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https://www.readbyqxmd.com/read/28224317/comparison-study-of-judged-clinical-skills-competence-from-standard-setting-ratings-generated-under-different-administration-conditions
#1
William L Roberts, John Boulet, Jeanne Sandella
When the safety of the public is at stake, it is particularly relevant for licensing and credentialing exam agencies to use defensible standard setting methods to categorize candidates into competence categories (e.g., pass/fail). The aim of this study was to gather evidence to support change to the Comprehensive Osteopathic Medical Licensing-USA Level 2-Performance Evaluation standard setting design and administrative process. Twenty-two video recordings of candidates assessed for clinical competence were randomly selected from the 2014-2015 Humanistic domain test score distribution ranging from the highest to lowest quintile of performance...
February 21, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28219458/adherence-rating-scale-for-cognitive-processing-therapy-cognitive-only-analysis-of-psychometric-properties
#2
Clara Dittmann, Meike Müller-Engelmann, Patricia A Resick, Jana Gutermann, Ulrich Stangier, Kathlen Priebe, Thomas Fydrich, Petra Ludäscher, Julia Herzog, Regina Steil
BACKGROUND: The assessment of therapeutic adherence is essential for accurately interpreting treatment outcomes in psychotherapy research. However, such assessments are often neglected. AIMS: To fill this gap, we aimed to develop and test a scale that assessed therapeutic adherence to Cognitive Processing Therapy - Cognitive Only (CPT), which was adapted for a treatment study targeting patients with post-traumatic stress disorder and co-occurring borderline personality symptoms...
February 21, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28215407/a-simplified-vocal-profile-analysis-protocol-for-the-assessment-of-voice-quality-and-speaker-similarity
#3
Eugenia San Segundo, Jose A Mompean
OBJECTIVES: A simplified perceptual protocol for the assessment of voice quality (VQ) is attempted based on the Vocal Profile Analysis (VPA) scheme, with the aim of alleviating typical issues associated with the multidimensionality of VQ and enabling an easy quantification of speaker similarity. STUDY DESIGN: Twenty-four non-pathological male speakers (12 monozygotic twin pairs) of Standard Peninsular Spanish were perceptually evaluated by two trained phoneticians using the simplified VPA (SVPA)...
February 15, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28212963/clinician-reported-outcome-assessments-of-treatment-benefit-report-of-the-ispor-clinical-outcome-assessment-emerging-good-practices-task-force
#4
John H Powers, Donald L Patrick, Marc K Walton, Patrick Marquis, Stefan Cano, Jeremy Hobart, Maria Isaac, Spiros Vamvakas, Ashley Slagle, Elizabeth Molsen, Laurie B Burke
A clinician-reported outcome (ClinRO) assessment is a type of clinical outcome assessment (COA). ClinRO assessments, like all COAs (patient-reported, observer-reported, or performance outcome assessments), are used to 1) measure patients' health status and 2) define end points that can be interpreted as treatment benefits of medical interventions on how patients feel, function, or survive in clinical trials. Like other COAs, ClinRO assessments can be influenced by human choices, judgment, or motivation. A ClinRO assessment is conducted and reported by a trained health care professional and requires specialized professional training to evaluate the patient's health status...
January 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28195997/development-and-validation-of-the-cochlear-implant-surgical-competency-assessment-instrument
#5
Thomas Balkany, Kaming Lo, Howard Francis, Simon Angeli, Michael Novak, William Luxford, Rodney Lusk, Heather Strader
OBJECTIVE: We present a new instrument for evaluation of cochlear implant (CI) surgical skills and review its validation process. METHODS: An instrument to assess CI surgical competency incorporated results of structured surveys of comprehensiveness sent to 30 international CI experts and US trainees. One-hundred evaluations of 28 residents, fellows, and practicing CI surgeons were completed. Surgical skills were evaluated by four experienced neurotologists (two raters per subject) using two temporal bones per subject...
February 10, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28174460/inter-and-intra-rater-agreement-of-static-posture-analysis-using-a-mobile-application
#6
David M Boland, Eric V Neufeld, Jack Ruddell, Brett A Dolezal, Christopher B Cooper
[Purpose] To determine the intra- and inter-rater agreement of a mobile application, PostureScreen Mobile(®) (PSM), that assesses static standing posture. [Subjects and Methods] Three examiners with different levels of experience of assessing posture, one licensed physical therapist and two untrained undergraduate students, performed repeated postural assessments of 10 subjects, fully clothed or minimally clothed, using PSM on two nonconsecutive days. Anterior and right lateral images were captured and seventeen landmarks were identified on them...
December 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28172732/dop068-the-virtual-electronic-chromoendoscopy-score-in-ulcerative-colitis-exhibits-very-good-inter-rater-agreement-in-scoring-mucosal-and-vascular-changes-after-computerised-module-training-a%C3%A2-study-across-academic-and-community-practice
#7
P Trivedi, J Hodson, N Bhala, R Cooney, R Boulton, X Gui, T Iqbal, K-K Li, S Mumtaz, S Pathmakanthan, M N Quraishi, V M Sagar, A Shah, N Sharma, K Siau, S Smith, S Ward, M M Widlak, S Ghosh, M Iacucci
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28168539/assessment-of-residents-readiness-to-perform-lumbar-puncture-a-validation-study
#8
Mikael Johannes Vuokko Henriksen Md, Troels Wienecke Md PhD, Helle Thagesen Md, Rikke Vita Borre Jacobsen Md PhD, Yousif Subhi Md, Charlotte Ringsted Md PhD, Lars Konge Md PhD
BACKGROUND: Lumbar puncture is a common procedure in many specialties. The procedure serves to diagnose life-threatening conditions, often requiring rapid performance. However, junior doctors possess uncertainties regarding performing the procedure and frequently perform below expectations. Hence, proper training and assessment of performance is crucial before entering clinical practice. OBJECTIVE: To develop and collect validity evidence for an assessment tool for lumbar puncture performance, including a standard to determine when trainees are ready for clinical practice...
February 6, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28166188/focused-and-corrective-feedback-versus-structured-and-supported-debriefing-in-a-simulation-based-cardiac-arrest-team-training-a-pilot-randomized-controlled-study
#9
Ji-Hoon Kim, Young-Min Kim, Seong Heui Park, Eun A Ju, Se Min Choi, Tai Yong Hong
OBJECTIVE: The aim of the study was to compare the educational impact of two postsimulation debriefing methods-focused and corrective feedback (FCF) versus Structured and Supported Debriefing (SSD)-on team dynamics in simulation-based cardiac arrest team training. METHODS: This was a pilot randomized controlled study conducted at a simulation center. Fourth-year medical students were randomly assigned to the FCF or SSD group, with each team composed of six students and a confederate...
February 4, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28162137/are-parkinson-s-patients-more-vulnerable-to-the-effects-of-cardiovascular-risk-a-neuroimaging-and-neuropsychological-study
#10
Jacob D Jones, Jared J Tanner, Michael Okun, Catherine C Price, Dawn Bowers
OBJECTIVES: This study examined whether individuals with Parkinson's disease (PD) are at increased vulnerability for vascular-related cognitive impairment relative to controls. The underlying assumption behind this hypothesis relates to brain reserve and that both PD and vascular risk factors impair similar fronto-executive cognitive systems. METHODS: The sample included 67 PD patients and 61 older controls (total N=128). Participants completed neuropsychological measures of executive functioning, processing speed, verbal delayed recall/memory, language, and auditory attention...
February 6, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28156563/barriers-and-facilitators-of-navigator-led-advance-care-planning-conversations-in-older-patients-with-cancer
#11
Chao-Hui Huang, Soumya J Niranjan, J Nicholas Dionne-Odom, Kelly Kenzik, Kerri S Bevis, Gabrielle Betty Rocque
: 17 Background: National guidelines and most individuals endorse advance care planning (ACP) as essential; however, few individuals engage in such planning. Little is known about the role of lay navigators in supporting ACP. We sought to understand facilitators and barriers of successful implementation of ACP conducted by lay cancer navigators. METHODS: Semi-structured interviews were conducted with 26 lay navigators at 11 sites across the Southeast who were engaged in ACP implementation using Respecting Choices©...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152899/initiating-a-lymphedema-screening-program-for-breast-cancer-patients-determining-variability-as-a-first-step-towards-standardization
#12
Susan E Ferguson, Sarah Marie DeSnyder, Parviz Kheirkhah, Susan Lilly, Marigold Travis, Theresa Johnson, Ana Alvarez, Duke Rohe, Thomas A Buchholz, Isabelle Bedrosian
: 267 Background: Breast cancer-related lymphedema (BCRL) is a known morbidity from treatment, and yet published estimates of its incidence are highly variable. Typically, a single volume measurement is recorded and the degree of intra-rater variability undefined. A threshold 5% limb volume change over time is used to define "mild lymphedema." Therefore, small variations in volume measurements could substantially lead to over or under-diagnosis of BRCL. Gage R&R is a measurement systems analysis tool that quantifies the amount of variability induced in measurements by the measurement system itself and compares this to the total variability observed...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28145070/a-systematic-review-of-instruments-to-identify-mental-health-and-substance-use-problems-among-children-in-the-emergency-department
#13
Amanda S Newton, Amir Soleimani, Scott W Kirkland, Rebecca J Gokiert
OBJECTIVE: Specialized instruments to screen and diagnose mental health problems in children and adolescents are not yet standard components of clinical assessments in emergency departments (EDs). We conducted a systematic review to investigate the psychometric properties, accuracy, and performance metrics of instruments used in the ED to identify pediatric mental health and substance use problems. METHODS: We searched seven electronic databases and the grey literature for psychometric validation studies, diagnostic studies, and cohort studies that assessed any instrument to screen for or diagnose mental illness, emotional or behavioral problems, or substance use disorders...
February 1, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28144582/reliability-and-concurrent-validity-of-postural-asymmetry-measurement-in-adolescent-idiopathic-scoliosis
#14
Ashleigh Prowse, Berit Aslaksen, Marie Kierkegaard, James Furness, Paul Gerdhem, Allan Abbott
AIM: To investigate the reliability and concurrent validity of the Baseline(®) Body Level/Scoliosis meter for adolescent idiopathic scoliosis postural assessment in three anatomical planes. METHODS: This is an observational reliability and concurrent validity study of adolescent referrals to the Orthopaedic department for scoliosis screening at Karolinska University Hospital, Stockholm, Sweden between March-May 2012. A total of 31 adolescents with idiopathic scoliosis (13...
January 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28122270/a-randomized-controlled-trial-to-influence-client-language-in-substance-use-disorder-treatment
#15
Theresa B Moyers, Jon Houck, Lisa H Glynn, Kevin A Hallgren, Jennifer K Manuel
BACKGROUND: Client language is hypothesized to be a mechanism of action in motivational interviewing (MI). Despite the association of change and sustain talk with substance treatment outcomes, it not known whether providers can intentionally influence this language as hypothesized. OBJECTIVE: This is a randomized controlled trial to investigate whether substance use providers can be trained to influence client language. METHODS: Treatment providers specializing in substance use disorders (n=190) were randomly assigned to standard training in MI (MI-AU) or training emphasizing an influence of client language (MI-LEAF)...
January 12, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28119795/ao-distal-radius-fracture-classification-global-perspective-on-observer-agreement
#16
Prakash Jayakumar, Teun Teunis, Beatriz Bravo Giménez, Frederik Verstreken, Livio Di Mascio, Jesse B Jupiter
Background The primary objective of this study was to test interobserver reliability when classifying fractures by consensus by AO types and groups among a large international group of surgeons. Secondarily, we assessed the difference in inter- and intraobserver agreement of the AO classification in relation to geographical location, level of training, and subspecialty. Methods A randomized set of radiographic and computed tomographic images from a consecutive series of 96 distal radius fractures (DRFs), treated between October 2010 and April 2013, was classified using an electronic web-based portal by an invited group of participants on two occasions...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28118025/inter-rater-variability-for-ct-angiography-evaluation-between-neurologists-and-neuroradiologist-in-acute-stroke-patients
#17
Michal Bar, Jir Kra, Tomas Jonszta, Vaclav Marcian, Martin Kuliha, Robert Mikulík
OBJECTIVES: The diagnosis of arterial occlusion has a considerable impact on the indication of mechanical thrombectomy, and computed tomography angiography (CTA) is recommended in management of acute stroke. The goal of present study is to assess the inter-rater agreement in the diagnosis of occlusion of intracranial arteries on CTA between a neuroradiologist and neurologists. METHODS: CTA images of 75 acute-stroke patients were evaluated for occlusion of intracranial arteries by an experienced interventional neuroradiologist, stroke and general neurologist...
January 24, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28107822/does-training-improve-diagnostic-accuracy-and-inter-rater-agreement-in-applying-the-berlin-radiographic-definition-of-acute-respiratory-distress-syndrome-a-multicenter-prospective-study
#18
Jin-Min Peng, Chuan-Yun Qian, Xiang-You Yu, Ming-Yan Zhao, Shu-Sheng Li, Xiao-Chun Ma, Yan Kang, Fa-Chun Zhou, Zhen-Yang He, Tie-He Qin, Yong-Jie Yin, Li Jiang, Zhen-Jie Hu, Ren-Hua Sun, Jian-Dong Lin, Tong Li, Da-Wei Wu, You-Zhong An, Yu-Hang Ai, Li-Hua Zhou, Xiang-Yuan Cao, Xi-Jing Zhang, Rong-Qing Sun, Er-Zhen Chen, Bin Du
BACKGROUND: Poor inter-rater reliability in chest radiograph interpretation has been reported in the context of acute respiratory distress syndrome (ARDS), although not for the Berlin definition of ARDS. We sought to examine the effect of training material on the accuracy and consistency of intensivists' chest radiograph interpretations for ARDS diagnosis. METHODS: We conducted a rater agreement study in which 286 intensivists (residents 41.3%, junior attending physicians 35...
January 20, 2017: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/28099306/nonoperatively-corrected-clubfoot-at-age-2-years-radiographs-are-not-helpful-in-predicting-future-relapse
#19
B Stephens Richards, Shawne Faulks, Ozan Razi, Amanda Moualeu, Chan-Hee Jo
BACKGROUND: Nonoperative treatment of idiopathic clubfoot is standard. The purpose of this study was to determine if measurements made on standing lateral radiographs of successfully treated clubfeet made at 18 to 24 months of age were predictive of late recurrence. METHODS: Inclusion criteria were idiopathic clubfoot with an age at presentation of ≤3 months, nonoperative treatment resulting in a clinically plantigrade foot at 2 years of age, standing lateral radiograph of the involved foot made at 18 to 24 months of age, and a minimum age of 4 years at the time of follow-up...
January 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28096128/a-systematic-review-of-methods-to-assess-children-s-diets-in-the-school-context
#20
REVIEW
Claire N Tugault-Lafleur, Jennifer L Black, Susan I Barr
To evaluate the impact of school-based nutrition interventions, accurate and reliable methods are needed to assess what children eat at school. The primary objective of this study was to systematically review methodological evidence on the relative accuracy and reliability of dietary assessment methods used in the school context. The secondary objective was to assess the frequency of methods and analytical approaches used in studies reporting in-school dietary outcomes. Three health databases were searched for full-text English-language studies...
January 2017: Advances in Nutrition
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