Interpretation Of Scores Research Articles

MSR52 Defining Severity Category Thresholds to Guide Psoriasis Symptoms and Impacts Measure Score Interpretation Using Pooled Data from Three Phase 3 Trials in Plaque Psoriasis

MSR52 Defining Severity Category Thresholds to Guide Psoriasis Symptoms and Impacts Measure Score Interpretation Using Pooled Data from Three Phase 3 Trials in Plaque Psoriasis

Analysis Of The Use Of Village Information Systems (Sid) In Supporting The Acceleration Of Village Development In Pegajahan District, Serdang Bedagai Regency

The aim of this research is to: 1) analyze the implementation of the Village Information System in Pegajahan District, Pegajahan District, Serdang Bedagai Regency, and 2) analyze the influence of the Village Information System in supporting the acceleration of village development in Pegajahan District, Pegajahan District, Serdang Bedagai District. Research was carried out in Pegajahan District, Serdang Bedagai Regency regarding the Effect of Using Village Information Systems (SID) in Supporting the Acceleration of Village Development in Pegajahan District, Serdang Bedagai Regency. The analytical method used in this research is multiple regression analysis, with a total of 99 respondents. The research results showed that the implementation of the Village Information System in Pegajahan District, Serdang Bedagai Regency went very well because it was in a very positive area based on score interpretation. The Human Resources variable (X1) has an average total value of 3.94. The infrastructure variable (X2) has an average total value of 4.00. The institutional and budget variables (X3) have an average total value of 4.00. The IT service variable (X4) has an average total value of 4.06. The influence of the Village Information System which includes the variables Human Resources (X1), facilities/infrastructure (X2), institutions and budget (X3), and IT services (X4) has a positive and significant influence on the acceleration of village development in Pegajahan District, Serdang Bedagai Regency.

Psychometric Validation and Meaningful Change Threshold Determination of EORTC QLQ-C30 Physical Functioning and Promis SF v1.0-Fatigue 7a Functional Domain in Patients with High-Risk Myelodysplastic Syndromes Treated with Venetoclax and Azacitidine

Background : Patients with myelodysplastic syndromes (MDS) can experience fatigue, infection, anemia, bruising, and bleeding. Fatigue and physical functioning (PF) are often the most adversely impacted areas of patient health-related quality of life. The objective of this study was to generate quantitative evidence to determine whether the PF score from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and the Fatigue score from the Patient-Reported Outcome Measurement Information System - Fatigue Short Form 7a (PROMIS SF 7a) measures are suitable candidates for developing patient-reported endpoints for clinical trials in treatment-naïve patients with higher-risk MDS (HR-MDS). We also aimed to derive definitions for meaningful change for both PF and Fatigue scores to aid in interpretation of efficacy analyses using these scores. Methods : This analysis used aggregate data from the Phase 3 M15-954 study (NCT04401748), which is an ongoing, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of venetoclax in combination with azacitidine in treatment-naïve adult patients with HR-MDS. The EORTC QLQ-C30 and the PROMIS SF 7a questionnaires were administered on the first day of each 28-day cycle for the first 7 cycles and every 3 cycles thereafter, and at the treatment-completion visit. For both measures, the analyses evaluated item characteristics at baseline, whether the hypothesized structure was consistent with the scoring algorithms implemented in the trial, and the reliability and validity of scores; subsequently, definitions for meaningful improvement or deterioration were determined. Anchor-based analyses were used to generate definitions for meaningful deterioration or improvement from baseline to Cycle 4 Day 1 for EORTC QLQ-C30 PF domain, and Cycle 7 Day 1 for PROMIS SF 7a. Construct-aligned anchors were used for these analyses, with a change in Patient Global Impression of Severity (PGIS) - Physical Activities and in Patient Global Impression of Change (PGIC) - Physical Activities used as the anchor for the analyses of the EORTC QLQ-C30 PF scores and PGIS-Fatigue and PGIC-Fatigue used for the analyses of the PROMIS SF 7a scores. Results : Approximately 500 treatment-naïve higher-risk patients with MDS enrolled in the study were included in this analysis. Both EORTC QLQ-C30 PF and PROMIS SF 7a measures demonstrated adequate reliability and validity; both measures exceeded the cut-off for acceptable internal consistency reliability, test re-test reliability, and convergent validity with co-validators ( Table 1). The definition for deterioration for the EORTC QLQ-C30 PF domain was −13.33 (rounded to the nearest possible incremental change score), which was corroborated with the PGIC-Physical Activities ( Table 2). The correlation between the EORTC QLQ-C30 PF domain and PGIS-Physical Activities scores was −0.43, and the correlation between the EORTC QLQ-C30 PF domain and PGIC-Physical Activities scores was −0.34, indicating that these measures were sufficient to be used as anchors. For PROMIS SF 7a, the definition for deterioration and improvement was 3.90 and −3.50, respectively. Both results were also corroborated with the PGIC-Fatigue. The correlation between the PROMIS SF 7a and PGIS-Fatigue scores was 0.58, and the correlation between the PROMIS SF 7a and PGIC-Fatigue scores was 0.38, indicating that these measures were sufficient to be used as anchors. Conclusions : The psychometric evaluation of EORTC QLQ-C30 PF and PROMIS SF 7a Fatigue scores from M15-954 study's blinded data provides sufficient evidence of test re-test reliability, construct validity, responsiveness, and score interpretability and supports their use as endpoints for clinical trials in treatment-naïve HR-MDS patients for regulatory decision-making.

Eating Disorder Examination-Questionnaire: Norms for Adults in Higher Levels of Care.

Establishing normative data for questionnaires is essential for the accurate interpretation of scores, given that these norms can vary according to different subpopulations and treatment contexts. The purpose of this study was to establish norms for the Eating Disorder Examination-Questionnaire (EDE-Q) among adults receiving higher levels of care (HLOCs) for the treatment of eating disorders. Participants were 2,283 people receiving treatment at the inpatient, residential, partial hospitalization, or intensive outpatient levels of care. The EDE-Q was completed at admission. Patients with anorexia nervosa-restricting subtype (AN-R) had the lowest EDE-Q Global scores when compared with all other eating disorder diagnoses. When compared with intensive outpatient care, only those in residential treatment had higher EDE-Q Global scores. This study is among the first to describe norms for the EDE-Q in a large sample of adults receiving various HLOCs. Programs utilizing the EDE-Q to assess treatment outcomes can use these findings to aid people in interpreting their scores.

Patient-Reported Outcome Measures for Patients With CKD: The Case for Patient-Reported Outcomes Measurement Information System (PROMIS) Tools

Chronic kidney disease (CKD), kidney failure, and kidney replacement therapies are associated with high symptom burden and impaired health-related quality of life (HRQOL). Symptoms change with disease progression or transition between treatment modalities and frequently go unreported and unmanaged. Tools that reliably monitor symptoms may improve the management of patients with CKD. Patient-reported outcome measures (PROMs) assess symptom severity; physical, psychological, social, and cognitive functioning; treatment-related side effects; and HRQOL. Systematic use of PROMs can improve patient-provider communication, patient satisfaction, clinical outcomes, and HRQOL. Potential barriers to their use include a lack of engagement, response burden, and limited guidance about PROM collection, score interpretation, and workflow integration. Well-defined, acceptable, and effective clinical response pathways are essential for implementing PROMs. PROMs developed by the Patient-Reported Outcomes Measurement Information System (PROMIS) address some challenges and may be suitable for clinical use among patients with CKD. PROMIS tools assess multiple patient-valued, clinically actionable symptoms and functions. They can be administered as fixed-length, customized short forms or computer adaptive tests, offering precise measurement across a range of symptom severities or function levels, tailored questions to individuals, and reduced question burden. Here we provide an overview of the potential use of PROMs in CKD care, with a focus on PROMIS.

82 Single Errors on Trial 1 of the Test of Memory Malingering may be Indicative of Invalid Performance on Neuropsychological Measures in a Sample of Youth Athletes

Objective:The Test of Memory Malingering (TOMM) is a performance validity test (PVT) that aims to assess whether participants are giving adequate effort to perform well on tasks of memory performance (Tombaugh, 1996). Other PVTs, specifically the Forced Choice Recognition Trial in the California Verbal Learning Test, have shown that even single errors may indicate invalid performance (Erdodi et al., 2018). Finally, youth are often understudied in the PVT literature, and athletes are at increased risk of invalid performance on baseline testing due to many wanting to return to play following concussion (Erdal, 2012). Therefore, the objective of the current study is to examine whether single errors on TOMM Trial 1 are indicative of lower, and possibly invalid, cognitive performance in a youth sample, given that cognitive performance declines with even small decreases in effort (Green, 2007).Participants and Methods:Healthy youth athletes (n=174) aged 8-16 years (M=12.07) completed the TOMM as well as other neuropsychological measures during baseline neuropsychological evaluation in a clinical research program for sports concussion. Independent samples t-tests compared youth athletes who scored 49 points on the TOMM (n=28) to youth athletes who scored a perfect 50 (n=50) across several groupings of neuropsychological measures. Participants who scored less than 49 or who didn’t complete the TOMM were excluded from the analyses.Results:Participants scoring 50/50 on TOMM Trial 1 scored significantly higher on Stroop Color Naming task (p=0.036), Verbal Learning Delayed task from the second edition of the Wide Range Assessment of Learning and Memory (WRAML-2, p=0.018), and Letter Number Sequencing task from the Weschler Intelligence Scale for Children (WISC-IV, p=0.025), relative to participants scoring 49/50. Though not statistically significant, results also showed a trend toward participants scoring 50/50 scoring higher on nearly every test in the battery.Conclusions:Participants with a single error on TOMM Trial 1, as compared to participants with a perfect score, performed significantly worse on a processing speed task, a verbal learning task, and a working memory task as part of a comprehensive neuropsychological battery. The single-error group also trended toward scoring lower on nearly all of the remaining attention, processing speed, perceptual ability, memory, and executive functioning tasks in the battery. The results could lead to a more liberal interpretation of TOMM scores, given that the trend towards lower performance may be due to putting forth significantly less effort. These results point to the need for a similar comparison of the TOMM in a larger sample size, as greater power may reveal even more significant differences in performance. Findings also emphasize the importance of viewing performance validity on a continuum rather than as a dichotomous pass/fail. Understanding the TOMM and how single errors may be indicative of poorer performance in a youth sample could help to reframe the way PVT results are interpreted in clinical and forensic settings.

5 The impact of recreational cannabis use on neuropsychological function in epilepsy

Objective:Cannabis is classified as a class B drug in the UK with penalties for possession of up to 5 years in prison, an unlimited fine or both. Nevertheless it is widely available and is the most commonly used drug in the UK with approximately 2.6 million (7.6%) of adults reporting that they sometimes or regularly use it. It is not uncommon for people who present in our epilepsy clinic to report regular use of cannabis; some use it recreationally whilst others report ‘self-medicating’ based on the belief that it has a beneficial impact on their seizures. The aim of this study was to establish the prevalence of cannabis use in people with epilepsy referred for a neuropsychological assessment and to examine the impact of cannabis use on cognitive function in this group.Participants and Methods:All patients who attend for a neuropsychological assessment are routinely asked about illegal drug use in their clinical interview. This information is also captured in the medical and neuropsychiatric assessments they undergo when assessed by the multidisciplinary team. The electronic medical records of 800 consecutive patients who had undergone a neuropsychological assessment between 2019 and 2022 were searched for references to cannabis use. The neuropsychological profiles of patients reporting cannabis use were compared to those seen in the larger series across multiple cognitive domains.Results:Seventy (8.75%) of the patients in the series reported past or present cannabis use. Cannabis users were more likely to be male (p<0.01) and were younger (p<0.01) than those who did not report use. Reading IQ was significantly lower in the cannabis group (p<0.001). Patients who were regularly using cannabis at the time of the neuropsychological assessment did not differ from the rest of the cohort on tests of processing speed, working memory, naming or verbal fluency. There were no differences between the groups in their performance on an embedded measure of performance validity. However the patients who were regularly using cannabis at the time of their neuropsychological assessments scored significantly lower on tests of verbal learning (p<0.05) and reported significantly greater subjective memory problems in everyday life (p=0.02) than the non-cannabis group. The group using cannabis also scored significantly more highly on the depression (p<0.01) and anxiety scales (p=0.02) on the Hospital Anxiety and Depression Scale.Conclusions:The prevalence and patterns of cannabis use in the epilepsy population mirror those seen in the wider population. The impact on regular cannabis use on neuropsychological function appears to be most evident on measures of new learning and subjective measures of memory disturbance. Cannabis use is significantly associated with lower levels of cognitive reserve and elevated levels of anxiety and low mood. Whilst caution must be employed with respect to any direct attribution in these complex clinical presentations, these findings may be helpful in the interpretation of neuropsychological test scores and the planning of interventions, particularly with respect to subjective memory complaints in this group.

Does prior law enforcement experience affect scores on preemployment psychological testing? An investigation using the MMPI-3.

Most states require that a police candidate's suitability be assessed through preemployment psychological evaluations. Given the psychological stress officers experience in the line of duty, it is possible that experienced candidates would produce scores indicating greater dysfunction on psychological testing relative to inexperienced candidates. No known research has investigated whether police candidates produce different preemployment test scores across experience levels. The present study sought to address this gap in the literature and offer data to guide evaluators' interpretation of test scores for candidates with prior law enforcement (LE) experience. We used a sample of 400 police candidates (18.5% women) evaluated for positions at several LE agencies for whom Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scores were available. Results showed no practically meaningful differences when comparing MMPI-3 scores of candidates with no prior experience, less than 5 years of experience, and 5 or more years of experience. We also compared frequencies at which the three groups elevated MMPI-3 scales at cutoffs specified in Assessing Police and Other Public Safety Personnel Using the MMPI-3: A Practical Guide (Corey & Ben-Porath, 2022) and found minimal differences. Together, these findings indicate that MMPI-3 scores can be interpreted consistently with published guidelines regardless of a candidate's prior LE experience. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

BODY-Q Normative Scores: Psychometric Validation of the BODY-Q in the General Population in Europe and North America.

BODY-Q is a rigorously developed patient-reported outcome measure designed to measure outcomes of weight loss and body contouring patients. To allow interpretation and comparison of BODY-Q scores across studies, normative BODY-Q values were generated from the general population. The aim of this study was to examine the psychometric properties of BODY-Q in the normative population. Data were collected using two crowdsourcing platforms (Prolific and Amazon Mechanical Turk) in 12 European and North American countries. Rasch measurement theory (RMT) was used to examine reliability and validity of BODY-Q scales. RMT analysis supported the psychometric properties of BODY-Q in the normative sample with ordered thresholds in all items and nonsignificant chi-square values for 167 of 176 items. Reliability was high with person separation index of greater than or equal to 0.70 in 20 of 22 scales and Cronbach alpha values of greater than or equal to 0.90 in 17 of 22 scales. Mean scale scores measuring appearance, health-related quality of life, and eating-related concerns scales varied as predicted across subgroups with higher scores reported by participants who were more satisfied with their weight. Analysis to explore differential item functioning by sample (normative versus field-test) flagged some potential issues, but subsequent comparison of adjusted and unadjusted person estimates provided evidence that the scoring algorithm worked equivalently for the normative sample as in the field-test samples. The BODY-Q scales showed acceptable reliability and validity in the normative sample. The normative values can be used as reference in research and clinical practice in combination with local estimates for parallel analysis and comparison.

Mixed Methods Investigation into Test Score Users’ Perspectives about IELTS Reading Skill Profiles

Research on the use of standardized test scores in higher education reveals significant variations in attitudes and perceptions of language proficiency tests among test score users. Most test score users have limited knowledge about test score interpretations in terms of what English as additional language (EAL) students typically know and can do at the language proficiency levels associated with admission cut scores. To address this critical gap, the language testing field has actively investigated the potential of Diagnostic Classification Models (DCMs) to offer useful information, facilitating test score users in their decision-making processes. The present two-phase mixed methods study examined the characteristics of reading skill profiles across various IELTS band scores, specifically focusing on the most frequently used admission cut scores: 6.0, 6.5, and 7.0. The study further explored test score users’ perspectives about these admission test scores, challenges encountered by EAL students, and the usefulness of reading skill profiles derived from DCMs. Findings from the application of DCMs to IELTS reading test responses (N = 5,222) showed a lack of advanced skills, such as inferential reasoning, at these commonly employed cut scores. Test score users perceived the skill profiles as instrumental in distinguishing reading abilities across various band scores and discussed the EAL students’ lack of critical reasoning, especially in inferential and synthesis tasks in coursework. The results underscore the potential of DCM-based skill profiles in providing test score users with detailed information about test score interpretations.

Evaluasi Usability Aplikasi Ibis Paint X Menggunkan Metode System Usability Scale dan User Experience Questionnaire

Ibis Paint X is a drawing application that is quite in demand, because it has been downloaded by more than 100 million users with around 1.9 million reviews on the Google Play Store. Until now, there has been no research on the usability evaluation of the Ibis Paint X application, so there may be some unknown usability problems. This study aims to evaluate the usability of Ibis Paint X as a digital drawing application that is quite in demand. In evaluating the usability of Ibis Paint X, two usability measurement methods are used, namely the System Usability Scale (SUS) and the User Experience Questionnaire (UEQ). The purpose of using two methods to evaluate the usability of the Ibis Paint X application is to obtain more in-depth evaluation results from two points of view of the usability evaluation method of an application. The evaluation process was assessed by 122 respondents using the Ibis Paint X application. Based on the evaluation results of the SUS method getting a score of 68.69, judging from the interpretation of the SUS score which has 4 categories, it can be concluded that Ibis Paint X gets a "C" predicate in the grade scale category, is considered "OK" in the adjectives rating category, including "Marginal" in the category acceptability ranges, and have users who are "Passive" in the NPS category. For the evaluation results, the UEQ method has positive results as a digital drawing application because each category of UEQ methods, namely attractiveness, perspicuity, efficiency, dependability, stimulation, and novelty, has an average value of more than 0.8.

General population normative data from seven European countries for the K10 and K6 scales for psychological distress

The 10-item Kessler Psychological Distress scale (K10) and its 6-item short-form version (K6) measure psychological distress, particularly anxiety or depressive symptoms. While these questionnaire scales are widely used in various settings and populations, general population normative data are rarely available. To facilitate the interpretation of K10 and K6 scores, we provide normative general population data from seven European countries. We used an online survey to collect K10 data from general population samples in Austria, Italy, Germany, France, the Netherlands, Poland and Spain. We calculated the age- and sex-specific normative values separately for each country. For more specific estimates of K10 and K6 scores for individuals or groups, we also established a multivariable regression model based on socio-demographic and health data. In total, N = 7,087 adults participated in our study (51.6% women; mean age, 49.6 years). The mean K10 score in the total sample was 8.5 points (standard deviation, 7.3) on 0–40 points metric, with mean scores in individual countries ranging from 6.9 (the Netherlands) to 9.9 (Spain). Women showed higher scores than men and younger participants scored higher than older participants. Our study is the first to present normative K10 and K6 data from several European countries using a consistent sampling approach. These reference values will facilitate the interpretation of K10 and K6 scores in clinical research and practice and also highlight the variation in psychological distress levels across countries and groups according to their socio-demographic and health characteristics.

Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores

Thromboprophylaxis is one of the most important aspects of atrial fibrillation (AF) management as irregular atrial contractions foster formation of blood clots that may result in ischemic stroke. Strokes caused by AF are relatively large and often lead to death or sever disability, but they may be avoided with appropriate anticoagulation therapy. Unfortunately, the risk factors for stroke overlap with risk factors for bleeding, creating a genuine challenge for clinicians seeking to strike a balance in preventing these two types of complications. This is why risk assessment scores CHA2DS2-VASc and HAS-BLED have been developed. While their role to optimize the anticoagulation therapy was confirmed in multiple studies, the misinterpretation of the criteria within these scores and their inappropriate application can result in suboptimal treatment and needlessly expose patients to the risk of stroke, hemorrhage, or both. This review aims to present appropriate interpretation of CHA2DS2-VASc and HAS-BLED scores and discuss how anticoagulation therapy of AF patients should be guided by those two scores.

Advancing Language Assessment with AI and ML–Leaning into AI is Inevitable, but Can Theory Keep Up?

ABSTRACT Following the burgeoning growth of artificial intelligence (AI) and machine learning (ML) applications in language assessment in recent years, the meteoric rise of ChatGPT and its sweeping applications in almost every sector have left us in awe, scrambling to catch up by developing theories and best practices. This special issue features studies of recent AI and ML advances and thought pieces and attempts to unify our field with a collection of work towards a common set of tools, frameworks, and practices. In this editorial, I briefly review the five studies and four commentaries and discuss the key validity issues around the AI applications covered. To unpack complex validity issues for lay users, I propose accessible questions to ask when evaluating these applications. I stress the importance of developing best practices guiding ethical and responsible use of AI and improving users’ AI literacy skills. In light of users’ increasing access to AI tools in real-world communication, I raise the need for redefining the constructs of language tests to be in sync with what is happening in the real world. These new conceptions of language ability are expected to result in significant changes in task design, scoring, and test interpretation and use.

Cross validation of the Personality Assessment Inventory (PAI) Cognitive Bias Scale of Scales (CB-SOS) over-reporting indicators in a military sample

ABSTRACT Following the development of the Cognitive Bias Scale (CBS), three other cognitive over-reporting indicators were created. This study cross-validates these new Cognitive Bias Scale of Scales (CB-SOS) measurements in a military sample and contrasts their performance to the CBS. We analyzed data from 288 active-duty soldiers who underwent neuropsychological evaluation. Groups were established based on performance validity testing (PVT) failure. Medium effects (d = .71 to .74) were observed between those passing and failing PVTs. The CB-SOS scales have high specificity (≥.90) but low sensitivity across the suggested cut scores. While all CB-SOS were able to achieve .90, lower scores were typically needed. CBS demonstrated incremental validity beyond CB-SOS-1 and CB-SOS-3; only CB-SOS-2 was incremental beyond CBS. In a military sample, the CB-SOS scales have more limited sensitivity than in its original validation, indicating an area of limited utility despite easier calculation. The CBS performs comparably, if not better, than CB-SOS scales. CB-SOS-2ʹs differences in performance in this study and its initial validation suggest that its psychometric properties may be sample dependent. Given their ease of calculation and relatively high specificity, our study supports the interpretation of elevated CB-SOS scores indicating those who are likely to fail concurrent PVTs.

Automated interpretation of comparison scores for firearm toolmarks on cartridge case primers

An automated approach for evaluating the strength of the evidence of firearm toolmark comparison results is presented for a common source scenario. First, comparison scores are derived describing the similarity of marks typically encountered on the primer of fired cartridge cases: aperture shear striations as well as breechface and firing pin impressions. Subsequently, these scores are interpreted using reference distributions of comparison scores obtained for representative known matching (KM) and known non-matching (KNM) ballistic samples in a common source, score-based likelihood ratio (LR) system. We study various alternatives to set up such an LR system and compare them using qualitative and quantitative criteria known from the literature. As an example, results are applied to establish a system suitable for a firearm-ammunition combination often encountered in casework: Glock firearms with Fiocchi nickel primer ammunition. The system outputs an LR and a measure of LR uncertainty. The range of possible LR-values is limited to a minimum and maximum value in areas of the score domain with little reference data. Finally, the feasibility of combining LRs of different mark types into one LR for the entire primer is assessed. For the distribution models considered in this paper, different modeling approaches are optimal for different types of similarity scores. For the chosen firearm-ammunition combination, non-parametric Kernel Density Estimation (KDE) models perform best for similarity scores based on the correlation coefficient, whereas parametric models perform best for the Congruent Matching Cells (CMC) scores, assuming binomial and beta-binomial models for KM and KNM score distributions respectively. Finally, it is demonstrated that individual LRs of different mark types can be combined into one LR, to interpret a set of different marks on the primer as a whole.

Knee injury and Osteoarthritis Outcome Score interpretation thresholds at 3 and 12 months after arthroscopic meniscal surgery. What changes, and what stays the same?

OBJECTIVE: To evaluate the change in minimal important change (MIC), patient acceptable symptom state (PASS), and treatment failure (TF) thresholds for the Knee injury and Osteoarthritis Outcome Score (KOOS) from 3 to 12 months following arthroscopic meniscus surgery. DESIGN: Retrospective cohort study. METHODS: We included patients from the Knee Arthroscopy Cohort Southern Denmark who had meniscus surgery between 2013 and 2015. We calculated the interpretation threshold values for MIC, PASS, and TF using an anchor-based adjusted predictive modeling method. Thresholds at 3 and 12 months postoperatively were compared to evaluate changes over time. RESULTS: The proportions of people who reported a clinically relevant improvement, or their symptoms being acceptable, increased by 10-15% points from 3 to 12 months after surgery. MIC thresholds for the five KOOS subscales remained stable from 3 to 12 months with statistically non-significant differences (95% confidence intervals) ranging from -0.3 (-3.0; 2.6) to -2.4 (-6.1; 1.3). All PASS thresholds except for QOL decreased by -6.5 (-11.8; -1.5) to -3.7 (-7.1; -0.4) points, indicating higher symptom-levels were accepted at 12 months. In contrast, the proportion reporting their treatment to have failed remained stable over time (19% and 17%). For QOL, a 7.4 (2.0; 13.2) higher TF threshold at 12 months suggested improved QOL was required to not consider that the treatment had failed. CONCLUSION: More patients reported being improved at one year compared to at 3 months following meniscus surgery. The KOOS MIC thresholds were stable over time, whereas time-specific PASS values should be applied after meniscus surgery.

Recovery after a suicidal episode: Developing and validating the Recovery Evaluation and Suicide Support Tool (RESST).

The personal recovery movement advocates for shifting emphasis from clinical symptom reduction toward reclaiming personal agency and creating meaning-filled lives despite the presence of distressing experiences. Corresponding personal recovery measures have been developed; however, there is no established psychometric assessment of personal recovery following a suicidal episode. This study addressed this gap by developing the Recovery Evaluation and Suicide Support Tool (RESST) and assessing its test score reliability, test score interpretations' validity, and psychometric properties. Throughout RESST's development, input from diverse stakeholders-including clinicians, researchers, and individuals with lived experience-was gathered to ensure a meaningful and useful scale. Exploratory factor analysis techniques were used with adults with a suicidal episode history (N = 502) to select and refine items, culminating in a 21-item scale with four distinct subscales: Self-Worth, Life Worth, Social Worth, and Self-Understanding. Confirmatory factor analysis techniques demonstrated model fit across three samples of adults with a suicidal episode history (combined N = 1,523), and test-retest reliability was obtained (N = 204). The results revealed that RESST scores exhibit an internally consistent and replicable factor structure, consistent with personal recovery theory. Additionally, the interpretation of test scores exhibited both convergent and discriminant validity. Mental health indices related to recovery, negative mood states, suicidality, and meaning in life had significant moderate-to-strong correlations with the RESST, supporting the validity of the test score interpretations and clinical relevance. This measure should aid research into recovery processes and understanding how recovery following a suicidal episode may be enhanced clinically and personally. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Examining Appropriacy of CFI and TLI Cutoff Value in Multiple-Group CFA Test of Measurement Invariance to Enhance Accuracy of Test Score Interpretation

The most common effect size when using a multiple-group confirmatory factor analysis approach to measurement invariance is ΔCFI and ΔTLI with a cutoff value of 0.01. However, this recommended cutoff value may not be ubiquitously appropriate and may be of limited application for some tests (e.g., measures using dichotomous items or different estimation methods, sample sizes, or model complexity). Moreover, prior cutoff value estimations often have ignored consequences resulting in using measures that more accurately estimate countries’ or learners’ proficiency for some countries or groups versus others. In this study, we investigate whether the cutoff value proposed by Cheung and Rensvold (ΔCFI or ΔTLI > 0.01) is appropriate across educational measurement contexts. Specifically, we investigated the performance of ΔCFI and ΔTLI in capturing LOI at the scalar level in dichotomous items within item response theory on groups whose test characteristic curves differed by 0.5. Simulation results showed that the proposed cutoff value of 0.01 in ΔCFI and ΔTLI was not appropriate to capture LOI under the study conditions, which may result in the misinterpretation of test results or inaccurate inferences.

PENGARUH PEMBELAJARAN BERBASIS MASALAH DENGAN YOUTUBE TERHADAP MOTIVASI BELAJAR IPA PADA SISWA KELAS VI

An essential component of learning implementation is the use of teaching materials. Learning will be improved when the teaching materials are appropriate for the requirements and characteristics of the pupils. This study intends to find out what fourth-grade students in elementary school response about the development of teaching materials for conservation education that focus on flora in the subject of Science and Social Studies (IPAS). 25 fourth-grade pupils served as the research subjects for the study at SDN Sukabela. Descriptive research was the methodology employed. A student response questionnaire was utilized to measure student replies, and Yusrizal & Rahmati's Guttman Scale was employed for data analysis. The Sri criteria were applied for the interpretation of the final score. The four criteria used to evaluate teaching materials, namely attractiveness, content, language, and usefulness. According to the results of the student response survey, the usefulness scored 87%, the language scored 94%, the content scored 87.25%, and the attractiveness scored 98%. As a result, an average score of 90.93% was attained, which is considered "Excellent."