Preliminary Validation of the PROMIS Parent-Proxy Peer Relationships Measure in Children with Autism Spectrum Disorder: A DBPNet Study.

PubMed

Toomey, Marisa; Schwartz, Justin; Laverdiere, Michele; Tucker, Carole A; Bevans, Katherine; Forrest, Christopher B; Blum, Nathan J

To evaluate the content and construct validity of the existing PROMIS Pediatric Parent-Proxy Peer Relationships Measure in 5- to 12-year-old children with autism spectrum disorder (ASD). Parents of 121 children aged 5 to 12 years who met DSM-IV criteria for ASD completed the Peer Relationships Measure using computerized adaptive testing (CAT). Parents also completed the Social Responsiveness Scale, Second Edition (SRS-2) and a demographic form. Intelligence quotient test results were extracted from clinical or research records. Five parents participated in semi-structured interviews about their child's peer relationships and the item content on the Peer Relationships Measure. The children in the sample were primarily male (87%). The sample was racially and ethnically diverse, and parents were predominantly highly educated. The mean T-score (SD) on the Peer Relationships Measure was 36 (8), with a range from 15 to 62. For 98% of subjects, the CAT required administration of 5 items to reach a standard error of measurement of less than 4 T-score units. The Peer Relationships Measure demonstrated a large correlation with the SRS-2 (r = -0.60, p < .0001). In semi-structured interviews, parents reported that the items on the Peer Relationships Measure were relevant to the peer relationships of their child with ASD, but they reported a few challenges related to variability in their children's peer relationships over time and to somewhat limited knowledge of relationships in school. The PROMIS Pediatric Parent-Proxy Peer Relationships Measure may be an efficient, precise, and valid measure of peer relationships for 5- to 12-year-old children with ASD.

Validation of commercial business lists as a proxy for licensed alcohol outlets.

PubMed

Carlos, Heather A; Gabrielli, Joy; Sargent, James D

2017-05-19

Studies of retail alcohol outlets are restricted to regions due to lack of U.S. national data. Commercial business lists (BL) offer a possible solution, but no data exists to determine if BLs could serve as an adequate proxy for license data. This paper compares geospatial measures of alcohol outlets derived from a commercial BL with license data for a large US state. We validated BL data as a measure of off-premise alcohol outlet density and proximity compared to license data for 5528 randomly selected California residential addresses. We calculated three proximity measures (Euclidean distance, road network travel time and distance) and two density measures (kernel density estimation and the count within a 2-mile radius) for each dataset. The data was acquired in 2015 and processed and analyzed in 2015 and 2016. Correlations and reliabilities between density (correlation 0.98; Cronbach's α 0.97-0.99) and proximity (correlations 0.77-0.86; α 0.87-0.92) measures were high. For proximity, BL data matched license in 55-57% of addresses, overstated distance in 19%, and understated in 24-26%. BL data can serve as a reliable proxy for licensed alcohol outlets, thus extending the work that can be performed in studies on associations between retail alcohol outlets and drinking outcomes.

Sao Paulo Lightning Mapping Array (SP-LMA): Network Assessment and Analyses for Intercomparison Studies and GOES-R Proxy Activities

NASA Technical Reports Server (NTRS)

Blakeslee, R. J.; Bailey, J. C.; Carey, L. D.; Goodman, S. J.; Rudlosky, S. D.; Albrecht, R.; Morales, C. A.; Anselmo, E. M.; Neves, J. R.

2013-01-01

A 12 station Lightning Mapping Array (LMA) network was deployed during October 2011in the vicinity of São Paulo, Brazil (SP-LMA) to contribute total lightning measurements to an international field campaign [CHUVA - Cloud processes of tHe main precipitation systems in Brazil: A contribUtion to cloud resolVing modeling and to the GPM (GlobAl Precipitation Measurement)]. The SP-LMA was operational from November 2011 through March 2012. Sensor spacing was on the order of 15-30 km, with a network diameter on the order of 40-50km. The SP-LMA provides good 3-D lightning mapping out to150 km from the network center, with 2-D coverage considerably farther. In addition to supporting CHUVA science/mission objectives, the SP-LMA is supporting the generation of unique proxy data for the Geostationary Lightning Mapper (GLM) and Advanced Baseline Imager (ABI), on NOAA's Geostationary Operational Environmental Satellite-R (GOES-R: scheduled for a 2015 launch). These proxy data will be used to develop and validate operational algorithms so that they will be ready to use on "day1" following the GOES-R launch. The SP-LMA data also will be intercompared with lightning observations from other deployed lightning networks to advance our understanding of the capabilities/contributions of each of these networks toward GLM proxy and validation activities. This paper addresses the network assessment and analyses for intercomparison studies and GOES-R proxy activities

Validity of 24-h recalls in (pre-)school aged children: comparison of proxy-reported energy intakes with measured energy expenditure.

PubMed

Börnhorst, C; Bel-Serrat, S; Pigeot, I; Huybrechts, I; Ottavaere, C; Sioen, I; De Henauw, S; Mouratidou, T; Mesana, M I; Westerterp, K; Bammann, K; Lissner, L; Eiben, G; Pala, V; Rayson, M; Krogh, V; Moreno, L A

2014-02-01

Little is known about the validity of repeated 24-h dietary recalls (24-HDR) as a measure of total energy intake (EI) in young children. This study aimed to evaluate the validity of proxy-reported EI by comparison with total energy expenditure (TEE) measured by the doubly labeled water (DLW) technique. The agreement between EI and TEE was investigated in 36 (47.2% boys) children aged 4-10 years from Belgium and Spain using subgroup analyses and Bland-Altman plots. Low-energy-reporters (LER), adequate-energy-reporters (AER) and high-energy-reporters (HER) were defined from the ratio of EI over TEE by application of age- and sex-specific cut-off values. There was good agreement between means of EI (1500 kcal/day) and TEE (1523 kcal/day) at group level though in single children, i.e. at the individual level, large differences were observed. Almost perfect agreement between EI and TEE was observed in thin/normal weight children (EI: 1511 kcal/day; TEE: 1513 kcal/day). Even in overweight/obese children the mean difference between EI and TEE was only -86 kcal/day. Among the participants, 28 (78%) were classified as AER, five (14%) as HER and three (8%) as LER. Two proxy-reported 24-HDRs were found to be a valid instrument to assess EI on group level but not on the individual level. Copyright © 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Do patient and proxy agree? Long-term changes in multiple sclerosis physical impact and walking ability on patient-reported outcome scales.

PubMed

Sonder, Judith M; Balk, Lisanne J; Bosma, Libertje V A E; Polman, Chris H; Uitdehaag, Bernard M J

2014-10-01

Patient-reported outcome scales (PROs) are useful in monitoring changes in multiple sclerosis (MS) over time. Although these scales are reliable and valid measures in longitudinal studies in MS patients, it is unknown what the impact is when obtaining longitudinal data from proxies. The objective of this paper is to compare longitudinal changes in patient and proxy responses on PROs assessing physical impact of MS and walking ability. In a prospective observational study, data on the Multiple Sclerosis Impact Scale (MSIS-29 physical) and Multiple Sclerosis Walking Scale (MSWS-12) were obtained from 137 patient-proxy couples at baseline and at two-year follow-up. Demographic and disease-related variables explaining agreement or disagreement between patients and proxies were investigated using linear regression analyses. Full agreement was found in 56% (MSIS) and 62% (MSWS) of the patient-proxy couples. Complete disagreement was very rare for both scales (2% MSIS, 5% MSWS). When patients were more positive than proxies, a higher age, longer disease duration, longer patient-proxy relationship and increased levels of depression, anxiety and caregiver burden in proxies were observed. In the majority of the patient-proxy couples there was agreement. Proxies can serve as a valuable source of information, but caution remains essential when using scores from proxies. © The Author(s), 2014.

Measuring Adaptive Coping of Hospitalized Patients With a Severe Medical Condition: The Sickness Insight in Coping Questionnaire.

PubMed

Boezeman, Edwin J; Hofhuis, José G M; Hovingh, Aly; Cox, Christopher E; de Vries, Reinout E; Spronk, Peter E

2016-09-01

Adaptive coping strategies are associated with less psychological distress. However, there is no brief, specific, and validated instrument for assessing adaptive coping among seriously ill patients. Our objective was to examine the validity and patient-proxy agreement of a novel instrument, the Sickness Insight in Coping Questionnaire. A cross-sectional design which included two related studies. A single university-affiliated Dutch hospital. Hospitalized patients (study 1) and ICU-patients and proxies (study 2). None. Study 1 (n = 103 hospitalized patients) addressed the Sickness Insight in Coping Questionnaire's performance relative to questionnaires addressing similar content areas. Coping subscales of the BRIEF COPE, Illness Cognition Questionnaire, and Utrecht Coping List were used as comparator measures in testing the construct validity of the Sickness Insight in Coping Questionnaire-subscales (fighting spirit, toughness, redefinition, positivism, and non-acceptance). The Sickness Insight in Coping Questionnaire had good internal consistency (0.64 ≤ α ≤ 0.79), a clear initial factor structure, and fair convergent (0.24 ≤ r ≤ 0.50) and divergent (r, ≤ 0.12) construct validity. Study 2 examined the performance of the Sickness Insight in Coping Questionnaire among 100 ICU patients and their close family members. This study showed that the Sickness Insight in Coping Questionnaire has good structural validity (confirmatory factor analyses with Comparative Fit Index > 0.90 and Root Mean Square Error of Approximation < 0.08) and moderate (r, 0.37; non-acceptance) to strong (r, > 0.50; fighting spirit, toughness, redefinition, and positivism) patient-close proxy agreement. Overall, the Sickness Insight in Coping Questionnaire has good psychometric properties. ICU clinicians can use the Sickness Insight in Coping Questionnaire to gain insight in adaptive coping style of patients through ratings of patients or their close family members.

Psychometric evaluation of the pediatric and parent-proxy Patient-Reported Outcomes Measurement Information System and the Neurology and Traumatic Brain Injury Quality of Life measurement item banks in pediatric traumatic brain injury.

PubMed

Bertisch, Hilary; Rivara, Frederick P; Kisala, Pamela A; Wang, Jin; Yeates, Keith Owen; Durbin, Dennis; Zonfrillo, Mark R; Bell, Michael J; Temkin, Nancy; Tulsky, David S

2017-07-01

The primary objective is to provide evidence of convergent and discriminant validity for the pediatric and parent-proxy versions of the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety, Depression, Anger, Peer Relations, Mobility, Pain Interference, and Fatigue item banks, the Neurology Quality of Life measurement system (Neuro-QOL) Cognition-General Concerns and Stigma item banks, and the Traumatic Brain Injury Quality of Life (TBI-QOL) Executive Function and Headache item banks in a pediatric traumatic brain injury (TBI) sample. Participants were 134 parent-child (ages 8-18 years) days. Children all sustained TBI and the dyads completed outcome ratings 6 months after injury at one of six medical centers across the United States. Ratings included PROMIS, Neuro-QOL, and TBI-QOL item banks, as well as the Pediatric Quality of Life inventory (PedsQL), the Health Behavior Inventory (HBI), and the Strengths and Difficulties Questionnaire (SDQ) as legacy criterion measures against which these item banks were validated. The PROMIS, Neuro-QOL, and TBI-QOL item banks demonstrated good convergent validity, as evidenced by moderate to strong correlations with comparable scales on the legacy measures. PROMIS, Neuro-QOL, and TBI-QOL item banks showed weaker correlations with ratings of unrelated constructs on legacy measures, providing evidence of discriminant validity. Our results indicate that the constructs measured by the PROMIS, Neuro-QOL, and TBI-QOL item banks are valid in our pediatric TBI sample and that it is appropriate to use these standardized scores for our primary study analyses.

Physical activity questionnaires for youth: a systematic review of measurement properties.

PubMed

Chinapaw, Mai J M; Mokkink, Lidwine B; van Poppel, Mireille N M; van Mechelen, Willem; Terwee, Caroline B

2010-07-01

Because of the diversity in available questionnaires, it is not easy for researchers to decide which instrument is most suitable for his or her specific demands. Therefore, we systematically summarized and appraised studies examining measurement properties of self-administered and proxy-reported physical activity (PA) questionnaires in youth. Literature was identified through searching electronic databases (PubMed, EMBASE using 'EMBASE only' and SportDiscus) until May 2009. Studies were included if they reported on the measurement properties of self-administered and proxy-reported PA questionnaires in youth (mean age <18 years) and were published in the English language. Methodological quality and results of included studies was appraised using a standardized checklist (qualitative attributes and measurement properties of PA questionnaires [QAPAQ]). We included 54 manuscripts examining 61 versions of questionnaires. None of the included questionnaires showed both acceptable reliability and validity. Only seven questionnaires received a positive rating for reliability. Reported validity varied, with correlations between PA questionnaires and accelerometers ranging from very low to high (previous day PA recall: correlation coefficient [r] = 0.77). In general, PA questionnaires for adolescents correlated better with accelerometer scores than did those for children. From this systematic review, we conclude that no questionnaires were available with both acceptable reliability and validity. Considerably more high-quality research is required to examine the validity and reliability of promising PA questionnaires for youth.

Validity and responsiveness of the urticaria activity and impact measure (U-AIM), a new patient-reported tool.

PubMed

Maurer, Marcus; Mathias, Susan D; Crosby, Ross D; Rajput, Yamina; Zazzali, James L

2018-03-19

Chronic spontaneous urticaria (CSU), also known as chronic idiopathic urticaria (CIU), may produce hives, itch, and angioedema. The Urticaria Activity and Impact Measure (U-AIM) is a newly developed 9-item patient-reported measure designed for use in routine clinical practice to assess CSU activity and impact over the previous 7 days. To evaluate validity, responsiveness, and clinically meaningful change of the U-AIM. Data from a 24-week open-label single-arm period of a randomized, placebo-controlled study of omalizumab were used to assess the psychometric properties of U-AIM items for itch, hives, and angioedema. 206 patients (75% female, mean age 44.6 years) were enrolled. At baseline, U-AIM results included prevalent severe itch (55%) and >12 hives (67%), angioedema (15%), and bother by itch (84%), hives (84%), and angioedema (49%). Urticaria Patient Daily Diary (UPDD) mean weekly scores were 15.4 (itch severity), 16.8 (number of hives), and 32.2 (Urticaria Activity Score [UAS7]). At baseline, Weeks 12 and 24, U-AIM itch and hives items and UAS7 proxy scores (the sum of itch severity and number of hives over 7 days) demonstrated strong correlation coefficients with their corresponding measures from the UPDD (itch severity: 0.634-0.806; hives number: 0.735-0.843; UAS7 proxy: 0.724-0.852). Changes in U-AIM scores differentiated patients by their perspective of symptom improvement. Meaningful change thresholds were established for itch severity and number of hives scores (0.8-1.0 for both) and the UAS7 proxy score (10.5-12.5). The U-AIM is valid and responsive to change, and may help clinicians monitor CSU activity and track treatment effectiveness. Copyright © 2018. Published by Elsevier Inc.

Comparing children's GPS tracks with geospatial proxies for exposure to junk food.

PubMed

Sadler, Richard C; Gilliland, Jason A

2015-01-01

Various geospatial techniques have been employed to estimate children's exposure to environmental cardiometabolic risk factors, including junk food. But many studies uncritically rely on exposure proxies which differ greatly from actual exposure. Misrepresentation of exposure by researchers could lead to poor decisions and ineffective policymaking. This study conducts a GIS-based analysis of GPS tracks--'activity spaces'--and 21 proxies for activity spaces (e.g. buffers, container approaches) for a sample of 526 children (ages 9-14) in London, Ontario, Canada. These measures are combined with a validated food environment database (including fast food and convenience stores) to create a series of junk food exposure estimates and quantify the errors resulting from use of different proxy methods. Results indicate that exposure proxies consistently underestimate exposure to junk foods by as much as 68%. This underestimation is important to policy development because children are exposed to more junk food than estimated using typical methods. Copyright © 2015 Elsevier Ltd. All rights reserved.

Data Driven Smart Proxy for CFD Application of Big Data Analytics & Machine Learning in Computational Fluid Dynamics, Report Two: Model Building at the Cell Level

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ansari, A.; Mohaghegh, S.; Shahnam, M.

To ensure the usefulness of simulation technologies in practice, their credibility needs to be established with Uncertainty Quantification (UQ) methods. In this project, smart proxy is introduced to significantly reduce the computational cost of conducting large number of multiphase CFD simulations, which is typically required for non-intrusive UQ analysis. Smart proxy for CFD models are developed using pattern recognition capabilities of Artificial Intelligence (AI) and Data Mining (DM) technologies. Several CFD simulation runs with different inlet air velocities for a rectangular fluidized bed are used to create a smart CFD proxy that is capable of replicating the CFD results formore » the entire geometry and inlet velocity range. The smart CFD proxy is validated with blind CFD runs (CFD runs that have not played any role during the development of the smart CFD proxy). The developed and validated smart CFD proxy generates its results in seconds with reasonable error (less than 10%). Upon completion of this project, UQ studies that rely on hundreds or thousands of smart CFD proxy runs can be accomplished in minutes. Following figure demonstrates a validation example (blind CFD run) showing the results from the MFiX simulation and the smart CFD proxy for pressure distribution across a fluidized bed at a given time-step (the layer number corresponds to the vertical location in the bed).« less

The Power of the Spectrum: Combining Numerical Proxy System Models with Analytical Error Spectra to Better Understand Timescale Dependent Proxy Uncertainty

NASA Astrophysics Data System (ADS)

Dolman, A. M.; Laepple, T.; Kunz, T.

2017-12-01

Understanding the uncertainties associated with proxy-based reconstructions of past climate is critical if they are to be used to validate climate models and contribute to a comprehensive understanding of the climate system. Here we present two related and complementary approaches to quantifying proxy uncertainty. The proxy forward model (PFM) "sedproxy" bitbucket.org/ecus/sedproxy numerically simulates the creation, archiving and observation of marine sediment archived proxies such as Mg/Ca in foraminiferal shells and the alkenone unsaturation index UK'37. It includes the effects of bioturbation, bias due to seasonality in the rate of proxy creation, aliasing of the seasonal temperature cycle into lower frequencies, and error due to cleaning, processing and measurement of samples. Numerical PFMs have the advantage of being very flexible, allowing many processes to be modelled and assessed for their importance. However, as more and more proxy-climate data become available, their use in advanced data products necessitates rapid estimates of uncertainties for both the raw reconstructions, and their smoothed/derived products, where individual measurements have been aggregated to coarser time scales or time-slices. To address this, we derive closed-form expressions for power spectral density of the various error sources. The power spectra describe both the magnitude and autocorrelation structure of the error, allowing timescale dependent proxy uncertainty to be estimated from a small number of parameters describing the nature of the proxy, and some simple assumptions about the variance of the true climate signal. We demonstrate and compare both approaches for time-series of the last millennia, Holocene, and the deglaciation. While the numerical forward model can create pseudoproxy records driven by climate model simulations, the analytical model of proxy error allows for a comprehensive exploration of parameter space and mapping of climate signal re-constructability, conditional on the climate and sampling conditions.

Elucidating the association between the self-harm inventory and several borderline personality measures in an inpatient psychiatric sample.

PubMed

Sellbom, Martin; Sansone, Randy A; Songer, Douglas A

2017-09-01

The current study evaluated the utility of the self-harm inventory (SHI) as a proxy for and screening measure of borderline personality disorder (BPD) using several diagnostic and statistical manual of mental disorders (DSM)-based BPD measures as criteria. We used a sample of 145 psychiatric inpatients, who completed the SHI and a series of well-validated, DSM-based self-report measures of BPD. Using a series of latent trait and latent class analyses, we found that the SHI was substantially associated with a latent construct representing BPD, as well as differentiated latent classes of 'high' vs. 'low' BPD, with good accuracy. The SHI can serve as proxy for and a good screening measure for BPD, but future research needs to replicate these findings using structured interview-based measurement of BPD.

Teachers' Professional Orientation: An Empirical Examination of the Construct Validity Using the Results of Large-Scale Factor Analyses.

ERIC Educational Resources Information Center

Chauvin, Sheila W.; Ellett, Chad D.

The construct validity of the Attitudes of Professional Autonomy (APA) as a proxy measure of professional orientation was studied. The sample consisted of all teachers in 94 schools in 6 districts in Louisiana, closely representing the statewide distribution of all schools by level and socioeconomic status. Usable data were received from 1,921…

Multiple Types of Memory and Everyday Functional Assessment in Older Adults

PubMed Central

Beaver, Jenna

2017-01-01

Abstract Objective Current proxy measures for assessing everyday functioning (e.g., questionnaires, performance-based measures, and direct observation) show discrepancies in their rating of functional status. The present study investigated the relationship between multiple proxy measures of functional status and content memory (i.e., memory for information), temporal order memory, and prospective memory in an older adult sample. Method A total of 197 community-dwelling older adults who did (n = 45) or did not meet (n = 152) criteria for mild cognitive impairment (MCI), completed six different assessments of functional status (two questionnaires, two performance-based tasks, and two direct observation tasks) as well as experimental measures of content memory, prospective memory, and temporal order memory. Results After controlling for demographics and content memory, the temporal order and prospective memory measures explained a significant amount of variance in all proxy functional status measures. When all variables were entered into the regression analyses, content memory and prospective memory were found to be significant predictors of all measures of functional status, whereas temporal order memory was a significant predictor for the questionnaire and direct observation measures, but not performance-based measures. Conclusion The results suggest that direct observation and questionnaire measures may be able to capture components of everyday functioning that require context and temporal sequencing abilities, such as multi-tasking, that are not as well captured in many current laboratory performance-based measures of functional status. Future research should aim to inform the development and use of maximally effective and valid proxy measures of functional ability. PMID:28334170

Item Development and Validity Testing for a Self- and Proxy Report: The Safe Driving Behavior Measure

PubMed Central

Classen, Sherrilene; Winter, Sandra M.; Velozo, Craig A.; Bédard, Michel; Lanford, Desiree N.; Brumback, Babette; Lutz, Barbara J.

2010-01-01

OBJECTIVE We report on item development and validity testing of a self-report older adult safe driving behaviors measure (SDBM). METHOD On the basis of theoretical frameworks (Precede–Proceed Model of Health Promotion, Haddon’s matrix, and Michon’s model), existing driving measures, and previous research and guided by measurement theory, we developed items capturing safe driving behavior. Item development was further informed by focus groups. We established face validity using peer reviewers and content validity using expert raters. RESULTS Peer review indicated acceptable face validity. Initial expert rater review yielded a scale content validity index (CVI) rating of 0.78, with 44 of 60 items rated ≥0.75. Sixteen unacceptable items (≤0.5) required major revision or deletion. The next CVI scale average was 0.84, indicating acceptable content validity. CONCLUSION The SDBM has relevance as a self-report to rate older drivers. Future pilot testing of the SDBM comparing results with on-road testing will define criterion validity. PMID:20437917

An Empirical Comparison of the EQ-5D-5L, DEMQOL-U and DEMQOL-Proxy-U in a Post-Hospitalisation Population of Frail Older People Living in Residential Aged Care.

PubMed

Ratcliffe, Julie; Flint, Thomas; Easton, Tiffany; Killington, Maggie; Cameron, Ian; Davies, Owen; Whitehead, Craig; Kurrle, Susan; Miller, Michelle; Liu, Enwu; Crotty, Maria

2017-06-01

To empirically compare the measurement properties of the DEMQOL-U and DEMQOL-Proxy-U instruments to the EQ-5D-5L and its proxy version (CEQ-5D-5L) in a population of frail older people living in residential aged care in the post-hospitalisation period following a hip fracture. A battery of instruments to measure health-related quality of life (HRQoL), cognition, and clinical indicators of depression, pain and functioning were administered at baseline and repeated at 4 weeks' follow-up. Descriptive summary statistics were produced and psychometric analyses were conducted to assess the levels of agreement, convergent validity and known group validity between clinical indicators and HRQoL measures. There was a large divergence in mean (SD) utility scores at baseline for the EQ-5D-5L and DEMQOL-U [EQ-5D-5L mean 0.21 (0.19); DEMQOL-U mean 0.79 (0.14)]. At 4 weeks' follow-up, there was a marked improvement in EQ-5D-5L scores whereas DEMQOL-U scores had deteriorated. [EQ-5D-5L mean 0.45 (0.38); DEMQOL-U mean 0.58 (0.38)]. The EQ-5D and CEQ-5D-5L were more responsive to the physical recovery trajectory experienced by frail older people following surgery to repair a fractured hip, whereas the DEMQOL-U and DEMQOL-Proxy-U appeared more responsive to the changes in delirium and dementia symptoms often experienced by frail older people in this period. This study presents important insights into the HRQoL of a relatively under-researched population of post-hospitalisation frail older people in residential care. Further research should investigate the implications for economic evaluation of self-complete versus proxy assessment of HRQoL and the choice of preference-based instrument for the measurement and valuation of HRQoL in older people exhibiting cognitive decline, dementia and other co-morbidities.

Psychometric properties of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales in early adolescents in Sri Lanka.

PubMed

Danansuriya, Manjula Nishanthi; Rajapaksa, Lalini C

2012-09-04

The concept Health related Quality of life (HRQOL) is increasingly recognized as an important health outcome measure in clinical and research fields. The present study attempted to evaluate the psychometric properties of the Sinhala version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) Generic Core Scales among adolescents in Sri Lanka. The original US PedsQL™ was translated into Sinhala and conceptually validated according to international guidelines. A cross-sectional study was conducted among 142 healthy school going adolescents (12-14 years), their parents (n = 120) and a group of adolescents with asthma who attended asthma clinics (n = 115). Reliability was assessed using Cronbach's alpha and validity by examining scale structure, exploring inter-scale correlations and comparing across known groups (healthy vs. chronically ill). The PedsQL™ Sinhala version was found to be acceptable with minimal missing responses. All scales demonstrated satisfactory reliability. Cronbach's alpha for the total scale scores was 0.85 for adolescent self-report while for the parent proxy-report for the healthy group it was 0.86. No floor effects were observed. Ceiling effects were noticed in self-report and parent proxy-report for the healthy group. Overall results of the multi trait scaling analysis confirmed the scale structure with 74% item-convergent validity, 88% item-discriminant validity and an overall scaling success of 72%. Moderate to high correlations were shown among the domains of teen self-report (Spearman rho = .37-.54) and between teen self-report and parent proxy-reports (Spearman rho = .41-.57). The PedsQL™ tool was able to discriminate between the quality of life in healthy adolescents and adolescents with asthma. The findings support the reliability and validity of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales as a generic instrument to measure HRQOL among early adolescents in Sri Lanka in a population setting.

Measuring health-related quality of life in young adolescents: reliability and validity in the Norwegian version of the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales.

PubMed

Reinfjell, Trude; Diseth, Trond H; Veenstra, Marijke; Vikan, Arne

2006-09-14

Health-Related Quality of Life (HRQOL) studies concerning children and adolescents are a growing field of research. The Pediatric Quality of Life Inventory (PedsQL) is considered as a promising HRQOL instrument with the availability of age appropriate versions and parallel forms for both child and parents. The purpose of the current study was to evaluate the psychometric properties of the Norwegian translation of the Pediatric Quality of Life Inventory (PedsQL) 4.0 generic core scale in a sample of healthy young adolescents. A cross-sectional study of 425 healthy young adolescents and 237 of their caregivers participating as a proxy. Reliability was assessed by Cronbach's alpha. Construct validity was assessed using exploratory factor analysis and by exploring the intercorrelations between and among the four PedsQL subscales for adolescents and their parents. All the self-report scales and proxy-report scales showed satisfactory reliability with Cronbach's alpha varying between 0.77 and 0.88. Factor analysis showed results comparable with the original version, except for the Physical Health scale. On average, monotrait-multimethod correlations were higher than multitrait-multimethod correlations. Sex differences were noted on the emotional functioning subscale, girls reported lower HRQOL than boys. The Norwegian PedsQL is a valid and reliable generic pediatric health-related Quality of Life measurement that can be recommended for self-reports and proxy-reports for children in the age groups ranging from 13-15 years.

Validation of self-reported figural drawing scales against anthropometric measurements in adults.

PubMed

Dratva, Julia; Bertelsen, Randi; Janson, Christer; Johannessen, Ane; Benediktsdóttir, Bryndis; Bråbäck, Lennart; Dharmage, Shyamali C; Forsberg, Bertil; Gislason, Thorarinn; Jarvis, Debbie; Jogi, Rain; Lindberg, Eva; Norback, Dan; Omenaas, Ernst; Skorge, Trude D; Sigsgaard, Torben; Toren, Kjell; Waatevik, Marie; Wieslander, Gundula; Schlünssen, Vivi; Svanes, Cecilie; Real, Francisco Gomez

2016-08-01

The aim of the present study was to validate figural drawing scales depicting extremely lean to extremely obese subjects to obtain proxies for BMI and waist circumference in postal surveys. Reported figural scales and anthropometric data from a large population-based postal survey were validated with measured anthropometric data from the same individuals by means of receiver-operating characteristic curves and a BMI prediction model. Adult participants in a Scandinavian cohort study first recruited in 1990 and followed up twice since. Individuals aged 38-66 years with complete data for BMI (n 1580) and waist circumference (n 1017). Median BMI and waist circumference increased exponentially with increasing figural scales. Receiver-operating characteristic curve analyses showed a high predictive ability to identify individuals with BMI > 25·0 kg/m2 in both sexes. The optimal figural scales for identifying overweight or obese individuals with a correct detection rate were 4 and 5 in women, and 5 and 6 in men, respectively. The prediction model explained 74 % of the variance among women and 62 % among men. Predicted BMI differed only marginally from objectively measured BMI. Figural drawing scales explained a large part of the anthropometric variance in this population and showed a high predictive ability for identifying overweight/obese subjects. These figural scales can be used with confidence as proxies of BMI and waist circumference in settings where objective measures are not feasible.

Multiple Types of Memory and Everyday Functional Assessment in Older Adults.

PubMed

Beaver, Jenna; Schmitter-Edgecombe, Maureen

2017-06-01

Current proxy measures for assessing everyday functioning (e.g., questionnaires, performance-based measures, and direct observation) show discrepancies in their rating of functional status. The present study investigated the relationship between multiple proxy measures of functional status and content memory (i.e., memory for information), temporal order memory, and prospective memory in an older adult sample. A total of 197 community-dwelling older adults who did (n = 45) or did not meet (n = 152) criteria for mild cognitive impairment (MCI), completed six different assessments of functional status (two questionnaires, two performance-based tasks, and two direct observation tasks) as well as experimental measures of content memory, prospective memory, and temporal order memory. After controlling for demographics and content memory, the temporal order and prospective memory measures explained a significant amount of variance in all proxy functional status measures. When all variables were entered into the regression analyses, content memory and prospective memory were found to be significant predictors of all measures of functional status, whereas temporal order memory was a significant predictor for the questionnaire and direct observation measures, but not performance-based measures. The results suggest that direct observation and questionnaire measures may be able to capture components of everyday functioning that require context and temporal sequencing abilities, such as multi-tasking, that are not as well captured in many current laboratory performance-based measures of functional status. Future research should aim to inform the development and use of maximally effective and valid proxy measures of functional ability. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Sao Paulo Lightning Mapping Array (SP-LMA): Network Assessment and Analyses for Intercomparison Studies and GOES-R Proxy Activities

NASA Technical Reports Server (NTRS)

Bailey, J. C.; Blakeslee, R. J.; Carey, L. D.; Goodman, S. J.; Rudlosky, S. D.; Albrecht, R.; Morales, C. A.; Anselmo, E. M.; Neves, J. R.; Buechler, D. E.

2014-01-01

A 12 station Lightning Mapping Array (LMA) network was deployed during October 2011 in the vicinity of Sao Paulo, Brazil (SP-LMA) to contribute total lightning measurements to an international field campaign [CHUVA - Cloud processes of tHe main precipitation systems in Brazil: A contribUtion to cloud resolVing modeling and to the GPM (GlobAl Precipitation Measurement)]. The SP-LMA was operational from November 2011 through March 2012 during the Vale do Paraiba campaign. Sensor spacing was on the order of 15-30 km, with a network diameter on the order of 40-50km. The SP-LMA provides good 3-D lightning mapping out to 150 km from the network center, with 2-D coverage considerably farther. In addition to supporting CHUVA science/mission objectives, the SP-LMA is supporting the generation of unique proxy data for the Geostationary Lightning Mapper (GLM) and Advanced Baseline Imager (ABI), on NOAA's Geostationary Operational Environmental Satellite-R (GOES-R: scheduled for a 2015 launch). These proxy data will be used to develop and validate operational algorithms so that they will be ready to use on "day1" following the GOES-R launch. As the CHUVA Vale do Paraiba campaign opportunity was formulated, a broad community-based interest developed for a comprehensive Lightning Location System (LLS) intercomparison and assessment study, leading to the participation and/or deployment of eight other ground-based networks and the space-based Lightning Imaging Sensor (LIS). The SP-LMA data is being intercompared with lightning observations from other deployed lightning networks to advance our understanding of the capabilities/contributions of each of these networks toward GLM proxy and validation activities. This paper addresses the network assessment including noise reduction criteria, detection efficiency estimates, and statistical and climatological (both temporal and spatially) analyses for intercomparison studies and GOES-R proxy activities.

Hospital Stay as a Proxy Indicator for Severe Injury in Earthquakes: A Retrospective Analysis

PubMed Central

Zhao, Lu-Ping; Gerdin, Martin; Westman, Lina; Rodriguez-Llanes, Jose Manuel; Wu, Qi; van den Oever, Barbara; Pan, Liang; Albela, Manuel; Chen, Gao; Zhang, De-Sheng; Guha-Sapir, Debarati; von Schreeb, Johan

2013-01-01

Introduction Earthquakes are the most violent type of natural disasters and injuries are the dominant medical problem in the early phases after earthquakes. However, likely because of poor data availability, high-quality research on injuries after earthquakes is lacking. Length of hospital stay (LOS) has been validated as a proxy indicator for injury severity in high-income settings and could potentially be used in retrospective research of injuries after earthquakes. In this study, we assessed LOS as an adequate proxy indicator for severe injury in trauma survivors of an earthquake. Methods A retrospective analysis was conducted using a database of 1,878 injured patients from the 2008 Wenchuan earthquake. Our primary outcome was severe injury, defined as a composite measure of serious injury or resource use. Secondary outcomes were serious injury and resource use, analysed separately. Non-parametric receiver operating characteristics (ROC) and area under the curve (AUC) analysis was used to test the discriminatory accuracy of LOS when used to identify severe injury. An 0.7

Hospital stay as a proxy indicator for severe injury in earthquakes: a retrospective analysis.

PubMed

Zhao, Lu-Ping; Gerdin, Martin; Westman, Lina; Rodriguez-Llanes, Jose Manuel; Wu, Qi; van den Oever, Barbara; Pan, Liang; Albela, Manuel; Chen, Gao; Zhang, De-Sheng; Guha-Sapir, Debarati; von Schreeb, Johan

2013-01-01

Earthquakes are the most violent type of natural disasters and injuries are the dominant medical problem in the early phases after earthquakes. However, likely because of poor data availability, high-quality research on injuries after earthquakes is lacking. Length of hospital stay (LOS) has been validated as a proxy indicator for injury severity in high-income settings and could potentially be used in retrospective research of injuries after earthquakes. In this study, we assessed LOS as an adequate proxy indicator for severe injury in trauma survivors of an earthquake. A retrospective analysis was conducted using a database of 1,878 injured patients from the 2008 Wenchuan earthquake. Our primary outcome was severe injury, defined as a composite measure of serious injury or resource use. Secondary outcomes were serious injury and resource use, analysed separately. Non-parametric receiver operating characteristics (ROC) and area under the curve (AUC) analysis was used to test the discriminatory accuracy of LOS when used to identify severe injury. An 0.7

Psychometric properties of the Swedish PedsQL, Pediatric Quality of Life Inventory 4.0 generic core scales.

PubMed

Petersen, Solveig; Hägglöf, Bruno; Stenlund, Hans; Bergström, Erik

2009-09-01

To study the psychometric performance of the Swedish version of the Pediatric Quality of Life Inventory (PedsQL) 4.0 generic core scales in a general child population in Sweden. PedsQL forms were distributed to 2403 schoolchildren and 888 parents in two different school settings. Reliability and validity was studied for self-reports and proxy reports, full forms and short forms. Confirmatory factor analysis tested the factor structure and multigroup confirmatory factor analysis tested measurement invariance between boys and girls. Test-retest reliability was demonstrated for all scales and internal consistency reliability was shown with alpha value exceeding 0.70 for all scales but one (self-report short form: social functioning). Child-parent agreement was low to moderate. The four-factor structure of the PedsQL and factorial invariance across sex subgroups were confirmed for the self-report forms and for the proxy short form, while model fit indices suggested improvement of several proxy full-form scales. The Swedish PedsQL 4.0 generic core scales are a reliable and valid tool for health-related quality of life (HRQoL) assessment in Swedish child populations. The proxy full form, however, should be used with caution. The study also support continued use of the PedsQL as a four-factor model, capable of revealing meaningful HRQoL differences between boys and girls.

Development and Validation of the Minnesota Borderline Personality Disorder Scale (MBPD)

PubMed Central

Bornovalova, Marina A.; Hicks, Brian M.; Patrick, Christopher J.; Iacono, William G.; McGue, Matt

2011-01-01

While large epidemiological datasets can inform research on the etiology and development of borderline personality disorder (BPD), they rarely include BPD measures. In some cases, however, proxy measures can be constructed using instruments already in these datasets. In this study we developed and validated a self-report measure of BPD from the Multidimensional Personality Questionnaire (MPQ). Items for the new instrument—the Minnesota BPD scale (MBPD)—were identified and refined using three large samples: undergraduates, community adolescent twins, and urban substance users. We determined the construct validity of the MBPD by examining its association with (1) diagnosed BPD, (2) questionnaire reported BPD symptoms, and (3) clinical variables associated with BPD: suicidality, trauma, disinhibition, internalizing distress, and substance use. We also tested the MBPD in two prison inmate samples. Across samples, the MBPD correlated with BPD indices and external criteria, and showed incremental validity above measures of negative affect, thus supporting its construct validity as a measure of BPD. PMID:21467094

Brief scale measuring patient preparedness for hospital discharge to home: Psychometric properties.

PubMed

Graumlich, James F; Novotny, Nancy L; Aldag, Jean C

2008-01-01

Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes. The object was to describe psychometric properties of the Brief PREPARED (B-PREPARED) instrument to measure preparedness for hospital discharge from the patient's perspective. The study was a prospective cohort of 460 patient or proxy telephone interviews following hospital discharge home. We administered the Satisfaction with Information about Medicines Scale and the PREPARED instrument 1 week after discharge. PREPARED measured patients' perceptions of quality and outcome of the discharge-planning processes. Four weeks after discharge, interviewers elicited emergency department visits. The main outcome was the B-PREPARED scale value: the sum of scores from 11 items. Internal consistency, construct, and predictive validity were assessed. : The mean B-PREPARED scale value was 17.3 +/- 4.2 (SD) with a range of 3 to 22. High scores reflected high preparedness. Principal component analysis identified 3 domains: self-care information, equipment/services, and confidence. The B-PREPARED had acceptable internal consistency (Cronbach's alpha 0.76) and construct validity. The B-PREPARED correlated with medication information satisfaction (P < 0.001). Higher median B-PREPARED scores appropriately discriminated patients with no worry about managing at home from worriers (P < 0.001) and predicted patients without emergency department visits after discharge from those who had visits (P = 0.011). The B-PREPARED scale measured patients' perceptions of their preparedness for hospital discharge home with acceptable internal consistency and construct and predictive validity. Brevity may potentiate use by patients and proxies. Clinicians and researchers may use B-PREPARED to evaluate discharge interventions. (c) 2008 Society of Hospital Medicine.

The PedsQL in pediatric cancer: reliability and validity of the Pediatric Quality of Life Inventory Generic Core Scales, Multidimensional Fatigue Scale, and Cancer Module.

PubMed

Varni, James W; Burwinkle, Tasha M; Katz, Ernest R; Meeske, Kathy; Dickinson, Paige

2002-04-01

The Pediatric Quality of Life Inventory (PedsQL) is a modular instrument designed to measure health-related quality of life (HRQOL) in children and adolescents ages 2-18 years. The PedsQL 4.0 Generic Core Scales are multidimensional child self-report and parent proxy-report scales developed as the generic core measure to be integrated with the PedsQL disease specific modules. The PedsQL Multidimensional Fatigue Scale was designed to measure fatigue in pediatric patients. The PedsQL 3.0 Cancer Module was designed to measure pediatric cancer specific HRQOL. The PedsQL Generic Core Scales, Multidimensional Fatigue Scale, and Cancer Module were administered to 339 families (220 child self-reports; 337 parent proxy-reports). Internal consistency reliability for the PedsQL Generic Core Total Scale Score (alpha = 0.88 child, 0.93 parent report), Multidimensional Fatigue Total Scale Score (alpha = 0.89 child, 0.92 parent report) and most Cancer Module Scales (average alpha = 0.72 child, 0.87 parent report) demonstrated reliability acceptable for group comparisons. Validity was demonstrated using the known-groups method. The PedsQL distinguished between healthy children and children with cancer as a group, and among children on-treatment versus off-treatment. The validity of the PedsQL Multidimensional Fatigue Scale was further demonstrated through hypothesized intercorrelations with dimensions of generic and cancer specific HRQOL. The results demonstrate the reliability and validity of the PedsQL Generic Core Scales, Multidimensional Fatigue Scale, and Cancer Module in pediatric cancer. The PedsQL may be utilized as an outcome measure in clinical trials, research, and clinical practice. Copyright 2002 American Cancer Society.

Updated NASA Satellite Flood Map of Southeastern Texas (ALOS-2 Data)

NASA Image and Video Library

2017-08-31

The Advanced Rapid Imaging and Analysis (ARIA) team at NASA's Jet Propulsion Laboratory in Pasadena, California, used synthetic aperture radar imagery from the Japan Aerospace Exploration Agency's (JAXA) ALOS-2 satellite to create this Flood Proxy Map depicting areas of Southeastern Texas that are likely flooded as a result of Hurricane Harvey (shown by light blue pixels). The map is derived images taken before (July 30, 2017) and after (Aug. 27, 2017) Hurricane Harvey made landfall. The map covers an area of 220 by 400 miles (350 by 640 kilometers). Each pixel measures about 55 yards (50 meters) across. Local ground observations provided anecdotal preliminary validation. The results are also cross-validated with ARIA Sentinel-1 flood proxy map v0.2. The map should be used as guidance, and may be less reliable over urban areas. ALOS-2 data were accessed through the International Charter. https://photojournal.jpl.nasa.gov/catalog/PIA21931

From local spectral measurements to maps of vegetation cover and biomass on the Qinghai-Tibet-Plateau: Do we need hyperspectral information?

NASA Astrophysics Data System (ADS)

Meyer, Hanna; Lehnert, Lukas W.; Wang, Yun; Reudenbach, Christoph; Nauss, Thomas; Bendix, Jörg

2017-03-01

Though the relevance of pasture degradation on the Qinghai-Tibet Plateau (QTP) is widely postulated, its extent is still unknown. Due to the enormous spatial extent, remote sensing provides the only possibility to investigate pasture degradation via frequently used proxies such as vegetation cover and aboveground biomass (AGB). However, unified remote sensing approaches are still lacking. This study tests the applicability of hyper- and multispectral in situ measurements to map vegetation cover and AGB on regional scales. Using machine learning techniques, it is tested whether the full hyperspectral information is needed or if multispectral information is sufficient to accurately estimate pasture degradation proxies. To regionalize pasture degradation proxies, the transferability of the locally derived ML-models to high resolution multispectral satellite data is assessed. 1183 hyperspectral measurements and vegetation records were performed at 18 locations on the QTP. Random Forests models with recursive feature selection were trained to estimate vegetation cover and AGB using narrow-band indices (NBI) as predictors. Separate models were calculated using NBI from hyperspectral data as well as from the same data resampled to WorldView-2, QuickBird and RapidEye channels. The hyperspectral results were compared to the multispectral results. Finally, the models were applied to satellite data to map vegetation cover and AGB on a regional scale. Vegetation cover was accurately predicted by Random Forest if hyperspectral measurements were used (cross validated R2 = 0.89). In contrast, errors in AGB estimations were considerably higher (cross validated R2 = 0.32). Only small differences in accuracy were observed between the models based on hyperspectral compared to multispectral data. The application of the models to satellite images generally resulted in an increase of the estimation error. Though this reflects the challenge of applying in situ measurements to satellite data, the results still show a high potential to map pasture degradation proxies on the QTP. Thus, this study presents robust methodology to remotely detect and monitor pasture degradation at high spatial resolutions.

Measuring end-of-life care outcomes prospectively.

PubMed

Steinhauser, Karen E

2005-01-01

This paper discusses the state of the science in prospective measurement in end-of-life research and identifies particular areas for focused attention. Topics include defining the scope of inquiry, evaluating experiences of patients too ill to communicate, the role of proxy and family response, measurement sensitivity to change, the role of theory in guiding measurement efforts, evaluating relationships between domains of end-of-life experience, and measurement of cultural comprehensiveness. The state of the sciences calls for future research to (1) conduct longitudinal studies to capture transitions in end-of-life trajectories; (2) evaluate the quality of proxy reporting as it varies by rater relationship, domain, and over time; (3) use state-of-the art psychometric and longitudinal techniques to validate measures and to assess sensitivity to change; (4) develop further and test conceptual models of the experience of dying; (5) study the inter-relatedness of multiple dimensions of end-of-life trajectories; (6) compile updated information evaluating available measurement tools; and (7) conduct population- based research with attention to ethnic and age diversity.

Psychometric evaluation and wording effects on the Chinese version of the parent-proxy Kid-KINDL.

PubMed

Lee, Chih-Ting; Lin, Chung-Ying; Tsai, Meng-Che; Strong, Carol; Lin, Yi-Ching

2016-09-05

The pediatric quality of life (QoL) questionnaire, the child-rated Kid-KINDL, has wording effects. However, no studies have examined for its parallel questionnaire, the parent-proxy Kid-KINDL. This study aimed to examine the psychometric properties and wording effects of the parent-proxy Kid-KINDL. Parents with 8- to 12-year-old children (n = 247) completed the parent-proxy Kid-KINDL, 83 of them completed it again 7-14 days later, and 241 of their children completed the child-rated Kid-KINDL. Internal consistency was examined using Cronbach's α; test-retest reliability and concurrent validity, using Pearson correlation coefficients (r); construct validity and wording effects, using confirmatory factor analyses (CFAs). The internal consistency of the parent-proxy Kid-KINDL total score was acceptable (α = .86). Test-retest reliability (r = .33-.60) and concurrent validity (r = .27-.42) were acceptable or nearly acceptable for all subscales and the total score. The CFA models simultaneously accounting for QoL traits and wording effects had satisfactory fit indices, and outperformed the model accounting only for QoL traits. However, four subscales had unsatisfactory internal consistency, which might be attributable to wording effects. When children are unable to complete a QoL questionnaire, the parent-proxy Kid-KINDL can substitute with all due cautions to wording effects and inconsistent reliability among different raters.

Validity and reliability of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) Generic Core Scales in children

PubMed Central

2012-01-01

Background This study aimed to investigate the reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) Generic Core Scales in children. Methods A standard forward and backward translation procedure was used to translate the US English version of the PedsQL™ 4.0 Generic Core Scales for children into the Iranian language (Persian). The Iranian version of the PedsQL™ 4.0 Generic Core Scales was completed by 503 healthy and 22 chronically ill children aged 8-12 years and their parents. The reliability was evaluated using internal consistency. Known-groups discriminant comparisons were made, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted. Results The internal consistency, as measured by Cronbach's alpha coefficients, exceeded the minimum reliability standard of 0.70. All monotrait-multimethod correlations were higher than multitrait-multimethod correlations. The intraclass correlation coefficients (ICC) between the children self-report and parent proxy-reports showed moderate to high agreement. Exploratory factor analysis extracted six factors from the PedsQL™ 4.0 for both self and proxy reports, accounting for 47.9% and 54.8% of total variance, respectively. The results of the confirmatory factor analysis for 6-factor models for both self-report and proxy-report indicated acceptable fit for the proposed models. Regarding health status, as hypothesized from previous studies, healthy children reported significantly higher health-related quality of life than those with chronic illnesses. Conclusions The findings support the initial reliability and validity of the Iranian version of the PedsQL™ 4.0 as a generic instrument to measure health-related quality of life of children in Iran. PMID:22221765

Validity and reliability of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) Generic Core Scales in children.

PubMed

Amiri, Parisa; Eslamian, Ghazaleh; Mirmiran, Parvin; Shiva, Niloofar; Jafarabadi, Mohammad Asghari; Azizi, Fereidoun

2012-01-05

This study aimed to investigate the reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) Generic Core Scales in children. A standard forward and backward translation procedure was used to translate the US English version of the PedsQL™ 4.0 Generic Core Scales for children into the Iranian language (Persian). The Iranian version of the PedsQL™ 4.0 Generic Core Scales was completed by 503 healthy and 22 chronically ill children aged 8-12 years and their parents. The reliability was evaluated using internal consistency. Known-groups discriminant comparisons were made, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted. The internal consistency, as measured by Cronbach's alpha coefficients, exceeded the minimum reliability standard of 0.70. All monotrait-multimethod correlations were higher than multitrait-multimethod correlations. The intraclass correlation coefficients (ICC) between the children self-report and parent proxy-reports showed moderate to high agreement. Exploratory factor analysis extracted six factors from the PedsQL™ 4.0 for both self and proxy reports, accounting for 47.9% and 54.8% of total variance, respectively. The results of the confirmatory factor analysis for 6-factor models for both self-report and proxy-report indicated acceptable fit for the proposed models. Regarding health status, as hypothesized from previous studies, healthy children reported significantly higher health-related quality of life than those with chronic illnesses. The findings support the initial reliability and validity of the Iranian version of the PedsQL™ 4.0 as a generic instrument to measure health-related quality of life of children in Iran.

Diagnostic, Explanatory, and Detection Models of Munchausen by Proxy: Extrapolations from Malingering and Deception

ERIC Educational Resources Information Center

Rogers, Richard

2004-01-01

Objective: The overriding objective is a critical examination of Munchausen syndrome by proxy (MSBP) and its closely-related alternative, factitious disorder by proxy (FDBP). Beyond issues of diagnostic validity, assessment methods and potential detection strategies are explored. Methods: A painstaking analysis was conducted of the MSBP and FDBP…

Eliciting the child's voice in adverse event reporting in oncology trials: Cognitive interview findings from the Pediatric Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events initiative.

PubMed

Reeve, Bryce B; McFatrich, Molly; Pinheiro, Laura C; Weaver, Meaghann S; Sung, Lillian; Withycombe, Janice S; Baker, Justin N; Mack, Jennifer W; Waldron, Mia K; Gibson, Deborah; Tomlinson, Deborah; Freyer, David R; Mowbray, Catriona; Jacobs, Shana; Palma, Diana; Martens, Christa E; Gold, Stuart H; Jackson, Kathryn D; Hinds, Pamela S

2017-03-01

Adverse event (AE) reporting in oncology trials is required, but current practice does not directly integrate the child's voice. The Pediatric Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) is being developed to assess symptomatic AEs via child/adolescent self-report or proxy-report. This qualitative study evaluates the child's/adolescent's understanding and ability to provide valid responses to the PRO-CTCAE to inform questionnaire refinements and confirm content validity. From seven pediatric research hospitals, children/adolescents ages 7-15 years who were diagnosed with cancer and receiving treatment were eligible, along with their parent-proxies. The Pediatric PRO-CTCAE includes 130 questions that assess 62 symptomatic AEs capturing symptom frequency, severity, interference, or presence. Cognitive interviews with retrospective probing were completed with children in the age groups of 7-8, 9-12, and 13-15 years. The children/adolescents and proxies were interviewed independently. Two rounds of interviews involved 81 children and adolescents and 74 parent-proxies. Fifteen of the 62 AE terms were revised after Round 1, including refinements to the questions assessing symptom severity. Most participants rated the PRO-CTCAE AE items as "very easy" or "somewhat easy" and were able to read, understand, and provide valid responses to questions. A few AE items assessing rare events were challenging to understand. The Pediatric and Proxy PRO-CTCAE performed well among children and adolescents and their proxies, supporting its content validity. Data from PRO-CTCAE may improve symptomatic AE reporting in clinical trials and enhance the quality of care that children receive. © 2016 Wiley Periodicals, Inc.

Microscopic insights into the NMR relaxation based protein conformational entropy meter

PubMed Central

Kasinath, Vignesh; Sharp, Kim A.; Wand, A. Joshua

2013-01-01

Conformational entropy is a potentially important thermodynamic parameter contributing to protein function. Quantitative measures of conformational entropy are necessary for an understanding of its role but have been difficult to obtain. An empirical method that utilizes changes in conformational dynamics as a proxy for changes in conformational entropy has recently been introduced. Here we probe the microscopic origins of the link between conformational dynamics and conformational entropy using molecular dynamics simulations. Simulation of seven pro! teins gave an excellent correlation with measures of side-chain motion derived from NMR relaxation. The simulations show that the motion of methyl-bearing side-chains are sufficiently coupled to that of other side chains to serve as excellent reporters of the overall side-chain conformational entropy. These results tend to validate the use of experimentally accessible measures of methyl motion - the NMR-derived generalized order parameters - as a proxy from which to derive changes in protein conformational entropy. PMID:24007504

Reconstructing temperatures from lake sediments in northern Europe: what do the biological proxies really tell us?

NASA Astrophysics Data System (ADS)

Cunningham, Laura; Holmes, Naomi; Bigler, Christian; Dadal, Anna; Bergman, Jonas; Eriksson, Lars; Brooks, Stephen; Langdon, Pete; Caseldine, Chris

2010-05-01

Over the past two decades considerable effort has been devoted to quantitatively reconstructing temperatures from biological proxies preserved in lake sediments, via transfer functions. Such transfer functions typically consist of modern sediment samples, collected over a broad environmental gradient. Correlations between the biological communities and environmental parameters observed over these broad gradients are assumed to be equally valid temporally. The predictive ability of such spatially based transfer functions has traditionally been assessed by comparisons of measured and inferred temperatures within the calibration sets, with little validation against historical data. Although statistical techniques such as bootstrapping may improve error estimation, this approach remains partly a circular argument. This raises the question of how reliable such reconstructions are for inferring past changes in temperature? In order to address this question, we used transfer functions to reconstruct July temperatures from diatoms and chironomids from several locations across northern Europe. The transfer functions used showed good internal calibration statistics (r2 = 0.66 - 0.91). The diatom and chironomid inferred July air temperatures were compared to local observational records. As the sediment records were non-annual, all data were first smoothed using a 15 yr moving average filter. None of the five biologically-inferred temperature records were correlated with the local meteorological records. Furthermore, diatom inferred temperatures did not agree with chironomid inferred temperatures from the same cores from the same sites. In an attempt to understand this poor performance the biological proxy data was compressed using principal component analysis (PCA), and the PCA axes compared to the local meteorological data. These analyses clearly demonstrated that July temperatures were not correlated with the biological data at these locations. Some correlations were observed between the biological proxies and autumn and spring temperatures, although this varied slightly between sites and proxies. For example, chironomid data from Iceland was most strongly correlated with temperatures in February, March and April whilst in northern Sweden, the chironomid data was most strongly correlated with temperatures in March, April and May. It is suggested that the biological data at these sites may be responding to changes in the length of the ice-free period or hydrological regimes (including snow melt), rather than temperature per se. Our findings demonstrate the need to validate inferred temperatures against local meteorological data. Where such validation cannot be undertaken, inferred temperature reconstructions should be treated cautiously.

Psychometric properties of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales in early adolescents in Sri Lanka

PubMed Central

2012-01-01

Background The concept Health related Quality of life (HRQOL) is increasingly recognized as an important health outcome measure in clinical and research fields. The present study attempted to evaluate the psychometric properties of the Sinhala version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) Generic Core Scales among adolescents in Sri Lanka. Methods The original US PedsQL™ was translated into Sinhala and conceptually validated according to international guidelines. A cross-sectional study was conducted among 142 healthy school going adolescents (12-14 years), their parents (n = 120) and a group of adolescents with asthma who attended asthma clinics (n = 115). Reliability was assessed using Cronbach’s alpha and validity by examining scale structure, exploring inter-scale correlations and comparing across known groups (healthy vs. chronically ill). Results The PedsQL™ Sinhala version was found to be acceptable with minimal missing responses. All scales demonstrated satisfactory reliability. Cronbach’s alpha for the total scale scores was 0.85 for adolescent self-report while for the parent proxy-report for the healthy group it was 0.86. No floor effects were observed. Ceiling effects were noticed in self-report and parent proxy-report for the healthy group. Overall results of the multi trait scaling analysis confirmed the scale structure with 74% item-convergent validity, 88% item-discriminant validity and an overall scaling success of 72%. Moderate to high correlations were shown among the domains of teen self-report (Spearman rho = .37-.54) and between teen self-report and parent proxy-reports (Spearman rho = .41-.57). The PedsQL™ tool was able to discriminate between the quality of life in healthy adolescents and adolescents with asthma. Conclusion The findings support the reliability and validity of the Sinhala version of the PedsQL™ 4.0 Generic Core Scales as a generic instrument to measure HRQOL among early adolescents in Sri Lanka in a population setting. PMID:22947113

Validity of Proxy-Reported Height and Weight to Derive Body Mass Index in Adults Participating in Special Olympics

ERIC Educational Resources Information Center

Dobranowski, Kristin; Lloyd, Meghann; Côté, Pierre; Balogh, Robert

2018-01-01

Background: Overweight and obesity are common in adults with intellectual disabilities, which complicates their health. To meet their health needs, individuals with intellectual disability frequently rely on proxies to answer questions on their behalf. In the general population, the use of proxy-reported height and weight to compute body mass…

PedsQL™ Multidimensional Fatigue Scale in sickle cell disease: feasibility, reliability, and validity.

PubMed

Panepinto, Julie A; Torres, Sylvia; Bendo, Cristiane B; McCavit, Timothy L; Dinu, Bogdan; Sherman-Bien, Sandra; Bemrich-Stolz, Christy; Varni, James W

2014-01-01

Sickle cell disease (SCD) is an inherited blood disorder characterized by a chronic hemolytic anemia that can contribute to fatigue and global cognitive impairment in patients. The study objective was to report on the feasibility, reliability, and validity of the PedsQL™ Multidimensional Fatigue Scale in SCD for pediatric patient self-report ages 5-18 years and parent proxy-report for ages 2-18 years. This was a cross-sectional multi-site study whereby 240 pediatric patients with SCD and 303 parents completed the 18-item PedsQL™ Multidimensional Fatigue Scale. Participants also completed the PedsQL™ 4.0 Generic Core Scales. The PedsQL™ Multidimensional Fatigue Scale evidenced excellent feasibility, excellent reliability for the Total Scale Scores (patient self-report α = 0.90; parent proxy-report α = 0.95), and acceptable reliability for the three individual scales (patient self-report α = 0.77-0.84; parent proxy-report α = 0.90-0.97). Intercorrelations of the PedsQL™ Multidimensional Fatigue Scale with the PedsQL™ Generic Core Scales were predominantly in the large (≥0.50) range, supporting construct validity. PedsQL™ Multidimensional Fatigue Scale Scores were significantly worse with large effects sizes (≥0.80) for patients with SCD than for a comparison sample of healthy children, supporting known-groups discriminant validity. Confirmatory factor analysis demonstrated an acceptable to excellent model fit in SCD. The PedsQL™ Multidimensional Fatigue Scale demonstrated acceptable to excellent measurement properties in SCD. The results demonstrate the relative severity of fatigue symptoms in pediatric patients with SCD, indicating the potential clinical utility of multidimensional assessment of fatigue in patients with SCD in clinical research and practice. © 2013 Wiley Periodicals, Inc.

PedsQL™ Multidimensional Fatigue Scale in Sickle Cell Disease: Feasibility, Reliability and Validity

PubMed Central

Panepinto, Julie A.; Torres, Sylvia; Bendo, Cristiane B.; McCavit, Timothy L.; Dinu, Bogdan; Sherman-Bien, Sandra; Bemrich-Stolz, Christy; Varni, James W.

2013-01-01

Background Sickle cell disease (SCD) is an inherited blood disorder characterized by a chronic hemolytic anemia that can contribute to fatigue and global cognitive impairment in patients. The study objective was to report on the feasibility, reliability, and validity of the PedsQL™ Multidimensional Fatigue Scale in SCD for pediatric patient self-report ages 5–18 years and parent proxy-report for ages 2–18 years. Procedure This was a cross-sectional multi-site study whereby 240 pediatric patients with SCD and 303 parents completed the 18-item PedsQL™ Multidimensional Fatigue Scale. Participants also completed the PedsQL™ 4.0 Generic Core Scales. Results The PedsQL™ Multidimensional Fatigue Scale evidenced excellent feasibility, excellent reliability for the Total Scale Scores (patient self-report α = 0.90; parent proxy-report α = 0.95), and acceptable reliability for the three individual scales (patient self-report α = 0.77–0.84; parent proxy-report α = 0.90–0.97). Intercorrelations of the PedsQL™ Multidimensional Fatigue Scale with the PedsQL™ Generic Core Scales were predominantly in the large (≥ 0.50) range, supporting construct validity. PedsQL™ Multidimensional Fatigue Scale Scores were significantly worse with large effects sizes (≥0.80) for patients with SCD than for a comparison sample of healthy children, supporting known-groups discriminant validity. Confirmatory factor analysis demonstrated an acceptable to excellent model fit in SCD. Conclusions The PedsQL™ Multidimensional Fatigue Scale demonstrated acceptable to excellent measurement properties in SCD. The results demonstrate the relative severity of fatigue symptoms in pediatric patients with SCD, indicating the potential clinical utility of multidimensional assessment of fatigue in patients with SCD in clinical research and practice. PMID:24038960

Psychometric properties of the Chinese version of the Pediatric Quality of Life Inventory 4.0 generic core scales.

PubMed

Hao, Yuantao; Tian, Qi; Lu, Yiyun; Chai, Yiming; Rao, Shaoqi

2010-10-01

The aim of this study was to evaluate the psychometric properties of the Chinese version of the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) generic core scales. The standard procedure of cross-culture adaptation was used to develop the Chinese version PedsQL4.0. We enrolled 1583 healthy children and 1335 pediatric patients (aged from 5 to 18 years) and 325 proxies. The psychometric properties of the measure were evaluated. The subscales of physical functioning, social functioning and psychosocial showed alpha coefficients above 0.7 for self-report in healthy children and the total pediatric patients, and all coefficients were higher than 0.7 for proxy report for all subscales. There were higher correlations between items and hypothesized subscales than with other subscales. Healthy children reported higher scores than pediatric patients in all subscales. Confirmatory factor analysis showed that some of the indices of goodness of fit did not reach the standard of acceptable construct validity. Moderate to high correlations were found between self-reported and proxy-reported scores. The Chinese version PedsQL4.0 has acceptable psychometric properties except the construct validity tested by confirmatory factor analysis and the internal reliability for self-report in pediatric patients with migraine or Gilles and Tourette's syndrome.

Proxy case mix measures for nursing homes.

PubMed

Cyr, A B

1983-01-01

Nursing home case mix measures are needed for the same purposes that spurred the intensive development of case mix measures for hospitals: management and planning decisions, organizational performance research, and reimbursement policy analysis. This paper develops and validates a pair of complementary measures that are simple to compute, are easy to interpret, and use generally available data. They are not, however, definitive. A secondary purpose of this paper is thus to galvanize the development of data bases that will give rise to superior case mix measures for nursing homes.

Questions of trust in health research on social capital: what aspects of personal network social capital do they measure?

PubMed

Carpiano, Richard M; Fitterer, Lisa M

2014-09-01

Health research on personal social capital has often utilized measures of respondents' perceived trust of others as either a proxy for one's social capital in the absence of more focused measures or as a subjective component of social capital. Little empirical work has evaluated the validity of such practices. We test the construct validity of two trust measures used commonly in health research on social capital-generalized trust and trust of neighbors-with respect to measures of people's general network-, organization-, family-, friend-, and neighborhood-based social capital and the extent to which these two trust measures are associated with self-rated general health and mental health when social capital measures are included in the same models. Analyses of 2008 Canadian General Social Survey data (response rate 57.3%) indicate that generalized trust and trust of neighbors are both positively-yet modestly-associated with measures of several domains of network-based social capital. Both trust measures are positively associated with general and mental health, but these associations remain robust after adjusting for social capital measures. Our findings suggest that (a) trust is conceptually distinct from social capital, (b) trust measures are inadequate proxies for actual personal social networks, and (c) trust measures may only be capturing psychological aspects relevant to-but not indicative of-social capital. Though links between perceived trust and health deserve study, health research on social capital needs to utilize measures of respondents' actual social networks and their inherent resources. Copyright © 2014 Elsevier Ltd. All rights reserved.

New NASA Satellite Flood Map of Southeastern Texas (Sentinel-1 Data)

NASA Image and Video Library

2017-08-31

The Advanced Rapid Imaging and Analysis (ARIA) team at NASA's Jet Propulsion Laboratory in Pasadena, California, used synthetic aperture radar imagery from the European Space Agency's (ESA) Sentinel-1 satellite to create this Flood Proxy Map of Southeastern Texas, showing areas that are likely flooded as a result of Hurricane Harvey (light blue pixels). The images used to create the map were taken before (Aug. 5, 2017) and after (Aug. 29, 2017) Hurricane Harvey made landfall. The map covers an area of 155 by 211 miles (250 by 340 kilometers). Each pixel measures about 33 yards (30 meters) across. Local ground observations provided anecdotal preliminary validation. The results were also cross-validated with the ARIA ALOS-2 flood proxy map v0.2. The map should be used as guidance, and may be less reliable over urban areas. Sentinel-1 data were accessed through the Copernicus Open Access Hub. Contains modified Copernicus Sentinel data 2017. https://photojournal.jpl.nasa.gov/catalog/PIA21932

The Validity of Student Engagement Survey Questions: Can We Accurately Measure Academic Challenge?

ERIC Educational Resources Information Center

Porter, Stephen R.; Rumann, Corey; Pontius, Jason

2011-01-01

Survey data are widely used in higher education for purposes such as assessment and strategic planning. One of the most common ways of using surveys has been to assess student learning outcomes by means of proxy questions on a survey, assuming that students who engage in specific behaviors (called engagement) have learned more during college than…

A wind proxy based on migrating dunes at the Baltic coast: statistical analysis of the link between wind conditions and sand movement

NASA Astrophysics Data System (ADS)

Bierstedt, Svenja E.; Hünicke, Birgit; Zorita, Eduardo; Ludwig, Juliane

2017-07-01

We statistically analyse the relationship between the structure of migrating dunes in the southern Baltic and the driving wind conditions over the past 26 years, with the long-term aim of using migrating dunes as a proxy for past wind conditions at an interannual resolution. The present analysis is based on the dune record derived from geo-radar measurements by Ludwig et al. (2017). The dune system is located at the Baltic Sea coast of Poland and is migrating from west to east along the coast. The dunes present layers with different thicknesses that can be assigned to absolute dates at interannual timescales and put in relation to seasonal wind conditions. To statistically analyse this record and calibrate it as a wind proxy, we used a gridded regional meteorological reanalysis data set (coastDat2) covering recent decades. The identified link between the dune annual layers and wind conditions was additionally supported by the co-variability between dune layers and observed sea level variations in the southern Baltic Sea. We include precipitation and temperature into our analysis, in addition to wind, to learn more about the dependency between these three atmospheric factors and their common influence on the dune system. We set up a statistical linear model based on the correlation between the frequency of days with specific wind conditions in a given season and dune migration velocities derived for that season. To some extent, the dune records can be seen as analogous to tree-ring width records, and hence we use a proxy validation method usually applied in dendrochronology, cross-validation with the leave-one-out method, when the observational record is short. The revealed correlations between the wind record from the reanalysis and the wind record derived from the dune structure is in the range between 0.28 and 0.63, yielding similar statistical validation skill as dendroclimatological records.

Application of aerosol speciation data as an in situ dust proxy for validation of the Dust Regional Atmospheric Model (DREAM)

NASA Astrophysics Data System (ADS)

Shaw, Patrick

The Dust REgional Atmospheric Model (DREAM) predicts concentrations of mineral dust aerosols in time and space, but validation is challenging with current in situ particulate matter (PM) concentration measurements. Measured levels of ambient PM often contain anthropogenic components as well as windblown mineral dust. In this study, two approaches to model validation were performed with data from preexisting air quality monitoring networks: using hourly concentrations of total PM with aerodynamic diameter less than 2.5 μm (PM 2.5); and using a daily averaged speciation-derived soil component. Validation analyses were performed for point locations within the cities of El Paso (TX), Austin (TX), Phoenix (AZ), Salt Lake City (UT) and Bakersfield (CA) for most of 2006. Hourly modeled PM 2.5 did not validate at all with hourly observations among the sites (combined R < 0.00, N = 24,302 hourly values). Aerosol chemical speciation data distinguished between mineral (soil) dust from anthropogenic ambient PM. As expected, statistically significant improvements in correlation among all stations (combined R = 0.16, N = 343 daily values) were found when the soil component alone was used to validate DREAM. The validation biases that result from anthropogenic aerosols were also reduced using the soil component. This is seen in the reduction of the root mean square error between hourly in situ versus hourly modeled (RMSE hourly = 18.6 μg m -3) and 24-h in situ speciation values versus daily averaged observed (RMSE soil = 12.0 μg m -3). However, the lack of a total reduction in RMSE indicates there is still room for improvement in the model. While the soil component is the theoretical proxy of choice for a dust transport model, the current sparse and infrequent sampling is not ideal for routine hourly air quality forecast validation.

Following The Money: Characterizing the Dynamics of Microbial Ecosystems and Labile Organic Matter in Grassland Soils

NASA Astrophysics Data System (ADS)

Herbert, B. E.; McNeal, K. S.

2006-12-01

The dynamics of soil microbial ecosystems and labile fractions of soil organic matter in grasslands have important implications for the response of these critical ecosystems to perturbations. Organic, inorganic and genetic biomarkers in the solid (e.g. lipids, microbial DNA), liquid (e.g. porewater ions) or gaseous phases (e.g. carbon dioxide) have been used to characterize carbon cycling and soil microbial ecology. These proxies are generally limited in the amount of temporal information that they can provide (i.e., solid-phase proxies) or the amount of specific information they can provide about carbon sources or microbial community processes (e.g. inorganic gases). It is the aim of this research to validate the use of soil volatile organic carbon emissions (VOCs) as useful indicators of subsurface microbial community shifts and processes as a function of ecosystem perturbations. We present results of method validation using laboratory microcosm, where VOC metabolites as characterized by gas chromatography and mass spectrometry (GC-MS), were related to other proxies including carbon dioxide (CO2) via infra-red technology, and microbial community shifts as measured by Biolog© and fatty acid methyl ester (FAME) techniques. Experiments with soil collected from grasslands along the coastal margin region in southern Texas were preformed where environmental factors such as soil water content, soil type, and charcoal content are manipulated. Results indicate that over fifty identifiable VOC metabolites are produced from the soils, where many (~15) can be direct indicators of microbial ecology. Principle component analysis (PCA) evidences these trends through similar cluster patterns for the VOC results, the Biolog© results, and FAME. Regression analysis further shows that VOCs are significant (p < 0.05) indicators of microbial stress. Our results are encouraging that characterizing VOCs production in grassland soils are easy to measure, relatively inexpensive method, and useful proxies of subsurface microbial ecosystems and the dynamics of labile carbon in these systems.

Life-Space Assessment and Physical Activity Scale for the Elderly: validity of proxy informant responses.

PubMed

Cavanaugh, James T; Crawford, Kelley

2014-08-01

To validate the administration of the Life-Space Assessment (LSA) and Physical Activity Scale for the Elderly (PASE) surveys to proxy informants, as would be necessary when measuring long-term outcomes in acutely ill, hospitalized older adults who are initially incapacitated but eventually return to the community. Cross-sectional study. General community. Convenience sample of dyads (N=40) composed of an ambulatory older adult and a familiar companion. Dyads completed the LSA and PASE surveys on 1 occasion. Companions based their responses on the recent mobility and physical activity of the older adult. Paired total scores for each instrument. At a group level, the difference between older adult and companion mean scores for each instrument was not significant (P>.05). Standardized mean difference values were small (d<0.1). Paired scores were significantly yet moderately associated: intraclass correlation coefficient(1,1)=.84 to .88; P<.01. Difference in scores was not associated with time spent together (P>.05) or older adult gait speed (P>.05). At an individual level, older adults and companions agreed more closely on the LSA than on the PASE. However, disagreement in excess of estimated measurement error occurred in 40% of the dyads for the LSA and in none of the dyads for the PASE. Older adults and companions collectively provided similar responses on each instrument. Nonetheless, varying levels of agreement within individual dyads suggested that proxy responses should be considered carefully. Implications for clinical research and practice research are discussed. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Can you really swim? Validation of self and parental reports of swim skill with an inwater swim test among children attending community pools in Washington State.

PubMed

Mercado, Melissa C; Quan, Linda; Bennett, Elizabeth; Gilchrist, Julie; Levy, Benjamin A; Robinson, Candice L; Wendorf, Kristen; Gangan Fife, Maria Aurora; Stevens, Mark R; Lee, Robin

2016-08-01

Drowning is the second leading cause of unintentional injury death among US children. Multiple studies describe decreased drowning risk among children possessing some swim skills. Current surveillance for this protective factor is self/proxy-reported swim skill rather than observed inwater performance; however, children's self-report or parents' proxy report of swim skill has not been validated. This is the first US study to evaluate whether children or parents can validly report a child's swim skill. It also explores which swim skill survey measure(s) correlate with children's inwater swim performance. For this cross-sectional convenience-based sample, pilot study, child/parent dyads (N=482) were recruited at three outdoor public pools in Washington State. Agreement between measures of self-reports and parental-reports of children's swim skill was assessed via paired analyses, and validated by inwater swim test results. Participants were representative of pool's patrons (ie, non-Hispanic White, highly educated, high income). There was agreement in child/parent dyads' reports of the following child swim skill measures: 'ever taken swim lessons', perceived 'good swim skills' and 'comfort in water over head'. Correlation analyses suggest that reported 'good swim skills' was the best survey measure to assess a child's swim skill-best if the parent was the informant (r=0.25-0.47). History of swim lessons was not significantly correlated with passing the swim test. Reported 'good swim skills' was most correlated with observed swim skill. Reporting 'yes' to 'ever taken swim lessons' did not correlate with swim skill. While non-generalisable, findings can help inform future studies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Health-Related Quality of Life of Nepalese Children With Leukemia Using Pediatric Quality of Life Inventory 4.0 Generic Core Scale.

PubMed

V K, Anu; Onta, Mandira; Joshi, Sarala

Health-related quality of life (HRQOL) is an essential measure to consider when evaluating the full impact of illness in children diagnosed with leukemia. The purpose of the current study was to assess the overall HRQOL and specific functioning subscales of Nepalese children with leukemia using Pediatric Quality of Life Inventory 4.0 Generic Core Scale (PedsQL 4.0), compare self-report with parent proxy report of HRQOL and to identify the determinants affecting HRQOL. After cultural linguistic validation of PedsQL, a descriptive cross-sectional study was conducted on 43 children with leukemia and their parents in B. P. Koirala Memorial Cancer Hospital, Bharatpur via interview schedule. Among the subscales of HRQOL both the child's self-report and parent proxy report scores were highest in social functioning and lowest in emotional functioning subscale. Intraclass correlation coefficient between proxy reports and self-reports were highest (0.828) in physical functioning and lowest (0.493) in social functioning subscales. Age group was significantly associated with the total score, physical functioning subscale, and emotional functioning subscale of only proxy scores. Leukemic children's age-specific needs should be addressed properly to improve their overall HRQOL.

GOES-R AWG GLM Val Tool Development

NASA Technical Reports Server (NTRS)

Bateman, Monte; Mach, Douglas; Goodman, Steve; Blakeslee, Richard; Koshak, William

2012-01-01

We are developing tools needed to enable the validation of the Geostationary Lightning Mapper (GLM). In order to develop and test these tools, we have need of a robust, high-fidelity set of GLM proxy data. Many steps have been taken to ensure that the proxy data are high quality. LIS is the closest analog that exists for GLM, so it has been used extensively in developing the GLM proxy. We have verified the proxy data both statistically and algorithmically. The proxy data are pixel (event) data, called Level 1B. These data were then clustered into flashes by the Lightning Cluster-Filter Algorithm (LCFA), generating proxy Level 2 data. These were then compared with the data used to generate the proxy, and both the proxy data and the LCFA were validated. We have developed tools to allow us to visualize and compare the GLM proxy data with several other sources of lightning and other meteorological data (the so-called shallow-dive tool). The shallow-dive tool shows storm-level data and can ingest many different ground-based lightning detection networks, including: NLDN, LMA, WWLLN, and ENTLN. These are presented in a way such that it can be seen if the GLM is properly detecting the lightning in location and time comparable to the ground-based networks. Currently in development is the deep-dive tool, which will allow us to dive into the GLM data, down to flash, group and event level. This will allow us to assess performance in comparison with other data sources, and tell us if there are detection, timing, or geolocation problems. These tools will be compatible with the GLM Level-2 data format, so they can be used beginning on Day 0.

An Evaluation of Nitrate, fDOM, and Turbidity Sensors in New Hampshire Streams

NASA Astrophysics Data System (ADS)

Snyder, Lisle; Potter, Jody D.; McDowell, William H.

2018-03-01

A state-of-the-art network of water quality sensors was established in 2012 to gather year-round high temporal frequency hydrochemical data in streams and rivers throughout the state of New Hampshire. This spatially extensive network includes eight headwater stream and two main stem river monitoring sites, spanning a variety of stream orders and land uses. Here we evaluate the performance of nitrate, fluorescent dissolved organic matter (fDOM), and turbidity sensors included in the sensor network. Nitrate sensors were first evaluated in the laboratory for interference by different forms of dissolved organic carbon (DOC), and then for accuracy in the field across a range of hydrochemical conditions. Turbidity sensors were assessed for their effectiveness as a proxy for concentrations of total suspended solids (TSS) and total particulate C and N, and fDOM as a proxy for concentrations of dissolved organic matter. Overall sensor platform performance was also examined by estimating percentage of data loss due to sensor failures or related malfunctions. Although laboratory sensor trials show that DOC can affect optical nitrate measurements, our validations with grab samples showed that the optical nitrate sensors provide a reliable measurement of NO3 concentrations across a wide range of conditions. Results showed that fDOM is a good proxy for DOC concentration (r2 = 0.82) but is a less effective proxy for dissolved organic nitrogen (r2 = 0.41). Turbidity measurements from sensors correlated well with TSS (r2 = 0.78), PC (r2 = 0.53), and PN (r2 = 0.51).

The PedsQL™ Oral Health Scale: feasibility, reliability and validity of the Brazilian Portuguese version

PubMed Central

2012-01-01

Background Oral and orofacial problems may cause a profound impact on children’s oral health-related quality of life (OHRQoL) because of symptoms associated with these conditions that may influence the physical, psychological and social aspects of their daily life. The OHRQoL questionnaires found in the literature are very specific and are not able to measure the impact of oral health on general health domains. Consequently, the objective of this study was to evaluate the psychometric properties of the Portuguese version for Brazilian translation of the Pediatric Quality of Life Inventory™ (PedsQL™) Oral Health Scale in combination with the PedsQL™ 4.0 Generic Core Scales. Methods The PedsQL™ Oral Health Scale was forward-backward translated and cross-culturally adapted for the Brazilian Portuguese language. In order to assess the feasibility, reliability and validity of the Brazilian version of the instrument, a study was carried out in Belo Horizonte with 208 children and adolescents between 2 and 18 years-of-age and their parents. Clinical evaluation of dental caries, socioeconomic information and the Brazilian versions of the PedsQL™ Oral Health Scale, PedsQL™ 4.0 Generic Core Scales, Child Perceptions Questionnaire (CPQ11-14 and CPQ8-10) and Parental-Caregiver Perception Questionnaire (P-CPQ) were administered. Statistical analysis included feasibility (missing values), confirmatory factor analysis (CFA), internal consistency reliability, and test-retest intraclass correlation coefficients (ICC) of the PedsQL™ Oral Health Scale. Results There were no missing data for both child self-report and parent proxy-report on the Brazilian version of the PedsQL™ Oral Health Scale. The CFA showed that the five items of child self-report and parent proxy-report loaded on a single construct. The Cronbach's alpha coefficients for child/adolescent and parent oral health instruments were 0.65 and 0.59, respectively. The test-retest reliability (ICC) for child self-report and parent proxy-report were 0.90 [95% confidence interval (CI) = 0.86-0.93] and 0.86 (95%CI = 0.81-0.90), respectively. The PedsQL™ Oral Health Scale demonstrated acceptable construct validity, convergent validity and discriminant validity. Conclusions These results supported the feasibility, reliability and validity of the Brazilian version of the PedsQL™ Oral Health Scale for child self-report for ages 5–18 years-old and parent proxy-report for ages 2–18 years-old children. PMID:22531004

Reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales in adolescents.

PubMed

Amiri, Parisa; M Ardekani, Emad; Jalali-Farahani, Sara; Hosseinpanah, Farhad; Varni, James W; Ghofranipour, Fazlollah; Montazeri, Ali; Azizi, Fereidoun

2010-12-01

The objective of this study was to investigate the reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) Generic Core Scales in adolescents After linguistic validation, the Iranian version of the PedsQL™ 4.0 was completed by 848 healthy and 26 chronically ill adolescents aged 13-18 years and their parents. The internal consistency as measured by Cronbach's alpha coefficients exceeded the minimum reliability standard of .70. No floor effects were observed. Ceiling effects detected ranged from 1.5% for adolescent self-report total scale score to 42.2% for self-report social functioning. All monotrait-multimethod correlations were higher than multitrait-multimethod correlations. The intraclass correlation coefficients (ICC) between adolescent self-report and parent proxy-report showed good to excellent agreement. Exploratory factor analysis supported mainly comparable results with the original US English dialect version. The results of the confirmatory factor analysis for 5-factor models for both self-report and proxy-report indicated acceptable fit for the proposed models. Regarding gender and health status, as hypothesized from previous studies, girls reported lower health-related quality of life than boys on the total score, physical and emotional functioning, and healthy adolescents reported significantly higher health-related quality of life than those with chronic illnesses. The findings support the initial reliability and validity of the Iranian version of the PedsQL™ 4.0 as a generic instrument to measure HRQOL of adolescents in Iran.

Multi-proxies Approach of Climatic Records In Terrestrial Mollusks Shells

NASA Astrophysics Data System (ADS)

Labonne, M.; Rousseau, D. D.; Ben Othman, D.; Luck, J. M.; Metref, S.

Fossil land snails shells constitute a valuable source of information for the study of Quaternary deposits as they are commonly preserved in many regions and notably in loess sequences. The use of stable isotope composition of the carbonate in the shells was previously applied to reconstruct past climate or environnements but the technic was not widely exploited and compared with other proxies from the same sequence. In this study, we have analysed stables isotopes, trace elements and Sr isotopes from both shells of land snails Vertigo modesta and the sediment from the Eustis upper Pleistocene loess sequence (Nebraska, USA). This serie developed during the last glaciation and records the last deglaciation between 18,000 and 12,000 B.P. years. We compare the paleoclimatic information obtained by different proxies, such as mag- netic susceptibility, temperature and moisture estimated by land snails assemblage with geochemical data measured on land snails shells in order to validate the climatic information obtained with this proxy. Our study demonstrates that shell carbonate reflects environmental conditions estimated by other proxies. Carbon and oxygen iso- topes show cyclic variations (millenial cycles) along the profile which correlate with stratigraphic units and could be link with the retreat of the Laurentide ice sheet. Trace element and Sr isotopes in the shells indicate various origins for the eolian dusts in the two main loess units along the sequence.

Analysis of Forgery Attack on One-Time Proxy Signature and the Improvement

NASA Astrophysics Data System (ADS)

Wang, Tian-Yin; Wei, Zong-Li

2016-02-01

In a recent paper, Yang et al. (Quant. Inf. Process. 13(9), 2007-2016, 2014) analyzed the security of one-time proxy signature scheme Wang and Wei (Quant. Inf. Process. 11(2), 455-463, 2012) and pointed out that it cannot satisfy the security requirements of unforgeability and undeniability because an eavesdropper Eve can forge a valid proxy signature on a message chosen by herself. However, we find that the so-called proxy message-signature pair forged by Eve is issued by the proxy signer in fact, and anybody can obtain it as a requester, which means that the forgery attack is not considered as a successful attack. Therefore, the conclusion that this scheme cannot satisfy the security requirements of proxy signature against forging and denying is not appropriate in this sense. Finally, we study the reason for the misunderstanding and clarify the security requirements for proxy signatures.

The Validity of Uniform Chart of Accounts as a Measure of Resource Consumption at the Patient Level.

DTIC Science & Technology

1984-05-20

required to meet the projected rates of demand based on the DIE case-mix concept . However, this is futuristic and the concern of today’s military...on the DRG case-mix concept . However, ihis is futuristic and the concern of today’s military health care manager is with the Uniform Chart of Accounts...product of a healthcare institution. This concept is vastly different from the one which considers the proxy measure of the number of institutional

Validation of a proxy for estrogen receptor status in breast cancer patients using dispensing data.

PubMed

Srasuebkul, Preeyaporn; Dobbins, Timothy A; Pearson, Sallie-Anne

2014-06-01

To assess the performance of a proxy for estrogen receptor (ER) status in breast cancer patients using dispensing data. We derived our proxy using 167 patients. ER+ patients had evidence of at least one dispensing record for hormone therapy during the lookback period, irrespective of diagnosis date and ER- had no dispensing records for hormone therapy during the period. We validated the proxy against our gold standard, ER status from pathology reports or medical records. We assessed the proxy's performance using three lookback periods: 4.5 years, 2 years, 1 year. More than half of our cohort (62%) were >50 years, 54% had stage III/IV breast cancer at recruitment, (46%) were diagnosed with breast cancer in 2009 and 23% were diagnosed before 2006. Sensitivity and specificity were high for the 4.5 year lookback period (93%, 95% CI: 86-96%; and 95%: 83-99%), respectively) and remained high for the 2-year lookback period (91%: 84-95%; and 95%: 83-99%). Sensitivity decreased (83%: 75.2-89%) but specificity remained high (95%: 83-99%) using the 1-year lookback period and the period is long enough to allow sufficient time for hormone therapy to be dispensed. Our proxy accurately infers ER status in studies of breast cancer treatment based on secondary health data. The proxy is most robust with a minimum lookback period of 2 years. © 2012 Wiley Publishing Asia Pty Ltd.

Fidelity of the Sr/Ca proxy in recording ocean temperature in the western Atlantic coral Siderastrea siderea

NASA Astrophysics Data System (ADS)

Kuffner, Ilsa B.; Roberts, Kelsey E.; Flannery, Jennifer A.; Morrison, Jennifer M.; Richey, Julie N.

2017-01-01

Massive corals provide a useful archive of environmental variability, but careful testing of geochemical proxies in corals is necessary to validate the relationship between each proxy and environmental parameter throughout the full range of conditions experienced by the recording organisms. Here we use samples from a coral-growth study to test the hypothesis that Sr/Ca in the coral Siderastrea siderea accurately records sea-surface temperature (SST) in the subtropics (Florida, USA) along 350 km of reef tract. We test calcification rate, measured via buoyant weight, and linear extension (LE) rate, estimated with Alizarin Red-S staining, as predictors of variance in the Sr/Ca records of 39 individual S. siderea corals grown at four outer-reef locations next to in-situ temperature loggers during two, year-long periods. We found that corals with calcification rates < 1.7 mg cm-2 d-1 or < 1.7 mm yr-1 LE returned spuriously high Sr/Ca values, leading to a cold-bias in Sr/Ca-based SST estimates. The threshold-type response curves suggest that extension rate can be used as a quality-control indicator during sample and drill-path selection when using long cores for SST paleoreconstruction. For our corals that passed this quality control step, the Sr/Ca-SST proxy performed well in estimating mean annual temperature across three sites spanning 350 km of the Florida reef tract. However, there was some evidence that extreme temperature stress in 2010 (cold snap) and 2011 (SST above coral-bleaching threshold) may have caused the corals not to record the temperature extremes. Known stress events could be avoided during modern calibrations of paleoproxies.