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Tsekoura M, Pantou M, Fousekis K, Billis E, Gliatis J, Tsepis E. Reliability and clinical applicability of lower limp strength using an enhanced paper grip strength. Eur J Transl Myol 2023; 33:11841. [PMID: 38050432 PMCID: PMC10811633 DOI: 10.4081/ejtm.2023.11841] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 10/19/2023] [Indexed: 12/06/2023] Open
Abstract
The enhanced paper grip test (EGPT) quantitatively assesses lower limb strength. EGPT assesses the hallux grip force by reacting a pulling force derived from a card, being positioned underneath the participant's hallux. This study aimed to investigate the repeatability and clinical applicability of the EPGT for assessing foot muscle strength. EPGT force was measured using a dynamometer. The reliability of the measurement of EPGT force was assessed by having two examiners performing the test on the same group of healthy adults. Clinical applicability was assessed in community-dwelling adults of both genders. EPGT force was recorded for both feet using the same standardised protocol for all participants. Regarding reliability, 20 healthy adults aged 23.04±5.5 years participated in the present study. The EGPT demonstrated good to excellent test-retest (ICC1,2 0.8 to 0.86) and interrater reliability (ICC1,2 0.82 to 0.88). A convenience sample of 15 community-dwelling adults (71.6±7.8 years, 68.5% women) was recruited for clinical applicability testing. All participants performed the test with mean score 15±5.7 N. EPGT is a reliable measurement of the hallux grip force strength and can be used for clinical and research purposes.
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Affiliation(s)
- Maria Tsekoura
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Rio.
| | - Melina Pantou
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Rio, Greece.
| | - Konstantinos Fousekis
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Rio, Greece.
| | - Evdokia Billis
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Rio, Greece.
| | - John Gliatis
- Department of Surgery, University General Hospital Patras, Rio Patras, Greece .
| | - Elias Tsepis
- Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, Rio, Greece.
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2
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Yao X, Xia J, Jin Y, Shen Q, Wang Q, Zhu Y, McNair S, Sussman J, Wang Z, Florez ID, Zeng XT, Brouwers M. Methodological approaches for developing, reporting, and assessing evidence-based clinical practice guidelines: A systematic survey. J Clin Epidemiol 2022; 146:77-85. [PMID: 35271968 DOI: 10.1016/j.jclinepi.2022.02.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 02/24/2022] [Accepted: 02/27/2022] [Indexed: 12/08/2022]
Abstract
OBJECTIVE To produce a mapping and feature summary of approaches and tools available for the CPG community to develop, report, or assess four types of CPGs: (1) Standard original (or de novo) CPG, (2) Rapid original CPG, (3) Adapted/adopted CPGs, and (4) Updated CPGs. STUDY DESIGN The systematic literature search was conducted using Embase and PubMed, covering the period from January 2010 to October 13 2020. Two websites that collect and recommend approaches/tools to develop, report, or assess CPGs were also searched: Guidelines International Network and Equator Network. We screened the search results to include methodological papers that aimed to develop specific approaches/tools to develop, report, or assess any of the aforementioned four CPG types. RESULTS Among 10,581 citations, 46 papers reporting 46 approaches/tools were included. Of these 46 approaches/tools, 33 were about CPG development, seven were for CPG reporting, and six for CPG assessment. Among the 33 development approaches/tools, 26 did not state usability or validity information; but nine from 13 reporting or assessment approaches/tools did. CONCLUSIONS This study provides a mapping and feature summary of the current available approaches/tools, which serves to improve users' understanding to pave the way for informed choice and application.
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Affiliation(s)
- Xiaomei Yao
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Center for Clinical Practice Guideline Conduction and Evaluation, Children's Hospital of Fudan University, Shanghai, China
| | - Jun Xia
- Nottingham Ningbo GRADE Centre, The University of Nottingham Ningbo, Ningbo, Zhejiang, China; School of Medicine, The University of Nottingham, United Kingdom
| | - Yinghui Jin
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
| | - Quan Shen
- School of Health Science, Wuhan University, Wuhan, Hubei, China
| | - Qi Wang
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Ying Zhu
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Sheila McNair
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
| | - Jonathan Sussman
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
| | - Zhiwen Wang
- School of Nursing, Health Science Centre for Evidence-Based Nursing, Peking University School of Nursing, Beijing, China
| | - Ivan D Florez
- Department of Pediatrics, University of Antioquia, Colombia; School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada;.
| | - Xian-Tao Zeng
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
| | - Melissa Brouwers
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canad
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3
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Sreelakshmi PR, Iype T, Varma R, Moloney S, Babu V, Krishnapilla V, Kutty VR, Robinson L. Exploring the barriers for guideline-based management of dementia amongst consultants in Kerala, South India: A qualitative study. Indian J Med Res 2022; 155:311-314. [PMID: 35946210 PMCID: PMC9629520 DOI: 10.4103/ijmr.ijmr_3_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- P Raghunath Sreelakshmi
- Department of Community Medicine, SUT Academy of Medical Sciences, Vattappara, Thiruvananthapuram 695 028, Kerala, India
| | - Thomas Iype
- Department of Neurology, Government Medical College, Thiruvananthapuram 695 011, Kerala, India
| | - Raviprasad Varma
- Department of Public Health, Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Thiruvananthapuram 695 011, Kerala, India
| | - Susan Moloney
- NIHR Global Health Research Group on Dementia Prevention & Enhanced Care, Institute of Health & Society, Newcastle University, Newcastle upon Tyne, NE4 5PL, United Kingdom
| | - Veena Babu
- Health Action by People, Thiruvananthapuram 695 011, Kerala, India
| | - Vijayakumar Krishnapilla
- Department of Community Medicine, Amrita Institute of Medical Sciences, Edappally, Kochi 682 041, Kerala, India
| | - V Raman Kutty
- Department of Public Health, Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences & Technology; Health Action by People, Thiruvananthapuram 695 011, Kerala, India
| | - Louise Robinson
- Department of Primary Care & Ageing, Population Health Sciences Institute, Newcastle University Institute for Ageing, Campus for Ageing & Vitality, Newcastle upon Tyne, NE4 5PL, United Kingdom
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Nguyen QD, Moodie EM, Desmarais P, Goulden R, Forget MF, Peters E, Saeed S, Keezer MR, Wolfson C. Appraising clinical applicability of studies: mapping and synthesis of current frameworks, and proposal of the FrACAS framework and VICORT checklist. BMC Med Res Methodol 2021; 21:248. [PMID: 34773994 PMCID: PMC8590785 DOI: 10.1186/s12874-021-01445-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 10/22/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Not all research findings are translated to clinical practice. Reasons for lack of applicability are varied, and multiple frameworks and criteria exist to appraise the general applicability of epidemiological and clinical research. In this two-part study, we identify, map, and synthesize frameworks and criteria; we develop a framework to assist clinicians to appraise applicability specifically from a clinical perspective. METHODS We conducted a literature search in PubMed and Embase to identify frameworks appraising applicability of study results. Conceptual thematic analysis was used to synthesize frameworks and criteria. We carried out a framework development process integrating contemporary debates in epidemiology, findings from the literature search and synthesis, iterative pilot-testing, and brainstorming and consensus discussions to propose a concise framework to appraise clinical applicability. RESULTS Of the 4622 references retrieved, we identified 26 unique frameworks featuring 21 criteria. Frameworks and criteria varied by scope and level of aggregation of the evidence appraised, target user, and specific area of applicability (internal validity, clinical applicability, external validity, and system applicability). Our proposed Framework Appraising the Clinical Applicability of Studies (FrACAS) classifies studies in three domains (research, practice informing, and practice changing) by examining six criteria sequentially: Validity, Indication-informativeness, Clinical relevance, Originality, Risk-benefit comprehensiveness, and Transposability (VICORT checklist). CONCLUSIONS Existing frameworks to applicability vary by scope, target user, and area of applicability. We introduce FrACAS to specifically assess applicability from a clinical perspective. Our framework can be used as a tool for the design, appraisal, and interpretation of epidemiological and clinical studies.
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Affiliation(s)
- Quoc Dinh Nguyen
- Division of Geriatrics, Centre hospitalier de l'Université de Montréal, 1000, Saint-Denis, Montreal, Quebec, H2X0C1, Canada.
- Centre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, Canada.
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Canada.
| | - Erica M Moodie
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Canada
| | - Philippe Desmarais
- Division of Geriatrics, Centre hospitalier de l'Université de Montréal, 1000, Saint-Denis, Montreal, Quebec, H2X0C1, Canada
- Centre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, Canada
| | - Robert Goulden
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Canada
- Department of Medicine, McGill University, Montreal, Canada
| | - Marie-France Forget
- Division of Geriatrics, Centre hospitalier de l'Université de Montréal, 1000, Saint-Denis, Montreal, Quebec, H2X0C1, Canada
| | - Eric Peters
- Department of Anesthesia, Centre hospitalier universitaire Sainte-Justine, Montreal, Canada
| | - Sahar Saeed
- Department of Infectious Disease, Washington University in St. Louis, St. Louis, USA
| | - Mark R Keezer
- Centre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, Canada
- Departments of Neurosciences & Social and Preventative Medicine, Université de Montréal, Montreal, Canada
| | - Christina Wolfson
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Canada
- Department of Medicine, McGill University, Montreal, Canada
- Neuroepidemiology Research Unit, Research Institute of the McGill University Health Centre, Montreal, Canada
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5
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Linan Z, Qiusha Y, Chuan Z, Chao H, Hailong L, Chunsong Y, Mao L, Liang H, Dan L, Deying K, Guanjian L, Qiaolan L, Rongsheng Z, Junhua Z, Youping L, Hanmin L, Qiang W, Lingli Z. An instrument for evaluating the clinical applicability of guidelines. J Evid Based Med 2020; 14:75-81. [PMID: 33090726 PMCID: PMC7984040 DOI: 10.1111/jebm.12416] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Accepted: 09/29/2020] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To establish an instrument for evaluating the clinical applicability of guidelines from the guideline-users' perspective. METHODS We established this instrument through forming a working group, forming an initial list of items based on a qualitative systematic review, establishing initial instrument via two rounds of modified Delphi surveys, and external review the initial instrument. RESULTS The results of modified Delphi surveys establishing appraisal aspects, appraisal items, general information of the evaluator met the preset requirements. The instrument includes three parts: general information of the evaluator (12 items), evaluation of clinical applicability (12 items, including items on the availability, readability, acceptability, feasibility, and overall applicability of guideline), and scoring scheme. CONCLUSIONS The instrument for evaluating the clinical applicability of guidelines from the guideline-users' perspective provides criteria and methods for improving the clinical applicability of guidelines during development and updating.
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Affiliation(s)
- Zeng Linan
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
| | - Yi Qiusha
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
- West China School of MedicineSichuan UniversityChengduP.R. China
| | - Zhang Chuan
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
| | - Huang Chao
- Medical Management Service Guidance CenterNational Health Commission of the People's Republic of ChinaBeijingP.R. China
| | - Li Hailong
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
| | - Yang Chunsong
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
| | - Lin Mao
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
- West China School of PharmacySichuan UniversityChengduP.R. China
| | - Huang Liang
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
- West China School of PharmacySichuan UniversityChengduP.R. China
| | - Liu Dan
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
| | - Kang Deying
- Chinese Evidence‐Based Medicine Center, West China HospitalSichuan UniversityChengduP.R. China
| | - Liu Guanjian
- Chinese Evidence‐Based Medicine Center, West China HospitalSichuan UniversityChengduP.R. China
| | - Liu Qiaolan
- West China School of Public HealthSichuan UniversityChengduP.R. China
| | - Zhao Rongsheng
- Department of PharmacyPeking University Third HospitalBeijingP.R. China
- Evidence‐Based Pharmacy CommitteeChinese Pharmaceutical AssociationBeijingP.R. China
| | - Zhang Junhua
- Centre for Evidence‐Based MedicineTianjin University of TCMTianjinP.R. China
| | - Li Youping
- Chinese Evidence‐Based Medicine Center, West China HospitalSichuan UniversityChengduP.R. China
| | - Liu Hanmin
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
- Department of PediatricsWest China Second University Hospital, Sichuan UniversityChengduP.R. China
| | - Wang Qiang
- Medical Management Service Guidance CenterNational Health Commission of the People's Republic of ChinaBeijingP.R. China
| | - Zhang Lingli
- Department of Pharmacy/Evidence‐Based Pharmacy CentreWest China Second University Hospital, Sichuan UniversityChengduP.R. China
- Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenMinistry of EducationChengduP.R. China
- Evidence‐Based Pharmacy CommitteeChinese Pharmaceutical AssociationBeijingP.R. China
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