Tool For Individual Assessment Research Articles

Оценка риска совершения преступлений лицами, освобожденными из мест лишения свободы

Introduction. While studying recidivism prediction, criminal risk assessment is considered in many countries a mandatory procedure. The paper presents the most widely known and frequently applied risk assessment tools. Special attention is paid to predicted risk assessment tools for individuals released in the Russian Federation and the Republic of Kazakhstan. Taking into account the emerging tradition of using these risk assessment tools for practical purposes and the opportunities for conducting relevant research, much attention is paid to reviewing the tools used abroad. The purpose of the study is to provide the theoretical grounds for recidivism risk assessment tools, as well as the analysis of foreign experience in application and verification of this tool. Research methods. The research uses general scientific methods: (analysis, synthesis, systematization, generalization, analogy), special methods: comparative (when studying tools for assessing the risk of recidivism), formal legal (for the study of normative legal acts). Results. The research demonstrates a wide range of approaches and patterns in the area of criminal behavior risk assessment. Criminal behavior risk assessment tools were classified, and they can be summarised in a historical perspective into four generations according to chronology. The first and least reliable approach is to assess the risk of recidivism based on the clinical opinion of professionals. At this stage the measurement was characterised by its subjectivity. The second generation was based on actuarial valuation using reliable statistical predictors and significance levels for recidivism. The third generation tended to combine risk factors based on the theory of static risk assessment. The fourth generation of tools is based on the understanding that risk should be assessed as a continuous and dynamic process related to both the risk itself and the needs and resources of the individual. This approach considers that offenders’ supervision in post-penitentiary probation is an effective means of successful risk assessment based on their individual psychological characteristics and resources.

Development and Validation of a Food Frequency Questionnaire for Use in Epidemiological Studies Among North Karnataka Population

Background: Dietary records, such as food diaries (FD) and food frequency questionnaires (FFQs), are widely employed in large-scale epidemiological analyses. Given the regional diversity in dietary habits, this study aimed to develop and assess the reproducibility and construct validity of a novel FFQ tailored for northern Karnataka (FFQ-NK). Methodology: A detailed food list was created based on food use and market surveys in the region. Utilizing data from 24-hour diet recalls and a supplemental focus group discussion, a 116-item semi-quantitative FFQ was developed for adults in north Karnataka. Setting and Subjects: Involving 100 participants from north Karnataka, the FFQ was interviewer administered and the participants also completed three 24-hour dietary recalls (DR), serving as a reference for validity assessment. Results: Though the FFQ indicated higher food and nutrient intake compared to food records. Significant correlations were found for nutrient intake. Pearson’s correlation coefficients between FFQs and DRs ranged from 0.717-0.965 (isoflavonols to energy). Conclusions: The developed and validated FFQ is a valuable tool for epidemiological studies requiring nutrient intake estimates in the north Karnataka population. It serves as an effective dietary assessment tool for individuals aged 20 and older in large-scale epidemiological studies.

Comparative analysis of speech assessment tools for individuals with dysarthria in Chile and worldwide

Introduction: dysarthria assessment tools should be tailored to the speech characteristics and impairments. Currently, there are many different tools in clinical practice, mainly perceptual and motor. However, this speech impairment is associated with loss of functionality, limitations in activities of daily living, and restriction in social and occupational participation. This research compares the assessment procedures of several speech assessment tools commonly used in clinical practice for individuals with dysarthria in Chile and worldwide. Methods: a cross-sectional documentary analysis was conducted on various speech assessment tools for individuals with dysarthria. A purposive sampling was used based on the research conducted by Altaher et al.(1) Results: the content analysis shows that all tools have procedures for assessing speech subsystems and non-speech tasks. However, the assessment of the functional characteristics of speech, mainly considering intelligibility, is scarcely addressed. Some tools incorporate tasks that assess different aspects of speech, highlighting that this complementary information can be relevant to the diagnostic process. Conclusions: there is a lack of a standardized speech assessment and the need to incorporate tasks that allow for functional assessment to understand the performance of subsystems and the needs of individuals and their interlocutors to set baselines

Survival nomograms for vulvar squamous cell carcinoma based on the SEER database and a Chinese external validation cohort.

The aim of study was to construct a nomogram to effectively predict the overall survival (OS) and cancer-specific survival (CSS) for patients with vulvar squamous cell carcinoma (VSCC). The training cohort consisted of 5405 patients with VSCC, extracted from the Surveillance, Epidemiology, and End Results (SEER) database between 2004 and 2015. Eighty-four patients with VSCC were selected from the disease database of the Shengjing Hospital of China Medical University from 2014 to 2020, and enrolled as the external validation cohort. Significant independent prognostic factors were identified using Cox regression analysis and used to develop nomograms to predict 1-, 3-, and 5-year OS and CSS in patients with VSCC. The nomogram predicting OS was developed based on tumor size, histological grade, International Federation of Gynecology and Obstetrics (FIGO) stage, regional lymph node involvement, distant metastases, surgery, chemotherapy, age, and race. The nomogram for CSS was constructed using the similar factors, excluding race but including marital status. The nomogram for 1-, 3-, and 5-year OS demonstrated robust performance with receiver operating characteristic curves (AUCs) exceeding 80% (0.86, 0.84, and 0.82), outperforming the FIGO staging alone (0.77, 0.75, and 0.72). Similarly, for CSS, our nomograms achieved larger AUCs of 0.89, 0.88, and 0.86 compared with FIGO staging alone (0.81, 0.79, and 0.78). The nomograms more accurately predict prognosis than simple FIGO staging. Moreover, the nomograms developed in this study provide a convenient, operable, and reliable tool for individual assessment and clinical decision-making for patients with VSCC.

Assessment of Anaesthesia Teams' Non-Technical Skills in Clinical Practice before and after Simulation-Based Team Training: A Quasiexperimental Study.

In situ simulation-based team training of non-technical skills is considered an important initiative for preventing adverse events caused by poor teamwork among healthcare personnel. This study aimed to assess the non-technical skills of anaesthesia personnel before and after in situ simulation-based team training in a clinical setting. The study was conducted from October 2020 to June 2021 using a quasiexperimental before and after design based on video-recorded observations and ratings of anaesthesia teams' non-technical skills during anaesthesia induction in the operating room before and shortly after in situ simulation-based team training. Anaesthesia personnel were divided into 20 teams and video recorded during anaesthesia induction. The Anaesthetists' Non-technical Skills (ANTS) system was used to score the teams' non-technical skills. A paired-sample t-test was used to assess the impact of the intervention on the anaesthesia teams' scores on the various ANTS categories. Interrater agreement between the two ANTS raters was assessed using weighted kappa. At the category level, the overall scores had a statistically significant increase in performance after simulation-based team training (3.48 vs. 3.71; p < 0.001). Furthermore, scores of five of the 15 elements were significantly different. Interrater agreement revealed moderate agreement between the two raters (weighted kappa = 0.51, p value <0.001). The anaesthesia teams' increased non-technical skills after simulation-based team training may indicate the transfer of knowledge from training to clinical practice. The moderate agreement between the raters could be attributed to the subjective nature of the evaluation procedure. The ANTS was originally used as an individual assessment tool; however, this study has demonstrated its potential as a team assessment tool.

Developing an Attention Assessment Tool for Individuals With Autism Spectrum Disorder Using Timbre, Rhythm, and Pitch.

Music is regarded as a beneficial tool for assessing the clinical symptoms and communication skills in individuals with autism spectrum disorder (ASD) or autism. The present study developed a music-based attention test (MAT) for individuals with autism using music parameters and the algorithm of the comprehensive attention test (CAT). We recruited 51 autistic individuals and 50 neurotypical individuals to participate in the CAT, MAT, and social intelligence tests. The reliability and validity of the MAT were assessed using exploratory factor analysis, concurrent validity, and criterion-related validity. The MAT had sound internal consistency (high Cronbach's α = 0.948). In addition, the MAT had suitable concurrent validity in the correlation between CAT and MAT, as well as good criterion validity when attention was measured using the MAT and was compared between autistic individuals and neurotypical individuals. Attention evaluated using the MAT was associated with the social quotient in individuals with autism. The MAT could be a relevant tool for gauging attention in individuals with ASD. Furthermore, attention determined using the MAT may be correlated with social quotient in autistic individuals. Future studies should consider that using music in the field of attention could improve the social quotient of individuals with autism.

작업 자세 부하 평가를 위한 모션 데이터 기반 자동 인간공학적 평가 프로그램 개발 및 검증

Objective: This study aims to develop a simultaneous automatic evaluation program for three evaluation tools using motion data of wearable IMU sensors that can be used in the field, and to present various measures for the results of each evaluation tool of the entire work.BRBRBackground: Work-related musculoskeletal diseases have been on the rise over the past four years, and improvement based on the results of work posture evaluation is needed to prevent such musculoskeletal diseases. Recently, various automation evaluation methods have been proposed in consideration of the limitations of the existing observation method, but the image processing technology is difficult to apply on-site, and the motion data-based has a limitation using a small number of evaluation tools mainly focused on the upper and lower limbs.BRBRMethod: In the research procedure, after designing algorithms for each of the three ergonomic assessment tools, algorithm reliability was verified through analysis of the agreement between the manual evaluation results and automatic evaluation results, and simultaneous automatic evaluation programs were developed. Finally, the results of each assessment tool and evaluation scale were derived and compared by applying motion data of two types of work to the developed program.BRBRResults: Measurement items and criteria of motion data for 3 angles of 5 upper limbs and 3 lower limb postures were derived and based on algorithms for each of the 3 ergonomic assessment tools were designed. As a result of analyzing the degree of agreement between manual evaluation and automatic evaluation, the Kappa coefficient corresponded to a very high degree of agreement in all ergonomic assessment tools. The developed program presented the angles of major body parts according to time for each frame of the entire data, risk levels according to all assessment tools and individual assessment tools, and various evaluation scales such as Max, Min, Mode, Mean, Most posture, and Worst postures for each analyzed data.BRBRConclusion: As a result of Cohen

Treatment outcome and prognostic analysis of advanced large cell neuroendocrine carcinoma of the lung

The optimal systemic treatment of advanced large cell neuroendocrine carcinoma (LCNEC) is still controversial. We intend to explore advanced LCNEC through SEER database, construct nomogram model of advanced LCNEC, and understand the effect of different treatment regimens on LCNEC. We collected 909 patients, divided them into a training set validation set, constructed nomograms using Cox proportional hazards regression models, and evaluated nomogram discrimination and calibration by C-index and calibration curves. Kaplan–Meier will also be used to compare OS in different groups of patients and to explore the impact of different treatment regimens on advanced LCNEC. On the nomogram plotted, the nomogram predicted AUC values over time were always greater than 0.7, the C-index was 0.681 (95% CI 0.656–0.706) and 0.663 (95% CI 0.628–0.698) in the training and validation sets, respectively, and patients were divided into two groups according to risk, and a significant difference in OS was observed between the high-risk and low-risk groups in the training and validation cohorts. Different treatment analyses showed that chemotherapy is still the best treatment for advanced LCNEC. This nomogram provides a convenient and reliable tool for individual assessment and clinical decision-making of patients with advanced LCNEC.

The functional lumbar index: Validation of a novel clinical assessment tool for individuals with low back pain

Study designRetrospective Diagnostic Cohort Study. Level of evidenceLevel 3b. ObjectivesTo examine the concurrent and predictive validity of a novel clinical assessment tool, the Functional Lumbar Index (FLI). BackgroundLumbar surgeries have increased exponentially in the past decade, adding to healthcare costs without improving outcomes. Limitations in clinicians’ abilities to identify those individuals who are most likely to benefit from surgery may be enhanced with an effective physical assessment tool. MethodsThe FLI was assessed on 291 individuals (179 conservative and 113 pre-surgical) seeking care for low-back pain (LBP) over a 2.5-year period. The FLI consists of several physical performance tests (PPT) with a novel criterion-based scoring system. Pearson correlations and Poisson regression analysis were used to establish concurrent and predictive validity at alpha = 0.05. ResultsThe subscale FLI components showed good to excellent inter-rater reliability with intraclass correlation coefficient values as follows: front plank = .993, right side plank = .824, left side plank .861, Sorensen = 0.836, overhead squat = 0.937. A statistically significant, moderate negative correlation was observed between FLI and modified Oswestry Disability Index (r = −0.540, p < .001). Regression analysis showed the FLI as the only significant predictor (p = .004) of failed conservative management for individuals with LBP. An ROC curve showed significant group prediction of the FLI with an AUC of 0.788 (p < .001) and cut-off score of 7.5. ConclusionThe FLI is a reliable and valid measure for predicting failed conservative care management in patients with LBP. Clinicians are encouraged to use the FLI as part of their physical assessment when screening individuals with LBP who might need surgical intervention. Further research is needed to determine validity of the FLI in other patient populations. Public trial registryN/A.

Examining Whether Practical Measures of Neighborhood Characteristics Improve Correctional Risk Assessment Tools

This study examined whether inclusion of a neighborhood domain improved prediction and classification in an existing risk assessment tool. Logistic regression and analysis of covariance (ANCOVA) with random effects were conducted using a sample of individuals under community supervision ( N = 10,548) to determine whether a neighborhood domain improved the predictive validity of the Ohio Risk Assessment System-Community Supervision Tool (ORAS-CST). In five of our six models, inclusion of the neighborhood domain did not significantly improve the predictive validity of the ORAS-CST regardless of whether it was considered as an additive variable or moderator. One model found that the addition of a neighborhood domain improved prediction; however, the relationship was opposite from what was theoretically expected. The findings suggest that individual-level factors remain the most meaningful predictors in correctional risk assessment tools for those under community supervision. Future research is needed on whether neighborhood indicators improve assessment tools for individuals under other forms of supervision.

Using an ecological momentary assessment protocol to understand problem anger in veterans

Background and objectivesProblem anger is highly destructive, and is one of the most commonly reported issues in military and veteran populations. The goal of this study was to use ecological momentary assessment (EMA) to explore and characterize moment-to-moment experiences of problem anger in a sample of Australian veterans. MethodsSixty veterans with problem anger (measured on the Dimensions of Anger Reactions Scale) completed measures of anger and anger rumination, before and after a 10-day EMA period which assessed the frequency, intensity, and expression of momentary anger experiences. ResultsFindings showed that 75% of respondents indicated some level of anger during EMA monitoring. In 25% of cases, anger was reported as severe. Moreover, anger was expressed verbally in 43% of cases, and expressed physically in 27% of cases. While anger fluctuated frequently during the day, more severe anger was more likely to be reported in the late afternoon/early evening. Problem anger symptoms decreased significantly over time, from pre-EMA to post EMA (p < .001). LimitationsThe generalizability of findings is limited to a predominantly male sample, with low levels of risk of harm or violence. The study was also limited in the selection of outcome variables assessed and the lack of a control group; other momentary factors could influence experience of problem anger and provide further explanation of study results. ConclusionsEMA is a valuable assessment tool for individuals with problem anger, and the potential for EMA as an intervention needs to be explored further.

Phenotyping of multiple sclerosis lesions according to innate immune cell activation using 18 kDa translocator protein-PET.

Chronic active lesions are promotors of neurodegeneration and disease progression in multiple sclerosis. They harbour a dense rim of activated innate immune cells at the lesion edge, which promotes lesion growth and thereby induces damage. Conventional MRI is of limited help in identifying the chronic active lesions, so alternative imaging modalities are needed. Objectives were to develop a PET-based automated analysis method for phenotyping of chronic lesions based on lesion-associated innate immune cell activation and to comprehensively evaluate the prevalence of these lesions in the various clinical subtypes of multiple sclerosis, and their association with disability. In this work, we use 18 kDa translocator protein-PET imaging for phenotyping chronic multiple sclerosis lesions at a large scale. For this, we identified 1510 white matter T1-hypointense lesions from 91 multiple sclerosis patients (67 relapsing–remitting patients and 24 secondary progressive patients). Innate immune cell activation at the lesion rim was measured using PET imaging and the 18 kDa translocator protein-binding radioligand 11C-PK11195. A T1-hypointense lesion was classified as rim-active if the distribution volume ratio of 11C-PK11195-binding was low in the plaque core and considerably higher at the plaque edge. If no significant ligand binding was observed, the lesion was classified as inactive. Plaques that had considerable ligand binding both in the core and at the rim were classified as overall-active. Conventional MRI and disability assessment using the Expanded Disability Status Scale were performed at the time of PET imaging. In the secondary progressive cohort, an average of 19% (median, interquartile range: 11–26) of T1 lesions were rim-active in each individual patient, compared to 10% (interquartile range: 0–20) among relapsing–remitting patients (P = 0.009). Secondary progressive patients had a median of 3 (range: 0–11) rim-active lesions, versus 1 (range: 0–18) among relapsing–remitting patients (P = 0.029). Among those patients who had rim-active lesions (n = 63), the average number of active voxels at the rim was higher among secondary progressive compared to relapsing–remitting patients (median 158 versus 74; P = 0.022). The number of active voxels at the rim correlated significantly with the Expanded Disability Status Scale (R = 0.43, P < 0.001), and the volume of the rim-active lesions similarly correlated with the Expanded Disability Status Scale (R = 0.45, P < 0.001). Our study is the first to report in vivo phenotyping of chronic lesions at large scale, based on 18 kDa translocator protein-PET. Patients with higher disability displayed a higher proportion of rim-active lesions. The in vivo lesion phenotyping methodology offers a new tool for individual assessment of smouldering (rim-active) lesion burden.

Validation of the Tactual Span in individuals with congenital and acquired blindness

Neuropsychological assessment tools for individuals with blindness are relatively scarce. In the current study, we assessed the validity of the Tactual Span, a task aimed at evaluating tactile working memory. During the task, the fingers of both hands are touched in specific sequences of ascending difficulty, which participants are asked to repeat in exact and reverse order. Twelve participants with congenital blindness and 13 with acquired blindness were examined alongside 18 sighted controls, matched to the experimental group with respect to age and education. Participants performed the Tactual Span and three additional tasks assessing working memory in the auditory modality, as well as a Semantic Fluency test. Results showed that the Tactual Span was significantly correlated with most of the other working memory measures, in all groups, but not with the Semantic Fluency test. In addition, the congenital and acquired blindness groups performed similarly to one another and better than sighted controls on most working memory tasks, but not on the Semantic Fluency test. Findings suggest that the Tactual Span is a feasible task for measuring tactile working memory in individuals with congenital and acquired blindness. Therefore, it can expand the cognitive assessment toolbox of professionals working with blind individuals and increase the strength of conclusions drawn from cognitive assessments in educational and vocational settings.

Psychometric Validation of a Simplified Version of the Multiple Sclerosis Self-Management Scale

PurposeThe purpose of this study was to evaluate the measurement structure of a simplified version of the Multiple Sclerosis Self-Management Scale (MSSMS) in a sample of 256 individuals with multiple sclerosis (MS).MethodsExploratory factor analysis was utilized to uncover meaningful and interpretable factors.ResultsThe study yielded three factors as both meaningful and interpretable (medication compliance, MS knowledge, and health maintenance behavior). These factors are reliable and correlated with functional disability and community participation in the theoretically expected directions.ConclusionResults show the MSSMS to be a promising rehabilitation assessment tool for individuals with MS and rehabilitation counselors to evaluate self-management support needs in the interview, assessment, and rehabilitation planning protocols.

Responsiveness, Reliability, and Validity of Arabic Version of Oxford Knee Score for Total Knee Arthroplasty.

The Oxford Knee Score (OKS) is a reliable, valid, and sensitive assessment tool for individuals undergoing a total knee arthroplasty (TKA). The published psychometric assessment of the Arabic version of the OKS (OKS-Ar) is limited to male patients and has not been assessed for responsiveness following TKA. The aim of this study was to assess the reliability, validity, and responsiveness of the OKS-Ar in an inclusive population of patients undergoing TKA. One hundred Arabic-speaking patients awaiting TKA were assessed with the OKS-Ar, the Arabic version of the Knee injury and Osteoarthritis Outcome Score (KOOS-Ar), and a visual analogue scale for pain (VAS-P) in order to assess the correlation between the OKS-Ar and the KOOS-Ar and VAS-P and determine the construct validity. Repeat assessments were completed 7 to 10 days after the first assessment and 6 months after TKA. Questionnaires were completed by 80 female and 20 male participants with a mean age of 62 ± 8 years. The test and retest median scores showed no significant difference from one another, with a strong Spearman correlation between the 2 measurements (rs = 0.94). Bland-Altman limits of agreement showed no significant bias. The Cronbach alpha was 0.85 indicating high internal consistency. There was no floor or ceiling effect before TKA, and the post-TKA ceiling effect was only 2%. The OKS-Ar pain component correlated strongly with the KOOS-Ar pain subscale (rs = 0.73). The OKS-Ar effect size was 3.09, which was larger than that of all of the KOOS subscales at 6 months after TKA. To our knowledge, this is the first study to assess reliability, validity, and responsiveness of the OKS-Ar after TKA. The validity and reliability results are similar to those found for both the original English-language OKS and the OKS translated into other languages. We believe that this is also the first study to assess OKS-Ar responsiveness after TKA and to show a large effect size. We found that the OKS-Ar is a feasible, valid, reliable, and sensitive measurement tool to assess pain and function in TKA-treated individuals whose main language is Arabic.

The relationship between periodontite and diabetes mellitus type ii facing the new classification of periodontal diseases: literature review

ABSTRACT Periodontal disease and type 2 diabetes mellitus are considered chronic diseases that at their core have a deep relationship with inflammation. It is assumed that there is a bidirectional relationship between periodontal disease and type 2 diabetes mellitus. It is estimated that approximately 10% of the world’s population is affected by periodontal disease, in its most severe form, almost the same percentage estimated for people with diabetes, which is considered a 21st century emergency. The World Workshop for the Classification of Periodontal and Peri-implant Diseases and Conditions took place from September 9-11, 2017. The aim of this study is to analyze the results of this workshop with regard to the relationship between periodontal diseases/conditions and diabetes mellitus, in addition to conducting an integrative review on the topic. A literature review was conducted, using the Medline electronic databases via Pubmed, Scientific Electronic Library Online, Scientific and Technical Literature of Latin America and the Caribbean and Virtual Health Library. A new classification of periodontal disease included tools for individual assessment of the patient and recognizing risk factors that might negatively interfere in response to treatment. The occurrence of metabolic lack of control in periodontal patients with type 2 diabetes mellitus is now considered a factor of great importance for the assessment of individual susceptibility to the progression of periodontitis. Diabetes is believed to promote a hyper inflammatory response to bacterial challenge by modifying the tissue response of periodontal tissues.

A Report of Assessment Tools for Individuals with Dysarthria

Introduction:The development of assessment tools for individuals with dysarthria has been reported in many clinical and empirical studies.Methodology:A literature review was based on online resources including Google Scholar, EBSCO, Medline, PubMed, and BIOMED Central articles and journals.Results and Conclusion:In this paper, we summarized the commonly used formal and informal assessment tools and explained the assessment procedure when managing clients with dysarthria. We aimed to share the current practice of speech-language pathologists together with the allied health service providers in the management of patients with dysarthria.

The standing and walking assessment tool for individuals with spinal cord injury: A qualitative study of validity and clinical use

Context/Objective: The Spinal Cord Injury (SCI) Standing and Walking Assessment Tool (SWAT) combines stages of walking recovery with measures of balance and walking. It standardizes the timing and content of walking assessment in inpatient rehabilitation. The study aims were: (1) Evaluate the content validity of the SWAT stages of walking recovery, and (2) Understand physical therapists' (PTs) experiences using the SWAT to gauge acceptance, implementation and impact.Design: Qualitative, exploratory study.Setting: Nine Canadian rehabilitation hospitals.Participants: Thirty-four PTs who had used the SWAT ≥10 times.Interventions: Seven focus group meetings were completed. Semi-structured questions queried the content, order and spacing of SWAT stages, and current SWAT use (i.e. processes, challenges, facilitators, impact on practice). Meetings were audio-recorded and transcribed. Themes and categories were derived through a conventional content analysis.Outcome Measure: Not applicable.Results: PTs agreed with the ordering and content of the SWAT stages, but reported unequal spacing between stages. Three themes related to PTs’ use of the SWAT were identified: (1) Variable process: SWAT implementation varied across sites, PTs and patients. (2) Implementation challenges: unfamiliarity of the SWAT, lack of time, not required by place of work, and patients who are outliers or have poor gait quality. (3) Potential to influence clinical decision-making: the SWAT did not influence clinical decisions, but PTs recognized the potential of the tool to do so.Conclusions: Content validity of the SWAT stages was supported and implementation challenges identified. Variability in SWAT implementation may reflect the heterogeneity and person-centeredness of SCI rehabilitation.

Psychometric Evaluation of the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool: Factor Structure, Reliability, and Validity

Psychological characteristics consistently predict clinical outcomes for musculoskeletal pain conditions. The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool assesses negative mood, fear-avoidance, and positive affect/coping. Psychometric testing of the tool is needed to guide clinical use. The purpose of this secondary analysis was to determine the OSPRO-YF factor structure (17- and 10-item versions) and test factor reliability and concurrent validity. Data from 2 musculoskeletal pain cohorts (n1 = 428; n2 = 440) were used. An exploratory factor analysis (EFA) identified the factor structure in the first cohort; a confirmatory factor analysis (CFA) validated the factor structure in the second cohort. EFA yielded 4 factors for the 17-item version (catastrophizing, positive coping, negative mood, fear-avoidance) and 3 factors for the 10-item version (negative coping, negative mood positive affect/coping). CFA indicated good fit for the10-item and 17-item models. Factors from both versions demonstrated moderate to good test-retest reliability. Regression results revealed that factors from both versions contributed significantly to variance in pain intensity, disability, and quality of life. Results indicate the OSPRO-YF is a reliable and valid multidimensional psychological assessment tool for individuals with musculoskeletal pain. Future studies are needed to establish the OSPRO-YF as a prognostic and treatment monitoring tool. PerspectiveThis article presents the psychometric properties of the OSPRO-YF tool. Findings indicate the OSPRO-YF is a reliable and valid multidimensional psychological assessment tool for individuals with musculoskeletal pain. Implementation of the OSPRO-YF tool may better guide clinical decision making and may lead to improved musculoskeletal pain management strategies.

Self-efficacy assessment tools for individuals with depression: protocol for a systematic review of the literature

IntroductionDepression is a common debilitating disease that affects individuals in all age groups. The impact of the diagnosis extends beyond the individual, with negative effects on mental health, physical health...