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Koks-Leensen MC, Menko A, Raaijmakers F, Fransen-Kuppens GA, Bevelander KE. An Accessible Web-Based Survey to Monitor the Mental Health of People With Mild Intellectual Disability or Low Literacy Skills During the COVID-19 Pandemic: Comparative Data Analysis. JMIR Public Health Surveill 2024; 10:e44827. [PMID: 38607229 DOI: 10.2196/44827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 01/30/2024] [Accepted: 03/20/2024] [Indexed: 04/13/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic and related control measures affected the mental health of all populations. Particular subgroups are underrepresented in mainstream surveys because they are hard to reach, and study measurements are not adapted to their skills. These subgroups include people with lower cognitive and literacy skills, such as people with mild intellectual disability (MID), who were considered vulnerable during the COVID-19 pandemic given their low socioeconomic status, small social networks, increased risks of health problems, and difficulties understanding health-related information. OBJECTIVE This study examines the impact of the COVID-19 pandemic on mental health among people with MID or low literacy skills compared with those predominantly represented in national surveys. METHODS A repeated cross-sectional study of people with MID or low literacy skills and a general population sample was conducted in the Netherlands. An easy-read web-based survey was co-designed with, and tested among, people with MID or low literacy skills and conducted in 3 rounds within 1 year of the COVID-19 pandemic (T1: November to December 2020, T2: March to April 2021, and T3: September to October 2021). The survey contained questions about demographics and 6 aspects of mental health: feeling happy, feeling energized, feeling stressed, worry, feeling lonely, and sleeping problems. RESULTS Our adapted survey and recruitment procedure enabled 1059 persons with MID or low literacy skills to participate (T1: n=412, 38.9%; T2: n=351, 33.1%; and T3: n=296, 28%). They were significantly younger, had a lower level of education, and more often than not were born outside the Netherlands compared to the general population sample (P<.001). Approximately half of them (604/1059, 57.03%) received professional care. They displayed poorer mental health scores than the general population sample. The percentages of people with MID or low literacy skills who reported more negative feelings in T1 ranged from 20.6% (85/412) reporting feeling lonely often or almost always to 57.8% (238/412) reporting feeling happy almost never or sometimes. The general population sample's percentages were 5.4% (160/2930) and 32.2% (941/2918), respectively. Although scores improved over time in both populations, the disproportional effects remained. CONCLUSIONS General COVID-19-related restrictions for the entire Dutch population affected people with MID or low literacy skills more negatively than the general population. Our study underscores the relevance of including these subpopulations in public health research because they are often overlooked in regular health data. An accessible web-based survey particularly targeted at this population enabled us to do so, and we reached a group of respondents significantly different from regular survey participants. This survey's results provided insights into the health of people with MID or low literacy skills and gained knowledge to be used by care organizations and policy makers to reduce health disparities during a pandemic and in general.
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Affiliation(s)
- Monique Cj Koks-Leensen
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative Intellectual Disability and Health - Sterker op Eigen Benen (SOEB), Nijmegen, Netherlands
| | - Anouk Menko
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
| | - Fieke Raaijmakers
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
- Safety and Health Region Gelderland-Midden, Arnhem, Netherlands
| | - Gerdine Aj Fransen-Kuppens
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
- Municipal Health Service Gelderland Zuid, Nijmegen, Netherlands
| | - Kirsten E Bevelander
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative Intellectual Disability and Health - Sterker op Eigen Benen (SOEB), Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
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Gefen N, Rosenberg L. Development of a new tool: progression of paediatric powered mobility- 3PM. Disabil Rehabil Assist Technol 2024; 19:465-473. [PMID: 35833624 DOI: 10.1080/17483107.2022.2099020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 06/29/2022] [Indexed: 10/17/2022]
Abstract
PURPOSE To develop a tool to assess the progression of powered mobility skills for children and determine its psychometric properties. METHOD A three-phase, the mixed-method design included: I) conceptualisation based on international specialists' input through a focus group or interview to generate initial items; II) tool development using a two-round Delphi survey and III) evaluation of psychometric properties from eight video recordings of children. The Progression of Paediatric Powered Mobility (3PM) was validated via Intraclass correlation coefficients (ICC) calculated from conventionally powered mobility assessments: the Powered Mobility Program, the Assessment of Learning Powered Mobility tool, and the Powered Mobility Proficiency test. RESULTS Content derived from 20 clinical experts led to the development of the first version consisting of 19 demographic and 61 driving skill items. Following two Delphi rounds, the final tool included 14 demographic and 41 driving skill items. Internal consistency was excellent (Cronbach alpha = 0.96) as was the inter-rater reliability (ICC = 0.96, 95% confidence interval = 0.95-0.96). Pearson correlation coefficients between the 3PM and other PM assessments demonstrated good convergent validity. CONCLUSION The 3PM, created through international collaboration with experts in PM, has excellent psychometric values as a valid measure that can be used reliably to assess children's powered mobility skills.Implications for rehabilitationThe 3PM reflects the three stages of powered mobility development: exploratory, operational, and functional stages.Input from clinical experts in PM mobility contributed to the identification of the key driving skills important to include in the 3PM.A reliable and valid tool can facilitate assessment and tailored intervention in paediatric powered mobility.
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Affiliation(s)
- Naomi Gefen
- Deputy Director General, ALYN Hospital, Jerusalem, Israel
| | - Lori Rosenberg
- School of Occupational Therapy, Hebrew University, Jerusalem, Israel
- Ilanot School, Jerusalem, Israel
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Scior K, Patel M, Goldsmith-Sumner A, Hayden N, Lee JY, Lunsky Y, Osborne M, Richardson L, Stewart-Brown S, Hastings RP. Development and initial psychometric properties of the Warwick-Edinburgh Mental Wellbeing Scale-Intellectual Disability version. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2023; 67:893-900. [PMID: 37129069 DOI: 10.1111/jir.13039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 04/05/2023] [Accepted: 04/12/2023] [Indexed: 05/03/2023]
Abstract
BACKGROUND The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS; Tennant et al., 2007) is yet to be validated in the intellectual disability (ID) population. The aim of this study was to report the development process and assess the psychometric properties of a newly adapted version of the WEMWBS and the Short WEMWBS for individuals with mild to moderate IDs (WEMWBS-ID/SWEMWBS-ID). METHOD The WEMWBS item wordings and response options were revised by clinicians and researchers expert in the field of ID, and a visual aid was added to the scale. The adapted version was reviewed by 10 individuals with IDs. The measure was administered by researchers online using screenshare, to individuals aged 16+ years with mild to moderate IDs. Data from three UK samples were collated to evaluate the WEMWBS-ID (n = 96). A subsample (n = 22) completed the measure again 1 to 2 weeks later to assess test-retest reliability, and 95 participants additionally completed an adapted version of the adapted Rosenberg Self-Esteem Scale to examine convergent validity. Additional data from a Canadian sample (n = 27) were used to evaluate the SWEMWBS-ID (n = 123). RESULTS The WEMWBS-ID demonstrated good internal consistency (ω = 0.77-0.87), excellent test-retest reliability [intraclass correlation coefficient (ICC) = .88] and good convergent validity with the self-esteem scale (r = .48-.60) across samples. A confirmatory factor analysis for a single factor model demonstrated an adequate fit. The SWEMWBS-ID showed poor to good internal consistency (ω = 0.36-0.74), moderate test-retest reliability (ICC = .67) and good convergent validity (r = .48-.60) across samples, and a confirmatory factor analysis indicated good model fit for a single factor structure. CONCLUSIONS The WEMWBS-ID and short version demonstrated promising psychometric properties, when administered virtually by a researcher. Further exploration of the scales with larger, representative samples is warranted.
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Affiliation(s)
- K Scior
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - M Patel
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - A Goldsmith-Sumner
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - N Hayden
- CEDAR, University of Warwick, Coventry, UK
| | - J Y Lee
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - Y Lunsky
- Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada
| | - M Osborne
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - L Richardson
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
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Cartocci G, Inguscio BMS, Giorgi A, Vozzi A, Leone CA, Grassia R, Di Nardo W, Di Cesare T, Fetoni AR, Freni F, Ciodaro F, Galletti F, Albera R, Canale A, Piccioni LO, Babiloni F. Music in noise recognition: An EEG study of listening effort in cochlear implant users and normal hearing controls. PLoS One 2023; 18:e0288461. [PMID: 37561758 PMCID: PMC10414671 DOI: 10.1371/journal.pone.0288461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 06/27/2023] [Indexed: 08/12/2023] Open
Abstract
Despite the plethora of studies investigating listening effort and the amount of research concerning music perception by cochlear implant (CI) users, the investigation of the influence of background noise on music processing has never been performed. Given the typical speech in noise recognition task for the listening effort assessment, the aim of the present study was to investigate the listening effort during an emotional categorization task on musical pieces with different levels of background noise. The listening effort was investigated, in addition to participants' ratings and performances, using EEG features known to be involved in such phenomenon, that is alpha activity in parietal areas and in the left inferior frontal gyrus (IFG), that includes the Broca's area. Results showed that CI users performed worse than normal hearing (NH) controls in the recognition of the emotional content of the stimuli. Furthermore, when considering the alpha activity corresponding to the listening to signal to noise ratio (SNR) 5 and SNR10 conditions subtracted of the activity while listening to the Quiet condition-ideally removing the emotional content of the music and isolating the difficulty level due to the SNRs- CI users reported higher levels of activity in the parietal alpha and in the homologous of the left IFG in the right hemisphere (F8 EEG channel), in comparison to NH. Finally, a novel suggestion of a particular sensitivity of F8 for SNR-related listening effort in music was provided.
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Affiliation(s)
- Giulia Cartocci
- Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy
- BrainSigns ltd, Rome, Italy
| | | | - Andrea Giorgi
- Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy
- BrainSigns ltd, Rome, Italy
| | | | - Carlo Antonio Leone
- Department of Otolaringology Head-Neck Surgery, Monaldi Hospital, Naples, Italy
| | - Rosa Grassia
- Department of Otolaringology Head-Neck Surgery, Monaldi Hospital, Naples, Italy
| | - Walter Di Nardo
- Institute of Otorhinolaryngology, Catholic University of Sacred Heart, Fondazione Policlinico "A Gemelli," IRCCS, Rome, Italy
| | - Tiziana Di Cesare
- Institute of Otorhinolaryngology, Catholic University of Sacred Heart, Fondazione Policlinico "A Gemelli," IRCCS, Rome, Italy
| | - Anna Rita Fetoni
- Institute of Otorhinolaryngology, Catholic University of Sacred Heart, Fondazione Policlinico "A Gemelli," IRCCS, Rome, Italy
| | - Francesco Freni
- Department of Otorhinolaryngology, University of Messina, Messina, Italy
| | - Francesco Ciodaro
- Department of Otorhinolaryngology, University of Messina, Messina, Italy
| | - Francesco Galletti
- Department of Otorhinolaryngology, University of Messina, Messina, Italy
| | - Roberto Albera
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Andrea Canale
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Lucia Oriella Piccioni
- Department of Otolaryngology-Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Fabio Babiloni
- Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy
- BrainSigns ltd, Rome, Italy
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Beck KB, Terhorst LA, Greco CM, Kulzer JL, Skidmore ER, McCue MP. Item Understanding of Common Quality of Life Measures for use with Autistic Adults. J Autism Dev Disord 2023:10.1007/s10803-023-05945-4. [PMID: 37142903 PMCID: PMC10624642 DOI: 10.1007/s10803-023-05945-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2023] [Indexed: 05/06/2023]
Abstract
Quality of life (QOL) and life satisfaction are important research priorities for autistic adults. As such, we saw a need to evaluate individual items of commonly used subjective QOL scales to understand how they are interpreted and perceived by autistic adults. This study used cognitive interviews and repeated sampling to evaluate the accessibility, test-retest reliability and internal consistency of several common QOL measures in a sample of young autistic adults (n = 20; aged 19-32). Cognitive interviews suggested that the Satisfaction with Life Scale was well understood and demonstrated excellent internal consistency and test-retest reliability. While the WHOQoL-BREF and WHOQoL Disability Modules had adequate reliability, cognitive interviews suggested that additional instructions and examples would further enhance their accessibility for use with autistic adults.
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Affiliation(s)
- Kelly B Beck
- Department of Psychiatry, University of Pittsburgh School of Medicine, 303 Webster Hall 4415 Fifth Avenue, Pittsburgh, PA, 15213, USA.
| | - Lauren A Terhorst
- Department of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, USA
| | - Carol M Greco
- Department of Psychiatry, University of Pittsburgh School of Medicine, 303 Webster Hall 4415 Fifth Avenue, Pittsburgh, PA, 15213, USA
| | - Jamie L Kulzer
- Department of Rehabilitation Science and Technology, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, USA
| | - Elizabeth R Skidmore
- Department of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, USA
| | - Michael P McCue
- Department of Rehabilitation Science and Technology, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, USA
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Roberts MA, Abery BH. A person-centered approach to home and community-based services outcome measurement. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1056530. [PMID: 36817716 PMCID: PMC9929050 DOI: 10.3389/fresc.2023.1056530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 01/10/2023] [Indexed: 02/04/2023]
Abstract
In the United States, over 2.5 million people with disabilities are recipients of supports through the Center for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) program. Recent decades have seen a growing focus on providing HCBS in a person-centered manner thereby supporting outcomes that are both important for and to the person. HCBS outcome measurement, however, has not kept pace with advancements in person-centered thinking as it relates to providing supports to people with disabilities. The concept of person-centered outcome measurement has been inadequately defined and is frequently misunderstood including by those in the measurement field. The authors first operationally define person-centered measurement and establish its importance within the context of HCBS and the recent CMS's Final Settings Rule. The important role that person-centered measurement has to play in quality improvement efforts in this area is then explored. A discussion is subsequently provided as to the challenges that are faced in person-centered measurement specific to the disability field. In addition to further conceptualizing and defining this form of measurement, recommendations are provided for moving the field forward.
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Wunderlich F, Eckhard L, Büttner M, Lange T, Konradi J, Betz U, Drees P, Lützner J. The INDICATE Knee expectations survey detects general patient treatment goals for total knee arthroplasty and the influence of demographic factors on patients expectations. Knee Surg Sports Traumatol Arthrosc 2023; 31:892-904. [PMID: 35687147 PMCID: PMC9958169 DOI: 10.1007/s00167-022-07012-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 05/08/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE Post-operative outcome after total knee arthroplasty (TKA) in the treatment of end-stage osteoarthritis correlates strongly with pre-operative impairment-driven patient treatment goals. However, a clinical tool for measuring patient treatment goals in correlation to impairments is still missing, which impedes patient-oriented indication in TKA. METHODS Patients scheduled for TKA were recruited in four German hospitals. All patients were handed the INDICATE Knee Score pre-operatively. The score contains 31 treatment goals with respective impairments, subdivided into seven categories. They were asked to rank all treatment goals and impairments on a 3-point scale. Treatment goals and impairments were then checked for frequency of occurrence. Correlation of goal and impairment was tested. Analysis for associations of treatment goals and different cohort characteristics (age, sex, BMI) was conducted. RESULTS 1.298 patients were included in the study. Seven treatment goals were categorised as "main goal" from more than 90% of all patients ("knee pain", "range of motion", "walking distance", "overall physical function", "climbing stairs", "quality of life", "implant survival"). Comparing age groups, there were significant associations towards higher expectations regarding working, physical and sports related treatment goals in younger patients (< 65y) ("ability to work" (P ≤ .001), "sports activities" (P ≤ .001), "sex life" (P ≤ .001), "dependence on help of others" (P = .015), "preventing secondary impairment" (P = .03), "dependence on walking aids" (P = .005)). Higher BMI resulted in increasing relevance of "weight reduction" (P ≤ .001), "climbing stairs" (P = .039) "global health status" (P = .015) and "long standing" (P = .007) as a "main goal". Analysis for differences in treatment goals regarding sex showed women choosing more treatment goals as "main goals" than men. CONCLUSION Seven treatment goals which were expected by > 90% in our collective can be classified as general treatment goals for TKA. Demographic factors (age, sex, BMI) were significantly associated with patients' expectations for TKA. We conclude physicians should clearly assess their patients' demands prior to TKA to maximise post-operative outcome. LEVEL OF EVIDENCE Prognostic Level III.
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Affiliation(s)
- Felix Wunderlich
- Department of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
| | - Lukas Eckhard
- Department of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Matthias Büttner
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany
| | - Toni Lange
- Center for Evidence-Based Healthcare, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Jürgen Konradi
- Institute of Physical Therapy, Prevention and Rehabilitation, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Ulrich Betz
- Institute of Physical Therapy, Prevention and Rehabilitation, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Philipp Drees
- Department of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Jörg Lützner
- University Center of Orthopedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus Dresden, TU Dresden, Dresden, Germany
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Arruda SFD, Oliveira JIVD, Dantas MJB, Costa MDC, Oliveira LIGLD, Oliveira SFMD. MOOD STATES AND QUALITY OF LIFE IN PARALYMPIC BOCCIA ATHLETES IN THE COVID-19 PANDEMIC. REV BRAS MED ESPORTE 2022. [DOI: 10.1590/1517-8692202228042020_0131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Introduction: Although studies have been conducted in the athlete population during the pandemic, its impacts on Paralympic athletes are still unknown. Objective: To evaluate the mood and quality of life of Paralympic boccia players during the COVID-19 pandemic period. Method: Questionnaires assessing mood, quality of life, and demographic data were sent electronically via social media. The study included 43 athletes from all functional classes (BC1 = 8, BC2 = 12, BC3 = 11, and BC4 = 11) and four regions of Brazil (Northeast = 12, Southeast = 12, Central-West = 3, and South = 17). ANOVA, t test, and similar non-parametric tests were used, with the respective effect sizes (ES). Results: Regarding mood states, BC4 athletes differed from BC1 athletes in the depression subscale score (25.5 vs. 14.5, p = 0.026, ES=1.47). The fatigue subscale score differed between BC4 and BC1 athletes (17.8 vs. 10.4, p = 0.023, ES=1.38) and between BC4 and BC2 athletes (17.8 vs 10.3, p = 0.008, ES=1.32). BC4 athletes had higher total mood disturbance (TMD) values than BC1 (175 vs. 141, p = 0.025, ES=1.35) and BC2 (175 vs.141, p = 0.025, ES=0.97) athletes. Lower stress (18.5 vs.21.8, p = 0.027, ES=0.64) and TMD (148.0 vs 162.0; p = 0.044; ES= 0.53) values were observed among the national level athletes. In terms of quality of life, differences were found between BC4 and BC2 athletes in the psychological health domain (3.73 vs. 4.49, p = 0.024, ES=0.89) and between athletes from the Northeast and South in the environment domain (3.39 vs. 4.18, p=0.030, ES=0.44). Conclusion: BC4 athletes are more susceptible to negative mood and quality-of-life perceptions. Additionally, athletes from the Northeast region may have poorer perceptions of quality of life related to the environment in which they live. Level of evidence III; Retrospective study.
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van Herwaarden A, Peters-Scheffer NC, Didden R. Development and psychometric assessment of a psychological well-being instrument for adults with mild intellectual disability or borderline intellectual functioning. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 121:104151. [PMID: 34952409 DOI: 10.1016/j.ridd.2021.104151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 09/17/2021] [Accepted: 12/09/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Measuring eudaimonic well-being is important to gain a complete picture of the well-being of individuals with mild intellectual disabilities or borderline intellectual functioning (MID-BIF), but there is no measurement instrument available for this population coding for multiple dimensions of eudaimonic well-being. AIMS The current study developed and piloted a new instrument coding for eudaimonic well-being in individuals with MID-BIF. METHODS AND PROCEDURES The instrument (SPWB-ID) was adapted from Ryff's scales of psychological well-being, including subscales addressing purpose in life, environmental mastery, positive relationships, self-acceptance, personal growth, and autonomy. Adaptations were based on the literature and interviews with people with MID-BIF and experts in the field. The SPWB-ID was piloted among 103 adults with MID-BIF. OUTCOMES AND RESULTS The trimmed version of the SPWB-ID showed sufficient to good internal consistency and test-retest reliability. Hypothesis testing for construct validity suggested the subscales of the SPWB-ID measured well-being, showing moderate to high correlations with quality of life, and differences in eudaimonic well-being between participants with and without clinically relevant depression scores. CONCLUSIONS AND IMPLICATIONS The SPWB-ID reliably measures eudaimonic well-being in individuals with MID-BIF. This enables support providers to collect information on eudaimonic well-being, providing input for person-centred care and support for individuals with MID-BIF.
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Affiliation(s)
- Aniek van Herwaarden
- Behavioural Science Institute, Radboud University Nijmegen, PO Box 9104, 6500 HE, Nijmegen, The Netherlands; Driestroom, PO Box 139, 6660 AC, Elst, The Netherlands.
| | - Nienke C Peters-Scheffer
- Behavioural Science Institute, Radboud University Nijmegen, PO Box 9104, 6500 HE, Nijmegen, The Netherlands; Driestroom, PO Box 139, 6660 AC, Elst, The Netherlands
| | - Robert Didden
- Behavioural Science Institute, Radboud University Nijmegen, PO Box 9104, 6500 HE, Nijmegen, The Netherlands; Trajectum, Hanzeallee 2, 8017 KZ, Zwolle, The Netherlands
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de Witte M, Kooijmans R, Hermanns M, van Hooren S, Biesmans K, Hermsen M, Stams GJ, Moonen X. Self-Report Stress Measures to Assess Stress in Adults With Mild Intellectual Disabilities-A Scoping Review. Front Psychol 2021; 12:742566. [PMID: 34759870 PMCID: PMC8573329 DOI: 10.3389/fpsyg.2021.742566] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 09/22/2021] [Indexed: 11/24/2022] Open
Abstract
Stress has a major negative impact on the development of psychopathology and contributes to the onset of adverse physical conditions. Timely recognition and monitoring of stress-related problems are therefore important, especially in client populations that are more vulnerable to stress, such as people with mild intellectual disabilities (MID). Recent research on the use of physiological measures to assess stress levels emphasize that, in addition to these measures, self-report instruments are necessary to gain insight into the individual perception and impact of stress on daily life. However, there is no current overview of self-report stress measures that focus on the experience of stress in the present moment or in daily life. To provide an overview of the existing self-report stress measures for clinicians and researchers, a scoping review was conducted. In addition, to advise clinical professionals on the use of self-report measures of stress for people with MID, the results of an expert consultation were used to refine the preliminary findings. A systematic scoping literature search resulted in a total of 13 self-reported stress measures that met the final inclusion criteria, of which three were developed specifically for assessing stress in adults with MID (GAS-ID, LI, and SAS-ID). For each included self-report stress measure, the psychometric quality, assessment procedure, and suitability for adults with MID were reported. These were supplemented by the findings from the expert consultation. Implications for clinical practice on the use of self-report stress measures, particularly for people with MID, are discussed. Recommendations for future research and development are given.
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Affiliation(s)
- Martina de Witte
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, Netherlands
- Faculty of Health and Vitality, HAN University of Applied Sciences, Nijmegen, Netherlands
- KenVaK, Research Centre for the Arts Therapies, Heerlen, Netherlands
- Stevig, Expert Centre for People With Mild Intellectual Disabilities, Gennep, Netherlands
| | - Roel Kooijmans
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, Netherlands
- Koraal Center of Expertise, Sittard, Netherlands
| | - Maria Hermanns
- Faculty of Health and Vitality, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Susan van Hooren
- KenVaK, Research Centre for the Arts Therapies, Heerlen, Netherlands
- Faculty of Healthcare, Zuyd University of Applied Sciences, Heerlen, Netherlands
- Faculty of Psychology and Educational Sciences, Open University, Heerlen, Netherlands
| | - Kim Biesmans
- Stevig, Expert Centre for People With Mild Intellectual Disabilities, Gennep, Netherlands
| | - Maaike Hermsen
- Faculty of Health and Vitality, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Geert Jan Stams
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, Netherlands
| | - Xavier Moonen
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, Netherlands
- Koraal Center of Expertise, Sittard, Netherlands
- Faculty of Healthcare, Zuyd University of Applied Sciences, Heerlen, Netherlands
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Egger S. Susceptibility to Ingroup Influence in Adolescents With Intellectual Disability: A Minimal Group Experiment on Social Judgment Making. Front Psychol 2021; 12:671910. [PMID: 34512438 PMCID: PMC8423920 DOI: 10.3389/fpsyg.2021.671910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 07/28/2021] [Indexed: 11/13/2022] Open
Abstract
Adolescents with intellectual disability (ID) experience challenges and uncertainty when making judgments about other people's intentions. In an attempt to achieve certainty, they might exhibit judgment tendencies that differ from those of typically developing adolescents. This study investigated social judgment making in adolescents with ID (n = 34, M age = 14.89 years, SD = 1.41 years) compared with chronological age-matched adolescents without ID (n = 34, M age = 14.68 years, SD = 1.15 years) and mental age (MA)-matched children (n = 34, M age = 7.93 years, SD = 0.64 years). Participants used a computer-based task to judge the hostility of persons (fictitious characters). Adolescents with ID were found to make more polarizing judgments (i.e., either positive or negative, as opposed to moderate judgments) and were more likely to be guided by the opinions of a fictitious peer ingroup (minimal group) compared with adolescents without ID. No such differences were found between adolescents with ID and MA-matched children. The results are discussed in terms of scientific and practical implications.
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Affiliation(s)
- Sara Egger
- Department of Special Needs Education, University of Fribourg, Fribourg, Switzerland
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Egger S, Nicolay P, Huber C, Müller CM. Increased openness to external influences in adolescents with intellectual disability: Insights from an experimental study on social judgments. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 113:103918. [PMID: 33690106 DOI: 10.1016/j.ridd.2021.103918] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 02/05/2021] [Accepted: 02/22/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Making appropriate social judgments about one's peers helps avoid negative influences from peers, yet the cognitive and adaptive difficulties experienced by adolescents with an intellectual disability (ID) may create challenges in this regard. PROCEDURE This study used a computer-based task to investigate how adolescents with ID (n = 34, M = 14.89 years, SD = 1.38) and comparison groups of chronological age-matched adolescents without ID (n = 34, M = 14.68, SD = 1.16) and mental age-matched children (n = 34, M = 7.88, SD = .62) make social judgments of photos of adolescents, and the degree to which they are influenced by non-social and social cues in performing this task. RESULTS Analyses showed adolescents with ID made significantly more polarizing judgments and showed a positivity bias compared to adolescents without ID. This judgment pattern was similar to that of younger mental age-matched children. Adolescents with ID were also significantly more influenced by non-social cues and peer opinions than adolescents from the control group. IMPLICATIONS The results provide new perspectives for future research and support of adolescents with ID.
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Affiliation(s)
- Sara Egger
- Department of Special Education, University of Fribourg, Switzerland.
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Pett MA, Guo JW, Cardell B, Johnson EP, Guerra N, Clark L. Psychometric properties of a brief self-reported health-related quality of life measure (HRQoL-IDD) for persons with intellectual and developmental disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 34:877-890. [PMID: 33522020 PMCID: PMC8247975 DOI: 10.1111/jar.12831] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 09/29/2020] [Accepted: 10/29/2020] [Indexed: 12/02/2022]
Abstract
Background To encourage self‐determination and address health disparities among persons with intellectual and developmental disabilities, clinicians and researchers rely on self‐reported measures like health‐related quality of life (HRQoL). This study evaluated the psychometric properties of a theory‐driven self‐reported HRQoL measure for adults requiring mild to moderate support related to intellectual and developmental disabilities. Method 224 volunteers completed 42 quality of life items developed with extensive input from persons with intellectual and developmental disabilities, family members/caregivers, and providers. The 5‐point Likert scale format with visual images of fluid‐filled cups represented the range of responses. Results Exploratory and Unrestricted Factor Analyses yielded 16 HRQoL items with 4 subscales: Functional Well‐Being, Emotional Well‐Being, Social Well‐Being, and Healthy Decision‐making. The HRQoL‐IDD explained 62.8% of variance, had satisfactory internal consistency (0.73–0.83), stability of reponses, and reading level (2nd grade, ages 7‐8). Conclusions The HRQoL‐IDD is a promising measure of self‐reported HRQoL for use in community‐based settings for persons requiring mild to moderate support related to intellectual and developmental disabilities.
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Affiliation(s)
- Marjorie A Pett
- University of Utah College of Nursing, Salt Lake City, UT, USA
| | - Jia-Wen Guo
- University of Utah College of Nursing, Salt Lake City, UT, USA
| | - Beth Cardell
- Department of Occupational and Recreational Therapies, College of Health, University of Utah, Salt Lake City, UT, USA
| | - Erin P Johnson
- Department of Obstetrics and Gynecology, School of Medicine, University of Utah, Salt Lake City, UT, USA
| | | | - Lauren Clark
- School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA
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Harniss M, Magasi S, Sabat D. Accessibility Considerations in the National Children's Study. Front Pediatr 2021; 9:624175. [PMID: 33937145 PMCID: PMC8079737 DOI: 10.3389/fped.2021.624175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 03/17/2021] [Indexed: 11/13/2022] Open
Abstract
In the National Children's Study (NCS), assessments were proposed and developed that used a wide range of modes of administration (e.g., direct in-person interviews, telephone interviews, computer assisted interviews, self-administered questionnaires, real time and recall observations, and physical examinations). These modes of administration may pose accessibility challenges for some people with disabilities. Accessibility of measurement is important to consider because systematic exclusion of people with disabilities from research can lead to measurement bias and systematic error in derived scores. We describe our approach to analyzing the accessibility of measures in the NCS and describe the work of the Accessibility Domain Team. Finally, we describe a decision process for creating and using accessible health research measures.
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Affiliation(s)
- Mark Harniss
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States
| | - Susan Magasi
- Departments of Occupational Therapy and Disability and Human Development, University of Illinois at Chicago, Chicago, IL, United States
| | - Dianne Sabat
- Mukilteo School District, Mukilteo, WA, United States
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Development and assessment of a verbal response scale for the Patient-Specific Functional Scale (PSFS) in a low-literacy, non-western population. Qual Life Res 2020; 30:613-628. [DOI: 10.1007/s11136-020-02640-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2020] [Indexed: 12/31/2022]
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Lukas JF, Lizasoain L, Galarreta J, Etxeberria J. Job satisfaction among disabled people in the sheltered workshop: Differential analysis. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2018; 31:1174-1185. [PMID: 29947455 DOI: 10.1111/jar.12492] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 05/03/2018] [Accepted: 05/23/2018] [Indexed: 11/29/2022]
Abstract
This paper analyses job satisfaction and differences in factors affecting it among workers with an intellectual disability and mental illness (MI) depending on their work regime [special employment regime (SER) or occupational service (OS)]. To do so, answers were analysed from 874 participants on a Job Satisfaction Scale used in sheltered workshops in Spain. The results indicate that job satisfaction among workers with intellectual disability and MI in both the SER and the OS regimes is high, with the highest job satisfaction deriving from the Items of communicating problems to resolve them. The lowest levels of job satisfaction are related to the opportunity to take decisions and participate at work. In the majority of the Items analysed, no differences were found on the basis of the age groups considered nor the gender of the participants.
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Affiliation(s)
- Jose Francisco Lukas
- Facultad de Educación, Filosofía y Antropología, University of the Basque Country, San Sebastian, Spain
| | - Luis Lizasoain
- Facultad de Educación, Filosofía y Antropología, University of the Basque Country, San Sebastian, Spain
| | - Javier Galarreta
- Facultad de Educación, Filosofía y Antropología, University of the Basque Country, San Sebastian, Spain
| | - Juan Etxeberria
- Facultad de Educación, Filosofía y Antropología, University of the Basque Country, San Sebastian, Spain
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de Melo RLP, da Silva Júnior EG, Souto RQ, Leão ÍS, do Carmo Eulálio M. Psychometric properties of the complete version of the World Health Organization Quality of Life Assessment (WHOQOL-OLD): reduced response scale. ACTA ACUST UNITED AC 2018; 31:4. [PMID: 32026070 PMCID: PMC6967016 DOI: 10.1186/s41155-018-0084-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 01/10/2018] [Indexed: 11/10/2022]
Abstract
This study sought to compare evidence of the factorial validity of the adapted version of the World Health Organization Quality of Life (WHOQOL-OLD) scale (three response options) with the original version of the scale. We included two populations of individuals age 60 years or older from northeast Brazil. The majority of participants were women who had an elementary-level education. The first population comprised 335 elderly persons who completed the original version of the scale, and the second was composed by 265 elderly persons who completed the shortened scale. Results indicated better adjusting on the reduced scale and showed items with lower error probability in assessment of elderly persons with lower quality of life.
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Affiliation(s)
| | | | | | - Ísis Simões Leão
- , R. Aprígio Veloso, 882 - Universitário, Campina Grande-PB, 58429-900, Brazil
| | - Maria do Carmo Eulálio
- (UEPB), R. Domitila Cabral de Castro, 38 - Universitário, Campina Grande-PB, 58429-570, Brazil
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Kocman A, Weber G. Assessment of job satisfaction in people with intellectual disabilities: Towards best-practice recommendations. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 31:804-819. [PMID: 29282814 DOI: 10.1111/jar.12434] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/11/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND The current body of research on job satisfaction of people with intellectual disability is based on highly diverse measures, originating both from the general population and people with intellectual disability. This heterogeneity represents a possible confounder. Best-practice approaches for the assessment of job satisfaction are hence needed. METHOD Using systematic literature review, job satisfaction measures were identified and analyzed with regard to their applicability for people with intellectual disability. Identified best-practice measures (JDI/JIGS as well as RSM-WS) were subsequently applied in the course of a pilot study with 129 employees of sheltered workshops. Comprehension, reliability and validity were assessed. RESULTS The three identified instruments exhibit high reliability and validity. Comprehension was sufficient for JDI and JIGS but better for RSM-WS. CONCLUSIONS The JDI/JIGS represent a feasible measures of job satisfaction allowing for comparisons with the general population. In samples with more severe intellectual disabilities, the RSM-WS is preferable.
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Affiliation(s)
- Andreas Kocman
- Department for Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Germain Weber
- Department for Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria
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Rizzuto D, Mossello E, Fratiglioni L, Santoni G, Wang HX. Personality and Survival in Older Age: The Role of Lifestyle Behaviors and Health Status. Am J Geriatr Psychiatry 2017; 25:1363-1372. [PMID: 28711464 DOI: 10.1016/j.jagp.2017.06.008] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 05/30/2017] [Accepted: 06/05/2017] [Indexed: 11/19/2022]
Abstract
OBJECTIVE We intended to assess the relationship between personality and survival in an older population and to explore the role of lifestyle behaviors and health status as potential mediators. DESIGN Population-based cohort study. SETTING Swedish National Study of Aging and Care in Kungsholmen, Sweden. PARTICIPANTS 2,298 adults aged 60 or more years, without dementia or depression, followed for 11 years. MEASUREMENTS Personality (extraversion, neuroticism, and openness) was assessed with a shortened version of the NEO-Five Factor Inventory. We tested whether personality affected mortality and examined the potential mediating effect of health status (body mass index, number of chronic diseases, impairment in instrumental activities of daily living, and C-reactive protein) and lifestyle behaviors (leisure activities, social network, smoking, and alcohol consumption). RESULTS Over 11 years of follow-up, higher levels of extraversion were associated with a 14% reduction in mortality. Examination of different combinations of personality traits showed that independent of levels of neuroticism and openness, high extraversion were associated with up to 65% lower mortality. Decomposing the effect of extraversion on mortality, we found that the majority (44%) of the beneficial effect was mediated by healthy lifestyle behaviors. Health status accounted for 5% of the association. CONCLUSIONS Extroverted people, who are characterized by higher optimism and high self-efficacy, are prone to healthier behaviors and better health, which may result in longer survival. These results highlight the importance of a healthy lifestyle in survival.
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Affiliation(s)
- Debora Rizzuto
- Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
| | - Enrico Mossello
- Research Unit of Medicine of Aging, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Laura Fratiglioni
- Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden; Stockholm Gerontology Research Center, Stockholm, Sweden
| | - Giola Santoni
- Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden
| | - Hui-Xin Wang
- Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden; Stress Research Institute, Stockholm University, Stockholm, Sweden
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Stancliffe RJ, Wiese MY, Read S, Jeltes G, Clayton JM. Assessing knowledge and attitudes about end of life: Evaluation of three instruments designed for adults with intellectual disability. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 30:1076-1088. [DOI: 10.1111/jar.12358] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/09/2017] [Indexed: 11/28/2022]
Affiliation(s)
- R. J. Stancliffe
- Centre for Disability Research and Policy The University of Sydney Sydney NSW Australia
| | - M. Y. Wiese
- School of Social Sciences and Psychology Western Sydney University Penrith South NSW Australia
| | - S. Read
- School of Nursing and Midwifery Keele University Staffordshire UK
| | | | - J. M. Clayton
- HammondCare Palliative and Supportive Care Service Greenwich Hospital Sydney NSW Australia
- Northern Clinical School The University of Sydney Sydney NSW Australia
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Bredemeier J, Agranonik M, Perez TS, Fleck MPDA. Brazilian version of the Quality of Care Scale: the perspective of people with disabilities. Rev Saude Publica 2015; 48:583-93. [PMID: 25210817 PMCID: PMC4181102 DOI: 10.1590/s0034-8910.2014048005056] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2013] [Accepted: 02/10/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze evidence of the validity and reliability of a Brazilian Portuguese version of the Quality of Care Scale from the perspective of people with physical and intellectual disabilities. METHODS There were 162 people with physical disabilities and 156 with intellectual disabilities from Porto Alegre and metropolitan region, who participated in the study in 2008. Classical psychometrics was used to independently analyze the two samples. Hypotheses for evidence of criterion validity (concurrent type) were tested with the Mann-Whitney test for non-normal distributions. Principal components analysis was used to explore factorial models. Evidence of reliability was calculated with Cronbach alpha for the scales and subscales. Test-retest reliability was analyzed for individuals with intellectual disabilities through intra-class correlation coefficient and the Willcoxon test. RESULTS The principal components in the group with physical disabilities replicated the original model presented as a solution to the international project data. Evidence of discriminant validity and test-retest reliability was found. CONCLUSIONS The transcultural factor model found within the international sample project seems appropriate for the samples investigated in this study, especially the physical disabilities group. Depression, pain, satisfaction with life and disability may play a mediating role in the evaluation of quality of care. Additional research is needed to add to evidence of the validity of the instruments.
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Affiliation(s)
| | - Marilyn Agranonik
- Faculdade de Engenharia, Universidade do Vale do Sinos, São Leopoldo, RS, Brasil
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Bredemeier J, Wagner GP, Agranonik M, Perez TS, Fleck MP. The World Health Organization Quality of Life instrument for people with intellectual and physical disabilities (WHOQOL-Dis): evidence of validity of the Brazilian version. BMC Public Health 2014; 14:538. [PMID: 24886102 PMCID: PMC4071225 DOI: 10.1186/1471-2458-14-538] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Accepted: 05/06/2014] [Indexed: 11/13/2022] Open
Abstract
Background The number of people with disabilities in Brazil and worldwide has grown substantially in recent decades. Cross-cultural quality of life instruments can be helpful in the development of interventions designed to meet the needs of this population and contribute to rational allocation of resources. This study sought to provide evidence of validity and reliability the Brazilian Portuguese version of WHOQOL-Dis-D (a cross-cultural, multicentre instrument developed by the WHOQOL-Group for the assessment of quality of life in persons with physical disability – PD) and WHOQOL-Dis-ID (for persons with intellectual disability – ID). Methods Classical psychometric methods were used to conduct independent analyses of the PD and ID samples. Criterion groups were established for analysis of construct validity. Concurrent validity was assessed in relation to SWLS and BDI-II scores; discriminant validity, in relation to WHODAS-II. Cronbach alpha was used to test the instrument scales and subscales for reliability. The ID subgroup was retested, and test-retest reliability assessed by means of intraclass correlation coefficients and paired Student’s t-test. Results A total of 162 (98 females) people with PD and 156 (55 females) people with ID participated in the study. Cronbach alpha was satisfactory across practically all domains and factors in the PD subsample. In IDs, most factors or domains had coefficients higher than 0.70, but four subscales exhibited less satisfactory performance. Evidence of construct and concurrent validity and reliability were obtained. Conclusions The analyses presented herein provide satisfactory evidence of the validity and reliability of the instrument and corroborated the factor structure revealed during cross-cultural research. Further studies with larger sample sizes are required to obtain additional evidence of validity and reliability.
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Stancliffe RJ, Wilson NJ, Bigby C, Balandin S, Craig D. Responsiveness to self-report questions about loneliness: a comparison of mainstream and intellectual disability-specific instruments. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2014; 58:399-405. [PMID: 23506190 DOI: 10.1111/jir.12024] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/30/2013] [Indexed: 06/01/2023]
Abstract
BACKGROUND We compared responsiveness to two self-report assessments of loneliness: the UCLA Loneliness Scale (UCLALS) designed for the general community, and the Modified Worker Loneliness Questionnaire (MWLQ) designed for people with intellectual disability (ID). METHODS Participants were 56 older adults with disability - 40 individuals with ID and 16 without ID. They were individually assessed on the MWLQ and the UCLALS. The difficulty of the items in both scales was evaluated in relation to readability, features of question wording, question length and response format. RESULTS The UCLALS was more difficult than the MWLQ on each of the difficulty dimensions assessed. There was significantly greater responsiveness to the MWLQ than the UCLALS, especially among people with ID. CONCLUSIONS To enable as many people with ID as possible express their views on loneliness, the ID-specific MWLQ is a much better choice. However, this choice comes at the cost of ready comparison to loneliness data for the general community, which is available for widely used assessments such as the UCLALS.
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Affiliation(s)
- R J Stancliffe
- Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia
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Cuskelly M, Moni K, Lloyd J, Jobling A. Reliability of a method for establishing the capacity of individuals with an intellectual disability to respond to Likert scales. JOURNAL OF INTELLECTUAL & DEVELOPMENTAL DISABILITY 2013; 38:318-324. [PMID: 24279784 DOI: 10.3109/13668250.2013.832734] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND The study reported here was an examination of the reliability of a method for determining acquiescent responding and the capacity to respond to items using a Likert scale response format by adults with an intellectual disability. METHOD Reliability of the outcomes of these procedures was investigated using a test-retest design. Associations with receptive vocabulary were examined. RESULTS The majority of the participants did not demonstrate acquiescent responding. Individuals' responses to the Likert-type discrimination tasks were consistent, although this varied somewhat depending upon the abstractness of the task. There was some association between receptive language age equivalence scores and respondent performance. CONCLUSION It is recommended that the pretest protocol (a) be modified to improve its reliability, and (b) this modified version be used with study participants who have an intellectual disability to ascertain the appropriate level of choice to be used for items that use a Likert response format.
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Affiliation(s)
- Monica Cuskelly
- The University of Queensland, School of Education , Brisbane , Australia
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Emerson E, Felce D, Stancliffe RJ. Issues concerning self-report data and population-based data sets involving people with intellectual disabilities. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2013; 51:333-348. [PMID: 24303821 DOI: 10.1352/1934-9556-51.5.333] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
This article examines two methodological issues regarding ways of obtaining and analyzing outcome data for people with intellectual disabilities: (a) self-report and proxy-report data and (b) analysis of population-based data sets. Some people with intellectual disabilities have difficulties with self-reporting due to problems of understanding and communication. However, there are serious doubts about the validity of proxy data for subjective issues. One important challenge with secondary analysis of population-based data sets is the difficulty of accurately identifying survey participants with intellectual disabilities. In both areas examined, it is important to recognize these constraints when interpreting research based on such data.
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Dumas R, Baumstarck K, Michel P, Lançon C, Auquier P, Boyer L. Systematic review reveals heterogeneity in the use of the Scale to Assess Unawareness of Mental Disorder (SUMD). Curr Psychiatry Rep 2013; 15:361. [PMID: 23636985 DOI: 10.1007/s11920-013-0361-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The Scale to Assess Unawareness of Mental Disorder (SUMD) is one of the most widely used instruments to measure insight into mental disorders. The aim of this study was to review all studies using the SUMD in the last 20 years. We performed an electronic search of MEDLINE using PubMed to identify all relevant studies published from 1993 to 2012. The following data were extracted from each article: characteristics of the SUMD (version, rating scale, scoring, and item/dimension used), methodological aspects (country, language, subject inclusion criteria, and sample size), and statistical methods to analyse insight. Of the 133 articles screened, 100 studies were included in the review. Fifty-two studies were published over the past five years. The SUMD was rarely used in its entirety, and the use of selected items or subscales was heterogeneous across studies. The studies also varied in terms of response modalities and in the use of 3- or 5-point Likert scales. The calculation of insight scores was highly variable and included the following: treating items as categorical or continuous variables, separate analysis of individual items, items expressed in terms of the sum total or the mean scores, and a range of score values used to define insight. This paper provides a systematic review of studies using the SUMD and reveals important differences in the versions used, the methods of calculation, and the interpretation of scores across studies. The use of a modified SUMD may compromise the psychometric properties of the scale, lead to erroneous conclusions, and prevents comparison of results across studies. Our review underlines the need for the standardised use of the SUMD.
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Affiliation(s)
- Rémy Dumas
- EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, Aix-Marseille University, 13005, Marseille, France.
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Bergström H, Hochwälder J, Kottorp A, Elinder LS. Psychometric evaluation of a scale to assess satisfaction with life among people with intellectual disabilities living in community residences. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2013; 57:250-256. [PMID: 22369655 DOI: 10.1111/j.1365-2788.2011.01531.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND In the context of a health intervention among people with intellectual disabilities (ID), there was a need to assess satisfaction with some aspects of life, in order to monitor both potential positive and negative effects of the intervention. The aim of the present study was to develop and evaluate an easily administered scale for assessing satisfaction with home environment and leisure time among people with mild or moderate ID, living in community residences. METHODS A number of questions were constructed to measure satisfaction with home environment and leisure time. The questions were answered by 132 adults with mild or moderate ID, living in community residences in Sweden. The dimensionality of the scale was evaluated by factor analysis, and the reliability was estimated using Cronbach's alpha coefficients. RESULTS The analysis supported a four-factor solution with 12 items. The four factors were: (I) Satisfaction with housing environment; (II) Satisfaction with life; (III) Satisfaction with meals; and (IV) Satisfaction with recreational activity. The four factors explained almost 70% of the variance in the data set. Cronbach alpha coefficients for all scales were above 0.70, indicating that the reliabilities of the scales were satisfactory. Correlations between the four sub-scales ranged from 0.06 to 0.52, indicating low to moderate inter-correlations between the four sub-scales. CONCLUSION The scale has fairly good psychometric properties and is easy to administer. The scale, which can be further improved, can be an important resource in health intervention studies.
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Affiliation(s)
- H Bergström
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
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Bakshi AB, Wee SL, Tay C, Wong LM, Leong IYO, Merchant RA, Luo N. Validation of the care transition measure in multi-ethnic South-East Asia in Singapore. BMC Health Serv Res 2012; 12:256. [PMID: 22897804 PMCID: PMC3496595 DOI: 10.1186/1472-6963-12-256] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2011] [Accepted: 08/10/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The 15-item Care Transition Measure (CTM-15) is a measure for assessing the quality of care during transition from the patients' perspective. The purpose of this study was to test the psychometric properties of the CTM-15 and CTM-3 (a 3-item version of the CTM-15) in Singapore, a multi-ethnic urban state in South-east Asia. METHODS A consecutive sample of patients was recruited from two tertiary hospitals. The subjects or their proxies were interviewed 3 weeks after discharge from hospital to home in English or Chinese using the CTM-15 questionnaire. Information about patients' visit to emergency department (ED), non-elective rehospitalisation for the condition of index hospitalisation, and care experience after discharge was also collected from respondents. Psychometric properties of CTM-15 and CTM-3 based on the five-point response scale (i.e. strongly disagree, disagree, neutral, agree, and strongly agree) and the three-point response scale (i.e. [strongly] agree, neutral, and [strongly] disagree) were tested for English and Chinese versions separately. Internal consistency reliability was assessed using Cronbach's alpha and construct validity was tested with T-test or Pearson's correlation by examining hypothesised association of CTM scores with ED visit, rehospitalisation, and experience with care after discharge. Exploratory factor analysis was performed to examine latent dimensions of CTM-15. RESULTS A total of 414 (proxy: 96.1%) and 165 (proxy: 84.8%) subjects completed the interviews in English and Chinese, respectively. Cronbach's alpha values of the different CTM-15 versions ranged from 0.81 to 0.87. In contrast, Cronbach's alpha values of the CTM-3 ranged from 0.42 to 0.63. Both CTM-15 and CTM-3 were correlated with care experience after discharge regardless of survey language or response scale (Pearson's correlation coefficient: 0.36 to 0.46). Among the English-speaking respondents, the CTM-15 and CTM-3 scores based on both the three- and five-point response scales discriminated well between patients with and without ED visits or rehospitalisation for their index condition. Among Chinese-speaking respondents, no difference in CTM scores was observed between patients with and without ED visits or patients with and without rehospitalisation. The English and Chinese versions of the CTM-15 items demonstrated a similar 4-factor structure representing general care plan, medication, agreement on care plan, and specific care instructions. CONCLUSIONS The care transition measure is a valid and reliable measure for quality of care transition in Singapore. Moreover, the care transition measure can be administered to proxies using a simpler response scale. The discriminatory power of the Chinese version of this instrument needs to be further tested in future studies.
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Affiliation(s)
| | | | - Charlene Tay
- Agency for Integrated Care, Singapore, Singapore
| | | | | | | | - Nan Luo
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
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