Each measure of patient‐reported change provides useful information and is susceptible to bias: The need to combine methods to assess their relative validity

Nieuwkerk, Pythia T.; Sprangers, Mirjam A. G.

doi:10.1002/art.25030

Cited by 8 publications

(10 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is in line with previous studies which also observed only modest correlations between TDI scores and changes in MRC scores after PR or pharmacotherapy, respectively [29,30]. Also in other patient-reported domains such as quality of life, only weak correlations between different instruments for the measurement of changes (eg, prospective vs. retrospective instruments) have been reported [38,39]. Importantly, the choice of measurement instrument significantly impacts the evaluation of treatment success.…”

Section: Discussionsupporting

confidence: 74%

Validity of a self-administered questionnaire version of the Transition Dyspnea Index in patients with COPD

Leupoldt¹,

Reijnders²,

Schüler³

et al. 2016

Pneumologie

View full text Add to dashboard Cite

The transition dyspnea index (TDI) is among the most widely used instruments in COPD patients to measure changes in dyspnea over time. In its original version it is used as guideline for a structured interview to assess the impact of daily activities on dyspnea in the three subdomains functional impairment, magnitude of task, and magnitude of effort. However, the TDI is sometimes used as a self-administered paper-and-pencil questionnaire. The validity of this questionnaire format has not been tested, which was the aim of the present study.We tested 190 patients with COPD at start and end of a 3-week inpatient pulmonary rehabilitation program (PR). Dyspnea was assessed with the modified Medical Research Council Scale (mMRC), a questionnaire version of the TDI, and an interview version of the TDI.Group means for the TDI questionnaire and interview version were widely comparable for the TDI summary score and the three TDI subdomains. The scores of both TDI versions were strongly correlated and showed comparable, but only weak, correlations with changes during PR in spirometric lung function and mMRC. Improvement in dyspnea after PR was observed in 89% of patients when using the summary score of the questionnaire TDI, but only in 34% of patients when using the mMRC.The results suggest that a self-administered questionnaire format of the TDI is an adequate instrument for assessing changes in activity-related dyspnea during PR in patients with COPD. The responsiveness of this instrument to effects of PR appears greater than the responsiveness of the mMRC.3

show abstract

Section: Discussionsupporting

confidence: 74%

Validity of a self-administered questionnaire version of the Transition Dyspnea Index in patients with COPD

Leupoldt¹,

Reijnders²,

Schüler³

et al. 2016

Pneumologie

View full text Add to dashboard Cite

show abstract

“…The literature on the assessment of STEM program quality in afterschool settings has been sparser than attitudinal studies. Program quality has been primarily measured using observation tools, and while many have been developed and used in formal educational settings (Bell et al, 2012), fewer quality observation tools have been developed and used to study the general quality of afterschool programs, such as the Youth Program Quality Assessment (YPQA) and Promising Practices Rating Scale (PPRS) (Naftzger, Sniegowski, Smith, & Riley, 2018;Oh, Osgood, & Smith, 2015). There are even fewer observation tools that have been designed specifically to measure the quality of afterschool STEM programming (Shah, Wylie, Gitomer, & Noam, 2018).…”

Section: Review Of Research On Stem Program Quality In Afterschool Sementioning

confidence: 99%

From quality to outcomes: a national study of afterschool STEM programming

et al. 2019

View full text Add to dashboard Cite

Background: State afterschool networks across the US are engaged in system-building efforts to improve the quality of science, technology, engineering, and math (STEM)-focused afterschool programming. This study examined national trends in STEM program quality, youth outcomes, and the connections between these two data sources. Methods: One thousand five hundred ninety-nine youths (grades 4-12) enrolled in 158 STEM-focused afterschool programs across 11 state networks completed a retrospective self-assessment measuring STEM attitudes and socialemotional learning (SEL)/twenty-first-century skills. Two hundred fifty standardized observations of STEM activities were performed to measure STEM program quality. Results: (1) Most youth (65-85%) reported increases in STEM engagement, identity, career interest, career knowledge, relationships, critical thinking, and perseverance, with the largest gains reported by those engaging with STEM activities for 4 weeks or more; (2) there were significant, strong correlations between STEM and SEL/twenty-first-century outcomes reported by youth; and (3) youth participating in higher-quality STEM programming reported more growth than peers participating in lower-quality programs. Conclusion: This effort demonstrates how investments in STEM program quality yield high returns for programs and youth and how collaborations between research and practice can track successes and challenges, determine investments in program management, and expand advocacy and policy efforts. Additionally, this study supports a growing body of literature that suggests a synergy between youth development and STEM learning approaches that can improve outcomes for youth.

show abstract

“…Diese Methode der Veränderungsmessung kann in hohem Maße anfällig sein für eine Reihe verzerrender Einfl üsse, z. B. durch Erinnerungsverfälschung ("recall bias"), das gegenwärtige Befi nden ("present state bias"), implizite Veränderungstheorien [ 6 ] sowie auch durch Interessen und Erwartungen des Befragten [ 7 ] . Ein weiteres Problem ist, dass diese Methode der Veränderungsmessung weder Hinweise auf den Ausgangsstatus noch auf das aktuelle Befi nden liefert.…”

Section: Direkte Veränderungsmessungunclassified

“…Diese Methode der Veränderungsmessung erfordert auf Seiten der Befragten auch keine komplizierte mentale "Arithmetik" ("Wie geht es mir jetzt im Vergleich zu einem früheren Zeitpunkt"). Aus diesen Gründen wird ihr häufi g eine größere Messgenauigkeit zugeschrieben als der direkten Veränderungsmessung [ 7 ] . Außerdem bildet sie Veränderungen in verschiedenen Bereichen diff erenziert und mehrdimensional ab [ 9 ] .…”

Section: Indirekte Veränderungsmessungunclassified

See 1 more Smart Citation

Empirisch gestützte Empfehlungen für die patientenberichtete Veränderungsmessung in der medizinischen Rehabilitation

et al. 2012

View full text Add to dashboard Cite

Diverse methods are available for evaluation of (medical) interventions. In each case one has to decide on a specific method. Our aim was to analyze typical problems involved in the measurement of change. Different methods are delineated, and their specific pros and cons are set out. Subsequently, empirically derived recommendations are outlined on which method should be employed for which problem and under which circumstances. A characteristic of rehab treatment is that as a rule a multitude of problems are addressed, and accordingly, treatment goals are heterogenic. Straightforward recommendations for one or the other method cannot be given.

show abstract

Each measure of patient‐reported change provides useful information and is susceptible to bias: The need to combine methods to assess their relative validity

Cited by 8 publications

References 15 publications

Validity of a self-administered questionnaire version of the Transition Dyspnea Index in patients with COPD

Validity of a self-administered questionnaire version of the Transition Dyspnea Index in patients with COPD

From quality to outcomes: a national study of afterschool STEM programming

Empirisch gestützte Empfehlungen für die patientenberichtete Veränderungsmessung in der medizinischen Rehabilitation

Contact Info

Product

Resources

About