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Excellent Internal Consistency (excellent + internal_consistency)
Selected AbstractsValidation of interactive voice response system administration of the short inflammatory bowel disease questionnaireINFLAMMATORY BOWEL DISEASES, Issue 4 2009Manuel Y. Lam BA Abstract Background: The Short Inflammatory Bowel Disease Questionnaire (SIBDQ) is a written, self-administered instrument measuring quality of life in IBD. We assessed the validity of an interactive voice response system (IVRS) as a new mode of administering the SIBDQ. Methods: An IVRS was designed using prerecorded questions to collect data via touchtone telephone. Subjects with Crohn's disease (CD) or ulcerative colitis (UC) were randomized into 2 groups with different orders of administration: written, self-administered followed by IVRS (S-I) or IVRS followed by written, self-administered (I-S). Half of the S-I group was also randomized to receive a second IVRS. Sixty-four subjects were studied: 30 in S-I, 34 in I-S. Results: The mean SIBDQ scores were not different between written and IVRS modes (P = 0.26) with r = 0.93. IVRS scores were lower in active than inactive CD (36.1 ± 9.6 versus 54.7 ± 8.6, P < 0.001) and lower in active than inactive UC (40.8 ± 9.6 versus 59.8 ± 10.0, P < 0.001). Mean scores correlated highly with disease activity indices, and were not different between first and second IVRS administrations (P = 0.85) with r = 0.92. IVRS had excellent internal consistency (Cronbach alpha = 0.90). Conclusions: IVRS administration of the SIBDQ yields results similar to written self-administration, with excellent procedural validity, test,retest reliability, and internal consistency. (Inflamm Bowel Dis 2009) [source] Climate variability and change in the Greater Alpine Region over the last two centuries based on multi-variable analysisINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 15 2009Michele Brunetti Abstract An extensive analysis of the HISTALP database is presented with the aim of giving a comprehensive picture of secular climate variability and change in the Greater Alpine Region (GAR, 4,19 E, 43,49 N). The HISTALP database encompasses 242 sites and concerns temperature, pressure, precipitation, cloudiness, sunshine duration, vapour pressure and relative humidity. The analyses are based on four regional mean records representing different GAR low-level areas and on an additional mean record representing high-level locations. The first goal of the paper is to give an overview of the seasonal and annual records for the different variables, aiming to highlight both variability on decadal time scale and long-term evolution. Then it focuses on trend and correlation analysis. Trends are presented both for the period of common data availability for all regional average series and for moving windows that permit studying the trends over a wide range of timescales. Correlations among the different variables are presented both for the regional average series and for their high-pass-filtered versions. The analyses, beside highlighting a warming that is about twice as large as the global trend, also show that the different variables have responded in different ways to this warming and that the mutual interactions linking the different variables are often present only at specific temporal scales and only in parts of the GAR and in defined seasons. In spite of this complex behaviour, which may also be due to some residual inhomogeneities still affecting the data, the analyses give evidence that the HISTALP database has an excellent internal consistency and show that the availability of a multi-variable database turns out to be very useful in order to evaluate the reliability of the reconstruction of each variable and to better understand the behaviour and the mutual interactions of the different variables. Copyright © 2009 Royal Meteorological Society [source] Development and validation of the Food Allergy Quality of Life Questionnaire , Adult FormALLERGY, Issue 8 2009B. M. J. Flokstra-de Blok Background:, Health-related quality of life (HRQL) may be affected by food allergy. Presently, no disease-specific HRQL questionnaire exists for food allergic adults. Therefore, we developed and validated the Food Allergy Quality of Life Questionnaire , Adult Form (FAQLQ-AF) in the Dutch language. Methods:, Twenty-two food allergic patients (,18 years) were interviewed and generated 180 HRQL items. The most important items were identified by 54 food allergic patients using the clinical impact method resulting in the FAQLQ-AF containing 29 items (score range 1 ,not troubled' to 7 ,extremely troubled'). The FAQLQ-AF, the Food Allergy Independent Measure (FAIM) and a generic HRQL questionnaire (RAND-36) were sent to 100 other food allergic adults for cross-sectional validation of the FAQLQ-AF. Results:, Cross-sectional validity was assessed by the correlation between FAQLQ-AF and FAIM (, = 0.76, P < 0.001). The FAQLQ-AF had excellent internal consistency (Cronbach's , = 0.97). The FAQLQ-AF discriminated between patients who differ in severity of symptoms (anaphylaxis vs no anaphylaxis, total FAQLQ-AF score 4.9 vs 4.1; P = 0.041) and number of food allergies (>3 food allergies vs,3 food allergies, total FAQLQ-AF score 5.2 vs 4.2; P = 0.008). The total FAQLQ-AF score was correlated with one RAND-36 scale (convergent/discriminant validity). Conclusions:, The FAQLQ-AF is the first disease-specific HRQL questionnaire for food allergic adults and reflects the most important issues that food allergic patients have to face. The questionnaire is valid, reliable and discriminates between patients with different disease characteristics. The FAQLQ-AF is short and easy to use and may therefore be a useful tool in clinical research. [source] The quality of a simulation examination using a high-fidelity child manikinMEDICAL EDUCATION, Issue 2003T-C Tsai Purpose, Developing quality examinations that measure physicians' clinical performance in simulations is difficult. The goal of this study was to develop a quality simulation examination using a high-fidelity child manikin in evaluating paediatric residents' competence about managing critical cases in a simulated emergency room. Quality was determined by evidence of the reliability, validity and feasibility of the examination. In addition, the participants' responses regarding its realism, effectiveness and value are presented. Method, Scenario scripts and rating instruments were carefully developed in this study. Experts were used to validate the case scenarios and provide evidence of construct validity. Eighteen paediatric residents, ,working' as pairs, participated in a manikin-based simulation pre-test, a training session and a post-test. Three independent raters rated the participants' performance on task-specific technical skills, medications used and behaviours displayed. At the end of the simulation, the participants completed an evaluation questionnaire. Results, The manikin-based simulation examination was found to be a realistic, valid and reliable tool. Validity (i.e. face, content and construct) of the test instrument was evident. The level of inter-rater concordance of participants' clinical performance was good to excellent. The item analysis showed good to excellent internal consistency on all the performance scores except the post-test technical score. Conclusions, With a carefully designed rating instrument and simulation operation, the manikin-based simulation examination was shown to be reliable and valid. However, a further refinement of the test instrument will be required for higher stake examinations. [source] Validation of Serbian version of the disease-specific myasthenia gravis questionnaireACTA NEUROLOGICA SCANDINAVICA, Issue 2 2010I. Basta Basta I, Pekmezovi, T, Padua L, Stojanovi, V, Stevi, Z, Nikoli, A, Peri, S, Lavrni, D. Validation of Serbian version of the disease-specific myasthenia gravis questionnaire. Acta Neurol Scand: 2010: 122: 110,114. © 2009 The Authors Journal compilation © 2009 Blackwell Munksgaard. Aim,,, The aim of this study was to validate translated and cross-cultural adapted Italian version of myasthenia gravis-specific questionnaire (MGQ) in Serbian MG patients. Materials and Methods,,, The questionnaire was validated in 140 consecutive MG patients from Belgrade. In each patient association between the total MGQ score and form and severity of the disease was determined. Also, correlation between regional domain scores of MGQ and main clinical findings according to Besinger's clinical score was analyzed. Results,,, Patients' participation in the assessment was satisfactory with excellent internal consistency and reproducibility. Total MGQ score, as well as domain scores, correlated with highly significant inverse relationship with the disease severity and clinical status of patients at the moment of completing the questionnaire. Furthermore, the bulbar domain of the questionnaire appeared more specific and sensitive than clinical history and examination. Conclusion,,, We concluded that the Serbian version of the MGQ may be useful as a measure of clinical outcome in patients with MG. [source] | ||||||||||