self-report

自我报告
  • 文章类型: Journal Article
    目的:本研究旨在确定,评估,并总结有关数字工具的证据,这些工具可以对儿科肿瘤患者进行自我报告的症状评估和管理。
    方法:七个学术数据库,包括PubMed,科克伦图书馆,Scopus,WebofScience,CINAHL,和Medline(OVID),从开始到2024年2月28日进行了系统搜索。纳入标准如下:(a)研究对象是儿科肿瘤患者和年轻人,(b)使用数码工具,(c)自我报告症状评估和管理,(d)采用定性或定量研究设计,(e)用英文撰写(f)在同行评审期刊上发表。这是一个系统的回顾,其协议在PROSPERO(ID:CRD42024528285)中注册。这项研究是根据PRISMA声明进行的。
    结果:本系统综述包括27项研究。进行所有纳入的研究以开发用于评估和管理症状的数字工具。其中八项研究仅关注疼痛;三项仅针对恶心和呕吐,一个是恶心,其他15种症状。研究质量从低到高,总分在28分中的4到24分之间。
    结论:研究表明,研究通常集中在开发数字工具来解决疼痛,恶心,呕吐,以及儿科肿瘤患者常见的其他症状。虽然纳入研究的质量从低到高,总体研究结果表明,这些数字工具在儿科肿瘤治疗中用于症状评估和管理的有效性和可用性有望得到应用.
    BACKGROUND: The evaluation of digital tools for measuring self-reported symptoms in children and adolescents undergoing cancer treatment is a critical area of research with significant implications for clinical practice and patient outcomes.
    OBJECTIVE: This study aims to identify, evaluate, and summarize evidence on digital tools that enable self-reported symptom assessment and management for pediatric oncology patients.
    METHODS: Seven academic databases, including PubMed, Cochrane Library, Scopus, Web of Science, CINAHL, and Medline (OVID), were searched systematically from inception until February 28, 2024. Inclusion criteria were the following: (a) study subjects were pediatric oncology patients and young adults, (b) using digital tools, (c) self-report symptom assessment and management, (d) employed either qualitative or quantitative study design, (e) written in English (f) published in peer-reviewed journals. This is a systematic review, and its protocol was registered in PROSPERO (ID: CRD42024528285). The study was conducted following the PRISMA statement.
    RESULTS: Twenty-seven studies were included in this systematic review. All included studies were conducted to develop digital tools for assessing and managing the symptoms. Eight of these studies focused only on the pain; three were only for nausea and vomiting, one for nausea, and the other 15 for all symptoms. The studies\' quality ranged from low to high, with overall scores ranging between 4 and 24 out of 28.
    CONCLUSIONS: It shows that studies have generally focused on developing digital tools to address pain, nausea, vomiting, and other symptoms commonly experienced by pediatric oncology patients. While the quality of the included studies ranged from low to high, the overall findings show promise for the effectiveness and usability of these digital tools for symptom assessment and management in pediatric oncology care.
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  • 文章类型: Journal Article
    背景:鉴于最近关于自闭症表现的性别差异的证据,越来越多的人担心,目前的自闭症工具不能充分捕捉女性常见的特征。如果自闭症工具仅根据性别对自闭症特征进行不同的测量,它们的有效性可能会受到损害,因为它们可能无法跨性别测量相同的结构。自闭症测量的测量不变性调查可以帮助评估自闭症结构对不同性别的有效性。这项系统评价的目的是确定并批判性地评估所有符合两个标准的成人自闭症自我报告工具的心理测量特性:(a)自NICE(2014)建议以来已发布或包含这些工具,以及(b)作为其验证过程的一部分,他们接受了与性别相关的测量不变性调查。
    方法:从2014年到现在,将使用MEDLINE进行电子数据库的搜索,Embase,和PsycINFO使用预定义的搜索词来识别符合条件的研究。灰色文献的搜索将包括OpenGrey、APAPsycEXTRA,还有Scopus.两名审阅者将独立筛选标题,摘要,以及资格的全文。将搜索纳入研究的参考文献以获取其他记录。研究的方法学质量将使用COSMIN风险偏差清单进行评估,而心理测量结果的质量将根据良好的测量特性和ConPsy检查表进行评估。将使用修订后的GRADE指南中概述的方法评估全部证据的质量。
    结论:这项系统评价将是首次评估自NICE(2014)指南发布以来(或包含在其中)的成人自闭症自我报告测量的心理测量特性和性别相关测量不变性。该评论将为评估无性别偏见的自闭症的最合适工具提供建议。如果没有发现这样的措施,它将确定具有有希望的心理测量特性的现有工具,需要进一步测试,或建议制定一项新措施。
    背景:该方案已在国际前瞻性系统审查注册(PROSPERO)上注册。注册号为CRD42023429350。
    BACKGROUND: Given the recent evidence on gender differences in the presentation of autism, there is an increasing concern that current tools for autism do not adequately capture traits more often found in women. If tools for autism measure autistic traits differently based on gender alone, their validity may be compromised as they may not be measuring the same construct across genders. Measurement invariance investigations of autism measures can help assess the validity of autism constructs for different genders. The aim of this systematic review is to identify and critically appraise the psychometric properties of all self-report tools for autism in adults that meet two criteria: (a) they have been published since or included in the NICE (2014) recommendations, and (b) they have undergone gender-related measurement invariance investigations as part of their validation process.
    METHODS: A search of electronic databases will be conducted from 2014 until the present using MEDLINE, Embase, and PsycINFO using predefined search terms to identify eligible studies. The search for grey literature will include sources such as OpenGrey, APA PsycEXTRA, and Scopus. Two reviewers will independently screen titles, abstracts, and full texts for eligibility. The references of included studies will be searched for additional records. The methodological quality of the studies will be evaluated using the COSMIN Risk of Bias checklist, while psychometric quality of findings will be assessed based on criteria for good measurement properties and ConPsy checklist. The quality of the total body of evidence will be appraised using the approach outlined in the modified GRADE guidelines.
    CONCLUSIONS: This systematic review will be among the first to assess the psychometric properties and gender-related measurement invariance of self-reported measures for autism in adults that were published since (or included in) NICE (2014) guidelines. The review will provide recommendations for the most suitable tool to assess for autism without gender bias. If no such measure is found, it will identify existing tools with promising psychometric properties that require further testing, or suggest developing a new measure.
    BACKGROUND: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO). The registration number is CRD42023429350.
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  • 文章类型: Systematic Review
    背景:鉴于药物依从性在HIV/AIDS治疗中的重要性,这项研究旨在比较抗逆转录病毒治疗(ART)患者中通过自我报告(SR)和间接测量测量的药物依从性,探索不同工具测量的依从性结果的差异。
    方法:我们系统地搜索了PubMed,Embase,和Cochrane图书馆,以确定截至2023年11月22日出版的所有相关文献,没有语言限制,报告通过SR和间接测量方法测量的ART依从性,同时还分别分析个人和团体的依从性。使用Mann-WhitneyU检验或Wilcoxon符号秩检验评估SR和间接测量结果之间的差异。与使用皮尔逊相关系数评估的相关性。在一对一比较之后,进行了元流行病学一步分析,和网络荟萃分析技术用于比较通过已确定文章中报告的特定依从性评估工具获得的结果.
    结果:分析包括65项原始研究,涉及13,667名HIV/AIDS患者,导致SR和间接测量工具之间的112个一对一比较。SR和间接测量工具在个体和群体依从性方面的差异均具有统计学意义(P<0.05)。个体依从性的Pearson相关系数为0.843,团体依从性为0.684。在元流行病学一步分析中,与间接测量的结果相比,SR测量的依从性被确定为个体依从性高3.94%(95%CI:-4.48-13.44%),组依从性高16.14%(95%CI:0.81-18.84%)。亚组分析表明,报告年份和地理区域等因素似乎会影响SR和间接测量之间的差异。此外,网络荟萃分析显示,对于个人和团体的依从性,从大多数SR和间接测量工具获得的结果高于从电子监测设备获得的结果,具有统计学意义(P<0.05)。
    结论:这些发现强调了准确测量ART患者药物依从性的复杂性。在研究中观察到显著的变异性,自我报告方法显示出明显的高估趋势。报告年份,地理区域,和依从性测量工具似乎影响SR和间接测量之间的差异。未来的研究应侧重于开发和验证综合依从性测量,可以将SR数据与间接测量相结合,以更全面地了解依从性行为。
    BACKGROUND: Given the critical importance of medication adherence in HIV/AIDS treatment, this study aims to compare medication adherence measured by self-report (SR) and indirect measurement among antiretroviral therapy (ART) patients, exploring the differences of adherence results measured by different tools.
    METHODS: We systematically searched PubMed, Embase, and the Cochrane Library to identify all relevant literature published up to November 22, 2023, without language restrictions, reporting adherence to ART measured by both SR and indirect measurement methods, while also analyzing individual and group adherence separately. Discrepancies between SR and indirect measurement results were assessed using the Mann-Whitney U test or Wilcoxon signed-rank test, with correlations evaluated using the Pearson correlation coefficient. Following one-to-one comparisons, meta-epidemiological one-step analysis was conducted, and network meta-analysis techniques were applied to compare results obtained through specific adherence assessment tools reported in the identified articles.
    RESULTS: The analysis encompassed 65 original studies involving 13,667 HIV/AIDS patients, leading to 112 one-to-one comparisons between SR and indirect measurement tools. Statistically significant differences were observed between SR and indirect measurement tools regarding both individual and group adherence (P < 0.05), with Pearson correlation coefficients of 0.843 for individual adherence and 0.684 for group adherence. During meta-epidemiological one-step analysis, SR-measured adherence was determined to be 3.94% (95% CI: -4.48-13.44%) higher for individual adherence and 16.14% (95% CI: 0.81-18.84%) higher for group adherence compared to indirectly measured results. Subgroup analysis indicated that factors such as the year of reporting and geographic region appeared to influence the discrepancies between SR and indirect measurements. Furthermore, network meta-analysis revealed that for both individual and group adherence, the results obtained from most SR and indirect measurement tools were higher than those from electronic monitoring devices, with some demonstrating statistical significance (P < 0.05).
    CONCLUSIONS: The findings underscored the complexity of accurately measuring medication adherence among ART patients. Significant variability was observed across studies, with self-report methods showing a significant tendency towards overestimation. Year of reporting, geographic region, and adherence measurement tools appeared to influence the differences between SR and indirect measurements. Future research should focus on developing and validating integrated adherence measurements that can combine SR data with indirect measures to achieve a more comprehensive understanding of adherence behaviors.
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  • 文章类型: Journal Article
    脑力在调节认知中起着至关重要的作用。然而,注意缺陷/多动障碍(ADHD)患者的精神努力体验可能有所不同,持续的精神努力“回避”或“不喜欢”是DSM的标准。我们进行了范围审查,以描述有关ADHD努力经验的文献。
    本系统范围审查遵循了系统审查和荟萃分析(PRISMA)扩展的首选报告项目,用于范围审查和JoannaBriggs方法。PsycINFO(OVID),搜索了PsycINFO(ProQuest)和PubMed在2023年2月14日之前以英文发表的研究。研究必须包括ADHD人群或ADHD症状学的测量,除了自我报告测量的努力经验或使用努力偏好范式。两名研究人员回顾了所有摘要,一位研究人员回顾了全文文章。
    只有12项研究符合纳入标准。在方法方面,确定了研究中的几个差距和不一致之处,努力的定义,多动症的测量,和样本特征。此外,努力经验的结果模式喜忧参半。
    尽管具有诊断和概念意义,注意力缺陷多动症的心理努力经验没有得到很好的研究。在现有文献中发现了严重的差距。特别提出了努力的三个方面的概念化,任务引发的努力,自愿付出努力,以及与参与努力相关的影响-指导未来探索多动症的努力经验。
    UNASSIGNED: Mental effort plays a critical role in regulating cognition. However, the experience of mental effort may differ for individuals with Attention-Deficit/Hyperactivity Disorder (ADHD), a disorder for which sustained mental effort \'avoidance\' or \'dislike\' is a criterion in the DSM. We conducted a scoping review to characterize the literature on the experiences of effort in ADHD.
    UNASSIGNED: This systematic scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) Extension for Scoping Reviews and Joanna Briggs Methodology. PsycINFO (OVID), PsycINFO (ProQuest) and PubMed were searched for studies published in English before February 14, 2023. Studies must have included an ADHD population or a measure of ADHD symptomatology, in addition to a self-report measure of the experience of effort or the use of an effort preference paradigm. Two researchers reviewed all abstracts, and one researcher reviewed full-text articles.
    UNASSIGNED: Only 12 studies met the inclusion criteria. Several gaps and inconsistencies in the research were identified in terms of method, definitions of effort, measurements of ADHD, and sample characteristics. Moreover, the pattern of results on the experience of effort was mixed.
    UNASSIGNED: Despite its diagnostic and conceptual significance, the experience of mental effort in ADHD is not well studied. Critical gaps were identified in the existing literature. A three-facet conceptualization of effort is proposed-specifically, task-elicited effort, volitionally exerted effort, and the affect associated with engaging in effort - to guide future explorations of the experience of effort in ADHD.
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  • 文章类型: Journal Article
    背景:密集的纵向方法为捕获个人的日常经验提供了强大的工具。然而,其可行性,有效性,研究或监测肿瘤患者经验的最佳方法学方法仍然不确定。
    目的:本范围综述旨在描述在乳腺癌或肺癌患者中使用了每日电子评估的密集纵向方法的程度以及使用了哪些方法,相关结果,及影响因素。
    方法:我们搜索了电子数据库(PubMed,Embase,和PsycINFO)截至2024年1月,并纳入了报告在乳腺癌或肺癌成人中使用这些方法的研究。根据人口特征提取数据,使用密集的监测方法,研究结果,以及影响这些方法在研究和临床实践中实施的因素。
    结果:我们确定了1311篇文章,包括52篇报告41项研究的文章。研究目标和密集监测方法差异很大,但是大多数研究都集中在测量生理和心理症状结构,如疼痛,焦虑,或抑郁症。对于大多数研究来说,依从性和流失率似乎是可以接受的,尽管通常缺乏完整的方法报告。很少有研究在晚期癌症患者中专门检查这些方法。影响实施的因素与两名患者有关(例如,对密集监测系统的信心)和方法(例如,选项以使用个人设备)。
    结论:具有每日电子评估的强化纵向方法有望为癌症患者的日常生活提供独特的见解。在乳腺癌或肺癌患者中,强化纵向方法可能是可行的。我们的发现鼓励进一步研究,以确定密集监测的最佳条件,特别是在更晚期的疾病阶段。
    BACKGROUND: Intensive longitudinal methods offer a powerful tool for capturing daily experiences of individuals. However, its feasibility, effectiveness, and optimal methodological approaches for studying or monitoring experiences of oncology patients remain uncertain.
    OBJECTIVE: This scoping review aims to describe to what extent intensive longitudinal methods with daily electronic assessments have been used among patients with breast or lung cancer and with which methodologies, associated outcomes, and influencing factors.
    METHODS: We searched the electronic databases (PubMed, Embase, and PsycINFO) up to January 2024 and included studies reporting on the use of these methods among adults with breast or lung cancer. Data were extracted on population characteristics, intensive monitoring methodologies used, study findings, and factors influencing the implementation of these methods in research and clinical practice.
    RESULTS: We identified 1311 articles and included 52 articles reporting on 41 studies. Study aims and intensive monitoring methodologies varied widely, but most studies focused on measuring physical and psychological symptom constructs, such as pain, anxiety, or depression. Compliance and attrition rates seemed acceptable for most studies, although complete methodological reporting was often lacking. Few studies specifically examined these methods among patients with advanced cancer. Factors influencing implementation were linked to both patient (eg, confidence with intensive monitoring system) and methodology (eg, option to use personal devices).
    CONCLUSIONS: Intensive longitudinal methods with daily electronic assessments hold promise to provide unique insights into the daily lives of patients with cancer. Intensive longitudinal methods may be feasible among people with breast or lung cancer. Our findings encourage further research to determine optimal conditions for intensive monitoring, specifically in more advanced disease stages.
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  • 文章类型: Journal Article
    术后疼痛是影响手术恢复的主要因素。有证据表明疼痛仍然管理不足。与急性疼痛管理不足有关的并发症会增加住院时间,并导致再次入院和慢性疼痛的发展。众所周知,疼痛评估对疼痛管理至关重要,疼痛的自我报告是黄金标准。因此,患者在自己的疼痛管理中起着核心作用。对文献的初步审查未能对这一关键患者角色提供明确或一致的描述。
    进行了范围审查,目的是审查描述成年患者观点或强调成年患者在术后疼痛管理中的作用的文献,包括评估。通过对现有文献进行范围审查,了解患者对其在疼痛管理中的作用的态度,对于告知术后疼痛管理的研究和改进至关重要。
    范围审查。
    数据库搜索的综述包括CINAHL,MEDLINE,PubMed,和SCOPUS(截至2022年5月)。专题分析,使用Arksey和O\'Malley的方法,已应用于已识别的记录。
    在最初确定的106个摘要中,最后分析了26篇论文。通过主题分析确定的两个主要主题是对疼痛和疼痛管理的态度,具有患者期望和信念以及治疗欲望的子主题;以及关怀和沟通,以疼痛评估和教育为主题。
    本文提供了第一个已知的关于手术患者在疼痛管理中的作用的全面范围审查的观点之一,包括评估,并提供了对这种患者角色的重要全球意识。研究结果表明,提高患者对疼痛评估和治疗作用的认识对改善术后疼痛管理至关重要。让患者作为合作伙伴参与他们的护理可以促进加强沟通并改善疼痛评估和治疗决策的一致性。患者信仰的复杂性,期望,和疼痛的主观体验给医疗保健从业者带来了挑战。这些挑战可以通过加强对患者的教育来应对,尊重患者的信念和期望,以及提供有尊严的护理。
    UNASSIGNED: Post-operative pain is a major factor in surgical recovery. There is evidence that pain remains undermanaged. Complications related to the undermanagement of acute pain can increase length of stay and contribute to readmission and the development of chronic pain. It is well acknowledged that pain assessment is critical to pain management and that self-report of pain is the gold standard. As a result, patients play a central role in their own pain management. A preliminary review of the literature failed to provide a clear or consistent description of this key patient role.
    UNASSIGNED: A scoping review was conducted with the objective of reviewing literature that described adult patients\' perspectives or highlighted the adult patient\'s role in post-operative pain management, including assessment. Understanding patients\' attitudes toward their roles in pain management through a scoping review of the current literature is critical for informing research and improvements in post-operative pain management.
    UNASSIGNED: Scoping review.
    UNASSIGNED: The databases searched for the review included CINAHL, MEDLINE, PubMed, and SCOPUS (ending May 2022). Thematic analysis, using the methodology of Arksey and O\'Malley, was applied to the records identified.
    UNASSIGNED: Of the 106 abstracts initially identified, 26 papers were included in the final analysis. Two major themes identified through thematic analysis were attitudes toward pain and pain management, with the subthemes of patient expectations and beliefs and desire to treat; and care and communication, with the subthemes of pain assessment and education.
    UNASSIGNED: This paper provides one of the first known comprehensive scoping reviews of surgical patients\' perspectives of their role in pain management, including assessment, and offers an important global awareness of this patient role. The findings suggest that improved understanding of patients\' perspectives of their roles in pain assessment and treatment is critical to improving post-operative pain management. Engaging patients as partners in their care can facilitate enhanced communication and improving congruence in pain assessment and treatment decisions. The complex nature of patients\' beliefs, expectations, and subjective experiences of pain present challenges for health care practitioners. These challenges can be met with enhanced education for patients, respect for patients\' beliefs and expectations, and the provision of dignified care.
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  • 文章类型: Journal Article
    长期以来,人们一直认为强迫症(OCD)的痴迷与基于对思想的评估而不受影响的个体的侵入性思想不同。然而,最近的研究表明,强迫症背后的认知过程可能与健康个体在上下文关系方面存在显著差异。这篇叙述性文献综述总结了当前证据,证明上下文相关性在强迫症中的痴迷以及受影响和未受影响的个体中的侵入性思想的作用。该综述共包括五项研究,其中两个包括诊断为强迫症的个体(一项研究还包括一组未受影响的对照个体),而其他三项研究调查了未受影响个体的强迫症症状与背景之间的关系。主要通过自我报告评估,这篇评论研究了思想与其背景之间的联系,揭示了思想的重复和自动化,以及随着时间的推移,它们与上下文的脱离有助于定义与侵入性思想相反的痴迷。然而,与上下文的链接取决于痴迷的内容。我们提出“思想的去文化”一词来描述在强迫症发展过程中,痴迷逐渐失去与外部环境的联系的现象。未来的研究应该调查这一假设是否可以得到实验证据的支持,并确定这种转变是否更有可能是疾病的原因或后果。
    Obsessions in obsessive-compulsive disorder (OCD) have long been proposed to differ from intrusive thoughts in unaffected individuals based on appraisal of the thoughts. However, more recent research indicates that cognitive processes behind obsessions may differ significantly from those in healthy individuals concerning their contextual relationship. This narrative literature review summarizes current evidence for the role of context-relatedness for obsessions in OCD and intrusive thoughts in affected and unaffected individuals. The review encompasses a total of five studies, two of which include individuals diagnosed with OCD (one study also includes a group of unaffected control individuals), while the other three studies investigate the relationship between OCD symptoms and context in unaffected individuals. As assessed by mainly self-reports, the review examines the connection between thoughts and their context, shedding light on how the repetition and automaticity of thoughts, as well as their detachment from context over time contribute to defining obsessions in contrast to intrusive thoughts. However, the link with context depends on the content of the obsessions. We propose the term \"decontextualization of thoughts\" to describe the phenomenon that obsessions gradually lose their connection with external context during the development of OCD. Future research should investigate whether this hypothesis can be supported by experimental evidence and identify whether this shift might be more likely a cause or a consequence of the disorder.
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  • 文章类型: Systematic Review
    目的:急诊护士在高认知心理工作量的环境中工作。过度的认知心理负荷可能会导致患者伤害和护士职业倦怠。因此,有必要了解护士对认知工作量的主观体验。本范围审查旨在整理有关护士报告的认知心理工作量的主观体验以及该现象的心理测量的文献。
    方法:根据JBI方法进行范围审查,并使用PRISMA扩展进行范围审查清单进行报告。
    方法:使用同行评审电子搜索策略检查表创建了一个先验协议,并在OSF注册表中注册。包括PubMed在内的数据库,CINAHL,ProQuest,Scopus,科学直接,搜索了WebofScience和GoogleScholar。通过进行标题和摘要筛选,根据资格标准审查已发布的报告,其次是全文筛选。最初的搜索产生了1373项研究。其中,57项研究符合纳入本研究的标准。
    结果:搜索揭示了认知心理负荷及其变化的五种一般量度。在研究中只发现了一种专门针对医疗外科护士的定制措施。对确定的措施进行了整理,并将其分类为概念清晰的框架。NASA任务负荷指数及其变化是护理中最流行的认知心理工作量的主观度量。然而,没有确定为急诊护士定制的测量或自我报告量表.
    这项范围审查的结果可以为未来护士认知心理工作量的研究提供信息。这些发现对护士和患者的工作场所健康和安全有影响。
    OBJECTIVE: Emergency nurses work in an environment of high cognitive mental workload. Excessive cognitive mental workload may result in patient harm and nurses\' burnout. Therefore, it is necessary to understand nurses\' subjective experience of cognitive workload. This scoping review aimed to curate literature about the subjective experience of cognitive mental workload reported by nurses and psychometric measures of the phenomenon.
    METHODS: The scoping review was conducted in accordance with JBI methodology and reported using PRISMA extension for scoping review checklist.
    METHODS: A priori protocol was created with Peer Review of Electronic Search Strategies checklist and registered in the OSF registry. Databases including PubMed, CINAHL, ProQuest, Scopus, Science Direct, Web of Science and Google Scholar were searched. Published reports were reviewed against the eligibility criteria by performing Title and Abstract screening, followed by Full-text screening. The initial search yielded 1373 studies. Of these, 57 studies met the criteria for inclusion in this study.
    RESULTS: The search revealed five general measures of cognitive mental workload and their variations. Only one customised measure specifically for medical-surgical nurses was found in the study. Identified measures were collated and categorised into a framework for conceptual clarity. NASA Task Load Index and its variations were the most popular subjective measure of cognitive mental workload in nursing. However, no measure or self-report scale customised for emergency nurses was identified.
    UNASSIGNED: The findings of this scoping review can inform future research into the cognitive mental workload of nurses. The findings have implications for workplace health and safety for nurses and patients.
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  • 文章类型: Journal Article
    背景:精神分裂症康复的一个重要方面与一个人的主观,生活经验。自我报告是一种主观测量方法,在评估被诊断为精神分裂症谱系障碍的个体的功能方面具有不确定性。迄今为止,尚无综述全面综合现有研究来评估对应程度,或缺乏,在认知和日常功能的主观和客观评估之间,现有数据如何为治疗和研究中自我报告信息的使用提供信息。
    方法:完成了系统综述,以提供有关该主题的文献的广泛视角。通过使用PubMed和PsycINFO中的关键术语以及对手稿书目的评论,通过搜索策略确定了相关手稿。26项研究符合纳入标准。
    结果:这些研究表明,认知和日常功能的主观评估与这些领域的客观评估之间存在最小到适度的关联。包括线人报告和神经心理和行为措施。与客观指标相比,精神分裂症患者似乎高估了自己的功能。抑郁和更高的认知能力倾向于预测认知和日常功能的主观和客观评估之间的更大对应。
    结论:这篇综述讨论了我们如何理解主观和客观功能测量之间的低对应关系,并为在追求以恢复为中心的实践中使用和获取自我报告的信息提供了建议。
    BACKGROUND: An important aspect of recovery in schizophrenia relates to one\'s subjective, lived experience. Self-report is a subjective measurement method with yet-uncertain utility in the assessment of functioning among individuals diagnosed with schizophrenia-spectrum disorder. No review to date has comprehensively synthesized existing research to evaluate the degree of correspondence, or lack thereof, between subjective and objective assessments of cognitive and everyday functioning, nor how extant data can inform the use of self-reported information in treatment and research.
    METHODS: A systematic review was completed to provide a broad perspective of the literature on this topic. Relevant manuscripts were identified via a search strategy using key terms in PubMed and PsycINFO and a review of manuscript bibliographies. Twenty-six studies met the inclusion criteria.
    RESULTS: These studies show minimal to modest associations between subjective assessments of cognition and everyday functioning and objective assessments of these domains, including informant reports and neuropsychological and behavioral measures. Individuals with schizophrenia appear to overestimate their functioning when compared to objective measures. Depression and greater cognitive ability tend to predict greater correspondence between subjective and objective assessments of cognition and everyday functioning.
    CONCLUSIONS: This review discusses how we might understand the low correspondence between subjective and objective measures of functioning and provides recommendations for using and eliciting self-reported information in the pursuit of recovery-centered practices.
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  • 文章类型: Journal Article
    评估颈部残疾指数(NDI)的心理测量特性的数据。
    Medline,Embase,心理信息,WebofScience,和Scopus在2023年4月被搜索。在可能的情况下进行随机效应荟萃分析。
    在492条确定的记录中,79包括在内。70项研究被认为是系统性偏倚的低风险。阿尔法>0.81。集合重测组内相关系数为0.91(95%CI0.90-0.93)。NDI与疼痛评分量表的相关性从0.38到0.89不等。13项研究发现NDI是一维和15-二维或三维的。最小的可检测变化从3%到27%,最小的临床重要差异从5%到33%。曲线下的合并面积为0.74(95%CI0.68-0.80)。大多数研究尚未检测到地板或天花板效应。一项研究中已经存在与性别相关的差异项目功能。
    NDI表现出良好的内部一致性和测试重测可靠性,没有地板或天花板效应。在大多数情况下,NDI可以被认为是一维尺度。NDI与常见的疼痛和残疾程度密切相关。最小的临床重要差异和最小的可检测变化约为15%(7.5/50分)。
    基于79项系统性偏差风险较低的观察性研究,颈部残疾指数显示总体良好的心理测量性能颈部残疾指数是评估不同肌肉骨骼病因引起的颈部疼痛严重程度的可靠量表。
    UNASSIGNED: To evaluate the data on the psychometric properties of the Neck Disability Index (NDI).
    UNASSIGNED: Medline, Embase, PsychINFO, Web of Science, and Scopus were searched in April 2023. The random effects meta-analysis was conducted when possible.
    UNASSIGNED: Of 492 identified records, 79 were included. 70 studies were considered to be of low risk of systematic bias. Alpha was >0.81. Pooled test-retest intraclass correlation coefficient was 0.91 (95% CI 0.90-0.93). The NDI correlations with pain rating scales varied from 0.38 to 0.89. 13 studies found the NDI to be unidimensional and 15 - two- or three-dimensional. The minimal detectable change varied from 3% to 27% and minimal clinically important difference from 5% to 33%. Pooled area under the curve was 0.74 (95% CI 0.68-0.80). Most studies have not detected floor or ceiling effect. Sex-related differential item functioning has been present in one study.
    UNASSIGNED: The NDI demonstrated good internal consistency and test-retest reliability without floor or ceiling effect. In most situations, the NDI could be considered a unidimensional scale. The NDI well correlated with the common scales of pain and disability. The minimal clinically important difference and minimal detectable change were around 15% (7.5/50 points).
    Based on the 79 observational studies of mostly low risk of systematic bias, the Neck Disability Index demonstrated overall good psychometric propertiesThe Neck Disability Index is a reliable scale to assess the severity of disability caused by neck pain of different musculoskeletal aetiology.
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