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uggest that ACA-related opportunities to gain health insurance (such as marketplaces and the Medicaid expansion) may have facilitated access to diagnostic tests for this population. The study found a small change in hypertension diagnosis rates from pre-ACA to post-ACA (a decrease in non-expansion and an increase in expansion states). Despite the significant difference between expansion and non-expansion states, the small change from pre-ACA to post-ACA suggests that the diagnosis of hypertension is likely documented for patients, regardless of health insurance availability. Future studies are needed to understand the impact of the ACA on hypertension and diabetes treatment and control.
For nurses, muscle tightness is an important aspect of patient care, but no bedside tool is available that allows them to measure it. Therefore, a standardized tool that measures muscle tightness is needed. The purpose of this study was to validate a tool to measure muscle tightness.
Using Delphi technique and quantitative design, the tool was validated in two phases. The phase 1 included 20 expert clinicians who established content validity with Lawshe's rating. In phase 2, divergent validity was established by administering the tool to one group that had muscle tightness (
= 26) and one group that did not (
= 20).
Findings indicate that the muscle tightness measurement tool has content and divergent validity.
Further tool refinement with validity and reliability studies are recommended for clinical practice.
Further tool refinement with validity and reliability studies are recommended for clinical practice.
Evidence is lacking with regard to the most suitable instrument for measuring quality of life (QOL) in patients with schizophrenia. The researchers carried out a methodological review of literature pertaining to scales used to measure QOL in this population.
Twenty-eight studies, assessing nine different QOL scales, were reviewed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
While the content of most scales proved valid, the Lancashire Quality of Life Profile (LQOLP), Self-Report Quality of Life Scale (SQOL), and Quality of Life in Schizophrenia (QLiS) outscored the other scales in almost every other domain measured by COSMIN.
LQOLP and SQOL stand out among QOL scales for patients with schizophrenia, but further evidence is required to verify this finding, and no one scale appears ideal for all patients with schizophrenia.
LQOLP and SQOL stand out among QOL scales for patients with schizophrenia, but further evidence is required to verify this finding, and no one scale appears ideal for all patients with schizophrenia.
The quantitative study focuses on the psychometric properties of the Rapid Eating Assessment for Patients (REAP) tool for assessing dietary habits. The aim of the study was to validate REAP and its factor structure, reliability, and validity. REAP was used for the first in patients with hypertension.
Language validation of REAP measurements into Czech language, test, retest, and pilot testing were performed. In addition, 420 patients were investigated, and exploratory confirmation factor analysis and Cronbach's alpha and Split-half coefficients were used.
Five models with different number of items and identified factors were created. Reliability coefficients are satisfactory. The best results were achieved through the model created for a group of patients with hypertension. There were five factors extracted and described in words Factor F1 was named "Meat consumption," factor F2 "Inappropriate food and activities for with hypertension (WH) patients," factor F3 "Consumption of dairy and fatty foods, "factor F4 "Consumption of sweet foods," and factor F5 "Appropriate food and activities for WH patients."
The REAP questionnaire is a suitable tool for clinical practice use when assessing dietary habits in patients with hypertension.
The REAP questionnaire is a suitable tool for clinical practice use when assessing dietary habits in patients with hypertension.
Managers need evidence-based methods to evaluate their management skills. To further test the appreciative management scale (AMS 1.0) to create a practical instrument to be used in evaluating appreciative management.
For further testing, a new survey was conducted among social and healthcare managers (
= 734) in Finland. Confirmatory factor analysis (CFA) was used to assess the scale validity and Cronbach's alpha coefficients the internal consistency.
The validated AMS 2.0 scale includes 24 items. https://www.selleckchem.com/products/ABT-869.html The values measuring validity and reliability were good, with an Rool Mean Square Error of Approximation (RMSEA) of 0.072, Average Variance Extracted (AVE) values between 0.532 and 0.634, and Composite Reliability (CR) values ranging between 0.850 and 0.914. The Cronbach's alpha of the whole scale was 0.944.
AMS 2.0 is a reliable and valid means to measure appreciative management as proved by confirmatory factor analysis.
AMS 2.0 is a reliable and valid means to measure appreciative management as proved by confirmatory factor analysis.
There are very limited brief, validated, open access screening tools for trauma symptoms in adolescent populations. This study aimed to test two brief tools used with adults in primary care settings for use with adolescents.
Youth (
= 77) completed the Posttraumatic Stress Disorder (PTSD) Checklist (PCLC-2), the Primary Care PTSD Screen for
, Fourth Edition (
; PC-PTSD), and the PTSD Reaction Index for
(reference tool). Sensitivities and specificities were analyzed.
The PCLC-2 and PC-PTSD demonstrated high sensitivity and specificity with adolescents when using lower cutoff scores than those recommended for adults.
The PC-PTSD and PCLC-2 have the potential to be used as brief screens with adolescents. Additional research is needed to further examine their validity with larger, diverse youth samples in primary care and school-based settings.
The PC-PTSD and PCLC-2 have the potential to be used as brief screens with adolescents. Additional research is needed to further examine their validity with larger, diverse youth samples in primary care and school-based settings.
Homepage: https://www.selleckchem.com/products/ABT-869.html
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