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PubMed2002

[Methodological coomparison between the Child Behavior Checklist and the Strengths and Difficulties Questionnaires].

Few instruments have been developed to screen emotional and behavioural problems and mental disorders using questionnaire methods in a broad study, as will be done in the Health Survey for Children and Adolescents. In the context of this survey's pretest, two questionnaires--the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ)--were compared regarding their psychometric properties, their diagnostic power, and the study participants' acceptance of the instruments. With this comparison, the question was addressed concerning which of the two questionnaires mentioned above is more reliable, valid and acceptable to the participants in describing mental health problems and psychiatric disorders in a population-based survey intended for a target age group of 6 to 17-year olds. The results of this methodical comparison show that both instruments are comparably useful for screening purposes. Both instruments detected mental disorders that were established in a clinical interview with equal probability. In this regard, the self-report tends to be superior to the parents' report in the age group from 11 to 17 years. The SDQ displays a slightly higher acceptance and--in comparison to the CBCL--a considerably lower number of items. It can therefore be recommended for use in the survey.

Adolescent↗
PubMed2003

[The German Quality Management System for Outpatient Care (Q-M-A) Checklist--an instrument for assessing quality management systems in outpatient care].

Quality management systems had originally been designed for industrial purposes and were hardly applicable for small enterprises, there have been adjustments to the two main applications EFQM and ISO enabling utilisation also in ambulatory care. There are also different approaches like the Dutch Visitatiae concept which reflects the needs of GP's and is based on peer exchange. The presented paper gives an overview of existing quality management and certification systems and presents an instrument for evaluation. This checklist was developed by an interdisciplinary expert panel of the Agency for Quality in Medicine and serves as an aid for users and graders of quality management systems with regard to the feasibility of these systems.

Ambulatory Care↗
PubMed2006

[The predictive quality of the Psychopathy Checklist-Revised (PCL-R) for violent and sex offenders in Switzerland. A validation study].

In Switzerland, the Hare Psychopathy Checklist-Revised (PCL-R) is administered rather restrictively for risk assessment of recidivism among violent and sexual offenders. The aim of the present study was a first-time evaluation of the predictive validity of the PCL-R for violent and sexual recidivism in Switzerland. The PCL-R scores of 96 violent and sex offenders were evaluated by collecting the data in their psychiatric expert opinions. The scores were then compared to the rates of recidivism as shown in the criminal records. Consistent with previous studies in North America and Europe, the determined predictive accuracy was satisfying. This degree of precision supports the use of the PCL-R for risk assessment of sexual and violent recidivism in Switzerland, as long as the instrument does not constitute the sole criterion to determine future recidivism, but is applied only in combination with a thorough clinical evaluation. The use of precise cut-off scores did not prove to be a valid criterion for the prognosis of recidivism and can therefore not be recommended for Swiss offenders.

Adolescent↗
PubMed2006

[The symptom checklist-27 in Germany].

The symptom-checklist SCL-27 is a short, multidimensional screening instrument for mental health problems. It contains six subscales, i. e. depressive, dysthymic, vegetative, agoraphobic, sociophobic symptoms, symptoms of mistrust and a global severity index (GSI-27). A survey is presented in two representative samples with overall more than 4500 subjects. The scales of the SCL-27 show satisfying reliability (Cronbach's alpha > 0.70 for all subscales and alpha > 0.90 for global severity) throughout, as well as a largely congruent six factor structure (Comparative Fit Index CFI = 0.91, Standardisized Root Mean square Residual SRMR = 0.04). While women presented with higher scores in the year 1996 on almost all subscales, this was no longer observed in 2003. Additionally, age-effects were less pronounced in 2003 than in 1996.

Adult↗
PubMed1982

Factor analysis of the Quay-Peterson Behavior Problem Checklist across racially different exceptional children.

The factor structure of the Quay-Peterson Behavior Problem Checklist was investigated, across racial backgrounds of 358 American children, in order to determine its efficacy as an instrument in measuring personality dimensions in racially different exceptional children. Similarity across races was found on factors labeled in previous studies as conduct disorder, personality problem, and immaturity inadequacy. A fourth factor including items of laziness in school, irresponsibility, and dislike for school, was found to be race specific. This factor was interpreted as resistance by black exceptional students toward expectations within a white academic environment.

Affective Symptoms↗
PubMed1983

A reassessment of the Kohn Social Competence Scale and the Walker Problem Behavior Identification Checklist.

The growing interest in the constructs of social competence and withdrawal warrants attention to the qualities of the various assessment instruments. The authors of two of these, the Kohn Social Competence Scale and the Walker Problem Behavior Identification Checklist, claim that their devices measure, respectively, two and five independent factors. The present study assesses the validity of this assertion by having three teachers and three assistant teachers of six kindergarten classes (98 children) independently complete the scales for their students. Correlations found between previously identified factors of both devices are high enough to suggest nonindependence of the factors and thus a need for reassessment of both instruments.

Child↗
PubMed1993

A checklist for evaluation of HIV-infected patients.

To aid in making care of HIV-infected patients part of your office routine, Dr Coodley presents here a checklist that combines the various clinical aspects of initial management. Covering the steps from the history to plans for follow-up, this article should allay anxiety and promote confidence in your entire staff by explaining the necessary basics in a simple-to-read format.

AIDS Serodiagnosis↗
PubMed2005

How severe should symptoms be before someone is said to be suffering from post-concussion syndrome? An exploratory study with self-reported checklist using Rasch analysis.

PRIMARY OBJECTIVE: This study aimed to examine the diagnosis of post-concussive symptoms among a group of people with subjective post-concussive symptoms (PCS) complaints using a self-reported checklist. RESEARCH DESIGN: A cross-sectional design was adopted with a total of 92 patients with PCS and 123 normal controls. METHODS AND PROCEDURES: The Rivermead Post-concussion Symptoms Questionnaire was administered to all participants. Analysis using the Rasch Model was undertaken. MAIN OUTCOMES AND RESULTS: The common matrix of symptom profiles indicated significant effects of gender (p < 0.005) and litigation (p < 0.0004). The patient group reported significantly higher symptoms than the healthy group (p < 0.0001) with differential symptom endorsement along the logits unit continuum. CONCLUSIONS: The application of Rasch model analysis successfully set up a common matrix to discriminate patients with post-concussive symptoms from healthy people along the logits unit continuum.

Adult↗
PubMed2005

The symptom checklist-90-revised and mild traumatic brain injury.

OBJECTIVE: Assessment of emotional functioning is a critical aspect of the clinical neuropsychological evaluation of individuals following mild traumatic brain injury (MTBI). The objective of this study was to examine the utility of the Symptom Checklist-90-Revised as a brief tool for assessing psychological and symptomatic distress following MTBI. METHOD: A contrasted groups approach, involving three clinical groups (MTBI, Whiplash Associated Disorder, Type I Diabetes) and a non-clinical control group, was used in this study. RESULTS: The group with MTBI scored significantly higher on the majority of primary symptom dimensions and global distress indices of the SCL-90-R compared to both the diabetes and non-clinical control groups. Analysis of individual cases further revealed that 68.2% of the participants in the group with MTBI were classified as positive cases, a rate significantly higher than that of the diabetes and non-clinical control groups. The group with MTBI did not differ significantly from the group of individuals with whiplash associated disorder with respect to elevation of primary symptom dimensions or global distress indices, or the number of cases classified as positive. CONCLUSION: The results of this study suggest that the SCL-90-R has considerable utility as a general measure of psychological and symptomatic distress following MTBI.

Adult↗
PubMed1998

Interpretive risks: the use of the Hopkins Symptom Checklist 90-Revised (SCL 90-R) with brain tumour patients.

Patients with brain tumours often report distress. Interpretive problems ensue when measures normed on healthy persons are utilized to quantify distress. This study investigated potentially spurious elevations on the Hopkins Symptom Checklist 90 Revised (SCL 90-R). Responses of 17 patients were obtained prior to aggressive chemotherapy. Traditional interpretation indicated that 47% of the patients endorsed clinical levels of somatization, 53% obsessive-compulsive and 59% psychotic disorders. Elevations were attributable to common consequences of brain tumours, medication and the emotional reaction to prognosis. Conventional interpretation would lead to inappropriate classifications. The majority of SCL 90-R item endorsements were significantly different than those of the norm group. Appropriate interpretation of scores is discussed.

Adult↗
PubMedDate not supplied

Development and validation of the Hogan Grief Reaction Checklist.

The purpose of this article is to provide data on a recently developed instrument to measure the multidimensional nature of the bereavement process. In contrast to widely used grief instruments that have been developed using rational methods of instrument construction, the Hogan Grief Reaction Checklist (HGRC) was developed empirically from data collected from bereaved adults who had experienced the death of a loved one. Factor analysis of the HGRC revealed 6 factors in the normal trajectory of the grieving process: Despair, Panic Behavior, Blame and Anger, Detachment, Disorganization, and Personal Growth. Additional data are provided that support reliability and validity of the HGRC as well as its ability to discriminate variability in the grieving process as a function of cause of death and time lapsed since death. Empirical support is also provided for Personal Growth as an integral component of the bereavement process. The article concludes by considering the substantive as well as psychometric findings of this research for such issues as traumatic grief, anticipatory grief, change in the bereaved person's self-schema, and spiritual and existential growth.

Adult↗
PubMed2003

The Hopkins Symptom Checklist-25 in screening DSM-III-R axis-I disorders.

Simple screening questionnaires for major psychiatric disorders are needed for epidemiological research and clinical work. We describe the characteristics of the Hopkins Symptom Checklist-25 (HSCL-25) as a screening instrument in a two-phase epidemiological survey using the Structured Clinical Interview for DSM-III-R (SCID) as a diagnostic tool. The material consisted of 1609 subjects aged 31 years who were asked to participate in a health survey. The invitation included the HSCL-25 questionnaire. All "screen-positive" (HSCL-25 mean>/=1.55) subjects and every tenth "screen-negative" subject were invited to participate in the SCID interview. The sensitivity of the HSCL-25 for any present DSM-III-R axis-I psychiatric disorder was 48%. The specificity was 87%. The sensitivity of cases with comorbid psychiatric disorders was 100%. The HSCL-25 is a moderate instrument for screening with present axis-I DSM-III-R psychiatric disorders in a young adult population. It can be recommended for screening of psychiatric disorders.

Adult↗
PubMed1995

Development of a physical characteristics assessment (PCA): a checklist for determining appropriate computer access for individuals with cerebral palsy.

The physical characteristics assessment (PCA), a newly developed illustrated checklist, is designed for use by allied health and education professionals to identify a viable method for an individual with cerebral palsy to access a computer. The PCA was developed in response to a documented void of such assessments in the literature. The value of PCA was assessed with respect to content validity, clinical utility, reliability (inter-rater), and opinion of persons with cerebral palsy and health and education professionals. Professionals (n = 72) and persons with cerebral palsy (n = 78) from 20 sites in Canada, Chile, England, Israel, Spain, and the United States participated in the study. Statistically, the PCA produced a highly significant (p < 0.001) assessment time savings compared with non-PCA methods. A statistically significant difference in the number of user/computer interface changes during five post-assessment computer training sessions was not shown between the PCA and non-PCA methods. Inter-rater reliability ranged between 90% and 100% (n = 33 pairs). Both persons with cerebral palsy assessed via the PCA and professionals using the PCA gave positive opinions. Overall results support the value of the PCA.

Cerebral Palsy↗
PubMed2004

Internal consistency and responsiveness of the Skin Management Needs Assessment Checklist post-spinal cord injury.

OBJECTIVE: To evaluate the internal consistency and sensitivity to change of the Skin Management needs assessment checklist (SMnac), a measure specifically developed for the spinal cord injury (SCI) population to assess skin management ability and equip individuals with the skills they need to prevent pressure ulcer development. STUDY DESIGN: Consecutive series, psychometric evaluation study. SETTING: Spinal Cord Injuries Rehabilitation Unit, United Kingdom. PARTICIPANTS: 317 participants with traumatic or nontraumatic SCI. MEASURE: This study used the SMnac, which assesses the ability to perform skin checking, pressure relief, and the prevention of skin insults based on the individual's perception of his or her ability to independently undertake skin management activities. RESULTS: Assessment of internal consistency produced a Cronbach's alpha for this scale of 0.85. A paired-samples t test was used to evaluate the SMnac's sensitivity to change. There was a significant difference between the first and second SMnac scores (t = - 24.38, df = 186, P < 0.001). CONCLUSION: The SMnac has high internal consistency and sensitivity to change. The SMnac provides constructive assessment of skin management, specifying problems for individuals with SCI, standardizing the critical inputs required to meet rehabilitation targets, and measuring the effects of those inputs and their relationship to other mediating variables and expected outcome.

Adolescent↗
PubMed2003

A checklist for components of operating room suites.

Planning an operating room (OR) is a complex process, and it is common to find that essential items are overlooked. A checklist may be one measure for preventing this. An example of this is presented.

Journal Article↗
PubMed2006

Climacteric symptoms among Japanese women and men: comparison of four symptom checklists.

OBJECTIVES: To explore whether Japanese kōnenki (climacteric) symptoms are unique to women or are experienced by men, to compare common symptom indices, and to explore the relationship between symptoms and soy intake. METHODS: Two-week recall of 54 symptoms, an eight-item food frequency questionnaire, and views about kōnenki were collected from 60 individuals in Kanazawa, Japan. Factor analysis identified kōnenki-associated symptom groupings; Blatt-Kupperman, Simplified Menopausal Index, Lock, and Kanazawa symptom scores were calculated; and sex and kōnenki status differences were tested. RESULTS: Thirty-two women and 22 men (mean age 48.7 years) provided complete questionnaires. Although males had higher prevalence of stress, irritability, and nervousness (p < 0.05), no men reported having kōnenki. Four of eight female symptom factors exhibited significant correlations with kōnenki status. All symptom index scores were lower in pre-kōnenki women than in peri-kōnenki women, but scores for men and women did not differ. Soy intake and Lock score were negatively correlated among women. CONCLUSIONS: Several symptoms commonly associated with kōnenki in Japan are not unique to women and have higher prevalence in men. Inclusion of men in climacteric studies may permit identification of male climacteric symptoms and assessment of the specificity of many typical female climacteric symptoms, thus refining and standardizing symptom checklists.

Adult↗
PubMed2005

Measuring adults' loss of autonomy over nicotine use: the Hooked on Nicotine Checklist.

The Hooked on Nicotine Checklist (HONC) is a 10-item screening tool originally developed to assess loss of autonomy over tobacco in adolescent smokers. A smoker's endorsement of any item indicates some loss of autonomy, and the sum of endorsed items indicates the degree to which autonomy has been lost. This study extends the HONC to adult smokers. Self-administered questionnaires were completed by a convenience sample of 1,102 adults who were recruited in their natural environments while observed smoking. Subjects were mostly experienced smokers who consumed a mean of 17.5 cigarettes per day and had smoked an average of 20.9 years. HONC scores ranged from 0 to 10, with a mean of 7.1. The HONC appears to measure a single dimension. Internal HONC consistency was high (alpha = .83), and interitem correlations were low to moderate. HONC scores correlated positively with levels of current and peak lifetime cigarette consumption. The HONC scores of heavy, moderate, and light smokers differed significantly in the expected direction. Subjects with higher HONC scores were more likely to report a shorter duration of abstinence and greater use of pharmacological aids when quitting. The HONC appears to be psychometrically sound in both adolescents and adults. It is a reliable and valid measure of lost autonomy for both novice and experienced smokers, and it allows for comparisons between these populations.

Adolescent↗
PubMed2006

A comparison of the Hooked on Nicotine Checklist and the Fagerström Test for Nicotine Dependence in adult smokers.

Diminished autonomy is a core feature common to all forms of dependence involving drugs or behaviors. The Hooked on Nicotine Checklist (HONC) is a reliable and valid measure of diminished autonomy over tobacco. It has not previously been compared with the Fagerström Test for Nicotine Dependence (FTND) in adult smokers. In the present study, 1,130 smokers (M age = 41; M cigs/day = 18.5) completed both measures. Factor analysis yielded one factor for both the HONC and the FTND. Mean HONC score was 7.0, and mean FTND score was 4.6; the measures correlated at r = .44. The HONC had higher internal consistency (alpha = .82) than the FTND (alpha = .61; z(1127) = 7.1, p < .001). The measures correlated similarly with age at smoking onset and days smoked per month, but the FTND correlated higher with cigarette consumption. Subjects who used nicotine replacement therapy or bupropion during an abstinence attempt scored higher on both measures, whereas those who maintained abstinence for at least 3 days scored lower. The HONC has several advantages: (a) It measures a clearly defined construct, and each item has face validity; and it has (b) better psychometric properties, (c) a logical cutpoint (zero symptoms), (d) greater sensitivity to the onset and low levels of dependence, and (e) easily interpretable scores. The HONC is uniquely suited for use with smokers whose cigarette consumption is low.

Adult↗