自己的身高。实质上,自我报告的措施仍然是有价值的指标,以补充有限的直接人体测量数据,特别是在大规模调查中。然而,解决潜在的偏见来源至关重要。
    Self-reported measures of height and weight are often used in large epidemiological studies. However, concerns remain regarding the validity and reliability of these self-reported measures. The aim of this systematic review was to summarise and evaluate the comparative validity of measured and self-reported weight and height data and to recommend strategies to improve the reliability of self-reported-data collection across studies. This systematic review adopted the PRISMA guidelines. Four online sources, including PubMed, Medline, Google Scholar, and CINAHL, were utilised. A total of 17,800 articles were screened, and 10 studies were eligible to be included in the SLR based on the defined inclusion and exclusion criteria. The findings from the studies revealed good agreement between measured and self-reported weight and height based on intra-class correlation coefficient and Bland-Altman plots. Overall, measured weight and height had higher validity and reliability (ICC > 0.9; LOA < 1 SD). However, due to biases such as social pressure and self-esteem issues, women underreported their weight, while men overreported their height. In essence, self-reported measures remain valuable indicators to supplement the restricted direct anthropometric data, particularly in large-scale surveys. However, it is essential to address potential sources of bias.
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  • 文章类型: Journal Article
    患者激活,广义上定义为个人有效管理健康和驾驭医疗系统的能力,对于实现积极的健康结果至关重要。患者激活测量(PAM)一种普遍使用的工具,是为了评估医疗保健的这一重要组成部分而开发的。这篇综述是第一个系统检验PAM有效性的综述,以及研究其可靠性,要素结构,以及不同人群的有效性。按照PRISMA和COSMIN准则,在MEDLINE进行了搜索,EMBASE,和Cochrane图书馆,从开始到2023年10月1日,使用与患者激活和PAM相关的关键词的组合。纳入标准是原始的定量或混合方法研究,重点是PAM-13或其翻译版本,并包含有关心理测量特性的数据。在检索到的3007份摘要中,39项研究纳入最终审查。PAM已在不同的人群和地理区域进行了广泛的研究,包括美国,欧洲,亚洲,和澳大利亚。大多数研究着眼于患有慢性病的人群。只有两项研究将PAM应用于社区居民,并找到了对其使用的支持。研究主要显示PAM的内部一致性很高(Cronbach'sα>0.80)。大多数研究支持患者激活的一维结构,尽管文化差异在某些情况下影响了因素结构。通过与健康行为和结果的相关性来建立结构效度。尽管它的优势,需要进一步研究,特别是在探索内容有效性和差异项目功能方面。将PAM的应用扩展到更多样化的人口群体和社区居民可以增强我们对患者激活及其对健康结果的影响的理解。
    Patient activation, broadly defined as the ability of individuals to manage their health and navigate the healthcare system effectively, is crucial for achieving positive health outcomes. The Patient Activation Measure (PAM), a popularly used tool, was developed to assess this vital component of health care. This review is the first to systematically examine the validity of the PAM, as well as study its reliability, factor structure, and validity across various populations. Following the PRISMA and COSMIN guidelines, a search was conducted in MEDLINE, EMBASE, and Cochrane Library, from inception to 1 October 2023, using combinations of keywords related to patient activation and the PAM. The inclusion criteria were original quantitative or mixed methods studies focusing on PAM-13 or its translated versions and containing data on psychometric properties. Out of 3007 abstracts retrieved, 39 studies were included in the final review. The PAM has been extensively studied across diverse populations and geographical regions, including the United States, Europe, Asia, and Australia. Most studies looked at populations with chronic conditions. Only two studies applied the PAM to community-dwelling individuals and found support for its use. Studies predominantly showed a high internal consistency (Cronbach\'s alpha > 0.80) for the PAM. Most studies supported a unidimensional construct of patient activation, although cultural differences influenced the factor structure in some cases. Construct validity was established through correlations with health behaviors and outcomes. Despite its strengths, there is a need for further research, particularly in exploring content validity and differential item functioning. Expanding the PAM\'s application to more diverse demographic groups and community-dwelling individuals could enhance our understanding of patient activation and its impact on health outcomes.
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  • 文章类型: Journal Article
    背景:这篇综述概述了短物理性能电池(SPPB)的心理测量特性,定时并进行测试(TUG),在社区居住的老年人中进行4m步态速度测试(4mGST)和400m步行测试(400mWT)。
    方法:在MEDLINE中进行了系统搜索,CINAHL和EMBASE,纳入50项研究,数据来自19,266名参与者(平均年龄63.2~84.3).根据COSMIN指南,对患者报告的结果指标进行系统评价,提取数据并给予足够或不足的总体评级。证据质量(QoE)使用建议评级评估进行评级,开发和评估(等级)方法。
    结果:在12项研究中评估了SPPB,TUG在30,4mGST在12和400mWT在2。SPPB的可靠性,TUG和4mGST被评为足够(中等至良好的QoE)。SPPB的测量误差被评为不足(低QoE)。SPPB的标准有效性不足以表明肌肉减少症(中度QoE),虽然TUG足以确定行动限制(低QoE)和日常生活残疾活动(低QoE),分别。SPPB的结构效度,TUG,4mGST和400mWT在许多构建体中被评为不足(中等至高QoE)。响应性被评为SPPB(高QoE)和TUG(非常低的QoE)不足,而4mGST被评为足够(高QoE)。
    结论:总体而言,在社区居住的老年人中,常用的身体表现测试的心理测量质量通常被评为不足,除了可靠性。这些测试在日常实践中广泛使用,并在指南中推荐;但是,由于推荐的测量仪器的心理测量质量有限,使用者在得出诸如肌肉减少症严重程度和身体表现变化等结论时应谨慎。需要对患有肌肉减少症的人进行疾病特异性身体表现测试。这项研究没有从任何资助机构获得具体资助,并使用国际前瞻性系统审查注册(PROSPERO)(CRD42022359725)进行了先验注册。
    This review provides an overview of the psychometric properties of the short physical performance battery (SPPB), timed up and go test (TUG), 4 m gait speed test (4 m GST) and the 400 m walk test (400 m WT) in community-dwelling older adults.
    A systematic search was conducted in MEDLINE, CINAHL and EMBASE, resulting in the inclusion of 50 studies with data from in total 19,266 participants (mean age 63.2-84.3). Data were extracted and properties were given a sufficient or insufficient overall rating following the COSMIN guideline for systematic reviews of patient-reported outcome measures. Quality of evidence (QoE) was rated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
    The SPPB was evaluated in 12 studies, TUG in 30, 4 m GST in 12 and 400 m WT in 2. Reliability of the SPPB, TUG and 4 m GST was rated sufficient (moderate to good QoE). The measurement error of the SPPB was rated insufficient (low QoE). Criterion validity for the SPPB was insufficient in indicating sarcopenia (moderate QoE), while the TUG was sufficient and insufficient for determining mobility limitations (low QoE) and activities of daily living disability (low QoE), respectively. Construct validity of the SPPB, TUG, 4 m GST and 400 m WT was rated insufficient in many constructs (moderate to high QoE). Responsiveness was rated as insufficient for SPPB (high QoE) and TUG (very low QoE), while 4 m GST was rated as sufficient (high QoE).
    Overall, the psychometric quality of commonly used physical performance tests in community-dwelling older adults was generally rated insufficient, except for reliability. These tests are widely used in daily practice and recommended in guidelines; however, users should be cautious when drawing conclusions such as sarcopenia severity and change in physical performance due to limited psychometric quality of the recommended measurement instruments. There is a need for a disease-specific physical performance test for people with sarcopenia.This research received no specific grant from any funding agency and was registered a priori using the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022359725).
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  • 文章类型: Journal Article
    可靠和有效的认知筛查工具对于评估创伤性脑损伤(TBI)患者至关重要。然而,在临床实践中应使用哪种工具尚未达成共识.本系统综述评估了用于检测TBI认知障碍的认知筛查工具的心理测量特性。纳入标准是:认知筛查工具的同行评审验证研究;对18-80岁被诊断患有TBI(轻度-重度)的成年人进行样本;以及与COSMIN指南一致的心理测量学。已发表的文献从MEDLINE检索,WebofScience核心合集,EMBASE,CINAHL,和PsycINFO于2022年1月27日。进行了叙事合成。34项研究评估了总共22种认知筛查工具的心理测量特性,在各种语言中。评估的属性包括结构效度,内部一致性,可靠性,标准有效性(或诊断测试准确性),收敛/发散有效性,和判别效度。蒙特利尔认知评估(MoCA)和迷你精神状态检查(MMSE)是用于TBI的最广泛验证的认知筛查工具。MoCA对其心理测量特性有最有希望的证据,这对临床实践有影响。未来的研究应旨在遵循心理测量研究的标准标准,以便在文献中进行有意义的比较。
    Reliable and valid cognitive screening tools are essential in the assessment of those with traumatic brain injury (TBI). Yet, there is no consensus about which tool should be used in clinical practice. This systematic review assessed psychometric properties of cognitive screening tools for detecting cognitive impairment in TBI. Inclusion criteria were: peer-reviewed validation studies of a cognitive screening tool(s); with a sample of adults aged 18-80 diagnosed with TBI (mild-severe); and with psychometrics consistent with COSMIN guidelines. Published literature was retrieved from MEDLINE, Web of Science Core Collection, EMBASE, CINAHL, and PsycINFO on 27 January 2022. A narrative synthesis was performed. Thirty-four studies evaluated the psychometric properties of a total of 22 cognitive screening tools, in a variety of languages. Properties assessed included structural validity, internal consistency, reliability, criterion validity (or diagnostic test accuracy), convergent/divergent validity, and discriminant validity. The Montreal Cognitive Assessment (MoCA) and the Mini Mental State Examination (MMSE) were the most widely validated cognitive screening tools for use in TBI. The MoCA had the most promising evidence of its psychometric properties, which has implications for clinical practice. Future research should aim to follow standard criteria for psychometric studies to allow meaningful comparisons across the literature.
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  • 文章类型: Journal Article
    近年来,医疗保健教育提供者吹嘘通过促进更积极学习的评估测试,有意识地转向提高临床能力。尽管如此,多项选择题仍然是最普遍的评估形式之一。各种文献通过其高度的有效性和可靠性来证明使用多项选择测试是合理的。教育提供者还受益于在开发问题时需要更少的资源和成本,以及更容易适应问题以补偿神经多样性。然而,当通过结构化方法测试这些(和其他)变量的效用时,阐明了这些优势在很大程度上取决于所写问题的质量,学习者要达到的临床能力水平,以及否定混杂变量(如不同的成就)的影响。本文讨论了在现代医疗保健课程中提高多项选择题测试实用性的尝试,以及这些修改对性能的影响。
    In recent years, healthcare education providers have boasted about a conscious shift towards increasing clinical competence via assessment tests that promote more active learning. Despite this, multiple-choice questions remain amongst the most prevalent forms of assessment. Various literature justifies the use of multiple-choice testing by its high levels of validity and reliability. Education providers also benefit from requiring fewer resources and costs in the development of questions and easier adaptivity of questions to compensate for neurodiversity. However, when testing these (and other) variables via a structured approach in terms of their utility, it is elucidated that these advantages are largely dependent on the quality of the questions that are written, the level of clinical competence that is to be attained by learners and the impact of negating confounding variables such as differential attainment. Attempts at improving the utility of multiple-choice question testing in modern healthcare curricula are discussed in this review, as well as the impact of these modifications on performance.
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  • 文章类型: Journal Article
    患有智力障碍(ID)的儿童和青少年在叙事技巧方面经常遇到困难。然而,缺乏关于如何评估该人群的这些技能的研究。本研究概述了用于评估具有ID的儿童和青少年的口头叙述技巧的工具,解决有关通用评估工具的关键问题,他们的特点,并报告了证据。对PsycINFO在2010年至2023年之间发表的文献进行了系统的回顾,ERIC,教育,心理学数据库。最初的1176项研究通过摘要进行了回顾,其中485篇全文阅读,导致22项研究的选择和分析。大多数已确定的工具都涉及分析使用无言图画书获得的语言样本。强调了三个常用工具。研究主要确定了评估者之间的可靠性和有效性的测试标准证据。深入讨论了主要工具及其特征,以帮助读者辨别适合研究或实际应用的选择。强调了在该人群中报告各种证据来源的有效性和可靠性的重要性。
    Children and adolescents with intellectual disabilities (ID) often encounter difficulties with narrative skills. Yet, there is a lack of research focusing on how to assess these skills in this population. This study offers an overview of the tools used for assessing oral narrative skills in children and adolescents with ID, addressing key questions about common assessment tools, their characteristics, and reported evidence. A systematic review was conducted of the literature published between 2010 and 2023 in the PsycINFO, ERIC, Education, and Psychology databases. An initial 1176 studies were reviewed by abstract, of which 485 were read in full text, leading to the selection and analysis of 22 studies. Most of the identified tools involve analyzing language samples obtained using wordless picture story books. Three common tools are emphasized. Studies have primarily identified inter-rater reliability and test-criterion evidence for validity. The main tools and their characteristics are discussed in depth to aid readers in discerning suitable options for research or practical applications. The importance of reporting diverse sources of evidence for validity and reliability within this population is highlighted.
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  • 文章类型: Journal Article
    脊髓损伤(SCI)与多种功能受损有关,活动的许多限制,以及对患者的限制。
    本研究旨在系统地回顾用于评估脊髓损伤患者行走和平衡的结果测量的心理测量特性(可靠性和有效性)。
    数据库,例如PubMed,Embase,Scopus,和WebofSciences使用各种术语(标题和摘要)搜索相关文章。选择了2010年至2021年以英文发表的文章,包括脊髓损伤患者的结局指标,通过应用COSMIN检查表确定所选研究的质量。提取信度和效度值,并得出了关于每种测量的心理测量质量的结论。
    共检索到1253条记录,其中22篇可能符合条件的文章被确定,其中15个纳入本研究。使用COSMIN工具(基于共识的健康状况测量仪器选择标准)根据纳入标准评估进口物品的质量水平。
    测试残疾人的一个考虑因素是观察仪器的可靠性和有效性,这项研究在各个领域都得到了解决。在我们的研究中,评估了七个评估SCI的工具,发现10米步行(10MWT)工具比其他工具性能更好,更容易。Mini-BESTest工具被建议作为评估SCI受试者站立平衡的可靠工具。
    UNASSIGNED: A spinal cord injury (SCI) is associated with a wide range of impairments in functioning, many limitations in activity, and restrictions for patients.
    UNASSIGNED: The present study aimed to systematically review the psychometric properties (reliability and validity) of outcome measures used to assess walking and balance in people with spinal cord injury.
    UNASSIGNED: Databases such as PubMed, Embase, Scopus, and Web of Sciences were searched for relevant articles using various terms (title and abstract). Articles including the outcome measures of spinal cord injury patients and published in English from 2010 until 2021 were selected, and the quality of the selected studies was determined by applying the COSMIN checklist. Reliability and validity values were extracted, and conclusions were drawn about the psychometric quality of each measure.
    UNASSIGNED: A total of 1253 records were retrieved, and among them 22 potentially eligible articles were identified, 15 of which were included in the present study. The COSMIN tool (Consensus-based Standards for the selection of health status Measurement Instruments) was used to evaluate the quality level of imported articles based on the inclusion criteria.
    UNASSIGNED: One consideration for testing people with disabilities is to observe the reliability and validity of the instrument, which was addressed in this study in various fields. In our study, seven tools for assessing SCI were evaluated, and it was found that the 10-meter walk (10MWT) tool performs better and more easily than other tools. The Mini-BESTest tool was suggested as a reliable tool for assessing standing balance in SCI subjects.
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