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Oswald, Andrin Lucas. "L'utilité du questionnaire CAGE pour le dépistage de l'alcoolisme dans la santé publique /." Genève : Ed. Médecine et hygiène, 2000. http://www.unige.ch/cyberdocuments/theses2000/OswaldA/these.pdf.
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Freitas, Efigênia Aparecida Maciel de. "Freqüência de uso de bebidas alcoólicas em vítimas de causas externas atendidas no Hospital de clínicas da Universidade Federal de Uberlândia." Universidade Federal de Uberlândia, 2007. https://repositorio.ufu.br/handle/123456789/12878.
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Objective: To verify the frequency of alcoholic ingestion in victims of external causes
at the Hospital of Clinics from Uberlândia.
Methods: Blood alcohol content was determined in 85 patients of emergency room
(ER). A total of 301 in-patients were interviewed on alcoholic ingestion prior to
incidents. All ER and in-patients were submitted to the CAGE questionnaire. Also, 50
alcoholic patients and 50 no alcoholics attended at ambulatory level were interviewed
on trauma antecedents. Results: Blood alcohol content was positive in 31.8% ER
patients (85.2% were men and 70.4% required internment; p<0.05) and it was more
frequent (p<0.05) in physical aggression (57.2%) than fall (15.4%) victims, but not
compared to traffic victims (29.3%). Among in-patients, 29.9% had positive history of
alcoholic ingestion and physical aggressions (68.9%) were more frequent (p<0.01)
than traffic accidents (27.4%) or falls (15.2%). Among ER patients with positive blood
alcohol content and drinker in-patients, the occurrence of incidents was higher
(p<0.05) in the weekend (62.9% and 57,8%, respectively) and the night period
(59.2% and 63.4%, respectively), with positive CAGE in 81.5% ER patients and
82.3% in-patients. At ambulatory level, 93.1% alcoholic patients reported trauma
antecedents related to alcoholic ingestion compared to 9.1% no alcoholics (p<0.01).
Conclusions: A third of patient s ingested alcoholic drinks prior to incidents, and
among them, the most were chronic alcoholics. Incidents were more frequent in the
weekends and the night period, with lesions more severe. Among the ambulatory
patients, the alcoholics were the most frequently injured.<br>Objetivos: Verificar a freqüência de ingestão alcoólica em vítimas de causas
externas atendidos no Hospital de Clínicas da Universidade Federal de Uberlândia.
Métodos: Determinou-se alcoolemia em 85 pacientes no pronto socorro (PS)
(TDx/TDxFLx-Etanol, Abbott) e entrevistou-se 301 internados sobre possível
ingestão alcoólica previamente ao trauma; em ambos os locais aplicou-se o
questionário CAGE. Nos ambulatórios, entrevistou-se cinquenta pacientes etilistas e
cinquenta não etilistas sobre antecedentes de trauma. Resultados: A alcoolemia foi
positiva em 31,8% dos pacientes no PS, destes 85,2% eram homens e 70,4%
necessitaram internação (p<0,05). Proporcionalmente, alcoolemia positiva foi mais
freqüente (p<0,05) entre as vítimas de agressão física (57,2%) do que as de queda
(15,4%), mas não do que as de trânsito (29,3%). Nas enfermarias, 29,9% dos
pacientes tinham história positiva de ingestão alcoólica, e nestes, a agressão física
(68,9%) foi proporcionalmente mais freqüente (p<0,01) do que acidente de trânsito
(27,4%) ou queda (15,2%). Entre os que tinham bebido, no PS e enfermarias,
respectivamente, a ocorrência de incidentes foi maior (p<0,05) no final de semana
(62,9 e 57,8%) e no período noturno (59,2% e 63,4%) e o CAGE foi positivo em
81,5% e 82,3%. Nos ambulatórios, 93,1% dos alcoolistas e 9,1% no grupo controle
(p<0,01) relataram antecedentes de trauma relacionado à ingestão alcoólica.
Conclusões: Um terço dos pacientes ingeriram bebidas alcoólicas previamente ao
trauma e, entre eles, a maioria era etilista crônico, os incidentes foram mais
freqüentes nos finais de semana, no período noturno e as lesões foram mais graves.
Entre os pacientes dos ambulatórios, os etilistas se acidentaram mais
freqüentemente.<br>Mestre em Ciências da Saúde
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Vate-U-Lan, Poonsri, and poonsri vate@gmail com. "Internet-Based Survey Design for University Web Sites: A Case Study of a Thai University." RMIT University. Education, 2007. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080530.152800.
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In recent years with the increasingly world-wide introduction of the Internet, the use of online questionnaires has increased dramatically. However in Thailand, there has been only very limited systematic research on web-based design in Thailand, including for Thai undergraduates who are the biggest group of Thai internet users. The particular characteristics of the Thai language (e.g. no capital letters, no break between words, Thai script etc.) present some interesting challenges for online Thai surveys. This experimental study investigated web-based survey design principles based on an English language background trial at a Thai university with individual interviews and focus groups with the use of think aloud and other research techniques. The findings of two types of web usability tests revealed that the scrolling web-based format was the most suitable for conducting surveys and that such surveys are most likely to attract higher response rates when endorsed by a trusted organization, when instructions are short, simple and specific, when closed and dichotomous questions provide sufficient answer options and when matrix and semantic differential questions are limited. Research also indicates that the font, Ms Sans Serif of size
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Misola, Jane. "The Development and Testing of the Life Sustaining Treatment Attitude Questionnaire (LSTAQ)." Diss., University of Hawaii at Manoa, 2010. http://hdl.handle.net/10125/22061.
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Purpose:
To develop and test the validity and reliability of the Life Sustaining Treatment Attitude Questionnaire (LSTAQ), a survey instrument to elicit family member decision-maker attitudes toward life sustaining treatments for the critically ill at end of life.
Background:
Attitudes toward life sustaining treatments (LST) have been shown to influence decision-making at end of life (EOL). A reliable and valid tool to elicit attitudes specifically from family member decision-makers may help healthcare
professionals facilitate decision-making during serious illness at end of life.
Methods:
A 33-item LSTAQ instrument was tested in 170 adults. Construct validity was evaluated by exploratory factor analysis. Correlations established convergent and discriminant validity. Reliability testing for internal consistency was assessed by Cronbach's alpha and corrected split half reliability coefficients. All procedures were done with Statistical Package for Social Sciences (SPSS version 18) software (SPSS Inc., Chicago, 111).
Results:
A 30-item final LSTAQ tool was derived from this study. Principal components factor analysis extracted six factors explaining 62.7% of variance. Correlations with a similar tool supported convergence (r = .72, ? <.01). Discriminant validity was confirmed by the absence of significant correlation with the dissimilar tool. LSTAQ internal consistency was good (Cronbach's alpha = .92). A preliminary exploration of differences in LSTAQ scores by ethnicity revealed a sampling size and distribution that was not optimally responsive to detection of ethnic differences.
Conclusion:
The LSTAQ is a reliable and valid tool to elicit LST attitudes specifically from family member decision-makers. The knowledge gained may help healthcare professionals promote interventions that facilitate family decision-making on life support for the ill relative at end of life. This might help reduce decision difficulties that cause preventable discomfort, unnecessary treatment and prolonged suffering for the terminally ill patient, as well as avoidable distress among family
members involved in decisions for the sick relative.
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Torstensson, Andreas, and John Lönnroos. "Tanzanian nurses’ exposure and experience of violence : A questionnaire study." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192601.
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Introduction: Physical and verbal violence within the health care sector, especially towards nurses, is a problem that have been reported from many countries worldwide. Aim: The aim of this study was to examine workplace-related violence, and its outcomes, experienced by Tanzanian nurses in a tertiary hospital facility. Method: This was a descriptive, retrospective, cross-sectional study. The study was carried out in patient wards in a tertiary hospital facility. 54 nurses’ working at a hospital in Tanzania with regular contacts with patients were asked to return a questionnaire, comprising 17 questions with fixed-alternative answers. Results: Of the 32 participants (59% response rate), 16 nurses reported having experienced physical or verbal violence. The most common type of violence was “verbal threat/aggression” (n = 11) and the most common source of aggression was from “patient relative/visitor” (n = 9). Conclusion: The main findings of this study confirmed that workplace-related violence towards nurses’ did occur in the hospital where the study took place. The results are supported by existing research and literature that workplace-related violence is a worldwide problem. Education and awareness regarding violence prevention as a part of nursing education could help preventing workplace-related violence.<br>Introduktion: Våld i fysisk eller psykisk form är inom hälso- och sjukvårdssektorn, speciellt riktat mot sjuksköterskor, ett problem som rapporterats från flertalet länder över hela världen. Mål: Målet med denna studie var att utforska arbetsplatsrelaterat våld och upplevda utfall av dessa hos sjuksköterskor på ett referenssjukhus i Tanzania. Metod: Detta var en deskriptiv, retrospektiv, tvärsnittsstudie. Den utfördes på vårdavdelningar på ett referenssjukhus. 54 sjuksköterskor med regelbunden patientkontakt som arbetade på KCMC tillfrågades om att fylla i en enkät innehållandes 17 frågor med valbara alternativ. Resultat: Utav de 32 deltagarna (59% svarsfrekvens) hade 16 sjuksköterskor rapporterat att ha upplevt psykiskt eller fysiskt våld. Majoriteten av sjuksköterskorna rapporterade typen av våld som verbalt (n = 11) och den vanligaste källan av våld var patientens närstående (n = 9). Slutsats: De huvudsakliga fynden från denna studie var att våld riktat mot sjuksköterskor på arbetsplatsen förkom på sjukhuset där studien utfördes. Resultaten i denna studie stämmer överens med redan existerande forskning och stöder teorin om att detta fenomen är globalt. För att förhindra arbetsplatsrelaterat våld bör utbildning rörande våldsprevention ingå i sjuksköterskors utbildning.
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Wepener, Clare. "The development and validation of a questionnaire on Root Cause Analysis." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33082.
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Background: Root Cause Analysis (RCA) is a method of investigating adverse events (AEs). The purpose of RCA is to improve quality of care and patient safety through a retrospective, structured investigative process of an incident, resulting in recommendations to prevent the recurrence of medical errors. Aim: The aim of the study was to develop and validate a prototype questionnaire to establish whether the RCA model and processes employed at the research setting were perceived by the users to be acceptable, thorough and credible in terms of internationally established criteria. Methods: This is a validation study comprising four phases to meet the study objectives: 1) the development of a prototype questionnaire guided by a literature review; 2) assessing the validity of the content of the questionnaire by and numerical evaluation of the face validity thereof; 3) assessing the qualitative face validity cognitive interviews; and 4) reliability by test-retest. Results: Content validity assessment in Phase 2 resulted in removal of 1/36 (2.77%) question items and amendment of 7/36 (19.44%), resulting in 35 for the revised questionnaire. Analysis of data from the cognitive interviews resulted in amendment of 20/35 (57.14%) question items but no removal. Reliability of the final questionnaire achieved the predetermined ≥0.7 level of agreement. Conclusion: The questionnaire achieved a high content validity index and face validity was enhanced by cognitive interviews by providing qualitative data. The inter-rater coefficient indicated a high level of reliability. The tool was designed for a local private healthcare sector and this may limit its use.
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Pekar, Bunnany C. "The Development and Psychometric Testing of the CRNA-INTO DC Questionnaire." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459242788.
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Mallol, Javier, Luis García-Marcos, Viviana Aguirre, et al. "The International Study of Wheezing in Infants: questionnaire validation." Karger AG, Basel, 2007. http://hdl.handle.net/10757/625752.
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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado<br>Background: There are no internationally validated questionnaires to investigate the prevalence of infant wheezing. This study was undertaken to validate a questionnaire for the International Study on the Prevalence of Wheezing in Infants (Estudio Internacional de Sibilancias en Lactantes, EISL). Material and Methods: Construct and criterion validity were tested for the question 'Has your baby had wheezing or whistling in the chest during his/her first 12 months of life?'. Construct validity (i.e. the ability of parents and doctors to refer to the same symptoms with the same words) was tested in a sample of 50 wheezing and 50 non-wheezy infants 12-15 months of age in each of 10 centres from 6 different Spanish- or Portuguese-speaking countries. Criterion validity (i.e. the ability of parents to correctly detect the symptom in the general population) was evaluated in 2 samples (Santiago, Chile and Cartagena, Spain) of 50 wheezing and 50 non-wheezing infants (according to parents) of the same age, randomly selected from the general population, who were later blindly diagnosed by a paediatric pulmonologist. Results: Construct validity was very high (κ test: 0.98-1) in all centres. According to Youden's index, criterion validity was good both in Cartagena (75.5%) and in Santiago (67.0%). Adding questions about asthma medication did not improve diagnosis accuracy. Conclusions: The EISL questionnaire significantly distinguished wheezy infants from healthy ones. This questionnaire has a strong validity and can be employed in large international multicentre studies on wheezing during infancy.<br>Revisión por pares
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Klingman, Karen J. "Evaluation of a sleep disorders screening questionnaire for primary care of adults." Thesis, State University of New York at Buffalo, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3714623.
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<p> This dissertation, composed of three manuscripts, provides a foundation for sleep disorders screening in primary care. The first manuscript presents a concept analysis of sleep to guide nurses’ understanding of how sleep impacts patients. The first manuscript is currently under review in the Nursing Forum journal. A framework for sleep disorders screening in primary care is presented, and followed by a systematic review of the literature to identify questionnaires that might be suitable to screen for sleep disorders in primary care. Several candidate questionnaires are identified, but none of those meet both thoroughness and brevity criteria postulated as necessary for use in primary care practices. The second manuscript is currently under review in Sleep Medicine Reviews. The third manuscript introduces the sleep disorders screening checklist (SDS-CL), previously used for research. The SDS-CL meets both thoroughness and brevity criteria but has not yet been validated for primary care application. Psychometric properties of the SDS-CL are evaluated with data from a sample of n=694 adults representative of the primary care population. Psychometric properties of the SDS-CL are favorable for primary care application. The third manuscript is currently being prepared for submission to a journal focusing on primary or preventive care medicine. Finally, future studies are recommended.</p>
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Isaramalai, Sang-Arun. "Developing a cross-cultural measure of the self-as-carer inventory questionnaire for the Thai population." free to MU campus, to others for purchase, 2002. http://wwwlib.umi.com/cr/mo/fullcit?p3052182.
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Huynh, Chau. "Development and Validation of a Case-finding Questionnaire to Identify Undiagnosed Chronic Obstructive Pulmonary Disease (COPD) and Asthma." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42683.
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Background: Undiagnosed chronic obstructive pulmonary disease (COPD) and asthma remain prevalent health issues. The current global and Canadian prevalence reported for obstructive lung disease do not reflect the true prevalence since undiagnosed cases remain missed and uncounted. Spirometry testing is viewed as the current gold standard for diagnosing obstructive lung disease. However, barriers associated with inaccessibility and underuse have contributed to undiagnosed lung disease. While guidelines advise against spirometry for asymptomatic persons, active case-finding for persons at-risk and those presenting with symptoms has been recommended. Given early treatment and management has the potential to improve health-related quality of life and reduce the progression of lung decline, identifying undiagnosed lung disease is critical to preventing adverse health outcomes. To date, this marks the first study to incorporate both obstructive lung diseases into a single-case finding instrument.
Objective: To develop and validate a case-finding questionnaire to identify undiagnosed COPD and asthma in community-dwelling adults, and to prospectively evaluate reliability and predictive performance.
Methods: This study uses data obtained from the Undiagnosed Chronic Obstructive Pulmonary Disease and Asthma Population (UCAP) study from June 2017 to March 2020. Eligible participants were >18 years, had a history of chronic respiratory symptoms, and had no previous physician diagnosis of obstructive lung disease. Presence of obstructive lung disease was confirmed with spirometry. Multinomial logistic regression and recursive partitioning were used to develop a case-finding questionnaire. Predictors available from six questionnaires completed during spirometry visit. Diagnostic accuracy of the models was used to evaluate performance. Risk score externally validated in a cohort of participants recruited between October 2020 and January 2021 at study sites open during the COVID-19 pandemic.
Results: Derivation cohort included 1615 participants, with 136 ultimately diagnosed with asthma and 195 diagnosed with COPD. A 13-item questionnaire was developed using logistic regression: age, pack-years of cigarette smoking, wheeze, cough, sleep, chest tightness, level of tiredness, physical activity limitation, occupational exposure, primary or second-hand smoke exposure, frequency of chest attacks, and salbutamol medication. Internal validation showed an area under the curve (AUC) of 0.79 (0.70-0.90) for COPD and 0.64 (0.45-0.80) for asthma. At a predicted probability of greater than or equal to 6%, specificity was 17% for no OLD, sensitivity was 91% for asthma, and sensitivity was 96% for COPD. External cohort included 74 subjects, with 8 diagnosed with COPD and 6 diagnosed with asthma. The AUC for COPD was 0.89 (95% CI: 0.62-0.90) and AUC was 0.65 (95% CI: 0.63-0.72) for asthma. Sensitivity was 100% for both asthma and COPD, specificity was 13%, and positive predictive value was 23%.
Conclusion: The 13-item case-finding questionnaire was shown to be reliable and with modest predictive ability in identifying COPD and asthma. Prospective evaluation with the UCAP study is still ongoing to recruit a larger sample to re-evaluate predictive performance.
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Isackson, Andréa, and Matilda Magnusson. "Oral Care Assistance at Private and Municipal Swedish Geriatric homes - A Questionnaire survey." Thesis, Umeå universitet, Tandläkarutbildning, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97857.
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Oral health among elderly people is commonly debated, and correlations between oral and general health are shown. The increase of life expectancy in our population causes changes in the need of oral health care. The requirements of performing the oral hygiene increase and cause higher demands on the staff working at the geriatric homes. Both private and communal geriatric homes were included in this study. Two different questionnaires were distributed, one to nursing staff and one to staff managers. A geographical distribution to four big city’s; Umeå, Stockholm, Göteborg and Malmö were selected. The hypothesis is that the knowledge of the daily needs of oral care for elderly people among geriatric nursing staff and the manager, are insufficient and more education are needed. Results do not differ when comparing private and municipal management. Nursing assistants indicated that their basic education included none or minor theoretical knowledge (61 %) and practical training in oral care (67 %). Part of the staff (30%) felt that they needed more education to help the residents with the daily oral care. Half of the staff members answered that they had not received any in-service education in oral health. The results did not differ comparing private and municipal geriatric homes. Conclusions of this study are that it is common that caretakers in geriatric homes are in need of assistance when performing daily oral care. The staffs appear to be well aware of the fact that maintaining a good oral health is of big importance. More education about oral health are both wanted and needed.
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Gotschall, Wendy Dawn. "Psychometric Evaluation of the Continuity of Care Questionnaire for Congestive Heart Failure Patients (CCQ-CHFP)." Walsh University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=walsh1398118253.
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Chong, Teik Ee 1952. "UNCERTAIN RECREATION QUALITY AND CONTINGENCY CONTRACTING: IMPLICATIONS FOR WILDLIFE VALUATION AND QUESTIONNAIRES DESIGN (ARIZONA)." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275447.
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Good, Julian David. "Screening for Bipolar Disorder in the Primary Care Setting Using the Mood Disorder Questionnaire." Diss., North Dakota State University, 2017. http://hdl.handle.net/10365/25941.
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The majority of patients who have mental health needs are seen by their primary care provider (PCP) for treatment. In 2014, an estimated 6.6% of adults in the United States met diagnostic criteria for a major depressive episode during the past year. However, not all patients who present to their healthcare provider with symptoms of depression have a major depressive disorder. Some of these patients may have bipolar disorder, which in addition to symptoms of depression, include symptoms of mania or hypomania. This practice improvement project aimed to improve PCPs? confidence in treating patients with depression and identifying patients with possible bipolar disorder. The project?s objectives were: 1) to implement clinic wide use of the Mood Disorder Questionnaire (MDQ), which screens for a lifetime history of mania or hypomania, to assist the PCPs in the diagnosis of depression and identifying patients with possible bipolar disorder and 2) improve PCPs? confidence in treating patients with depression and identifying patients with possible bipolar disorder. The project took place at a family medicine residency clinic over a seven-month period. Four one-hour educational sessions were presented to the PCPs with pre-educational surveys and post-educational surveys administered at the beginning of the project and towards the end of the project. The surveys included seven statements assessing PCPs? confidence in identifying, diagnosing, and managing patients with depression and bipolar disorder. A four-point Likert scale was used with 1 being very confident to 4 being not confident. During the seven-month project MDQs were offered to clinic patients presenting with mental health concerns. During the project, the MDQ was used 71 times with 23 of the 71 screens being positive. Eighteen PCPs completed the pre-education surveys and 15 PCPs completed the post-education surveys with confidence scores increasing pre-to post survey for all seven depression and bipolar disorder statements. Recommendations include continued use of the MDQ to screen for bipolar disorder in patients presenting with mental health concerns and offering educational sessions to increase PCP confidence in treating patients with depression and identifying patient with possible bipolar disorder.
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Bozalek, Faye. "Autism screening in children: using the social communication questionnaire in a Western Cape population." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/6854.
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Autism spectrum disorder (ASD) has a global prevalence of approximately one percent of all new births. There is a lack of literature on autism in South Africa. South African children are waiting years for diagnoses, despite the fact that early diagnosis and subsequent intervention appear to have a positive effect on the outcomes of the intervention. A screening device to detect ASD could be used to speed up the diagnostic process. This study tested the viability of using the Social Communication Questionnaire (SCQ) in a Western Cape state-funded hospital. This thesis describes Phase 1 of a larger study. The 40 item SCQ was adapted and translated into Afrikaans and isiXhosa. The English, Afrikaans and isiXhosa versions of the SCQ were administered to parents of very young children attending the Red Cross Children?s Hospital?s developmental clinic (N = 228, age range of children = 3.00-5.97 years). Positive results were that no relationship was found between age and SCQ score, or between SCQ language version and SCQ score were found. However there was a relationship between SCQ score and socioeconomic status, indicating a possible bias in the SCQ. Internal reliability of the SCQ versions was analysed and was satisfactory. The factor structure of the English SCQ was examined. Two and four factor solutions were explored, with the two factor solution proving the best fit with good internal reliability. This two factor solution reflected the recent changes to the Diagnostic and Statistical Manual of Mental Disorders, as well as previous findings on the SCQ and the ADI-R, the diagnostic instrument on which the SCQ was based. Preliminary results of Phase 2 of the larger study were analysed. Eighteen children received an Autism Diagnostic Observation Schedule (ADOS) assessment;; the current gold standard for diagnosing ASD. SCQ scores proved to be a good predictor of ASD diagnosis, predicting 17 out of 18 individuals correctly. Further research on isiXhosa and Afrikaans versions of the SCQ as well as the predictive power, sensitivity and specificity and cut-off scores for the SCQ is recommended.
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Bothelius, Kristoffer. "Cognitive Behavioural Therapy for Insomnia : How, for Whom and What about Acceptance?" Doctoral thesis, Uppsala universitet, Institutionen för psykologi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-259605.
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Sleep is essential for survival but a significant minority of the adult population are dissatisfied with their sleep, and 6-10% meet the criteria for insomnia disorder, characterised by difficulties falling asleep at bedtime, waking up in the middle of the night or too early in the morning, and daytime symptoms. Cognitive behavioural therapy for insomnia (CBT-I), an evidence-based sleep-focused intervention, has been suggested as the treatment of choice for chronic insomnia. However, access to specialised sleep therapists is sparse, and a service delivery model based on the principles of ‘stepped care’ has been proposed. Even though CBT-I is shown to be effective, there is a need to continue the development of cognitive behavioural treatments for insomnia. As a complement to traditional interventions, the potential value of acceptance, that is, to make an active choice of openness towards psychological experiences, has been recognized. However, it has not yet been systematically investigated, and specific instruments for studying acceptance in insomnia are lacking. The present thesis is based on three studies: Study I showed that manual-guided CBT for insomnia delivered by ordinary primary care personnel has a significant effect on perceived insomnia severity, sleep onset latency and wake time after sleep onset. Study II demonstrated that non-responders in Study I reported shorter sleep time at baseline than did responders, a notion that may help select patients for this type of low-end intervention in a stepped care treatment approach. Study III aimed to develop a new assessment instrument for studying acceptance of insomnia, the Sleep Problem Acceptance Questionnaire (SPAQ), resulting in an eight-item questionnaire with two factors; the first being Activity Engagement, persisting with normal activities even when sleep is unsatisfactory, and the second involving Willingness, avoiding fighting and trying to control sleep problems. In conclusion, the present thesis demonstrates that it is feasible to treat patients with insomnia using CBT-I administrated by ordinary primary care personnel in general practice, and that those with relatively longer initial sleep duration benefit most from treatment, enabling allocation to relevant treatment intensity. In addition, acceptance of sleep difficulties may be quantified using the SPAQ.
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Pérez, López María Francisca. "Adaptación cultural al castellano y estudio de fiabilidad y validez del European Quality Questionnaire (EuroQ2)." Doctoral thesis, Universitat Rovira i Virgili, 2017. http://hdl.handle.net/10803/665980.
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Introducció. La satisfacció de la família amb la qualitat de l'atenció als malalts crítics és un indicador de qualitat que precisa que s’avaluï. Per això és necessari disposar d'instruments vàlids. Una iniciativa promovida per autors d'Holanda i Dinamarca és el desenvolupament del Qüestionari Europeu de Qualitat per a medir la satisfacció de la família amb l'assistència, amb la presa de decisions i amb l'assistència al pacient en situació d'últims dies a les UCIs d'Europa. Les diferències culturals i lingüístiques entre els diferents països significa que un instrument no es pot utilitzar sense l'adaptació cultural i la verificació de les seves propietats mètriques.
Objectius. Adaptar i validar al castellà el European Quality Questionnaire (EuroQ2).
Metodologia. Disseny de caràcter mètric i descriptiu. L'estudi es va realitzar a la Unitat de Cures Intensives de l'Hospital Universitari de Sabadell. La població d'estudi va ser tots els familiars de pacients ingressats des del 15 de novembre de 2016 fins l’1 de maig de 2017. Mostreig consecutiu amb 132 familiars. L'estudi es va realitzar en dues fases. En la primera fase es va realitzar la traducció, traducció inversa i adaptació cultural, en la segona fase es va realitzar l'anàlisi de la fiabilitat i de la validesa.
Per a la validació del qüestionari es va utilitzar l'anàlisi de consistència interna mesura amb l'alfa de Cronbach i l’estabilitat temporal. La validesa convergent amb el qüestionari de Necesidades de los Familiares de Pacientes de Cuidados Intensivos versión breve i la validesa de constructo mitjançant l'anàlisi factorial confirmatori.
Resultats. La fiabilitat del qüestionari va ser de 0.935 i els 2 factors van obtenir valors de 0,73 i 0,923. El coeficient de correlació intraclasse de l'escala total va ser de 0,818 indicatiu d'una bona estabilitat temporal. La validesa convergent presentava una correlació positiva de 0.661 i la validesa de constructo presentava un ajust adequat i una estructura factorial en 2 factors.
Conclusions. El qüestionari EuroQ2 ha estat adaptat al castellà i validat amb dues dimensions: la satisfacció amb l'assistència (el tracte) i amb la informació. Es necessita d'estudis posteriors per validar la dimensió presa de decisions i recomanar el seu ús en la pràctica clínica.<br>Introducción. La satisfacción de la familia con la calidad de la asistencia a los enfermos críticos es un indicador de calidad que precisa que se evalúe. Para ello es necesario disponer de instrumentos validados. Una iniciativa promovida por autores de Holanda y Dinamarca es el desarrollo del European Quality Questionnaire para medir la satisfacción de la familia con la asistencia, con la toma de decisiones y con la asistencia al paciente en situación de últimos días en las UCIs de Europa. Las diferencias culturales y linguísticas entre los diferentes países significa que un instrumento no puede utilizarse sin la adaptación cultural y la verificación de sus propiedades métricas.
Objetivos. Adaptar y validar al castellano el European Quality Questionnaire (EuroQ2).
Metodología. Diseño de carácter métrico y descriptivo. El estudio se realizó en la Unidad de Cuidados Intensivos del Hospital Universitario de Sabadell. La población de estudio fue todos los familiares de pacientes ingresados desde el 15 de noviembre de 2016 al 1 de mayo de 2017. Muestreo consecutivo con 132 familiares. El estudio se realizó en dos fases. En la primera fase se realizó la tradución, traducción inversa y adaptación cultural, en la segunda fase se realizó el análisis de la fiabilidad y de la validez.
Para la validación del cuestionario se utilizó el análisis de consistencia interna medida con el alfa de Cronbach y la estabilidad temporal test-retest. La validez convergente con el Cuestionario de Necesidades de los Familiares de Pacientes de Cuidados Intensivos versión breve y la validez de constructo mediante el análisis factorial confirmatorio.
Resultados. La fiabilidad del cuestionario fue de 0,935 y los 2 factores obtuvieron valores de 0,73 y 0,923. El Coeficiente de Correlación intraclase de la escala total fue de 0.818 indicativo de una buena estabilidad temporal. La validez convergente presentó una correlación positiva de 0.661 y la validez de constructo presentó un ajuste adecuado y una estructura factorial en 2 factores.
Conclusiones. El cuestionario EuroQ2 ha sido adaptado al castellano y validado con dos dimensiones: la satisfacción con la asistencia (el trato) y con la información. Se necesita de estudios posteriores para validar la dimensión toma de decisiones y recomendar su uso en la práctica clínica.<br>Introduction. The satisfaction of the family with the quality of care for critically ill patients is an indicator of quality that needs to be assessed. For this, it is necessary to have validated instruments. An initiative promoted by authors from the Netherlands and Denmark is the development of the European Quality Questionnaire to measure family satisfaction with care, decision making and care for dying patients in Europa UCI. Cultural and linguistic differences between different countries mean that an instrument can not be used without cultural adaptation and verification of its metric properties.
Aims. Adapt and validate the European Quality Questionnaire (EuroQ2) in Spain.
Methodology. Psychometric and transversal quantitative design. The study was carried out at the Intensive Care Unit of the University Hospital of Sabadell. The study population was all relatives of patients admitted from November 15, 2016 to May 1, 2017. Consecutive sampling with 132 relatives. The study was carried out in two phases. In the first phase the translation, back translation and cultural adaptation were carried out, in the second phase the reliability and validity analysis was performed.
For the validation of the questionnaire, we used the internal consistency analysis measured with the Cronbach's alpha and the temporary stability test-retest. The convergent validity with the Family Needs Questionnaire for Intensive Care Patients short version and construct validity through confirmatory factor analysis.
Results. The reliability of the questionnaire was 0.935 and the 2 factors obtained values of 0.73 and 0.923. The intraclass correlation coefficient of the total scale was 0.818 indicative of good temporal stability. The convergent validity had a positive correlation of 0.661. The construct validity presented an adequate fit and a factorial structure in 2 factors.
Conclusions. The EuroQ2 questionnaire has been adapted to Spanish and validated with two dimensions: satisfaction with care (treatment) and with information. Further studies are needed to validate the decision-making dimension and recommend its use in clinical practice.
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Andrade, Sofia Mariana Moreira da Mota. "Comunicação Centrada no Doente Crónico: Validação do Health Care Communication Questionnaire para a População Portuguesa." Master's thesis, [s.n.], 2014. http://hdl.handle.net/10284/4216.
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Dissertação apresentada à Universidade Fernando Pessoa como parte dos requisitos para a obtenção do grau de Mestre em Psicologia, ramo de Psicologia Clínica e da Saúde<br>Os processos de informação e comunicação em saúde apresentam uma importância
crítica e estratégica, pois podem influenciar significativamente a qualidade dos
serviços/cuidados prestados.
São diversos os estudos que a literatura nos apresenta que provam que os problemas
na comunicação que se estabelece entre os profissionais de saúde e os utentes são
extremamente comuns e que aqueles afectam negativamente a gestão da doença e a
adesão ao tratamento comprometendo, assim a eficácia dos planos de tratamento e a sua
satisfação com os cuidados.
Neste sentido os instrumentos de avaliação apresentam-se com um elemento chave
para podermos caracterizar a situação em Portugal e assim podermos investir, nas áreas
em défice, planeando eventuais formações dirigidas às reais necessidades da nossa
sociedade, o que seria benéfico não só para os utentes dos serviços de saúde mas
também, para todos os profissionais de saúde e as próprias instituições de saúde.
O presente estudo tem como objectivo contribuir para a adaptação cultural e
linguística do Health Care Communication Questionnaire (HCCQ) testando a sua
validade, fidelidade e sensibilidade.
Participaram 107 indivíduos, com uma ou mais doenças crónicas, com idades
compreendidas entre os 19 e 86 anos. Estes indivíduos no final das suas consultas eram
encaminhados para à sala dos investigadores onde lhes era, lida a declaração de
consentimento livre e informado e caso aceitassem participar, era-lhes solicitado que
respondessem a um questionário sócio-demográfico e ao HCCQ.
Verificou-se a existência de uma boa consistência interna (α total = 0,89), existindo
dois domínios que apresentam valores de consistência interna superiores aos
encontrados pelos autores do instrumento. Tal como no estudo de Gremigni et al.
(2008), encontramos a existência de 4 factores. Os resultados demonstram ainda que os
participantes se encontram na sua maioria satisfeitos com a comunicação que
estabelecem com os profissionais de saúde que os atendem.
O HCCQ é um instrumento que para além de apresentar boas qualidades
psicométricas se mostrou de fácil uso com os utentes dos nossos serviços de saúde.<br>Information processes and communication in health present a critical and strategic
importance , as they can significantly influence the quality of service / care .
There are several studies that the literature shows us that prove that the problems in
the communication established between health professionals and users are extremely
common and those that negatively affect disease management and treatment adherence
committing , so the effectiveness of the plans treatment and satisfaction with care .
In this sense the assessment instruments are presented with a key to be able to
characterize the situation in Portugal and so we can invest in the deficit areas , planning
any training courses the real needs of our society , which would be beneficial not only
for users health services but also for all health professionals and health institutions
themselves .
The present study aims to contribute to the linguistic Health Care Communication
Questionnaire ( HCCQ ) testing its validity , fidelity and sensitivity and cultural
adaptation .
107 individuals participated , with one or more chronic diseases , aged between 19
and 86 years. These individuals at the end of their queries were directed to the room
where the researchers was to them , read the declaration of free and informed consent
and agreed to participate in the event , was requested them to answer a sociodemographic
questionnaire and HCCQ .
We verified the existence of a good (total α = 0.89) internal consistency, with two
areas that have values greater internal consistency to those found by the authors of the
instrument. As in the study Gremigni et al. (2008) found the existence of four factors.
The results also demonstrate that the participants are in their most satisfied with their
communication to healthcare professionals that serve them.
The HCCQ is an instrument which apart from providing good psychometric
qualities proved easy to use with the users of our health services .
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Holm, Moa, and Pernilla Larsson. "Oral Care Assistance at Geriatric Homes in the County of Västerbotten, Sweden : A Questionnaire Interview." Thesis, Umeå universitet, Institutionen för odontologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-142488.
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The elderly population in Sweden is growing and as a result of that, society is facing different types of challenges. Oral hygiene is important for preventing oral disease but also for the general health (GH). A goal for the Swedish dental society is that every inhabitant should have an equal right to dental-care and oral health (OH) under the same conditions. This is not only a challenge for dental staff but also for medical and healthcare personnel. Our hypothesis is that nursing staff do not possess the education needed regarding oral hygiene, especially not in relation to GH. The opinions regarding support for nursing staff differ between nursing staff and managers. This study was conducted through questionnaire interviews with managers and nursing staff at geriatric homes in three municipalities in the county of Västerbotten. Questions were asked about education and routines, performance of oral care, and OH linked to GH. Response frequencies were compared between municipalities, professions, and response options. A significant lower part (p <0.001) of nursing staff found that non-existing oral care could cause suffering in the form of general disease than in the form of oral disease. The opinion differs between managers and staff in questions about established routines (p <0.05). This study indicates that knowledge about relationships between oral and general health might be inadequate and that education is both wanted and needed among nursing staff. More extensive studies, and studies about how dental professions could support nursing staff in a better way is desirable.
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Zenger, Markus, and Winfried Häuser. "Validation of the Patient-Doctor-Relationship Questionnaire (PDRQ-9) in a Representative Cross- Sectional German Population Survey." Universitätsbibliothek Leipzig, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-142630.
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The patient-doctor relationship (PDR) as perceived by the patient is an important concept in primary care and
psychotherapy. The PDR Questionnaire (PDRQ-9) provides a brief measure of the therapeutic aspects of the PDR in primary
care. We assessed the internal and external validity of the German version of the PDRQ-9 in a representative crosssectional
German population survey that included 2,275 persons aged$14 years who reported consulting with a primary
care physician (PCP). The acceptance of the German version of this questionnaire was good. Confirmatory factor analysis
demonstrated that the PRDQ-9 was unidimensional. The internal reliability (Cronbach’s a) of the total score was .95. The
corrected item-total correlations were$.94. The mean satisfaction index of persons with a probable depressive disorder was
lower than that of persons without a probable depressive disorder, indicating good discriminative concurrent criterion
validity. The correlation coefficient between satisfaction with PDR and satisfaction with pain therapy was r = .51 in 489
persons who reported chronic pain, indicating good convergent validity. Despite the limitation of low variance in the PDRQ-
9 total scores, the results indicate that the German version of the PDRQ-9 is a brief questionnaire with good psychometric
properties to assess German patients’ perceived therapeutic alliance with PCPs in public health research.
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Malan, Daniel Rudolf. "A retrospective study to determine changes in quality of life over the first 6 months period of antiretroviral therapy, as measured by the MOS-HIV questionnaire." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/12413.
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Includes bibliographical references (leaves 100-105).<br>Includes abstract.<br>The aim of the research was to determine changes in quality of life over the first six months of anti-retroviral therapy.
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Schepers, A. K. "The sense of competence in Dementia Care Questionnaire for Staff (SOCID-S) : development, reliability and validity." Thesis, University College London (University of London), 2010. http://discovery.ucl.ac.uk/847468/.
Full textAbstract:
This project was undertaken jointly with fellow trainee Niamh Shanahan. It focuses on the field of dementia care research and consists of three parts. Firstly, the literature review aimed to evaluate measures assessing subjective psychological factors in dementia care staff. A systematic search identified 28 dementia care staff measures fulfilling a set of inclusion criteria. The measures covered seven domains: Attitudes, Coping, Job-satisfaction, Job Strain, Perception of Care Recipient's Behaviour and Needs, Sense of Competence, and Views about Falling. Using a methodical evaluation framework the review highlighted measures with the best research potential in each domain. Finally, new challenges and opportunities for future research in the field of staff factors in dementia care were discussed. Secondly, the empirical paper, based on the conclusions of the literature review, developed a new measure to assess the sense of competence in dementia care staff. Development of the measure was guided by a framework derived from a review and critique of existing measures. The construct of sense of competence was defined and a questionnaire developed with the help of care staff and experts. A pilot study and a large-scale reliability and validity study were undertaken to refine the instrument and evaluate psychometric properties. The final measure, the Sense of Competence in Dementia Care Questionnaire for Staff (SOCID-S), is a 17-item instrument with promising quality characteristics. Opportunities for future research, improvement and application of the measure were explored. Finally, a critical appraisal was used as to reflect on the challenges of developing a new measure and to explore alternatives to the decisions taken to overcome those difficulties.
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Björkenbeck, Tove, and Ida Magnusson. "Föräldrars omvårdnad av sina spädbarn : - En validering av The Baby Care Questionnaire i en svensk kontext." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-323199.
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Said, Yasmin, and Doaa Sahib. "The Use of Post and Core in Public and Private Swedish Dental Care : A Questionnaire Study." Thesis, Umeå universitet, Institutionen för odontologi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-143912.
Full textAbstract:
Post and core-systems are common techniques in oral rehabilitation of teeth with inadequate structure which do not allow using of the traditional restorations. Many factors can affect the treatments’ success and survival rate. The aim of the present study was to evaluate the use and experience of post and core systems in public and private Swedish dental care. The hypothesis was that prefabricated post in composite material is the most common post and core-system used in Swedish dentistry today. Complication rates are higher for teeth with post and core and crown restorations compared with teeth restored with only crowns but without post/core. Furthermore, the risk of catastrophic failure is more frequent for teeth restored with post and core than without. A survey was conducted by sending 500 questionnaires to dentists in public and private dental care in five different cities of Sweden. Results were compiled by 297 returned surveys and showed that the most used technique was individually cast post and core and the most used material was metal alloy post and core. Conclusion: Individually cast post and core was found to be the most used technique both in public and private dental care in Sweden. Fiber reinforced composite was considered as the material with highest complication rates while metal alloy post and core was the material with lowest complication rates. Root fracture was the most common complication reported. The ferrule effect was considered as the most important factor affecting the survival rate of treatment with post and core.
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Hudon, Catherine. "Développement d'un questionnaire mesurant la perception du patient atteint de maladies chroniques de l'habilitation par le médecin de famille." Thèse, Université de Sherbrooke, 2011. http://hdl.handle.net/11143/5816.
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Rationale: Chronic diseases represent an important health burden that often involves major adaptations to manage the disease on a daily basis. Health professionals, such as the family physician, can help a person acquire more power over his or her health (enablement). While it would be useful to measure patient perception of enablement by the family doctor with a valid questionnaire, existing tools present important gaps. Aim and objectives: This study aimed at developing a self-administered questionnaire to measure the perception of patients with chronic diseases of enablement by their family physician. The objectives were: 1) To deepen the conceptualization of enablement by validating the proposed conceptual framework with patients presenting with chronic diseases and to specify the relative importance of its dimensions; 2) To operationalise the dimensions by proposing indicators of these dimensions (pool of items); 3) To verify the content validity of the questionnaire. Methods: An exploratory sequential mixed-method research design was chosen. The descriptive qualitative study (objectives 1 and 2) used in-depth interviews with 30 patients aged 35 to 75 presenting with at least one chronic disease, having the same family doctor for at least one year and recruited through maximum variation sampling. Taped interviews were transcribed and analyzed using Miles and Huberman's mixed coding method (2003a). A three-round e-Delphi study (objective 3) involved 15 Canadian experts in family medicine, able to read in French. The experts scored the items proposed on a 9-point scale (1 = Inappropriate to 9 = Very appropriate) and could suggest rewording and additions. Items scored 7-9 by the experts were considered consensual and were not presented in the following round. Items that were not consensual after the third round were decided upon by the team of researchers. Results: The partnership (the trusting relationship and decisions to be taken) that develops over time was found to be a major component of enablement. The enablement role of the physician goes beyond the medical consultation to defend the interests and safety of the patient's journey through the healthcare system. The trusting relationship combined with a good knowledge of the person may help the family physician better understand and legitimize the various feelings experienced while offering realistic hope . The family physician is in a privileged position to help patients develop their own expertise . Sixty-six items classified into six dimensions were submitted to the experts during the first round of the E-Delphi method. The first round was completed by 13 experts: 21 items were consensual; 25 items were resubmitted without any modification; 16 items were modified and four were rejected. Forty-one items were submitted during the second round, completed by 13 experts: eight items were consensual; 20 items were submitted without any modification; 12 items were modified and one item was rejected. Thirty-three items were submitted during the third round completed by nine experts: 29 items remained intact; three items were modified and one item was rejected. Conclusion: An initial 61-item questionnaire is proposed.
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Alton, Julie R. "The Current State of Music Therapy Clinical Practice with Adults with Neurologic Disorders: A Descriptive Questionnaire." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1430747960.
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Grimison, Peter S. "Improving decision-making deriving patient-valued utilities from a disease-specific quality of life questionnaire for evaluating clinical trials /." Connect to full text, 2009. http://hdl.handle.net/2123/5512.
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Thesis (Ph. D.)--University of Sydney, 2009.<br>Title from title screen (viewed Nov. 3, 2009) Includes tables and questionnaires. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Public Health, Faculty of Medicine. Includes bibliography. Also available in print form.
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Lourenção, Daniela Campos de Andrade. "Adaptação transcultural e validação do Safety Attitudes Questionnaire/Operating Room Version para o contexto brasileiro." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-16092015-133237/.
Full textAbstract:
A vulnerabilidade dos pacientes, que se submetem ao procedimento cirúrgico, e a complexidade de atividades e das relações interpessoais entre as equipes cirúrgicas são consideradas elementos intervenientes na segurança do paciente. Nesse sentido, pesquisas vêm sendo conduzidas visando mensurar o clima de segurança percebido pelos profissionais, com vistas a avaliar a cultura de segurança nos serviços de saúde. Objetivo: Realizar a adaptação transcultural e a validação do Safety Attitudes Questionnaire/Operating Room Version (SAQ/OR) para o contexto brasileiro. Método: Trata-se de um estudo de cunho metodológico, de adaptação e validação de um questionário destinado a mensurar o clima de segurança em centro cirúrgico, desenvolvido em duas etapas: a primeira consistiu na tradução linguística e na adaptação cultural e a segunda na validação do instrumento. Para a tradução e adaptação transcultural o método empregado foi constituído pelas fases: tradução, síntese, retrotradução, avaliação por comitê de juízes, pré-teste com 30 sujeitos e submissão e avaliação dos relatórios pelos autores do instrumento original. Doze juízes realizaram a validação das equivalências experiencial, conteúdo, conceitual, semântica e idiomática; o índice de Validade de Conteúdo estabelecido foi a 80%. Os dados desta etapa foram coletados de agosto de 2013 a abril de 2014. A validação de constructo do instrumento foi realizada pela análise fatorial exploratória e a análise da confiabilidade por meio do alpha de Cronbach. O questionário foi aplicado a uma amostra de 590 profissionais de saúde atuantes em centro cirúrgico, em quatro hospitais do Município de São Paulo. O período de coleta de dados foi de maio a agosto de 2014. Resultados: As etapas de tradução e retrotradução foram consideradas adequadas e a avaliação pelos juízes apresentou os seguintes resultados para as equivalências: experiencial 82,3%, de conteúdo 82,8%, conceitual 85%, de semântica 85,2% e idiomática 85,5%. A análise fatorial exploratória resultou em um questionário com 40 assertivas, sendo 30 alocadas em seis domínios, a saber: clima de segurança, percepção da gerência, percepção do estresse, condição do trabalho, comunicação no ambiente cirúrgico e percepção do desempenho profissional. Dez assertivas foram agrupadas em fatores que apresentaram alpha de Cronbach inferior a 0,50 e baixa correlação ao item total; assim não foram descritas como domínio. A versão adaptada mostrou-se confiável, obtendo o valor geral do alpha de Cronbach de 0,87. O domínio comunicação no ambiente cirúrgico apresentou o menor valor de alpha 0,59; nos outros cinco domínios os valores variaram de 0,71 a 0,82. Conclusões: Os achados desta pesquisa produziram a versão brasileira do questionário, denominada SAQ/Centro Cirúrgico, a qual foi adaptada e validada na amostra estudada. Contudo, recomenda-se a aplicação do questionário em outras instituições do país para proceder a novas análises psicométricas.<br>The vulnerability of patients, who have underwent a surgical procedure, the complexity of activities and the interpersonal relationships between surgical teams are considered intervening elements for patient safety. Thus, researches are being conducted aiming to measure the safety climate perceived by professionals, directed towards evaluation of the safety climate in healthcare services. Objective: Do the transcultural adaptation and validation of Safety Attitudes Questionnaire/Operating Room Version to Brazilian context. Method: This is a study, with methodological emphasis, of the adaptation and validation of a questionnaire intended for measuring the safety climate in surgical centers, and developed in two stages: the first was the linguistics translation and cultural adaptation, and the second was instrument validation. For the translation and transcultural adaptation, the method employed was constituted by the steps: translation, synthesis, retrotranslation, evaluation by a judges committee, pretesting with 30 subjects, and submittal to and evaluation of the reports by the authors of the original instrument. Twelve judges have executed the experiential, content, conceptual, semantics and idiomatic equivalences; the index defined for content validity was 80%. The data for this stage was collected from August 2013 to April 2014. The instrument construct validation was done through exploratory factor analysis and the reliability analysis through Cronbachs alpha. The questionnaire was applied to a sample of 590 health professionals working in surgical centers in four hospitals of the municipality of São Paulo. The data collection period went from May to August 2014. Results: The stages of translation and retrotranslation were considered proper, and the judges evaluation presented the following results for the equivalences: experiential 82.3%, content 82.8%, conceptual 85%, semantics 85.2%, and idiomatic 85.5%. The exploratory factor analysis resulted in a questionnaire with 40 statements, 30 of them assigned to six domains, that is: safety climate, management perception, stress perception, working conditions, communications in the surgical environment and professional performance perception. Ten statements were grouped in factors presenting Cronbachs alpha less than 0.50 and low correlation with the total item; thus, they were not described as a domain. The adapted version has proven reliable, reaching a general value of 0.87 for Cronbachs Alpha. The domain Communications on Surgical Environment presented the less value of 0.59 for Alpha; on the other domains the values varied from 0.71 to 0.82. Conclusions: The findings of this research resulted in a Brazilian version of the questionnaire, called SAQ/Centro Cirúrgico (SAQ/Surgical Center), which was adapted and validated through the studied sample. However, we recommend applying the questionnaire in other institutions of the country to do new psychometric analyses.
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Brooks, Robert School of Community Medicine UNSW. "Health related quality of life of intensive care patients: Development of the Sydney quality of life questionnaire." Awarded by:University of New South Wales. School of Community Medicine, 1998. http://handle.unsw.edu.au/1959.4/17465.
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This thesis has three main research aims. First the development of a questionnaire to measure HRQOL of ICU patients. Second, to examine a model of HRQOL proposed to assist with the development of the questionnaire. Third, to examine the HRQOL outcomes of patient after hospital discharge. The proposed model is based on a review of conceptual issues related to Quality of Life (QOL), Health Status and HRQOL. After a content analysis of a broad range of definitions of QOL, Health Status and HRQOL, QOL was defined as a dynamic attitude, continually being modified by experience. It is a function of the cognitive and affective appraisals of the discrepancies between domain specific perceptions and expectations. HRQOL was defined as an individuals cognitive and affective response to, or the QOL associated with, their health status. Health status was seen to consist of two health dimensions, physical and psychological health, with each dimension being composed of a number of component measures assessed subjectively. The developed questionnaire, the Sydney Quality of Life (SQOL) had good construct validity, based on substantial correspondence between qualitative and quantitative data, and internal consistency data (factor analysis and Cronbach's alpha). It had good concurrent validity in relation to the Sickness Impact Profile. The second order factor analysis of the SQOL suggested that health status may consist of three dimensions, physical health, positive mental health and negative mental health. The HRQOL model when formally examined, using Structural Equation Modelling (using LISREL), was not supported. However, exploratory modelling supported the separation of mental health into positive and negative components. The structure of HRQOL was different for patients than for the community from which they came. Patients QOL was determined largely by positive mental and physical health, whereas community members QOL was largely determined by negative mental health. Sixty three percent of patients at 12 months after discharge had significantly worse physical and functional health, lower satisfaction with their lives, lower positive affect and poorer QOL. Overall, mental health adapts rapidly to the impact of serious physical ill health and hospitalisation. Implications for clinical practice are examined.
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Dignon, Niki. "Quantifying bird damage to wine grapes in the Western Cape of South Africa : a questionnaire-based approach." Bachelor's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/14121.
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Bird-wine grape damage is a globally acknowledged problem that has been the subject of considerable research in many wine growing regions. However, despite the Western Cape of South Africa being a major wine grape growing region, very little research has quantified bird damage in this region and very little is known about the extent of the problem. This research aimed to quantify bird damage to wine grapes in four grape growing regions of the Western Cape, through questionnaires. It also aimed to determine the factors that might explain the patterns of damage observed. 102 questionnaires were sent to the wine farms, and 52 were returned. Of the respondents, 71% reported bird grape damage. The amount of damage per wine farm ranged between 0% and 15% of the total rows of vines across a farm. When exploring the factors associated with whether a wine farm experienced bird damage, it was found that the border habitat of a farm was a significant factor. The composition of the border habitat greatly influenced the probability of bird damage. The PCA showed that tall trees, Fynbos and residential areas specifically increased the probability of bird damage. Within farms that experienced damage, it was found that in different vineyard blocks the areas closer to the edge of a vineyard and to trees were significantly more susceptible to bird damage. The most common reported damage-causing bird species were Red-Winged Starlings (Onycognathus morio) and White-Eyes (Zosterops lateralis). Damage was reported to occur mostly one month before harvest and at harvest time. This research provides a baseline for understanding the nature of bird damage in these regions and will aid future quantitative studies aimed at the management of the problem.
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Hanna, Lisa. "The challenge of cross-cultural comparability in survey research : a case study of the Rose Angina questionnaire." Thesis, University of Edinburgh, 2005. http://hdl.handle.net/1842/23967.
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The Rose Angina Questionnaire (RAQ) is an important measure of coronary heart disease prevalence. It has been shown to perform inconsistently across some ethnic groups in Britain. For multi-ethnic survey research, an angina screening instrument with greater cross-cultural validity is required. Objectives: To assess the need for, and feasibility of, modifying the RAQ to produce a cross-culturally valid angina screening tool for use in Punjabi, Cantonese and English speakers. Participants expressed a range of health beliefs and behaviours. Perceptions and significance of pain and chest pain varied. However, whilst there were some themes that varied between groups, no dominant themes in the cultural construction of health, pain or cardiovascular knowledge emerged that may significantly influence RAQ response between language groups. Individual differences such as general anxiety about health, or awareness of cardiac symptoms, were more likely to affect perception of, and response to, RAQ items. Problems were encountered with the Punjabi and Cantonese translations of the RAQ, where inappropriate translocations may have produced distorted data on angina prevalence. For example, the translation for “chest” was interpreted by some Pakistani and fewer Chinese woman to mean “breasts”. “Waling uphill” was translated in Chinese as “walking the hill”, without stipulation of the direction, so that some Cantonese speakers interpreted the question as pertaining to walking downhill. In addition, many Chinese interpreted RAQ items to be referring to breathlessness rather than chest pain due to ambiguous wording. Standardised administration of questionnaire items by an interviewer may also be difficult to establish. The process of lay assessment of questionnaire appropriateness using bilingual project workers also raised methodological challenges- the assessment task was difficult for participants to understand and for bilingual project workers to implement. There is evidence that existing Punjabi and Cantonese versions of the Rose Angina Questionnaire should be modified further before being used in multi-ethnic surveys. Current versions are unlikely to be yielding data that is equivalent or comparable across groups. Other language versions may also require investigation to ensure comparability.
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Faber, Lindsey. "Development of Questionnaires to Assess Vegetable Intake Concordance between Mother/Infant Pairs: Case Study Findings." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1299005009.
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Rosa, Beatriz Angelo 1961. "Estressores em unidade de terapia intensiva : desempenho da versão brasileira do Environmental Stressor Questionnaires - ESQ." [s.n.], 2007. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311803.
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Orientador: Roberta Cunha Rodrigues Colombo<br>Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas<br>Made available in DSpace on 2018-08-11T12:10:37Z (GMT). No. of bitstreams: 1
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Previous issue date: 2007<br>Mestrado<br>Enfermagem e Trabalho<br>Mestre em Enfermagem
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Culen, Caroline, Marion Herle, Marianne Konig, Kiana Johnson, David L. Wood, and Gabriele Hausler. "Be on TRAQ – Cross-cultural adaptation of the Transition Readiness Assessment Questionnaire (TRAQ 5.0) and pilot testing of the German Version (TRAQ-GV-15)." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7012.
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Objective: Transfer from pediatric care into the adult health care system is known to be a vulnerable phase in the lives of youth with special health care needs (YSHCN). Recommendations from the literature favor assessment of transition readiness rather than simply pass over YSHCN from pediatric to adult-centered care by the age of 18. Nevertheless, no validated and disease neutral assessment instrument in German exists to date. Hence, our aim was to cross-culturally adapt and to pilot-test a German version of the Transition Readiness Assessment Questionnaire (TRAQ 5.0). We wanted to provide a tool that can be applied broadly during the health care transition (HCT) process of YSHCN.
Methods: The development included translating and adapting TRAQ 5.0 to German and conducting a pilot-study with 172 YSHCN between the ages of 14 and 23.
Results: Cross-cultural adaptation resulted in the TRAQ-GV-15. Exploratory factor analysis led to a 3 factor-structure. Internal consistency for the overall score was good with a Cronbach’s alpha of 0.82. Age, in contrast to sex, had a significant effect on the TRAQ scoring. The administration of the TRAQ-GV-15 was well received and demonstrated good feasibility.
Conclusion: The TRAQ-GV-15 is an easily applicable and clinically usable instrument for assessing transition readiness in German speaking YSHCN prior to HCT.
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Wood, David L., Brandon Rocque, Betsy Hopson, Katherine Barnes, and Kiana Johnson. "Transition Readiness Assessment Questionnaire Spina Bifida (TRAQ-SB) Module predicts clinical outcomes among youth and young adults with Spina Bifida." Digital Commons @ East Tennessee State University, 2019. https://doi.org/10.3233/PRM-180595.
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PURPOSE: In order to transition to adulthood and independence, youth with spina bifida must assume significant self-management responsibilities including monitoring for shunt malfunction, maintaining intact skin in areas that are insensate, and maintaining proper bowel and bladder function. Validated measures of specific spina bifida self-management skills are lacking and this hampers the ability of clinical personnel to support successful transition for youth with spina bifida.
METHODS: We developed a self-report measure specific to SB self-management skills consistent with the framework of the Transition Readiness Assessment Questionnaire (TRAQ). To test the predictive validity of the tool we surveyed 90 youth and young adults ages 12-25 with spina bifida attending a multidisciplinary clinic participating in the National Spina Bifida Patient Registry (NSBPR).
RESULTS: Adjusted for age, gender, race, insurance status and lesion level, higher scores on the TRAQ-SB (increased self-management) were negatively associated with urinary incontinence in the past month. Only lesion level, and not TRAQ-SB scores, was a significant predictor of stool incontinence and skin breakdown.
CONCLUSIONS: Higher TRAQ-SB scores are negatively associated with bladder incontinence in youth with spina bifida. While stool continence and skin breakdown were not associated with TRAQ-SB scores, this relation is complex and may be obfuscated by either reporting bias or outcome measurement bias. To further refine the questionnaire and understand this relationship we need to field it prospectively in the SB network with larger samples. The TRAQ-SB questionnaire, however, does have value in the clinical setting to help promote the acquisition of specific self-management skills among youth with spina bifida.
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Silva, Janiny Lima e. "Tradu??o e adapta??o transcultural do instrumento de avalia??o Prenatal Self-Evaluation Questionnaire." Universidade Federal do Rio Grande do Norte, 2010. http://repositorio.ufrn.br:8080/jspui/handle/123456789/16695.
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Previous issue date: 2010-12-22<br>Introduction: The human gestation period is 40 weeks. This is the essential time for
maternal psychosocial adaptation, in which there is the intense transformation of a life
without offspring into a life with one or more children. The Pregnancy Self-Evaluation
Questionnaire (PSEQ) has 79 items, subdivided into seven subcategories: acceptance of
pregnancy, identification with the maternal role, well-being of mother and baby,
preparing for labor, control in labor, relationship with the mother and the relationship
with the partner. Objective: To translate and cross-culturally adapt the instrument
PSEQ to be used with Brazilian women. Methods: It is a cross-sectional observational
study. We followed some methodological steps to achieve the cross-cultural adaptation
of this measuring instrument. They are: translation, synthesis, back translation, analysis
of the committee of specialists and pre-test. Another questionnaire was applied to
characterize the socio-demographic and clinical status of the pregnant women (n = 36).
The descriptive statistics was gotten through the average, standard deviation (SD),
absolute and relative frequency. The statistical test used for the analysis of the internal
consistency was Cronbach's alpha coefficient, using SPSS version 17.0. Results: The
volunteers had low socioeconomic status, average age of 25.1 years (? 5.52), and
average gestational age of 25.9 weeks (? 8.11). 58.3% of these volunteers had not
planned their current pregnancy. The pretest showed that 75% of pregnant women
found the questionnaire easy to understand. There was an average of 76.9 (? 3.23)
answered items among the participants. Regarding the instrument PSEQ, the
identification with the maternal role was the subcategory which showed the highest
average 24.8 (? 5.6), while the relationship with the mother had the lowest average 15.4
(? 7.7). The internal consistency ranged from 0.52-0.89. Conclusion: The translation
and cross-cultural adaptation of the PSEQ to Portuguese language were carried out with
methodological rigor and can be considered an instrument with good internal
consistency<br>Introdu??o: O per?odo gestacional humano normal tem dura??o de 40 semanas, tempo
essencial para a adapta??o psicossocial materna, no qual acontece a intensa
transforma??o de uma vida sem filho para uma vida com filho ou com mais um filho. O
Pregnancy Self-Evaluation Questionnaire (PSEQ) possui 79 itens, sendo subdividido
em sete sub-escalas: aceita??o da gravidez, identifica??o com o papel materno, bemestar
da m?e e do beb?, prepara??o para o trabalho de parto, controle no trabalho de
parto, relacionamento com a m?e e relacionamento com o companheiro. Objetivo:
Traduzir e adaptar transculturalmente o instrumento PSEQ para ser usado em gestantes
brasileiras. M?todos: Estudo observacional de corte transversal. Para a adapta??o
transcultural desse instrumento de medida foram seguidas as seguintes etapas
metodol?gicas: tradu??o, s?ntese, back translation, an?lise do comit? de especialistas e
pr?-teste. Para caracteriza??o s?cio-demogr?fica e cl?nica das gestantes (n=36), outro
question?rio foi aplicado. A estat?stica descritiva foi feita atrav?s da m?dia, desvio
padr?o (Dp), freq??ncia absoluta e relativa. O teste estat?stico usado para an?lise da
consist?ncia interna foi o coeficiente alfa de Cronbach, por meio do SPSS vers?o 17.0.
Resultados: As volunt?rias apresentaram baixo n?vel s?cio-econ?mico, m?dia de idade
de 25,1 anos (? 5,52), idade gestacional m?dia de 25,9 semanas (? 8,11). Destas, 58,3%
n?o haviam planejado a atual gravidez. O pr?-teste mostrou que 75% das gestantes
consideraram o question?rio de f?cil entendimento. Houve uma m?dia de 76,9 (?3,23)
itens respondidos entre as participantes. Quanto ao instrumento PSEQ, a identifica??o
com o papel materno foi a sub-escala que apresentou maior m?dia 24,8 (?5.6), enquanto
o relacionamento com a m?e apresentou a menor m?dia 15,4 (?7.7). A consist?ncia
interna variou entre 0.52-0.89. Conclus?o: A tradu??o e adapta??o transcultural do
PSEQ para o portugu?s foram realizadas com rigor metodol?gico, mostrando ser um
instrumento com boa consist?ncia interna
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Ahmed, Nisar. "A pilot randomised controlled trial of a holistic needs assessment questionnaire in a supportive and palliative care service." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/18224/.
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Background: Studies suggest that cancer and non-cancer patients have needs (e.g. physical, psychological, religious, spiritual needs and information needs) that are not being adequately met. The review undertaken has presented a strong argument in favour of the case for a comprehensive holistic assessment of supportive and palliative care needs (Ahmed, 2010; Ahmed et al., 2014). At present, there is no widely used systematic, evidence-based, holistic approach to screening patients for supportive and palliative care needs. There is evidence to indicate a lack of studies on the clinical utility of tools (Ahmed, 2010; Ahmed et al., 2014; Ahmed et al., 2015). The Sheffield Profile for Assessment and Referral for Care (SPARC) is a multidimensional screening tool which gives a profile of needs to identify patients who may benefit from additional supportive or palliative care, regardless of diagnosis or stage of disease. Despite rigorous psychometric development, preliminary field-testing, and validation, the clinical utility of SPARC has yet to be established (Ahmed, 2010; Ahmed et al., 2014; Ahmed et al., 2015). This doctoral study was conducted within the context of a pragmatic randomised controlled trial and nested within the MRC framework for evaluating complex interventions. From reviewing the literature, it became increasingly apparent of the importance of combining quantitative and qualitative research methods approaches in the development and evaluation of complex interventions in palliative care research. This study provides an opportunity to 'test-drive' SPARC with patients that have supportive and palliative care needs. The hypothesis was that the use of a validated multidimensional holistic screening tool for supportive and palliative care needs, namely; SPARC, would lead to improved recognition of supportive and palliative care needs, and improved health care outcomes for patients (Ahmed, 2010; Ahmed et al., 2014; Ahmed et al., 2015). Aims and Objectives: The primary objective was to design and undertake a pilot study to evaluate clinical outcomes associated with the use of SPARC. The trial itself focussed primarily on outcomes, not on the processes involved in implementing the intervention. An additional element of this doctoral study and a secondary objective was to undertake a process evaluation (comprising of retrospective case note reviews, semi-structured interviews with patients and health care professionals) (Ahmed et al., 2015). Methods: This was an open, pragmatic, randomised controlled trial. Patients (n=182) referred to the palliative care service were randomised to receive SPARC at baseline (n=87) or after a period of two weeks (waiting-list control n=95). Primary outcome measure is the difference in score between Measure Yourself Concerns and Wellbeing (MYCAW) patient-nominated Concern 1 on the patient self-scoring visual analogue scale at baseline and the two-week follow-up. Secondary outcomes include difference in scores in the MYCAW, EuroQoL (EQ- 5D), and Patient Enablement Instrument (PEI) scores at Weeks 2, 4, and 6. As part of a process evaluation, case notes were reviewed at week 8, and semi-structured interviews were undertaken with a sub-group of patients and health care professionals (Ahmed et al., 2015). Results: There was a significant association between change in MYCAW score and whether the patients were in the intervention or control group X² trend = 5.51; degrees of freedom = 1; P = 0.019). A higher proportion of patients in the control group had an improvement in MYCAW score from baseline to Week 2: control (34 of 70 [48.6%]) vs. intervention (19 of 66 [28.8%]). There were no significant differences (no detectable effect) between the control and intervention groups in the scores for EQ-5D and Patient Enablement Instrument at 2, 4, or 6-week follow-up (Ahmed et al., 2015). Most patients interviewed [30/33], found SPARC either quite easy to complete, fairly straightforward, simple or had no problems in completing it. Only a small number of participants found questions on SPARC 'too sensitive or upsetting'. A crucial finding in the context of the trial was the large proportion of patients interviewed [30/33] who did not experience or report any noticeable change, or beneficial effects after completing SPARC (EAPC abstract, 2015). Most health care professionals had something positive to say about SPARC and had previous experience of using SPARC, and most were considering using it at some point in the future. A number of barriers were identified to the relief of distress highlighted by SPARC. Only 5/164=3.0% patient notes made any direct reference to SPARC. Conclusion: This trial result identifies a potential negative effect of SPARC in specialist palliative care services, raising questions that standardised holistic needs assessment questionnaires may be counterproductive if not integrated with a clinical assessment that informs the care plan (Ahmed et al., 2015). This is supported by review of case notes, and the interview data from patients that indicate that most patients felt that no particular action or benefit followed from the completion of SPARC (Ahmed et al., 2015). Only a few patients who had no recent contact with palliative care service and scored high for some SPARC items were recalled by the service and reassessed. Overall, participants and health care professionals considered SPARC an acceptable and relevant tool for the clinical assessment of supportive and palliative care needs (EAPC abstract, 2015). The potential negative effect of SPARC in a specialist palliative care service could be due to the failure of health care professionals to act on identified needs in a timely manner, or related to the raising of patients' expectations that are not subsequently met. The qualitative study helps in the interpretation of the outcome results, and provides useful insights into how SPARC might be used in practice. Early identification of and monitoring of symptoms is only useful if effective treatment programs or systems are in place to address identified needs, and we must consider and evaluate new methods to achieve practice change. The effective integration of SPARC into routine care and standard operating systems requires further investigation (Ahmed, 2010; Ahmed et al., 2014; Ahmed et al., 2015).
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Casimir, Justin. "Food waste at the school level : A case study on a food waste reductionproject within school restaurantsin Uppsala, Sweden." Thesis, Uppsala universitet, Institutionen för geovetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-230862.
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This thesis offers a case study analysis of the food waste in schools focusing on the pupils’ knowledge of foodwaste issues. The thesis uses a project initiated by the municipality of Uppsala which aims at reducing theamount of food wasted in the schools restaurants as a case study. The knowledge of food waste issues frompupils of Uppsala has been assessed with questionnaires. The amount of pupil’s food waste generation is alsoshown in the thesis. At first it is seen that older pupils waste more than younger ones. Looking at theirknowledge, pupils in general ignore the environmental and ethical consequences of food waste but are aware ofthe economic consequences. The current food waste reduction project implemented by the municipality ofUppsala seems to work only for the schools where the pupils are aware of the incentive in place. This incentiveaims to reward the pupils from the schools which reduce their food waste other time. The results obtained fromthe questionnaires, the results from current food waste reduction project and the interviews (with the person incharge of the food waste reduction project and a kitchen staff) are analyzed through a theoretical frameworkbased on environmentally significant behavior theory. Later, suggestions are made in order to improve thecurrent project. For instance, it is advised to review the current incentive depending on the schools by working incooperation with the schools and the pupils. Also, the pupils need to obtain a better basic understanding of foodwaste issues through instruction in formal and informal ways. The project itself could be reviewed in order tobetter integrate the pupils’ opinions and their degree of understanding of the food waste issues but also tocooperate more with the different stakeholders in the project.
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Myrman, Linda, and Jenny Nylander. "Information till hjärtsviktspatienter under vårdtiden på sjukhus : En empirisk studie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-19018.
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Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital. The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization. The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants. The study has shown that patients with heart failure largely experience information about heart failure inadequate. At firsthand the participants had been informed about swelling legs, dyspnea and increased weight. The information was highly described as comprehensible and individualized. Only one third of the participants described that they have been informed by a nurse. A few of the participants experienced increased knowledge about heart failure after the hospitalization. The information that is given to patients with heart failure is highly experienced as individualized and comprehensible but is given in insufficient extend, as the result demonstrate that many patients with heart failure completely lack information. A routine for heart failure caretaking that include information is required.<br>Hjärtsvikt är den vanligaste orsaken till inläggning på sjukhus hos personer över 65 år. Egenvård är en viktig del i behandlingen av hjärtsvikt, men bristande information och kunskap begränsar möjligheten till egenvård och därmed ökar risken för inläggning på sjukhus. Syftet med studien var att undersöka vilken information patienter med diagnosen hjärtsvikt beskriver att de får från vårdpersonal, på vilket sätt informationen upplevs, vem som ger informationen samt vid vilka tillfällen den ges. Syftet var också att undersöka om patientens upplevda kunskap om hjärtsvikt ökat efter vårdtillfället. Studien är en tvärsnittsstudie med deskriptiv design och genomförd som en enkätstudie med konsekutivt urval (N= 28). Studien visade att hjärtsviktpatienter i stor utsträckning upplever information om hjärtsvikt från vårdpersonal som otillräcklig. I första hand har deltagarna upplevt att de informerats om bensvullnad, andfåddhet, viktuppgång. Informationen upplevdes i hög grad lättförståelig och individuellt anpassad. Endast en tredjedel av deltagarna beskrev att de fått information av en sjuksköterska. Ett fåtal av deltagarna upplevde att kunskaperna om hjärtsvikt ökat efter vårdtillfället. Den information som ges till hjärtsviktspatienter upplevs till stor grad som individuellt anpassad och lättförståelig men informationen sker i bristande omfattning då resultatet visar att många patienter helt saknar information. Det behövs en rutin för omhändertagande av hjärtsviktspatienter som innefattar information.
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Babic, Ivana, and Styliani Karatzidou. "Självskattad aktivitetsbalans hos läkare och sjuksköterskor inom slutenvård : En kvantitativ studie." Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-84838.
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Bakgrund: Aktivitetsbalans är ett kärnbegrepp inom arbetsterapi och kan definieras som en subjektiv upplevelse av rätt mängd och rätt variation mellan olika aktiviteter. Forskning har visat att aktivitetsbalans är en viktig faktor för hälsa och välbefinnande. Däremot finns ingen tidigare forskning gällande aktivitetsbalans hos läkare och sjuksköterskor inom slutenvård som författarna till studien kunde hitta. Syfte: Att beskriva den självskattade aktivitetsbalansen hos läkare och sjuksköterskor inom slutenvård. Metod: En kvantitativ studie med insamlat datamaterial från en webbenkätundersökning med självskattningsinstrumentet Occupational Balance Questionnaire (OBQ) samt kompletterande bakgrundsfrågor. I studien deltog sammanlagt 100 läkare och sjuksköterskor från olika slutenvårdsavdelningar i Sverige. Resultat: Det mest utmärkande resultatet var att ungefär två tredjedelar av hela urvalsgruppen inte var nöjda med sin mängd och variation av aktiviteter i vardagen. Utifrån enskild yrkesgrupp visade resultatet även att läkare var mindre nöjda med sina aktiviteter i vardagen än sjuksköterskor. Slutsats: Läkare och sjuksköterskor upplevde svårigheter att uppnå aktivitetsbalans i vardagen och därför behövs hälsofrämjande insatser av bland annat arbetsterapeuter. Vidare forskning med större population behövs göras med målgruppen läkare och sjuksköterskor inom slutenvård.
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Lau, Wai-ha Abby, and 劉慧霞. "Structural equation modeling of the child perceptions questionnaire measuring oral health-related quality of life of children in HongKong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40988089.
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Bates, Freed Betsy A. "Work Interrupted: A Questionnaire Assessing the Relationship Between Work-Related Distress and Psychological Adjustment to Cancer." Antioch University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1348249175.
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Johnson, Kiana, Brandon Rocque, Betsy Hopson, Katherine Barnes, Ogbebor Enaholo Omoike, and David L. Wood. "The Reliability and Validity of a Newly Developed Disease-Specific Transition Readiness Assessment Questionnaire: Transition Readiness Assessment Questionaire - Spina Bifida Suppplement (TRAQ-SB)." Digital Commons @ East Tennessee State University, 2019. https://doi.org/10.3233/PRM-180599.
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PURPOSE: The purpose of this study is to report preliminary evidence to support a new condition-specific measure of transition readiness that is theoretically grounded in the Stages of Changes framework. The Transition Readiness Assessment Questionnaire-Spina Bifida (TRAQ-SB) supplement is a newly developed tool used to measure independence and skill acquisition related to spina bifida. Similar to the Transition Readiness Assessment Questionnaire (TRAQ), the TRAQ-SB uses a 5-point Likert response set.
METHODS: Working with a multi-disciplinary team with expertise in the care of children with spina bifida, the authors developed twelve items pertaining to main aspects of SB self-management. The items were reviewed and revised through several iterations by the team and patients. The items were then fielded at a spina bifida Specialty Clinic, where 93 consecutive patients 12–25 years of age were approached to participate and 90 were administered the 20-item TRAQ and a 12-item TRAQ-SB questionnaire. A principal component analysis (PCA) was conducted on the twelve items with oblique rotation (promax). Criterion validity was also assessed by examining the correlation of the TRAQ-SB supplement with the TRAQ and with age.
RESULTS: Results of the factor analysis revealed that eleven of the twelve items loaded onto one factor with factor loadings ranging from 0.46 to 0.84. The scale yielded excellent internal reliability with a Cronbach alpha of 0.90. Correlations of the TRAQ-SB supplement scale score with the TRAQ overall scale score demonstrated good criterion validity (r= 0.74, p< 0.01). In addition, it was highly correlated with the TRAQ subscales, varying from 0.68 to 0.74 (all p< 0.01). Lastly, the TRAQ-SB was significantly correlated with age (r= 0.25, p< 0.01).
CONCLUSIONS: Results of our analyses indicated that the TRAQ-SB demonstrated good internal reliability and criterion validity as evidenced by strong correlation with age and the validated TRAQ measure. The TRAQ-SB tool can be useful to incorporate transition readiness assessment and self-management training into routine care for adolescents with spina bifida.
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Törnvall, Eva. "Carrying out Electronic Nursing Documentation : Use and Development in Primary Health Care." Doctoral thesis, Linköpings universitet, Hälsa, Aktivitet, Vård (HAV), 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-11268.
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Communication of care is essential in the multidisciplinary health care system and the patient record is an important tool for communication. The electronic patient record was introduced to facilitate the documentation of care, as well as the communication and evaluation of care. District nurses met the patient independently of other caregivers at the surgery or in the patient’s home. Documentation by district nurses is assumed to contribute to the view of the patient so that safe care can be carried out in primary health care. This thesis investigates and analyses the electronic nursing documentation in primary health care with emphasis on the content, district nurses’ experiences of documentation and how the information in the documentation was used. A further aim was to implement and evaluate the effect on standardised nursing documentation, using patients with leg ulcer as an example. A sample of 239 district nurses, 430 general practitioners and 74 care unit managers answered questionnaires about the nursing documentation and the use of it. One hundred and nine nursing records were audited. Quantitative and qualitative methods were used for data analysis. Documentation by district nurses lacked clear nursing status, judgment (nursing diagnosis) and nursing goals. Legal requirements were not fulfilled. Medical facts were carefully documented while relevant issues to nursing occurred only seldom. District nurses stated that they were satisfied with their documentation but were in need of education. The focus of the in-service training for documentation was technical rather than involving nursing issues. Fifty-eight per cent of the general practitioners read the nursing documentation always or often and found it valuable. They had problems, however, finding the information because of the unclear nursing status, the lack of district nurses’ judgement and the large quantity of notes regarding routine activities in district nurses’ documentation. The nursing documentation was used by 75 % of the care unit managers for evaluating resources and by 51 % for evaluating care. The categories ’prioritisation’, ’inadequate nursing records’, and ’lack of interest’, illustrate for what reasons the care unit mangers did not use the documentation for evaluation of care. In order to advance district nurses documentation, a standardised nursing wound care record was designed and implemented in nine primary health care centers, with a total of 83 district nurses. Eight primary health care centers were used as a control group, including 56 district nurses. A questionnaire was sent to the district nurses and 102 nursing records were audited before and after implementation. The standardised nursing record improves the descriptions of patient’s health history and status. Nursing diagnoses were more frequently used but were of low quality. Using the standardised nursing wound care record was experienced by the district nurses as being more timeconsuming but also more informative about the patient. Furthermore the knowledge in documentation increased among the district nurses in the intervention group. Improvement of nursing documentation is necessary in order to obtain documentation that fulfills legal requirements. The managers had a great responsibility to upgrade the documentation, which can be effected by continuing support. Documentation must be seen as a means of transferring information about the patient and of determining whether the best care has been given. A standardised documentation could increase the possibility to compare and determine the value of care. Strengthening the awareness of nursing among district nurses should involve strengthening the documentation, which ought to lead to safer care for the patient.
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Ogaji, Daprim. "Development and validation of the patient evaluation scale (PES) for assessing the quality of primary health care in Nigeria." Thesis, University of Manchester, 2018. https://www.research.manchester.ac.uk/portal/en/theses/development-and-validation-of-the-patient-evaluation-scale-pes-for-assessing-the-quality-of-primary-health-care-in-nigeria(9513e68e-38ba-4069-b995-791a2e5986c8).html.
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Background: Patient evaluation of primary health care (PHC) as a recognised means of obtaining important information for quality improvement can be enhanced with the availability and use of acceptable, reliable and valid questionnaires. This research reports the development and validation of the patients' evaluation scale (PES) for assessment of the quality of primary health care in Nigeria. Methods: Mixed methods design was used to develop and validate items, response scale and domains in the Patients' Evaluation Scale. Items were derived from literature review and content analysis of interviews with patients. Face and content validity were established with primary health care experts and patients while quantitative pilots were conducted to determine questionnaire's acceptability across groups and appropriate response format. The conduct of a large multi-centre psychometric validation survey was used to determine the internal structure (exploratory factor analysis), reliability (internal consistency), construct, criterion and discriminative validities (Pearson's correlation coefficient, structural equation modelling using regression equation method) and acceptability (scale and item response pattern) of the questionnaire. The discriminatory properties were assessed by questionnaire's ability to differentiate population groups' scores in line with 'a priori' hypotheses. Results: The development resulted in the long and shortened forms of PES containing 27 and 18-items respectively. Both showed good indices for validity and acceptability among various population groups in Nigeria. PES-SF resulted from the deletion of items in PES that didn't meet recommended Eigen value < 1, factor loading < 0.5, item-total, item-domain correlation < 0.4 and item-item correlation within domains of < 0.2. PES-SF has Cronbach's alpha of 0.87 for entire questionnaire and 0.78, 0.79 and 0.81 respectively for the three domains (codenamed 'facility', 'organisation', and 'health care'). The three components solution from the Scree plot explained 56.6% of the total variance of perceived quality. Items correlated significantly higher with domain identified through factor analysis than with other domains. In line with 'a priori' hypothesis, scale and domains scores of PES-SF could differentiate population groups based on patients' clinical and socio-demographic characteristics. PES-SF scores also showed significant correlation with patient general satisfaction and likelihood of returning or recommending others to the PHC centres. Conclusion: The patient evaluation scale designed for exit assessment of patients' experiences with PHC in Nigeria shows good measurement properties. It will be useful to clinicians, researchers and policy makers for patient-focused quality improvement activities in Nigeria. Further research will involve translation to major Nigerian languages and to assess PES validity against observed quality criteria.
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Saihong, Prasong 1974. "Evaluating reliability and use of the Ages and Stages Questionnaires: Thai in northeast Thai early child care settings." Thesis, University of Oregon, 2009. http://hdl.handle.net/1794/10589.
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xix, 198 p. : ill. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.<br>Due to the lack of a screening and early identification system, preschool children who live in rural areas in Northeast Thailand have no opportunity to receive specialized educational services. Most children are identified as having disabilities at school age or older. In this study, the 24-, 30-, and 36-month intervals of the Ages and Stages Questionnaires (ASQ), a parent-completed screening system, were translated and evaluated for reliability and use in Northeast Thai early childcare settings. The study purpose was to investigate the reliability and utility of the Ages and Stages Questionnaires: Thai (ASQ: Thai). Reliability studies included an investigation of internal consistency, test-retest reliability, interobserver reliability, and comparison of differences between U.S. and Thai scores. Utility studies included surveys of satisfaction of parents/caregivers and early childcare staff as well as brief interviews with parents/caregivers and early childcare staff.
Subjects included 267 children who were 2-3 years old; 267 parents/caregivers; 49 early childcare staff; and 5 early childcare professor experts. The subjects were recruited through the Department of Curriculum and Instruction, the Faculty of Education, Mahasarakham University. Results addressing the reliability and use of ASQ: Thai were promising. Internal consistency (ρ = .58 -.89) results were adequate as well as test-retest agreement (ρ > .90). A comparison between the ASQ: Thai sample data and the U.S. normative sample found that there were some differences in range, mean, median, interquartile range, and cutoff scores. The back translation of the ASQ: Thai appeared to be adequate in comparison to the original version, as well as culturally appropriate. Early childcare staff and parents/caregivers felt that the ASQ: Thai was easy to use and understand and was culturally appropriate, and they gained knowledge about child development. Early childcare staff and parents/caregivers suggested that the ASQ: Thai should be used in early childcare settings with children when they enter the program.
Future research on the ASQ: Thai is needed. Increased study of cultural, language, and disability issues are areas for further study.<br>Committee in charge: Jane Squires, Chairperson, Special Education and Clinical Sciences;
Deanne Umuh, Member, Special Education and Clinical Sciences;
Erin Barton, Member, Special Education and Clinical Sciences;
Kathie Carpenter, Outside Member, International Studies
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Charles, Warren Paul. "The relationship between union service delivery, motivation and job satisfaction amongst unionised workers in a media organisation in the Western Cape." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2278_1260522608.
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<p>The purpose of this research is to determine employee satisfaction towards union service delivery and the effect it might have on their motivation. For the purposes of the research, the term customer applies to all union members being serviced by the union and enjoying benefits of negotiations at a centralised or de-centralised level. More generally, trade unions and collective bargaining are seen to enhance the dignity of workers and their control of their working lives, hence the important role trade unions play within the workplace. Service deliveries from a trade union to its members are an important element of employee behaviour and motivation. The research will aim to <br>measure union member&rsquo<br>s (customer) satisfaction of the service they receive from their union and the impact it possibly has on otivation. The hypothesis of the research is that if workers are satisfied by the service they receive from their trade union their motivational levels will also be high. Alternatively, if workers are dissatisfied by the service they receive from their trade union, their motivation will be low. A Biographical questionnaire, the Organizational Motivation Questionnaire (OMQ) and the Service Quality Questionnaire was administered to respondents to elicit responses on how the aspects of union service delivery impacts on their motivation in the workplace. <br>The results emanating from the current study indicate that there are statistically significant relationships between work content, payment, promotion, recognition, working conditions, benefits, personal, leadership/ supervision, general and work motivation and satisfaction in the technical department of a media organisation in the Western Cape. Furthermore, results show the nine independent variables (work content, payment, promotion, recognition, working conditions, benefits, personal, leadership/ supervision and general) significantly explained the variance in work motivation and service-delivery. The study also shows a statistically significant difference in motivation and job-satisfaction based on the biographical variables (gender, home language, marital status, age, race, job classification, education, qualifications, job grade and tenure). Multiple regression analysis revealed these variables significant explained the variance in job satisfaction and motivation. The results reveal some interesting insights into the relationship between union service delivery, motivation and job satisfaction amongst unionised workers in a media organisation in the Western Cape. Recommendations are made with respect to the management of this focal area of research.</p>
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Jang, Won-Ik. "Costs of chronic disease and an alternative to reduce these costs: case study of End Stage Renal Disease (ESRD)." Texas A&M University, 2003. http://hdl.handle.net/1969.1/1481.
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An improved understanding of the costs of diseases is obtained by conducting a case study of the costs associated with end stage renal disease (ESRD). In estimating the costs of ESRD, the costs incurred by both patients and their primary unpaid caregivers are calculated. Most economic studies of the costs of diseases ignore either the patients or unpaid caregiver side, focusing on one or the other. From a theoretical standpoint, it is shown unpaid caregiving lowers the costs of diseases to society. Unpaid caregiver lowers the cost, because for unpaid caregiving to occur, the net benefits of unpaid caregiving must be lower than the net benefits of hiring a paid caregiver.
Using patients and their primary caregivers at the Gambro Dialysis Center in College Station, Texas as a case study, estimated total ESRD costs range from $84,000 to $121,000 / year / case. The distribution of these costs is positively skewed. Of the total costs, approximately 2% to 25% can be attributed to unpaid caregiving. Excluding direct medical costs in total ESRD costs, unpaid caregiving is 14% to 65% of total ESRD costs. Consideration of unpaid caregiving costs is, therefore, an important component of the costs of diseases. These estimates are conservative as the costs associated with lifestyle changes and health effects are noted, but no monetary value is placed on them. Results also indicate the patients and caregivers perception of the quantity of caregiving varies.
An alternative water supply system to improve the efficiency of water supply systems taking into account water pricing, marketing, and treatment costs is proposed. This system treats and supplies water differently depending on the source of the water and if the end-use of the water is a potable or non-potable use, then may reduce treatment costs. Decreased treatment costs may make more stringent water standards more affordable. More stringent water standards may cause a decrease in the risk of water-related diseases including ESRD induced by water-borne toxins. Reducing the risk of ESRD will reduce societys costs associated with chronic illnesses. Possible benefits and costs of the proposed system are discussed, but not calculated.
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Boisvert, Sophie, and Sophie Boisvert. "Adaptation culturelle et validation de l'échelle "The european heart failure self-care behaviour Scale-9" pour la population franco-canadienne." Master's thesis, Université Laval, 2015. http://hdl.handle.net/20.500.11794/26406.
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L’échelle European Heart Failure Self-Care Behaviour Scale-9 (EHFScB-9) permet de mesurer les auto-soins en insuffisance cardiaque. Cette étude visait à adapter l’EHFScB-9 et à en évaluer la fidélité et la validité auprès de la population franco-canadienne. Suite à l’adaptation culturelle, la fidélité a été évaluée selon les critères de cohérence interne et de stabilité temporelle. La validité a été évaluée par une analyse factorielle et selon le critère de validité convergente/divergente. L’alpha de Cronbach (0,70) et l’agrément entre le test-retest est satisfaisant. L’analyse exploratoire pointait 2 facteurs : comportements de consultation et comportements liés à la santé. L’EHFScB-9 a démontré des corrélations significatives avec l’adhésion à la prise de médicaments, la pratique d’activité physique, les saines habitudes alimentaires et les habitudes de vie. Comme attendu, l’outil a démontré de faibles corrélations avec la qualité de vie. La version franco-canadienne a démontré des évidences de fidélité et de validité satisfaisantes.<br>L’échelle European Heart Failure Self-Care Behaviour Scale-9 (EHFScB-9) permet de mesurer les auto-soins en insuffisance cardiaque. Cette étude visait à adapter l’EHFScB-9 et à en évaluer la fidélité et la validité auprès de la population franco-canadienne. Suite à l’adaptation culturelle, la fidélité a été évaluée selon les critères de cohérence interne et de stabilité temporelle. La validité a été évaluée par une analyse factorielle et selon le critère de validité convergente/divergente. L’alpha de Cronbach (0,70) et l’agrément entre le test-retest est satisfaisant. L’analyse exploratoire pointait 2 facteurs : comportements de consultation et comportements liés à la santé. L’EHFScB-9 a démontré des corrélations significatives avec l’adhésion à la prise de médicaments, la pratique d’activité physique, les saines habitudes alimentaires et les habitudes de vie. Comme attendu, l’outil a démontré de faibles corrélations avec la qualité de vie. La version franco-canadienne a démontré des évidences de fidélité et de validité satisfaisantes.<br>The European Heart Failure Self-Care Behaviour Scale-9 (EHFScB-9) measures heart failure self-care. This study aimed to adapt and evaluate the reliability and validity of the EHFScB-9 for the French Canadian population. After the step of cultural adaptation, reliability was assessed according to internal consistency and temporal stability criteria. Validity was assessed by factorial analysis and on the basis of convergent / divergent validity. Cronbach's alpha (0.70) and the agreement between the test-retest is adequate. Exploratory factor analysis suggested two factors: consulting behaviours and health behaviours. The EHFScB-9 has demonstrated statistically significant correlations with adherence to drug intake, physical activity, good dietary habits and good lifestyle habits. As expected, the tool demonstrated low correlations with the quality of life. The French-Canadian version of the EHFScB-9 showed satisfactory psychometric properties.<br>The European Heart Failure Self-Care Behaviour Scale-9 (EHFScB-9) measures heart failure self-care. This study aimed to adapt and evaluate the reliability and validity of the EHFScB-9 for the French Canadian population. After the step of cultural adaptation, reliability was assessed according to internal consistency and temporal stability criteria. Validity was assessed by factorial analysis and on the basis of convergent / divergent validity. Cronbach's alpha (0.70) and the agreement between the test-retest is adequate. Exploratory factor analysis suggested two factors: consulting behaviours and health behaviours. The EHFScB-9 has demonstrated statistically significant correlations with adherence to drug intake, physical activity, good dietary habits and good lifestyle habits. As expected, the tool demonstrated low correlations with the quality of life. The French-Canadian version of the EHFScB-9 showed satisfactory psychometric properties.