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Assessment of atopic dermatitis using self-report and caregiver report: a multicentre validation study.

BACKGROUND: The epidemiology of atopic dermatitis (AD) in the U.S.A. has been described largely via US population-based questionnaire studies. However, the validity of the questions used for self- and caregiver-reported eczema has not been previously demonstrated. OBJECTIVES: To validate the assessment of self- and caregiver-reported eczema. METHODS: We performed a prospective multicentre dermatology-practice-based study (three sites) to determine the validity of caregiver- and self-reported ever having eczema and 1-year history of eczema. Questionnaires were administered to unselected patie

Nurse self-evaluation of assessment of chemotherapy-induced peripheral neuropathy in patients with cancer.

The focus of this study was to assess the feasibility and clinical implementation of a standardized assessment for chemotherapy-induced peripheral neuropathy (CIPN) by registered nurses in patients undergoing neurotoxic chemotherapy. A total of 24 registered nurses from 4 different institutions were enrolled into the study. A pre- and posttest design was used to assess changes in nurses' attitudes, knowledge, and perceived skill in CIPN assessment. Using selected data collection instruments, nurses performed standardized assessments during the course of chemotherapy treatments. Patient-reporte

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… Nurse self-assessment of confidence and skill in CIPN assessment was ascertained at baseline and at the end of the study period using the Confidence Scale (Grundy, 1993). …

Assessment of fall-related self-efficacy and activity avoidance in people with Parkinson's disease.

BACKGROUND: Fear of falling (FOF) is common in Parkinson's disease (PD), and it is considered a vital aspect of comprehensive balance assessment in PD. FOF can be conceptualized differently. The Falls-Efficacy Scale (FES) assesses fall-related self-efficacy, whereas the Survey of Activities and Fear of Falling in the Elderly (SAFFE) assesses activity avoidance due to the risk of falling. This study aimed at investigating the validity and reliability of FES and SAFFE in people with PD. METHODS: Seventy-nine people with PD (mean age; 64 years, SD 7.2) completed the Swedish version of FES(S), SA

Walking assessment in people with lumbar spinal stenosis: capacity, performance, and self-report measures.

BACKGROUND CONTEXT: Ambulation limitation is the hallmark of impairment in lumbar spinal stenosis (LSS). Capacity and performance have been defined as two distinct aspects of disability. Previous literature suggests that a person's walking capacity may not be reflected in their daily walking performance. PURPOSE: To examine the relationship between survey instruments, tested walking capacity, and daily ambulatory performance in people diagnosed with LSS. STUDY DESIGN/SETTING: Prospective laboratory and clinical observational study at a tertiary care spine clinic. PATIENT SAMPLE: Twelve subj

Establishment and partial validation of a patient skin self-assessment questionnaire in systemic sclerosis.

OBJECTIVES: To construct a patient self-assessment questionnaire testing whether patients can provide valid information about their skin thickness, tethering and thinness. METHODS: The questionnaire contained questions about the 17 body areas identical to those investigated in the Modified Rodnan Skin Score (MRSS). The baseline and 1 yr follow-up values of thickening, tethering and thinning were scored on a scale of 0-3, by 131 consecutive patients. RESULTS: The questionnaire was feasible. The test-retest reliability was good, with an intraclass correlation coefficient of 0.5-0.6. The MRSS c…

Validity of self-assessment of oral health among 15-year-olds in Tehran, Iran.

PURPOSE: The objective of the present study was to compare the self-assessed and the clinically determined findings of oral health and their … RESULTS: Altogether 78% of the 15-year-olds assessed their oral health as good or better. Based on self-assessment, 46% reported gingival bleeding, 28% reported the need for a filling and 23% for teeth straightening. Clinical examinations showed that 40% of the students had sound dentition (decayed, missing or filled teeth, DMFT = 0), 40% had current caries (dec …

Human papillomavirus testing by self-sampling: assessment of accuracy in an unsupervised clinical setting.

OBJECTIVES: To compare the performance and acceptability of unsupervised self-sampling with clinician sampling for high-risk human papillomavirus (HPV) types for the first time in a UK screening setting. SETTING: Nine hundred and twenty women, from two demographically different centres, attending for routine cervical smear testing. METHODS: Women performed an unsupervised HPV self-test. Immediately afterwards, a doctor or nurse took an HPV test and cervical smear. Women with an abnormality on any test were offered colposcopy. RESULTS: Twenty-one high-grade and 39 low-grade cervical intraepi

Reliability of recalled self-report on headache intensity: investigation using ecological momentary assessment technique.

Recalled evaluation of headache intensity is often affected by several factors. Recently, computerized ecological momentary assessment (EMA) has been developed to avoid such problems as recall bias. Here, we compared recalled headache intensity with momentary headache intensity using EMA in tension-type headache (TTH). Forty patients with TTH wore watch-type computers for 1 week to record momentary headache intensity and also rated their headache intensities by recall. We calculated intraclass correlation coefficients between recalled headache intensity and indices from EMA recordings in the w

Influence of comorbidity on self-assessment instrument scores of patients with idiopathic adhesive capsulitis.

BACKGROUND: The purpose of this study was to determine whether comorbid factors influence the results of self-assessment instruments completed by patients with idiopathic adhesive capsulitis of the shoulder. We hypothesized that an increased number of comorbidities would be correlated with greater pain and worse function as measured by general and shoulder-specific outcome tools. METHODS: One hundred consecutive patients with phase-II adhesive capsulitis were prospectively evaluated with use of a general health questionnaire, a visual analog pain scale, the Simple Shoulder Test, the Disabilit…

Self-assessment questionnaires document substantial variability in the clinical expression of rotator cuff tears.

The goal of this investigation was to document the variability in the clinical expression of full-thickness rotator cuff tears with practical and standardized patient self-assessment tools. One-hundred twenty-three consecutive patients with full-thickness cuff tears diagnosed by standard cuff-imaging methods (sonography, arthrography, or magnetic resonance imagery) assessed their own shoulder function and health status with the Simple Shoulder Test and the Short Form 36, respectively. As a group, these patients were substantially compromised in their ability to perform the functions of the Sim…

Hearing in patients operated unilaterally for otosclerosis. Self-assessment of hearing and audiometric results.

The objective of this study was to examine the outcome of unilateral stapes surgery in one patient group with bilateral hearing loss and one group with unilateral hearing loss. The patients' own estimations of improvement in hearing ability and the occurrence of other ear-related symptoms were examined retrospectively and in a follow-up study. Ninety-five of 123 patients operated for otosclerosis in only one ear between 1987 and 1992 responded to a follow-up examination. Observed audiometric findings and changes thereof, along with the patients' own estimations of their hearing handicap pre- a

The prospective assessment of self-concept in neglectful and physically abusive low income mothers.

Maternal self-esteem has long been associated with the quality of maternal-child interactions and many assume that low self-esteem contributes to the cause of maltreatment. Assessments of the self-concepts of maltreating parents, however, have been done only after maltreatment has occurred. Prospective measurement of self-concept would help to clarify its role in the etiology of maltreatment. In this study, 471 pregnant women completed the Tennessee Self-Concept Scale (TSCS). State protective services' records were reviewed 3 years after these children were born. When records of the 459 women

Life events assessment of depressed patients: a comparison of self-report and interview formats.

Both self-report questionnaires and semi-structured interviews have been employed in past research on the association between life events and psychiatric disorder. We examined the comparability of these two approaches by giving both a self-report life events scale and semi-structured life events interview to 38 depressed patients. About 40% of the items noted on the interview were missed when using the questionnaire. Approximately 15% of the items noted on the questionnaire were errors since the events did not meet the definition or time criteria specified in the questionnaire. Twenty percent

Development of a Self-administered Sexual Behavior Assessment Tool to Facilitate Self-reflection by Young Women in South Africa About HIV/STI Risk.

Self-assessment of sexual behavior may empower adolescent girls and young women (AGYW) to reflect on HIV/STI risk and adopt prevention strategies. We developed a web-based sexual behavior self-assessment tool providing real-time feedback based on a numeric score and examined associations of scores with STI detection and HIV pre-exposure prophylaxis (PrEP) initiation among AGYW in South Africa. The tool was implemented as part of PALESA, a pilot randomized trial which followed up 55 sexually-active AGYW (16-20 years) for six months in Johannesburg between June 2023 and May 2024. Participants re…

Self-ratings of genital anatomy, sexual sensitivity and function in men using the 'Self-Assessment of Genital Anatomy and Sexual Function, Male' questionnaire.

OBJECTIVE: To assess the perceptions of healthy men of their genital anatomy and sexual sensitivity, along with the re-test reliability of these ratings, in a new self-reported questionnaire, the Self-Assessment of Genital Anatomy and Sexual Function, Male (SAGASF-M). SUBJECTS AND METHODS: Eighty-one healthy, sexually active, men aged 22-57 years (median 33), with no history of genital surgery, completed the SAGASF-M. This questionnaire comprises written text and images enabling men to rate details of their genital appearance, overall genital erotic and pain sensitivity, orgasm intensity, and…

Self-Administered Mobile Cognitive Assessments for Individuals With Stroke: A Feasibility and Validation Study.

OBJECTIVE: To examine the feasibility, learning effects, stability, and validity of mobile cognitive assessments (MCAs) among individuals with stroke. DESIGN: Longitudinal observational study using frequent, brief, repeated, in vivo self-administered mobile assessments of cognitive functions. SETTING: Everyday life settings. PARTICIPANTS: Twenty participants with mild-to-moderate stroke (mean age, 55.5y; 60% men; 45% Whites; 70% ischemic stroke). INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Over 14 days, participants used smartphones to complete a digital assessment protocol. The

Bias and accuracy in self-assessments of psychotherapeutic skills: A multi-perspective secondary analysis.

Objective: Self-assessment of psychotherapeutic skills is assumed to be prone to bias. The present study aimed to investigate psychology students' ability to assess their own psychotherapeutic skills, and to compare it with the assessment from independent raters and supervisors. Method: Data from 73 psychology students were analyzed from a randomized controlled trial investigating the effect of clinical supervision on skill development. Students' basic communication skills, therapeutic alliance, and empathy were assessed by independent raters and students themselves. Supervisors assessed stude…

An assessment of the results of self-monitoring after conservative treatment of hand and wrist fractures.

OBJECTIVE: Aim: The objective of this study was to evaluate the effectiveness and safety of this method after simple fractures of the hand and wrist. PATIENTS AND METHODS: Materials and Methods: 202 patients, 117 males (58%) and 85 females (42%) at mean 57 years of age, with stable, non- or minimally displaced hand and wrist bone fractures were enrolled in the study. Patients were treated conservatively by immobilization in a plaster or thermoplastic splint, or functionally, without any immobilization. After one visit to the clinic and receiving instructions on how to deal with a broken finge

A high-throughput workflow for assessing self-renewal using colony formation assays.

The colony formation assay (CFA) is a widely used method to assess the self-renewal capacity of cancer cells and evaluate how this property is affected by drug treatment. This protocol presents a streamlined, high-throughput CFA workflow optimized for T-cell acute lymphoblastic leukemia (T-ALL), making it suitable for large-scale drug screening projects. Colonies are grown in a methylcellulose-based 3D matrix and quantified using an automated analysis pipeline, allowing robust estimation of colony number and size. This cost-effective approach provides a scalable platform for identifying compou

Evaluating the Performance and Fragility of Large Language Models on the Self-Assessment for Neurological Surgeons.

BACKGROUND AND OBJECTIVES: The Congress of Neurological Surgeons Self-Assessment for Neurological Surgeons questions are widely used by neurosurgical residents to prepare for written board examinations. Recently, these questions have also served as benchmarks for evaluating large language models' (LLMs) neurosurgical knowledge. LLMs show significant promise for transforming neurosurgical practice; however, they are susceptible to in-text distractions and confounding factors. Given the increasing use of generative artificial intelligence and ambient dictation technologies, clinical text is at a…