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1

Goba, Gelila Kidane, Jessica George, Mussie Alemayehu, Fasika Amdeslasie, Ken Divelbess, Gregory Makoul, Raymond H. Curry, and Mary D. Stephenson. "Translation, Adaptation, and Assessment of the Communication Assessment Tool in Tigray, Northern Ethiopia." Journal of Graduate Medical Education 11, no. 4s (August 1, 2019): 141–45. http://dx.doi.org/10.4300/jgme-d-18-00711.

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ABSTRACT Background Ethiopia has experienced tremendous growth in medical education beginning in the early 2000s. Research shows a need for emphasis on empathy and compassionate care in this setting. In the United States, the Communication Assessment Tool (CAT) is a widely used, validated survey measuring provider-patient interactions. Objective The goal of this study was to translate, culturally adapt, and pilot the CAT to allow it to be used with trainees and patients in Ethiopia. Methods Bilingual experts translated the CAT into Tigrigna, the primary language of the Tigray region in northern Ethiopia, followed by focus group discussions, back translation, and review by the original author of the CAT. The translated tool was administered to the patients of resident physicians in 6 specialties at Ayder Referral Hospital between December 2016 and February 2017. Results Our translation of the CAT into Tigrigna had semantic, idiomatic, and experiential equivalence. Of 1024 patients recruited, 1002 (98%) completed interviews using the CAT. Mean score was 3.09; 3% of all scores were excellent and 54% were good. Cronbach's alpha score for the full survey was 0.942, demonstrating high reliability. Conclusions The translated CAT in Tigrigna can be used to assess communication skills in Ethiopian residents. Both mean score and percentage of excellent scores were considerably lower than scores in other countries, suggesting that there may be opportunities for improvement in residents' communication skills.
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Myerholtz, Linda. "Assessing Family Medicine Residents' Communication Skills From the Patient's Perspective: Evaluating the Communication Assessment Tool." Journal of Graduate Medical Education 6, no. 3 (September 1, 2014): 495–500. http://dx.doi.org/10.4300/jgme-d-13-00347.1.

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Abstract Background The Communication Assessment Tool (CAT), a paper-based patient survey, is 1 method to assess residents' interpersonal and communication skills. To further enhance the interpretation of the CAT, benchmark data are needed. Objective We sought to expand upon initial benchmarking data for the use of the CAT as an evaluation tool in family medicine residency programs. Methods Data were collected on 120 residents from 7 family medicine residency programs. Following an appointment with a resident, 1703 patients completed the CAT. Results The overall mean percentage of items rated as excellent was 73%. Significant differences were found in the overall percentage of items rated as “excellent” based on location of training (78% US graduate versus 71% international medical graduate) and native language of the resident (76% English speaking versus 69% non-English speaking). There were no significant differences found in the overall percentage of items rated as excellent based on the year of training or sex of the residents. Conclusions These benchmarking data allow family medicine residency programs to compare the performance of their residents with other programs. The CAT can be used as an evaluation and a learning tool in family medicine and may be applicable to other specialties.
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Ferranti, Darlene E., Gregory Makoul, Victoria E. Forth, Jennifer Rauworth, Jungwha Lee, and Mark V. Williams. "Assessing patient perceptions of hospitalist communication skills using the Communication Assessment Tool (CAT)." Journal of Hospital Medicine 5, no. 9 (November 2010): 522–27. http://dx.doi.org/10.1002/jhm.787.

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Desai, Amrita, and Adam J. Olszewski. "Evaluation of the physician-patient communication assessment tool (CAT) in a hematology-oncology practice." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 14. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.14.

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14 Background: Interpersonal communication skills are critical for building physician-patient relationships. The usefulness of feedback instruments to assess communication in oncology is uncertain. The simple, 15-item, patient-oriented CAT (Makoul G, et al. Patient Educ Couns 2007;67:333) was previously validated in non-oncologic specialties, using 20-30 samples per physician. The mean proportion of “Excellent” scores (MPES) was recommended as a summary estimate (76% in the above study). We evaluated the usefulness of this survey in a hematology-oncology practice. Methods: We administered CAT anonymously to all consenting outpatients during visits in our center, from January to March 2013. The association of “Excellent” scoring with patient age, gender and type of visit (cancer-related or unrelated) was studied using random-effects logistic regression. Results: We obtained 144 surveys (23-52 per physician). Median patient age was 65 years (range, 19-93) with 67% women and 54% cancer-related visits. The MPES for each survey question varied between 86% and 96%. The average MPES per physician was 92.1% (range 88.5-95.8%). MPES was higher for patients >65 years old (94.9% vs. 90.4%), men (96.7% vs. 90.3%), and for cancer-related visits (94.8% vs. 89.7%). In a multivariable model, the association was significant for age>65 (odds ratio, OR 5.38, 95%CI 1.06-27.5, p=.043) and female sex (OR 0.12, 95%CI 0.02-0.76, p=.024). The physician score strongly correlated with satisfaction with office staff recorded as part of the CAT (odds ratio, OR, 28.5, p<.0001). Conclusions: In a hematology-oncology practice, CAT results were considerably more skewed towards “Excellent” scores than in other previously studied specialties. Patients’ age and gender significantly influence the scores, which may confound comparisons between physicians or practices in quality assessment projects. As the needs, concerns and problems of cancer patients may differ from other medical settings, further research is needed to establish if CAT can be used for performance improvement, and whether oncology-specific questions can provide more discriminating measures of patient satisfaction and physician communication skills.
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Stausmire, Julie M., Constance P. Cashen, Linda Myerholtz, and Nancy Buderer. "Measuring General Surgery Residents’ Communication Skills From the Patient’s Perspective Using the Communication Assessment Tool (CAT)." Journal of Surgical Education 72, no. 1 (January 2015): 108–16. http://dx.doi.org/10.1016/j.jsurg.2014.06.021.

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Dubosh, Nicole, Matthew Hall, Victor Novack, Tali Shafat, Nathan Shapiro, and Edward Ullman. "A Multimodal Curriculum With Patient Feedback to Improve Medical Student Communication: Pilot Study." Western Journal of Emergency Medicine 21, no. 1 (December 9, 2019): 115–21. http://dx.doi.org/10.5811/westjem.2018.11.44318.

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Introduction: Despite the extraordinary amount of time physicians spend communicating with patients, dedicated education strategies on this topic are lacking. The objective of this study was to develop a multimodal curriculum including direct patient feedback and assess whether it improves communication skills as measured by the Communication Assessment Tool (CAT) in fourth-year medical students during an emergency medicine (EM) clerkship. Methods: This was a prospective, randomized trial of fourth-year students in an EM clerkship at an academic medical center from 2016-2017. We developed a multimodal curriculum to teach communication skills consisting of 1) an asynchronous video on communication skills, and 2) direct patient feedback from the CAT, a 15-question tool with validity evidence in the emergency department setting. The intervention group received the curriculum at the clerkship midpoint. The control group received the curriculum at the clerkship’s end. We calculated proportions and odds ratios (OR) of students achieving maximum CAT score in the first and second half of the clerkship. Results: A total of 64 students were enrolled: 37 in the control group and 27 in the intervention group. The percentage of students achieving the maximum CAT score was similar between groups during the first half (OR 0.70, p = 0.15). Following the intervention, students in the intervention group achieved a maximum score more often than the control group (OR 1.65, p = 0.008). Conclusion: Students exposed to the curriculum early had higher patient ratings on communication compared to the control group. A multimodal curriculum involving direct patient feedback may be an effective means of teaching communication skills.
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Świątoniowska-Lonc, Natalia, Artur Białoszewski, Gregory Makoul, and Beata Jankowska-Polańska. "Translation and Cultural Adaptation of the Polish Version of the Communication Assessment Tool (CAT)." Risk Management and Healthcare Policy Volume 13 (September 2020): 1533–42. http://dx.doi.org/10.2147/rmhp.s261710.

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Mercer, Laura Min, Paula Tanabe, Peter S. Pang, Michael A. Gisondi, D. Mark Courtney, Kirsten G. Engel, Sarah M. Donlan, James G. Adams, and Gregory Makoul. "Patient perspectives on communication with the medical team: Pilot study using the communication assessment tool-team (CAT-T)." Patient Education and Counseling 73, no. 2 (November 2008): 220–23. http://dx.doi.org/10.1016/j.pec.2008.07.003.

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Ion, Georgeta, Elena Cano, and Nati Cabrera. "Competency Assessment Tool (CAT). The evaluation of an innovative competency-based assessment experience in higher education." Technology, Pedagogy and Education 25, no. 5 (March 2016): 631–48. http://dx.doi.org/10.1080/1475939x.2015.1134635.

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Ottis, Erica, Katie Luetkenhaus, Lada Micheas, and Carla Dyer. "Assessing team communication with patients’ families: Findings from utilizing the Communication Assessment Tool—Team (CAT-T) in an interprofessional error disclosure simulation." Patient Education and Counseling 104, no. 9 (September 2021): 2292–96. http://dx.doi.org/10.1016/j.pec.2021.02.038.

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Hall, Matthew, Jason Lewis, Joshua Joseph, Andrew Ketterer, Carlo Rosen, and Nicole Dubosh. "Standardized Video Interview Scores Correlate Poorly with Faculty and Patient Ratings." Western Journal of Emergency Medicine 21, no. 1 (December 19, 2019): 145–48. http://dx.doi.org/10.5811/westjem.2019.11.44054.

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The Standardized Video Interview (SVI) was developed by the Association of American Medical Colleges to assess professionalism, communication, and interpersonal skills of residency applicants. How SVI scores compare with other measures of these competencies is unknown. The goal of this study was to determine whether there is a correlation between the SVI score and both faculty and patient ratings of these competencies in emergency medicine (EM) applicants. This was a retrospective analysis of a prospectively collected dataset of medical students. Students enrolled in the fourth-year EM clerkship at our institution and who applied to the EM residency Match were included. We collected faculty ratings of the students’ professionalism and patient care/ communication abilities as well as patient ratings using the Communication Assessment Tool (CAT) from the clerkship evaluation forms. Following completion of the clerkship, students applying to EM were asked to voluntarily provide their SVI score to the study authors for research purposes. We compared SVI scores with the students’ faculty and patient scores using Spearman’s rank correlation. Of the 43 students from the EM clerkship who applied in EM during the 2017-2018 and 2018-2019 application cycles, 36 provided their SVI scores. All 36 had faculty evaluations and 32 had CAT scores available. We found that SVI scores did not correlate with faculty ratings of professionalism (rho = 0.09, p = 0.13), faculty assessment of patient care/communication (rho = 0.12, p = 0.04), or CAT scores (rho = 0.11, p = 0.06). Further studies are needed to validate the SVI and determine whether it is indeed a predictor of these competencies in residency.
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Wu, Hongxia. "Multimedia Interaction-Based Computer-Aided Translation Technology in Applied English Teaching." Mobile Information Systems 2021 (April 9, 2021): 1–10. http://dx.doi.org/10.1155/2021/5578476.

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Multimedia interaction-based computer-aided translation (CAT) is an effective method for translating massive multimedia applications. It is an essential English learning tool for college students with majors in multimedia technology. English teachers need to properly guide their students to use CAT technology by improving the students’ English translation capabilities via reasonable setting of courses, selection of multimedia materials for teaching, and implementation of learning multimedia assessment. This paper proposes a semiautomatic evaluation method for a machine translation system based on fuzzy mathematics. It first discusses the characteristics of multimedia CAT software, describes its working principle, and proposes an optimization scheme suitable for translating teaching by analyzing its advantages and disadvantages. The author believes that only through the combination of multimedia interaction-based CAT teaching and traditional translation teaching we can better achieve the purpose of translation education to improve the quality and English-speaking talent.
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Morena, Nina, Nicholas Zelt, Diana Nguyen, Carrie A. Rentschler, Devon Greyson, and Ari N. Meguerditchian. "Can online patient reviews be used to assess oncologist competency? RateMD as a cancer care evaluation tool." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e18656-e18656. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e18656.

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e18656 Background: Medical oncology (MEDONC) requires a combination of skills in collaboration, communication, and professionalism, ultimately delivering technical and clinical knowledge in practice. Standard assessment tools (e.g. written examination, OSCE) are not effective in evaluating competencies beyond technical skills and fail to define the cancer care experience holistically. This explorative, descriptive study aims to identify the potential of unstructured, unsolicited, open access online patient reviews (OPRs) as a tool to assess physician competency. Methods: University-affiliated MEDONCs in Ontario (Canada) were selected. All OPRs were identified on RateMD using every name permutation; physician names and institutional affiliations were removed from comments. A descriptive analysis of the cohort was completed. The CanMEDS Framework, defining physician standards, was used with its hierarchy of roles, concepts, and competencies. Two reviewers, a communication studies researcher and a healthcare professional, independently assessed comments and identified common themes. Competency-level assessments were evaluated using kappa with linear weights. Results: 473 OPRs were identified for 49 MEDONCs (71% male, 29% female). Of these, 23% were written by care providers. Competencies defining roles of Medical Expert, Communicator, and Professional were most prevalent (64%, 38%, and 27% respectively). Agreement levels were high in all roles (wK = 0.71 - 1.00). Themes identified were similar in positive and negative evaluations. Most commonly discussed positive themes were knowledge translation and compassionate interpersonal skills. Most common negative themes centered on lack of humility, compassion, and communication skills. 38% of comments were marked helpful, indicating engagement with other OPRs as a key characteristic of rating tools. In addition to the physician in question, 21% of OPRs reported on healthcare delivery by staff. Conclusions: OPRs emphasize experiential competencies related to interpersonal skills and suggest an alternative format to evaluating such aspects of MEDONC competencies.[Table: see text]
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Mossanen, Matthew, Liam Connor Macleod, Alice Chu, Jonathan L. Wright, Daniel W. Lin, Bruce L. Dalkin, Lawrence D. True, and John L. Gore. "Comparative effectiveness of a patient centered pathology report for bladder cancer care." Journal of Clinical Oncology 34, no. 2_suppl (January 10, 2016): 420. http://dx.doi.org/10.1200/jco.2016.34.2_suppl.420.

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420 Background: We compared the effectiveness of a patient-centered (PC) version of bladder biopsy pathology reports derived from PC outcomes research methods with standard pathology reports. Methods: Local bladder cancer experts provided consensus on the important elements of a bladder biopsy pathology. Patient focus groups reviewed these elements and identified PC formats and language. Candidate reports were iterated with patients to arrive at a pilot PC bladder biopsy report. We enrolled 40 patients undergoing bladder biopsy for suspicion of initial or recurrent bladder cancer. Block randomization was performed to the standard report or the standard report and the pilot patient-centered pathology report (PCPR). Through web-based surveys, we assessed self-efficacy with the PEPPI (Perceived Efficacy in Patient-Physician Interactions), physician communication with the CAT (Communication Assessment Tool), knowledge based on comprehension of report elements prioritized by experts, and format preferences at pathology disclosure and one month later. We compared study groups with descriptive statistics. Results: The 26-member expert clinician panel identified stage, grade, and histology as the most important elements of a pathology report. Patients prioritized data expressed in a narrative format, an illustration of tumor stage, and risk stratification for future recurrence. From July 2014 to 2015, 39 patients completed initial and follow-up assessments. Patients that received the PCPR had an improved ability to identify their cancer stage (initial 58% vs 20%, p = 0.02; follow-up 47% vs 15%, p = 0.03) and trended toward improved identification of cancer grade (initial 74% vs 50%, p = 0.12) compared with patients that only received standard reports. Ratings of patient self-efficacy did not differ by report format and communication trended toward improved communication for patients exposed to PCPR. Conclusions: PCPR are associated with greater patient knowledge about their new cancer diagnosis and may aid patient-provider communication around a new cancer diagnosis. While these results require validation in larger cohorts, this pilot may serve as a model for the development of PCPR for other cancers.
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Shetty, Amarshree Amarnath, Delisha Yesudas Fernandes, and Amitha Mahesh Hegde. "Autism Spectrum Disorder in a Dental Office - A Review." Journal of Evolution of Medical and Dental Sciences 10, no. 26 (June 28, 2021): 1931–39. http://dx.doi.org/10.14260/jemds/2021/398.

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Over the last few years there has been a growing interest to cater to the requirements of children with special health care needs, especially those with autism spectrum disorder (ASD). ASD is a neurodevelopmental condition characterized by limited communication skills and an obsessive need for structured patterns. Individuals with a genetic predilection to autism can be provoked by the various prenatal, natal, or post-natal environmental factors. Drugs such as thalidomide, valproic acid and consumption of antidepressants during pregnancy as well as high maternal age and viral infections are known to be prenatal triggers for autism. Autism affects 1 in every 110 children with a significant preponderance of boys to girls with a ratio of 4:1. According to Caries Risk Assessment tool (CAT) adapted by the American Academy of Paediatric Dentistry, children with ASD are at a high risk for dental caries due to their preference for carious food, pouching of food due to poor masticatory ability combined with inadequate maintenance of oral hygiene and help required for tooth brushing. These children do not behave positively to sudden changes in their environment thus a dental operatory might be intimidating to them. A thorough understanding of the individual’s needs of these patients along with combining various behaviour management techniques will help make their dental treatment a pleasant one. This articles reviews literature on the aetiology and diagnosis of Autism Spectrum Disorder with a special emphasis on the health status and issues encountered while treating these children. This study is also an update on the various strategies such as using Applied Behaviour management approaches, Picture Exchange Communication System, Video Pedagogy, Social stories as well as pharmacological ways to communicate and also manage a child with ASD in the dental clinic. KEY WORDS Autism, Oral Health Status, Behaviour Management, Dental Management
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Petric, Primoz, Robert Hudej, Noora Al-Hammadi, and Barbara Segedin. "Virtual modelling of novel applicator prototypes for cervical cancer brachytherapy." Radiology and Oncology 50, no. 4 (December 1, 2016): 433–41. http://dx.doi.org/10.1515/raon-2016-0048.

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Abstract Background Standard applicators for cervical cancer Brachytherapy (BT) do not always achieve acceptable balance between target volume and normal tissue irradiation. We aimed to develop an innovative method of Target-volume Density Mapping (TDM) for modelling of novel applicator prototypes with optimal coverage characteristics. Patients and methods. Development of Contour-Analysis Tool 2 (CAT-2) software for TDM generation was the core priority of our task group. Main requests regarding software functionalities were formulated and guided the coding process. Software validation and accuracy check was performed using phantom objects. Concepts and terms for standardized workflow of TDM post-processing and applicator development were introduced. Results CAT-2 enables applicator-based co-registration of Digital Imaging and Communications in Medicine (DICOM) structures from a sample of cases, generating a TDM with pooled contours in applicator-eye-view. Each TDM voxel is assigned a value, corresponding to the number of target contours encompassing that voxel. Values are converted to grey levels and transformed to DICOM image, which is transported to the treatment planning system. Iso-density contours (IDC) are generated as lines, connecting voxels with same grey levels. Residual Volume at Risk (RVR) is created for each IDC as potential volume that could contain organs at risk. Finally, standard and prototype applicators are applied on the TDM and virtual dose planning is performed. Dose volume histogram (DVH) parameters are recorded for individual IDC and RVR delineations and characteristic curves generated. Optimal applicator configuration is determined in an iterative manner based on comparison of characteristic curves, virtual implant complexities and isodose distributions. Conclusions Using the TDM approach, virtual applicator prototypes capable of conformal coverage of any target volume, can be modelled. Further systematic assessment, including studies on clinical feasibility, safety and effectiveness are needed before routine use of novel prototypes can be considered.
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Csik, Valerie Pracilio, Adam F. Binder, Nathan Handley, Michael Li, Megan Croyle, Lauren Waldman, and Brooke Worster. "Can acute care utilization be reduced by a risk score-based intervention alone?" Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e13523-e13523. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e13523.

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e13523 Background: Acute care utilization (ACU), encompassing both emergency department visits and hospitalizations, is common in patients with cancer, with nearly three quarters of patients with advanced disease hospitalized at least once in the year after their diagnosis. From a population health perspective, focusing on the highest risk patients is likely to identify the top 5% while the next 30% can be considered rising risk and are likely to need care management support. Many risk scoring systems have been developed, but few have demonstrated effective integration in clinical practice. We sought to evaluate if a risk assessment tool alone was adequate to determine an appropriate patient outreach strategy that results in reduced ACU. Methods: We utilized the REDUCE score (Reducing ED Utilization in the Cancer Experience - see 2020 ASCO Quality Abstract 208) to develop an intervention conducted in two phases. Phase I included a chart review and targeted outreach to high risk patients identified by REDUCE by a nurse navigator. Outreach resulted in communication of patient needs to the care team. Phase II involved initial identification by REDUCE followed by further screening assessment with a distress screen. Those who were high risk and had high distress (score ≥4) were discussed by an interdisciplinary team (supportive medicine physicians, social work, nurses, nurse practitioners) to determine an intervention. Results: Of the patients in phase I (N = 138), 26.1% had ACU afterward, while in phase II (N = 169) 7.1% had ACU. The average distress score among all patients in the phase II group was 6.0 and the REDUCE score was 2.87, while the subset of patients who experienced ACU had an average distress score of 6.4 and a REDUCE score of 3.22. These findings indicate that there is a directional correlation between REDUCE score and distress screening results. Conclusions: The REDUCE score may be a valuable tool to assist in identifying patients at risk for ACU, but the significantly less ACU in phase II compared to phase I suggests that the risk score combined with a biopsychosocial screening, such as distress as required by the Commission on Cancer, may prove more valuable than the risk score alone. To identify the most impactful intervention, and to fully understand the implications of a patient’s specific REDUCE score within the high risk category, additional assessment would be beneficial. These preliminary results highlight that directionally correlated measures obtained from a biopsychosocial screening in combination with a risk score gives a more complete picture of patient’s overall risk of ACU.
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MacSporran, Jill. "A Mentor’s PATH: Evaluating how service users can be involved as mentors for social work students on observational practice placements." Social Work and Social Sciences Review 17, no. 3 (June 19, 2015): 46–60. http://dx.doi.org/10.1921/swssr.v17i3.798.

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This paper will explore the experience of service user involvement in social work education, examining the challenges of involving ‘seldom heard’ service user voices. Over a six month period, a group of four people with learning disabilities were supported and enabled to take on an assessment role as Mentors for four first year BA(Hons) Social Work students at the University of the West of Scotland. The article will focus on an evaluation of this pilot project and will outline the partnership work between the university and placement agency in planning, preparing, and supporting the mentors to carry out their role in supporting students on placement and assessing their communication skills, value base and readiness to practise. Central to the planning process was the use of PATH – a person centred planning tool. The evaluation will detail the crucial role played by the support staff in the placement agency, without whom this project would not have been possible.The evaluation was carried out using a mixed methods approach and embraced the principles and values of participatory action research. The evaluation provides insight into the experiences of the mentors, the students and support staff, and demonstrates that with the right support in place, and with commitment to thorough planning and preparation, seldom heard service users can be meaningfully involved in social work education.
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Klonek, Florian E., Annika L. Meinecke, Georgia Hay, and Sharon K. Parker. "Capturing Team Dynamics in the Wild: The Communication Analysis Tool." Small Group Research 51, no. 3 (March 1, 2020): 303–41. http://dx.doi.org/10.1177/1046496420904126.

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Capturing team processes, which are highly dynamic and quickly unfold over time, requires methods that go beyond standard self-report measures. However, quantitative observational methods are challenging when teams are observed in the wild, that is, in their full-situated context. Technologically advanced tools that enable high-resolution measurements in the wild are rare and, when they exist, expensive. The present research advances high-resolution measurement of team processes by introducing a technological application—the Communication Analysis Tool (CAT)—that captures fine-grained interactions in real workplace contexts. We introduce four core features of CAT: (a) customized coding measures, (b) session-based feedback on interrater reliability, (c) visualization and feedback options for displaying team dynamics, and (d) an export function to conduct advanced statistical analyses on effective team processes. We illustrate these core features using data from an organizational field project on multidisciplinary teams tasked with diagnosing patients with uncommon and highly complex medical conditions.
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Genova, Juliana, and Jackie Bender. "Communication AssessmenT Checklist in Health." International Journal of User-Driven Healthcare 6, no. 2 (July 2016): 1–20. http://dx.doi.org/10.4018/ijudh.2016070101.

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There is no comprehensive and standardized tool for evaluating the communication quality of web resources for patients. The purpose of this study was to assess prostate cancer websites using the Communication AssessmenT Checklist in Health (CATCH) and to compare the results with those of the Consumer and Patient Health Information Section of the MLA (CAPHIS). CATCH is a theory-based tool consisting of 50 elements nested in 12 concepts. Two raters independently applied it to 35 HON certified websites containing information on prostate cancer treatment. The CATCH summary scores for these websites were then compared to the 2015 list of credible health websites published by CAPHIS. Websites contained a mean 24.1 (SD= 3.6) CATCH items. The concepts Language, Readability, Layout, Typography and Appearance were present in over 80% of sites. Content, Risk Communication, Usefulness, and Scientific Value were present in 50% or less. CATCH provided an overall score of the selected sites that was consistent with CAPHIS ratings. The prostate cancer websites evaluated in this study did not present treatment information in a useful, informative or credible way for patients. The communication quality of these resources could be improved with a clear strategic intent focused on decision-making, using CATCH as a guiding framework. CATCH is a tool that can be used independently or with other health resource evaluation tools to select the most trustworthy web resources for health information.
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Waldrop, Deborah P., and Elaine S. Rinfrette. "Can short hospice enrollment be long enough? Comparing the perspectives of hospice professionals and family caregivers." Palliative and Supportive Care 7, no. 1 (February 13, 2009): 37–47. http://dx.doi.org/10.1017/s1478951509000066.

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ABSTRACTObjective:Hospice utilization lasting for 2 weeks or less before death is considered “short.” Short, late-stage hospice admissions have been viewed as inadequate for providing end-stage symptom management, maximal comfort, and a comprehensive focus on life closure and as an underutilization of the Medicare Hospice Benefit. The purpose of this study was to explore psychosocial dynamics during late-stage hospice admissions by comparing the perspectives of hospice professionals and family caregivers. Salutogenic principles and concepts from Antonovsky's Sense of Coherence Theory (SOC) guided the inquiry.Methods:This exploratory, descriptive study involved a developmental design. First, hospice professionals' perspectives about psychosocial dynamics commonly observed in late-stage admissions were gathered. Themes were distilled into a Psychosocial Factors Checklist (PFC). Second, interviews that incorporated open-ended questions and the PFC were conducted with 56 family caregivers of hospice patients who died from cancer within 2 weeks of admission. Participant responses were transcribed and entered into Atlas ti software for data management and coding. Responses to the PFC were clustered around the SOC constructs (manageability, comprehensibility, meaningfulness) to create corresponding subscales. Interitem correlations were conducted to explore the associations among items.Results:Late-stage admissions were a crisis (54%), chaotic (43%), emotional (80%), and a time of open communication (80%) and meaningful conversations (73%). Hospice utilization was “just long enough” (49%) and “too short” (49%). The Manageability subscale (M = 4.09) suggested that caregivers experienced moderate difficulty. Manageability included physical challenges, emotional responses, informational needs, and benefits/resources. Comprehensibility emerged from medical results, visual signs, and hospice guidance. Meaningfulness was personal-individual, family-shared, and spiritual-existential.Significance of results:Hospice professionals and caregivers view late-stage admissions differently; they are a crisis for some but not all families. The development of a quick assessment tool for late-stage admissions has the potential for meaningful and effective intervention when time is of the essence.
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Pagano, Michael P., Eileen R. O'Shea, Suzanne Hetzel Campbell, Leanne M. Currie, Elizabeth Chamberlin, and Christopher A. Pates. "Validating the Health Communication Assessment Tool© (HCAT)." Clinical Simulation in Nursing 11, no. 9 (September 2015): 402–10. http://dx.doi.org/10.1016/j.ecns.2015.06.001.

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Wolverton, Cheryl Lynn, Sue Lasiter, Joanne R. Duffy, Michael T. Weaver, and Anna M. McDaniel. "Psychometric testing of the caring assessment tool: Administration (CAT-Adm©)." SAGE Open Medicine 6 (January 1, 2018): 205031211876073. http://dx.doi.org/10.1177/2050312118760739.

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Objectives: The overall purpose of this study was to evaluate the validity and reliability of the Caring Assessment Tool-Administration survey. Three specific aims were to (1) evaluate construct validity of the Caring Assessment Tool-Administration survey by testing the hypothesized eight-factor structure of staff nurses’ perceptions of nurse manager caring behaviors, (2) estimate the internal consistency, and (3) conduct item reduction analysis. Methods: A 94-item Caring Assessment Tool-Administration designed to assess nurse manager caring behaviors appeared in the literature but lacked robust psychometric testing. Using a foundational theory and a cross-sectional descriptive design, the Caring Assessment Tool-Administration was evaluated for reliability and construct validity. Using convenience sampling, 1143 registered nurses were recruited from acute care hospitals in three states located in the Midwestern, Mid-Atlantic, and Southern Regions of the United States. Results: Psychometric testing of the Caring Assessment Tool-Administration was conducted using confirmatory analysis to determine the dimensionality of the construct, nurse manager caring behavior. The null hypothesis was an eight-factor solution fitting the theoretical model being tested. The null hypothesis was rejected because none of the measures examined for goodness of fit indicated the model fit the data. Confirmatory factor analysis did not support the hypothesized structure; however, exploratory factor analysis supported a one-factor solution that was conceptually labeled caring behaviors. To decrease subject burden, the 94-item survey was reduced to 25 items using item reduction analysis including assessing minimum factor loadings of ≥0.60 and evaluating survey item-total correlation and alpha. The Cronbach’s alpha of the new 25-item survey was 0.98. Conclusion: The new 25-item Caring Assessment Tool-Administration survey provides hospital administrators, nurse managers, and researchers with a sound, less burdensome instrument to collect valuable information about nurse manager caring behaviors.
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Martínez, Teresa, Javier Suárez-Álvarez, Javier Yanguas, and José Muñiz. "Spanish validation of the Person-centered Care Assessment Tool (P-CAT)." Aging & Mental Health 20, no. 5 (March 26, 2015): 550–58. http://dx.doi.org/10.1080/13607863.2015.1023768.

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Le, Cai, Ke Ma, Pingfen Tang, David Edvardsson, Lina Behm, Jie Zhang, Jiqun Yang, Haiyan Fu, and Gerd Ahlström. "Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool." BMJ Open 10, no. 7 (July 2020): e031580. http://dx.doi.org/10.1136/bmjopen-2019-031580.

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ObjectiveThis study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.DesignP-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.SettingTwo hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.Participants152 female hospital staff completed the survey.Main outcome measure(s)Construct validity and reliability, including internal consistency and test–retest reliability, were assessed among a sample of hospital staff.ResultsThe factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach’s alpha of 0.91–0.94 for the scales and a test–retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).ConclusionP-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.
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Milenkovic, Branislava, Sanja Dimic-Janjic, Jelena Kotur-Stevuljevic, Ivan Kopitovic, Jelena Jankovic, Mihailo Stjepanovic, Marija Vukoja, Snezana Ristic, and Zaklina Davicevic-Elez. "Validation of Serbian version of chronic obstructive pulmonary disease assessment test." Vojnosanitetski pregled 77, no. 3 (2020): 294–99. http://dx.doi.org/10.2298/vsp180220094m.

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Background/Aim. The Chronic obstructive pulmonary disease (COPD) Assessment Test (CAT) is a simple and reliable tool designed to measure overall COPD related health status and complement physician assessment in routine clinical practice. Objective of this study was to evaluate the validity of the Serbian version of CAT. Methods. Study included 140 outpatients in the stable COPD, recruited from two centres: Clinic for Pulmonology, Clinical Center of Serbia, Belgrade, and Institute for Pulmonary Diseases of Vojvodina, Sremska Kamenica. All patients completed pulmonary function testing ? spirometry, the CAT and the modified Medical Research Council (mMRC) dyspnea scale at baseline visit. The CAT test-retest reliability was tested in 20 patients by the same investigator (physician). Results. We demonstrated that Serbian version of CAT had high internal consistency with Cronbach?s alpha 0.88. Test-retest analysis showed good correlation between CAT scores in two time points (Spearman?s ? = 0.681, p < 0.01). In our study the CAT correlated moderately to mMRC scale (? = +0.57), weakly to FEV1 (? -0.214), was positively related to number of exacerbations, but did not showed exact regularity with change in the Global Initiative for Chronic Obstructive lung disease (GOLD) stage. Conclusion. The Serbian version of CAT is a reliable, simple and easy-to-use tool that can be used in everyday clinical practice to assess the health status of COPD patients in Serbia.
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Kosower, E. "An assessment and teaching tool for interpersonal communication skills." Academic Medicine 70, no. 5 (May 1995): 452–3. http://dx.doi.org/10.1097/00001888-199505000-00056.

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Wisely, Joanne M. "Skilled Nursing Facility Assessment Tool Focuses on Patient Communication." ASHA Leader 15, no. 6 (May 2010): 8–9. http://dx.doi.org/10.1044/leader.otp.15062010.8.

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Fuchs, Christian. "New Marxian Times! Reflections on the 4th ICTs and Society Conference “Critique, Democracy and Philosophy in 21st Century Information Society. Towards Critical Theories of Social Media”." tripleC: Communication, Capitalism & Critique. Open Access Journal for a Global Sustainable Information Society 10, no. 1 (May 6, 2012): 114–21. http://dx.doi.org/10.31269/triplec.v10i1.411.

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This paper presents reflections on the conference “Critique, Democracy and Philosophy in 21st Century Information Society. Towards Critical Theories of the Information Society” that took place at Uppsala University from May 2nd-4th, 2012. About 160 participants attended the conference. It featured 15 plenary talks in seven sessions, 15 paper presentation sessions organised in 5 slots that each had 3 parallel sessions. The conference was financially supported by the Swedish Research Council and organised by Uppsala University’s Department of Informatics and Media, the ICTs and Society Network (http://www.icts-and-society.net), the European Sociological Association’s Research Network 18: Sociology of Communications and Media Research (http://www.europeansociology.org/research-networks/rn18-sociology-of-communications-and-media-research.html), tripleC – Open Access Journal for a Global Sustainable Information Society (http://www.triple-c.at), the Unified Theory of Information Research Group (UTI), Aarhus University’s Department of Information and Media Studies, the Vienna University of Technology’s Institute for Design & Assessment of Technology, and Jönköping University’s School of Education and Communication.
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Fuchs, Christian. "New Marxian Times! Reflections on the 4th ICTs and Society Conference “Critique, Democracy and Philosophy in 21st Century Information Society. Towards Critical Theories of Social Media”." tripleC: Communication, Capitalism & Critique. Open Access Journal for a Global Sustainable Information Society 10, no. 1 (May 6, 2012): 114–21. http://dx.doi.org/10.31269/vol10iss1pp114-121.

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This paper presents reflections on the conference “Critique, Democracy and Philosophy in 21st Century Information Society. Towards Critical Theories of the Information Society” that took place at Uppsala University from May 2nd-4th, 2012. About 160 participants attended the conference. It featured 15 plenary talks in seven sessions, 15 paper presentation sessions organised in 5 slots that each had 3 parallel sessions. The conference was financially supported by the Swedish Research Council and organised by Uppsala University’s Department of Informatics and Media, the ICTs and Society Network (http://www.icts-and-society.net), the European Sociological Association’s Research Network 18: Sociology of Communications and Media Research (http://www.europeansociology.org/research-networks/rn18-sociology-of-communications-and-media-research.html), tripleC – Open Access Journal for a Global Sustainable Information Society (http://www.triple-c.at), the Unified Theory of Information Research Group (UTI), Aarhus University’s Department of Information and Media Studies, the Vienna University of Technology’s Institute for Design & Assessment of Technology, and Jönköping University’s School of Education and Communication.
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Hradílek, Jaroslav. "Practical usability of CAT Model – a case study." SHS Web of Conferences 83 (2020): 01023. http://dx.doi.org/10.1051/shsconf/20208301023.

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The average life span of an organization, irrespective of its size, is 12½ years. The majority of companies which get into a crisis find themselves in this situation because of internal factors. To survive in the evolving and more and more demanding environment, organisations have to focus on their internal processes, leadership and management. However, there is no reliable and easily usable tool or model evaluating such criteria of an organisation in place. Following the need to have a lean, yet reliable tool to evaluate a level of Leadership, Management Maturity and Culture a new Performance Model has been created. The CAT Model (acronym stands for Complex Assessment Tool) can be used to evaluate and assess its strong and weak sides using structured interviews. The usage of the tool proved useful, giving owners/management valuable feedback and areas with potential for improvement. This article describes its practical usability in an assessment carried out on a Czech company.
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Fakkheaw, Leenawat, Jedsada Suwanwaree, Yuwarat Moungngern, Kanthika Thintip, and Supalak Mirattanaphrai. "The CDC Clear Communication Index Health Education Materials Assessment Tool." Siriraj Medical Bulletin 14, no. 3 (July 1, 2021): 41–47. http://dx.doi.org/10.33192/smb.v14i3.251326.

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The health education material assessment tool is an important instrument that media contributors use to reexamine communication elements that are crucial to readers’ understanding of the message. Consequently, readers may be able to identify the key message, then recognize the purpose and/or the concept, and finally put the information into use, which is the indication of a successful communication. Health literacy experts recommend many health education material assessment tools such as The Suitability Assessment of Materials (SAM)2, The Patient Education Materials Assessment Tool (PEMAT)3 and the CDC Clear Communication Index4. In this article, the CDC Clear Communication Index tool developed from the synthesis of communication elements by the US National Centers for Disease Control and Prevention was demonstrated. The tool is trusted and widely used. Furthermore, research has shown that it promotes the clarity and readers' understanding of a key message. However, author team has not yet found implementation of CDC Clear Communication Index in Thai articles, so introducing the material assessment tool has rather been encouraged. The CDC Clear Communication Index in this article has been translated and adapted to fit into Thai context in order to be well practiced on the targeted demographics.
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Harper, Karen, and Susan Bell. "A pain assessment tool for patients with limited communication ability." Nursing Standard 20, no. 51 (August 30, 2006): 40–44. http://dx.doi.org/10.7748/ns2006.08.20.51.40.c4489.

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Ripat, Jacquie, James Watzke, and Gary Birch. "Development of the public information and communication technology assessment tool." Disability and Rehabilitation: Assistive Technology 3, no. 5 (January 2008): 253–59. http://dx.doi.org/10.1080/17483100802239812.

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Shin, Dong Wook, Jooyeon Shin, So Young Kim, Boram Park, Hyung-Kook Yang, Juhee Cho, Eun Sook Lee, Jong Heun Kim, and Jong-Hyock Park. "Cross-cultural validation of Cancer Communication Assessment Tool in Korea." Psycho-Oncology 24, no. 2 (July 17, 2014): 197–203. http://dx.doi.org/10.1002/pon.3629.

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Holtzman, Bryan, Adam S. Tenforde, Allyson L. Parziale, and Kathryn E. Ackerman. "Characterization of Risk Quantification Differences Using Female Athlete Triad Cumulative Risk Assessment and Relative Energy Deficiency in Sport Clinical Assessment Tool." International Journal of Sport Nutrition and Exercise Metabolism 29, no. 6 (November 1, 2019): 569–75. http://dx.doi.org/10.1123/ijsnem.2019-0002.

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This study’s objective was to identify differences in risk for low energy availability and athletic clearance level by comparing scores on Female Athlete Triad Cumulative Risk Assessment (Triad CRA) and Relative Energy Deficiency in Sport Clinical Assessment Tool (RED-S CAT). A total of 1,000 female athletes aged 15–30 years participating in ≥4 hr of physical activity/week for the previous ≥6 months completed an extensive survey assessing health, athletic history, family disease history, and specific Triad/RED-S risk factors. Retrospective chart review ascertained laboratory and bone mineral density measures. Triad CRA and RED-S CAT were used to assign each athlete’s risk level (low, moderate, and high), and case-by-case comparison measured the level of agreement between the tools. We hypothesized that the tools would generally agree on low-risk athletes and that the tools would be less aligned in the specific elevated risk level (moderate or high). Most of the sample was assigned moderate or high risk for Triad CRA and RED-S CAT (Triad: 54.7% moderate and 7.9% high; RED-S: 63.2% moderate and 33.0% high). The tools agreed on risk for 55.5% of athletes. Agreement increased to 64.3% when only athletes with bone mineral density measurements were considered. In conclusion, Triad CRA and RED-S CAT provide consensus on the majority of athletes at elevated (moderate or high) risk for low energy availability, but have less agreement on the specific risk level assigned.
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Trickey, Amber W., Anna B. Newcomb, Melissa Porrey, Jeffrey Wright, Jordan Bayless, Franco Piscitani, Paula Graling, and Jonathan Dort. "Assessment of Surgery Residents’ Interpersonal Communication Skills: Validation Evidence for the Communication Assessment Tool in a Simulation Environment." Journal of Surgical Education 73, no. 6 (November 2016): e19-e27. http://dx.doi.org/10.1016/j.jsurg.2016.04.016.

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Raymond, Meriel, and Michael C. Harrison. "The structured communication tool SBAR (Situation, Background, Assessment and Recommendation) improves communication in neonatology." South African Medical Journal 104, no. 12 (November 19, 2014): 850. http://dx.doi.org/10.7196/samj.8684.

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Rowland, Charity, and Melanie Fried-Oken. "Communication Matrix: A clinical and research assessment tool targeting children with severe communication disorders." Journal of Pediatric Rehabilitation Medicine 3, no. 4 (2010): 319–29. http://dx.doi.org/10.3233/prm-2010-0144.

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Giroux, Dominique, Catherine Vallée, Véronique Provencher, Nathalie Delli Colli, Valérie Poulin, Anik Giguère, Emmanuelle Careau, Pierre J. Durand, and Maude Carignan. "A computerized and innovative tool to guide interdisciplinary assessment: Exploring the feasibility of the implementation of the Competency Assessment Tool (CAT)." Informatics for Health and Social Care 45, no. 3 (November 7, 2019): 282–91. http://dx.doi.org/10.1080/17538157.2019.1656211.

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Skúladóttir, Hafdís, and Margrét Hrönn Svavarsdóttir. "Development and validation of a Clinical Assessment Tool for Nursing Education (CAT-NE)." Nurse Education in Practice 20 (September 2016): 31–38. http://dx.doi.org/10.1016/j.nepr.2016.06.008.

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Edvardsson, David, Deirdre Fetherstonhaugh, Rhonda Nay, and Stephen Gibson. "Development and initial testing of the Person-centered Care Assessment Tool (P-CAT)." International Psychogeriatrics 22, no. 1 (July 27, 2009): 101–8. http://dx.doi.org/10.1017/s1041610209990688.

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ABSTRACTBackground: Person-centered care is increasingly regarded as being synonymous with best quality care. However, the concept and its precise meaning is a subject of debate and reliable and valid measurement tools are lacking.Method: This article describes the development and initial testing of a new self-report assessment scale, the Person-centered Care Assessment Tool (P-CAT), which measures the extent to which long-term aged care staff rate their settings to be person-centered. A preliminary 39-item tool generated from research literature, expert consultations and research interviews with aged care staff (n = 37), people with early onset dementia (n = 11), and family members (n = 19) was distributed to a sample of Australian aged care staff (n = 220) and subjected to item analysis and reduction.Results: Psychometric evaluation of the final 13-item tool was conducted using statistical estimates of validity and reliability. The results showed that the P-CAT was shown to be valid and homogeneous by factor, item and content analyses. Cronbach's α was satisfactory for the total scale (0.84), and the three subscales had values of 0.81, 0.77, and 0.31 respectively. Test–retest reliability were evaluated (n = 26) and all analyses indicated satisfactory estimates.Conclusion: This study provides preliminary evidence in support of the psychometric properties of the P-CAT when used in an Australian sample of long-term aged care staff. The tool contributes to the literature by making it possible to study person-centered care in relation to health outcomes, organizational models, characteristics and levels of staffing, degrees of care needs among residents, and impact of interventions.
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Mountjoy, Margo, Jorunn Sundgot-Borgen, Louise Burke, Susan Carter, Naama Constantini, Constance Lebrun, Nanna Meyer, et al. "The IOC relative energy deficiency in sport clinical assessment tool (RED-S CAT)." British Journal of Sports Medicine 49, no. 21 (April 20, 2015): 1354. http://dx.doi.org/10.1136/bjsports-2015-094873.

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Tremblay, Mélanie, Catherine Vallée, Maude Carignan, Véronique Provencher, Nathalie Delli-Colli, Valérie Poulin, Anik Giguère, Emmanuelle Careau, and Dominique Giroux. "Design and implementation of the Competency Assessment Tool (CAT): user experience usability study." Informatics for Health and Social Care 45, no. 1 (December 13, 2018): 57–76. http://dx.doi.org/10.1080/17538157.2018.1550414.

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Jones, Darla. "Voice recognition: a new assessment tool?" Technology, Pedagogy and Education 14, no. 3 (October 2005): 413–27. http://dx.doi.org/10.1080/14759390500200205.

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Sjögren, Karin, Marie Lindkvist, Per-Olof Sandman, Karin Zingmark, and David Edvardsson. "Psychometric evaluation of the Swedish version of the Person-Centered Care Assessment Tool (P-CAT)." International Psychogeriatrics 24, no. 3 (November 1, 2011): 406–15. http://dx.doi.org/10.1017/s104161021100202x.

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ABSTRACTBackground: Person-centered care is a multidimensional concept describing good care, especially within aged care and care for people with dementia. Research studies evaluating person-centered care interventions seldom use direct measurement of levels of person-centeredness. Existing scales that measure person-centeredness need further testing. This study evaluated the psychometric properties of the Swedish version of the Person-Centered Care Assessment Tool (P-CAT).Methods: A cross-sectional sample of 1465 staff from 195 residential care units for older people in Sweden participated in the study. Validity, reliability, and discrimination ability of the scale were evaluated.Results: Confirmatory factor analysis, parallel analysis and exploratory factor analysis supported the construct validity of a two-factor solution. Reliability and homogeneity were satisfactory for the whole P-CAT as demonstrated by a Cronbach's α of 0.75. Test-retest reliability showed temporal stability of the scale, and the discrimination ability of the scale was satisfactory.Conclusion: The Swedish version of the P-CAT was found to be valid, reliable, and applicable for further use. Two subscales are recommended for the Swedish version.
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Grant, Michael, and Marshall Smith. "Quantifying Assessment Of Undergraduate Critical Thinking." Journal of College Teaching & Learning (TLC) 15, no. 1 (July 26, 2018): 27–38. http://dx.doi.org/10.19030/tlc.v15i1.10199.

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Enhancing students' critical thinking capabilities stands as the top goal of undergraduate education, according to faculty from many universities. We assessed the change in critical thinking skills with a sample of 176 students enrolled at either the University of Colorado Boulder (UCB) or Colorado College (CC) by employing the Critical-thinking Assessment Test (CAT) developed with collaboration and support from the National Science Foundation. Students' critical thinking progress was compared by assaying skills during the first and last weeks of the term in classes that expressly emphasized: (1) critical thinking, or (2) civic engagement, or (3) where, according to the class instructors, neither was a point of major emphasis. CAT scores improved significantly for students at both institutions, in different categories of class types, and over the dramatically different lengths of terms (3.5 weeks at CC vs 15 weeks at UCB). Our research contributes to an understanding of changes in critical thinking as part of the undergraduate experience. We demonstrate that the CAT instrument can be an effective tool for assessing critical thinking skills across very different institutions of higher education.
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Cubaka, Vincent Kalumire, Michael Schriver, Peter Vedsted, Gregory Makoul, and Per Kallestrup. "Measuring patient-provider communication skills in Rwanda: Selection, adaptation and assessment of psychometric properties of the Communication Assessment Tool." Patient Education and Counseling 101, no. 9 (September 2018): 1601–10. http://dx.doi.org/10.1016/j.pec.2018.04.010.

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Makoul, Gregory, Edward Krupat, and Chih-Hung Chang. "Measuring patient views of physician communication skills: Development and testing of the Communication Assessment Tool." Patient Education and Counseling 67, no. 3 (August 2007): 333–42. http://dx.doi.org/10.1016/j.pec.2007.05.005.

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Palis, Heather, Kirsten Marchand, Scott Beaumont, Daphne Guh, Scott Harrison, Scott MacDonald, Suzanne Brissette, David C. Marsh, Martin T. Schechter, and Eugenia Oviedo-Joekes. "Physician Communication in Injectable Opioid Agonist Treatment: Collecting Patient Ratings With the Communication Assessment Tool." Journal of Addiction Medicine 14, no. 6 (February 7, 2020): 480–88. http://dx.doi.org/10.1097/adm.0000000000000631.

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