Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test

Li, Sha; Fong, Daniel Yee Tak; Wong, Janet Yuen Ha; Wilkinson, Kate; Shapiro, Colin M.; Choi, E. Kwan; McPherson, Bradley; Lam, Cindy Lo Kuen; Ip, Mary Sau Man

doi:10.1186/s41687-020-00197-7

Cited by 4 publications

(2 citation statements)

References 47 publications

(64 reference statements)

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“…The Toronto Hospital Test of Alertness (THAT) and the ZOGIM-A (Alertness Questionnaire) ( 40 – 42 ) were used to assess alertness function and influencing factors using self-reports. A lower total THAT score indicates impaired alertness.…”

Section: Methodsmentioning

confidence: 99%

A pilot study on improvements in attention function in major depressive disorder after 12 weeks of escitalopram monotherapy or combined treatment with agomelatine

Wang

Xiong

et al. 2023

Front. Psychiatry

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ObjectiveThis study aimed to explore both impairments in attention function in patients with major depressive disorder (MDD) and the efficacy of escitalopram monotherapy or combination therapy with agomelatine.MethodsA total of 54 patients with MDD and 46 healthy controls (HCs) were included. Patients were treated with escitalopram for 12 weeks; those who presented with severe sleep impairments were also given agomelatine. Participants were evaluated using the Attention Network Test (ANT), which included tests of alerting, orienting, and executive control networks. Concentration, instantaneous memory, and resistance to information interference were tested using the digit span test, and the logical memory test (LMT) was used to evaluate abstract logical thinking. The Hamilton Depression Rating Scale−17 items, Hamilton Anxiety Rating Scale, and Pittsburgh Sleep Quality Index were used to assess depression, anxiety, and sleep quality, respectively. Patients with MDD were assessed at the end of weeks 0, 4, 8, and 12. HCs were assessed once at baseline.ResultsCompared with HCs, patients with MDD showed significantly different alerting, orienting, and executive control functions of attention networks. Treatment with escitalopram alone or combined with agomelatine significantly improved LMT scores at the end of weeks 4, 8, and 12 and restored scores to the level of HCs at the end of week 8. Total Toronto Hospital Test of Alertness scores in patients with MDD increased significantly after 4 weeks of treatment. The ANT executive control reaction time in patients with MDD decreased significantly after 4 weeks of treatment, with this decrease lasting until the end of week 12, but scores did not return to the levels of HCs. Combined treatment with escitalopram and agomelatine led to more improvement in ANT orienting reaction time and was accompanied by a greater reduction of total scores on the Hamilton Depression Rating Scale−17 items and Hamilton Anxiety Rating Scale compared with escitalopram monotherapy.ConclusionsPatients with MDD showed overall impairments in three domains of attention networks as well as the LMT and a test of subjective alertness. Escitalopram monotherapy significantly improved the LMT scores and the executive control function scores in the ANT at the end of the fourth week of treatment, and the improvement was more extensive with combined escitalopram and agomelatine treatment.

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Section: Methodsmentioning

confidence: 99%

A pilot study on improvements in attention function in major depressive disorder after 12 weeks of escitalopram monotherapy or combined treatment with agomelatine

Wang

Xiong

et al. 2023

Front. Psychiatry

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“…Anonymized (xlsx) data have been deposited on https://osf.io/3razf/ ( https://doi.org/10.17605/OSF.IO/3RAZF ) ( 50 ).…”

Section: Data Materials and Software Availabilitymentioning

confidence: 99%

Ripple effects of hospital team faultlines on patient outcomes

Li,

Choi,

Gelfand

2023

Proc. Natl. Acad. Sci. U.S.A.

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Medical errors are rampant across healthcare settings, imposing a significant burden on patient safety. Here, we examined the ripple effects of diversity splits, or faultlines, within hospital teams on patient safety and care. Hospitals consist of hierarchical, mixed-gender, and multiracial units that are prone to conflict. Within a diverse unit, faultlines can occur when multiple attributes (e.g., gender and race) of unit members align and divide a unit into two or more homogeneous subgroups. Yet, little is known about how such faultlines influence patients. Hierarchical path modeling of data collected from 1,102 hospital employees and 4,138 patients across 38 hospital units illustrated that when strong faultlines formed through homogenous subgroups within hospital units resulted in decreased civility among staff. This incivility was related to higher rates of medical error and patient deaths. A 10% increase in unit incivility was linked to a maximum 8.87% increase in healthcare-associated infection rates and a maximum 10.59% increase in mortality rates. However, we found patients within units high on collaborative cultures for managing conflicts—that fostered mutual respect, active listening, and openness to differing opinions—experienced fewer medical errors and lower mortality rates, regardless of strong faultlines. These findings offer an evidence-based, culture-focused approach to reducing medical errors and improving the quality of patient care.

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Questionnaires Evaluating Sleep Apnea and CPAP Adherence

Shamim

2022

CPAP Adherence

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Psychometric evaluation of the Chinese version of the Toronto Hospital Alertness Test

Cited by 4 publications

References 47 publications

A pilot study on improvements in attention function in major depressive disorder after 12 weeks of escitalopram monotherapy or combined treatment with agomelatine

A pilot study on improvements in attention function in major depressive disorder after 12 weeks of escitalopram monotherapy or combined treatment with agomelatine

Ripple effects of hospital team faultlines on patient outcomes

Questionnaires Evaluating Sleep Apnea and CPAP Adherence

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