Measurement Tools Research Articles

Utility of retinoscopy to examine peripheral refraction

PurposeThis study explored whether retinoscopy (RET) provides comparable results of relative peripheral refraction (RPR) to open–field autorefractometry (AR) in myopic subjects. MethodsPeripheral refraction was measured in 20 myopic and 20 control adult subjects. Both central and peripheral refraction (20° nasal and temporal eccentricity) were measured using RET and open-field AR. Differences in the median central spherical equivalent (SE), median RPR, and median J45/J180 power vectors between the RET and AR techniques were analyzed. Moreover, Bland – Altman plots were used to assess the agreement between RET and AR methods for RPR measurements in MG. ResultsFor MG, the median RPR values were positive (hyperopic shift), and no significant differences were observed between the RET and AR techniques with respect to RPR measurement. In addition, we did not observe any significant differences in the RPR values between the nasal and temporal eccentricities for either the RET or AR technique for myopic subjects. There was also a significant correlation and agreement between the RET and AR technique for RPR measurements. With respect to central refraction, the median SE was slightly more positive for the RET than for the AR technique. Inside the CG, we also found significant correlation between the RET and AR technique for RPR measurements, and we observed a myopic shift in peripheral eccentricities. ConclusionOur results show that retinoscopy may be a useful tool for objective measurements of RPR in myopic subjects and may be used interchangeably with the open-field AR method in everyday clinical practice.

A New Reflected Target Optical Assessment System

NREL has completed stage 1 development of an indoor optical measurement tool for fully assembled heliostats and single facets. This tool began as an indoor version of NREL’s outdoor Non-Intrusive Optical (NIO) measurement technique [1]. It uses similar techniques to other available tools (deflectometry, photogrammetry, etc.), but is designed to require very little infrastructure, labor, and time to set up and collect surface slope and canting measurements, making it a valuable tool for quality assurance and laboratory measurement of heliostat optics. It accomplishes this by using computer vision, photogrammetry, and multiple images stitched together to minimize the printed target size and required setup precision. This adaptable setup is useful for taking measurements at a variety of heliostat pointing angles, and for measuring fully assembled heliostats on the assembly line. In this paper, we describe the methodology behind the measurement system, present an initial analysis of its uncertainty and sensitivity, and compare it with established optical measurement systems.

Development of Health Promotion with The Design of Heart Failure Patient Monitoring Instrument

Heart disease, particularly heart failure, is a prevalent chronic condition requiring regular monitoring to maintain patients' well-being. This study aims to develop and validate a monitoring instrument for heart failure patients. A pilot study was conducted in two main stages: instrument development and pre-test post-test on a sample of outpatient heart failure patients at RSU Muhammadiyah Ponorogo from March to May 2023. The validity test revealed 17 valid questionnaire items, with Cronbach’s Alpha values for routine examination, physical activity, and nutrition domains being 0.729, 0.829, and 0.786, respectively, indicating good reliability. Sample testing demonstrated a significant improvement in patient compliance (p < 0.005) and nutritional status (p < 0.05) after cardiovascular health promotion. However, there was no significant change in physical activity. With a combination of high construct validity, good reliability, and strong content validity, the questionnaire proved to be a robust and reliable measurement tool. The findings depict significant changes in compliance and nutritional status among heart failure patients following health promotion interventions, emphasizing the need for further focus on physical activity aspects. These results can contribute to the development of more effective monitoring and care strategies for heart failure patients.

Parental Support in Language Skills Development: Scale Development and Validation

The present study aims to develop a measurement tool that involves parental support for the language skills development process in mother tongue education or language arts classes (Turkish course in Türkiye, L1). Family is an undeniable factor in a child’s academic performance. In this context, there is no measurement tool that examines the support provided by families to their children in the field of language arts (mother tongue education). Considering that such a measurement tool would be useful for researchers and teachers, the study set out to develop it. The scale is not language specific, but in order to apply it to the Turkish parents it was created in Turkish. In order to develop the measurement tool, first, a literature review was conducted. The relationship between family and academic achievement, family social support, and parental academic support were investigated. In addition, interviews were conducted with five parents on a voluntary basis, and the actions that parents can take to support language skills were investigated. Thus, the item pool of the measurement tool was formed as 32 items. These items were prepared within the framework of the relevant literature and interviews with parents in a way to cover the following topics: parents’ guiding and activities that can support language skills, parents’ emotional support to the child, parents’ material support that can enhance language skills, parents’ support to the child in homework assignments in language arts classes (Turkish course in Türkiye). The items were presented to the inspection of two field experts and one measurement and evaluation expert. In addition, the items were presented to a field expert and two parents for the inspection of language and expression, and measures were taken to ensure that there were no incomprehensible items. After these stages, a total of 439 parents formed the participants of the study. While 204 of these participants were used for item analysis and EFA (exploratory factor analysis), 235 of them were used for CFA (confirmatory factor analysis), convergent validity and reliability analysis. Based on the findings obtained, 24-item, 4-factor “Parental Support in Language Skills Development Scale” can be considered as a valid and reliable measurement tool.

Classifying Hand Dexterity Impairment in Degenerative Cervical Myelopathy With 10-Second Grip and Release Test.

Diagnostic accuracy study with prospectively collected data. This study aimed to establish optimal cutoff values for the 10-second grip and release (10s-G&R) Test to distinguish between mild, moderate, and severe levels of hand dexterity impairment in patients with degenerative cervical myelopathy (DCM). The 10s-G&R test is widely utilized to assess hand function in DCM patients. However, whether this test can effectively distinguish between varying severities of hand dexterity impairment, along with the relevant cutoff values, remains unknown. The authors analyzed hand motion data from 551 consecutively enrolled DCM patients using an artificial intelligent system. In addition, the authors conducted evaluations of functional status, quality of life, and outcome measures. Receiver operating curve analysis was performed to determine cutoff values that differentiate mild, moderate, and severe hand dexterity impairments based on the ability to fasten buttons, as assessed by the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire Q2-1. The validity of these cutoffs was assessed by comparing G&R parameters, upper limb disability, overall disease severity, and quality of life among patients in different severity groups. The authors identified 16 G&R cycles as the cutoff for moderate hand dexterity impairment and 13 G&R cycles as the cutoff for severe impairment. Patients with severe impairment exhibited significantly worse G&R parameters, more severe upper limb symptoms, greater overall disease severity, and reduced quality of life. Patients completing fewer than 13 G&R cycles within 10 seconds were more likely to have moderate-to-severe DCM, indicating the need for potential surgical intervention. The authors propose classifying mild hand dexterity impairment as 17 to 20 cycles on the 10s-G&R test, moderate as 14 to 16 cycles, and severe as 13 cycles or less. Our study underscores that the 10s-G&R test can serve as an effective supplementary tool within the context of other currently available measurement tools.

Frailty as a Prognostic Indicator in Lung Transplantation: A Comprehensive Analysis

Introduction: Frailty is a complex pathobiological process characterized by diminished physiological reserve and increased vulnerability to stressors, which has been associated with unfavorable outcomes before and after lung transplantation. Methods: We undertook an extensive narrative review, encompassing a thorough exploration of original papers, observational studies, case reports, and meta-analyses published between 1990 and July 2023, in various databases, including PubMed, Embase, Cochrane Library, Wiley Online Library databases, and Google Scholar. The search terms [frailty] AND [lung transplant] were utilized. Additionally, the reference lists of retrieved articles were examined. Inclusion criteria comprised studies written in English and involving human subjects. The identified studies were categorized into pre-transplant and post-transplant populations, and the measurement tools used to assess frailty were analyzed, along with the clinical implications reported in the studies. Results: From 1 January 1990 to 1 July 2023, a total of 10 studies on frailty and lung transplantation were identified through online sources and bibliographic searches, involving a total of 2759 patients. Among these studies, six focused on the pre-transplant population, while four examined the post-transplant population. The Fried Frailty Phenotype (FFP) and the Short Physical Performance Battery (SPPB) were the most employed tools for measuring frailty. A table presents additional frailty assessment instruments and the clinical implications described in the studies. Conclusions: Frailty is prevalent both in patients with end-stage respiratory diseases awaiting lung transplantation and in postoperative lung transplant recipients. Most transplant centers recognize the value of assessing frailty in the evaluation of potential candidates for lung transplantation. Frailty has been shown to impact mortality on the waitlist and in the post-transplant period. However, the most effective methods for measuring frailty in lung transplant candidates and recipients have yet to be determined. Strategies to reverse frailty are available and show promising results on outcomes.

Cobalt species immobilized on nitrogen‑doped ordered mesoporous carbon for highly efficient catalytic ozonation of atrazine

The strategy of coupling transition metal and N-doped carbon catalysts have garnered great attention in catalytic ozonation. To overcome the inferior mass transfer of O3, we prepared a hetero-structure catalyst (Co3O4@Co-N-CMK3), which was composed of Co3O4 nanoparticles (NPs) and cobalt-nitrogen doped ordered mesoporous carbon. Co3O4@Co-N-CMK3 displayed a uniformly arranged long-range mesoporous channel structure with large surface area (537.24 m2/g). The adsorption efficiency of ATZ (10 μM) was 55% at 15 min in presence of 0.05 g/L catalyst. After aeration of 3.5 mg/L O3 gas (50 mL min-1), the ATZ removal increased to 99.6% with rate constant of 0.354 min-1 in Co3O4@Co-N-CMK3/O3, 35.4-fold that in ozonation. The turnover frequency (TOF) value of Co3O4@Co-N-CMK3 reached 7.08 min-1 g-1, which was 2.2-93.2 folds higher than the reported ozonation catalysts. Co3O4@Co-N-CMK3 displayed the adsorption performance for ATZ and could activate O3 into O2- and OH effectively. The ≡Co2+ and ≡Co-Nx were main active sites. The synergy between Co3O4 and Co-N-CMK3 accelerated interface electron transfer, which was conducive to the redox of ≡Co2+/≡Co3+. The degradation pathway and intermediates toxicity were speculated using HPLC-MS measurement and Toxicity Estimation Software Tool simulation. The stability of Co3O4@Co-N-CMK3 for ATZ removal was certified by five consecutive experiments in catalytic ozonation. Moreover, the Co3O4@Co-N-CMK3/O3 process had good applicability to common anions and humic acid, real water and different pollutants.

Fatigue analysis and design of a motorcycle online driver measurement tool using real-time sensors

Work fatigue is an important aspect and is very influential in determining the level of accidents, especially motorbike accidents. According to WHO, almost 30% of all deaths due to road accidents involve two- and three-wheel­ed motorized vehicles, such as motorbikes, mopeds, scooters and electric bicycles (e-bikes), and the number continues to increase. Motor­cycles dominate road deaths in many low- and middle-income countries, where nine out of ten traffic accident deaths occur among motorcyclists, as in Indonesia. However, until now, in Indonesia, there has been no monitor­ing system capable of identifying fatigue in motorbike drivers in the transportation sector. This research aims to determine fatigue patterns based on driver working hours and create a sensor system to monitor fatigue measurements in real-time to reduce the number of accidents. The research began with processing questionnaire data with Pearson correlation, which showed a close relationship between driver fatigue and driving time and a close relationship between fatigue and increased heart rate and sweating levels. From calibration tests with an error of 3% and direct measurements of working conditions, it was found that two-wheeled vehicle driver fatigue occurs after 2-3 hours of work. With a measurement system using the Box Whiskers analysis method, respondents' working conditions can also be de­ter­mined, which are divided into 4 zones, namely zone 1 (initial condition or good condition), zone 2 a declining condition, zone 3 a tired condition and zone 4 is a resting condition. Hopefully, this research will identify fati­gue zones correctly and reduce the number of accidents because it can iden­tify tired drivers so they do not have to force themselves to continue working and driving their motorbikes. As a conclusion from this research, a measure­ment system using two sensors, such as ECG and GSR can identify work fatigue zones well and is expected to reduce the number of accidents due to work fatigue.

Autism Awareness of Mothers Scale (AAMS): A Study of Validity and Reliability

The aim of this study was to evaluate the autism awareness of mothers having typically developing children at preschool age and to investigate the validity and reliability of the Autism Awareness of Mothers Scale (AAMS). This methodological study was conducted with 136 mothers applying to a family health center in Istanbul, Türkiye. Data were collected in July-August 2021. The AAMS was a 4-point Likert-type scale and consisted of a total of 23 items. The factor structure of the scale was extracted by performing exploratory factor analysis. The median age of the participants was 32 years. Almost all the participants (91.9%) stated that they have heard the word ‘autism’ before. One-third of the mothers defined autism as a “social interaction problem” (33.1%). As a result of factor analysis, the AAMS had a two-factor structure, with Eigenvalues of 7.480 for Factor 1 and 4.978 for Factor 2 and explained 54.17% of total variance. The Cronbach's alpha coefficient was found to be 0.947 for AAMS (0.933 and 0.876 for subscales, respectively). According to our results AAMS is a valid and reliable measurement tool. It can be used in Türkiye and in Turkish to determine autism awareness of mothers of typically developing preschool children.

Validation of cost-efficient EEG experimental setup for neural tracking in an auditory attention task

When individuals listen to speech, their neural activity phase-locks to the slow temporal rhythm, which is commonly referred to as “neural tracking”. The neural tracking mechanism allows for the detection of an attended sound source in a multi-talker situation by decoding neural signals obtained by electroencephalography (EEG), known as auditory attention decoding (AAD). Neural tracking with AAD can be utilized as an objective measurement tool for diverse clinical contexts, and it has potential to be applied to neuro-steered hearing devices. To effectively utilize this technology, it is essential to enhance the accessibility of EEG experimental setup and analysis. The aim of the study was to develop a cost-efficient neural tracking system and validate the feasibility of neural tracking measurement by conducting an AAD task using an offline and real-time decoder model outside the soundproof environment. We devised a neural tracking system capable of conducting AAD experiments using an OpenBCI and Arduino board. Nine participants were recruited to assess the performance of the AAD using the developed system, which involved presenting competing speech signals in an experiment setting without soundproofing. As a result, the offline decoder model demonstrated an average performance of 90%, and real-time decoder model exhibited a performance of 78%. The present study demonstrates the feasibility of implementing neural tracking and AAD using cost-effective devices in a practical environment.

Validation of Educational Quality as a Tool to Measure the Degree of Satisfaction of University Students

The aim of this research was the creation and validation of a questionnaire to assess education quality in university contexts and to find factors that can help improve the educational system. The questionnaire was validated via a psychometric study through exploratory (EFA) and confirmatory (CFA) data analyses from a sample of 1302 subjects to find students’ level of satisfaction in the university environment. The results show good reliability and validity, highlighting three factors: access level to computer aspects; different material resources and university students’ degree of satisfaction with the educational community. We concluded that this validated questionnaire provides information regarding students’ opinions about the quality of education in university contexts and can serve as a measurement tool for the educational system’s good functioning in an effective and efficient way.

Psychometric properties of the Turkish version of the parental competence scale for parents of children with autism

BackgroundParental competence is an important concept in increasing the quality of care provided to individuals with special needs and the quality of life of parents. This study was aimed to evaluate the psychometric properties of the Turkish version of the Parental Competence Scale designed for parents of children with autism spectrum disorders. MethodThis methodological study was conducted with 433 parents of children with autism between November 2021 and February 2023. Information Form, the Parental Competence Scale for Parents of Children with Autism, and the Parental Self-Efficacy Scale were used to collect the data. The data were assessed using content and construct validity, item analysis, confirmatory factor analysis, and internal consistency. Guidelines for reporting reliability and agreement studies (GRRAS) were adhered to in the study. FindingsThe content validity index of the scale was 0.93. Item-total score correlation values ranged from 0.338 to 0.846. As a result of confirmatory factor analysis, the two-factor structure of the scale consisting of 19 items was confirmed. Factor loads were >0.30 and fit indices were >0.80. The Cronbach's alpha coefficient of the Turkish version of the scale was 0.85, and the Cronbach's alpha values of its sub-dimensions were 0.71 and 0.79. ConclusionThe parental competence scale for parents of children with autism is a valid and reliable measurement tool for Turkey. Practice implicationsPediatric nurses, all health professionals, special education professionals and teachers can use this scale in interventional studies aiming to evaluate or improve the competencies of parents with autistic children in the future.

Climate change perception scale: Adaptation and psychometric properties in the Indonesian context

AbstractOne of the crucial factors in changing behaviour towards pro‐environmental actions is climate change perception. The latest measurement tool for assessing this variable is the Climate Change Perception Scale (CCPS). However, CCPS has not gained widespread adoption and usage across different cultures, including Indonesia, and no analyses have been conducted to adapt and validate CCPS in the Indonesian context. Therefore, this study aimed to adapt, validate, and assess the measurement tool's consistency in Indonesia's cultural context. To investigate the instrument's psychometric properties, two studies (n = 358, 415) were conducted in Indonesia to provide evidence of the internal consistency, convergent validity, and predictive validity of CCPS. The results of a confirmatory factor analysis (CFA) showed that the Indonesian version of CCPS, which consists of 15 items, with three for each dimension, accurately and reliably measured perception of climate change. CCPS also demonstrated good convergent validity, as indicated by the significant correlations with a nature relatedness (r = 0.425, p < 0.01) and biospheric value (r = 0.341, p < 0.01) construct. Furthermore, it exhibited predictive validity by predicting pro‐environmental behaviour, β = 0.243, b = 0.176, t(413) = 5.10, p < 0.01. However, the Indonesian version of CCPS still needs to be tested and confirmed through various studies, considering the poor validity of the temporal dimension and the weak factor loading of the consequence dimension in Study 2.

Research And Developing Mathematics Knowledge Child Development Perspectives, 2022

Proficiency in mathematics is critical to success academically, economically, and in life. Greater success in math is related to entering and completing college, earning more in adulthood, and making more optimal decisions concerning health. Knowledge of math begins to develop at a young age, and this early knowledge matters: Knowledge of math at or before school entry predicts outcomes in math and reading across primary and secondary school. More than one children struggle to learn math. For example, only 60% of fourth-grade and 55% of eighth-grade students in the United States performed at or above proficiency in math on the 2020 National Assessment of Educational Progress, and proficiency rates were even lower for African-American and Hispanic children and for children from low-income homes. More than one students do not master challenging math content. Developing strong knowledge about mathematics is important for success academically, economically, and in life, but more than one children fail to become proficient in math. Research on the developmental relations between conceptual and procedural knowledge of math provides insights into the development of knowledge about math. First, competency in math requires children to develop conceptual knowledge, procedural knowledge, and procedural flexibility. Second, conceptual and procedural knowledge often develop in a bidirectional, iterative fashion, with improvements in one type of knowledge supporting improvements in the other, as well as procedural flexibility. Third, learning techniques such as comparing, explaining, and exploring promote more than one type of knowledge about math, indicating that each is an important learning process. Researchers need to develop and validate measurement tools, devise more comprehensive theories of math development, and bridge more between research and educational practice.

Concurrent Validity of Cervical Movement Tests Using VR Technology-Taking the Lab to the Clinic.

Reduced cervical range of motion (ROM) and movement velocity are often seen in people with neck pain. Objective assessment of movement characteristics is important to identify dysfunction, to inform tailored interventions, and for the evaluation of the treatment effect. The purpose of this study was to investigate the concurrent validity of a newly developed VR technology for the assessment of cervical ROM and movement velocity. VR technology was compared against a gold-standard three-dimensional optical motion capture system. Consequently, 20 people, 13 without and 7 with neck pain, participated in this quantitative cross-sectional study. ROM was assessed according to right/left rotation, flexion, extension, right/left lateral flexion, and four diagonal directions. Velocity was assessed according to fast cervical rotation to the right and left. The correlations between VR and the optical system for cervical ROM and velocity were excellent, with intraclass correlation coefficient (ICC) values > 0.95. The mean biases between VR and the optical system were ≤ 2.1° for the ROM variables, <12°/s for maximum velocity, and ≤3.0°/s for mean velocity. In conclusion, VR is a useful assessment device for ROM and velocity measurements with clinically acceptable biases. It is a feasible tool for the objective measurement of cervical kinematics in the clinic.

Twitter as a Mechanism of Knowledge Translation in Health Professions Education: An Exploratory Content Analysis.

Social media may facilitate knowledge sharing within health professions education (HPE), but whether and how it is used as a mechanism of knowledge translation (KT) is not understood. This exploratory study aimed to ascertain what content has been shared on Twitter using #MedEd and how it is used as a mechanism of KT. Symplur was used to identify all tweets tagged with #MedEd between March 2021 - March 2022. A directed content analysis and multiple cycles of coding were employed. 18,000 tweets were identified, of which 478 were included. Studies sharing high quality HPE information; relating to undergraduate, postgraduate, or continuing education; referring to an evidence source; and posted in English or French were included. Diverse content was shared using #MedEd, including original tweets, links to peer-reviewed articles, and visual media. Tweets shared information about new educational approaches; system, clinical, or educational research outcomes; and measurement tools. #MedEd appears to be a mechanism of diffusion (n = 296 tweets) and dissemination (n = 164 tweets). It is less frequently used for knowledge exchange (n = 13 tweets) and knowledge synthesis (n = 5 tweets). No tweets demonstrated the ethically sound application of knowledge. It is challenging to determine whether and how #MedEd is used to promote the uptake of knowledge into HPE or if it is even possible for Twitter to serve these purposes. Further studies exploring how health professions educators use the knowledge gained from Twitter to inform their educational or clinical practices are recommended.

Effects of Hippotherapy on Health-Related Quality of Life in Caregivers of Children with Cerebral Palsy: A Pilot Quasi-Experimental Study in Japan.

Despite accumulating data regarding the beneficial effects of hippotherapy on gait and balance skills in children with cerebral palsy (CP), its effects on caregivers' quality of life (QOL) are limited, presumably due to a lack of reliable and valid measurement tools. This study aims to evaluate the impact of hippotherapy on the health-related QOL of primary caregivers using the Japanese version of the Cerebral Palsy Quality of Life for Children (CP QOL) questionnaire. A quasi-experimental design embedded within our existing cohort was utilized. A total of 29 children with CP (range 4-12 years) and their caregivers participated in either a weekly hippotherapy or recreation (usual care) program for 1 year. In addition to gait-related measurements (Gross Motor Function Measure [GMFM]-E) of children, CP QOL-evidenced determinants of the caregivers' health-related QOL and well-being were compared before and after the intervention. In addition to improvements in children's GMFM-E scores, hippotherapy improved CP QOL domains related to participation and physical health, children's emotional well-being, and parents' overall health (p < 0.05). Linear regression analysis showed a positive relationship between the children's GMFM-E scores and their caregivers' health domains in participants who received hippotherapy (r2 = 0.404; p = 0.011). Hippotherapy has a beneficial effect on the physical and mental well-being and satisfaction of Japanese parents caring for children with CP.

초등교사의 디지털 리터러시 평가척도 타당화 연구

Objectives This study was conducted to validate digital literacy assessment scale for elementary teachers, based on previous research, by constructing sub-domains and collecting items, and then verifying the validity and reli-ability of the scale.&#x0D; Methods A survey was conducted on 325 elementary school teachers from K, P, and A Cities for the research. To create the test questions, preliminary questions were developed by taking into account previous studies. Additionally, for data analysis purposes, the software packages SPSS 18 and Jamovi 2.3.21 were utilized.&#x0D; Results The results are as follows. First, content validity verification, exploratory factor analysis, and confirmatory factor analysis were conducted. Second, for reliability verification, item internal consistency was examined, re-sulting in the extraction of four sub-factors (Attitude, Skills, Execution, and Ethics) and 29 items.&#x0D; Conclusions By developing a measurement tool for digital literacy targeting elementary school teachers and ver-ifying its validity and reliability, this study can provide implications for enhancing elementary school teachers' digi-tal literacy competence by providing fundamental data.

Sleep, activity, and diet in harmony: unveiling the relationships of chronotype, sleep quality, physical activity, and dietary intake.

This cross-sectional study aims to explore the intricate relationships among chronotype, sleep quality, physical activity, and dietary intake in a diverse cohort of 3,072 (50.2% female) participants residing in İstanbul, Türkiye. This study utilized established measurement tools, including the Morningness-Eveningness Questionnaire (MEQ) to assess chronotype, the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality, the International Physical Activity Questionnaire Short Form (IPAQ-SF) to measure physical activity, and a 24-h dietary recall method to assess dietary intake. The findings of this study revealed compelling associations. Firstly, a robust association was observed between sleep quality and chronotype (OR: 2.265; 95% CI: 1.954-2.626; p < 0.001) as well as physical activity (OR: 0.836; 95% CI: 0.750-0.932; p = 0.002). Specifically, evening chronotypes are more likely to have poor sleep quality, while highly active individuals tend to report lower sleep quality. Transitioning from inactivity to high activity was associated with a 16.4% increase in the odds of transitioning from normal to poor sleep, while a shift from an evening to a morning chronotype was linked to a substantial 126.5-fold increase in the odds of moving from poor to normal sleep. Additionally, morning chronotypes also display distinctive dietary patterns, characterized by higher energy, protein, and fat intake, and reduced carbohydrate intake. Poor sleep quality is associated with increased energy and macronutrient consumption. These findings underscore the intricate relationships of chrononutrition within the context of sleep quality, physical activity, and dietary choices. The study underscores the significance of personalized interventions to effectively address specific health behaviors, highlighting the complexity of chrononutrition's role in promoting overall health and wellbeing.

Updated recommendations on measures for clinical trials in pediatric chronic pain: a multiphase approach from the Core Outcomes in Pediatric Persistent Pain (Core-OPPP) Workgroup.

Many gaps remain in finding effective, safe, and equitable treatments for children and adolescents with chronic pain and in accessing treatments in different settings. A major goal of the field is to improve assessment of pain and related experience. Valid and reliable patient-reported outcome measures are critical for advancing knowledge of clinical interventions for pediatric chronic pain. Building on the work of the Ped-IMMPACT group, we previously updated a core outcome set (COS) for pediatric chronic pain clinical trials using stakeholder feedback from providers, youth, and parents. The new COS includes 3 mandatory domains: pain severity, pain-related interference with daily living, and adverse events and 4 optional domains: overall well-being, emotional functioning, physical functioning, and sleep quality. The aim of this study was to use a multiphased approach to recommend specific measures for each of the 7 domains identified in our new COS for pediatric chronic pain. We synthesized evidence through conducting the following: (1) a Delphi study of experts to identify candidate measures for the new COS domains, (2) a review phase to gather evidence for measurement properties for candidate measures, and (3) an expert consensus conference to reach agreement on measurement recommendations. Final recommendations included 9 patient-reported measures. Important contextual considerations are discussed, and guidance is provided regarding strengths and limitations of the recommendations. Implementation of these recommendations may be enhanced by widespread dissemination and ease of access to measurement tools.