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1.
China Pharmacy ; (12): 661-665, 2022.
Article in Chinese | WPRIM | ID: wpr-922999

ABSTRACT

OBJECTIV E To in vestigate the situation ,achievements and proble ms of consistency evaluation policy of generic medicines in China. METHODS The descriptive analysis was performed after collecting and sorting out the information of generic medicine passing consistency evaluation (GMPCE) published on the official website of the National Medical Products Administration. The basic information ,the distribution and changes of GMPCE were analyzed statistically in National Essential Medicine List (hereinafter refer to as “essential medicine list ”),Medicine List for National Basic Medical Insurance ,Industrial Injury Insurance and Maternity Insurance (hereinafter refer to as “medical insurance list ”)and the result of the successful selection of centralized medicine procurement organized by the state (hereinafter refer to as “centralized procurement list ”). RESULTS From 2017 to 2021,415 chemical generic drugs had passed consistency evaluation in China ,including 309 varieties,1 822 specifications, 6 dosage forms ,and 17 pharmacological mechanisms ,basically belonging to 30 provinces,and 492 drug manufacturers (except 12 products had not been found the manufacturers );the proportion of GMPCE in essential medicine list increased from 0.96% in 2012 edition to 25.40% in 2018 edition;that of GMPCE in medical insurance list increased f rom 2.13% in 2017 edition to 11.68% in 2021 edition;in the first 5 batches of centralized procurement list,GMPCE accounted for 81.65%,and the maximum price drop after entering the list was 97.52%. CONCLUSIONS The policy linkage has been achieved with the continual increase of the number of GMPCE and their total amount in three lists in China. The accessibility and affordability of related medicines have been improved with the apparent decrease of the price of those medicines. H owever,total number of GMPCE is a little small,with the higher repetition rate of variety and the low proportion in the three lists ;the guarantee measures of those medicine supply need to be strengthened.

2.
Rev. latinoam. psicol ; 53: 104-113, jul.-dic. 2021. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1361044

ABSTRACT

Resumen Introducción: Uno de los instrumentos más usados internacionalmente para medir la conciencia plena es el Kentucky Inventory of Mindfulness Skills. Debido a que esta escala no ha sido traducida ni adaptada a la lengua española, la investigación examinó la validez del constructo, su consistencia interna y validez de criterio, en una muestra mexicana. Método: La muestra estuvo conformada por 485 participantes (145 hombres y 340 mujeres). Resultados: Los resultados revelan una buena fiabilidad de la escala general, Asimismo, confirman que las cuatro dimensiones del inventario son factores sustantivos de la conciencia plena. Un análisis factorial confirmatorio muestra que los datos se ajustan de manera adecuada al modelo de cuatro factores. Conclusiones: Se concluye que este inventario es un instrumento válido y fiable para evaluar la conciencia plena en población general mexicana.


Abstract Introduction: One of the most common instruments used in the world to measure mindfulness is the Kentucky Inventory of Mindfulness Skills. Due to this scale has not been translated and adapted to Spanish, the purpose of this research was to examine the construct validity, internal consistency, and criterion validity in a Mexican sample. Method: The sample included 485 participants (145 men and 350 women). Results: Results found in this research revealed a good reliability of the general scale It was confirmed that the four dimensions of this inventory are significant factors of indfulness. Regarding the confirmatory factor analysis, results showed that data fitted properly to the four factors model. Conclusions: Inconclusion, this inventory is a valid and reliable instrument to measure mindfulness in general Mexican population.

3.
Article in Chinese | WPRIM | ID: wpr-909231

ABSTRACT

Objective:To investigate the application value of multi-slice spiral CT (MSCT) in Borrmann classification of advanced gastric cancer.Methods:The clinical data of 80 patients with advanced gastric cancer who received treatment in Cixi Integrated Traditional Chinese and Western Medicine and Health Group from January 2016 to January 2020 were analyzed. Clinical results were compared with MSCT imaging findings.Results:Postoperative specimens of 80 patients with gastric cancer showed that a single cancer occurred in cardiac fundus of 13 (16.25%) patients, in gastric body of 21 (26.25%) patients, in gastric antrum of 46 (57.50%) patients. Advanced gastric cancer involved gastric fundus and gastric body in 21(26.25%) patients, gastric antrum and gastric body in 34 (42.50%) patients, and gastric fundus, gastric body and gastric antrum in 13 (16.25%) patients. Pathological results of gastric cancer showed Borrmann type I in 12 (15.00%) patients, Borrmann type II in 28 (35.00%) patients, Borrmann type III in 27 (33.75%) patients and Borrmann type IV in 13 (16.25%) patients. The accuracy rate of preoperative MSCT in the identification of Borrmann type I, II, III and IV gastric cancer was 83.33%, 78.57%, 77.78%, and 84.62%, respectively, with the total preoperative MSCT accuracy rate of 80.00%. Preoperative MSCT has good intra-observer consistency and inter-observer consistency in the Borrmann classification of advanced gastric cancer, with the kappa values of 0.883 and 0.853, respectively ( P < 0.001). Conclusion:MSCT has a high accuracy rate and good repeatability in Borrmann typing of advanced gastric cancer.

4.
Article in Chinese | WPRIM | ID: wpr-908540

ABSTRACT

Objective:To investigate if the dynamic optotype is comparable with conventional logarithm of the minimum angle of resolution (LogMAR) optotype.Methods:This is a cross-sectional study investigating visual acuity measurement with two methods.The study lasted for 6 months from May to November 2017.One hundred and fifty subjects (150 right eyes) with age (58.7±14.3) years were recruited in the Optometry Clinics of the School of Optometry, The Hong Kong Polytechnic University.Habitual distance visual acuity of each eye was measured with a 3-meter LogMAR E chart and a Dyop ? acuity chart displayed on a monitor placed at 6 meters, respectively.Subjects were asked to comment on the Dyop ? system regarding the overall speed and ease of understanding the test using a 5-point Likert scale.The agreement between the two charts was assessed.This study was approved by an Ethics Committee of The Hong Kong Polytechnic University (No.HSEARS20170215006) in accordance with the Declaration of Helsinki, and written information consent was obtained from all the subjects prior to any ocular examination. Results:The mean difference between the LogMAR E chart and Dyop ? system was (0.05±0.07) LogMAR units, and the 95% limits of agreement was -0.09 to 0.19.The intra-class correlation coefficient of the two methods was 0.957.In general, 70% (105/150) of the subjects considered the Dyop ? system fast and 81% (121/150) easy to understand. Conclusions:Visual acuity measured by the Dyop ? system is comparable to the traditional LogMAR E chart.

5.
Article in Chinese | WPRIM | ID: wpr-908193

ABSTRACT

Objective:To explore the effect of quantifying food thickness in patients with swallowing difficulty after thyroidectomy.Methods:A total of 70 patients with swallowing difficulty after thyroidectomy in Department of Thyroid and Neck Oncology, Tianjin Medical University Cancer Institute & Hospital, during April 2019 to March 2020, randomly divided into intervention group(35cases) and control group(35cases). The patients in the control group were treated with conventional dietary nursing measures after thyroidectomy. The patients in the intervention group were treated with dietary guidance according to the results of quantifying food thickness and conventional dietary nursing. The incidence of aspiration was compared during hospitalization, the swallowing function were evaluated in the two groups pre intervention and on discharge, and relationship was evaluated between Kubota drinking test level and food consistency grade of safe eating in intervention group.Results:The incidence of aspiration in the intervention group (0) was lower than that in the control group 28.57% (10/35) and the difference was statistically significant ( χ2 value was 11.667, P<0.01). Before intervention the difference in the degrees of Kubota drinking test had no statistical significance between two groups before intervention ( Z value was -0.283, P>0.05). After interventions the degrees of Kubota drinking test was graded as gradeⅠ(1 example), gradeⅡ(4 examples), gradeⅢ(20 examples), grade Ⅳ(9 examples), gradeⅤ(1 example) respectively, meanwhile the degrees of control group was graded as gradeⅠ(0 example), gradeⅡ(1 example), gradeⅢ(16 examples), grade Ⅳ(17 examples), gradeⅤ(1 example) respectively. The difference between two groups was statistically significant ( Z value was -2.170, P<0.05). Moreover, the improvement of swallowing function in the intervention group was larger than that of the control group and the difference in the degree of the swallowing function was statistically significant between two groups ( Z value was -2.029, P<0.05). Before intervention the difference of the score of Eating Assessment Tool-10 had no statistical significance between two groups ( t value was 0.168, P>0.05). After intervention the score of Eating Assessment Tool-10 in the intervention group was 8.43±2.21, the score of Eating Assessment Tool-10 in the control group was 10.06±2.45, the difference had statistical significance between two groups( t value was -2.919, P<0.01). Conclusion:Quantification of fluid food thickness can more accurately and objectively judge the grade of food consistency that patients can eat safely, and it can effectively reduce the incidence of aspiration and contribute to improving the swallowing function in patients with swallowing difficulty after thyroidectomy and can also help them to recovery.

6.
Article in Chinese | WPRIM | ID: wpr-907872

ABSTRACT

Objective:To investigate the safety and consistency of domestic inhaled allergen extracts in the diagnosis of allergic diseases in children.Methods:Nine thousand five hundred and sixty-three children diagnosed with allergic diseases from September 2018 to June 2020 in Children′s Hospital Affiliated to Capital Institute of Pedia-trics were selected in this study, and all of them were subjected to skin prick test(SPT), and 415 of them were subjected to serum specific IgE (sIgE) test at the same time.The adverse events during SPT were recorded and the consistency of the results between SPT and sIgE test was analyzed.Results:There were 14 cases with adverse events in 9 563 patients, and the overall incidence was 0.15%.The incidence of adverse events was 0.07% (2/2 581 cases) in the 1-5 years old group, 0.19% (12/6 197 cases) in the 6-11 years old and 0 in the 12-17 years old group.The severity of all these events was grade Ⅰ.Out of the 14 cases with adverse events, only 1 case was considered to be related to allergen preparations, with the incidence being 0.01% (1/9 563 cases). The Kappa index showed that the results of dermatophagoides pteronyssinus, dermatophagoides farinae, alternaria and artemisia measured by SPT and sIgE were almost the same.There was high consistency between tree pollens and ragweed ( P<0.01), and moderate consistency between aspergillus fumigatus ( P<0.01). When the results of sIgE were used as the diagnostic criteria, the Youden index for the results of SPT ranged from 0.76 to 0.89, with aspergillus fumigatus (0.76) and tree pollens mixture (0.79) as the lowest.The positive likelihood ratio for most of the inhaled allergens was more than 10 except for tree pollens mixture (7.12) and dermatophagoides farinae (9.10). The negative likelihood ratio for most of the inhaled allergens was less than or equal to 0.1 except for aspergillus fumigatus (0.19). Conclusions:The domestic inhaled allergen extracts had high safety in the clinical application of SPT, and their results of SPT had good consistency with those of serum sIgE, which was conducive to the diagnosis and evaluation of allergic diseases in children.

7.
Article in Chinese | WPRIM | ID: wpr-906315

ABSTRACT

With the publication of Registration and Classification of Traditional Chinese Medicine (TCM) and Application Data Requirements, the related management and technical documents of TCM with the same name and prescription need to be further studied and formulated. In this paper, the management mode and technical evaluation of TCM with the same name and prescription are discussed to provide reference for the formulation of management and technical documents of TCM with the same name and prescription. The issues to be discussed include which management mode to adopt, how to select the control drugs with the same name and prescription, whether the indication risk level should be divided, whether the indication should be limited to medium and low risk, and how to carry out the technical evaluation of similarity/consistency. From the perspective of technical document research and formulation, this paper mainly focuses on the technical level. However, there are still other theoretical possibilities in the management mode and technical evaluation of TCM with the same name and prescription. Therefore, this paper, as a preliminary summary of the management and technical evaluation of TCM with the same name and prescription, needs more scholars and industry experts to pay attention to and participate in this work.

8.
Article in English | WPRIM | ID: wpr-922400

ABSTRACT

OBJECTIVES@#To study the consistency between nasopharyngeal aspirates (NPA) and bronchoalveolar lavage fluid (BALF) in pathogen detection in children with pneumonia@*METHODS@#A retrospective analysis was performed on the data of pathogens detected in 533 children with pneumonia from February 2017 to March 2020. The paired McNemar's test was used to compare the difference in pathogen detection between NPA and BALF groups. The @*RESULTS@#NPA had a sensitivity of 28%, a specificity of 74%, a positive predictive value of 14%, and a negative predictive value of 91% in detecting bacteria, and a @*CONCLUSIONS@#There is poor consistency between NPA and BALF in the detection of bacteria and viruses, and clinicians should be cautious in diagnosing lower respiratory tract infection based on bacteria or viruses detected in NPA. There is moderate consistency between NPA and BALF in the detection of


Subject(s)
Bronchoalveolar Lavage Fluid , Child , Humans , Mycoplasma pneumoniae , Pneumonia , Pneumonia, Mycoplasma , Respiratory Tract Infections , Retrospective Studies
9.
Article in Chinese | WPRIM | ID: wpr-921703

ABSTRACT

The present study determined five saponins in Xuesaitong Dropping Pills(XDP) by micellar electrokinetic chromatography(MEKC), and evaluated between-batch consistency by MEKC fingerprints and similarity analysis. A background buffer was composed of 20 mmol·L~(-1) sodium tetraborate-20 mmol·L~(-1) boric acid solution(pH 8.5), 55 mmol·L~(-1) sodium dodecyl sulfate(SDS), 23 mmol·L~(-1) β-cyclodextrin, and 13% isopropyl alcohol. All separations were performed at 25 ℃,20 kV and the detection wavelength was set at 203 nm. The separation channel was a fused silica capillary with a dimension of 75 μm I.D. and a total length of 50.2 cm(effective length of 40.0 cm). The contents of notoginsenoside R_1, and ginsenosides Rg_1, Re, Rb_1, Rd were determined with their quality control ranges set. The fingerprints of XDP were established and the between-batch consistency was evaluated by similarity analysis. The contents of five saponins from the 19 batches of XDP were stable in the fixed ranges. Statistical analysis was carried out on the results of multiple batches of samples, and the specific quality control ranges were recommended as follows: notoginsenoside R_1 21.92-34.16 mg·g~(-1), ginsenosides Rg_1 83.54-131.78 mg·g~(-1), ginsenosides Re 13.58-19.82 mg·g~(-1), ginsenosides Rb_1 89.40-129.90 mg·g~(-1), and ginsenosides Rd 22.34-35.67 mg·g~(-1). Eleven characteristic peaks were identified in the fingerprints. Five peaks, notoginsenoside R_1 and ginsenosides Rg_1, Re, Rb_1, Rd, were identified with reference standards. The similarities of the 19 batches of samples were all above 0.988, indicating good between-batch consistency. This method is green and simple, and can be used for the quantitative determination and quality evaluation of XDP. It can also provide references for the quality control of other Chinese medicinal dripping pills.


Subject(s)
Chromatography, Micellar Electrokinetic Capillary , Drugs, Chinese Herbal , Micelles , Quality Control , Saponins
10.
Article in Chinese | WPRIM | ID: wpr-912134

ABSTRACT

Objective:To study the intestinal mucosal state of ulcerative colitis (UC) through UC endoscopic scores and to investigate the correlation between the endoscopic scores and clinical activity and histological scores.Methods:A retrospective analysis was performed on data of 152 patients who underwent colonoscopy or sigmoidoscopy in Nanjing Drum Tower Hospital from January 2014 to September 2019. The results were graded with 7 endoscopic scores, namely, Mayo endoscopic score(MES), modified Baron score(MBS), endoscopic activity index(EAI) , Sutherland index(DAI or UCDAI) , Rachmilewitz endoscopic index(REI), Lemann endoscopic index (LEI), and ulcerative colitis endoscopic index of severity(UCEIS). Spearman correlation coefficients between endoscopic score and partial Mayo scores, Truelove-Witts disease severity score and Nancy index (NI), Robarts index (RHI) and Geboes score (GS) were calculated respectively. Consistency of each endoscopic score among different observers was analyzed.Results:Except for the weak correlation between DAI and Truelove - Witts classification ( r= 0.469, P < 0.001), all other endoscopic scores were moderately positively correlated with clinical activity scores with significance( all P<0.001). However, the correlation between 7 endoscopic scores and histological scores was weak ( P<0.001). Except that the consistency of MBS among observers was medium, those of MES, DAI and LEI among observers were poor, and those of UCEIS, EAI and REI among observers were worse ( P<0.001). Conclusion:Endoscopic scores were moderately correlated with clinical activity indexes and weakly correlated with histological scores. However, patients with endoscopic remission may have histologic inflammatory activity, so attention should be paid to histological mucosal healing after endoscopic remission. The consistency of all 7 endoscopic scoring stystems among observers was low, and the repeatability was poor.

11.
Article in Chinese | WPRIM | ID: wpr-910836

ABSTRACT

Objective:To investigate the consistency and diagnostic efficiency of Chinese Thyroid Imaging Reporting and Date System (C-TIRADS) in thyroid nodule evaluation by different seniority sonographers.Methods:The preoperative ultrasonographic datum of 134 thyroid nodules in 112 patients from January to November 2020 were independently analyzed by sonographers with different seniority. According to the C-TIRADS guidelines, the C-TIRADS ultrasonographic indicators of each nodule were recorded and C-TIRADS classification was performed. Cohen′s Kappa (K) statistical method was used to analyze the consistency of ultrasonic indicators evaluated by different seniority sonographers. Using postoperative pathological results as the gold standard, the diagnostic efficacy of C-TIRADS classification for differentiating benign and malignant thyroid nodules by junior and senior sonographers was calculated respectively, and the Receiver Operating Characteristic (ROC) curves were drawn respectively.Results:The solid structure and vertical orientation of thyroid nodule judged by different seniority sonographers were very consistent ( K=0.84, 0.81). The consistencies of very hypoechoic and microcalcifications were substantial agreement ( K=0.80, 0.61), and moderate ( K=0.531) for the margin of the nodules. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of distinguishing benign and malignant thyroid nodules by junior and senior sonographers were 91.8%, 65.8%, 77.6%, 69.1%, 90.6% and 96.7%, 67.1%, 80.6%, 71.1%, 96.1%, respectively. The corresponding area under the ROC curves were 0.788 and 0.819, respectively ( Z=1.369, P=0.171). Conclusion:Ultrasonologists with different experience have good consistency in evaluating the C-TIRADS ultrasonic indicators of thyroid nodule, and the diagnostic efficacy of C-TIRADS classification in differentiating benign and malignant thyroid nodule was similar.

12.
Acta Pharmaceutica Sinica ; (12): 1739-1744, 2021.
Article in Chinese | WPRIM | ID: wpr-881561

ABSTRACT

Based on the "requirements on the submitted documents for consistency evaluation of generic oral solid dosage forms of chemical drugs" and relevant guidance, this article summarized and formulated the decision tree of in vitro consistency evaluation of oral solid generic drugs, discussed the differences and common problems of in vitro evaluation research projects under different conditions, selective analyzed the technical requirements and concern problems of unconventional research projects, and proposed corresponding recommendations for concern problems, in order to provide more references for the follow-up study on consistency evaluation of oral solid generic drugs.

13.
Rev. bras. educ. espec ; 27: e0208, 2021. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1288268

ABSTRACT

RESUMO: Um mesmo instrumento pode ser adequado para distintas realidades, mas, para ele que avalie de fato concepções atreladas a um contexto cultural particular, é preciso compreender o fenômeno sob as lentes desse cenário. O objetivo deste artigo foi apresentar os resultados preliminares de validação e de confiabilidade da Escala Intercultural de Concepções de Deficiência (EICD) para a realidade brasileira. A EICD é um instrumento elaborado por uma equipe de distintos países (Brasil, Espanha e Portugal) e voltado para a avaliação de concepções de deficiência. Contou-se com a validação qualitativa (com base no conteúdo), por meio dos juízes nacionais e internacionais, e por verificação de componentes principais realizada por análise fatorial exploratória dos dados coletados com um grupo amostral brasileiro. A versão final contou com tradução e retradução para quatro diferentes línguas: espanhol (Cuba), catalão (Barcelona), castelhano (Sevilha) e português (Portugal). No que tange ao estudo fatorial para a realidade brasileira, a EICD ficou composta por 43 itens, distribuídos em três dimensões (Concepção Biológica, Concepção Social e Concepção Metafísica (Religiosa)). Estudos futuros serão necessários para o aprimoramento psicométrico do instrumento, tanto no contexto nacional quanto no internacional.


ABSTRACT: The same instrument may be suitable for different realities, but in order to actually assess conceptions linked to a particular cultural context, it is necessary to understand the phenomenon under the lens of this scenario. The objective of this paper was to present preliminary results of validation and reliability of the Escala Intercultural de Concepções de Deficiência - EICD (Intercultural Scale of Conceptions of Disability) for the Brazilian reality. EICD is an instrument developed by a team from different countries (Brazil, Spain and Portugal) and aimed at assessing concepts of disability. Qualitative validation (based on content) was carried out, by means of national and international judges, and by verification of main components carried out by exploratory factor analysis of the data collected with a Brazilian sample group. The final version included translation and backtranslation into four different languages: Spanish (Cuba), Catalan (Barcelona), Castilian (Seville) and Portuguese (Portugal). Regarding the factorial study for the Brazilian reality, the EICD was composed of 43 items, distributed in three dimensions (Biological Conception, Social Conception and Metaphysical (Religious) Conception). Future studies will be necessary for the psychometric improvement of the instrument, both in the national and international context.

14.
Acta colomb. psicol ; 23(2): 339-348, jul.-dic. 2020. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1124049

ABSTRACT

Abstract The study is aimed at analyzing psychometric features of the local version of the Honey-Alonso Learning Styles Questionnaire. First, the inner structure of the scale is examined by means of a confirmatory factor analysis and an analysis of factorial invariance, splitting the sample by faculty. Second, internal consistency coefficients of the dimensions are analyzed and compared to previous results. Third, external convergent validity evidences are considered, regarding scores obtained from a learning approach scale which was used as an external criterion. Findings show an adequate model fit, even employing different estimation methods. Furthermore, the factorial invariance analysis verifies the metrical equivalence of the model. The internal consistency study finds acceptable values. The dimensions' stability reliability indices do not verify significant differences between test and retest. Finally, the convergent validity evidences analyses show positive associations between learning styles and the Deep learning approach on the one hand, and negative associations between the Surface approach and learning styles on the other, as reported in previous studies. Results are discussed on the grounds of the theoretical and empirical background.


Resumen En el presente trabajo se examinan las propiedades psicométricas de la versión argentina del Cuestionario Honey-Alonso de Estilos de Aprendizaje (CHAEA). Primero se analiza la estructura interna de la escala mediante un análisis factorial confirmatorio y de invarianza factorial, segmentando la muestra según facultad; luego se estudia la consistencia interna de las dimensiones confirmadas y se comparan los resultados con los obtenidos en estudios previos; posteriormente se examina la estabilidad temporal de las puntuaciones de cada dimensión; y, por último, se estudian las evidencias de validez concurrente con otra escala que evalúa enfoques de aprendizaje. Los resultados del análisis factorial confirmatorio muestran un adecuado ajuste del modelo testeado a partir de distintos métodos de estimación, mientras que con el análisis de invarianza factorial se comprueba la equivalencia métrica del modelo. Asimismo, los índices de consistencia interna son aceptables, aunque el análisis de estabilidad temporal de las dimensiones no comprueba diferencias significativas entre la primera y segunda administración del instrumento. Finalmente, en consonancia con hallazgos previos, las evidencias de validez concurrente exhiben asociaciones positivas entre los estilos de aprendizaje y el enfoque profundo, así como asociaciones negativas entre los estilos y el enfoque superficial. Al final se discuten los resultados a partir de antecedentes teóricos y empíricos.

15.
Rev. bras. educ. espec ; 26(4): 657-672, out.-dez. 2020. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1144043

ABSTRACT

RESUMO: Nos últimos anos, tem havido na literatura uma larga estimativa de prevalência de desordens do processamento sensorial. A avaliação dessas dificuldades deve fazer parte da competência dos profissionais que desenvolvem o seu trabalho com crianças que as apresentam por meio de instrumentos validados. Este estudo examina a consistência interna e homogeneidade dos itens da versão portuguesa do Sensory Processing Measure-Preschool (SPM-P). Foi aplicado o SPM-P a cem crianças entre os 2 e os 5 anos de idade que frequentavam a creche e o jardim de infância com o objetivo de determinar a sua fiabilidade e a validade. A análise da correlação de Pearson (homogeneidade dos itens) e do alfa de Cronbach (consistência interna) determinou a exclusão de quatro itens. Os valores de alfa de Cronbach para as várias dimensões ("Participação Social", "Visão", "Audição", "Toque", "Consciência Corporal", "Equilíbrio", "Planeamento Motor e Ideias") oscilou entre ‹=0.742 ("Visão" e "Toque") e ‹=0.908 ("Consciência Corporal"). Os resultados deste estudo mostram que o SPM-P é um instrumento de rastreio válido e fiável para despistar as dificuldades de processamento sensorial das crianças Portuguesas com idades compreendidas entre os 2 e os 5 anos integradas em contexto escolar.


ABSTRACT: Over the past several years, a wide range of estimates of the prevalence of sensory processing disorders has emerged in the literature. The assessment of these difficulties should be part of the competence of professionals working with children with these kinds of needs through validated instruments. This study examined the internal consistency and items homogeneity of a Portuguese language version of the Sensory Processing Measure-Preschool (SPM-P). One hundred typically developing children aged between 2 and 5 years were recruited at Nursery Schools and assessed using the SPM-P to determine its reliability and validity. Pearson correlation (item homogeneity) and Cronbach's alpha (internal consistency) determined the exclusion of 4 items. Cronbach's alpha values for the different dimensions ("Social Participation", "Vision", "Hearing", "Touch", "Body Awareness", "Balance and Motion", "Planning and Ideas") ranged from 0.742 ("Vision" and "Touch") and 0.908 ("Body Awareness"). The findings of this study showed that the SPM-P is a valid and reliable tool in screening for sensory processing difficulties in Portuguese preschool children aged between 2 and 5 years in a nursery school setting.

16.
Interacciones ; 6(3): 171, set.-dic. 2020. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1279198

ABSTRACT

RESUMEN Introducción : En la actualidad los trastornos de ansiedad son los de mayor prevalencia a nivel mundial, llegando a una tasa del 5% en Argentina en el año 2017. En ese sentido, el Inventario de Ansiedad de Beck (BAI) es uno de los instrumentos más utilizados en investigación y clínica en la actualidad. En su construcción uno de los objetivos fue evaluar síntomas de ansiedad que no suelen evidenciarse en trastornos depresivos, motivo por el cual resulta un test relevante para realizar un diagnóstico diferencial. El objetivo de este estudio fue adaptar el BAI a población adulta de Buenos Aires. Método : Se realizó una traducción directa del inventario y luego un juicio de expertos para evaluar la validez de contenido. Se analizó la capacidad de discriminación de los reactivos y se evaluó la validez estructural de los diferentes modelos encontrados en la literatura. A su vez, se analizó la consistencia interna del instrumento. Resultados : La adaptación presenta adecuada validez de contenido y los reactivos han demostrado discriminar de forma adecuada. A su vez, a partir de los análisis factoriales confirmatorios realizados se optó por la solución más parsimoniosa que indica la unidimensionalidad del constructo aportando evidencia de validez de constructo. A su vez, la adaptación presenta una adecuada consistencia interna. Se ofrecen valores normativos tentativos Conclusión : Se han hallado evidencias de validez y confiablidad para la adaptación argentina del BAI. Se lo considera un instrumento de gran utilidad clínica.


ABSTRACT Background : Currently, anxiety disorders are the most prevalent worldwide, reaching a rate of 5% in Argentina in 2017. The Beck Anxiety Inventory (BAI) is one of the instruments most used in research and clinic today. In its construction, one of the objectives was to evaluate anxiety symptoms that are not usually evident in depressive disorders, which is why it is a relevant test to make a differential diagnosis. The objective of this study was to adapt the BAI to the adult population of Buenos Aires. Methods : A direct translation of the inventory and then an expert judgment to assess the content validity were carried out. The discrimination capacity of the items was analyzed and the structural validity of the test was evaluated according to different models found in the literature. Also, the internal consistency of the instru-Publicación editada por el Instituto Peruano de Orientación Psicológica - IPOPSObra bajo licencia de Creative Commons Atribución 4.0 Internacional (CC BY 4.0) 2ment was analyzed. Results : The adaptation presents adequate content validity and the items have been shown to discriminate adequately. As for the confirmatory factor analyzes, the most parsimonious solution, which indicates the one-dimensionality of the construct, was chosen, providing evidence of construct validity. In turn, the adaptation presents adequate internal consistency. Tentative normative values are offered. Conclusion : Evidence of validity and reliability has been found for the Argentine adaptation of the BAI. It is considered an instrument of great clinical utility.


ABSTRACT Background : Currently, anxiety disorders are the most prevalent worldwide, reaching a rate of 5% in Argentina in 2017. The Beck Anxiety Inventory (BAI) is one of the instruments most used in research and clinic today. In its construction, one of the objectives was to evaluate anxiety symptoms that are not usually evident in depressive disorders, which is why it is a relevant test to make a differential diagnosis. The objective of this study was to adapt the BAI to adult population of Buenos Aires. Methods : A direct translation of the inventory and then an expert judgment to assess the content validity were carried out. The discrimination capacity of the items was analyzed, and the structural validity of the test were evaluated according to different models found in the literature. Also, the internal consistency of the instrument was analyzed. Results : The adaptation presents adequate content validity and the items have been shown to discriminate adequately. As for the confirmatory factor analyzes, the most parsimonious solution, which indicates the one-dimensionality of the construct, was chosen, providing evidence of construct validity. The adaptation presents adequate internal consistency. Tentative normative values are offered. Conclusion : Evidence of validity and reliability has been found for the Argentine adaptation of the BAI. It is considered an instrument of great clinical utility.


RESUMEN. Introducción : En la actualidad los trastornos de ansiedad son los de mayor prevalencia a nivel mundial, llegando a una tasa del 5% en Argentina en el año 2017. En ese sentido, el Inventario de Ansiedad de Beck (BAI) es uno de los instrumentos más utilizados en investigación y clínica en la actualidad. En su construcción uno de los objetivos fue evaluar síntomas de ansiedad que no suelen evidenciarse en trastornos depresivos, motivo por el cual resulta un test relevante para realizar un diagnóstico diferencial. El objetivo de este estudio fue adaptar el BAI a población adulta de Buenos Aires. Método : Se realizó una traducción directa del inventario y luego un juicio de expertos para evaluar la validez de contenido. Se analizó la capacidad de discriminación de los reactivos y se evaluó la validez estructural de los diferentes modelos encontrados en la literatura. A su vez, se analizó la consistencia interna del instrumento. Resultados : La adaptación presenta adecuada validez de contenido y los reactivos han demostrado discriminar de forma adecuada. A su vez, a partir de los análisis factoriales confirmatorios realizados se optó por la solución más parsimoniosa que indicala unidimensionalidad del constructo aportando evidencia de validez de constructo. A su vez, la adaptación presenta una adecuada consistencia interna. Se ofrecen valores normativos tentativos. Conclusión : Se han hallado evidencias de validez y confiablidad para la adaptación argentina del BAI. Se lo considera un instrumento de gran utilidad clínica.

17.
rev. psicogente ; 23(43): 144-166, ene.-jun. 2020. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1361203

ABSTRACT

Resumen Introducción: La exclusión social es un fenómeno multifactorial que expone a las personas a desventajas económicas, institucionales y sociales. Frecuentemente los jóvenes padecen exclusión social que les genera amplias consecuencias negativas. Objetivo: Desarrollar y validar un instrumento para evaluar la percepción de exclusión social en jóvenes mexicanos. Método: Estudio centrado en la psicometría. En una primera fase se creó una versión preliminar del instrumento a partir de reactivos derivados de la literatura. La calidad de los reactivos fue evaluada por expertos y por un grupo de jóvenes de la población objetivo. En una segunda fase se incluyeron 415 jóvenes y se obtuvo la confiabilidad, validez y normas del instrumento. Resultados: La primera versión del instrumento contempló 60 reactivos evaluados en la segunda fase. La versión final del instrumento incluyó 35 reactivos agrupados en nueve factores que explicaron el 62,30 % de la varianza total. Esta estructura factorial mostró una consistencia interna alta (α= ,863). El análisis factorial confirmatorio indicó un adecuado ajuste (x2= 1,71; CFI= ,926; RMSEA= ,042) que brinda evidencia sobre la validez empírica del instrumento. Conclusión: El instrumento tiene adecuadas propiedades psicométricas para evaluar la percepción de exclusión social en jóvenes mexicanos, el cual puede ser empleado en la investigación psicosocial. El estudio de la exclusión social se lleva a cabo desde las ciencias políticas, la economía y la sociología; pero hasta el conocimiento de los autores, este estudio representa una de las primeras propuestas de su abordaje desde la psicología social considerando central la visión de los individuos y sus interacciones sociales con otros grupos.


Abstract Introduction: Social exclusion is a multifactorial phenomenon that involves economic, institutional and social disadvantages for diverse groups of people. Frequently, young people face social exclusion that causes them negative consequences. Objective: To develop and validate an instrument to evaluate social exclusion perception in young people from Mexico. Method: This is an article research result, which is based on psychometric principles. During the first phase, a preliminary instrument version was developed on the base of a literature review. Experts and a group of young Mexican people evaluate items' quality. During the second phase, 415 participants were enrolled and the instrument psychometric properties (reliability, validity, and interpretation) were estimated. Results: The first version instrument included 60 items which were evaluated in the second phase. The final version of the instrument has 35 items grouped in nine factors that explained 62,30 % of the total variance. This instrument's factorial structure showed high internal consistency (α=.863). The confirmatory factorial analysis indicated an acceptable fit (x2=1.71; CFI=.926; RMSEA=.042) which gave evidence of the instrument empirical validity. Conclusion: Instrument has good psychometric properties to evaluate social exclusion perception; therefore it can be used in the psychosocial investigation. Social exclusion phenomenon has been studied on base the politics, economic and sociology sciences; however until author knowledge, this is a pioneer proposal to study social exclusion based on the social psychology. This science is focused in the subject vision and their group social interactions.

18.
Interdisciplinaria ; 37(1): 15-16, jun. 2020. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1124918

ABSTRACT

Resumen La Teoría de la Autodeterminación (TAD) reconoce diferentes tipos de motivación, a lo largo de un continuo según el grado de autorregulación del comportamiento, que operan en tres niveles de generalidad: global, contextual y situacional. Este trabajo presenta el proceso de construcción y análisis psicométricos de la Escala de Motivación Situacional Académica desarrollada a partir de las hipótesis de la TAD y del Modelo Jerárquico de la Motivación Intrínseca y Extrínseca (MJMIE). Participaron del estudio 364 estudiantes (62.6 % mujeres, 37.4 % varones) de 18 a 35 años de edad (. = 22.97, DE = 3.00) de diversas carreras de la Universidad de Buenos Aires (Argentina). Cinco jueces expertos analizaron evidencias de validez de contenido para los ítems y un grupo de alumnos aportó elementos para mejorar la validez aparente y la adecuación lingüística. Un análisis factorial exploratorio, a partir del método de Análisis Factorial de Rango Mínimo con rotación Oblimin directo, aisló una estructura trifactorial. La consistencia interna de las escalas se estimó mediante alfas ordinales, cuyos valores fueron en su totalidad adecuados. Las asociaciones significativas entre las escalas apoyaron la hipótesis teórica sobre el continuo propuesto en el modelo. Las correlaciones entre las escalas del instrumento con las de la Escala de Motivación Académica (Stover, de la Iglesia, Rial Boubeta y Fernández Liporace, 2012; Vallerand, Blais, Brierey Pelletier, 1989) fueron significativas al comparar dimensiones equivalentes y disímiles de ambas técnicas. Finalmente, se confeccionaron baremos para estudiantes universitarios locales. Los resultados, limitaciones, implicancias y líneas futuras de investigación se discuten a la luz del modelo de partida.


Abstract Self Determination Theory (Deci & Ryan, 1985a) describes diverse types of motivation, situated throughout a theoretical continuum which comprises a decrease in the regulation of behaviors, from highest to lowest. These are intrinsic motivation, identified regulation, introjected regulation, external regulation, and amotivation. These types, their influential factors, mediators and outcomes, integrate a hierarchic model which entails three levels: global, contextual, and situational (Vallerand, 1997). This paper presents the design and analysis of psychometric features of the Academic Motivation Scale-Situational (AMS-S) aimed at the assessment of motivation towards specific academic activities under specific circumstances. It was developed on the grounds of the Self Determination Theory´s hypotheses as well as the Hierarchic Model of Intrinsic and Extrinsic Motivation (HMIEM) posed by Vallerand (1997). The sample was composed of 364 colleges students (62.6 % females, 37.4 % males) between 18 and 35 years old (. = 22.97, SD = 3.00) with different majors at the University of Buenos Aires (Argentine). Items were written up to represent each type of motivation formulated in the model, according to the question which must be borne in mind while responding to the scale: "Why are you at the faculty right now?" The original pool of items was evaluated by five experts in order to analyze content validity evidences. A further pilot study was performed with a small group of students, aiming at the exam of face validity evidences. The preliminary version of 44 items obtained up to then was analyzed on a standardization sample. Polychoric covariance matrices were employed once the univariate normality hypothesis was not verified for the items. The ordinal nature of data demanded such a treatment as well. The statistical package FACTOR (Lorenzo-Siva & Ferrando, 2013) was used to develop an exploratory factor analysis with minimum rank factor analysis (MRFA) extraction method followed by direct Oblimin rotation (KMO = .887; Bartlett's Sphericity Test: χ² = 4525.6 (df = 351; . < .01). A 3-factor model which explained 68.01 % of the common variance was isolated retaining 27 items (F1 explained 18.1 %, F2, 23.2 %, and F3, 26.8 %). Regarding the items content, the extracted factors were labeled as extrinsic motivation (F1), amotivation (F2), and intrinsic motivation (F3). Additionally, internal consistency of the scales was estimated by means of ordinal alphas, with adequate coefficients in all cases (F1 = .84, F2 = .95, and F3 = .94). In order to test the self-determination continuum hypothesis entailed in the model, each dimension of the scale was correlated with the rest of them. Significant and positive associations (. < .05) were found between the adjacent scales, and negative between the non-adjacent ones, thus endorsing theoretical statements. Correlations between the scales' scores and the similar ones of Academic Motivation Scale (Academic Motivation Scale-EMA in Spanish-Stover et al., 2012; Vallerand et al., 1989) were calculated to analyze convergent validity evidences. Significant though weak statistical associations (. < .05) were found when comparing equivalent and opposite motivational types in both tests. Finally, statistical norms to be employed with local college population were calculated. Summarizing, up to the moment the scale has achieved adequate results in terms of preliminary validity evidences and reliability, supporting its appropriate psychometric quality to be used with local college students. The main weaknesses of the study rely in the sample size, which restricts wider generalizations, as well as the lack of semi-confirmatory factor analyses and psychometric studies on stability of measures, which must be developed in further steps. The analysis of the link between situational, contextual and global measures of motivation is also strongly suggested, taking into account the reciprocal effects among them.

19.
Salud ment ; 43(3): 137-146, May.-Jun. 2020. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1127310

ABSTRACT

Abstract Introduction Anxiety and depression in pregnant women are a public health problem. Their adequate detection requires valid and reliable instruments that are also useful for prevention and treatment. Objective To identify the psychometric properties of the Hospital Anxiety and Depression Scale (HADS) in a sample of Mexican pregnant women. Method The HADS was applied to 716 pregnant women between 13 and 46 years old (M = 26.55; SD = 6.56) attended in a public hospital in Mexico City. Results With a sample of 358 participants, a parallel analysis indicated a bifactorial structure for HADS, identified by exploratory factor analysis (Factor 1: anxiety, Factor 2: depression). The factors explained 53% of the variance and correlated positively (r = .36). The global internal consistency (Cronbach's α = .81; ordinal α = .93) and by factor (anxiety: Cronbach's α = .79; ordinal α = .88; depression: Cronbach's α = .79; ordinal α = .87) was acceptable. With data from the remaining 358 participants, a confirmatory factor analysis showed an acceptable fit for the structure detected (χ2/gl = 2.72; RMSEA = .06 [IC .05, .08]; GFI = .93; AGFI = .90; TLI = .90; CFI = .92). Discussion and conclusions The Hospital Anxiety and Depression Scale has adequate psychometric properties to be used in pregnant Mexican women. Its use in routine pregnancy controls would be useful to prevent, detect, and timely treat these conditions.


Resumen Introducción La ansiedad y la depresión en gestantes representan un problema de salud pública. Su adecuada detección requiere de instrumentos válidos y confiables que también sirvan para su prevención y tratamiento. Objetivo Identificar las propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Depresión (HADS) en una muestra de mujeres embarazadas mexicanas. Método Se aplicó la HADS a 716 gestantes de entre 13 y 46 años (M = 26.55; DE = 6.56), atendidas en un hospital público en la Ciudad de México. Resultados Con una muestra de 358 participantes, un análisis paralelo indicó una estructura bifactorial para la HADS, identificada mediante análisis factorial exploratorio (Factor 1: ansiedad, Factor 2: depresión). Los factores explicaron el 53% de la varianza y correlacionaron positivamente (r = .36). La consistencia interna global (α de Cronbach = .81, α ordinal = .93) y por factor (ansiedad: αde Cronbach = .79, α ordinal = .88; depresión: α de Cronbach = .79, α ordinal = .87) fue aceptable. Con los datos de las 358 participantes restantes, un análisis factorial confirmatorio mostró un ajuste aceptable para la estructura detectada (χ2/gl = 2.72; RMSEA = .06 [IC .05, .08]; GFI = .93; AGFI = .90; TLI = .90; CFI = .92). Discusión y conclusión La Escala Hospitalaria de Ansiedad y Depresión posee adecuadas propiedades psicométricas para su empleo en mujeres embarazadas mexicanas. Su uso en controles rutinarios del embarazo sería útil para prevenir, detectar y atender oportunamente estos padecimientos.

20.
Gac. méd. Méx ; 156(1): 47-52, ene.-feb. 2020. tab, graf
Article in English, Spanish | LILACS | ID: biblio-1249869

ABSTRACT

Resumen Antecedentes: La satisfacción del usuario es clave para definir y valorar la calidad de la atención, sin embargo, no existe una escala rápida de satisfacción del paciente en México. El objetivo fue determinar la validez y consistencia de la Escala Rápida de Satisfacción del Paciente de Consulta Externa (ERSaPaCE). Método: Estudio comparativo, observacional, transversal, prolectivo. En la fase 1 se elaboró un modelo de escala rápida, que se sometió a la valoración de expertos en atención médica; se realizaron pruebas piloto con 10 pacientes por ronda, tantas veces como fuera necesario hasta lograr 20 aprobaciones. En la fase 2 se aplicó el cuestionario resultante y la escala de Satisfacción del Usuario de Consultas Externas (SUCE) a usuarios de consulta externa; la ERSaPaCE se reaplicó telefónicamente siete a 10 días después. Se utilizó estadística descriptiva, a de Cronbach, Spearman y coeficiente de correlación intraclase (CCI). Resultados: Se reclutaron 200 pacientes, 53 % con edad de 31 a 60 años, 51.5 % mujeres y 48.5 % hombres de la consulta externa de 13 especialidades; a de Cronbach de ERSaPaCE = 0.608, CCI = 0.98 (p = 0.000) y validez convergente = 0.681 (p = 0.000) por rho de Spearman. Conclusiones: ERSaPaCE fue un instrumento válido y consistente para evaluar la satisfacción del usuario de consulta externa.


Abstract Background: User satisfaction is key to define and assess the quality of care; however, there is no patient satisfaction rapid scale in Mexico. Our objective was to determine the validity and consistency of an outpatient department user satisfaction rapid scale (ERSaPaCE). Method: Comparative, observational, cross-sectional, prolective study. In phase 1, a rapid scale model was developed, which was submitted to experts in medical care for assessment; the instrument was pilot-tested in 10-patient groups, using as many rounds as required until it obtained 20 approvals. In phase 2, the resulting questionnaire and the Outpatient Service User Satisfaction (SUCE) scale were applied to outpatient department users. ERSaPaCE was reapplied by telephone 10 days later. Descriptive statistics, Cronbach’s a, Spearman’s correlation and intra-class correlation coefficient (ICC) were used. Results: Two-hundred patients were recruited, out of which 53 % were aged 31-60 years; 51.5 % were women and 48.5 % men, all of them users of the outpatient services from 13 specialties. Cronbach’s a for ERSaPaCE was 0.608, whereas ICC was 0.98 (p = 0.000). Convergent validity was 0.681 (p = 0.000) using Spearman’s rho. Conclusion: ERSaPaCE was a valid and consistent instrument for the assessment of outpatient department user satisfaction.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Outpatients/statistics & numerical data , Quality of Health Care , Surveys and Questionnaires , Patient Satisfaction/statistics & numerical data , Ambulatory Care/standards , Outpatients/psychology , Patient Admission , Attitude of Health Personnel , Cross-Sectional Studies , Reproducibility of Results , Statistics, Nonparametric , Health Facility Environment/standards
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