Assessment Items Research Articles

High-Intensity Interval Training Specific Programming: Effects on Wheelchair Tennis Players’ Reactive Agility

Background: The programming of wheelchair tennis physical exercises to improve reactive agility needs to be studied more deeply. The training method must be adjusted to the characteristics of the movement of the match technique, the energy system and the type of disability. The appropriate training method is high-intensity interval training (HIIT). However, HIIT is still common. Objectives: This study aims (1) to compile HIIT-specific programming, (2) to test the effectiveness of HIIT specific programming on reactive agility. Method: This is a research development with a 4D approach. The sample was 20 wheelchair tennis athletes, male and female, aged 28-36 years, weighing 60-70 kilograms. The material experts were eight nationally licensed trainers and two academics with Doctoral degrees in tennis scientific specifications. Instruments used in this study were spider run test and Guttman scale questionnaire. Data were analyzed by CVR and Friedman formulas. Stage (1) define, conducting a study of relevant articles as a basis for finding problems; stage (2) design, designing HITT specific programs, arranging questionnaires for material expert instruments; stage (3) development, refining program arrangement, and assessing programs, by experts, with Delphi techniques; stage (4) dissemination, disseminating programs and conducting effectiveness tests. Results: It is known that the assessment items from 10 material experts show the content validity of 1.00. It is known that the effectiveness test of significance value is 0.000 0.05. Conclusion: HITT specific program has good content validity, and the effectiveness test can be said to have a significant difference in increasing the reactive agility of wheelchair tennis athletes.

생태윤리 시각에서 본 한국의 4대강 보 해체 분석

This study examines the progress of Korea's four major rivers weir dismantlement project and points out that the argument for dismantling the Four Major Rivers Weirs overlooks the issue of ‘time’ that guarantees sustainability, based on an ecological ethics perspective. The purpose is to suggest ways to resolve long-term conflicts. In order to achieve this research purpose, we review the theory of individualistic environmental ethics as a critique of the deconstruction theory and a new logic of deconstruction. In addition, we looked at various controversies related to the dismantling of weirs and presented new solutions from the perspective of ecological ethics. In conclusion, the dismantling of the Four Major Rivers weirs needs to be carried out gradually, with time to spare and while ensuring sustainability, from the perspective of ecological ethics. To this end, a progressive alternative was presented by additionally reflecting the elements of recovery time and gradualness in the existing environmental impact assessment items.

Checklist for Habitual Physical Activity (CHaPA) for adults 75 years and older: tool development and content and face validation.

Physical activity significantly contributes to older adults' physical and mental health, suggesting that physical activity could enhance healthy life expectancy. Despite its importance for adults aged 75 and older, activity levels among a large proportion of individuals aged 75 and older in Japan do not meet the recommended levels of physical activity, indicating a need for specific strategies tailored to this age group. This study aimed to develop a screening tool that measures daily activities promoting physical activity among older adults and assessed its content and face validity. In Stage 1, we derived constructs pertinent to physical activity from previous literature and formulated an item list based on a prior qualitative study we undertook in Japan that evaluated daily behaviours facilitating physical activity among older adults. During Stage 2, we assessed the content and face validity of the list utilising the Nominal Group Technique (NGT), involving eight experts. The content validity was confirmed through two scoring evaluation rounds, while the face validity was verified through the NGT discussion, focusing on the comprehensibility and appropriateness of the tool. We created a tool with 22 items consisting of three constructs. The NGT participants modified eight of these items for the final assessment, resulting in a finalised tool comprising 22 items that satisfied the adaptation criteria. The content validity of these items was affirmed by median adequacy (>5.0 points) and interquartile range (<1.0 points). The NGT discussion consensus also confirmed satisfactory face validity. The newly developed tool, Checklist for Habitual Physical Activity (CHaPA) for adults 75 years and older, is a valid screening tool to assess the daily behaviours that facilitate physical activity. This self-administered instrument aims to assist older adults who need to start and maintain physical activity daily. Before its widespread public deployment, further investigation of the tool's validity and reliability is necessary.

Citing as an online learning support tool for student-generated assessment

ABSTRACT While enabling students to refer to and build on peer-produced work (termed ‘citing’ herein) during content creation appears pedagogically promising, its associated learning effects remain under-studied. This research aimed at examining the effects of online citing of peer-generated assessment items during student test-construction on promoting learning and task performance. Additionally, any negative effects this approach may have on inducing cognitive and emotional burdens were examined. A pretest-posttest quasi-experimental research design was adopted, where two treatment groups were devised (i.e. the citing and no-citing groups). A group of fifth-graders from six classes participated in an 11-week study. Based on the results of the analysis of covariance, it was found that students in the citing group scored significantly higher than those in the no-citing group on academic achievement and question-generation performance. In addition, citing did not induce significantly higher cognitive load or learning anxiety as compared to the no-citing situation.

Implementation of Data Mining for Predicting Student Graduation Using the K-Nearest Neighbor Algorithm at Jambi Muhammadiyah University

Graduation is one of the assessment items in the accreditation process of a tertiary institution. So that if students graduate on time, it will help assess the accreditation of a tertiary institution. The method used is K-Nearest Neighbor (K-NN). This method is used to classify objects based on learning data closest to the object. This research aims to predict the graduation of Jambi Muhammadiyah University students, whether it is worth graduating on time or not graduating on time. In research using K-NN to predict student graduation, the results were that the K-NN approach in this study produced an accuracy value of 93.33%. The result is testing with a value of K = 5 using 50 training data for Jambi Muhammadiyah University students who have graduated in 2022; then data testing is tested with training data that has been tested before, 4 students who graduated not on time and who graduated on time were 46 students.

Seeing Eye to Eye? Comparing Faculty and Student Perceptions of Biomolecular Visualization Assessments

While visual literacy has been identified as a foundational skill in life science education, there are many challenges in teaching and assessing biomolecular visualization skills. Among these are the lack of consensus about what constitutes competence and limited understanding of student and instructor perceptions of visual literacy tasks. In this study, we administered a set of biomolecular visualization assessments, developed as part of the BioMolViz project, to both students and instructors at multiple institutions and compared their perceptions of task difficulty. We then analyzed our findings using a mixed-methods approach. Quantitative analysis was used to answer the following research questions: (1) Which assessment items exhibit statistically significant disparities or agreements in perceptions of difficulty between instructors and students? (2) Do these perceptions persist when controlling for race/ethnicity and gender? and (3) How does student perception of difficulty relate to performance? Qualitative analysis of open-ended comments was used to identify predominant themes related to visual problem solving. The results show that perceptions of difficulty significantly differ between students and instructors and that students’ performance is a significant predictor of their perception of difficulty. Overall, this study underscores the need to incorporate deliberate instruction in visualization into undergraduate life science curricula to improve student ability in this area. Accordingly, we offer recommendations to promote visual literacy skills in the classroom.

A bottom-up approach dramatically increases the predictability of body mass from personality traits.

Personality traits consistently relate to and allow predicting body mass index (BMI), but these associations may not be adequately captured with existing inventories' domains or facets. Here, we aimed to test the limits of how accurately BMI can be predicted from and described with personality traits. We used three large datasets (combined N ≈ 100,000) with nearly 700 personality assessment items to (a) empirically identify clusters of personality traits linked to BMI and (b) identify relatively small sets of items that predict BMI as accurately as possible. Factor analysis revealed 14 trait clusters showing well-established personality trait-BMI associations (disorganization, anger) and lesser-known or novel ones (altruism, obedience). Most of items' predictive accuracy (up to r = .24 here but plausibly much higher) was captured by relatively few items. Brief scales that predict BMI have potential clinical applications-for instance, screening for risk of excessive weight gain or related complications.

Views and preferences of food-insecure pregnant women regarding food insecurity screening and support within routine antenatal care.

Food insecurity is a public health concern that has profound impact on physical and mental health, and on social well-being. Pregnancy is a period in which food insecurity is likely to be particularly deleterious, due to the serious impact on both mother and child. Food insecurity is not routinely screened in antenatal healthcare settings, and the preferences of pregnant women regarding food insecurity screening and support are poorly understood. This study aimed to determine the views and preferences of food-insecure pregnant women regarding food insecurity screening and support within antenatal healthcare. This qualitative descriptive study used face-to-face semi-structured interviews, conducted in February and March 2023, to gain the views of purposively sampled food-insecure, pregnant women in Melbourne, Australia. Food insecurity was evidenced by an affirmative response to at least one of three assessment items in a screening questionnaire. Qualitative content analysis was conducted to summarise the views and preferences of women. Nineteen food-insecure pregnant women were interviewed. Three themes were identified: (1) acceptability of being screened for food insecurity, (2) concerns about the consequences of disclosure and (3) preferences regarding food insecurity screening and supportive strategies that could be offered within an antenatal healthcare setting. Women were accepting of food insecurity screening being conducted within routine healthcare. Women identified potential benefits of routine screening, such as feeling supported by their clinician to have a healthy pregnancy and less pressure to voluntarily ask for food assistance. Women gave suggestions for the implementation of food insecurity screening to optimise their healthcare experience, maintain their dignity and feel able to disclose within a safe and caring environment. These results indicate that food insecurity screening in the antenatal setting is likely to have support from pregnant women and is urgently needed in the interest of promoting optimal nutrition for women and children. Pregnant women with lived experience of food insecurity were purposively sampled to obtain their insights regarding screening and support within a pregnancy healthcare setting. Member-checking occurred following data collection, whereby all participants were offered the opportunity to review their interview transcript to ensure trustworthiness of the data.

Factor analysis for construct validity of a trunk impairment scale in Parkinson's disease: a cross-sectional study.

To investigate the construct validity of the Trunk Impairment Scale (TIS), which was developed to assess trunk impairment in patients with stroke, in patients with Parkinson's disease (PD). This retrospective, cross-sectional study enrolled consecutive PD inpatients. Correlation analysis was performed to clarify whether the TIS assessment was related to other balance functions, lower extremity muscle strength, or walking ability. Factor analysis was performed to see how the background factors of TIS differ from balance function, lower limb muscle strength, and walking ability. Examining the data of 471 patients with PD, there were relationships between TIS and the Mini-Balance Evaluation Systems Test (r = 0.67), Barthel Index (r = 0.57), general lower limb extension torque (r = 0.51), two-minute walk test (r = 0.54), Hoehn and Yahr stage (r = -0.61), and Movement Disorder Society Unified Parkinson's Disease Rating Scale part III total points (r = -0.59). Factor analysis showed that TIS items were divided into three factors (an abdominal muscles and righting reflex component; a perception and verticality component; and a rotational component), differing from other scales that included clinical assessment items. The TIS can be useful for assessing the underlying trunk impairment as a basis for activities of daily living, gait function, and balance ability in patients with PD.

Validação da Morse Fall Scale – versão brasileira para pessoas idosas institucionalizadas (MFS-B/ILPI)

Abstract Objective To validate the criterion and construct of the Morse Fall Scale - Brazilian version (MFS-B) for institutionalized older adults. Method Methodological validation study nested within a longitudinal study. The research was conducted in two Homes for the Aged (ILPIs), involving 172 older individuals. Data were collected through direct assessment of the older adult and chart data. Analysis was performed using descriptive and inferential statistics including ROC curve, sensitivity, specificity, Pearson correlation, and Exploratory and Confirmatory Factor Analysis. Results The best estimate for predicting falls was at the cutoff point of 45 points on the MFS-B for institutionalized older adults, with a sensitivity of 93.3% and specificity of 58.9%. When analyzing the reliability of the MFS-B with the exclusion of the item "intravenous therapy/saline or heparin flush catheter" – "IV therapy/SHFC” reliability improved (α≥0.700), and this exclusion was also supported by Exploratory and Confirmatory Factor Analysis. Conclusions The results indicate a good predictive ability of the MFS-B for institutionalized older adults, with improved accuracy when excluding the item "IV therapy/SHFC". These findings supported the adaptation of the MFS-B to five assessment items, referred to as MFS-B/ ILPI.

Methodological rigor and quality of reporting of clinical trials published with physical activity interventions: A report from the Strengthening the Evidence in Exercise Sciences Initiative (SEES Initiative).

This study addresses the need for improved transparency and reproducibility in randomized clinical trials (RCTs) within the field of physical activity (PA) interventions. Despite efforts to promote these practices, there is limited evidence on the adherence to established reporting and methodological standards in published RCTs. The research, part of the Strengthening the Evidence in Exercise Sciences Initiative (SEES Initiative) in 2020, assessed the methodological standards and reporting quality of RCTs focusing on PA interventions. RCTs of PA advice or exercise interventions published in 2020 were selected. Monthly searches were conducted on PubMed/MEDLINE targeting six top-tier exercise science journals. Assessments were conducted by two independent authors, based on 44 items originally from CONSORT and TIDieR reporting guidelines. These items were divided into seven domains: transparency, completeness, participants, intervention, rigor methodology, outcomes and critical analysis. Descriptive analysis was performed using absolute and relative frequencies, and exploratory analysis was done by comparing proportions using the χ2 test (α = 0.05). Out of 1,766 RCTs evaluated for eligibility, 53 were included. The median adherence to recommended items across the studies was 30 (18-44) items in individual assessments. Notably, items demonstrating full adherence were related to intervention description, justification, outcome measurement, effect sizes, and statistical analysis. Conversely, the least reported item pertained to mentioning unplanned modifications during trials, appearing in only 11.3% of studies. Among the 53 RCTs, 67.9% reported having a registration, and these registered studies showed higher adherence to assessed items compared to non-registered ones. In summary, while critical analysis aspects were more comprehensively described, aspects associated with transparency, such as protocol registrations/modifications and intervention descriptions, were reported suboptimally. The findings underscore the importance of promoting resources related to reporting quality and transparent research practices for investigators and editors in the exercise sciences discipline.

COVID-19-related Obsessions and Compulsions after the Full Control of the Pandemic: A Sample of the Nonpsychiatric Saudi Young Adults

Abstract Background: Symptoms of obsessive-compulsive disorder (OCD), contamination type has increased due to the COVID-19 pandemic. However, whether these symptoms would decrease after introducing the vaccines is unknown. Thus, this study examined the prevalence of COVID-19-related OCD among young adults who had never been diagnosed with a psychiatric disorder after fully controlling the pandemic. Methods: A sample of 351 young adults from all Saudi regions, whose ages ranged from 18-year-old to 25-year-old, were collected virtually in March and April 2022, via using an Arabic online survey that was distributed through social networks which included socio-demographic characteristics, COVID-19-related items, and COVID-19-related obsessions and compulsions assessment items. Results: Most of the participants were females (83.2%), had received the 3rd dose of the vaccine (69.80%), and reported having no obsessive thoughts or compulsive behaviors related to COVID-19 (91.5%, 96.6%). Despite this, males still had lower scores of OCD symptoms related to COVID-19 compared to females (9.98 vs. 14.29). The results also show that the mean scores of OCD symptoms decreased with each vaccine shot, 16.80 ± 18.91, 14.12 ± 10.85, and 13.27 ± 11.27 for the 1st, 2nd, and 3rd doses, respectively. Conclusion: Introducing the COVID-19 vaccine may reduce the onsets of obsessions and compulsive behaviors related to contamination. Some compulsive behaviors might be considered the new normal as they do not cause functional impairment.

Using Artificial Intelligence (AI) to create language exam questions: A case study

This paper investigates how artificial intelligence (AI) can be used to generate classroom foreign language tests and aims at determining challenges and opportunities during item creation. The study benefited from a case study, a form of qualitative research, using data from a single subject to examine the issue of generating classroom assessment items using an AI system in its natural environment. The findings revealed that using AI posed several opportunities and challenges for the participant. The analysis of the comments indicated three significant opportunities/benefits of using AI: practicality, customization, efficiency, and four challenges: readability, validity, lack of data for other languages, and ownership.

A scoping review of dietary assessment questionnaires potentially suitable for assessing habitual dietary intake in the National Health and Nutrition Survey, Japan.

This scoping review aimed to identify questionnaire-based dietary assessment methods for use in the National Health and Nutrition Survey (NHNS) in Japan. The search was conducted in three databases (PubMed, Web of Science, and Ichushi) to identify questionnaire such as food frequency questionnaire and dietary history questionnaire validated against dietary recalls or food records for the intakes of both food groups and nutrients among Japanese adults. Study quality was assessed based on previously developed criteria. We extracted the questionnaire characteristics and the design and results of the validation studies. We identified 11 questionnaires, with the number of food items ranging from 40 to 196, from 32 articles of good quality. In the validation studies, participants were aged 30-76years and 90% of the articles used ≥3d dietary records as reference. The number of nutrients and food groups with a group-level intake difference within 20% against the reference method ranged from 1 to 30 and 1 to 11, respectively. The range of mean correlation coefficients between questionnaire and reference methods were 0.35-0.57 for nutrients and 0.28-0.52 for food groups. When selecting a survey instrument in the NHNS from the 11 existing questionnaires identified in this study, it is important to select one with high group-level comparison and correlation coefficient values on the intended assessment items after scrutinizing the design and results of the validation study. This review may serve as a reference for future studies that explore dietary assessment tools used for assessing dietary intake in specific representative populations.

Cross-cultural adaptation of the CALCULATE instrument into Brazilian Portuguese: pressure injury in intensive care.

To perform the cross-cultural adaptation of CALCULATE for Brazilian Portuguese. A methodological study conducted from January to December 2021, divided into six stages: translation, synthesis, back-translation, expert committee with the application of the content validity index, pre-testing in 40 adult patients, and submission to the authors. The study took place in the intensive care units of a public tertiary teaching hospital in the interior of the state of São Paulo, Brazil. The original CALCULATE has eight risk assessment items and is stratified with a score of 0-3 (high risk) and 4-8 (very high risk). After expert evaluation, the final content validity was 0.9. They suggested words and phrases that should undergo changes regarding textual equivalences, as well as definitions of acronyms and terminologies. In the pre-test, the items were assessed as suitable for understanding; only one item required additional explanation for adequacy. The cross-cultural adaptation of CALCULATE for Brazilian Portuguese was successfully performed, revealing a good content validity index, confirming the relevance and appropriateness of its items. CALCULATE is suitable for use in intensive care units and research and teaching centers.

Exploration of Core Competencies from Delphi Survey and Design of Their Measurement Tools and Teaching &amp; Learning Programs for Environmental Education in Elementary Schools

This study aims to establish core competencies for environmental education in elementary schools, develop its measurement tools, and explore program grouping methods. To address these goals, three research questions were posed: identifying core competency elements, determining their assessment tools, and exploring the best ways to organize environmental education programs to develop the core competencies. Using a Delphi survey and literature review, the research pinpointed core elements such as 'autonomy', 'reflective ability', 'environmental sensitivity', and 'critical thinking ability', among others. Based on these competencies, 34 assessment items were devised. To enhance these competencies, a 'theme integration method' was proposed, intertwining environmental education with other curriculum topics. The study emphasizes the importance of an integrated approach, ensuring students grasp environmental subjects while achieving other learning objectives. Consequently, the measurement tools and learning &amp; teaching programs for environmental education in elementary schools presented in this study assist teachers in customizing environmental topics based on regional, school, and individual teaching goals, rooted in the intended core competencies.

An Analysis of the Importance between Landscape Impact Assessment Items in Rural Housing Complex

An Analysis of the Importance between Landscape Impact Assessment Items in Rural Housing Complex

Development of a care management support system for preventing severe disease in elderly people requiring long-term care and enabling their continued living at home: Results of a questionnaire survey to identify assessment items

In Japan, it is common for individual elderly patients requiring long-term care to use multiple home care services in order to continue living at home. However, the details of the services provided and patients’ conditions at the time of care are not shared among the service providers.&#x0D; To address this issue, our research team aims to develop a website that collectively manages care information, predicts declines in activities of daily living (ADL) based on artificial intelligence (AI) analysis, and if necessary, automatically sends reports to service providers and the care manager in charge of the patient. &#x0D; The target population of this study are elderly people with care needs living at home, their families, care managers, and home care service providers. &#x0D; This research is being conducted with the cooperation of elderly individuals requiring care and their families, while always listening to the opinions of the parties involved. In developing the web system, we collaborated with a researcher specializing in care management and another researcher specializing in website development.&#x0D; This report describes a questionnaire survey conducted to examine the assessment items to be used in a “care management support system for prevention of severe disease and continuation of living at home for elderly people requiring long-term care”, which our research team is working to develop. Firstly, the assessment items presented in “Appropriate care management techniques: Basic care and disease-specific care” published by the Japanese Ministry of Health, Labour and Welfare were discussed among the author, co-authors, and care managers who were not the subjects of this study, and 73 assessment items were extracted. For each of the 73 items, a questionnaire was developed asking “How important do you think it is for the elderly requiring care to continue living at home?” Each question was scored on a 5-point scale. Of the 30,631 home care support centers in Japan, 1,000 were randomly selected based on a population-proportional distribution by prefecture and government-designated city. Questionnaires were mailed to a total of 3,000 care managers, three to each center, and 642 valid responses were obtained (valid response rate: 21.4%). &#x0D; Assessment items that the care managers selected as highly important (4.7 points or higher) were “presence or absence of falls”, “status of cognitive impairment if the patient has dementia”, “amount of food intake”, “changes in daily condition”, and “mental and physical statuses of a caregiver (family member)”.&#x0D; For the international audience, the development of a “website that predicts declines in ADL based on AI analysis, and if necessary, sends reports to service providers and the care manager in charge of the patient” may provide useful information, as it could be modified to suit the situations in each country and be used effectively in many countries. &#x0D; In the next steps, we plan to conduct interviews with elderly people requiring long-term care, their families, and care managers and determine the data entry items before creating a website and implementing it on a trial basis.

A novel application of a self-report comprehensive assessment: Where do telephone assessments fit in home care practice?

Introduction: In Canada, long-stay home care patients are a prevalent group of frail older adults living in the community. Home care patients have a high emergency department visit rate compared to those living independently without formal home care services. In March 2020, concerted efforts were put into place to reduce COVID-19 transmission and spread in health sectors, including older adult home care populations.&#x0D; Description: The interRAI home care (HC) assessment is the practice standard for face-to-face comprehensive assessments in home care. The interRAI Check Up is a comprehensive self-report assessment that can be completed in-person, by video call or telephone. Check Up assessment items are consistent with the content items of interRAI HC. During pandemic mandated restrictions, care coordinators used the Check Up to assess new and existing patients over the phone or by video call to ensure continuity of care. Feasibility and utility of the Check Up was evaluated through a staff survey and focus groups in two distinct regions of Ontario.&#x0D; Discussion: A total of 48 care coordinators completed the survey, of which 7 consented to provide feedback in the focus groups. Care coordinators found the Check Up easy to pivot to during the pandemic, citing familiarity with questions and risk algorithms. The Check Up results were helpful in gaining an understanding of the patient’s medical issues, functional status, mood, and informal supports, while telephone and video assessments saved travel time. According to the care coordinators, patients and informal care givers were comfortable answering the questions over the phone and appreciative of interaction with a health professional. Although care coordinators were accustomed to telephone check ins, language barriers, hearing impairment, and inability to see the home environment were limitations. Care coordinators found telephone assessments, using the Check Up, most beneficial in the absence of cognitive impairment and with patients previously known and assessed by the care coordinator. &#x0D; Conclusion: The interRAI Check Up was an efficient method of completing a comprehensive assessment over the phone. Care coordinators found the Check Up to be best suited for reassessments and as a new assessment with stable, cognitively intact patients. Our findings support use of the interRAI Check Up as a promising and feasible addition to the suite of tools for home care coordination.

Comprehensive Standardized Assessment for Information Continuity: What Does the Workforce Need

Introduction: Older adults living with frailty and multimorbidity interact with multiple care providers across different health settings increasing the risk for fragmented care and information discontinuity. Information discontinuity results in workforce inefficiencies and adverse health events, including duplication of assessment and diagnostics, medication errors and increased health service use. Standardized assessments potentiate integrated care by communicating consistent measures of health information between health care sectors and providers. InterRAI assessments facilitate integration through promoting a common language and aligning successive assessments across the care continuum.&#x0D; Description: We used a pragmatic case example of a theoretical medically-complex older adult to illustrate effective use of interRAI standardized assessments throughout the health care journey. The interRAI suite of instruments spans across the age continuum, from pediatrics to geriatrics, and is designed to be used across diverse care settings, including community services, primary care, home care, long-term care, acute care, inpatient and community mental health, and palliative services. The case example represents one patient’s assessment findings, derived from standardized assessment instruments, such as the contact assessment, home care assessment and long-term care facility assessment. Automated and embedded risk algorithms are generated as outputs from the assessment, acting as decision support tools to inform care planning for clinical, functional, and social support needs. Process schematics depict potential workflows, where instruments can guide care strategies and facilitate the flow of information between the care team members.&#x0D; Discussion: Integrating elements such as using a common language, standardized assessment items, and embedded decision support algorithms, can support effective communication and collaboration in the care of older adults between clinical settings. Risk algorithms and scales support real-time identification of care issues, with standardized assessment items allowing for changes in health status to be easily recognized. Operationalizing a suite of standardized assessment instruments across the health system offers advantages for the individual including improved continuity of care, as well as for organizations and the system through use of a consistent measurement of health metrics between health providers and sectors, and evaluating health system performance. Successful adoption of comprehensive assessment tools to support integration requires training, stakeholder engagement and time to embed work and care processes into practice.&#x0D; Conclusion: Standardized language and algorithms used in interRAI comprehensive assessments can increase capacity for integration and continuity of care across the full spectrum of health sectors and settings. Findings from this pragmatic case example demonstrate real-world application and utility of standardized assessments to support an integrated workforce.