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At least 127 records · Page 7Linked to original sources
PubMed2000

Development and validation of the workshop behavior checklist: a scale for assessing work performance of people with severe mental illness.

The Workshop Behavior Checklist is a standardized assessment instrument to assess the work performance of people with severe mental illness using the situational assessment approach. It is modified from the Behavior Identification Form developed by the Material Development Center. The modification process was conducted by enlisting input from mental health professionals (n = 150) and potential employers of discharged patients with mental illness (n = 31) by questionnaires specially designed for this purpose. The results of these questionnaires were then analyzed by an expert panel consisting of 10 therapists and one psychiatrist working in relevant fields. Altogether 14 items in general behaviors, vocational behaviors, and social behaviors were selected. In addition, a new version of the checklist together with its rating guidelines were designed. Exploratory factor analysis (n = 112) shows that all 14 items fit well into a four-factor model explaining 67.2% of total variance, which is in line with the original design of the revised checklist. Cronbach alpha analysis shows that the revised checklist has acceptable to very good internal consistency (.51 to .84) and intraclass correlation coefficients indicate that it has good to excellent inter-rater (.57 to .81) and test-retest (.86 to .94) reliability. Clinical implications and further research are discussed.

Adolescent↗
PubMedDate not supplied

The effect of physician feedback and an action checklist on diabetes care measures.

The objective was to evaluate whether physician feedback accompanied by an action checklist improved diabetes care process measures. Eighty-three physicians in an academic general medicine clinic were provided a single feedback report on the most recent date and result of diabetes care measures (glycosylated hemoglobin [A1c], urine microalbumin, serum creatinine, lipid levels, retinal examination) as well as recent diabetes medication refills with calculated dosing and adherence on 789 patients. An educational session regarding the feedback and adherence information was provided. The physicians were asked to complete a checklist accompanying the feedback on each of their patients, indicating requested actions with respect to follow-up, testing, and counseling. The physicians completed 82% of patient checklists, requesting actions consistent with patient needs on the basis of the feedback. Of the physicians, 93% felt the patient information and intervention format to be useful. The odds of urine microalbumin testing, serum creatinine, lipid profile, A1c, and retinal examination increased in the 6 months after the feedback. The increase was sustained at 1 year only for microalbumin and retinal exams. There was no significant change in refill adherence for the group overall after the feedback, although adherence did improve among patients of physicians attending the educational session. No significant change was noted in lipid or A1c levels during the study period. In conclusion, a simple physician feedback tool with action checklist can be both helpful and popular for improving rates of diabetes care guideline adherence. More complex interventions are likely required to improve diabetes outcomes.

Adult↗
PubMed2005

The PAS-ADD Checklist: independent replication of its psychometric properties in a community sample.

BACKGROUND: The development of reliable, valid measures of psychopathology in people with intellectual disabilities is an important task. However, independent replication studies are rarely reported. AIMS: To report data on the psychometric properties of the Psychiatric Assessment Schedule for Adults with Developmental Disabilities (PAS-ADD) Checklist. METHOD: The PAS-ADD Checklist was completed for 226 adults as part of the assessment process for a specialist mental health service for people with intellectual disabilities. RESULTS: Internal consistency was acceptable. Factor analysis revealed one main factor that was characterised by items related to mood. The Checklist was sensitive to differences between diagnostic groups and had an overall sensitivity of 66%; its specificity was 70%. CONCLUSIONS: The PAS-ADD Checklist is a quick and easy to use screening tool. Although at present it is the best measure available, it should not be the only method used to identify psychiatric disorders in people with intellectual disabilities.

Adult↗
PubMed2004

Application of symptom checklist for screening major depression by annual health examinations: a cross-validity study in the workplace.

To evaluate the effectiveness of a symptom checklist to detect major depression, 1424 subjects completed a pre-existing 22-item general symptom checklist at periodic health examinations. All subjects were interviewed to enable confirmatory diagnosis of major depression. Nine out of the 22 symptoms were more frequently reported in the subjects with major depression than in those without such a disorder. The results were confirmed in 434 new subjects receiving the same intervention the following year. The results of this study suggest the effectiveness of symptom checklists as tools to detect subjects with depression. Among them, the nine-item checklist has an advantage in practical use for its simplicity.

Adult↗
PubMed1980

Peer review checklist: reproducibility and validity of a method for evaluating the quality of ambulatory care.

This report describes the construction and evaluation fo a 35-item checklist used in performing peer review of ambulatory medical records. Scores obtained by using the checklist were evaluated for reproducibility. Ten reviewers, reviewing ten records on each of two occasions judged the records consistently item by item, 74 per cent of the time; 53 per cent greater than expected by chance (p less than 0.01). Pairs of reviewers, reviewing the same ten records, were consistent with one another, item by item, 72 per cent of the time; 35 per cent greater than expected by chance (p less than 0.05). Ten sick call patients were reexamined by an especially trained Reevaluation Physician who evaluated the quality with which they had been managed at the time of sick call. The medical records of the same ten patients were then reviewed with the Peer Review Checklist. The correlation between the quality scores obtained by the two methods were 0.72 and 0.74 on two trials. A correlation coefficient of 0.44 was found between the two evaluation methods when 89 cases were reviewed by a Peer Review panel composed of 10 different physicians. Peer Review Checklist scores correlated positively with scores obtained by using a series of disease specific protocols with explicit criteria. The correlations varied from 0.28 to 0.63 with six different disease specific protocols.

Ambulatory Care↗
PubMed2006

Evaluation of occupational health management in small-scale enterprises using a checklist for organic solvents.

The aim of this research was to clarify improvements in the occupational health management of small-scale enterprises by introducing the use of a checklist for organic solvents. We studied 25 small-scale enterprises producing lacquerware in Wakayama Prefecture, Japan. We specifically designed a manual for checking the occupational health management that included a checklist for self-evaluation. The survey using the manual led us to find that the median of workers was 4. All workshops were equipped with local exhaust ventilators for spraying work. Overall recognition of a need for the occupational safety and health by managers was not particularly high. The need was found for producing a documented work standard, properly dealing with or controlling organic solvents, thus preventing workers from exposure to organic solvents. Eighteen small-scale enterprises answered yes to more than 50 percent of items on the checklist. The results of the checklist exercise revealed some problems in spraying workshops, such as no documented work standard, no inspection of tools or local exhaust ventilators before work, no prevention against exposure to organic solvents, and insufficient measures taken for occupational health education. The results in this research pointed out some need to improvements in the occupational health management.

Evaluation Studies as Topic↗
PubMed1993

Checklist procedures and the cost of automaticity.

Automaticity is usually discussed in terms of its benefits. Automaticity has, however, a cost that manifests itself in procedures that are highly routinized but require close attention, such as verbal checklist procedures. In such procedures, errors occur because the routine leads to automaticity. In three paper-and-pen experiments, we tested this manifestation and investigated ways to decrease automaticity in verbal checklist procedures. In the experiments, subjects proofread sets of multiplication problems to detect erroneous operations, simulating the checklist procedure. In Experiments 1 and 2, two conditions were compared: a fixed-order condition (in which each set contained operations in the same order) and a varied-order condition (in which the operations were in a different order in each set). In Experiment 1, proofreading times were measured to establish the role of fixed sequential order as a consistent environment promoting the emergence of automaticity. In Experiment 2, we introduced errors into the material, and in Experiment 3 we introduced "alerting" conditions to interfere with the development of automaticity. The results indicated that the subjects in the varied-order and alert conditions detected significantly more errors than did those in the fixed-order condition. The implications of the findings for current theories of automaticity are discussed as well as those for the design of checklist procedures.

Adult↗
PubMed2000

Measuring patient symptom change on rural psychiatry units: utility of the symptom checklist-90 revised.

BACKGROUND: Mental health service providers have seen an increased need for demonstrating symptom reductions during the past decade. This change has been particularly evident to those working in inpatient psychiatry facilities where there is considerable need for a brief, easily administered, and low-cost means of tracking symptom change. The current study evaluated the utility of using the Symptom Checklist-90 Revised for tracking symptom reductions in patients admitted to rural adolescent and adult psychiatry units. METHOD: Consecutive admissions to adolescent (N = 104) and adult (N = 125) psychiatry units located in a rural community hospital served as subjects. The mean length of stay was 8 days for adolescents and 7 days for adults. Patients were administered the Symptom Checklist-90 Revised at admission and just prior to discharge. Psychiatrists provided a DSM-IV primary diagnosis for each patient. RESULTS: Principal component analyses on both the adolescent and adult admission and discharge Symptom Checklist-90 Revised subscales resulted in a 1-factor solution. Repeated-measures ANOVAs demonstrated the Global Severity Index to be a sensitive measure of clinically significant admission-to-discharge symptom change. Analyses using psychiatrist-assigned diagnoses revealed that all diagnostic categories evinced significant admission-to-discharge symptom reductions. DISCUSSION: Implications for using the Symptom Checklist-90 Revised to evaluate clinically significant symptom changes on rural inpatient psychiatry units are discussed.

Adolescent↗
PubMedDate not supplied

The Interest Checklist: a factor analysis.

OBJECTIVE: The purpose of this study was to determine whether the 80 items on the Interest Checklist empirically cluster into the five categories of interests described by Matsutsuyu, the developer of the tool. METHOD: The Interest Checklist was administered to 367 subjects classified in three subgroups: students, working adults, and retired elderly persons. An 80-item correlation matrix was formed from the responses to the Interest Checklist for each subgroup and then used in a factor analysis model to identify the underlying structure or domains of interest. RESULTS: Results indicated that the Social Recreation theoretical category was empirically independent for all three subgroups; the Physical Sports and Cultural/Educational theoretical categories were empirically independent for only the college students and working adults; and the Manual Skills theoretical category was empirically independent for only the working adults. CONCLUSION: Although therapists should continue to be cautious in their interpretation of patients' Interest Checklist scores, the tool is useful for identifying patients' interests in order to choose meaningful activities for therapy.

Activities of Daily Living↗
PubMed1999

Maternity Care Guidelines checklist. To assist physicians in implementing CPGs.

PROBLEM BEING ADDRESSED: Implementing the recommended clinical practice guidelines for prenatal care can be difficult for busy practitioners because the guidelines are numerous and continually being revised. OBJECTIVE OF PROGRAM: To develop a checklist outlining the current recommended activities for prenatal care to assist practitioners in providing evidence-based interventions to pregnant women. MAIN COMPONENTS OF PROGRAM: We reviewed guidelines for prenatal care from the Canadian Task Force on the Periodic Health Examination (CTFPHE) and from the report of the US Preventive Services Task Force (USPSTF). We searched MEDLINE for interventions commonly performed in pregnancy, but not reviewed by either task force. Interventions graded A or B are listed in bold type on the checklist. Interventions graded C by either task force or recommended by organizations not necessarily using the same rigorous criteria are listed in plain type. Recommended interventions are displayed along a time line under three headings: clinical maneuvers, investigations, and issues for discussion. Pilot testing by 12 practising physicians and 12 family practice residents showed that most respondents thought the checklist very useful. CONCLUSIONS: Providing a one-page checklist summarizing recommended clinical maneuvers, investigations, and topics for discussion should help physicians with implementing the many clinical practice guidelines for prenatal care.

Adult↗
PubMed2000

A clinical checklist for fragile X syndrome: screening of Thai boys with developmental delay of unknown cause.

The aim of this study was to determine a cost-effective clinical checklist for fragile X syndrome (FXS) screening in a Thai male pediatric population with developmental delay of unknown cause. We studied 179 non-FXS male patients and 27 FXS patients from 18 families (age < or = 15 years). A six-item clinical checklist was used including family history (FH), long and narrow face (F), prominent and large ears (E), attention deficit/hyperactivity (AH), autistic-like behavior (AT) and testicular volume (T). These were scored as 0 if absent, 1 if borderline, and 2 if present. All patients were tested by using PCR and/or southern blot for the FMR1 gene. We used a logistic regression model from a computer program to analyze the data (Stata, version 5.0). We used logistic regression with cluster in the same family (average score) to eliminate bias from the related FXS cases. We found that a five-item checklist, 2FH + F + 0.5E + 2AH + T = total score, was the best model. When we used this clinical checklist with a threshold of total score of 4, 78.7 per cent of the screened cases with total scores < or = 4 could be eliminated as negative cases. In addition, all positive FXS cases had total scores > 4. We propose this five-item model for FXS screening in clinical pediatric practice, particularly from Asian population settings.

Adolescent↗
PubMed2000

Preanesthesia detection of equipment faults by anesthesia providers at an academic hospital: comparison of standard practice and a new electronic checklist.

We hypothesized that our institutional standard practice for preanesthesia equipment checkout, based in part on US Food and Drug Administration recommendations, failed to detect a significant number of faults (absent or nonfunctional equipment). We designed a new, computer-based, highly interactive electronic checklist that emulated the checklist methods used in aviation and military settings and compared it to our standard practice in the detection of faulty equipment. Using a randomized, cross-over design, anesthesia providers searched for prearranged faults over a 2-day period using both the electronic and standard approaches. Faults (easy and difficult) found, faults missed, and time to complete the checkout were recorded. The electronic checklist was superior to standard practice in the detection of "easy" and "difficult" equipment faults. However, even when the electronic checklist was used, a high proportion of difficult faults were missed. Whether the failure represents a need for improved checkout procedures and provider training or better equipment design will require further study.

Academic Medical Centers↗
PubMed1989

Use of a contraindications checklist by practice nurses performing immunizations at a well child clinic.

At the inception of a general practice well child clinic, a checklist card was introduced into the clinic notes to summarize specific and relative contraindications to immunizations. This card was used by the practice nurses as they ran the immunization procedures during the clinic. A failure on the checklist led to a consultation with the clinic doctor who decided whether to proceed with the immunization. Of 155 immunizations given during the six-month period, only 23 (15%) failed the checklist and required the child to be assessed by the clinic doctor. Of these, nine (39%) were for simple upper respiratory tract infection. All the children were deemed fit to receive immunization. Only one child was found to have a specific contraindication to pertussis. The checklist cards allowed the smooth operation of the immunization procedures by practice nurses who were able to check comprehensively whether there were any contraindications and whether immunizations were being inappropriately refused.

Child Health Services↗
PubMed1986

Development of an iron checklist to guide food intake.

An iron checklist comprised of 93 foods was developed to evaluate food choices in terms of iron concentration or frequency of use and to incorporate principles of iron nutriture. The instrument was tested with 89 Expanded Food and Nutrition Education Program technicians. The correlation between points scored on the iron checklist and milligrams of iron calculated from the same 24-hour recall was 0.77. Analyzing iron points by food group highlighted the fact that half of the group had not consumed milk foods and half of the group was receiving 6 to 18 mg iron from the meat group. Seventy-five percent of the sample improved their knowledge of iron foods by using the checklist to assess their diets and to identify food sources of iron. In comparison with the use of a computer, use of the iron checklist was shown to be cost-effective for assessing, teaching, and evaluating program outcomes.

Cost-Benefit Analysis↗
PubMed1987

The aberrant behavior checklist: factor structure and the effect of subject variables in American and New Zealand facilities.

The Aberrant Behavior Checklist was used to collect data from a large United States institution for comparison with ratings previously obtained in New Zealand. A total of 531 subjects within the American facility and 937 residents of New Zealand institutions were studied. The United States data were factor analyzed using the same procedures that were employed to develop the scale in New Zealand. In addition, subscales of the Checklist were analyzed as a function of sex, age, country, and level of mental retardation. Finally, the effects of various medical conditions were analyzed. The original factor structure of the Checklist was validated for the United States sample, with a mean coefficient of congruence of .93 averaged across the five factors. Sex failed to influence subscale scores, whereas age, country, and severity of retardation significantly affected ratings. Deafness was unrelated to Checklist scores whereas cerebral palsy, epilepsy, psychosis, and psychoactive drug treatment were related.

Adult↗
PubMed1995

Checklist agreement between standardized patients and faculty.

The agreement between standardized patients' (SPs) and faculty in scoring student performance is an important component in determining the accuracy of SP assessment scores. For this study, checklist scores completed by SPs were compared to checklists completed by faculty. The SPs completed the checklists immediately following each SP-student interaction. Faculty reviewed videotapes from randomly selected interactions and completed the same checklists as the SPs. Overall, agreement between SPs and faculty ranged between 81 percent and 92 percent, with a mean of 86 percent. The interpersonal skills agreement ranged from 78 percent to 97 percent and technical skills from 82 percent to 89 percent. Agreement between SPs and faculty was good especially in later cases. Discrepancies were most often due to SPs assigning credit when the faculty did not. This study supports the use of SPs as accurate, relatively inexpensive, and feasible recorders of student performance for selected skills.

Clinical Competence↗
PubMed1995

The Pediatric Symptom Checklist. Support for a role in a managed care environment.

OBJECTIVES: To gather data based on studies of the Pediatric Symptom Checklist, identify risk factors associated with high levels of dysfunction in primary care pediatric settings, and explore the relationship between common risk factors and psychosocial problems identified by pediatricians. DESIGN: Retrospective review and cross-sectional, case-referent survey. SETTING: Subjects were selected from three primary care pediatric clinics in Massachusetts: a private practice in a predominantly white, middle-class suburb, an urban health maintenance organization clinic, and an inner-city clinic. PARTICIPANTS: Of 423 outpatients aged 6 to 12 years screened for psychosocial problems, 72 children and their families were seen for in-depth structured and clinical interviews (24 from each site). INTERVENTIONS: None. MEASUREMENTS/MAIN RESULTS: Children with a single parent and/or those who were economically disadvantaged were significantly more likely to show psychosocial impairment. The specificity of the Pediatric Symptom Checklist was 100% in samples with a lower socioeconomic status compared with 68% in middle-class samples, and sensitivity was 95% in middle-class samples compared with 80% in lower-class samples. Pediatricians identified psychosocial problems in eight of 15 children with a history of familial mental illness or substance abuse and seven of eight children with a history of physical or sexual abuse, but only six of 17 cases from single-parent families and four of 11 cases from poor families. CONCLUSIONS: Pediatricians should be sensitive to psychosocial dysfunction especially in single-parent and low-income families. Use of the Pediatric Symptom Checklist for psychosocial screening in a managed health care delivery system could target capitated resources efficiently by providing early identification and secondary prevention of psychosocial morbidity.

Affective Symptoms↗
PubMed2000

Hypescheme: an operational criteria checklist and minimum data set for molecular genetic studies of attention deficit and hyperactivity disorders.

Investigators engaged in mapping the genetic basis of attention deficit hyperactivity disorder (ADHD) currently use a number of measures for the collection of clinical information. This gives rise to difficulties in comparing datasets and research communications between independent groups. This paper describes the development of Hypescheme, which is an operational criteria checklist for ADHD, oppositional defiant disorder (ODD), and conduct disorder (CD), and is proposed as a minimum dataset for those engaged in molecular genetic studies of ADHD. Hypescheme consists of a computerised data checklist system that includes all the operational criteria required for both DSM-IV and ICD-10 diagnostic criteria and a systematic record of information about comorbid psychiatric, developmental, and neurological disorders. Using this data, an algorithm applies both DSM-IV and ICD-10 criteria to generate operational diagnostics under both these systems. Hypescheme is not designed to replace current assessment protocols but to be a final common checklist that can be completed by experienced researchers using all available data.

Attention Deficit Disorder with Hyperactivity↗