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Impact of the COVID-19 pandemic on human papillomavirus-based testing services to support cervical cancer screening.

Acta Dermatovenerol Alp Pannonica Adriat 2021 Mar;30(1):21-26

Centre for Evaluation of Vaccination, Vaccine and Infectious Diseases Institute, University of Antwerp, Wilrijk, Belgium.

Introduction: The World Health Organization elimination goal for cervical cancer relies on screening 70% of women at ages 35 and 45, preferentially through molecular HPV testing. The SARS-CoV-2 pandemic has led to an unprecedented demand for molecular tests and platforms. Our objective was to gain insight into the impact of SARS-CoV-2 on the actual or anticipated shortage of tests, equipment, consumables, and staff required to deliver molecular HPV laboratory services and to consider the implications for the sustainability and development of cervical screening programs. Read More

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Characterizing the use of class rank in evaluating applicants for veterinary internship and residency positions.

J Am Vet Med Assoc 2021 Apr;258(7):776-785

Objective: To characterize how class rank and other criteria are used to evaluate applicants for veterinary internship and residency positions.

Sample: Program directors for 572 internship and residency programs.

Procedures: A survey was sent to program directors asking them to score the importance of 7 items (cover letter, letters of reference, curriculum vitae, veterinary class rank, grade point average, grades for classes specifically related to the internship or residency specialty area, and interview) they could use in evaluating applicants for an internship or residency and to rank those 7 items, along with an open item asking participants to list other criteria they used, from most to least important. Read More

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Implications for research and clinical use from a Rasch analysis of the HOOS-12 and KOOS-12 instruments.

Osteoarthritis Cartilage 2021 Mar 3. Epub 2021 Mar 3.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Objective: To evaluate the structural validity of the 12-item Hip disability and Osteoarthritis Outcome Score (HOOS-12) and 12-item Knee injury and Osteoarthritis Outcome Score (KOOS-12) using Rasch analysis and consider psychometric implications for research and clinical use.

Method: Individual-level HOOS-12 and KOOS-12 data from the Australian Orthopaedic Association National Joint Replacement Registry, collected before and after primary total hip and knee replacement, were used for this analysis. Using the Rasch analytic approach, overall model fit and item fit were examined, together with potential reasons for misfit including response threshold ordering, differential item functioning, internal consistency, unidimensionality and item targeting. Read More

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The Malay version of SF-36 health survey instrument: testing data quality, scaling assumptions, reliability and validity in post-coronary artery bypass grafting (CABG) surgery patients at the National Heart Institute (Institut Jantung Negara-IJN), Kuala Lumpur.

Health Qual Life Outcomes 2021 Feb 9;19(1):50. Epub 2021 Feb 9.

School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia.

Background: The Short Form 36 (SF-36) is a scoring system comprising of 36 items categorized into eight constructs corresponding to patients' health-related quality of life. It has been used extensively in various countries on different sub-populations and used to indicate the health status and help to ascertain the effect of clinical interventions on the particular population.

Objective: To examine the psychometric properties of the Malay version of SF-36 (Malay SF-36) summated rating scales and validate the scale among post-coronary artery bypass grafting surgery (CABG) patients at the National Heart Institute (IJN), Kuala Lumpur. Read More

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February 2021

The OCI-4: An ultra-brief screening scale for obsessive-compulsive disorder.

J Anxiety Disord 2021 Mar 8;78:102354. Epub 2021 Jan 8.

Department of Psychology, Fordham University, Bronx, NY, 10458, USA. Electronic address:

Obsessive-compulsive disorder (OCD) is a prevalent and burdensome condition that is typically assessed using in-depth interviews or lengthy self-report measures. Accordingly, routine screening in busy non-mental health settings is impractical, and OCD is often under- (or mis-) recognized. We evaluated an ultra-brief version of a widely used self-report measure, the Obsessive-Compulsive Inventory-Revised (OCI-R), which may be employed as a routine screener for OCD. Read More

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Developing a short-form version of the HIV Disability Questionnaire (SF-HDQ) for use in clinical practice: a Rasch analysis.

Health Qual Life Outcomes 2021 Jan 6;19(1). Epub 2021 Jan 6.

Department of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada.

Background: Disability is an increasingly important health-related outcome to consider as more individuals are now aging with Human Immunodeficiency Virus (HIV) and multimorbidity. The HIV Disability Questionnaire (HDQ) is a patient-reported outcome measure (PROM), developed to measure the presence, severity and episodic nature of disability among adults living with HIV. The 69-item HDQ includes six domains: physical, cognitive, mental-emotional symptoms and impairments, uncertainty and worrying about the future, difficulties with day-to-day activities, and challenges to social inclusion. Read More

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January 2021

General practitioners' approaches to prostate-specific antigen testing in the north-east of the Netherlands.

BMC Fam Pract 2020 12 17;21(1):270. Epub 2020 Dec 17.

Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Background: There is wide variation in clinical practice for the early detection of prostate cancer, not least because of the ongoing debate about the benefits of prostate-specific antigen (PSA) testing. In this study, we aimed to assess the approaches, attitudes, and knowledge of general practitioners (GPs) regarding PSA testing in primary care in the Netherlands, particularly regarding recommendations for prostate cancer.

Methods: Questionnaire surveys were sent to 179 GPs in the north-east of the Netherlands, of which 65 (36%) were completed and returned. Read More

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December 2020

An Evaluation of the Structural Validity of the Work Limitation Questionnaire Using the Rasch Model.

Arch Phys Med Rehabil 2021 Apr 10;102(4):633-644. Epub 2020 Dec 10.

Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada; Department of Surgery, Western University, London, Ontario, Canada.

Objective: To investigate the targeting, scaling, and structural validity of the Work Limitation Questionnaire (WLQ) using Rasch analysis.

Design: Secondary data analysis.

Setting: Tertiary care hospital. Read More

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Evaluation of the Pain Impact Index for Community-Dwelling Older Adults Through the Application of Rasch Modelling.

Pain Pract 2020 Dec 9. Epub 2020 Dec 9.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.

Objective: Evaluate the Pain Impact Index, a simple, brief, easy-to-use, and novel tool to assess the impact of chronic pain in community-dwelling older adults.

Methods: A Rasch modelling analysis was undertaken in Stata using a partial credit model suited to the Likert-type items that comprised the Index. The Index was evaluated for ordering of category thresholds, unidimensionality, overall fit to the Rasch model, measurement bias (Differential Item Functioning, DIF), targeting, and construct validity. Read More

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December 2020

Within-session dynamics of categorical and memory mechanisms in pigeons.

Psychon Bull Rev 2020 Dec 2. Epub 2020 Dec 2.

Department of Psychology, Tufts University, 490 Boston Ave., Medford, MA, 02155, USA.

The current experiments used categorical mid-session reversal (MSR) to examine how eight pigeons utilized categorical and item-specific mechanisms to learn and solve a novel variation of this task. Employing a fixed order of trial-unique pictorial items from two categories (flowers and cars) on each simultaneous discrimination trial, categorical and item-specific information was available during each session's 80 trials. Choices to one category were rewarded for the first 40 trials, after which the correct category was reversed (e. Read More

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December 2020

Rasch analysis to evaluate the motor function measure for patients with facioscapulohumeral muscular dystrophy.

Int J Rehabil Res 2021 Mar;44(1):38-44

Department of Neurology, School of Mental Health and Neuroscience, Maastricht University Medical Center+, Maastricht.

Patient-relevant outcome measures for facioscapulohumeral muscular dystrophy (FSHD) are needed. The motor function measure (MFM) is an ordinal-based outcome measure for neuromuscular disorders, but its suitability to measure FSHD patients is questionable. Here, we performed Rasch analyses on MFM data from 194 FSHD patients to assess clinimetric properties in this patient group. Read More

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Rasch analysis of the Burke Lateropulsion Scale (BLS).

Top Stroke Rehabil 2020 Sep 25:1-8. Epub 2020 Sep 25.

Rehabilitation Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University , Frankston, Australia.

Background: Lateropulsion is a common problem following stroke. Whilst the Burke Lateropulsion Scale (BLS) is recommended in the literature as the outcome measure of choice for measuring lateropulsion, the internal validity of the BLS has not been investigated.

Objectives: To evaluate the internal validity of the BLS for use in evaluating the effectiveness of therapies aimed at reducing lateropulsion. Read More

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September 2020

Five-star prices, appealing healthy item descriptions? Expensive restaurants' descriptive menu language.

Health Psychol 2020 Nov 17;39(11):975-985. Epub 2020 Sep 17.

Department of Psychology.

Prior research shows that America's top-selling inexpensive casual dining restaurants use less appealing language to describe healthy menu items than standard items. This may suggest to diners that healthy options are less tasty and enjoyable. The present research asked whether expensive restaurants also use less appealing language to describe healthy items, or whether healthy items are described with equally appealing language as standard items in high status dining contexts. Read More

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November 2020

Further Insights Into the Beck Hopelessness Scale (BHS): Unidimensionality Among Psychiatric Inpatients.

Front Psychiatry 2020 31;11:727. Epub 2020 Jul 31.

Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.

Short versions of the Beck Hopelessness Scale have all been created according the Classical Test Theory, but the use and the application of this theory has been repeatedly criticized. In the current study, the Item Response Theory approach was employed to refine and shorten the BHS in order to build a reasonably coherent unidimensional scale whose items/symptoms can be treated as ordinal indicators of the theoretical concept of hopelessness, scaled along a single continuum. In a sample of 492 psychiatrically hospitalized, adult patients (51. Read More

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Language equivalence of the modified falls efficacy scale (MFES) among English- and Spanish-speaking older adults: Rasch analysis.

BMC Geriatr 2020 08 12;20(1):286. Epub 2020 Aug 12.

Columbia University, School of Nursing, Center for Health Policy, 560 W. 168th Street, New York, NY, 10032, USA.

Background: To investigate item-level measurement properties of the Modified Falls Efficacy (MFES) Scale among English- and Spanish-speaking urban-dwelling older adults as a means to evaluate language equivalence of the tool.

Methods: Secondary analysis of survey data from 170 English (n = 83) and Spanish (n = 87) speaking older adults who reported to the emergency department of a quaternary medical center in New York City between February 2010 and August 2011. The Rasch rating scale model was used to investigate item statistics and ordering of items, item and person reliability, and model performance of the Modified Falls Efficacy Scale. Read More

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On the Practical Consequences of Misfit in Mokken Scaling.

Appl Psychol Meas 2020 Sep 1;44(6):482-496. Epub 2020 Jun 1.

University of Groningen, The Netherlands.

Mokken scale analysis is a popular method to evaluate the psychometric quality of clinical and personality questionnaires and their individual items. Although many empirical papers report on the extent to which sets of items form Mokken scales, there is less attention for the effect of violations of commonly used rules of thumb. In this study, the authors investigated the practical consequences of retaining or removing items with psychometric properties that do not comply with these rules of thumb. Read More

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September 2020

Comparison of alternative full and brief versions of functional status scales among older adults in China.

PLoS One 2020 11;15(8):e0234698. Epub 2020 Aug 11.

Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.

Background: Brief assessments of functional status for community-dwelling older adults are needed given expanded interest in the measurement of functional decline.

Methods: As part of a 2015 prospective cohort study of older adults aged 60-89 years in Jiangsu Province, China, 1506 participants were randomly assigned to two groups; each group was administered one of two alternative 20-item versions of a scale to assess activities of daily living (ADL) and instrumental activities of daily living (IADL) drawn from multiple commonly-used scales. One version asked if they required help to perform activities (ADL-IADL-HELP-20), while the other version provided additional response options if activities could be done alone but with difficulty (ADL-IADL-DIFFICULTY-20). Read More

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October 2020

Rasch analysis of the anterior knee pain scale in adolescents with patellofemoral pain.

Clin Rehabil 2020 Dec 17;34(12):1512-1519. Epub 2020 Jul 17.

Department of Physical Therapy, Nova Southeastern University, Fort Lauderdale, FL, USA.

Objective: The aim of this study was to evaluate the Anterior Knee Pain Scale in a cohort of adolescents being treated conservatively for patellofemoral pain using Rasch analysis.

Design: This is a psychometric study.

Setting: Physical therapy clinics of a large pediatric hospital in Columbus, Ohio (United States). Read More

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December 2020

Rasch Analysis for the Knee Injury and Osteoarthritis Outcome Score Joint Replacement Version in Individuals Awaiting Total Knee Replacement Surgery.

J Knee Surg 2020 Jul 8. Epub 2020 Jul 8.

Department of Orthopedic Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia.

The aim of this study was to verify the single-factor structure of the joint replacement version of the Knee Injury and Osteoarthritis Outcome Score (KOOS-JR) and examine its measurement properties in the context of Rasch analysis in patients with end-stage osteoarthritis of the knee (KOA) awaiting total knee replacement (TKR). The study design was retrieval of prospectively collected clinical data. The data were extracted from the presurgery visit for individuals with KOA who were scheduled for primary TKR at a tertiary care hospital. Read More

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Phase-Coded Oscillatory Ordering Promotes the Separation of Closely Matched Representations to Optimize Perceptual Discrimination.

iScience 2020 Jul 17;23(7):101282. Epub 2020 Jun 17.

Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, the Netherlands; Maastricht Brain Imaging Centre, 6229 EV Maastricht, the Netherlands; Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs), Brain and Nerve Centre, Maastricht University Medical Centre+ (MUMC+), Maastricht, the Netherlands.

Low-frequency oscillations are proposed to be involved in separating neuronal representations belonging to different items. Although item-specific neuronal activity was found to cluster on different oscillatory phases, the influence of this mechanism on perception is unknown. Here, we investigated the perceptual consequences of neuronal item separation through oscillatory clustering. Read More

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The assessment of procedural skills in physiotherapy education: a measurement study using the Rasch model.

Arch Physiother 2020 25;10. Epub 2020 May 25.

School of Health Sciences, Physiotherapy, Queen Margaret University, Edinburgh, Scotland.

Background: Procedural skills are a key element in the training of future physiotherapists. Procedural skills relate to the acquisition of appropriate motor skills, which allow the safe application of clinical procedures to patients. In order to evaluate procedural skills in physiotherapy education validated assessment instruments are required. Read More

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A short, animated video to improve good COVID-19 hygiene practices: a structured summary of a study protocol for a randomized controlled trial.

Trials 2020 Jun 3;21(1):469. Epub 2020 Jun 3.

Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany.

Objectives: Entertainment-education (E-E) media can improve behavioral intent toward health-related practices. In the era of COVID-19, millions of people can be reached by E-E media without requiring any physical contact. We have designed a short, wordless, animated video about COVID-19 hygiene practices-such as social distancing and frequent hand washing-that can be rapidly distributed through social media channels to a global audience. Read More

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Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs.

Pediatr Qual Saf 2020 Mar-Apr;5(2):e288. Epub 2020 Apr 9.

Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pa.

Introduction: The dissemination of quality improvement (QI) interventions to a broader range of healthcare settings requires a proactive assessment of local work systems and processes. The objective of this study was to examine the feasibility of using a survey-based work system assessment (WSA) tool to facilitate the dissemination of a program for optimizing blood culture (BC) use.

Methods: Informed by findings from an onsite, interview-based WSA at 2 hospitals, a 50-item WSA survey was devised and administrated to 15 hospitals participating in a QI collaborative. Read More

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Item analysis of the Eating Assessment Tool (EAT-10) by the Rasch model: a secondary analysis of cross-sectional survey data obtained among community-dwelling elders.

Health Qual Life Outcomes 2020 May 13;18(1):139. Epub 2020 May 13.

Department for Education, Hammel Neurorehabilitation Centre and University Research Clinic, Voldbyvej 15, 8450, Hammel, Denmark.

Background: The Eating Assessment Tool (EAT-10) is increasingly used to screen for self-perceived oropharyngeal dysphagia (OD) in community-dwelling elders. A summated EAT-10 total score ranges from 0 to 40, with a score ≥ 3 indicative of OD. When using cut-points of a summated score, important requirements for the measurements are specific objectivity, validity, and reliability. Read More

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A Mokken Scale Analysis of the Last Series of the Standard Progressive Matrices (SPM-LS).

Nils Myszkowski

J Intell 2020 May 6;8(2). Epub 2020 May 6.

Department of Psychology, Pace University, New York, NY 10038, USA.

Raven's Standard Progressive Matrices Raven (1941) is a widely used 60-item long measure of general mental ability. It was recently suggested that, for situations where taking this test is too time consuming, a shorter version, comprised of only the last series of the Standard Progressive Matrices (the SPM-LS; Myszkowski and Storme (2018)) could be used, while preserving satisfactory psychometric properties Garcia-Garzon et al. (2019); Myszkowski and Storme (2018). Read More

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The Representation of Coordinate Relations in Lexical Semantic Memory.

Front Psychol 2020 11;11:98. Epub 2020 Feb 11.

Department of Psychological and Brain Sciences, Indiana University Bloomington, Bloomington, IN, United States.

Two experiments examined the size of the typicality effect for true items in a category verification task as a function of the type of false item used. In Experiment 1, compared to the case where false items paired unrelated concepts ("carrot-vehicle"), the typicality effect was much larger when false items paired an exemplar with a category coordinate to its proper category ("carrot-fruit"). In contrast, when false items paired coordinate concepts ("carrot-pea") or reversed the ordering of subject and predicate terms ("All vegetables are carrots"), the typicality effect did not change in size. Read More

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February 2020

Pediatric radiologist-driven didactics for a pediatric residency program: a quality initiative.

Pediatr Radiol 2020 03 17;50(3):397-400. Epub 2020 Feb 17.

Department of Radiology,, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA.

Background: Pediatric residents exhibit knowledge gaps in appropriateness of imaging utilization.

Objective: This study evaluates the value of radiologist-driven imaging education in a pediatric residency program. The primary goals of this educational program were to provide pediatric residents with resources such as the American College of Radiology Appropriateness Criteria, support optimal resource utilization and patient care, increase resident understanding of radiation risk, and determine the value of integrating radiologists into pediatric education. Read More

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Application of Rasch Analysis to the Evaluation of the Measurement Properties of the Hearing Handicap Inventory for the Elderly.

Ear Hear 2020 Sep/Oct;41(5):1125-1134

National Institute for Health Research Nottingham Biomedical Research Centre, Ropewalk House, Nottingham, United Kingdom.

Objectives: The aim of this research was to evaluate the measurement properties of the Hearing Handicap Inventory for the Elderly (HHIE). The HHIE is one of the most widely used patient-reported outcome measures in audiology. It was originally developed in the United States in the 1980s as a measure of the social and emotional impact of hearing loss in older adults. Read More

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January 2020

Use of biomarker testing in lung cancer among Puerto Rico and Florida Physicians: Results of a comparative study.

J Clin Pathw 2019 Oct;5(8):33-40

Departments of OB-GYN, Population Health and Center for Medical Ethics, New York University School of Medicine, New York, NY.

Background: Lung cancer biomarker-driven therapies are the gold standard of treatment and recent studies suggest a higher prevalence of specific targetable biomarkers among Hispanic/Latinos (H/L) than Non-Hispanic Whites (NHW). The study aimed (1) to identify Florida (FL) and Puerto Rico (PR) physicians' knowledge and perceived value of newer genomic data regarding race/ethnicity in relation to optimal lung cancer treatment and survival; and (2) to identify modifiable practice barriers both across and within each location regarding biomarker testing in lung cancer.

Methods: A 25-item survey was administered to a stratified random sample of physicians in FL and PR (medical oncologists, radiation oncologists, pulmonologists, and pathologists). Read More

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October 2019

A Rasch analysis of the Person-Centred Climate Questionnaire - staff version.

BMC Health Serv Res 2019 Dec 26;19(1):996. Epub 2019 Dec 26.

Department of Nursing, Umeå University, Umeå, Sweden.

Background: Person-centred care is the bedrock of modern dementia services, yet the evidence-base to support its implementation is not firmly established. Research is hindered by a need for more robust measurement instruments. The 14-item Person-Centred Climate Questionnaire - Staff version (PCQ-S) is one of the most established scales and has promising measurement properties. Read More

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December 2019