Self-assessment Method Research Articles

The Effectiveness of Special Education Centers in Jordan

This study aims to identify the effectiveness of special education centers in Jordan. The study sample consists of (13) special education centers serving intellectual, hearing, visual and motor impairments, comprised of (13) principals and (136) teachers. The level of effectiveness of the special education centers was measured with a scale of (92) items with (7) dimensions. The scale was validated by professionals who work in special education centers and universities in Jordan. Questions of research were adopted to suit cultural issues and then administered to all participants in the sample. Results of the scaled mean reveal that seven aspects of the special education centers are effective but their level of effectiveness differed from one center to another. Motor impairment centers for people with physical impairments were the most effective, followed by intellectual disability centers, hearing impairment centers and visual impairment centers. Analysis of Variance (ANOVA) results indicated no significant differences in the effectiveness level that can be attributed to the variable of the disability type served by the center against the total degree and the furthest sub-scale. In addition, Schaffe test results revealed significant differences between visual impairment and motor impairment centers, with the motor impairment centers being more effective. The scaled mean of the motor impairment effectiveness level on this dimension was (3.94), while the mean of the same dimension for the visual disability center is (3.04). However, the results suggest that more research might be focused: (a) to assess the special education centers improving the educational system; (b) arrange workshops for administrations, teachers and parents to increase their teaching effectiveness level; (c) apply more tools such as case studies, interviews Original Research Article Derderian; JSRR, 4(5): 410-420, 2015; Article no.JSRR.2015.043 411 and self-assessment methods to assess the effectiveness level of the centers and schools; (d) engage students and consider their images on the centers for the internal effectiveness of the centers; and (e) increase the programs of each special education center.

A Pilot Community-Based Study on Association of Khat (Catha edulis) Chewing Practice with Psychosis in Yemen

Community-based studies on association of khat (Catha edulis) chewing practice with psychological problems among the ethnic users in Yemen have been strongly recommended. The present study was aimed to investigate the association of this practice with stress, sleep disturbances, and anorexia in Dhamar area which is a major source of khat in Arabian Peninsula. A cross-sectional study with a pre-tested questionnaire was carried out among 148 khat users and 150 non-users of khat. The psychological health outcomes (stress, sleep disturbances, and anorexia) were measured by self-assessment method. The estimated risks to predict the probability that participants would develop stress, sleep disturbances, and anorexia according to their khat chewing were examined using the Poisson regression model incorporating the robust estimator. Association of sleep disturbances and anorexia with stress weas also evaluated. The findings of the present study showed that stress, sleep disturbances, and anorexia were found to be increased significantly (P ˂ 0.001) by 8.97, 9.28, and 7.28 times among the khat users, respectively. Accordingly, sleep disturbances and anorexia were significantly associated with stress (PR = 3.03; P ˂ 0.001, PR = 2.33; P ˂ 0.001, respectively). The results of this survey increase the need for attention among the regarded professionals about this harmful habit that can defect present and future of Yemeni people dramatically. However, more longitudinal researches pertaining to the contributory causal relationship of khat with psychosis are particularly needed.

Reference curves of the body fat index in adolescents and their association with anthropometric variables

ObjectivesTo develop reference curves for the body fat index (BFI) in the pediatric population, in adolescents from the city of São Paulo, Brazil, and verify their association with body mass index and body fat percentage. MethodsThe study is part of the research project “Nutritional Profile of Adolescents from Public and Private Schools of São Paulo” that was performed in 2004-2005. A total of 4,686 adolescents (2,130 boys and 2,556 girls) aged 10-15 years were divided into two groups: 10-12 and 13-15 years of age. Body mass, height, body mass index, hip circumference, body fat percentage, body fat index, and sexual maturation performed by the self-assessment method (prepubertal, pubertal, and postpubertal) were analyzed. ANOVA was performed, as well as percentile distribution, Pearson's correlation, and Bland-Altman plot. ResultsIn boys, there was an increase in body mass, height, body mass index, and hip circumference with advancing age and Tanner stage. In girls, there was an increase in body fat index and body fat percentage with advancing age and stage of sexual maturation. An association was found between body fat index and body mass index (r=0.67 in boys and 0.80 in girls, p<0.001) and body fat percentage (r=0.71 in boys and 0.68 in girls, p<0.001). ConclusionThe body fat index seems to reflect well the phenomena of sexual dimorphism in adolescence, is easy to perform, and represents a method that should be used in population samples.

Continuing professional training program in skin cancer screening in elderly

Introduction: INCA (French National Institute of Cancer) recommends skin cancer screening for any adult exposed to potential risk factors, without age-limit. Health professionals identified for screening are not only doctors, but also nurses, and physiotherapists. There is no national registry for skin cancer incidence. Hospital activity reports 70,000 new diagnoses of skin cancer each year (the most frequent cancer in fact). Half of patients hospitalized with principal diagnosis “skin cancer” are 75 years and older. Skin cancer with early diagnosis can often be cured, 70% are basal cell carcinomas, 20% squamous cell carcinoma, and 10% are melanomas (incidence has tripled between 1980 and 2005, due to sun exposure practices). Factors of delayed diagnostic have been identified by the INCA: elderly widows, inequality in access to dermatologist consultation in France. In addition, general practitioners, that follow high-risk populations such as older people, who cannot practice self-examination, recognize that there is a lack of training and not enough time to make a complete skin examination during themedical consultation (including scalp, external genital organs and feet). Objectives: Develop a continuing professional training (in French Developpement Professionnel Continu) for nurses, general practitioners and geriatricians, following elderly patients, living in community dwelling and nursing home. Methods: In Normandy, the program was suggested by mail in 2014 February, via private general practitioners' regional union, nurse coordinators and geriatricians in nursing homes. The first self-assessment was performed between March and May, one day, by a retrospective and randomized study of 20 patients medical journal among 75 years and older nursing home's residents, followed since at least one year. Patients receiving palliative care and dementia with severe behavioral troubles were excluded. There were 2 different questionnaires for nurses or doctors with filling guide for each. Use of data by sorting flat. Classroom training about skin cancer in elderly was organized with dermatologists in May 23. Feedback experience on skin cancer screening was organized in June 19, with elaboration of corrective action plan. The second self-assessment is planned at the end of 2014. Results: 8 geriatricians and only 1 nurse from different institutions performed the first self-assessment. For the nurse, there were negative answers for the 5 criteria in all patients. Concerning geriatricians, a complete skin examination has already been recorded for 27,5% of patients (but since more than one year for 80%). Skin cancer risk factors are never collected. None liberal general practitioners participated. Conclusion: We had expected more participants for this innovating continuing training program, involving both institution health professionals and private practitioners concerned by cancer screening in their patients. 2014 is the beginning of binding « Developpement Professionnel Continu » for private practitioners, and self-assessment method is still not well known. Further training program is planned in the next years, for health professionals, with better communication strategies. This first self-assessment revealed a lack of skin cancer examination in older patients, and of skin cancer risk factor collection, and also in dermatological monitoring. We hope our classroom training will improve the second selfassessment results. Reference: http://www.e-cancer.fr/depistage/cancers-de-la-peau/ espace-professionnels-de-sante. Disclosure of interest: None declared.

Self-Assessing the Benefits of Educational Tours

This article assesses the effectiveness of retrospective self-assessments in evaluating the impact and benefits of educational-heritage tours. This is done by comparing tourists’ retrospective self-assessments with the degree of change between their pre- and posttour evaluations. The survey population consists of 10,374 youth from dozens of countries who participated in educational tours to Israel. All completed questionnaires before and after the tours. It was found that their self-assessments of the tour’s impact reliably reflect changes in attitude as measured by parallel questions in the pre- and posttour surveys. Thus, the article makes a methodological contribution to tourism research, an area of the literature that is relatively scarce. The extent to which researchers may rely upon the less expensive and logistically simpler self-assessment method to evaluate tourist experiences is discussed.

Is The Implementation Of Self-Assessment Effective In Improving The Iranian EFL Students' Writing?

Writing skill is an important skill which is a requirement for the future success of a learner, and providing feedback by teachers on the students' writing a challenging issue. Self-assessment is almost a new trend in writing instruction. This study tries to investigate the effectiveness of the implementation of self-assessment in a writing classroom. To this end, 46 Iranian university students in Islamic Azad university, Kerman, Iran served as the participants of this study. The students were studying in English field of study. They were in a range of 20 to 24 who had taken the writing course voluntarily. In terms of the result of the proficiency test, the students were assigned randomly into two groups (an experimental and a control group). The students in the experimental group used self-assessment method and the students in the control group used the teacher assessment (traditional method) in the classroom. The findings of the current study revealed that the implementation of the self-assessment was helpful in the writing classroom and improved the overall abilities of the Iranian students.

Clinical measurement of disease activity in rheumatoid arthritis: why, how and utility of patient self-assessment

Regular monitoring of disease activity and adjustment of treatment to achieve tight control of disease activity is important in rheumatoid arthritis (RA), as abrogation of inflammation and synovitis will achieve disease remission and best clinical outcomes. Self-assessment of disease activity by patients is an interesting concept currently under evaluation, potentially used in clinical practice to assist in achieving treat-to-target outcomes. In addition, it has the potential to improve patient engagement in their own control of their disease and at the same time improve adherence and awareness of their RA. In this review, the importance of disease monitoring in RA is discussed and several potentially useful self-assessment methods by patients (e.g., self-assessed joint counts and self-reported questionnaires) are presented with a discussion of its potential use in clinical practice.

STANDARDS FOR GOOD PHARMACY PRACTICE DEVELOPMENT

According to the order of the Ministry of Health of Ukraine of 30.05.2013 No 455 that joints guideline of the World Health Organization and the International Pharmaceutical Federation pharmacy practice: standards for quality of pharmacy services (GPP Guidelines) it was recommended to use Good Pharmacy Practice (GPP) standards as a baseline information source for the development. AIM OF RESEARCH. To suggest methodological approaches for the development of national GPP standards in Ukraine, to study the typical structure of GPP standards. RESEARCH MATERIALS AND METHODS. GPP guideline, pharmacy practice guidelines of a variety of countries of the world were selected as research objects. Comparative analytical method , analogy and generalization methods were used. RESULTS AND DISCUSSION. GPP guideline provides a framework within which each country has to offer its own national standards for the provision of qualitative pharmaceutical services for population. On our opinion, the GPP standard – is recommendatory document which may acquire a normative character in the future that defines the list of standards and requirements for the provision of qualitative pharmaceutical care and conformity of pharmacies to criteria which allow to assess their activities as appropriate. We developed a structure of national GPP standard, which must contain the following elements: 1) title of the standard; 2) introduction; 3) terms and definitions; 4) symbols and abbreviations used in the text of the standard; 5) scope of application; 6) requirements for activities; 7) appendixes; 8) bibliographic resources; 9) notes. CONCLUSIONS. Professional pharmaceutical associations have got a leadership role in the development of pharmacy practice standards in different countries. GPP standards are used for control of regulators and pharmacies owners and as a method of self-assessment of service quality for professionals.

Determining the cut‐off point of osteoporosis based on the osteoporosis self‐assessment tool, body mass index and weight in Taiwanese young adult women

To examine the cut-off point of the osteoporosis self-assessment tool, age, weight and body mass index for osteoporosis among young adult Taiwanese women, using a large-scale health examination database containing bone mineral density tests. The cut-off points of osteoporosis risk factors identified earlier focus on menopausal or senior Caucasian and Asian women. However, young adult Asian women have seldom been identified. A retrospective historical cohort study. Using the 2009-2011 health examination database of a large-scale medical centre in northern Taiwan, this study investigated young adult Asian women (i.e. range in age from 30-49years) in Taiwan who had received dual-energy X-ray absorptiometry test. This study also explored the cut-off point, sensitivity, specificity and diagnostic accuracy of receiver operating characteristics of osteoporosis among young adult females in Taiwan. This study collected 2454 young adult Asian women in Taiwan. Cochran-Armitage analysis results indicated that the prevalence of osteoporosis increased with decreasing weight, body mass index and osteoporosis self-assessment method quartiles. According to the results of receiver operating characteristics, weight, body mass index and osteoporosis self-assessment tool approaches can generally be used as indicators to predict osteoporosis among young adult Asian women. Results of this study demonstrate that Taiwanese women contracting osteoporosis tend to be young and underweight, as well as having a low body mass index and osteoporosis self-assessment scores. Those results further suggest that the assessment indicators for cut-off points are appropriately suitable for young adult women in Taiwan. Early detection is the only available means of preventing osteoporosis. Professional nurses should apply convenient and accurate assessment procedures to help young adult women to adopt preventive strategies against osteoporosis early, thus eliminating the probability of osteoporotic fracture.

Beyond Quantity - Classifying and Evaluating Legal Research in a Trusting Environment

In this Memo I have developed a model with criteria to primarily classify legal research through a method of self-assessment. The model chooses to move away from quantity and from determining quality merely based on the place of publication, such as high ranked journals or law reviews or very reputed presses. The model aims at escaping the quantitative tsunami and obsession with impact factors and citation indexes that is terrorizing the science community.The focus is on the IPW, the Individual Piece of Work, by assessing it as research or not, based on five criteria. One cardinal criterion (Scientific = solid, comprehensive and transparent) and four additional criteria: analytical/comparative, original, critical and clear.

The Implementation of Self-Assessment in EFL Writing Classroom: An Experimental Study

Writing skill is an essential requirement to lifelong learner success, yet the way teachers provide feedback for their students on writing is quite challenging. One of the new trends in writing skill instruction is Self Assessment. Self-assessment methods in writing instruction present meaningful ways to promote student writing achievement through reflection and meta-cognition during the writing process. This paper describes the findings of an investigation on using self assessment in EFL writing classroom. For the purpose of conducting this research, 48 Iranian upper intermediate students, all male and with age range of 20 to 23, were chosen to participate in this investigation. These participants were divided into two equal groups: an experimental group (N=24) who worked on their writings through self assessment and a control group (N=24) who worked on their writings based on the traditional ways. It was found that participants in the experimental group significantly improved their writing proficiency means score, whereas improvement in the control group was not significant. The results confirm that self assessment is successful with EFL students.

The Effective Teaching Method of Pharmacology for the Students in the Faculty of Health and Nutrition in Tabriz University of Medical Sciences

Introduction: Pharmacology is one of the specific courses of the medical sciences students. Multiplicity of drugs and a lot of similarities in their characteristics make the learning of this lesson difficult and no common methods of teaching have been able to fix this problem so far. This study aimed to examine the effect of observing the dosage forms appropriate to each training session on enhancing learning pharmacology and comparing it with other traditional teaching methods. Methods: Fifty six Health Care Management and Family Health students in Tabriz University of Medical Sciences participated in this descriptive study. Each session was held using lectures and PowerPoint during half of educational classes and the other half was conducted using whiteboard and at the same time the teaching pharmaceutical dosage forms, their functions and properties were shown. A standardized questionnaire based on Likert scale was given to the students and the level of learning was reviewed by self-assessment method. The data were analyzed using SPSS and descriptive statistical parameters. Results: Teaching pharmacology through showing pharmaceutical dosage forms had significant effect on improving students’ learning in both fields based on their self-assessment, so that more than 95% of students were satisfied with the teaching methods. From point view of students, the understanding of pharmacology using whiteboard and showing pharmaceutical dosage forms was significantly more than PowerPoint. Conclusion: The students believe that the level of the learning pharmacology through using whiteboard along with observing the dosage forms appropriate to each training session is outstanding.

Implementation and outcomes of online self and peer assessment on group based honours research projects

Honours research projects in the School of Civil, Environmental and Mining Engineering at the University of Adelaide are run with small groups of students working with an academic supervisor in a chosen area for one year. The research project is mainly self-directed study, which makes it very difficult to fairly assess the contribution of individual students to a group-based research project. Until recently, a paper-based method of self and peer assessment (SPA) for the honours research projects was used to assess the projects. This was unsatisfactory for both students and academic staff, who found that the same mark was often awarded by the peers to each student without feedback. In 2010, therefore, an online SPA tool, SPARK, together with a set of newly developed assessment criteria, were used for SPA by the honours students. The new SPA criteria are based on teamwork and research skills, and the new rating scales reflect standard academic grades. Surveys of the students confirmed that they found the criteria and scales much more suitable for the assessment of group work and design projects.

Examination Factors Affected the Personal Income Tax Compliance In Aceh Province, Indonesia

The collection of tax revenues is essential for a government to ensure its funding. From the structure of national budget 2011, it can be seem that tax revenues represent 79% of all government revenue. Now tax can play important role in all aspect government like political and economic perspective. Tax revenue from Aceh in 2011 contribute .....% (Rp....) for national tax revenue. It seems too small number of contributing for national tax revenues. Aceh Province was the site of the December 2004 tsunami, which killed an estimated 167,000 people. It was also the site of a 30-year civil war between the separatist Free Aceh Movement (GAM in Indonesian) and the Indonesian government, which ended with the signing of a peace agreement in August 2005. After the Aceh Recovery Framework (ARF) was announced by the Governor of Aceh in 2007 as a turning point in strategic planning and coordination around the broader spectrum of transitional issues that must be more fully understood and managed as a whole, Aceh became a province that be growth normally and would be a sustainable place for improvement land. Those situations affect to the economic growth in Aceh from 2008 until 2011. The ARF is at once the Governor’s mission and vision translated into a transitional roadmap from 2008 to 2011; a transparent and shared planning and monitoring mechanism; and a coordination structure for partners and stakeholders that enriches government policy and planning with the acquired wisdom, lessons learned and targeted assistance of those helping Aceh to fully recover and flourish. All situation change can not effect more significant in tax revenue. Event the tax compliance in Aceh. We knew that Indonesia adopts the self-assessment method for individuals to calculate, settle, and report income tax. So in Aceh this could be treating like another province that applied tax regulation exchange since 2008. In this case, it’s not easy to measure tax compliance in Aceh, because the applied of taxation still a new thing that applied after Tsunami and civil war Free Aceh Movement. As we know that noneconomic factors are a dominant factors affected in tax compliance in Aceh. The question is how Directorate General Tax to measure tax compliance and find out the solution to increase tax revenue and to reduce tax evasion.Tax compliance had involved many economic factors such as: the level of actual income, tax rate,tax benefits,tax audit, audit probabilities, fines and penalties and there are many noneconomic factors to affect the level of tax compliance. Many researches have been done to include these noneconomic factors to explain tax compliance behavior under the framework of economic analysis ( for example; Alm, Jackson, and McKee (1993), Alm, Sanchez, and DeJuan (1995), Park and Hyun (2003)). These noneconomic factors include the willingness to pay for public provision, pubic education, tax morale, tax information, and etc. As there are some limitations to include all noneconomic factors for the analysis of tax compliance behavior, most studies pay attention to just one or several factors for rigorous analysis. Even though we understand that noneconomic factors are the important determinants for the level of tax compliance, it is hard to compare these noneconomic factors between Korea and Japan, due to limited information. We just focus on one noneconomic factor to partly explain the difference of the levels of tax compliance between them, which is the policy of tax information disclosure. Directorate General Tax still just had examined any factor that affected to the tax compliance in all over the the province in Indonesia. But in Aceh, there are differences aspect that became factors dominant which found in many cases tax audit and tax report. This research had the aim to analyze the factors that affected to the individual tax compliance in Aceh province from 2005 until 2011.

Evaluating the Validity of the "Categories Method": A New Method for Self-Report Assessment of Daily Calorie Intake: A Pilot Study

Weight loss is mainly the result of reduction in daily caloric intake. Hence many people are interested in counting and tracking their daily caloric intake however, studies show that in fact only ∼10% can accurately estimate the number of calories they eat. We suggest a new self-assessment method for calorie intake called the

Defining technical errors in laparoscopic surgery: a systematic review

Technical errors, a distinct subcomponent of surgical proficiency, have a significant impact on patient safety and clinical outcomes. To date, only a few studies have been designed to describe and evaluate these errors. This review was performed to assess technical errors described in laparoscopic surgery. A literature search of Medline, Cochrane, EMBASE, and OVID databases (1946-2012, week 14) using the terms "technical/medical error," "technical skill," and "adverse event" in combination with the terms "laparoscopy/laparoscopic surgery" was conducted. English language peer review articles with a description of technical errors were included. Opinion papers, reviews, and articles not addressing laparoscopic surgery were excluded. The search returned 2,282 articles. Application of the inclusion criteria reduced the number of articles to 21. Of these 21 articles, 14 (67 %) were observational studies, 3 (14 %) were randomized trials, 2 (10 %) were prospective interventional studies, and 2 (10 %) were retrospective analyses. Eight articles (38 %) applied error analysis as an approach to determine error rates within routine procedures. The remaining 13 articles (62 %) used the assessment of errors to describe and quantify surgical skill in an educational setting. A number of approaches for the assessment of surgical technical errors exist. The error definitions vary greatly, making a comparison of error rates between groups impossible. Complexity of scale design and subjectivity in ratings have resulted in limited use of these scores outside the experimental setting. To facilitate error analysis as a self-assessment method of continuous learning and quality control, further research and better tools are required.

Large-Scale Multiobjective Static Test Generation for Web-Based Testing with Integer Programming

Web-based testing has become a ubiquitous self-assessment method for online learning. One useful feature that is missing from today's web-based testing systems is the reliable capability to fulfill different assessment requirements of students based on a large-scale question data set. A promising approach for supporting large-scale web-based testing is static test generation (STG), which generates a test paper automatically according to user specification based on multiple assessment criteria. And the generated test paper can then be attempted over the web by users for assessment purpose. Generating high-quality test papers under multiobjective constraints is a challenging task. It is a 0-1 integer linear programming (ILP) that is not only NP-hard but also need to be solved efficiently. Current popular optimization software and heuristic-based intelligent techniques are ineffective for STG, as they generally do not have guarantee for high-quality solutions of solving the large-scale 0-1 ILP of STG. To that end, we propose an efficient ILP approach for STG, called branch-and-cut for static test generation (BAC-STG). Our experimental study on various data sets and a user evaluation on generated test paper quality have shown that the BAC-STG approach is more effective and efficient than the current STG techniques.

Tendência secular de 10 e 20 anos da maturação sexual de escolares

1 Abstract - The objective of this study was to verify the secular trends of sexual maturation of students between 11 and 15 years old, during a period of 10 and 20 years. The sample was composed by 1,002 students aged between 11 and 15 years; 536 boys (12.6±1.3 years old) and 466 girls (12.5±1.2 years old) who took part in the Ilhabela Mixed-Longitudinal Project on Growth, Development, and Physical Fitness. The students' assessment period occurred in 1990/91 (initial), 2000/01 (10 years later), and 2009/10 (20 years later). Sexual maturation was analyzed according to the self-assessment method and age at menarche (month and year) was collected retrospectively. The statistical analysis used was: one-way ANOVA, and Tukey's post-hoc test. The level of significance was p<0.01. The onset of menarche in the initial analysis was at: 12.5±1.2 years old; in the 2000/01 group: 12.3±1.0 years old (Δ=-1.6%), and in the 2009/10 group: 12.2±1.0 years old (Δ=-2.4%). Although there was a tendency towards reduction in age at menarche along the periods investigated, differences were not significant. There were significant differences only in genitals (G4), and pubic hair (P3) in boys after 10 and 20 years. In the same period, it did not occur any significant difference in maturational stages for girls. In conclusion, there was no secular trend of secondary sexual characteristics in boys (genital and pubic hair) and girls (breast and pubic hair) and in age at menarche over 10 and 20 years.

Risk and Safety Program Performance Evaluation and Business Process Modeling

There is increasing need for agencies to coordinate their interdependent risk assessment, risk management, and risk communication activities in compliance with risk program guidelines. In particular, there is a challenge to measure risk program compliance and maturity to guidelines such as the U.S. Office of Management and Budget (OMB) memorandum “Updated Principles for Risk Analysis” among others. This paper demonstrates a systemic approach to evaluate large-scale risk program maturity with utilization of business process modeling and self-assessment methods. This approach will be helpful to agencies implementing risk guidelines such as those of the OMB, the U.S. Government Accountability Office, the U.S. Department of Homeland Security, the U.S. Department of Defense, and others. This paper will be of interest to risk managers, agencies, and risk and safety analysts engaged in the conception, implementation, and evaluation of risk and safety programs.

L’évaluation de sa flexion postopératoire par le patient après prothèse du genou est-elle capable d’identifier le risque de mobilisation sous anesthésie ?

Patient self-assessment of postoperative knee flexion following knee replacement was introduced at our institution. This protocol had a dual objective: improve follow up and act as an early indicator to identify patients at risk of requiring a manipulation under anaesthesia. The aim of our study was to audit the use of this patient self-assessment tool and evaluate whether these outcomes were being achieved. A prospective audit of patients admitted for total knee replacements under the care of one orthopaedic consultant between April and October 2009. Participants were asked to measure and record daily maximum knee flexion whilst sitting, from discharge through to six week follow-up. Patients were advised to contact the Arthroplasty team if flexion reduced by 10° or more for three consecutive days. Patient's documented knee flexion was compared to that measured on discharge and at six weeks post-operatively by clinicians. Seventy-nine participants (82 knees) were included with 61 participants (64 knees) returning data for analysis (78% compliance rate). Comparison of patient and clinician measurements showed a mean difference of +2° with limits of agreements from −12° to +15°. At a mean follow up of six weeks maximum flexion (measured by clinician) was 99° (95%CI 97°, 102°) and 92% had a 90° flexion or greater. During the audit period six patients met the criteria to contact the Arthroplasty team, however none of them followed this instruction. Patient self-assessment of knee flexion at home with a simple goniometer was accurate enough to be useful and 92% of patients reached 90° maximum flexion at six weeks. However this self-assessment method was not successful as an early indicator to identify patients at risk of requiring a manipulation under anaesthesia. Future studies into alternative identifiers are required. Level III Investigating a diagnostic test.