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At least 163 records · Page 9Linked to original sources
PubMed2004

[Effectiveness of a training course in bioethics and of the introduction of a checklist to detect ethical problems in a home care support team].

OBJECTIVE: To study the concordance in the number of ethical problems identified in the care of the terminally ill between the members of a home care support team (HCST) and a group of experts before and after a course in bioethics and the introduction of a checklist. DESIGN: Before-and-after intervention study. SETTING: Area 7 of Primary Care, Madrid. PARTICIPANTS: Terminally ill patients attended by the HCST between November 2001 and June 2002. INTERVENTION: Bioethics course and introduction of a checklist. MAIN MEASUREMENTS: Age, sex, basic illness, number of ethical problems identified by the HCST and by the group of experts before and after the intervention. The intraclass correlation coefficient (ICC) for the number of problems identified was calculated in both groups before and after the intervention. RESULTS: 31 cases before and 29 after the intervention were studied. Before the intervention the HCST identified an average of 2.7 +/- 2.3 ethical problems per case; and the group of experts found 11.8 +/- 6.1. The ICC for the number of problems identified was 0.53 (moderate correlation). After the intervention, the HCST identified 5.9 +/- 6.5 ethical problems per case; and the group of experts, 10.7 +/- 7.9. The ICC for the number of problems identified was 0.87 (close correlation). CONCLUSIONS: The course and the introduction of a checklist helped professionals who were not experts in bioethics to detect ethical problems in treating terminally ill patients.

Aged↗
PubMed2003

[Evaluation of a medical equipment checklist before intensive care room opening].

OBJECTIVE: To describe and to assess the effectiveness of a checklist concerning the intensive care rooms' equipment before patients' admission. STUDY DESIGN: A 4 years prospective study with 3 successive assessments. METHODS: Medical equipment inspection of 20 intensive care unit (ICU) rooms was first checked without using a written checklist (phase I). A written procedure called "room opening checklist" (ROC) was instituted to inspect medical equipment, and then assessment of its use and effectiveness was performed 2 years (phase II) and 4 years later (phase III). RESULTS: Phase I (1998): medical equipment of 20 intensive care rooms was inspected before patients' admission. None of the 20 intensive care rooms was strictly equipped in accordance with the unit's official procedure. Phase II (2000): ROC has been used for all the 20 evaluated ICU rooms, 17 ICU rooms were equipped in accordance with the official procedure. Phase III (2002): ROC has been used for 19 ICU rooms, 18 ICU rooms were correctly equipped. CONCLUSION: The routine use of ROC has improved the adequacy of the ICU room's equipment endowment in our intensive care units.

Equipment and Supplies↗
PubMed2003

Validation of a Chinese version of the sign and symptom checklist for persons with HIV diseases.

Symptoms are common in HIV-infected persons and occur at all stages of the illness. An effective symptom assessment tool can help health care providers quickly detect patients' problems and provide suitable care. Because no studies focusing on developing a sign and symptom checklist for persons with HIV can be found for Taiwanese patients or for those who speak Chinese, the purpose of this study was to validate a Chinese version of the Sign & Symptom Checklist for Persons with HIV (SSC-HIV-C). The Checklist first was translated from the English version into a Chinese version and then was back translated to examine accuracy. Both face and construct validity were used to examine overall validity of the instrument. Tests for internal consistency and test-retest reliability were used to examine the reliability of the instrument. The results indicated that the Chinese version of the SSC-HIV yielded highly acceptable parameters of validity and reliability. This Chinese version of the SSC-HIV can be used for measuring signs and symptoms of HIV-AIDS in persons in Taiwan who have HIV, as well as for other Chinese-speaking populations.

China↗
PubMedDate not supplied

Reliability of the Child Behavior Checklist for the assessment of behavioral problems of children and youth with mild mental retardation.

The assessment of psychopathology in persons with mental retardation requires reliable and valid instruments. In the present study, the reliability of the Child Behavior Checklist was determined, using data of 42 children and youth with mild mental retardation, with ages from 10 to 18 years. Kappa coefficients and intra-class correlations were computed to determine the reliability at item level and syndrome level. At item level, mean kappa's for inter-rater and test-retest reliability were 0.267 and 0.52, respectively. At syndrome level, mean intra-class correlations for inter-rater and test-retest reliability were 0.493 and 0.775, respectively. These results suggest that the Child Behavior Checklist may not always represent a reliable checklist for the assessment of psychopathology among children and youth with mild mental retardation.

Adolescent↗
PubMed2003

Toward transparency in health technology assessment: a checklist for HTA reports.

OBJECTIVES: As an initiative of the International Network of Agencies for Health Technology Assessment (INAHTA), a checklist for assessment reports was developed as a means of improving transparency and consistency in HTA. METHODS: Preparation of a summary of key elements in HTA reports, drawing on experience in preparation of such documents, information from guidelines for HTA, and individual assessments. Review by INAHTA agencies and modification of the summary to reflect the consensus. RESULTS: The resulting checklist includes 17 questions, with supporting detail. General areas covered include preliminary information, why and how the assessment has been prepared, the results of the assessment, implications of the results, and conclusions. CONCLUSIONS: The checklist is intended to be considered by those preparing or using an HTA report. It reflects the views of INAHTA members and is seen as a mechanism to improve the standard of HTA reports, being complementary to the more detailed guidelines on how to conduct assessments.

Canada↗
PubMed1994

Diary vs. representative checklist assessment of productive vocabulary.

Twenty-four infants were followed longitudinally from 1.2 to 1.10. Parents maintained diaries of the child's spoken words and at two-month intervals completed a representative checklist of words produced. There was good agreement across the two instruments and robust month-to-month correlations for both. However, the overall pattern of results suggests that the diary method is more effective during the early emergence of language and the representative checklist method is more effective late in the second year when vocabulary size becomes relatively large. Accurate longitudinal assessment of vocabulary may require a combination of the diary and checklist approaches.

Female↗
PubMed2000

The incremental validity of lumbar surface EMG, behavioral observation, and a symptom checklist in the assessment of patients with chronic low-back pain.

This study evaluated the comparative ability of lumbar surface EMG, behavioral observation, and a symptom checklist to correctly classify three groups of participants, (1) 18 patients with chronic low-back pain (CLBP), demonstrating excessive and/or anatomically inconsistent motor, sensory, and tenderness responses during a neurological examination, (2) 33 patients with CLBP exhibiting few or no inconsistent responses, and (3) 30 healthy matched controls. Discriminant analyses were used to develop predictive models. Correct classification rates for the individual assessments and all combinations of assessments were contrasted. Each modality predicted group membership significantly better than weighted chance (23%), with the symptom checklist approach having the highest individual correct classification rate (64%). The best combination of modalities was the symptom checklist and lumbar surface EMG (70% correct classification rate). The sensitivity and specificity of the individual assessments and all combinations of assessments are also presented.

Adult↗
PubMed2002

The Adolescent Food Habits Checklist: reliability and validity of a measure of healthy eating behaviour in adolescents.

OBJECTIVE: Amid concerns about the quality of young people's diets, this paper describes the development of a measure of healthy eating behaviour for use with adolescents. DESIGN: Items for the measure were selected from a larger pool on the basis of responses from a pilot study. The 23-item checklist was validated using measures of dietary fat and fibre intake, fruit and vegetable consumption, dietary restraint, nutrition knowledge and a measure of family income. SETTING: Participants came from seven secondary schools in the north-west of England. SUBJECTS: A total of 1822 adolescents aged between 13 and 16 y took part in the study, representing 84% of those invited to participate. RESULTS: Correlations between measures indicate a good level of convergent validity, and the checklist is also shown to have high internal and test-retest reliability. CONCLUSIONS: The focus on choices available to adolescents means that the checklist will provide a useful addition to food frequency-type approaches to the measurement of adolescent eating behaviour. SPONSORSHIP: This research was funded by the Medical Research Council and the Economic and Social Research Council's Health Variations Programme.

Adolescent↗
PubMed1998

Prader-Willi syndrome and psychotic symptoms: 2. A preliminary study of prevalence using the Psychopathology Assessment Schedule for Adults with Developmental Disability checklist.

The Psychopathology Assessment Schedule for Adults with Developmental Disability (PAS-ADD) checklist was used to screen for psychotic symptoms among people with Prader-Willi syndrome (PWS) aged 16 years and over. The scoring instructions for the PAS-ADD checklist were modified to take account of knowledge about the behavioural phenotype of PWS. Using modified scoring, 6.3% of the 95 people for whom checklists were completed had a possible psychotic disorder in the month before the assessment was made. The results should be treated as a crude estimate of the prevalence of psychotic symptoms associated with PWS in adult life in view of potential biases in the sample reported. These findings lend some support to the hypothesis that PWS has a non-chance association with psychotic symptoms and that the association is not entirely accounted for by the increased prevalence of psychosis associated with intellectual disability.

Adolescent↗
PubMed2003

An analysis of standardised patient checklist errors and their effect on student scores.

BACKGROUND: The frequency and nature of standardised patient (SP) recording errors during clinical performance examinations (CPX) have an effect on case scores and ultimately on pass/fail decisions. PURPOSE: To determine the effect of SP recording errors on case scores. METHODS: Standardised patients completed checklists immediately after each encounter. To determine checklist accuracy, multiple reviewers developed a checklist key for each student encounter studied. The total errors, the net errors, the errors of commission and omission and error rates by competency skill were analysed. RESULTS: The frequency of errors in history taking was greater than in physical examination, and the majority of errors were made in the students' favour. Summing the errors of commission and omission decreased the effect of total errors on student scores. CONCLUSIONS: High levels of SP recording accuracy are achievable. When errors occur, the net effect is usually in the students' favour.

California↗
PubMed2001

Assessment of complications of distal radius fractures and development of a complication checklist.

The purposes of this study were to determine the overall incidence of distal radius fracture (DRF) complications, determine the incidence and types of DRF complications in a consecutive cohort of 250 patients with DRFs, describe DRF complications reported by patients compared with those reported by physicians, and formulate a DRF complication checklist to improve recording of DRF complications. We found that the overall complication rates vary widely (6% to 80%). Physician-reported complication data were collected for 236 patients, and a physician-reported complication rate of 27% was determined. A patient-reported complication rate of 21% was found for 207 patients whose patient-reported data were collected. We also noted that patients and physicians assess DRF complications differently: patients are more focused on symptoms than diagnoses. A DRF complication checklist was developed to improve prospective data collection. The checklist includes a classification for all DRF complications and allows for assessment of severity of each complication.

Adult↗
PubMed2001

[Psychomotor development of children with psychiatric disorders assessed by Movement-ABC-Checklist and Movement-ABC-Test].

Research was done about the agreement between test results and checklist information concerning psychomotor development. The Movement ABC checklist and the Movement-ABC-test were administered in 34 children from the child and adolescent psychiatry unit of the UZ Gasthuisberg, of Leuven, Belgium. The children were 25 boys and 9 girls aged 4 to 12 years. There was a moderate association between the test results of the children and the judgements of the carepersons, suggesting that use of the checklist instead of testing cannot be deemed a good alternative.

Belgium↗
PubMed1993

A review of studies comparing checklist and interview methods of data collection in life event research.

This article is concerned with the relative merits of checklists and interviews as techniques for collecting data in the study of life events. It presents a detailed review of studies that have directly compared checklists and interviews. The author's conclusion is that the two techniques should not be seen as equivalent in the assessment of life events. Virtually all of the studies reviewed showed a marked tendency to overreport on checklists. The method appears inadequate in distinguishing truly stressful events from trivial occurrences. In contrast, the in-depth interview is sensitive to the subtleties of life events and should be the preferred method when data of any precision and accuracy are required in an empirical study.

Data Collection↗
PubMed2006

Reliability of a questionnaire and an ergonomic checklist for assessing working conditions and health at call centres.

BACKGROUND: The purpose was to study the test-retest reliability and internal consistency of questions in a questionnaire concerning working conditions and health and the inter-rater reliability of observations and measurements according to an ergonomic checklist. METHOD: Fifty-seven operators participated in a retest questionnaire and 58 operators participated in an inter-observer test. RESULTS: The questions had fair to good or higher reliability in 142 of the total of 312. Twenty-seven of the total of 44 variables in the ergonomic checklist were classified as having fair to good or higher reliability. CONCLUSIONS: About half of the questions had fair to good or higher reliability and can be recommended for further analyses. The majority of variables in the ergonomic checklist were classified as having fair to good or higher reliability. Low reliability does not necessarily indicate that the reliability of the test, per se, is low but may signify that the conditions measured vary over time or that the answers are aggregated in one part of the scale.

Cross-Sectional Studies↗
PubMed2005

Post-endoscopy checklist reduces length of stay for non-variceal upper gastrointestinal bleeding.

OBJECTIVE: To examine the effect of improved gastroenterologist-to-admitting service communication on hospital stay for upper gastrointestinal bleeding. HYPOTHESIS: a detailed checklist addressing factors relevant to discharge planning would shorten hospital stay, when added to the procedure report. DESIGN: Pre-post intervention design, recording balance measures (potential confounders). SETTING: A Canadian university hospital. STUDY PARTICIPANTS: Intermittent 5- to 7-day batches of consecutive emergency patients presenting with non-variceal upper gastrointestinal bleeding as their primary problem. The durations of the background and intervention periods were 3 months (beginning 9 June 2003) and 4 weeks (beginning 8 September 2003), respectively. INTERVENTION: The gastrointestinal bleeding Quality Improvement and Health Information multidisciplinary team (quality improvement personnel; emergency physicians, hospitalists, gastroenterologists, in-patient and endoscopy nurses) developed a one-page checklist, outlining detailed recommendations (3-Ds-diet, drugs, discharge plan) to append to the procedure report. MAIN OUTCOME MEASURES: Difference in median length of hospital stay was the primary endpoint. As balance measures, demographics, bleeding severity, comorbidities, readmission rates, and various benchmark times were recorded prospectively. RESULTS: Thirty-nine patients met the criteria in the background period (4 months, intermittently sampled), and 22 in the intervention period (4 weeks, continuously sampled). There were no significant baseline differences. Median in-patient stay was 7.0 (95% interquartile range 2-24) versus 3.5 (95% interquartile range 1-12) days for the background and intervention periods, respectively (P = 0.003). This remained significant when outliers (stay > 10 days) were removed (P = 0.02). CONCLUSION: A checklist, with very specific recommendations to the admitting service, significantly reduced hospital stay for non-variceal gastrointestinal bleeding.

Admitting Department, Hospital↗
PubMed2005

Using factor analysis to evaluate checklist items.

BACKGROUND: Relatively little research has been published examining the use of factor analytic techniques to improve the psychometric qualities of performance assessments. The purpose of the current investigation is to illustrate the potential use of structural equation modeling (SEM) with scores from a standardized patient examination. METHOD: Checklist items for a single case were examined to compare two models within a SEM framework: a single, underlying "data gathering" construct and a two-factor model consisting of medical history interviewing and physical examination maneuvers. RESULTS: The chi2 statistics obtained were statistically significant for both the single factor (chi2=1645.8, p<.001) and the two-factor model, (chi2=1373.1; p<.001), indicating marginal model-data fit. A difference statistic was calculated (chi2=320.9; p<.001), suggesting that the two-factor model has better fit. CONCLUSIONS: The parameters estimated by each model could be used to evaluate checklist item performance. The results of this investigation illustrate the utility of this method in the analysis of checklist item data.

Clinical Competence↗
PubMed1991

Adolescent depression and the Child Behavior Checklist.

Using receiver operating characteristic methods, the authors planned to assess the diagnostic accuracy of a measure of depression extracted from the Child Behavior Checklist in a group of 667 referred adolescents with DSM-III diagnoses. This depression scale was based on a depression factor found by Nurcombe et al. in Child Behavior Checklists from adolescent inpatients. Receiver operating characteristic analysis showed that Child Behavior Checklist-Nurcombe scores were able to discriminate between subjects with and without major depression with an accuracy comparable to that reported for the Dexamethasone Suppression Test (area under the receiver operating characteristic curve = 0.78).

Adolescent↗
PubMed1991

The utility of a DSM-III-R-based checklist in screening child psychiatric patients.

The Stony Brook Child Psychiatric Checklist, a parent completed rating instrument based on DSM-III-R, was used as part of a psychiatric inpatient admission evaluation. Data were collected on 63 5- to 13-year-old children. Checklist endorsements were compared with the same parent's responses to the Kiddie-Schedule for Affective Disorders and Schizophrenia for School-aged Children-Epidemiologic Version structured interview for the most frequently occurring disorders. Sensitivity scores ranged from 0.69 to 0.93. Results suggest the checklist can be useful in alerting the clinician to diagnostic areas warranting further pursuit.

Adolescent↗